Improving Healthcare Quality in the UK

This assignment examines the challenges facing healthcare quality in the United Kingdom. It analyzes research findings on service improvement methodologies, patient experiences, leadership patterns, and technological advancements in healthcare delivery. The assignment delves into the application of quality improvement tools from manufacturing to surgical healthcare and explores co-creation and learning in health service development. It also highlights policy documents like the NHS Outcomes Framework and discusses real-world examples of obesity care pathways.

NURSING HEALTH CARE

Table of Contents
INTRODUCTION...........................................................................................................................1
Theory.........................................................................................................................................1
Background.................................................................................................................................3
Benefits of chosen strategy.........................................................................................................6
Key components of theory..........................................................................................................7
Leadership theories.....................................................................................................................8
Time management.......................................................................................................................9
Evaluation...................................................................................................................................9
The Role of the Nurse in Service improvement and innovation...............................................10
Conclusion.....................................................................................................................................11
References......................................................................................................................................12

Illustration Index
Illustration 1: Scale of problems in the UK.....................................................................................5
Illustration 2: Obesity care Pathway................................................................................................6
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Index of Tables
Table 1: Gantt chart.......................................................................................................................11
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INTRODUCTION
Nursing healthcare is used for prevention of illness and injuries for patients in the
healthcare corporation. It also helps the medical victims to provide appropriate treatment by
giving medical prescriptions (Fitzgerald and et.al., 2013). Patient innovation service also
contribute effective role for management of medical professional of corporation to offer better
treatment to medical victims. Care UK is a health care organization which provide effective
health and social care services to patients. The present report the describes the current national
healthcare services for people (Donetto and et.al., 2014). It describes the aims and objectives of
selected innovation. It explains key areas of change management process which is necessary for
Patients innovation service. In addition to this, it represents about leadership theory for
implementing change. It explains time management theories for implementation and evaluation
selected patients service innovation.
Theory
History of national heath policies
National services act was created by 1946 after second world war to manage the health
care activities in the United Kingdom (Dixon-Woods and et.al., 2013). It is directly handled by
health ministry of government which contribute effectively to reduce the diseases and injuries in
various areas. In addition to this, according to this policy, government of Britain offer free
medical treatment in maximum diseases for UK citizens.
Key developments
 Government of UK emphasize to establish new health care organizations which helps to
increases frequency of these firms.
 They also established many new regional hospitals which help to provide effective
services as comparison of previous years.
 In addition to this, they provides various primary care services to its people.
 Government of United Kingdom increases community services like child welfare,
maternity, health educations as well as vaccinations for welfare of people (Elg and et.al.,
2012). This process contribute effective role for government to provide optimistic heath
care services to UK citizens.
NHS constitution
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The Constitution is made for rights of patients, public as well as staff members in the
United Kingdom. It explains its commitments for the people to provide effective healthcare
services to them (Dixon-Woods, McNicol and Martin, 2012). NHS Constitution sets out
commitment for government to generate the latest statement of its accountability to represent
how decision-making works in the heath care organizations. These complaints' guidance reveal
that how patients can give appropriate feedback regarding NHS treatment in hospitals. In
addition to this, it also contains information on the NHS feedbacks and what medical victims
can expect when they can do complaint. This guidance help the people to achieve effective
treatment in the organization (NHS Constitution for England. 2015)
NHS outcomes framework
Outcomes of NHS helps the government of UK and healthcare care organization to
improve healthcare services of public health and adult social care as comparison of previous
years. In addition, this process contribute effective role for Care UK and Government to improve
health status of UK Citizens (Free and et.al., 2013). Further, Government and Healthcare
corporations also associates its stakeholder to improve their services by taking feedback. They
identify health inequalities measures on the basis of NHS framework indicators with help of
healthcare employees in the various areas (Reviewing the NHS Outcomes Framework. 2016).
Challenges
Generally, organizations and government of UK suffers with many challenges regarding
various type of diseases which create complexities to manage them. Efforts of corporation and
legal regulatory bodies are not appropriate as per present condition. Due to these reasons, disease
level in people is increased as comparison of previous years (Dixon-Woods, McNicol and
Martin, 2012).
Key principles of Clinical Governance
Clinical governance is a systematic method to maintain and improve the quality of patient
care within a health care system (Entwistle and et.al., 2012). It plays important role for heath and
social corporations and government of UK to improve its healthcare quality and service.
Principles of Clinical governance are described below in the paragraph.
 Government and Care UK healthcare corporation provide effective education and training
to its stakeholders.
 They conduct clinical audit and effectiveness for welfare of people.
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 They focus on research and development for new innovations.
 They also emphasize the risks and management of information for innovation of Patient
service innovation.
Background
My chosen field is obesity which is described as follows. Generally, obesity is not
diseases but it creates various type of diseases like diabetes and health attack which create
complexities for people (Aveling and et.al., 2012).
