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Nhs four pillars
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In this write-up, I would be describing, analyzing and evaluating integrated working in healthcare in England. Over the last periods in the England there has been a growing importance by the government on co-operative care, inter specialised working, and partnerships between the health and community care services. The Department of Health [DOH], working together has been constant feature of current Government strategy. The effect has been a variety of diverse tactics and trial projects, from the setting of social workers in GP health centre to the integration of adult health and social services in a single organisation. National Health Service (NHS) is the provider of healthcare to all citizens in England. At present many centres in the England are developing and conducting programmes to promote a multi-professional approach to working (Barr, 2002; Whittington, 2003). The NHS is steered by sequences of policies that are outlined by the Department of Health from time to time and has set up care trust which are partnerships with the NHS and the local council. Integrated working is best understood as a policy for enlightening patient care. It is alarmed with refining patient care …show more content…
What substances most is organisational and service-level integration that emphases on how care can be improved, provided and about the needs of persons, particularly where care is being given by a number of different health professionals in an organisations. However, integrated care is not desirable for all service consumers but must be directed at those who view to use most. The event of integrated working is vital to plan the needs and goals of integrated care, and to translate these into specific and quantifiable objectives. Integrated working and care is appealing both as a national policy and in terms of local care reshape and delivery, is crucial if people are to appreciate why it is being endorsed as a
The result of the Francis Report means that the NHS is at a turning point in how all Health Care is delivered, as suggested by NHS employers “28 of Robert Francis' QC's recommendations are for changes to nursing regulation or delivery”.
an assessment of their community care needs under the NHS and Community Care Act 1990.
For the case study one considered the overall working environment of the organisation, with a particular client situation to apply the case study arguments around. This client was experiencing a catastrophic reaction to an event. One applied an integrated person-centred approach which considered meeting their needs by listening to the issue, and working with the person, and their family, as well as care staff, Registered Nurses (RN’s) and the Director of Nursing (DON). In order to find a resolution and meet the client’s needs. As well as, adding to their care plan strategies to assist with future behavioural and psychological symptoms of dementia (BPSD). This particular situation fit perfectly within the two questions of; does the organisation prevent me from providing person-centred care, and do we have formal team meetings to discuss residents’ care.
The changes to health policy and the re-organisation of the NHS in recent years which has led to improve integrated governance, has all developed as a result of the catastrophic failings that occurred in Mid-Staffordshire healthcare Trust. The Secretary of State for health, Andrew Lansley, announced a full public inquiry to parliament on the 9th June 2009 into the role of the commissioning, supervisory and regulatory bodies in the monitoring of Mid-Staffordshire Foundation Trust (Midstaff inquiry online, 2013). This inquiry was led by Robert Francis QC, who proposed recommendations to ensure that similar events do not repeat in future. The Francis report made 290 recommendations which included improved support for compassionate, caring and committed care, as well as stronger healthcare leadership (Health Foundation Online, 2014).
The Open University (2010) K101 An introduction to health and social care, Unit 3, ‘Social Care In The Community’, Milton Keynes, The Open University.
The Care Programme Approach Association, (2006) National Standards and CPA Association Audit Tool for the Monitoring of the Care Programme Approach. Chesterfield: CPAA
The demands on health care providers to provide the best quality care for patients is increasing. With added responsibilities and demands on our health care workers, it is hard not to become overwhelmed and forget the reason and purpose of our profession. However, there is a way where all professionals can meet and come together for a common cause, which is the patient. A new approach to patient care is coming of age. This approach allows all health care professionals to collaborate and explore the roles of other professions in the hope of creating a successful health care team.
Public Expectations: In Health and Social Care, the public expects employees/workers to be caring, respectful towards the patients protected characteristics which means avoiding conflicts such as discrimination and inequality treatments. They should be able to protect personal information of the patients by following the 'Data protection and Confidentiality Act 1998'. They are expected to give good supportive advice towards their patients and employees to improve the quality of work and welfare benefits. They expect higher standards of care, detailed information about their treatment, communication and involvement in decisions making activities and also access to the latest treatments (Thekingsfund,
Intro- Collaboration with the interdisciplinary team plays a big part in the care of a patient.
In conclusion, Leonard, M et al (2004) point out that The complexities of patient care, coupled with the inherent limitations of human performance, make it critically important that the multi-disciplinary teams have standardised communication tools. looking back over Mrs X’s journey along this pathway. It was unquestionably the exemplary teamwork and communication, that were so fundamental in providing the holistic care that Mrs X needed. The responsibility and roles of the multi-disciplinary team were varied and often overlapped within the theatre suite. The team members had differing and varying levels of experience and expertise, but combined these when working together to care for Mrs X.
The demand of a constantly developing health service has required each professional to become highly specialised within their own field. Despite the focus for all professionals being on the delivery high quality care (Darzi, 2008); no one profession is able to deliver a complete, tailored package. This illustrates the importance of using inter-professional collaboration in delivering health care. Patient centric care is further highlighted in policies, emphasising the concept that treating the illness alone whilst ignoring sociological and psychological requirements on an individual is no longer acceptable. Kenny (2002) states that at the core of healthcare is an agreement amongst all the health professionals enabling them to evolve as the patient health requirements become more challenging but there are hurdles for these coalitions to be effective: for example the variation in culture of health divisions and hierarchy of roles. Here Hall (2005) illustrates this point by stating that physicians ignore the mundane problems of patients, and if they feel undervalued they do not fully participate with a multidisciplinary team.
... nurses to evaluate them and amend their practice accordingly. If these are adopted, then there is no loophole in the healthcare system and practical implementation of the whole system (Nursing and Midwifery Board of Australia 2013). These Competency standards are significant because every aspect is being covered and enable nurses to satisfy their organization and client at the same time. Integration of knowledge and skill adequately ensure the provision of quality healthcare and become effective in client management. Similarly, team work in the organizational setting can enhance the level of participation in improvement activities. Such initiatives are specifically necessary in healthcare as this sector demands that quality and of the processes must be improved with time and nurses can play a crucial role in attaining this task (National competency standards 2006).
Within this essay, I will reflect and critically analyse an OSCE which has increased my awareness, or challenged my understanding, in assessing the holistic needs of a service user (John), referred by his GP, whilst incorporating a care plan using the Care Programme Approach (CPA). By utilising this programme and other sources of current literature, I hope to demonstrate my knowledge and understanding in relation to this skill as well as identifying areas with scope for learning.
Davis, C; Finlay, L; & Bullman, A. (2000) ‘Changing Practice in Health and Social Care, London: Open University Press
One main aspect of the NMC codes of conduct which is relevant to explore is “work with others to promote and protect the health and wellbeing of those in your care, their families and carers and the wider community.” This statement depicts one of the aspects that enhance partnership working, as this statement entails a wider range of effective responsibilities wherein which if followed, partnership working will be effective.