Inter Agency Working: Challenges, Opportunities and Impact on Ahmed and Reshma

This report discusses the challenges and opportunities of inter-agency working in the healthcare sector, with a focus on the impact on Ahmed and Reshma, who migrated to the UK. It evaluates the complex challenges and opportunities of inter-agency working, lack of good leadership amongst healthcare agencies and its negative impact on Ahmed and Reshma, and the principles of care ethics and multi-disciplinary working initiative in healthcare.

Inter Agency Working

Table of Contents
INTRODUCTION ..........................................................................................................................1
MAIN BODY ..................................................................................................................................1
Question 1........................................................................................................................................1
Question2.........................................................................................................................................4
Question 3........................................................................................................................................7
CONCLUSION ...............................................................................................................................9
REFERENCES .............................................................................................................................11

INTRODUCTION
Inter agency working means more than single agency collaborating to work together in an
formal and strategic manner rather than simply via informal networking. However later agency
may provide support and assist to develop the former agency. Inter agency can be operational or
strategic level. Inter agency working in system of health care is the procedures of families and
agencies combining together to the aim of interdependent issue solving which concentrates on
enhancing services for families and children. The main aim of inter agency in the health care is
to provide sufferer care that can be delivered in a updated way, but this also gives permission the
multi disciplinary team engaged with the sufferer to make strategy for their future treatment and
care. In this report writing a case study of Bangladeshi named Ahmed and Reshma who
immigrated to the United Kingdom with their children and faces lots of issues, will be going to
discuss.
MAIN BODY
Question 1
Evaluate the complex challenges and opportunities of inter-agency working - with particular
emphasis on the distinct cultural needs Ahmed and Reshma have to cope with in the UK.
In this case study Ahmed and Reshma are Bangladeshi and migrated to the United
kingdom where they face lots of challenges and problems due to the different languages and
cultures. Therefore, to resolve the problem of migrated people in United Kingdom, there is an
inter agency working (Barnes, and et. al., 2019). But there are several complex challenges and
also have some opportunities to inter agency working which specially emphasis on the various
cultural requirements Ahmed and Reshma have to deal successfully in the United kingdom.
Some of the complex challenges of inter agency working which are recognised with multi
agency working evolved hugely as an outcome of the complexities included when the
practitioner involved in the collaborative ventures. The main following issues are displayed in
the recent period into inter agency working in health care centres (Baginsky, and et. al., 2022).
 Funding: It covers in relation to feasibility, for example, conflicts on funding between
and within various agencies; a general less funding to inter agency development and
training work and for covering arrangement and on-costs to service providing. In case of
Reshma and Ahmed, since they are migrant in United kingdom, so in the health care
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sector they have get less advantages which is negligible as compare to the local people
and due to the less funding they prioritise the local people of territory. In the case of
Reshma and Ahmed, they have less facility to pay require amount of health care to get
equal opportunities to take all the needed services in the health care sector. These are the
barriers in Ahmed and Reshma case because, due to the economic to the economic
downturn council has stopped paying for the services. Inter agency collaborate with the
various agency and attempt to provide similar opportunities by providing funding to the
Ahmed and Reshma in the health care services (Blay, 2019).
 Time: Health care worker have a finite amount of time available to provide services or
respond to various different prioritise; like in health care services have waiting list in
which local people have generally get first priority as compare to migrant. Since Reshma
and Ahmed are migrant in the United kingdom so they get less priority over local people.
Inter agency can provide them equal opportunities by providing them proper care services
at appropriate time.
 Communication: It making sure a transparent routes to two way communication between
the health care setting, inter working agencies, practitioner and patients in order to
interchange the proper information and enhancing inter agencies coordinated working. In
case of Ahmed and Reshma, communication is the main and more complex barriers
because of they are belong from the non English language Country. Where they had no
any formal education before coming to the United kingdom, therefore, they can speak
few or no English (Brinck, Friedman, and Sprong, 2021). So they can not convey their
information properly to the health care professionals and the inter agencies working
staffs. Inter agency can provide some language support to the Ahmed and Reshma by
language expert so that they can convey their message to the health care professionals
and get equal opportunities to the treatment services.
