Health and Social Care Systems

This assignment requires a detailed literature review on the topic of health and social care systems in Europe. Students must analyze scholarly articles and publications focusing on themes like federalism, eHealth, quality of life instruments, competition regulation, and integration of mental and physical health services. The review should demonstrate an understanding of current trends, challenges, and future directions within these complex systems.

Facilitating change

Table of Contents
INTRODUCTION...........................................................................................................................1
CONCLUSION................................................................................................................................3
REFERENCES................................................................................................................................4

INTRODUCTION
Change is the cognitive procedure of switching from one situation to the next. It's
required in order to get to another level of belief, intellectual thinking and individual perceptive.
They are required by everyone in order to adopt the environment which can depend on many
factors. It is mostly made by the people having the leadership qualities. They can either support
you to grow or it can lead you to depth. Current essay deals with the facilitating changes in
Health and Social Care (Aveyard, 2014). Facilitating changes are made in order to make possible
outcome of the existing changes or services. Following essay is about the overall impact and
service response in health and social care, principles related to it, how changes are made and
ways they are monitored.
In UK, health and social care are mostly taken care by NHS, overall impact in the
organization can be made by firm efficiency, culmination, cost-benefits and time spend in single
operation. Firm efficiency can be described as the performance of the organization, its
effectiveness and how easily are they achieving their target. All such factors are based on the
organizational structure, its employees, resource utilization. Entire members associated with
NHS must maintain the schedule. Due to this NHS has enhanced its service delivery to patients
and customers. Cost must be economical and affordable to all person. NHS must be more
concerned with the customers/patients and should operate/treat them under-budget. Moreover,
government should provide the necessary medicines and surgeries at low cost so everyone can
afford them. For the organization profit making must not be main motive. Referral rates is the
interaction of higher level hospital with NHS primary healthcare when patient is being admitted
or leaving the hospital (Munn-Giddings and et.al., 2013). For this operation, general practitioners
perform the primary check-up and if they are unable to perform, they refer to higher authorities.
In NHS, they must be provided the general training so they could manage their work easily. As
certain changes are made in policies by governments, now referral rates have reduced. At last,
waiting and response time refers to when customer have to wait to avail the services. Now a
day's structure and system modification are done which had reduced the waiting and response
time. Moreover, using software and hardware can also reduce the time period.
In NHS the main services are provided by government and staff. Health and social care
Act (2012) which shifted the power to local level. The reason for the reform was involvement of
politics in NHS working, reduce wastage of money, offer power to local clinics and increase
1

patient choices to improve the quality (Aveyard and et. al., 2013). Major changes in
commissioning of the services provided to the customers. In the old structure, primary care trust
which comes in the first contact were local which was changed to operate at national level.
Moreover, strategic health authority was also shifted to the 27 local areas teams which shared all
the responsibility and clinical commissioning groups. There was development of the new group,
Clinical Commissioning Groups which operated at local level and was liable for purchasing care
services on-behalf of patients. Further, changes are made in accountability to patients and the
consumers. The old structure of the NHS used the Local Involvement Network where major
operation are completed by individual and community which was changed to Heathwatch which
provided the customer feedback and services to the NHS. Public health England was developed
as part of Department of Health to protect and improve services (Moss, 2017). Along with this
accountability, foundation trust and patient choice are the areas where changes are made. All the
service changes improved the patient's health and social care along with reduction in prices.
Employment and educational facilities are also increased. Changes has offered good payment,
services, increase in employment and friendly work environment. Due to impact customer and
staff satisfaction increased.
There are various principles which had made changes in the NHS structure. Such
principles includes the implementation of the sustainable development, ensuring clinical
viability, financial viability, optimising estate and workforce utilisation and development,
clinical governance and use of business intelligence. All this principles have helped in
maintaining and enhancing the service of NHS in England (Glasby, 2017).
Changes in NHS depends on various factors such as stakeholder, management,
employees need and society. They can be implemented using the proper strategy, monitoring and
evaluation process. First things is to identify the places where changes are required by the
patients, consumers and workers of the NHS. According to those changes the strategy must be
developed which must contain the benefits for all the members and then modification must be
done. Moreover, patients feedback also helps to improve the facility and services of NHS.
As discussed above, monitoring helps in improving the quality of health and social care
services (Costa-Font and et. al., 2016). This can be done through two methods which are taking
the feedback of the patients and consumers. By this techniques, staff of NHS can easily
understand the areas where they lack or changes they required to improve customer services.
2

