Healthcare Transformation and Patient-Centered Care

This assignment delves into the significant shifts occurring in the healthcare industry. It examines the growing emphasis on patient-centered care, the implementation of accountable care models, and the evolution of primary care practices. Key concepts such as family-centered care, access to healthcare, and effective team-based care are analyzed. The assignment also considers the role of technology and innovation in driving these changes.

Principles of Health and Social
Care practice

Table of Contents
INTRODUCTION...........................................................................................................................3
TASK 1............................................................................................................................................3
1.1 Principles are applied to ensure that service users are cared for in Fleetwood Hall Home. 3
1.2 Procedures adopted in Fleetwood Hall Home for protecting clients and colleagues from
harm........................................................................................................................................4
1.3 Benefits person - centred approach with the service user of Fleetwood hall home.........5
1.4 Ethical dilemma and conflicts..........................................................................................5
TASK 2............................................................................................................................................6
2.1 Implementation of policies, legislation, regulations and codes of practice.....................6
2.2 Policies and procedures can be developed in Fleetwood Hall Home..............................7
2.3 Impact of policy, legislation, regulation, and codes of practice on policies....................8
TASK 3............................................................................................................................................8
3.1 Theories of health and social care....................................................................................8
3.2 Analysis of social processes impact on users of services of Fleet wood Hall Home.......9
3.3 Effectiveness of inter-professional working...................................................................10
TASK 4..........................................................................................................................................11
4.1 Explaining own, roles and responsibilities within and outside organisation..................11
4.2 Evaluating own contribution to the development and implementation of health and social
care organisational policy.....................................................................................................12
4.3 Recommendation to develop own contribution..............................................................13
CONCLUSION..............................................................................................................................13
REFERENCES..............................................................................................................................15

INTRODUCTION
Medical and research funders are mainly concerned with the particle research for develop
many theories. For leaving in society health and social practices are very important. In society
the people are affected are many different diseases. In this era, it become important that people
must be aware about these diseases so that they can take corrective actions. In health and social
care sectors the proper treatments are provided to service user (American Academy of Pediatrics
and American Academy of Family Physicians, 2011). While providing the better proper
treatment to service user through this it also maintains the privacy and minimise the risk and
hazardous. It also promote the awareness regarding the diseases and social issues in the principle
health and social care sector. The present report Fleetwood Hall home is considered. This home
care provides the services to mental health which accommodate man and women which ensure
the mental health needs. Further, principle of health and social care sector has been explained
and applied to ensure about the service users. Along with some acts, regulations, has been
described which has been applied at work place of Fleetwood hall home.
TASK 1
1.1 Principles are applied to ensure that service users are cared for in Fleetwood Hall Home
In health and social care sector it is important to provide proper treatments to patients.
For making the health and social care setting auspicious which required the mandatory support
from the government. In Fleetwood hall home the managers has applied some principles to
ensure that services user are satisfied with our services and they are also important for us. These
are as follows
 To make coordination with other department and integrate care also.
 Provide promotional support to patients and alleviation of anxiety and fear.
 Respect the patients values and provide the services according to their needs and
preferences.
 There should be an involvement of friends and family (Aronsson, Abrahamsson and
Spens, 2011).
 The managers has to maintain the confidentiality of information.
 The surgeon, specialist has to use new and modern technologies which will save their
time also.