 Inter agency faces issues in adapting to working in a different and new context for
example a hospital as opposed to a school and children's centre environment. In case of
Ahmed and Reshma, inter agencies faces lots of issue like they faces some health care
environmental issues which did not favour Ahmed and Reshma and also some
educational environmental issue to the children of Reshma and Ahmed (Chigbu, and et.
al., 2020). Inter agency can provide some of the financial support and some of the
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educational or cultural support for Reshma and Ahmed so that they can feel easy and get
proper services in health care and education service to their children also.
 Territories: Territorial issues increasing the unwillingness for sharing facilities and
equipments, inter agency mistrust and and professional jealousy. In case of Reshma and
Ahmed these issue plays a most vital roles as they are belonging from the different
country they have to face some discriminative behaviour by the health care professionals
and also do not get similar opportunities due to the jealousy and discriminative behaviour
by the health care professionals in the health care. In inter agency working, various
agency can interfere in the working culture of health care sector and provides them some
of the great opportunities to get fair and equal treatment in the health care sector
(Comiskey, 2020).
 Some problems of cross-authority working the local authority and health authority
boundaries are different so they can not agree to the similar facilities providing to the
migrant people in the health care sector. In case of Reshma and Ahmed due to these
barriers have get less facilities in the health care in United Kingdom. In Inter agency
working various agency can meet with each other and attempt to solve these issue by
providing similar opportunities to the migrant people in the health care sector so that
Ahmed and Reshma get optimum care and facilities in the health care field (Dobson, and
Champion, 2020).
In case of inter agency working there are many kinds of opportunities, which can be
utilised as the partnership working to the health care settings. All the people have hold equal
human rights which should be valued and treated equally in all the sector of services. Inter
agency working together with various agency and the value it adds puts up extremely to
enhancing the health care facilities and well being results of the migrant people and their
families. In the case of Reshma and Ahmed, inter agency can improved and enhanced outcomes
to them and their families via a range of multiple joined-up services, support and advice
providing easily and readily accessible and available. Advantages healthcare experts
acknowledging of inter agency experts activities and knowing regard the services to signpost
pupils to, making able them to concentrates on their principle roles of offering health care
services (Eylander, and et. al., 2021). In case of Reshma and Ahmed inter agency working
provides some acknowledgement to health care provider about the services and healthcare
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activities for the migrant people so that Ahmed and Reshma can get equal and non discriminative
behaviour in the health care services. Inter agency working assist to make up consensus
potentiate partnership voice and breakdown the parochial attitudes and professional barriers.
For the case of Ahmed and Reshma, due to inter agency working also assist them to breakdown
the cultural barrier and professional barriers like language or communication barriers and other
economical barriers (Fitzgerald, 2022). They also decreased the territorial prioritise behaviour
and overcome the jealousy behaviour to them by the health care professionals. Inter agency
working assists to increase the scale of sustainability and coverage of healthcare facilities to the
Reshma and Ahmed and also enhanced the funding sources to the case of migrant people so
that they can smoothly get the equal and similar opportunities and services to the required care
facilities. Inter agency services promotes mutual supports, the exchange and encouragement of
ideas between various health care staffs, assisting the sharing of knowledge, resources and
expertise to provide good practices and training , directing to more manageable work loads due
to the migrant people (Hasenclever, 2018). By this opportunities of inter agency working
Reshma and Ahmed gets a proper advantages in the field of health care and also get the relevant
support to achieve the good health care services in the United kingdom Health care settings. Inter
agency working also get the opportunities as it increase the level of the belief or trust present
between the health care provider, sufferer and the partners in order to all have acknowledgement
that each will and can provide equal and proper care facilities to their patient. In case of Ahmed
and Reshma due to the inter agency working they get equal belief and trust by the health care
professional and treated through the proper and appropriate treatment facilities. Inter agency
working can also encourage the development of multi agency services around the health care
through which Ahmed and Reshma gets more prioritise chances to relevant services for their
treatment (Houngbo, 2018).
