Health and Social Care in Royal Borough of Kensington and Chelsea

This study focuses on the health and social care system in the Royal Borough of Kensington and Chelsea. It analyzes the political, economic, social, and technological factors affecting the development of health and social care services. The study identifies major issues and provides recommendations for improvement.

Health and social care
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CONTENTS
Contents...........................................................................................................................................2
INTRODUCTION...........................................................................................................................3
MAIN BODY..................................................................................................................................3
PEST Analysis.............................................................................................................................3
Major issues found from research................................................................................................8
Recommendation.......................................................................................................................10
CONCLUSION..............................................................................................................................10
REFERENCES..............................................................................................................................11
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INTRODUCTION
Health and social care is one of the most concern factor for a country or city and due to
which several standards are created and actions plans are developed toward its development. The
current study is based on a borough of inner London. The Royal Borough of Kensington and
Chelsea is a borough of inner London with a royal status. It is considered to be the smallest
borough in London and second smallest district within England and is densely populated which
require more efforts to be put toward maintaining the social and economic health of people living
in that borough (Pritchard-Jones, 2015). To determine that whether the Royal Borough is
spending adequate funding toward improving and increasing the users involvement within
services which they are consuming, it is required to analyse about macro environmental factor.
This can be done with the help of PEST analysis which put emphases toward analysing the four
major factor that are crucial to determine the condition of area, which mainly includes political,
economic, social and technological. Addition to this it includes discussion about the problem
area and recommendation for it.
MAIN BODY
PEST Analysis
PEST analysis is a strategical tool which make it easier to determine whether the
administration of Royal Borough is spending the appropriate fund for the development and
improvement of services for the people living. Addition to this it also help in determining the
issues that are prevailing within administration of health and social care so the appropriate
measures can be undertaken along with channelizing the fund in its activities. The PEST analysis
are mentioned below:
Factors Definition Description
Political This perform
analysis over
the
governmental
as well as
political
condition of a
 There are number of policies that are formulated by
the government of Royal Borough which make the
political situation for residents more favourable to
approach better health and social care (Childcare
grant, 2020). One among this is Child grant which is a
monetary help that parents can request from
government to provide better care if parents of child
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particular area
as it impose a
huge
influence
lover the
functioning as
well as
management
of a area or
region.
are full time higher education student or under aged,
having disability, having a dependent adult etc. to
provide better child care.
 The Mayor of London also sponsored a award scheme
named as Healthy Early Years London so that the
administrative bodies of borough get motivated
increasing awareness among people (Training for
Professionals. 2020). This scheme focuses toward
reducing health inequality which is relatively higher
as population of borough is aged and current 15
million people are living in this borough which a very
big figure. Due to this populated area several health
issues like cardiovascular disease, dementia,
respiratory disease are increasing. This will increase
awareness and help service user in recognising ear;y
sign so timely service can be accessed.
 The governing bodies supported the community user
having mental illness by organising a program usually
created for this area only named as IAPT. It is a
rehabilitation program for the people who are addicted
with drugs and also support homeless people and also
provide attention to cervical breast screening.
 The council of Royal Borough of Kensington and
Chelsea shares the responsibilities with Grater London
Authority in order to formulate strategic policies for
housing, environment and planning of improving
living standard of people. So that local people of
borough get home to live their life more effectively as
it is highly populated city which in turn result into
increasing illness and other health issues such as
cancer due to smoking and inappropriate
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environmental condition and also some are facing
mental health issue.
 The Royal Borough of Kensington and Chelsea
focuses toward promoting and positioning the youth
for the administration of borough so that better
development and growth of the city is possible by
adjusting the governances as per the future need of
youth. For this youth are being encouraged by the
government to increase awareness by spreading
information about ways to maintain health for
accessing better and healthy lifestyle while working
with primary care partners. This is so because the
service taken can effectively make people understand
about the importance of it.
Economic The analysis
of economic
factor support
in determining
the actual
performance
of an
economy.
This mainly
includes
factors such
as interest
rate,
economic
growth
pattern,
inflation rate,
 The best thing about the economy of Royal Borough
of Kensington and Chelsea is that it is consider as a
home for both small businesses and corporate head
offices. This includes 18000 businesses present which
are employing under 120000 people from borough
and other part of London which ensures regular flow
of fund within city that reserve a great fund collection
toward its growth and development of people by
providing them better access to education, health care
services etc.
 The Royal Borough of Kensington and Chelsea is also
a home of better health where NHS hospitals, GP
surgeries, local community, voluntary organisation
etc. all work together to maintain health and well-
being of people which created a new integrated
service named as MY Care MY Way (Local business
and economy. 2020)
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foreign direct
investment
etc.
 Addition to this council also supporting people to
build up social network and develop own social
capital so that this can be used to improve the health
condition of people. (Faculty of Public Health, Mental
Health Foundation. Better Mental Health for All: A
Public Health Approach to Mental Health
Improvement ,2016)
 The Royal Borough of Kensington and Chelsea is a
unique central London borough with world class
institutions. Additionally, around 179118 people are
connected and registered with local GPs. The health
care partner of Royal Borough of Kensington and
Chelsea also working over an ambition plan to
provide Better care fund for dealing with health
issues.
