This report examines the statutory requirements for reporting and record keeping in health and social care settings, focusing on the NHS. It explores regulations, the process of storing records, and the reasons for sharing information within the setting and with external bodies.
Contribute Materials
Your contribution can guide someone’s learning journey. Share your
documents today.
Health and Social Care
Secure Best Marks with AI Grader
Need help grading? Try our AI Grader for instant feedback on your assignments.
Table of Contents INTRODUCTION...........................................................................................................................1 TASK 1............................................................................................................................................1 Describe statutory requirements for reporting and record keeping in own care setting.............1 Regulatory and inspecting bodies requirements for reporting and record-keeping....................1 Process of storing of records in own care setting........................................................................2 Reasons for sharing information within own setting and with external bodies..........................3 Illustrate internal and external requirements for recording information in own care setting......4 CONCLUSION................................................................................................................................5 REFERENCES................................................................................................................................6
EXECUTIVE SUMMARY In the present study, health and social care practices considered that helps to develop well-being of several people in NHS. It assists to focus on different statutory requirements in the business. Furthermore, it includes process of storing information in the health and social care. At last, it determines study to find reasons that are helpful to show effectiveness of information that are collected in the business.
INTRODUCTION Health and social care sector consider well-being of people and support them in a community. Furthermore, people who are working in this sector require work together, analyse and critically evaluate information (Surr, Gates and Dennison, 2017). Present study based on NHS which is health sector enterprise and funded for healthcare system in England. For gaining insight information of the present study it covers statutory requirement for reporting and own care setting. Furthermore, it includes regulatory and inspecting bodies requirements for reporting and record-keeping in care setting. At last, reasons for sharing information within own setting and external bodies in own care setting. TASK 1 Describe statutory requirements for reporting and record keeping in own care setting There are many reasons due to which records must be kept in health and social care to compile and complete records of patient journey. It also enables continuity of care in different services. Records are also kept in the health and social care sector with honesty and timely (McGregor, Mercer and Harris, 2018). In NHS, different means of record keeping are also used in health care setting. Therefore, following are different statutory requirements in own care setting:General Data protection regulation (2018): This kind of data protection regulation based and agreed on European Parliament and Council. Therefore, it replaced with primary law regulating and protecting personal data of citizen of NHS.Freedom of information Act (2000): According to this act, all right of access to information held by public authorities. This is because, this legislation implement at national level (Costa-Font and Greer, 2016). Human right act (1998): As per this act, it can be stated that in UK Human Right Act passedlawin1998.Itdefinedrightsinthecountryforpublicwhichincludes government, police and local councils. Hence, NHS need to treat everyone equally with fairness, dignity and respect. Regulatory and inspecting bodies requirements for reporting and record-keeping Role of regulatory bodies ensuring that statutory inspection considered in systematic manner. In the country regulations towards care setting of NHS, it can be stated that data 1
Paraphrase This Document
Need a fresh take? Get an instant paraphrase of this document with our AI Paraphraser
integrityassiststotakeexperthelpwithelectronicdataintegrity.Therefore,following regulations and status determines to protecting data:Fundamental standards of care: In order to consider reporting and record keeping, it can be stated that NHS need to maintain good medical practice with standards. This is because, render services to humanity develop dignity of profession. Physician should merit confidence of patient entrusted to their care and rendering full measure of service and devotion (Mason, Goddard and Chalkley, 2015).Professional standards and codes of conduct: Furthermore, each physician also need to maintain medical records that pertaining with patients on date of commencement of treatment in standard proforma. If any request made for medical records, authorised attendant or legal authorities involved within the period of 72 hours. Enforcement notice: Every physician display registration number as per state medical council. Therefore, in this regard, all their prescriptions, certificates, money receipts which given to patients. They are also needed to display suffix with their names on only recognised medical degree on certificate and membership (Westwood, King and Bailey, 2015). Process of storing of records in own care setting In order to store records in own care setting, it can be stated that this system is used to control appropriate and systematic organisation outcomes. With this regard, record management process comprised with identifying tools and techniques that helps to make coordination with internal and external access. In NHS care setting, following process successfully considered for storing of records:Record creation of paper documents clinical notes: At the beginning of records management process, creations of all records in own care setting successfully developed. There are different ways to create proper documents with clinical notes. With the help of sending and receiving email, creating spread sheet, database documents, etc., proper records create. In this regard, it is important to determines criteria in contract, budget, bank statement, policy, etc. It is very important to note that each piece of paper and email hasworthkeeping.Therefore,ithelpstodeterminecriteriaforrecordcreation (McGregor, Mercer and Harris, 2018). 2
