Facilitating Change in Health and Social Care

This report explores the key factors that drive change in health and social care services, assesses the challenges they bring, devises strategies for measuring recent changes, evaluates their impact, and proposes appropriate service responses. The report focuses on the National Health Services (NHS) company in the United Kingdom and covers topics such as political, demographical, cultural, technological, and legal factors that drive change, as well as the principles of change management and how changes in health and social care are planned and monitored.

Facilitating Change in
Health and Social care

Table of Contents
INTRODUCTION...........................................................................................................................3
MAIN BODY...................................................................................................................................3
TASK 1............................................................................................................................................3
1.1: Explain the key factors that drive change in health and social care services ......................3
1.2: Assess the challenges that key factors of change brings to health and social care services. 4
TASK 2............................................................................................................................................5
2.1: Devise a strategy and criteria for measuring recent changes in health and social care........5
2.2: Measure the impact of recent changes on health and social care services against set
criteria .........................................................................................................................................6
2.3: Evaluate the overall impact of recent changes in health and social care .............................6
2.4: Propose appropriate service responses to recent changes in health and social care services
......................................................................................................................................................7
TASK 3............................................................................................................................................7
3.1: Explain the key principles of change management .............................................................7
3.2: Explain how changes in health and social care are planned ................................................8
3.3: Assess how to monitor recent changes in health and social care services............................9
CONCLUSION..............................................................................................................................10
REFERENCES..............................................................................................................................11

INTRODUCTION
Facilitating changes within the health and social care institution is the dynamic process
that help to bring the potential changes in the significant delivery of services. The external
environment constantly changes due to the innovation, advancement of technology, change in
social preferences as well as political conditions (Al Rawahi, 2017). So the society both at
national and local level need to build up the vital strategies in terms to carry out the process as
well as system significantly. To better define the topic of report National Health Services (NHS)
company of United Kingdom has been selected which is funded by the local authorities in order
to treat the wide percentage of local residence at nominal rates. The diverse operations of firm
that include division like patient care, dentistry as well as ophthalmology adopt the best possible
changes in order to secure the life of people and offer them significant amount of potential
services. This report cover topic like key factor that possibly drive the changes in the health as
well as social care services. Determine the latest changes in the heath care services. Further,
access the principles of change management are covered in the report.
MAIN BODY
TASK 1
1.1: Explain the key factors that drive change in health and social care services
Health and social care institution are significant process that support the living standard
of people by offering them the enriched product as well as services. Driving best possible
changes is the valuable medium that is used to accommodate the need as well as requirement of
people. Explanation of the certain external factors based on which the companies like NHS bring
significant amount of changes are discussed below:
Political: It basically involve the guidelines, policies or norm of the government as well
as local authority on the basis of which necessary alternations need to be accommodated by
company. Although instability or any changes in the political conditions act as a set back for the
company but in order to attain the purpose potential alteration needs to be facilitated. As per the
case study government always try to enrich the health care services specially for senior citizens
at national, local as well as user level (Best, 2017). Still it is struggling to meet the demand of the
care seeker and cover their needs. So NHS need to enhance its arena and follow the political

changes rather than being repellents because it act as a vital practice that effectively cater current
as well as potential needs.
Demographical and cultural: It comprises of the factors like lifestyle of the local
residence, age as well as community needs needs to be analysed in order to develop changes and
support the living standard of people. In case if the health and social care services on the basis of
immense data and relevant informative identifies that the visiting rate of people who are more
than 60 years is high then focus needs to be given to launch the special reforms. Like NHS
company need to have the high available of doctors, rooms as well as equipment so that
emergency cases can be meet out within specific duration.
Technological: It represent adoption of the new as well as innovative techniques which
helps in delivering the favourable as well as time effective services (Buse, Martin and Nettleton,
2018). Like, the increasing use of the electronic record keeping and technically managing the
data not only secure immense information by also manages the time and cost of NHS company.
Legal: Legal factor involve the legislative acts that are introduced by the government in
order to safeguard the interest of care seeker as well as care giver. In order to support the lives of
the older people various acts like Care Act 2014 was passed. It involve the legal framework that
was designed to handle the repetitive cases of the older people. Introduction of new rights as well
as responsibilities support the smooth internal process of health and social care services by
looking after the welfare of each and every business unit.
Therefore, these are some of the factor which are not in control of the healthcare
institution but based on this modifications needs to be made in the services of company.
Facilitating changes is one of the most affirmative practice that develop the quality of care
support which is the indicator of sustainable economy.
1.2: Assess the challenges that key factors of change brings to health and social care services
Driving best possible changes within healthcare support is not the easy and smooth
practice because in involve the flexibility in terms to adopt the new technique or working pattern.
Although constant changes support the organisation in terms to remain competitive and
significantly cater the requirement of care seeker. Perhaps there exist various constraint or key
challenges that affect the changes within health care services whose explanation is demonstrated
below:

 The idea of changes cannot work until and unless health and social care gains the support
from internal stakeholders. So the role of an organisation is to motivate the stakeholders
in terms to support the changes which maintain the security as well as stability of firm.
Effective communication and factual explanation of the data can help the employees to
accept the changes and learn new techniques to work in the innovative medium.
 Government rules and regulation plays an essential role which needs to be abide by each
and every health and social care services. So any change in existing reform as well as
legislation acts as a burden or challenges in an care support services because it affect
their existing and planned strategy. But with the help of viable team necessary actions are
taken in order to maintain the effective cooperation and coordination. For instance, to
upgrade the service of healthcare for older generation various policies are bough at the
national level. Hence, it is vital to support the actions and implement new plan for the
smooth and sustainable processes.
 Financial resources too acts as a constraint for the changes that restrict the organisation to
use advance technology and support the changing requirement of people. It further result
into the chaos that disturb the internal operations of company (Doumit and Khoury,
2017).
TASK 2
2.1: Devise a strategy and criteria for measuring recent changes in health and social care
Once organisation like NHS effectively plan out the procedure to deliver the enhanced
services for the older group of people. Along with that it is necessary to implement the certain
criteria that helps to analyse whether changing criteria is significant enough in order to
accommodate the changing need of potential customer. The measuring technique can be either in
form of quantitative and qualitative approach but together identifies the significance of changes.
This helps to mitigate the chances of deviation by meeting the favourable objective of the firm
effectively.
Quantitative approach involve the usage of numeric data in order to measure the
significant extent of the planned changes (Esses, Hamilton and Gaucher, 2017). Within NHS this
method is used to determine the effectiveness of whole programme like whether the company is
able to reduce the waiting time for older people. Along with that waiting time incurred in the

deliver of certain service like surgery is identified in order to better facilitate the emergency.
Further, all the necessary data is maintained in the form of hours or overall time taken incurred in
the delivery of services. This is the significant way based on which the organisation can
determine the perception of diverse stakeholders such as doctors, service user, nurses and so on.
Qualitative approach is also the effective way that is used to determine the effectiveness
associated with changes. Here the company organises the events and take desirable opinion from
service giver as well as service seeker. This process on the basis of discussions determine
whether the actions are suitable enough in terms to improve the service criteria for older people.
Further, it generate the feeling of satisfaction by effectively meeting the requirement of internal
and external stakeholders.
2.2: Measure the impact of recent changes on health and social care services against set criteria
The set changes can be examined by the NHS company with the help of interview,
feedback as well as survey method. It is the desirable way on the basis of which company
determine the impact of the changes on the internal functioning. The role of the health and social
care services is not only to implement the changes but also simultaneously the performance of
firm after the changes needs to be evaluated (Gagnon, Lin and Stergiou-Kita, 2016). On the basis
of constructive feedback generated from service seeker the company can determine whether they
are able accommodate the supreme level of services for older people. Similarly, survey and
interview method is used to collect the wide information from the respondents that is further
utilised to evaluate the success of implementing changes. Apart from this the company record the
complete details of the patient in terms of their discharge time, appointment time, treatment
administration and so on. Such qualitative data is the desirable way that is used to analyse the
impact of changes on the functioning of firm.
2.3: Evaluate the overall impact of recent changes in health and social care
Currently, the government as well as local authorities are making immense effort in order
to develop the healthcare facilities for the people. Due to which initiatives are taken in form of
the act or legislation which help to define the new roles as well as responsibilities of the people.
Efforts are taken to work for the better of healthcare services both at national and local level.
NHS has gained various funds from the public even the government take various initiative for
the development of company by potentially involving the change management techniques.
Further, with the assistance of quality report the result of the change programme is analysed