Scope
There are many scopes to improve obesity issues in various areas of United Kingdom.
Further, this method can help the Care UK for patients service innovation in these diseases by
analysing actual reasons and proper information of them.
NICE clinical guidelines
NICE clinical guidelines help the Care UK corporation on the prevention, identification,
assessment and management of overweight and obesity in adults and children. In addition to this
It aids the organization to reduce various type of diseases by using appropriate strategies with
help of local communities (Conway, Mostashari and Clancy,2013).
Scale of problems in the UK
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From the above table, it represents issues in Men and women due to obesity as per data
of 2011 in the United Kingdom. In addition to this, it describes risk factors which are described
in the table. This process contribute effective role for Care UK corporation to decrease its
complexities by finding out new ways. Generally, these type of data are collected by using body
mass index which provides appropriate reliability to understand obesity issues (Tackling Obesity.
2014).
Patient service innovation technique
For this process, management of care UK can follow Obesity care Pathways as effective
approach. This process can help the corporation to reduce these kind of issues in the various
areas of United Kingdom.
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Illustration 1: Scale of problems in the UK
(Source:Tackling Obesity. 2014)

As per above the diagram, this approach is divided in four parts to decrease obesity issues
in the different areas.
Tier 4
This phase includes the Morbid Obesity Service with help of Bariatric Surgery. So this
patient innovation technique can help the Care UK to reduce these types of complexities.
Tier 3
In this process, people can get non surgical weight management to reduce the obesity
issues in appropriate manner (Al-Abri and Al-Balushi, 2014).
Tier 2
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Illustration 2: Obesity care Pathway
(Source:Tackling Obesity. 2014)

In this approach, A person whose body mass index (BMI) is greater than 30. So this
patient are treated by Community management programs. So patient service innovation
technique can contribute effective role for Management of Care UK to reduce obesity issues in
people.
Tier 1
It is earlier stage in which Body mass index is greater than 25. Due to this reasons,
weight of people are increased very rapidly (Nicolay and et.al., 2012). These individuals can be
treated by providing appropriate motivation and other tools which can play important role for
Care UK them to reduce weight of people (Tackling Obesity. 2014).
Recommendations
There are many recommendations which can aid the management of Care UK to reduce
its obesity problems in the United Kingdom. In addition to this, it supports patient service
innovation for welfare of people.
 Healthcare professionals of organisation should create new awareness in people through
explaining consequences of obesity.
 Management of Care UK should develop new programs to motivate the people regarding
sports activities and body exercise (Fitzgerald and et.al., 2013). These methods can aid
the corporation to decrease the obesity issues in the various areas of UK.
 Organisation and Government should organize many camps as well as programs which
can help the people to prevent obesity in appropriate manner.
Benefits of chosen strategy
There are many benefits of patient service innovation which can help the Care UK to
reduce issues of Obesity in the people.
 Obesity pathway care can help the organisation to treat the obese people by using this
strategy in a appropriate manner.
 This method can aid the management of Care UK to generate better awareness as
comparison of previous years.
 Patient service innovation technique can contribute effective role for organisation to
reduce diseases ratio of various type of diseases like heart attack as well as diabetes as
compared with past years.
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 It can support the Care UK organisation to reduce death ratio which can aid to control the
population of United Kingdom as compare to previous years (Donetto and et.al., 2014).
 Patient service innovation method can help the corporation to generate new ideas and
develop new strategies which can play important role to reduce obesity issues.
 This approach can help the Care UK organisation to reduce expenses of people by
providing appropriate knowledge which can support them to face their obesity issues.
 Obesity care pathway can contribute effective role for management of Care UK to
develop appropriate strategies and plans which help to treat the patients regarding obesity
in the various areas.
Key components of theory
There are many components of Patient service innovation theories which help Care UK
to execute this process.
Major components of the project
This project is divided in tier one to four according to Body mass index (BMI) of people.
These categories help the Care UK organisation to treat different type of patients.
Where will it take place
Patient service innovation method helps to reduce obesity issues of patients in different
areas of United Kingdom (Dixon-Woods and et.al., 2013). So organisation has to use this
approach everywhere to manage these kind of complexities. This way, this project can help the
Care UK corporation to reduce obesity issues in the healthcare industry.
Who will it involve? What role might they play
In this process, many healthcare employees, doctors, surgeons as well as nurse play
important role for management of Care UK to execute this process in the various areas of
Britain. These employees help in managing various medical activities for welfare of patients and
people. In addition to this, doctors and surgeon contribute effective role for Corporation to treat
obese people by giving proper prescription and suggestions to reduce the obesity in them (Elg,
and et.al., 2012). Further, healthcare and social care and nurses help in guiding the patients as per
prescription of doctors and surgeons.
