Health Care Delivery Systems and Challenges

This assignment delves into the complexities of contemporary health care delivery systems. It examines various aspects, including patient-centered approaches, workforce dynamics, technological advancements, and the impact of economic and political factors. The analysis explores current challenges faced by health care systems, such as rising costs, access disparities, and quality concerns. Moreover, the assignment discusses potential solutions and policy reforms aimed at enhancing the efficiency, equity, and effectiveness of health care delivery.

INFLUENCES ON HEALTH AND SOCIAL CARE
ORGANIZATIONS

TABLE OF CONTENTS
Introduction .....................................................................................................................................3
Task 1 ..............................................................................................................................................3
Covered in PPT...........................................................................................................................3
Task 2...............................................................................................................................................3
2.1 Compare and contrast different types of organizational structures in HSC..........................3
2.2 Analyze the concept of organizational culture in HSC services ..........................................5
2.3 Theories related with the behaviour of individuals and groups in HSC organization..........7
2.4 How organizational structure and culture impact on service delivery..................................8
TASK 3............................................................................................................................................9
3.1 Concepts of leadership as related to health and social care organization.............................9
3.2 How leadership can influence the effectiveness of HSC organization...............................10
3.3 Evaluate specific leadership contribution...........................................................................11
Conclusion ....................................................................................................................................12
References .....................................................................................................................................13

INTRODUCTION
Health and Social care organizations works for the prime purpose of delivering
appropriate medical services to the patients and at the same time, this also enhances the standard
of living (Estes and Harrington, 2008). Thus, in this respect the present research study has been
made on Voluntary Overseas which is a charitable organization working in UK and all its
services chiefly relies on volunteers who work in different countries such as Asia, Africa and
UK. The main aim of VSO is to make people think differently and for that, chief focus has been
laid on selecting appropriate talents for the voluntary organization.
Health is not an area of significant EU competence and it also plays crucial role in
supporting member states in their health endeavours. In this context, EU has made several policy
for freedom of services through several health and social care professionals (Entwistle and
Quick, 2006). This includes 55,000 of the NHS’s 1.3 million workforce and 80,000 of the 1.3
million workers in the adult social care sector. Hence, in this context researcher has stated the
impact of external environmental factors on HSC organizations and along with that, discussion
has also been made on organizational strategies that are adopted to respond to the external
factors. Furthermore, in the study, researcher has stated the concept of organisational structure
and culture and its impact on service delivery. Lastly, researcher has mentioned the influence of
leadership in managing the effectiveness of health and social care organizations.
TASK 1

TASK 2
2.1 Compare and contrast different types of organizational structures in HSC

Health care entities are required to manage all the health care aspects in prominent
manner so that patients can be delivered better services at the same time. At the time of
delivering services to the patients, it is essential for VSO to follow appropriate structure because
this is also vital in managing things systematically (Birne and et.al., 2009). Divisional, matrix
and functional are the basic categories of organizational structure through which services and
other provisions can be managed. This is also crucial for the purpose of managing suitable
service deliver aspect. VSO is entitled to follow functional organizational structure in which each
and every function is managed as per the departments. All the departments have been working
according to their purposes; hence this aids VSO to perform all their duties and responsibilities
in suitable manner. This also aids in avoiding duplication of activities and similarly, health care
entities are able to deliver prominent services to the clients.
The other type of structure is divisional which is typically used by large business entities
especially when the functions are separated in different regions and groups. In divisional
structure, activities are performed in specific departments only which aids in managing proper
delivery of health care services (Block, 2006). It has been observed that the structure is
significant in terms of maintaining direct and appropriate coordination between all the
departments of VSO. The structure is also useful for the purpose of developing suitable
relationship between organizational hierarchies. This is also regarded as the best way through
which staff members can be delivered appropriate information about their job roles.

Next is matrix organizational structure wherein staff members can report to the functional
manager who can help in managing skills and also in prioritizing and reviewing the work.
Resources can be effectively used in the organization as per the shared objectives and beliefs.
Here in this structure, information flows both across and up through the organization (Cutler and
Waine, 2003). The structure can be adopted by VSO in which employees can contact with many
people at the time of sharing information with diverse people and this can also assist in taking
proper decisions for the business entity. However, the top management can only undertake all the
important decisions of the entity.
2.2 Analyze the concept of organizational culture in HSC services
Organizational culture is regarded as the values and beliefs that needs to be considered at
the workplace for the purpose of developing appropriate environment among the health care
practitioners. Proper cultural values are required to be followed at VSO for the purpose of
maintaining the interest of employees (Delbreil and Zvobgo, 2013).
Clan culture focuses majorly on prominent mentoring so that staff members can learn the
ways to deliver proper services to the clients. At the same time, the type of culture is also useful
in creating proper environment at the workplace. The other one is adhocracy culture in which
business entities typically focuses on taking risks so that innovation and development can be
facilitated. This is also useful for the purpose of enhancing competency of the health care entity.
Market oriented culture on the other hand emphasizes on getting proper results; hence managers
chiefly focus on getting the things done (Fisher, 2003). The culture aids the respective entity to
achieve more through creating better competition among others. It has been observed that VSO
has been emphasizing on market culture which aids the health care entity to focus more on
delivering quality amenities. Contrary to this, hierarchical cultural is also useful for the health
care entities because managers have appropriate controlling power on the actions. This also aids
in maintaining suitable coordination and efficiency in the work processes. Adherence to the same
type of culture can assist VSO to maintain stability in the organizational operations (Goetzel and
et.al., 2008).