Question2
Analyse how lack of good leadership amongst healthcare agencies would impact negatively on
Ahmed and Reshma, particularly within the excerpts of the principles of care ethics as well as the
multi-disciplinary working initiative in healthcare.
Effective leadership is a crucial element of health care settings and has a wider range of
functions in boosting efficiency and effectiveness of the organisation. Due to the lack of good
leadership amongst health care agencies, it would influence negatively on Reshma and Ahmed as
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they can not get any equal and similar opportunities in the field of the health care. Lack of good
leadership can disturb the organisational structure means create complexity and bureaucracy in
case of treatment given to the migrant people like Ahmed and Reshma. A good leadership can
encourage the human resources in the health care settings whereas a lack of good leadership can
decrease the human resources (Inter-Agency Working Group on Career Guidance (WGCG),
2021). As ineffective leadership decrease the distribution and number of the human resources in
the field of health care. Therefore, it decrease the prioritise towards the migrant people like
Ahmed and Reshma and increase the priority for the local human being of United kingdom. Lack
of the effective leadership also influenced negatively on the education and staff empowerment,
staff diversity and motivational mechanism. As in the case of the Reshma and Ahmed since, they
are not belong to the United kingdom, they also do not know about the culture and languages of
the local region of UK, they faces a communication and cultural barrier in order to get effective
opportunity in health care and different section. Apart from this, in the United kingdom health
care settings, due to lack of effective leadership, it promotes less human empowerment and
education in the field of health care and becomes a reasons for their experiences of
discriminative behaviour and as compare to the local people Reshma and Ahmed do not get
proper treatment by the health care staff. Lack of effective leadership also influenced negatively
to working environment of health care. Due to the ineffective leadership behaviour in health care
settings working environment is badly impacted as the healthcare staff show less sensitivity to
the patients and their work, they feel mentally stressed and tensioned, decrease customer
diversity in the in the health care settings and also decreased the team oriented working (Inter-
Agency Working Group, 2019). Due to this, Ahmed and Reshma face lots of problem during the
health care treatment since the health care staff stressed and they do not want to face
communication barrier. As Ahmed and Reshma have less communication skills in English and
they face language barrier during providing the health information to the health care staff. This
becomes a stressful situation for the health care staff and they usually try to stay far away from
this type of situation due to which migrant people faces some discriminative condition in health
care. Due to the ineffective team oriented working of healthcare Reshma and Ahmed do not get
the similar treatment and they have to faces inequalities in the healthcare of united care settings
as the nurses or healthcare staff provide more focus to the local people as compare to the migrant
people. Leaders have less knowledge and skills in the case of ineffective leadership which impact
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badly to the multidisciplinary action in the health care settings. As the poor leadership in the
health care organizations could enhance the health services costs, decrease the effectiveness and
efficiency of the health care services, and also cause dissatisfaction among the working health
care staff, which finally resulting in lower satisfaction of patient and decrease the level of health
of society (Isaacs, and Firdous, 2019). Due to this poor leadership, Ahmed and Reshma also get
badly influenced because they have to faced biased behaviour in the health care settings. They
get less effective health services in patient care settings as they are from the different territory,
they face lots of issue like health care staff provide him less effective health care services which
ultimately resulting in the lower level of health satisfaction of Ahmed and Reshma. Poor
leadership in the health care settings influenced the enhancement of the health care cost which
affects badly to the conditions of Reshma and Ahmed. Because of the poor economic condition
of Reshma and Ahmed, they can face some of the issues like they get poor services, they treated
not well in the health care setting by the health care staffs and they also not provided similar and
equal treatment opportunities and facilities in the health care settings. Poor leadership can also
the negative impact on the health care ethics like bad leadership can make a negative and
psychologically unsafe working culture to health care staff and also negatively influenced the
care facilities which is provided to the patient. In case of Reshma and Ahmed poor leadership
can build up an environment in which they do not take an equal chances to the care facilities as