How will the project be rolled out
Project can be rolled out through many ways which can help the Care UK organisation to
implement Patient service innovation technique. Management of corporation has to select the
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many employees to execute this process in various areas of United Kingdom. Firstly,
organisation has to target effective areas to implement this process. In addition to this,
corporation has to develop better strategies and plans according to selected areas with help of
healthcare members (Dixon-Woods, McNicol and Martin, 2012). In the next process,
management of Care UK has to allocate roles and responsibilities its employees. This method
helps the organisation to roll out patient service innovation technique in a appropriate manner. It
aids the corporation to provide effective medical services to patients in the various areas.
Time frame
As per research, this process will consume at least 1 year to execute these activities for
the organinzation.
What will need to be considered in order for the innovation to be successful
There are many things which are necessary for management of Care UK to achieve
success Patient service innovation technique (Free and et.al., 2013). For example, organisation
will have to manage effective culture which will motivate the healthcare members regarding
their job. This process will contribute effective role for corporation to achieve better success in
better way (Entwistle and et.al., 2012). In addition to this, Care UK will have to use effective
resources like healthcare professionals, medical equipments as well as other machineries to
execute the patient service innovation method.
Possible challenges
Management of Care UK can face many barriers to implement this process in various
areas. Along with this, organisation can face employee, strategy, equipments as well as people
related issues which can create issues to execute this process. This method can affect its
efficiency and performance in the health-care industry (Aveling and et.al., 2012). These issues
are generated due to changes in various adverse situations which affect Care UK working.
Leadership theories
These factors help the Care UK organisation to execute new patient service innovation
technique.
Team working or building: For implementing project successfully, organisation has to develop
effective team for better working. Further, this process helps the firm to complete its given tasks
and responsibilities.
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Developing a positive work culture: Care UK has to develop positive work culture by sharing
the work and effective communication in healthcare employees (Conway, Mostashari and
Clancy, 2013). This approach helps the corporation to increase efficiency and performance of
team.
Methods of motivation: Management of Care UK can follow can many motivation theories like
Maslow and cognitive theories to motivate healthcare members. This process aids the medical
professionals to increase interest towards their job.
Time management
Time management activities can help the Care UK to implement Patient service
innovation method as per time schedules which can support to achieve appropriate success in the
various areas. Time management is a important process for organisation which help the
corporation to manage its actions (Al-Abri and Al-Balushi, 2014). This process aids the Care UK
to reduce the organizational risks and complexities. Activities of corporation are designed below
in the paragraph.
Table 1: Gantt chart
Activities ( 1 year plan) Time frame (1 sector = two months)
1 2 3 4 5 6
Market research about obesity in people
Collection and analyse the data
Planning of the strategies
Organizing activities
Implementation of process
Controlling of all activities
Evaluation
As per the process, Gantt chart will contribute effective role for Management of Care UK
to execute Patient service innovation technique for welfare of people in a appropriate manner. In
addition to this, organisation will follow these activities as per time frame in the United
Kingdom. In this process, every activities will consume two months except implementation of
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process. These activities will play important role for Management of Care UK to achieve better
success in the various areas.
Evaluation
Importance of quality insurance and Clinical excellence
They are important for management of corporation to improve its medical services in the
healthcare industry.
Importance of Quality assurance: This approach is valuable for management of Care UK to
improve medical services as comparison of previous years (Nicolay and et.al., 2012). It
contribute effectively to analyse mistakes in present medical facilities in the organisation. As per
errors, corporation provides effective helps to remove them by using appropriate techniques at
the work place.
Importance of Clinical excellence: It is important for Care UK to diagnose the various issues in
humans regarding injuries as well as diseases (Fitzgerald and et.al., 2013). In addition, this
process creates better impact to treat patients in healthcare organisation by providing proper
prescription.
Method to evaluate the patient service innovation
Care UK can use many methods like satisfactory surveys to analyse the patient service
innovation. In this process, management of corporation can take opinions from various type of
patients regarding performance of used approach (Donetto and et.al., 2014). This method can
contribute effective role for Care UK firm to analyse the appropriate results. It can help the
corporation to consider further decisions for welfare of medical victims.
How will organisation know that it has been successful or not
By using satisfactory survey method, management of Care UK can collect the results
from many patients. On the basis people numbers, organisation can find out difference between
positive and negative feedbacks (Dixon-Woods and et.al., 2013). Further, this approach ensures
that designed process is successful or not for medical victims in the various areas.
How can the outcome be sustained
Organisation can sustain outcome through following various strategies which are given
below in the points.
 Care UK has to regularly updates its healthcare policies as per demand of patients (Elg,
and et.al., 2012). So this process can help the firm to sustain output in a better way.
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 Organisation has to innovate new medical approaches and cure of various disease which
provide effective help to reduce diseases for welfare of patients.