2.3 Theories related with the behaviour of individuals and groups in HSC organization
Within the charitable organization there are different theories related with the behaviour
of individuals and groups that are applicable in understanding their behaviour. The different
theories related with the behaviour of individual and groups include Maslow need hierarchy
theory and Tuckman theory respectively (Aveyard, 2014).
Tuckman Theory is applicable within the charitable organization that mainly focuses on
the understanding the behaviour of groups. This theory mainly focuses on the different stages
that is required in formulating the groups and teams within the health and social care
organization so that they may easily deliver the quality services and treatment to different service
users. The foremost stage in the team development include forming that is individual are
motivated towards forming the team and group so that they may easily perform the activities for
improving the health of their patients (Aveyard and Sharp, 2013). Along with this, group within
the charitable organization establishes mutual ideas and thoughts. Another stage in the team
foundation is storming in which individual exchange and transmit the information to the other
staff within the HSC. After that the stage is norming stage in which the group resolve their
problem and issues and also emerges the feeling of co-operation that support them in sharing the
common objectives and goals. Another stage is performing in which group with the established

norms and regulation performs their activities related with delivering the quality services and
medical treatment to patients (Andrews, Darnell and Gehlert, 2013). The last stage in the
Tuckman Theory is adjourning that ensure after accomplishing the activity that is delivering
quality care services to service users the team or group within the charitable organization break
down.
In order to understand the behaviour of the group within the charitable organization it is
essential to apply Maslow need theory within the premises. With the help of this theory senior
management of the HSC organization focuses on determining the different needs and
requirement of the care practitioners so that management must engage in the activities that would
meet their requirement (Purnell, 2014). The foremost need of individual is related with meeting
the psychological need that is meeting the basic requirement for the livelihood. Another
requirement of care practitioner include meeting their safety needs through providing gratitude
and pension. With the help of this behaviour of individual can be measured easily. Accordant
with the Maslow need hierarchy theory they would also focuses on understanding of individual
that they would also aspire for accomplishing the social need within the health and social care
organization that support them in rendering the proper care services and treatment to different
service users (Glasby and Dickinson, 2014). Along with this, another requirement of the care
practitioner within the HSC include meeting their self esteem through providing monetary
incentives and recognition for their services and treatment that they deliver to their service users.
On the other hand, the last requirement of individual accordant with Maslow theory include need
of self actualization in which the care practitioners of charitable organization have attained their
requirement that they want to achieve within the organization.
2.4 How organizational structure and culture impact on service delivery
Organizational structure and culture within the health and social care organization that is
charitable organization mainly impact their service delivery. For instance, the charitable trust has
higher level of hierarchy within their structure then all the decision related with the organization
is taken by the top level authority (Valentine, Nembhard and Edmondson, 2015). But at the same
time in the HSC organization care practitioner have accurate knowledge regarding the
requirement of patient but they have to follow and abide the services and action provided by the
supervisor. Therefore, in this case it would negatively impact the service delivery within the

charitable organization. On the other hand, charitable organization if focuses on the tall
organizational structure then it might also impact the delivery of services to the service users
(Bowling, 2014). For instance, in the tall structure the decision related with the service is taken
by the authority and it takes time to communicate the decision related with services to the care
practitioner therefore, it is stated that it negatively impact the service delivery to the service
users.
On the other hand, culture among the charitable organization also impact the service
delivery of care practitioners within the premises as with the power culture it would negatively
impact the service delivery. In this form of culture authority to take decision is with one
personnel therefore, it overcome the engagement of thoughts and ideas of care practitioner
therefore it affects the service delivery to the patients (Levesque, Harris and Russell, 2013). On
the contrary to this, if the culture within the charitable organization is collaborative in nature then
it might positively impact the service delivery of care practitioner. As, in this form of culture care
practitioners as well as workers put forward their views and thoughts related with delivering the
care services and treatment. Therefore, this culture would positively impact the service delivery
of providers through performing their responsibilities in proper manner.
TASK 3
3.1 Concepts of leadership as related to health and social care organization
The leadership concepts within the charitable organization that is Voluntary Service
Overseas (VSO) plays significant role as it supports the individuals and volunteers those who
renders health care to different individuals. Therefore, related with the health and social care
organization there are different concepts of leadership that mainly in transformational,
participative and autocratic leadership (Ewles and Simnett, 2003). With the help of
transformational leadership in the charitable organization Chief executive of VSO support and
influences their volunteers as well as doctors and health care practitioners to get associated with
their shared vision that assists in meeting the quality services that improves the service users
lives. Along with this, implementing this leadership concept also assists in contributing towards
raising the morale of staff and care practitioners so that they may render effective care services to
different users. In this form of leadership leaders within the charitable organization becomes the
role model for their volunteers so that they may properly support the service users (Fanjiang,