health care staff thinks that they are migrant and not from the local region , they behave not well
with Reshma and Ahmed. They have to face some of the discriminative behaviour due to the
poor psychological and negative mental condition of the working staffs. Due to the negative
working condition and high care cost, Reshma and Ahmed experience more difficulties to get
equal opportunities in the healthcare settings as like the local people (Lakeman, 2022). A good
leadership promotes the ethical procedure in the healthcare department in all concern like patient
safety and patient and staff psychological safe work culture to health care provider and their
colleague. But a poor or lack of a good leadership can lead to bad environment in which leaders
does not show any interest in the good culture and well being of their patient, followers and
colleague. A bad leaders do not provide support and also do not listen to their staff and patient
concerns when they feel the requirement of support by the leader. In case of Reshma and Ahmed,
a bad leadership leads poor support to them. Due to the bad leadership, no one would listen their
concerns of condition and scenario about the health or issue. Therefore, in the healthcare due to
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the poor leadership, Ahmed and Reshma faces several issues like: they did not treated well by the
healthcare staff, they treated like animal, almost every time they were ignored by everyone in
healthcare and feel discriminated, they have poor economic condition also so, due to the poor
leadership no one can help economically in the healthcare (Maier, and Wirth, 2018).
In reference to the case study above, outline some of the policy issues faced by Ahmed and
Reshma, explain what you could have done differently:
Reshma and Ahmed are frequently faced by the issues and challenges of being accepted
through the surrounding communities they also faced some of the policies issues like they need
to visa to enter in the United states and also required some of the essential documents which is
given by the United stated government. To get the job in the United states for Ahmed and
Reshma need to know the united state regional language which is English. But since they are
spend their whole life in the Bangladesh so they do not know any thing about the English
language. They had no any formal Education before coming in the United kingdom (O’Leary,
and et. al., 2018). Where as in United kingdom, there is policy which is regulated in the
organisation that they provide the job only for that person who is more comfort in
communication in English language. People who know how to speak and write English get job
more easily as compare to those who do not know the way of communication. In case of Reshma
and Ahmed, they had to face financial issue because, due to this policy they do not get any job in
the United kingdom. Some of the policies like the government of the United kingdom restricted
the access to advantages and the labour market to the local people of the united kingdom. Due to
these policy Ahmed and Reshma faces several issues like they get discriminated over the local
people in the labour market. They also faces some some of they prioritise issue due the the policy
like local people get more preferred in the field of any governmental job and private job
(Nichols, 2018). Ahmed and Reshma also had to face several issues like they had to face
financial issues because of the government policy, according to which government cut their
financial family income support benefits because of economic downturn and as the government
policy stated that they prefer local people first so they cut Ahmed and Reshma financial supports
firsts.
Question 3
Explain how effective multi-disciplinary teams work together in order to increase the chances of
meeting Ahmed and Reshma’s family’s identified support needs.
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Multi-disciplinary teams work (MDTs) are the process to coordinating and organising
care and health services to fulfil the requirements of individuals with very complex care. The
multidisciplinary teams brings together the skills and expertise of the various professionals to
plan, manage and assess the care together. Since there are several advantages of working in a
multidisciplinary work as it gives a sufferer access to a whole team of professionals. In case of
Ahmed and Reshma, multidisciplinary teams provides support as they make sure that all the
health professional in the health care settings of united kingdom provides them equal and similar
advantages of the all healthcare facilities and accessing of all the health care services services to
them (Scott, and Boyd, 2022). In case of the Ahmed and Reshma, multidisciplinary team work
improves the service coordination between the health care professionals and Ahmed and
Reshma. They try to help them to communicate with healthcare profession easily and represent
their issues in front of them. Multidisciplinary team work also assist bot of them to communicate
with the another professional and assist them to find a better job opportunities in the united
kingdom. Multidisciplinary team working offered greater efficiencies to the Ahmed and Reshma.