 Proper communication process must be used.
A good principle of support acknowledge the individual personal belief and identities by
making more communication effectively. Through all these principles the service user will feel
happy. It gives an opportunity to professionals to provide proper treatments to patients. The
service user to give space them to perform their functions properly In cited care home it is the
responsibility of managers to properly understand the equality act and does not discriminate any
clients or patients on the basis of their caste, religions (Bates and Bitton, 2010). In care homes
people are patients are belonging from different culture and beliefs so the care worker must
respect them and their values also. Working as a manager in Fleetwood hall home, it is their
responsibility to keep the safe data of patients for the future use. When the manager are making
proper rules or strategies to provide the treatments then these data are very important.
1.2 Procedures adopted in Fleetwood Hall Home for protecting clients and colleagues from harm
Harm is defined as when a person is suffering from any injury or mental problems
through which they are not able to perform their activities in daily life. In Fleetwood hall home
the managers should have proper information regarding the Health and Safety Act 1974 which
protect the clients, patients or customers from the harm. The patients are suffering from different
types of harms such as psychological, emotional, financial harm. In care homes the care worker
must ensure that to provide the quality of services which minimise the risk by following all
standards properly. The outline will help the care worker to develop many theories and decrease
the risk of clients, patients and colleagues. These outline should include provide the emotional
support to patients which is the best solution. They have to save their clients from harm and
should follow the proper safety standards act to provide the proper treatment to them.
The patients who are suffering from the mental problem then it is the duty of care worker
to behave with them properly. There are many type of abuse in which the patients are suffering
and care worker has to take care of them properly (Bridges and et. al., 2011). There are many
actions which can be taken by organisation such as when the persons are not able to report about
their mental problems then they should have to give emotional support to them. Some patients
are having the fear of loosing their friends or families so the care worker has to support in terms
of mental problems. Care Quality Commission is responsible for to follow their duties properly
in legal terms for meeting the requirements of customers, clients or colleagues. They have to

provide them a safety environment which are free from the diseases and does not harm on there
health.
1.3 Benefits person - centred approach with the service user of Fleetwood hall home
The person centre approach is that approach in which care worker has to support and
fulfil the desire expectations of patients or clients. Through this clients are motivated and take
the decisions to maintain their privacy and dignity with the professionals (Browne and et. al.,
2010). This approach is designed to care workers and service users to motivate them who are
engage in taking decisions and suggestion about their care plans. In this care home there are
many people who are suffering from the mental problem or any diseases so this approach help
them to focus on their health. The care worker is also monitor on those activities which are
performing by them through which they can develop many theories. In this sector, it is one of the
best practices which are done by the care worker is to handle the clients who are suffering from
many diseases. By satisfying with their needs and requirements it ensures about the optimum
care for the service users. In Fleetwood hall home, the patients are demanding different types of
needs if they are fulfilled accordingly to them they feel sense of individuality and it will also
effect on their health in best way.
This approach encourage the individuals to take better decisions from which they are
suffering diseases. It also facilitates the service user to control on their life by involving the
decision making process properly. The manager has to monitor all the activities which are
performing by service users or patients so that corrective actions can be taken if they are facing
any problems. The individual has to establish the trust between the professionals so that conflicts
can be resolve (Carayon, 2011). This approach give benefit to professionals in terms to provide
the freedom of choices to service users, physiological comfort. Through this care home also will
get benefit in creating the action plans properly which ensures the quality of services.
1.4 Ethical dilemma and conflicts
In Fleetwood hall home there are many care workers who suffers from such situations in
which they contradictory their work. It is significant for care worker to maintain the rules and
regulations for providing the proper treatments. Ethical dilemma arises when conflicts arises
between the patient and care worker (Diakides, Bronzino and Peterson, 2012). It become difficult
for care worker to take decision for resolving the conflicts.