The Role of the Nurse in Service improvement and innovation
Nurses plays important role in service improvement and innovation in Care UK
organisation. They help to corporation to improve health of patients by following appropriate
process for welfare of medical victims.
As per process, I have learned many things which helps me to understand role for nurses
in healthcare Care UK organisation.
According to my research, Nurses help the corporation to improve health of patients by
providing proper treatment who are prescribed by doctors or surgeons. In addition to this, I also
analyse that they communicate with patients to find out the health condition of them. This
process can contribute role for Nurse to communicate with doctors or surgeons to provide better
treatment for patients regarding their diseases. Further, I determine that Nurses contribute
effective role for Care UK to recommend new strategies and plans which aids to improve
medical services for medical patients (Entwistle and et.al., 2012). Along with this, these efforts
help the Corporation to develop new policies and strategies to increase medical services for the
welfare of people.
In addition to this, I analyse that Nurses play important role for innovation of new
medical practices by providing their effective efforts (Aveling and et.al., 2012). As per my
observation, they aid the doctors or medical professionals to give their contribution in
implementation, solving out the challenges as well as giving suggestions to innovation of new
practices. These efforts help the Care UK organisation to enhance innovation in medical
services. In addition to this, I observe that They provide huge reliability to offer better healthcare
facilities to their patients. So this process important for Care UK because these methods help the
Care UK organisation to reduce level of diseases by providing better patients care in changing
health environment.
Conclusion
From the report, it is found that Key development of National healthcare services helps
the management of Care UK to manage and improve medical services for patients. Further,
Patient innovation technique like obesity care path way helps the organisation to reduce
frequency of obese people in the various of United Kingdom. Further, Leadership theory aid the
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Care UK to implement patient service innovation technique successfully. In addition to this,
Evaluation process helps the Care UK corporation to evaluate the implemented process in
appropriate manner.
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REFERENCES
Books and Journals
Al-Abri, R. and Al-Balushi, A., 2014. Patient satisfaction survey as a tool towards quality
improvement. Oman Med J. 29(1). pp.3-7.
Aveling, E.L. and et.al., 2012. Quality improvement through clinical communities: eight lessons
for practice. Journal of health organization and management. 26(2). pp.158-174.
Blumenthal, D., 2012. Performance improvement in health care—seizing the moment. New
England Journal of Medicine. 366(21). pp.1953-1955.
Conway, P.H., Mostashari, F. and Clancy, C., 2013. The future of quality measurement for
improvement and accountability. JAMA. 309(21). pp.2215-2216.
Dixon-Woods, M. and et.al., 2013. Culture and behaviour in the English National Health
Service: overview of lessons from a large multimethod study. BMJ quality & safety,
pp.bmjqs-2013.
Dixon-Woods, M., McNicol, S. and Martin, G., 2012. Ten challenges in improving quality in
healthcare: lessons from the Health Foundation's programme evaluations and relevant
literature. BMJ quality & safety. pp.bmjqs-2011.
Donetto, S. and et.al., 2014, June. Experience-based Co design and Healthcare Improvement:
Realising Participatory Design in the Public Sector. In ServDes. 2014 Service Future;
Proceedings of the fourth Service Design and Service Innovation Conference; Lancaster
University. pp. 237-246.
Elg, M. and et.al., 2012. Co-creation and learning in health-care service development. Journal of
Service Management. 23(3). pp.328-343.
Entwistle, V. and et.al., 2012. Which experiences of health care delivery matter to service users
and why? A critical interpretive synthesis and conceptual map. Journal of Health Services
Research & Policy. 17(2). pp.70-78.
Fitzgerald, L. and et.al., 2013. Distributed leadership patterns and service improvement:
Evidence and argument from English healthcare. The Leadership Quarterly. 24(1).
pp.227-239.
Free, C. and et.al., 2013. The effectiveness of mobile-health technologies to improve health care
service delivery processes: a systematic review and meta-analysis. PLoS Med. 10(1).
Nicolay, C.R. and et.al., 2012. Systematic review of the application of quality improvement
methodologies from the manufacturing industry to surgical healthcare. British Journal of
Surgery. 99(3). pp.324-335.
Online
NHS Constitution for England, 2015. [Pdf]. Available
Through:<https://www.gov.uk/government/publications/the-nhs-constitution-for-
england>. [Accessed on 21st April 2016].
Reviewing the NHS Outcomes Framework. 2016. [Pdf]. Available Through:
<https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/385749/
NHS_Outcomes_Framework.pdf>. [Accessed on 21st April 2016].
Tackling Obesity. 2014. [Online]. Available
Through:<http://www.hin-southlondon.org/system/resources/resources/000/000/019/
original/Obesity_Discussion_Document_FINAL-_March_2014.pdf>. [Accessed on 21st
April 2016].
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