Grossman and Reid, 2005).
Another concept of leadership within the charitable organization VSO also focuses on the
participative style. With the help of this volunteers as well as different stakeholders doctors,
nurses, health care workers etc. would collaboratively takes decision related with providing the
health care services to different patients and service users. Along with this, scenario also states
that volunteers of the charitable organization are moved into the different region leaving the UK
that results in attaining the cultural shock that is consider as major risk for VSO (Folland,
Goodman and Stano, 2007). Therefore, with the participative leadership within the premises it
supports in managing the culture shock so that they may easily serve the service users of
different region.
Whereas, another concept of leadership within the charitable organization focuses on the
autocratic style. In which the leader within VSO are abided to follow the framed ethos and values
within the organization through which they can assist their volunteers to perform activities in
effective and proper manner (Kurtz, Silverman and Platt, 2005). With the help of this concept of
leadership leaders may strictly ensure disciplinary procedures within their charitable organization
that avoid the situation of risk and harm. Under this concept of leadership the authority power is
among the higher authority personnel so that they may take proper decisions they do not engage
volunteers within the decision making aspects.
3.2 How leadership can influence the effectiveness of HSC organization
It has been analysed that using effectual leadership within the charitable organization
would support the staff and volunteers in performing quality services that benefit the service
users. Along with this the effectiveness of leadership within the VSO results in- Proper usage of resources- With the adequate leadership within the health and social
care organization it has been analysed that it consider as an effective concept that
outcome in engaging proper utilization of the existing resources within the care unit
(Pope and Mays, 2013). With the proper leadership activities senior management devise
the proper actions that results in using minimum resources of the charitable organization/ Enhancing morale of staff- Along with this, another effectiveness of leadership within
the health and social care results in enhancing and raising the morale of the staff and care

practitioners (Aveyard and Sharp, 2013). As, with the transformational leader in the care
unit it outcome in sharing their vision that assists the staff to render services accordant
with that directly raises their morale an commitment towards the HSC settings. Accomplishment of targets- It has been also analysed that engaging in leadership
activities can influences the effectiveness of HSC organization through accomplishing
their objectives and targets in proper manner. Engaging in the leadership outcome in
directing and leading the staff so that they may easily succeed in accomplishing the
objectives and goals of the care unit (Andrews, Darnell and Gehlert, 2013). Along with
this, the key objective or target of health and social care organization is to deliver the care
services and treatment to service users. With the proper leadership senior management
personnel provide opportunities as well as create a caring environment so that staff may
lead towards delivering the care treatment to service users.
 Meeting the requirements of service users- Whereas, it is analysed that effectiveness of
leadership results in meeting all the needs and requirement of the service users. With the
effective leadership senior manager focuses on the services that would support in meeting
the requirement and needs of the service users that directly impact their health and well-
being (Goetzel and et.al., 2008). Along with this, effectiveness of leadership also include
articulating and inspiring their staff for promoting their growth and development related
with the skills that outcome in improving the quality of service of patient care as well as
it also enhances the experience level of their service users.
3.3 Evaluate specific leadership contribution
From the proper and adequate contribution of leadership within the health and social care
organization it has been evaluated that it results in meeting the targets, engage in retention of
staff, engaging in training and development activities etc. along with this, leadership contribution
also results in introducing working with other as well as gaining the different views of service
users and service providers (Fisher, 2003).
The key leadership contribution in the health and social organization is that it outcome in
retaining the staff as well as care workers within the premises so that quality care and treatment
is rendered to the different patients (Birne and et.al., 2009). With the help of proper use of
leadership senior manager would share the vision of organization to their staff and care workers

that results in attaining the commitment of them towards the health care organization that
directly results in retention of the staff within the organization (Block, 2006). Along with this, it
has been also evaluated that contribution of effective leadership also results in providing training
and development to them so that they may enhances development of their skills, knowledge and
abilities related with the care and medical treatment. Whereas the significance impact of training
and development on the staff or care practitioners is that through this they might render quality
treatment that outcome in attaining proper health and well-being of service users.
Moreover, it is also evaluated that contribution of leadership within the health and social
care organization also assists the staff to work with the other individuals. Effective leadership
creates a collaborative work culture within the organization that support in introducing the
working of team within the health care organization (Entwistle and Quick, 2006). In some of the
organization multi-disciplinary teams has been formulated that assists in delivering range of
quality care services to different service users. With enabling the collaborative working with
others assists the service users in acquiring range of services that would improve their health and
well-being.
CONCLUSION
Summing up the entire research, it can be said that leadership is an essential aspect that
could encourage the health care services and it can also aid in minimizing all the constraints
available in the same domain. Organizational structure and culture both are imperative for the
health and social care aspects because that aids in delivering appropriate amenities to the clients.
At the same time, the study has also revealed that VSO needs to focus on individual and group
behaviour because both the aspects highly underpin the practice of management. Henceforth, it is
evident that as per the organizational structure and culture, VSO needs to ensure that properly all
the services are being managed among people. This is also useful for the purpose of retaining
people in the health care entity.

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