Further using modern technology and techniques can support in maintaining those services. The
second method involves the performance measurement. Using the performance chart and
monitoring those sector can be improved or further changes can be made. Through the
monitoring, NHS can easily achieve their goals and implement better health services in UK. This
will also help to reduce the weakness in the system and identify the areas where company can
make more growth. The methods of monitoring can be done through research, questionnaire,
feedback and observation. The more customer satisfaction, will lead to better health and social
care services.
CONCLUSION
The essay has been ascertained that political and societal changes may affect the health
and social care service of NHS. By adopting the new changes and following them this issues can
be reduced to greater extent. Further, support from the government and local can help to reduce
those problems. Using the monitoring and evaluation system, health and social care services can
be improved in UK. This will help in improving the life of patients and workers working in
NHS.
3

REFERENCES
Books and Journals
Aveyard, H. and et.al., 2013. A Beginner's Guide to Evidence-based Practice in Health and
Social Care. McGraw-Hill Education (UK).
Aveyard, H., 2014. Doing a literature review in health and social care: A practical guide.
McGraw-Hill Education (UK).
Cameron, A. and et.al., 2014. Factors that promote and hinder joint and integrated working
between health and social care services: a review of research literature. Health & social
care in the community. 22(3). pp. 225-233.
Costa-Font, J. and et.al., 2016. Federalism and decentralization in European health and social
care. Springer.
De Raeve, P. and et.al., 2017. Enhancing the provision of health and social care in Europe
through eHealth. International nursing review. 64(1). pp. 33-41.
Glasby, J., 2017. Understanding health and social care. Policy Press.
Hopia, H. and et.al., 2017. Perspectives on enhancing international practical training of students
in health and social care study programs—A qualitative descriptive case study. Nurse
Education Today. 48. pp. 40-47.
Hutchinson, M. and et.al., 2015. The construction and legitimation of workplace bullying in the
public sector: insight into power dynamics and organisational failures in health and social
care. Nursing inquiry. 22(1). pp. 13-26.
Makai, P. and et.al., 2014. Quality of life instruments for economic evaluations in health and
social care for older people: a systematic review. Social Science & Medicine. 102. pp. 83-
93.
Millar, R. and et.al., 2013. Social return on investment (SROI) and performance measurement:
The opportunities and barriers for social enterprises in health and social care. Public
Management Review. 15(6). pp. 923-941.
Moss, B., 2017. Communication skills in health and social care. Sage.
Munn-Giddings, C. and et.al., 2013. A handbook for action research in health and social care.
Routledge.
4

Sanderson, M. and et.al., 2017. The regulation of competition in the National Health Service
(NHS): what difference has the Health and Social Care Act 2012 made?. Health
Economics, Policy and Law. 12(1). pp. 1-19.
Smith, G. D. and et.al., 2017. Getting care of older people right: the need for appropriate frailty
assessment?. Journal of Advanced Nursing. 73(1). pp. 3-4.
Yung, A. R., 2016. Youth services: the need to integrate mental health, physical health and
social care. Social psychiatry and psychiatric epidemiology. 51(3). pp. 327-329.
Online:
What Are 7 Ways to Facilitate Change Within Your Organization, 2017. [Online]. Accessed
through <https://www.bizmanualz.com/making-change-easier/what-are-7-ways-to-
facilitate-change-within-your-organization.html>. [Accessed on 15th June 2017].
5