 The existence of businesses and several other local
institutions are strengthening the economy of city but
not all the local people of Royal Borough of
Kensington and Chelsea are getting access to
economy. This is the main cause behind poor health
condition of people as they are not getting opportunity
to create source of earning so that they can invest in
their health.
Social This factor
help in
evaluating the
social factor
of a particular
area and
gauge several
 The Royal Borough is putting emphases toward child
development and for this several schemes and
program has bene launched where parents are working
with CCG such as SEND (special education need and
disability). This mainly focuses toward the fact the
each child along with disabled children must get
appropriate education access so that they can get
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determinants
like
demographics,
population
analytics,
cultural trend
etc.
better job and develop a successful future. But still the
major issue lies which is affecting the growth of these
plan is child poverty and several other areas where
children are missing education due to inappropriate
facilities.
 Pharmaceutical services are considered to be a most
crucial for maintaining the health and wellbeing of
people living in particular area. From the assessment
of these services in Royal Borough Kensington and
Chelsea it has bene found that around 42 pharmacies
are established within the Borough and 19 pharmacies
are located outside the border of borough which is just
500 metres away. So the pharmacy services are
sufficient to cater need of people as they get easy
access to services (Kensington and Chelsea
Pharmaceutical Needs Assessment (PNA). 2018).
 The governing authorities of Royal Borough also
focuses toward health and wellbeing of people by
developing programs like DAWS (Drugs and alcohol
Wellbeing services) which offer free advices and
support to the people who are affected by the misuse
of alcohol and drugs. But people involve in crime
gang affecting their mental health which is still away
from recovery.
 The Grenfell tower event brings up impact over
several people as around 71 people lost their lives
within this fire and several other residents died later
due to those flames and pollution. Addition to this
some of people faced the displacement, trauma and
property loss. In order make people receiver from this
a journey has been begin while considering the
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primary influence over health of people which mainly
includes mental health, trauma and depression faced
by people due to this event of Greenfield tower.
 The council of Royal Borough Kensington and
Chelsea also provide training to control the spreading
of infection at several workplace such as care homes,
domiciliary, home helps, nurseries, hospitals etc. with
the help of e-learning program to improve the
condition of people toward better health care.
(Infection control training. 2020)
Technological This factor
help in
evaluating the
innovations in
technology
which may
directly
influence the
operations
within an
industry as
well as market
whether it is
favourable or
unfavourable.
It mainly
includes
factor like
research &
development,
 IT infrastructure of Royal Borough of Kensington and
Chelsea support toward development of an integrated
system such as Electronic Youth system (eYS) and
CCIS (the connection database). This central hub
allows the automating data transfer among schools
and business group to simplify the process and
provide more better access to youth development.
 The Royal Borough of Kensington and Chelsea
undergoes a better IT infrastructure development
where several Family and children’s services are
collaborating with community using electronic
channel where it provides a better access several
services. A app is newly launched named as One You
App which provide a link between self-care and
prevention so that by getting access to health care
services people can better look after themselves.
The several Information communication technology
tools are integrated within several small or other
businesses which support in connecting the several
data all together which can be accessed by the health
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amount of
technological
awareness,
automation
etc. that a
market
possesses.
and service care provide to provide evidence-based
practices to offer better treatment to patients.
 The e*learning and virtual learning is also promoted
among the children and youth within Royal Borough
of Kensington and Chelsea so that better growth and
development can be ensured (Dimond, 2016). But
these services are only available to some areas and not
every section of community getting access to these
services.
 The strategies of promoting well being among people
and STP recognition said that investing within
information technology as well as data analytics
consider to be significant in delivering the integrated
social and health care system that provide patients
with better care. This enable exchange of information
among the health care organisations along with
governance protocol in order to provide confidence
and appropriate disclosure.
Major issues found from research
By performing the PEST analysing the macro environmental area of the Royal Borough
of Kensington and Chelsea are thoroughly analysed from this it has been found that the local
government has put several emphases toward the development of community living in borough
and also work toward promoting a better health and social being. But still there are certain areas
where issues lies such as in political factor it has been government is putting several intervention
toward improving the mental health condition of the people living within borough. But still the
cases are relatively higher this is so because the people are getting more involved in consumption
of drugs which in turn affecting their health and also lives that are required to be treated in order
to offer a better living to people living in borough (Vamos and et. al., 2016). Another issue in
political system is that Royal Borough of Kensington and Chelsea council work jointly with
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central London authority which sometime influence the decision and also restrict the actions that
may affect the development of social and health benefits.
From analysis of economic factor, it has been found that economy of Royal Borough of
Kensington and Chelsea is very much attracting as it have range of support for economic growth.
But there is certain issues like there are number of sources through which borough get its
financial needs get covered but still the employment is not only accessible to people living in
borough. There is a strong connection between the employment and mental health within the
Royal Borough Of Kensington and Chelsea, as lack of employment opportunity bring stress,
depression which in turn create mental issues to the people and affect their healthy living.