In the given scenario, Mrs Y is very active person and had a love for dancing. But now a
days she is facing difficulties in walking so she is spending her time where she needs the support
of care worker.
Mrs Y is listening to Susan who is given advice regarding the problem. Mrs y has a right
to refuse those services which are given by Susan and does also use those services which is given
by the care worker. As per article 3 if Mrs Y is not using the straps this may cause injury and
even treatment can also be given. In fundamental rights it has already written that if a person
does not want any kind of services which will cause him/her harm then they can refuse the
services (Druss and Mauer, 2010). In this care worker are responsible for anything if patients has
suffered from any losses. The worker can not force to Mrs Y to use these services but if worker
has imposed forcefully and something has happen to her then worker is responsible for to
compensate her.
In health and social care sector it is important for worker to does not work against the
ethical values and they have restrain these issues which are suffering from the mental problems.
TASK 2
2.1 Implementation of policies, legislation, regulations and codes of practice
Fleetwood hall home is a care home providing health care services to the users. Being a
care home it should adhere to law and regulations. Rules and regulations are made to make sure
the protection, health, safety and care to service provider as well as all employees of the care
home. By not adhering these rules, code of conduct and law and regulations no care home can be
run. Government make an inspection authority to see that there are all arrangements which
should be at care home for service users and all employees. Some of legal acts at workplace are
followings:
1. Equality act 2010 - Treating all employee and without discrimination is a must task a
care home should obey. There should no discrimination on the basis of gender, race and
inability. Equality act 2010 involves the special protection to disabled person,pregnant
and breastfeeding mothers at work place (Fetters, Curry and Creswell, 2013). If there is
any discrimination among employee it can cause harm to the fleet wood care home. For
example if any of the employee feel harassed he will not be give his maximum and
positive level of efforts.

2. Health and safety at work act 1974 - Health and safety at work act 1974 contains the
provision to look after about health and safety to all employees as well as service
providers at workplace. By this act care home must consult to the employees regarding
their health. In this act the employer must control use of any explosive and inflammable
at the workplace.
3. The care standard act 2000 - The care standard act 2000 provides the authority or council
for inspection of care home. This council makes provision for registration, continual of
the care home. So that it can be make sure that the residential of the fleetwood care home
are safe and protected (Green, Savin and Lu, 2013). This act makes sure that there are all
facilities provided to service provider as well as employees at work place.
2.2 Policies and procedures can be developed in Fleetwood Hall Home
At fleet wood care home a manager must consider all rule and regulations regarding any
guideline issued by government. The manager must make sure that every single employee has
the complete knowledge related to all laws for functioning of fleet wood care home. In short
every employee must be up to date with rules for care home. Different policies and laws require
specific awareness which all worker of care home must be aware of.
For example data protection act 1998. The care home must take seriously this act as it
contains rules related to the data of the service users so this very significant act for care home
manager to look after (Grol and et. al., 2013). This must be make sure that who ever is
responsible for data management in fleet wood care home, must use the data fairly and
carefully,so that there is no harm to data or any misuse of the data.
The person responsible for the data must access data in adequate and proper manner.
Data should not be kept more than necessary .Other policies and regulations have many act to
obeyed but fleet wood care home. One of them is equality act 2010 in which any kind of
discrimination like on the basis of sex, preferences or colour. No person should be tortured or
harassed relating in the field of service, employment or goods services,so that there is completely
caring, pleasant and comfortable environment for every person who work there and live in fleet
wood care home (Hui and et. al., 2010).
Thus all policies and law regulations issued by government authorities must be
implemented and developed to make sure the safety, protection and care as well as rights
provided by law for everyone at care home.

2.3 Impact of policy, legislation, regulation, and codes of practice on policies
Whenever any policies and regulations guideline issued by authorities,fleet wood care
home implements them in a accurate manner so that every person behaves according to that.
There are a lot of impact of all laws and acts like equality act 2010, health and safety at work act
1974, the care standard act 2000,data protection act 1998 etc.
Because of these above acts authority of fleet wood care home provides training to all
employee and family members of the service users about how to behave at work in a proper way
(Koh and et. al., 2012). They train to every worker the way to treat service user with care and
professionalism so that service can be provided and satisfaction can be achieved.
For example a nurse in fleet wood care home is provided training related to how to
behave and take care of patient. She should be hygienic and clean. She must wash her hands
frequently on a regular basis so that patient will not get infection from her.
These acts and code of practice affect the care home by implementation of rules to get
maximum care of every individual and employee at care home. Procedures and legislation make
sure complete safety and wellness of every single service user and employee. These particular
procedures and rules abided by so that there will be no discriminated treatment to any individual
at fleet wood care home.
According to these policies and procedures care home provides training to al employee at
every level about latest equipment and machines so that they all can use easily operate (Koren,
2010). The data of residential is kept confidential according to the data protection act 1998. Data
is not shared outside of the fleet wood care home to protect rights of service users.
Thus all policies, procedure,rules,regulation and laws, acts have huge and strongly
positive impact on fleet wood care home for the safety of every service user and employee.
TASK 3
3.1 Theories of health and social care
Theories of health and social care attempt to explain human behaviour, relationship and
social issue. Health an Social care is part of of a process of evidence of building ideas and
information for changing environment. Every person every situation is different. For different
circumstances various approaches are need to be analysed by the managers. A single theory can
not explain everything. Fleet wood hall home apply effective communication for building a good