based on which focus is given to maintain the improved facilities or technique in order to
effectively handle the patients. Also the internal staff that include profession as well as nurses
experience affirmative impact in order to improve their skill and gain specialised knowledge
regarding how task can be performed effectively within confined duration (McCormack, 2018).
As this has not only reduce the manual maintenance of the appointments but has diminished the
unnecessary workload. Thus, measures are taken to meet the overall quality standard of firm that
ensure desirable recovery of patient.
2.4: Propose appropriate service responses to recent changes in health and social care services
Implementation of the changes leads to the inclusion of service responses that
accordingly changes the health and social care requirement. Generally the responses are
associated with the service user, management as well as staff of an organisation. The internal
staff get direct response from the patient in terms of their existing service and how the change
application has significantly help them to improve their services. Along with that the internal
quality monitoring as well as management staff prepare the budget that ensure smooth
functioning of the internal practices after examining the changes. The company too acknowledge
the gap in the skill as well as knowledge of staff in order to deliver the full time services for the
older staff. Based on the database health and social care institution accordingly hire the new staff
and train them in order to continuous develop the services of respective healthcare institution.
TASK 3
3.1: Explain the key principles of change management
Change are the prominent part of the organisation which needs to be necessarily adopted
in order to cope up with the dynamic environment. Change management is considered as the
valuable field for the healthcare sector because it involve the desirable solution in order to
suitably treat the particular problem (McIntire, 2016). John Kotter was one of the well known
contributor that gave the change management model and understand the essence to make the
alterations. The principle of the change management comprises of various process which is
further explained in the three phases.
Create the change climate: Under this phase it is necessary for the manager to prepare
the employees in order to acquire desirable changes. The purpose of this principle is to generate

the sense of urgency amongst the workforce. Display of actual figure and statistics can be
beneficial for internal stakeholders in terms to understand the relevance of changes.
Engage the organisation to function significantly: This principle of change
management encompasses the activities like planning, implementing, organising as well as
evaluating the significant programme. This method empower as well as motivate the workforce
to acquire the new habits and come out of their comfort zone. Generally the new ideas as well ss
opinions are encouraged under this stage.
Implement, monitor as well as sustain the innovative changes: After discussion comes
practical application under which the changes are experienced by the internal stakeholders in
form of acquiring new skills or working habits. Similarly, external stakeholders that includes the
service seeker gets benefited in terms to get the advance and flexible services (Moss, 2017). The
employer constantly monitor the practices of the staff so that they does not get back to the
normal routine and carry out the changes effectively. Hence, the purpose to sustain the acquired
result is to accomplish the long term objective as well as gain long term growth as well as
development.
Principles of change management
Lewin’s Change Management Model
Kurt Lewin gave the three step change management process that is used to improve the
existing pattern of doing work by bringing out significant reform in order to acquire new
techniques or methods. With health and social care it is essential to adopt the changes for better
medical examination of the care seeker.
Unfreeze: At this stage the manager understand the essence to acquire the innovative
changes in order to remain updated and maintain its position. Accordingly, the managing
department of NHS company determine the value to the staff in terms to adopt the changes.
Factual figures and stats are used for better performance of activities.
Change: This the transition point where actually the changes are implemented by
manpower in order to better deliver the services. The manager need to examine the activities of
employees so that they don't get back to existing regime.
Freeze: All the changes are carried forwards which develop the innovative mindset of the
individual and cope up with the better techniques that helps in better diagnosing of the diseases.

