Safeguarding in Health and Social Care Organisations

Ever heard of Joint Commission? The Joint Commission is an independent, not-for-profit organization that wanted to improve the health care to the public by evaluating different health care organizations by providing the best care at the greatest values they could provide. The joint Commission is a group of 32 members, including physicians, administrators, nurses, employers, and quality experts. There are over 1,000 employees. ‘’ All people always experience the safest, highest quality, best-value health care across all settings.’’

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

Sheffield Children’s Hospital is funded by the government. It is a public/statutory type of care.

Every health professional has a legal obligation to patients. Nurses as part of the health care team share an important role in the quality and safe delivery of patient care. They have the major responsibility for the development, implementation and continuous practice of policies and procedures of an organisation. It is therefore essential that every organization offer unwavering encouragement and resources to support their staff to perform their duty of care in every patient. On the other hand, high incidences of risk in the health care settings have created great concerns for healthcare organizations. Not only they have effects on patients, but also they project threat to the socioeconomic status. For this reason, it is expected that all health care professionals will engage with all elements of risk management to ensure quality and safe patient delivery. This paper will critically discuss three (3) episodes of care from the case study Health Care Complaints Commission [HCCC] v Jarrett [2013] Nursing and Midwifery Professional Standards Committee of New South Wales [NSWNMPSC] 3 in relation to Registered Nurse’s [RN] role as a leader in the health care team, application of clinical risk management [CRM] in health care domains, accountability in relation to clinical governance [CG], quality improvement and change management practices and the importance of continuing professional development in preparation for transition to the role of RN.

This importance of compassion is highlighted in numerous healthcare documentations which state that nurses should provide care that is compassionate (Francis 2013). An incident which occurred in a general hospital in Staffordshire over 50 months between January 2005 and March 2009 led to between 400 and 1200 patients dying due to poor care. Robert Francis published his report on the failings of Mid Staffordshire Foundation Trust which examined causes of the incidents. Since this incident the issue of patent safety and care quality has been in the public eye more than ever. The Francis report has made 290 recommendations which include; openness and transparency throughout the healthcare system, essential standards for healthcare providers, improving compassionate care and stronger healthcare leadership. It is also essential to focus and provide increased education and training on compassionate care (Francis

A duty of care is a legal obligation to protect wellbeing and prevent harm within the health and social care sector. The duty of care is very important as it does not only protect the service users but the service provider’s as well. There are 7 principles all care workers must follow in order to care for the service users effectively. I will be investigating the quality of care given by service providers in both a child and adult health and social care settings. if the duty of care is not followed, implications can occur, for example it is a carers duty of care to report any signs of abuse they may notice on a patient, reporting this to higher authority etc could possibly save that service users life. Service users have rights to

When talking about quality and safety, the deficiencies with the management and ability of the NHS have their own evidence and signs. This is due to extended and unacceptable waiting times for treatment, medical and non-medical care being of poor quality. Dirty hospitals, inflexible

Later, findings from a series of reports including report from Royal commission on National Health Insurance in 1926; The Sankey Commission on Voluntary Hospitals in 1937; and reports from British Medical Association (BMA) in 1930 and 1938, all collectively indicated that inadequacy existed in the pattern of the services (Christopher, 2004; Webster, 2002). Evident were reports of conflicting care and duplication of work between the municipal and voluntary hospitals (Wheeler & Grice, 2000). Additionally, world war had a huge impact on the health services and the conditions in which hospitals, theatres, radiology and pathology department operated was very poor. Thus, no machinery existed that supported running of a coordinated healthcare system, hence a need for unified, simplified and cohesive system was felt (Smith, 2007). Furthermore, Royal Commission’s report suggested that funding for the health services might benefit from general taxation rather than its basis on insurance principle (Christopher, 2004). However, it was not until the Beveridge report in 1942, which provided a huge drive and momentum for a movement of change in the health services. And within subsequent years seen were the proposals for NHS drawn through the White Paper in 1944, then in 1946 the National Health Service Act and at last in 1948 the establishment of the NHS

The Joint Commission delivers stability and security to the quality of care being practiced. They have certain standards which are the root of an objective evaluation method that can benefit health care organizations through the measurement and monitoring of their achievements. These methods improve upon performance standards. The committee’s focus is primarily on important patient,

EDI Level 5 Diploma in Leadership for Health and Social Care and Children and Young

“A framework through which NHS organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish” (NHS Executive, 1998).

The Joint Commission is a nonprofit organization that certifies more than 18,000 health care organization and programs throughout the world. Founded in 1951, the Joint Commission provides a national symbol of quality for health care as well as analyzes each organization’s commitment to meeting high quality performance standards. The Joint commission focuses on accrediting Acute Care Hospitals, ambulatory, behavior health, long term care, health care facilities, clinical laboratories, health care networks and hospice. Numerous of accreditation organization is also taking place within the United States, but the Joint commission remains the largest The Joint commission accredits 20,000 organization” which” one third are Hospitals.

Abiding by codes of practice infers employee accountability.As an employee, signing a contract binds the employee to adhere to policies and guidelines.The adherence to the these protocols are partly governed by the Care Quality Commission who carry out unannounced inspections to ensure organisatons are providing a safe, caring and responsive service. A report into failings at Leeds General Infirmary, (Boseley and Morris, 2014), show how lack of guidelines and protocols can impact negatively on service users. 16 families were affected when their children were diagnosed with heart defects, before during and after birth. The pediatric cardiology department failed to deliver support, compassion and empathy, consequentially families were provided with an unacceptable service. Accountability lies with all employees that were involved and being accountable, is an integral part of getting care right. However, as mentioned earlier, evidence based guidelines and protocols are generic and do not allow for individuality. Nevertheless personal accountability is a requisite when deviating from

Clinical supervision sits at the heart of the UK Government 's agenda for improving the quality of service delivery (Department of Health, 1997, 1998, 1999). The practice in the workplace was introduced as a way of using reflective practice and shared experiences as a part of continuing professional development. Clinical supervision has ensured that standards of clinical care remain a key mechanism for monitoring the performance of Trusts, with clinical performance measures being given equal weight to financial and accounting measures. Each Trust is required to have a clinical supervision lead and a clinical supervision committee. The clinical supervision process within Trusts is performance managed through annual reports scrutinised by

The NHS was first launched in 1948. It was created to provide good healthcare services and it was available to everyone. It didn’t matter if you were rich or poor, that was the principle. http://www.nhs.uk/NHSEngland/thenhs/about/Pages/overview.aspx With the NHS confronting its greatest difficulties throughout the following decade, there are numerous reasons that the NHS is coming to emergency point. Each test should be tended to and a successful method for adapting and giving better treatment to patients should be involved.