Because the multidisciplinary team working services are coordinated together and provide a
frameworks of uniformity to the local people and Reshma or Ahmed that enhances the better
treatment delivery to all of the patient without any discrimination or biased behaviour. Members
of the multidisciplinary team are working halfway in the whole world who make the
communication structure fully and easier and also makes service coordination more easier. When
multidisciplinary team is built, it gives permission to a sufferer to get collaborative helps from a
broader range of professionals. Since in the multidisciplinary work all the persons contributes
form their own point of views, therefore, it can then increase the efficiency or effectiveness of
treatments to the Ahmed and Reshma which are provided by the various health professional in
the health care services of united kingdom (Trifiro, 2018). Multidisciplinary teams working are
frequently make of some of the expert persons in their particular field of practices. Which means
Ahmed and Reshma have must receive a referral of that specialist at the time of the treatment and
receive a better opportunities to get better facilities in the healthcare settings of the United
kingdom. The multi-disciplinary team working together to receive the services easily, process
approved, minimised delays and treatments services started at time to provide Ahmed and
Reshma the most best probable opportunity to maintain and restore the health condition in the
united Kingdom. Multidisciplinary team work provide some new avenues to the service
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execution for Ahmed and Reshma. For Ahmed and Reshma one of the best reasons to have an
multidisciplinary team work is that it gives the sufferer with access for assets from various
organisation and departments (USDA, 2020). In case of Ahmed and Reshma multidisciplinary
team work also provide some of the opportunities to get the job and make some revenue from the
various organisation as they assist to provide offer from the various organisation to the people.
Since multidisciplinary team have right to pull out the all the resources for offering the care and
various essential services to Ahmed and Reshma and also attempt to fulfil their need (Zhou,
Chen, and Han, 2021). Multidisciplinary team work make sure the optimum functioning of the
professionals and more effective sufferer outcomes, the main roles of members of
multidisciplinary team in the care delivery and planning must be transparently defined and
negotiated. There are generally three main kinds of the work which should be provided by the
multidisciplinary as it increasing the maximum collective intelligence, it enhance the inclusive
collaboration and also provide support to the open communication (Wilcox, 2020). At the major
health institutions, multidisciplinary teams are already at work with the result which is
documented. Therefore, these team work can provide some multidisciplinary approach to the
Reshma and Ahmed to treat their health condition. As the multi disciplinary teams are
organising and coordinating care and health services to fulfil the requirements of the persons
with very complex care requirement, they can also bring the skills and expertise of various
professions to perform better care function and provide a good care plan in the case of Ahmed
and Reshma. Multi-disciplinary team work also assessing a wide range of social care, various
community services and health care services therefore, it can concentrates on keeping Ahmed
and Reshma independent and well, and it also providing the right care at the home of Reshma
and Ahmed to prevent the unessential and inappropriate care at the hospital. A multi disciplinary
team consists of various experts like clinical nurses, psychiatrist, psychologist, social workers,
mental health nurses and many more experts like this. Therefore, in case of Ahmed and Reshma
these team members can easily recognise the symptoms of the health condition without any
effective communication and fulfil the health requirement and provide them appropriate
treatment (Workman, and et. al., 2022).
CONCLUSION
According to the above discussion, it has been concluded that Inter agency working in
health care settings is the process of families and agencies associating together to the goal of
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interdependent issue resolving which concentrates on increasing services for families and their
children. Effective leadership is a vital element of health care settings and has a broad range of
operations in boosting efficiency and effectiveness of the firms. Multi-disciplinary teams work
(MDTs) is the way to organising and coordinating care and health services to get the
requirements of human being withs complex care.
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REFERENCES
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