ADKAR model
This model reflect that the team member needs to directly focus on the steps as well as
procedure which are directly associated to achieve the particular goal or objective. The result
derive out from the actions are cumulative as they are based on the changes which needs to be
sustained in order to implement desirable actions. The managers of hospitality sector like NHS
participate to bring the changes by overcoming the gap through effective training as well as
development. Respected model involve various functions that are explained below:
Awareness: At this stage the internal manager understand the requirement of changes due
to existence of dynamic environment.
Desire: The employees of the NHS company at this level accept the changes and perform
the function with better technique.
Knowledge: It is necessary to gain deep insight about the changes which assit to copnsuct
better planning as well as implementation.
Ability: All the favourable changes need to be incorporated by service giver on regular
basis.
Reinforcement: Based on the performance reinforcement plan is designed that helps
health care institution as well as its staff to gain better position.
3.2: Explain how changes in health and social care are planned
Planning process examine the predetermined actions and help to successfully run the
change programme in order to bring up the viable changes via effective implementation. There
are certain plan that cover the diverse areas and help to rapid implement the change strategy. In
order to effectively plan out the changes there exist following plan that need to be significant
developed by the healthcare company.
Stakeholder management plan: The changes are facilitated by the internal stakeholders
so this plan helps to identify the role different individuals that will get affected due to the
implementation of changes (Redmond, 2017). In context to the NHS company undergo the
change practices with the help of Care quality commission that ensure that the organisation meet
national standard in term to enrich the quality and effectively cover the patients of older age
group.
Action plan: Action plan is considered as the most significant part of the change
management whose objective is to run the change program effectively. It involve various

activities that needs to be effectively addressed by the company in order to bring favourable
amount of changes (Petner-Arrey, Howell-Moneta and Lysaght, 2016). It involve the activities
that help to enhance the activities of health care services in term to reduce the waiting time in
medical unit, replace manual recording by technical recording, enrich the quality of staff and so
on. Based on the collected data training is provided to the staff to derive out better result.
Communication plan: Communication is again the vital process that help to implement
the changes by maintaining the transparency and motivate staff in order to overcome the changes
of resistance. This generate the desire to work with innovative technique that helps in the
personal as well as organisational growth and development (Thomas, 2017). Based on the
position the responsibilities are delegated in perform the work within systematic duration.
3.3: Assess how to monitor recent changes in health and social care services
Monitoring changes enables the systematic as well as routine review of performance by
significantly collecting the information and overview the task performed by diverse individual.
Some of the approaches that leads to better implementation of the changes are described below:
Observation: Observation which include the spot-checking is most common method that
helps to effectively monitor the changes in the working behaviour of staff. The observer need to
be well trained in terms to investigate the improve behaviour of the people. Systematic recording
can also be the part of observing that helps in better evaluation of the activities. Usually the
managing authority of NHS overview the performance of staff and anticipate how effective they
are in terms to cater the demand of people. Additionally, the use of checklist helps to develop the
performance criteria that helps in better evaluation of performance.
Survey: Under this approach the health and social care services develop the change team
that prepare the questionnaire in order to collect the feedback from diverse stakeholders. The
collective information is use to access the success as well as failure of the change management
programme (Willis, 2016). This method is used on the continuous basis that generate the
affirmative feedback in order to systematically review the performance and leads to bring the
progressive changes.
Therefore, these are some of the productive approaches that help to examine the
application of recent changes. Continuous guidance and overview of individual performance
helps to generate the better result based on which the objective of the change management can be
attained effectively.

CONCLUSION
Thus, the transition in facilities of various institution helps to meet the future opportunity
and reduce the chances of risk by effectively covering the requirement of people. Based on this
the company need to uprate its residential as well as health care institution's services because it
leads to the better treatment or diagnose of illness. While planning out the changes measure need
to be taken in order to avoid the challenges for the better performance of activities. Therefore,
measuring as well as monitoring the changes is considered as an essential process in terms to
perform the work in better as well as efficient manner.

REFERENCES
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Redmond, B., 2017. Reflection in action: Developing reflective practice in health and social
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Thomas, P., 2017. Integrating Primary Healthcare: leading, managing, facilitating. CRC Press.
Willis, E., 2016. Patients’ self-efficacy within online health communities: facilitating chronic
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