relationship with their customers. Effective communication is very important. Communication is
a tow way radiocommunications allows to interact with each other (Levesque, Harris and
Russell, 2013). Effective communication include listening, questioning, paraphrasing,
explanation consultation and mentoring. For good listening it is important that one parson clearly
listen what another person want to say. It is important for social worker that he firstly understand
the different social theories
Different theories of health and social care:
Maslow's hierarchy need theory: Maslow's hierarchy need theory is a motivational
theory in five tier model of human needs. According to this theory people are motivated to
achieve certain need and that needs take precedence over other. This theory include five stages.
Self actualization:Self actualization means achieving one's full potential, including
creative activities.
Esteem needs: Esteem needs means prestige and feeling and accomplishment.
Belongingness and love needs: Belongingness and love needs means intimate
relationship and friends.
Safety needs: Safety needs means security and safety.
Physiological needs: Physiological needs means basic needs like food , water
warmth,rest.
Health growth and development theories:there are a number of major or health growth
and development theory which are used by the managers of Fleet wood Hall Home
 Development /Analytical theory: This theory provide a framework for thinking about
human growth and development and learning.
 Behavioural theory: Behavioural theory theory also known as behaviourism. This theory
is based on behaviour and ideas of the individual (Margolius and Bodenheimer, 2010).
3.2 Analysis of social processes impact on users of services of Fleet wood Hall Home
Social processes refers to the repetitive form of behaviour of a person. Social behaviour
is commonly found in social life. Social process has the impact on most of their situations such
as poverty low income people in low in income live in poor housing which may create a rang of
risk. Analysis of social process include the monitoring and managing the intended and
unintended social consequences ,both positively and negatively. The primary purpose of social
process is to bring about a more sustainable and equitable biological and human environment.

Fleet wood hall home analyse the social process by apply
 The purpose of Fleet wood hall for analysis of social process for focus on development
of goals and ensuring that positive outcomes are maximised.
 Identification of development goals and improve the performance through effective
performance (McClellan and et. al., 2010).
 Social process impact on developmental interventions on human environment. social
process impacts of development take different forms. This impact not only need to be
identified and measured but also need to be managed in such a manner that the positive
things are maximized and negative things minimized.
 For a effective social process it is important that a balanced development planning takes
into account for the environmental, social and economic development.
 Social process analysis helps in the planning and decision-making process. This analysis
help in identifying the positive and negative impact of the policies and procedures. This
process help in decision-making process.
 This process integrate the social and environmental aspects associated with the numerous
projects into the decision-making process.
 This analysis helps to identify what kind of services include to protect the human health
and minimize the impacts on cultural property.
3.3 Effectiveness of inter-professional working
Inter professional is a process through which the members of profession or agencies work
together at one place. A social care is a large organisation and there are numerous individuals
workers with their different ways and different style (Meltzer and et. al., 2010). There are many
different types and ways are available through the professionals can work together and they
support each other. It create a healthy and supportive work environment. Every person have his
own working style and skills. They work differently and at their own style. Some times
difference of working style creates the problems in work. Differentiation of work may create the
difficulties in work place.
Fleet wood hall home health and social care advocates inter professional working to
support older people with complex and multiple needs. In this organization there is a growing
understanding of support. This organization aimed to identify and and provide base for practice
with the older and new people and they include the studies of management, collaboration and

