Facilitating Change in Health and Social Care Management
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This report explores the key factors that drive change in health and social care, the challenges they bring, and the principles of change management. It also discusses the planning and monitoring of changes in health and social care services. The case study focuses on Beacon Edge Care Home and its need for improvement.
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Facilitating Change in Health and Social Care Management
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Contents INTRODUCTION...........................................................................................................................1 MAIN BODY..................................................................................................................................1 TASK 1............................................................................................................................................1 1.1 Key factors that drive change................................................................................................1 1.2 Challenges that key factors of change bring to health and social care services....................3 TASK 2............................................................................................................................................3 Covered in PPT............................................................................................................................3 TASK 3............................................................................................................................................3 3.1 Key principles of change management..................................................................................3 3.2 Planning of changes in health and social care.......................................................................4 3.3 Monitoring of recent changes in health and social care services...........................................5 CONCLUSION................................................................................................................................5 REFERENCES................................................................................................................................6
INTRODUCTION Facilitating changes is known as the process of transitioning from the current use of practices to the improved one. In health and social care sector, change is must needed to ascertained because of rendering qualitative services to all individuals of society. The development of organisations within this sector is totally depends over the capability of accepting changes. This will further provide an opportunity in providence of advanced care services that effectively able to meet government standards. Beacon Edge Care Home was inspected in past and found that able to comply with regulations that were in force (Francis, 2019). At that time, some recommendations are provided to BECH for further improvement. In current inspection, identified that BECH is not adhering the recommended directions and also possessed with many operational issues. The main aim of this report is to identify the issues and adopt the measures to improve current positon. The aspects cover in report includes factors that drive change in health and social care, challenges bring by key factors of change, strategies for measuring recent changes, measuring the impact of recent changes, evaluation of the overall impact of recent changes, service responses to recent changes, key principles of change management, planning of changes in health and social care and monitoring of recent changes in health and social care services. MAIN BODY TASK 1 1.1 Key factors that drive change There are two type of drivers that have impact over the functioning of an organisation. These are known as external and internal. The factors under these are the main cause for changes. It is the duty over management to carry continuous analysis of these two drives and ascertain information about conditions that bring changes within an organisation. The same is needed to adopt by BTEC for gaining information about factors and changing situations. The detailed application of both in relation to BTEC is provided below: PESTLE: This model helps in ascertaining information about the external conditions exist in nation and have impact over business activities. Political factors: The political situation is quite significant in UK. This would be the reason that government is strict towards the framing of employment laws and their application. 1
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The failure of BECH in meeting Health and Safety Act requirements has negative impact over businessfunctions.Here,organisationfailedtoupdatecareplan.So,importantforan organisation to adhere all employment laws. Economic Factors: It is visible that due to the impact Brexit, economic condition of UK is not good. This situation has significant impact over flow of cash and per capita income of individuals.IthasnegativeimpactoverBECHinrespectofadoptingchangesdueto unavailability of sufficient amount of funds (Furqan and Zakaria, 2017). Social factor: The individuals of society have the opinion regarding attainment of quality health services because it is directly associated with their value of life. The non-fulfilment of same by BECH has negative impact over the image within industry. Here, they not even able to satisfy their cultural and social needs. So, they need to focus over adopting appropriate quality measures. Technological factors: The level of technology presence is high within the UK. This creates the opportunity for BECH regarding implementation of advance of equipment’s so they can improve current level of services. This will further aid in meeting CQC recommendations. SWOT: This model helps in determination of internal environment exist within an organisation along with external opportunities and threats (Sen, Sahoo and Kothari, 2018). Strengths: The strength of BECH is their employees as CQC identified that most of the patients have the patients have the opinion that their staff members are caring, amiable and helpful. This aspect as positive contribution towards building good reputation and attracting more stakeholders. This will also help to keep residents, relatives and visitors very happy. Weaknesses: There are various number of weaknesses exist in BECH includes inability to meet health and social care act 2008 and CQC standards due to the lack of permanent manager, rating of care home as inadequate by CQC along with charging of fine under the law, breach of various legislations, lack of leadership, lack of skilled and experienced staff and lack of training. Opportunities:TherearevariousopportunitiespresentinfrontofBECHincludes recruitment of new staff, providence of chance to show their ability and improve quality of service, providence of higher to their residents and relatives. Threat: The main threat exist in BECH is related to inappropriate management and need of high level of development activities to meet standards (Hansson, Höög and Nyström, 2017). 2
