Pre-hospital and acute sector management structures: DipIMC practice questions
PHEM curriculum unit 1.10 · Theme 1: Working in Emergency Medical Systems
The DipIMC is blueprinted against phase 1 of the UK Pre-hospital Emergency Medicine (PHEM) curriculum. This page covers unit 1.10, Understand the pre-hospital and acute sector management structures within the wider healthcare system.
Below are 2 free practice questions from the DipIMC.Ninja bank, in the Part A single best answer format. Every answer names the textbook page, guideline or statute it was written from, so you can check it rather than take it on trust. The bank holds 8 questions on this unit.
Question 1 · Law, Ethics & Human Factors · Moderate
An ambulance trust emergency planning officer is preparing a briefing on the Civil Contingencies Act 2004 for newly appointed medical advisers. Which of the following bodies is a Category 2 responder rather than a Category 1 responder under Schedule 1 of the Act?
- AAn NHS ambulance service trust
- BA county council (local authority)
- CAn integrated care board (ICB)
- DThe area's chief officer of police
- EA Gas Act 1986 licence holder
Show answer
Answer: E
A Gas Act 1986 licence holder
Schedule 1 of the Civil Contingencies Act 2004 divides responders into two categories. Category 1 responders (Part 1 for England) include local authorities such as county councils, chief officers of police, integrated care boards, and NHS trusts providing ambulance services. Category 2 responders (Part 3) are co-operating bodies, starting with utilities: among them are holders of licences under section 7 of the Gas Act 1986, alongside electricity licence holders, telecommunications providers and transport operators. The two categories carry different legal obligations reflecting their likely role at an incident. The Oxford Handbook summarises the same split, listing the emergency services, hospitals and local authorities as Category 1 and utility companies, transport providers and telecommunications companies as Category 2.
Where this comes from
law-113 · Law, Ethics & Human Factors · EMS Systems · Moderate · v2
Question 2 · Law, Ethics & Human Factors · Moderate
A BASICS scheme wants to seek NHS funding for its response in a rural area and is told to approach 'the integrated care board (ICB)'. Under the Health and Care Act 2022, which statement about integrated care boards is correct?
- AIntegrated care boards are committees of the local authority that commission social care, with NHS services in the area commissioned separately by NHS England
- BIntegrated care boards are bodies established by NHS England, replacing clinical commissioning groups, that arrange provision of NHS services in their area
- CIntegrated care boards are regulators of health and care providers that inspect them against the fundamental standards and award quality ratings
- DIntegrated care boards are professional regulators for NHS staff working outside hospitals, holding the register for paramedics and community clinicians
- EIntegrated care boards are regional offices of the Department of Health and Social Care that manage ambulance trusts directly and appoint their boards
Show answer
Answer: B
Integrated care boards are bodies established by NHS England, replacing clinical commissioning groups, that arrange provision of NHS services in their area
Section 19 of the Health and Care Act 2022 inserted new sections 14Z25 to 14Z30 into the National Health Service Act 2006. NHS England must establish bodies called integrated care boards; and any clinical commissioning group in existence immediately before the appointed day is abolished at the beginning of that day. Section 3 of the 2006 Act, as amended, then provides that an integrated care board must arrange for the provision of hospital, medical, nursing and ambulance and other services to meet the reasonable requirements of the people for whom it has responsibility. The ICB is therefore the NHS commissioner for its area, which is why a scheme seeking NHS funding is directed to it. It is also one of the three statutory safeguarding partners under Working together to safeguard children. It is not a quality regulator (that is the Care Quality Commission), not a professional regulator (the GMC, HCPC and NMC hold the registers), not a committee of the local authority, and not a regional office of the Department of Health and Social Care.
Where this comes from
law-114 · Law, Ethics & Human Factors · EMS Systems · Moderate · v3
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