Record distribution of incident reports and statements: When records are created to determine its distribution method. All records must be emailed or delivered in NHS in physical distribution method. For externally distributed records, services can be provided with holiday policy updates. With the help of using internal, secured email system, the organisation should have policies with update information (Costa-Font and Greer, 2016). The selected business need to determined policies in place which considered through internal and external methods.Recordusageofpatientinformationaboutcareplans:Afterrecord-keeping, information can be store with management process that assists to determining appropriate functioning at workplace. Record will be used to make decisions that determine direction in NHS to classify all records on time. Update information assiststo considered operations and human resources that assists to deal with different kinds of care taker (Costa-Font and Greer, 2016). Email also sent to communicate change that could be classified in legal aspects of read receipt. It assists to notify all employees of the change.Electronic documents: In healthcare sector electronic documents are also determines with storing of records. Therefore, it considered laboratory reports, letters to and from other professions, emails, etc. (Mason, Goddard and Chalkley, 2015). In addition to this, in NHS X-rays, photographs, videos, etc. elements consider appropriate information.Record maintenance with confidentiality: It is essential to maintain all records that would be helpful to determine creation and distribution of appropriate recordsat workplace of NHS. An organisation must determines their work to maintain all records. Hence, records filled or stored that are accessed easily (Westwood, King and Bailey, 2015). Retention and disposal of records: At last, retention and disposal of records helps to ascertained expectation regarding maintenance of material. Reasons for sharing information within own setting and with external bodies In health and social care industry, it is essential to share information and data that are useful and helps to understand the difference. Data is the term which describe statements and numbers that are factual and helps to make interpretation (McGregor, Mercer and Harris, 2018). Furthermore, information is output of a particular process that summarised, interprets and 3
represents data for convey meaning. Following are certain reasons for sharing information within own setting and with external bodies:Identifying objectives: Individual know about their information which will be used and shared across individual's integration care team when it is relevant (Coughlan and Cronin, 2016).Consent from service users and their advocate: It is also important to understand all providers and agencies that are involved for person care and role includes to share relevant information and discharge from different care settings. Implications of sharing without individual: Facilitating and delivering care for an individual able to discuss relevant information in team for benefit of each person caring (Alley, Asomugha and Sanghavi, 2016). It considered care workers, care home staff and housing providers as per individual permission for carers and family. Illustrate internal and external requirements for recording information in own care setting Internal recording requirementsMedical history: Medical history is internal recording system which is required to maintain complete and accurate medical records. Therefore, it is generally enforced as licensing or certification prerequisite (Surr, Gates and Dennison, 2017).Tests: In NHS, test records helps to know information that provide information regarding patient diseases. Treatment: Furthermore, treatment which provide to all patients also need to be record to know own care setting. External recording requirementsHealth and safety at work act 1974: According to this act, it can be stated that NHS need to primary piece of legislation that cover occupational health and safety. Statutory instrument are pieces of legislation that made under specific act of parliament (Costa- Font and Greer, 2016).Management of health and safety at work regulating 1999: According to this act, NHS need to reinforce health and safety act workplace. Therefore, they need to place duties on employers and employees those are clients, designers, principal, etc. 4
Secure Best Marks with AI Grader
Need help grading? Try our AI Grader for instant feedback on your assignments.
Reporting of injuries, dangerous occurrences regulation: By this law, it is required for employers who are self employed and people have control of a premise. As a result, it is specified incidents in the workplace (Curtis and Burns, 2015). CONCLUSION From the above report, it can be concluded that health and social care considered effectivewell-beingofpeoplewithfocusingondifferentregulationsinthebusiness. Furthermore, it included statutory requirements for reporting and record keeping in own care setting such as data protection act, freedom of information act, etc. Moreover, it summarised about regulatory and inspecting bodies for reporting and record keeping in care setting. For instance, fundamental standards of care, professional standards and codes of conduct, etc. At last, it articulated about reasons for sharing information within own setting and with external bodies. 5
REFERENCES Books and Journals Alley, D.E., Asomugha, C.N. and Sanghavi, D.M., 2016. Accountable health communities— addressing social needs through Medicare and Medicaid.N Engl J Med.374(1). pp.8- 11. Costa-Font, J. and Greer, S. eds., 2016.Federalism and decentralization in European health and social care. Springer. Coughlan, M. and Cronin, P., 2016.Doing a literature review in nursing, health and social care. Sage. Curtis, L.A. and Burns, A., 2015.Unit costs of health and social care 2015. Personal Social Services Research Unit. Mason, A., Goddard, M. and Chalkley, M., 2015. Integrating funds for health and social care: an evidence review.Journal of health services research & policy.20(3). pp.177-188. McGregor, J., Mercer, S.W. and Harris, F.M., 2018. Health benefits of primary care social work for adults with complex health and social needs: a systematic review.Health & social care in the community.26(1). pp.1-13. Surr, C.A., Gates, C. and Dennison, A., 2017. Effective dementia education and training for the health and social care workforce: a systematic review of the literature.Review of educational research.87(5). pp.966-1002. Westwood, S., King, A. and Bailey, L., 2015. Good practice in health and social care provision forLGBTolderpeopleintheUK.Lesbian,Gay,BisexualandTransHealth Inequalities: International Perspectives in Social Work. Policy Press, Bristol.pp.145- 158. 6