1.2 Challenges that key factors of change bring to health and social care services A challenge is something new as well as difficult which needs higher effort and determination. According to the case study of BECH, there are number of challenges such as lack of availability of resources, lack of leadership etc. These are main challenges that have impact on BECH and its overall reputation. There are different resources such as financial, human. Material etc. all these are important for BECH. It can be challenging for business to acquire the useful resources within set time duration. Lack of leadership another challenge that has negative effect on business performance and productivity. It is determined as BECH was not followed legal duties and responsibilities effectively that will have impact on them. One of the main roles of leader is to provide proper guidance to the staff member to work for well-being of society. Along with this, staff resistance to change is main barrier to change (Jönsson and MartĂn, 2016). For example: business habits whereby the team members are mainly doing their job role based on these types of habits. In this, management change asks for to alter such habit effectively. Under this, mangers and staff members of BECH were not followed rules and regulations properly. Under health and social care 2008, employees have right to use effective approach for providing better service to the patients. But in this BECH is lack and have poor performance. TASK 2 Covered in PPT TASK 3 3.1 Key principles of change management Change management introduces to the systematic approach or method of dealing with the transformation or transition of an enterprise’s procedures, technologies and goals. Main purpose of change management is to develop an effective strategy for impacting change, monitoring change and supporting an individual to adopt the change. According to the case study of BECH, there is need for planning the change. For this, there are some components that will be needed 3
including availability of resources, local authority etc. Along with this, there are various issues such as lack of leadership, lack of communication etc. will be require to plan for change. The plan: In order to overcome impact of lack of leadership, there is need for planning to adopt paternalistic skills. With the help of this skill, Mangers of BECH can easily analysis best strategy for the home and the staff members (Kneale and Demiris, 2017). Proposal: At this stage, BECH manger determines the factors that stimulate change. For this, they can use certain models such as risk analysis, Swot analysis and many others. Engagement: In this stage, BECH manger must engage their all employees and provide information about the rules and regulations. They also provide, training to their employees who have lack of communication skills. Evidence: BECH have breached the code of conduct and principles of health and social care. For this, manger must recognise their goals and provide information to the employees. Discussion: This is important part of change model because it supports an organisation to communicate each and every information to their employees in effective manner. For this, there is requirement for BECH to provide information about the rules and regulations about the health and social care to their staff members (Kuncoro and Sutomo, 2018). Implementation: It is a last stage and in this, BECH manger must implement plan and provide better services to the service user. 3.2 Planning of changes in health and social care There is huge importance of planning for change. This will provide the opportunity to get information about different alternatives so the end services will be improved. The stages of planning are defined below: Identification of issue: The main issue in BECH is related to lack of management, staff and effective communication Selection of different alternatives: BECH is needed to take the support of external agency, follow the guideline of CQC and self-approach to hire registered manager. Selection of best measure: From the permission of all stakeholders best alternative is selected. Taking the support of external agency is best from current point of time (Maestre and Thorpe, 2016). 4
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3.3 Monitoring of recent changes in health and social care services Monitoring is important as help to know about the viability of improvements along with information upon deviations. This can be used further for removal of same and bringing better improvements. The method is provided below: Audit:This is about quarterly audit of BECH operations. So, the deviations can be traced and measures will be recommended on time (Markham, Proctor and Pineda, 2017). Feedback:The ground level feedback helps to know about existing situations. This help to remove the ground level issues along with building core strength structure. CONCLUSION It has been concluded from the above report that change is must to adopt as this will help to bring improvement in current services. The role of change is huge towards the evolvement of working nature of an organisation. PESTLE and SWOT are effective drivers for identification of conditions that demands change. Measuring of the recent changes is also important to ascertain the level of improvements. In last, monitoring is the activity that help to maintain culture of continuous change within an organisation. 5
REFERENCES Books and Journals American Diabetes Association, 2020. 5. Facilitating Behavior Change and Well-being to Improve Health Outcomes: Standards of Medical Care in Diabetes—2020.Diabetes Care.43(Supplement 1). pp. S48-S65. Francis, C., 2019. Creating futures that matter today: facilitating change through shared vision. Furqan, M. M. and Zakaria, S., 2017. Challenges in the implementation of strategies to increase communication and enhance patient and family centered care in the ICU.Medicina intensive.41(6). pp.365-367. Hansson, J., Höög, E. and Nyström, M., 2017. Action research for multi-level facilitation of improvement in health and social care: Development of a change facilitation approach for a local R&D unit.Action Research.15(4). pp.339-356. Jönsson, L. J. and MartĂn, C., 2016. Pretreatment of lignocellulose: formation of inhibitory by- productsandstrategiesforminimizingtheireffects.Bioresourcetechnology.199. pp.103-112. Kneale, L. and Demiris, G., 2017. The Role of Senior Housing Programs in Facilitating Use of PersonalHealthRecordsamongOlderAdultUsers.SeniorsHousing&Care Journal.25(1). Kuncoro, A. and Sutomo, Y., 2018. Pricing Strategies and Implementation Promotion Strategies to Improve Customer Loyalty.Jurnal Dinamika Manajemen.9(1). pp.89-99. Maestre, M. and Thorpe, J., 2016. Unpaid Care Work–facilitating change towards women’s economic empowerment when market systems care.IDS and Oxfam. London: DFID and SDC, BEAM Exchange. Markham,C.,Proctor,E.andPineda,J.,2017.Implementationstrategiesinpediatric neurocritical care.Current opinion in paediatrics.29(3). p.266. Sen, A., Sahoo, S. R. and Kothari, M., 2018. Nonlinear formation control strategies for agents without relative measurements under heterogeneous networks.International Journal of Robust and Nonlinear Control.28(5). pp.1653-1671. 6