Introduction
This essay seeks to discuss the factors that facilitate change in health and social care. This can be achieved by assessing the challenges that the major factors of change bring using the Care Quality Commission of the Quality Care Commission for the Royal United Hospital Bath NHS Trust (RUHB). The second task aims to evaluate contemporary changes being inaugurated in the provision of health and social care services. In addition to this, a strategy and criteria will be devised in order to measure these recent changes including how the impact of these changes can be measured and evaluated.
LO1
1.1 Explain the key factors that drive change in health and social care services
‘Change’ within an organization sometimes refers to
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The NHS Operating Framework introduced by the coalition government sets out the planning and financial requirements for RUHB in 2012/13 and the basis of their accountability (DH, 2012). As a result, the 2013 certified that funding for health in England be frozen for up 2015/16 thereby requiring RUBH to underspend allocated funding from the government such as putting a 1% cap on pay award. Socially, this will include factors such as behavior of staff and service users, partnership working, quality of care, etc. These factors can drive change in diverse ways in the RUHB. For example, the NICE Guidelines on Behavior Change make recommendations on individual level behavior interventions that is aimed at changing the behavior that can be dangerous to the health of staff and service users such as smoking, alcohol abuse, lack of physical activity, safe sex, etc. (NICE, 2014). Technologically, the introduction of information communication technology has resulted in faster communication, appropriate storing and sharing of information and records of service users between health and social care professionals. As a result of the CQC inspection, the RUHB revises their health records management policy to more accurately reflect where information about service user such as fluid intake and output in each ward should be recorded (CQC Report, 2013)
1.2 Assessing the challenges that key factors of change brings to health and
Training is used to build knowledge and skills after employees have made the personal decision to support the change.
After the serious shortcomings within the Mid-Staffordshire NHS Trust came to light, The Francis Report (Francis, 2013) investigated how the conditions of inexcusable care could prevail within the trust. The Francis Report proposed several extensive changes that could improve the National Health Service (NHS). Garner (2014) informs that these changes include that leaders need to be effective and accountable, staff should be empowered to work in partnership, each trust should aim to improve innovation and quality, whilst putting the patient first. The Department of Health (DH) reflected on the findings and in response to The Francis
A. There are many potential barriers to communication such as language barriers, it can be hard to communicate with someone who does not understand your language or vice versa. Also cultural differences may be a problem as different communication aids such as touching, eye contact, or tone, which may be acceptable in one culture may not be
The National Health System began in 1948 with the aim to provide free health care for the English thus removing health access inequities. This essay considers two strengths of the NHS, being free health and locally responsive health care and two weaknesses being the financial burden and unprecedented pressure on health care resources.
1.1 Identify legislation and codes of practice that relate to handling information in health and socail care
Over the year both positive and negative influences have influenced my learning. The skill I have developed for learning is my aspiration is to become a midwife, this influences my learning in the way that it gives me the hunger to learn new things and improve my knowledge and grades. By improving my knowledge I will be able to go onto the next stage of my development. I believe that if I did not have such a desire to be a midwife, it would affect my learning by creating a mental blockage which would stop my ability to take things in and learn as I would become lazy and not interested from the lack of direction in my life. As soon as I realised what I wanted to do as a career, it really highlighted my priorities and I found that I have
Different people look at health in different ways. It can depend on their culture, environment, religion or age group. In order to have a clear understanding about how the people look at health, I have conducted a survey from a random sample of people who belongs to the above groups (e.g. people of different ages have been chosen).
As people get older they lose independence, they become less mobile and aren’t able to do everything for themselves any more. It is important to ensure that they keep as active as they can to ensure they keep their independence for longer.
P1 – Explain potential hazards and the harm that may arise from each in a health and social care setting.
The Health and Social Care Act 2012 came into force with crucial principles including new structures and arrangements in health care services to safeguard and strengthen the future of NHS and maintain the modernisation plan. In this Act, many new changes has been made to a number of existing Acts, National Health Services Act (NHS 2006), in order to enable health care system to tackle the existing challenges and also avoid any potential crisis in future. It has also introduced the proper allocation of NHS fund and budget, and improved the integrated care between NHS and social care services to promote patients’ choice in terms of delivering quality care.
This assignment will discuss the core values that underpin social and health service delivery and will compare the current health service provision with health care services at the inception of the NHS. The NHS has seven core values that aim to ensure that quality care is delivered to everyone regardless of their gender, religion, race, age, wealth or sexual orientation. These values have been developed by the general public, patients and staff, with local authorities having to develop and adapt these to provide personalised care. These values not only underpin the social and health delivery service, but also influence the legislation regarding care. For example the Care Act 2014 looks at integrating care, involving the patient and carer
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I have never really focused on the issues that our economy is facing; therefore, I find reading articles like these rather interesting. They provide me with material and questions I would not have looked up before. My favorite quote from the article was, “Monetary policy has been keeping the patient alive, creating the possibility of a lasting cure through fiscal and structural operations,” as stated by BoE Chief. I thought this line to be very funny and blunt. The comparison of the nation to a patient really put into perspective the how tragic our economic system is doing. Also, I have come to belief that people are okay with the monetary policy because it has been providing some relief to our problems, but people must find an actually solution,
This change idea was adapted from the 'seven day service assessment tool' which aimed to improve care and outcomes for patients admitted at the weekends. The aim of the tool is for organisations to be able to self assess where they are
When planning a change in the NHS such as this it is necessary to look at change theory models. These will be very relevant when implementing my change. The majority of contemporary research originates from the work of social psychologist Kurt Lewin in the mid-twentieth century. Lewin identifies three stages through which change must proceed before any planned change will become embedded in an organisation or system of working. These are unfreezing, movement and refreezing. I will base my change upon this model.