integrated team and assessed for different types of risks. They improving the care and and
improve the potential to reduce the uncertainness (Mitchell and et. al., 2012). Quality and high
quality evaluations and observational studies applied to identify the key components of
effectiveness.
 Inter-professionalisation and a good team work is important important for effective inter
professional working which provide inter-perprofessional collaboration.
 For effective inter professional and effective team work it require regular education for
the required skills and competences. It is a key to promote the competences for effective
working.
 Every person person have the responsibility in working place and have to make sure that
they done their responsibility and maintain their work ability.
TASK 4
4.1 Explaining own, roles and responsibilities within and outside organisation
A manager of fleet wood care home plays a vital role. The manager has many
responsibilities regarding every day to day activity of the care home. As a manager of a care
home his main duty to make sure the complete care and protection of the service users on a
regular basis. In care home the manager is the most important as well as responsible person
because he has a lot of duties towards the care home (Muldoon and et. al., 2010). He arranges
meeting on regular basis in which any modification or change is recommended for improvement
or betterment of fleet wood care home.
In authority meeting every issue is discussed regarding treatment of service users,
behaviour of worker towards patients. Every incident is recorded in incident report on daily
basis. The manager of fleet wood care home sees if there is a conflict or tension among employee
and resolves that so that they can do their work with effectiveness and efficiency because it
affects to the service users.
The manager of fleet wood care home has responsibility to uplift the confidence and trust
of service users have in the care home (Reid and et. al., 2010). Without having confidence of
service users there is difficulty to make them satisfy with the service and care care home
provides. By providing the liberty to the employee and service users, their family and relatives a
manager can make sure of the happy and satisfactory life of the residents.

As fleet wood care home is a very huge organisation,the manager of it must supervise the
performance of all nurses as well as employees related to behaviour with service users. Thus
being on a managerial position he should improve and update himself and all employees so that
they can give their best in providing well care to service users.
4.2 Evaluating own contribution to the development and implementation of health and social
care organisational policy
A manager of fleet wood care home contributes mainly to develop and implement the
policies and procedures by keeping upgrade himself with managerial skills so that he will be able
to provide good service to all service users (Richards, Campenni and Muse-Burke, 2010). Being
a manager not an authority he can not make any new procedures and policy of the care home but
he can make recommendation for modification and improvement in the policies of the care
home.
A manager contribute in developing the policies by motivating to service users to be
independent of their daily activities and to participate in extra curricular activities on daily basis.
The manager contributes by making beneficial plans for care home like risk provision plan in
which if something happens causing any kind of risk to service users there is already provision to
reduce risk.
The manager of fleet wood care home contributes in implementing of policies by
upgrading the set of standard for other workers of care home, so that they all can be effective and
efficient and there will be well coordination among them (Shortell, Casalino and Fisher, 2010).
As a care home there are lot of delicate work for manager because he handles every single
activity of the care home.
All service users at fleet wood care home requires a good and intense care for that the
manager must be dedicated towards them by contributing at maximum extent. Manager requires
up to date knowledge about service users so that he can cope up with them easily as well as make
further efforts for them to make healthy environment at care home in developing the policies and
procedures.
If there is any complaint from the side of the service users or their relatives,the manager
makes sure the complaint is dealt proactively so that confidence can be created in care home.
Thus the manager of fleet wood care home contributes in many ways in developing and
implementing health and social care organisational policies.

