Tertiary Health Care Service

Tertiary health care is one of the most complex aspects of health care in the UK. These are specialized institutions that provide medical treatment services for diseases for which sufficient success cannot be achieved when treated by a doctor at the highest level of second care. An example of this is a disease in which the patient develops gangrene of the fingers and circulatory disorders and recurrent gastric ulcers and stenosis of the esophagus. These diseases are difficult to treat, and patients in need of such help receive it in specialized clinics, trained and experienced doctors. These clinics typically have advanced diagnostic equipment and medications not available in regular hospitals, which helps improve patient care.

Tertiary care in the UK is different from other health services such as primary and secondary care. Primary or first aid



What is a tertiary (highly specialized) health care service?

**Tertiary care services** are specialized centers that provide highly specialized medical care to patients who have been diagnosed with serious illnesses or complex conditions. Work specifics

Unlike a regular hospital,



Tertiary (or highly specialized) care (HSCP) are specially designed clinics staffed by specialist doctors who have sufficient experience in treating complex conditions. In recent years, the development of this area has advanced significantly, resulting in the desire of the doctor to obtain secondary or higher medical education in the field of pediatrics, surgery or geriatrics. The work of a doctor in the clinics mentioned above requires maximum mental and physical effort. Generally, therapists are trained to conduct rounds in the HSCP. Most hospitals, from small provincial centers to large university hospitals, try to attract recruits to work in highly specialized departments so that their highly qualified staff have dual experience: hospital practice and work in HSC.

HOSPITAL SERVICES In small hospitals, it is advisable to create highly specialized clinical units, regardless of what nomenclature this unit will be represented by. The goal of such a unit is to maximize the potential of therapeutic science and the practical experience of existing doctors, taking into account the need to provide qualified care to patients who have specific medical problems. If, for example, the attending physician identifies a patient with a “difficult” disease and wants to treat him in a specialized department, then he must obtain the approval of the director of the planning and execution department (EPOA), or the director of the department of clinical activities, to draw up an appropriate schedule. At the initial stage, medical services remain a continuation of the standard main and central specialized departments - therapeutic, surgical, somatic, psychiatric, etc. Subsequently, these departments become an independent structure. Many of them acquire the highest status - clinical departments. The creation of specialized clinics in many cases holds great promise. The structure of a medical hospital, taking into account the main method of treatment, should be structurally divided into therapeutic, surgical and pediatric clinics. Formally, the units are divided into different types: clinical department, multi-bed ward. It is proposed to use the more acceptable term “multi-bed/inpatient department” instead of ordinary departments, in which not only patients can be treated, but also the treatment process can be carried out for outpatients.

Multi-bed wards/departments. Today, in most cases, the clinical structure of a hospital includes multidisciplinary hospitals. Standard clinical departments consist of wards that consist of 2 bunk beds. Therefore, by creating a therapeutic department with 30 beds in the current conditions and adding 1–2 beds to each



Tertiary (highly specialized) medical care service is a very important and necessary stage of patient treatment, which, unfortunately, is often missed by most specialists. Let us consider in more detail the essence and importance of this process.

Tertiary care is a specialized type of medical service designed to provide highly qualified care to patients with particularly complex diseases. In the UK, this service is considered to be the highest specialized medical institutions equipped with the most modern equipment and medicines. If we translate this term literally from English, we can say that such a unit unites highly qualified doctors who diagnose and treat complex and difficult-to-treat diseases. In a different way