Another major issue is that there are several programs for enhancing knowledge of people for
starting and running a business is provided but due to lack of accessibility and knowledge in this
regard people are not enrolled to such specialised course and this also affecting their actions
toward operating business effectively.
Despite of this from social factor it has been identified that the Royal Borough is one of
the most populated area in Inner London and to maintain the well of being of these people
Government of Royal borough is putting several emphases toward the growth nada development
of children so that they make better future. For this a program is bring SEND for child with
disability to get full educational access so that they can get better job and develop a successful
future. But due to child poverty several children remain away from education system which is
affecting the effort of government toward their development (Miller, 2016). Another issue is
mental illness of those people who are in early stage came in contact with gangs and get involve
in criminal activities and violence. Their recovery from such condition is a major issue also a
very difficult task.
Other than this from technological factor it has been identified that Royal Borough of
Kensington and Chelsea is also getting the advantage of IT infrastructure for effective
management of borough but the major issue lies in electronic transactions. As the residents
require more appropriate way through which they can send their report to GP which remain
confidential and provide quicker response. Another issue discussed within this research is
information technology infrastructure within Borough is not much adequate and require further
investment for improving its operational efficiency. But to lack of access to such advancement
the quality in service providing is still somewhat low.
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Recommendation
After analysing the issues that are presented above, following are certain
recommendations which are presented to work over these issues,
 More security threats must be added to electronic transactions so that the privacy of
confidential information can be maintained and fraud practices can be avoided.
 Research committee must be formed that can work toward determining the children who
are away from the educational service access can be identified and appropriate services
can be granted to them for tehri better wellbeing.
 More and more promotion for the vocational learning for business skills enhancement
must be done so that better awareness can be generate among people to take such
educational and learning services to improve their business functioning and contribute
toward economic growth (Quirk, 2019).
 The legislative policies and standards must be tightening to avoided practices related with
corruption. Along with this the regular auditing must be done to detect fraudulent
practices.
 The authorities of Royal Borough must focus toward removing the unemployment rate
from the city by providing more opportunity to local people of brough so that they have a
better access to services and employment opportunity.
CONCLUSION
From the above performed analysis it has bene identified that the Borough is a place
small then city or mainly a town which is usually smaller which require more concentration to be
made for better health and social care. From this investigation it has bene found that the Royal
Borough of Kensington and Chelsea is a place where business headquarters and small business
are in high quantity as well as the tourism practices are also good which brings up a huge fund to
channel the development of society so it doesn’t require extra fund to be invested. Rather to deal
with issues it require more tighten of administration practices so that issues can be avoided.
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REFERENCES
Books & Journals
Dimond, B.C., 2016. Legal aspects of mental capacity: A practical guide for health and social
care professionals. John Wiley & Sons.
MacLeod, G., 2018. The Grenfell Tower atrocity: Exposing urban worlds of inequality, injustice,
and an impaired democracy. City, 22(4), pp.460-489.
Miller, J., 2016. Dignity: A Relevant Normative Value in ‘Access to Health and Social
Care’Litigation in the United Kingdom?. In Justiciability of Human Rights Law in
Domestic Jurisdictions (pp. 71-90). Springer, Cham.
Pritchard-Jones, L., 2015. Night-time care, article 8 and the European court of human rights: a
missed opportunity?. Journal of Social Welfare and Family Law, 37(1), pp.108-110.
Quirk, B., 2019. Local emergency management special issue: a foreword by Dr Barry Quirk
CBE.
Vamos, E.P., Lewis, E., Junghans, C., Hrobonova, E., Dunsford, E. and Millett, C., 2016.
Community-based pilot intervention to tackle childhood obesity: a whole-system
approach. Public health, 140, pp.109-118.
Online
Childcare grant. 2020. [Online] Available through: <https://www.gov.uk/childcare-grant>.
Fraud awareness. 2020. [Online] Available through: <https://www.rbkc.gov.uk/business-and-
enterprise/fraud-awareness>.
Infection control training. 2020. [Online] Available through:
<https://www.rbkc.gov.uk/business-and-enterprise/regulation/health-and-safety/
publichealth-training-service/infection-control>.
Kensington and Chelsea Pharmaceutical Needs Assessment (PNA). 2018. [Online] Available
through: < https://www.jsna.info/RBKCPNA2018>.
Local business and economy. 2020. [Online] Available through: <
https://www.rbkc.gov.uk/business-and-enterprise/borough-economic-profile>.
Training for Professionals. 2020. [Online] Available through:
<https://www.rbkc.gov.uk/kb5/rbkc/fis/advice.page?id=MVN1Xktpiq0>.
Faculty of Public Health, Mental Health Foundation. Better Mental Health for All: A Public
Health Approach to Mental Health Improvement. 2016. [Online] Available through:
<https://www.mentalhealth.org.uk/publications/better-mental-health-all-public-health-
approach-mental-health-improvement>.
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