4.3 Recommendation to develop own contribution
Recommendations for fleet wood care home as a manager are recorded in
recommendation report. Recommendation for care home by manager of fleet wood care home is
that there should be more staff to provide maximum service to the residents (Data protection,
2017). Another recommendation as a manager for the care home is that there should be daily
records of every incidents so that when authority held meeting regarding solutions of the
incidents, solutions or further action can be taken for betterment of the service users.
There are a few recommendation for fleet wood care home as it already is a very great
service provider care home. As a manager he can recommend that there is no breach of code of
practice and law on the side of worker as well as service users. If any breach found there should
be quick action to rectify.
There should be more training to the care home workers of fleet wood care home so that
they can motivate all service users to contribute in local community. As a manager it can be a
recommendation for fleet wood care home that there should be held weekly or monthly open
meeting where everybody is free to tell his problem.
One another recommendation for fleet wood care home is that manager himself as well as
the other employees should be updated with new technology as there is frequent invention in the
field of medical and care like new machines and equipments (NHS health Scotland, 2015). So
the staff who use the equipments while treating patients should be updated technically so that
there is no harm to use them for patients.
Last recommendation for cited care home is that the service provided by fleet wood care
home should be customised like every service user has his own specific care needs,so the care
home should provide according to their need.
CONCLUSION
After summing up the report it has been concluded that it is the responsibility of
managers to follow all rules and legislation properly in Fleetwood hall home. Some theories is
applied in this sector which will motivate and encourage the workers for providing the quality of
services to patients. It is also possible for them to keep away the patients from the diseases which
minimise their risk and various hazardous problems.

REFERENCES
Books and Journals
American Academy of Pediatrics and American Academy of Family Physicians, 2011.
Supporting the health care transition from adolescence to adulthood in the medical
home.

Aronsson, H., Abrahamsson, M. and Spens, K., 2011. Developing lean and agile health care
supply chains. Supply chain management: An international journal. 16(3). pp.176-183.
Bates, D. W. and Bitton, A., 2010. The future of health information technology in the patient-
centered medical home. Health Affairs. 29(4). pp.614-621.
Bridges, J. F., and et. al., 2011. Conjoint analysis applications in health—a checklist: a report of
the ISPOR Good Research Practices for Conjoint Analysis Task Force. Value in Health.
14(4). pp.403-413.
Browne, K., and et. al., 2010. Analysis & commentary measuring patient experience as a
strategy for improving primary care. Health Affairs. 29(5). pp.921-925.
Carayon, P., 2011. Handbook of human factors and ergonomics in health care and patient
safety. CRC Press.
Diakides, M., Bronzino, J. D. and Peterson, D.R., 2012. Medical infrared imaging: principles
and practices. CRC press.
Druss, B. G. and Mauer, B. J., 2010. Health care reform and care at the behavioral health—
primary care interface. Psychiatric Services. 61(11). pp.1087-1092.
Fetters, M. D., Curry, L. A. and Creswell, J. W., 2013. Achieving integration in mixed methods
designs—principles and practices. Health services research. 48(6pt2). pp.2134-2156.
Green, L.V., Savin, S. and Lu, Y., 2013. Primary care physician shortages could be eliminated
through use of teams, nonphysicians, and electronic communication. Health Affairs.
32(1), pp.11-19.
Grol, R. and et. al., 2013. Improving patient care: the implementation of change in health care.
John Wiley & Sons.
Hui, D., and et. al., 2010. Availability and integration of palliative care at US cancer centers.
Jama, 303(11), pp.1054-1061.
Koh, H. K., and et. al., 2012. New federal policy initiatives to boost health literacy can help the
nation move beyond the cycle of costly ‘crisis care’. Health Affairs. pp.10-1377.
Koren, M. J., 2010. Person-centered care for nursing home residents: The culture-change
movement. Health Affairs. 29(2). pp.312-317.
Kuo, Dennis Z., 2012. "Family-centered care: current applications and future directions in
pediatric health care." Maternal and child health journal 16. no. 2 (2012): 297-305.
Levesque, J. F., Harris, M. F. and Russell, G., 2013. Patient-centred access to health care:
conceptualising access at the interface of health systems and populations. International
journal for equity in health. 12(1). p.18.
Margolius, D. and Bodenheimer, T., 2010. Transforming primary care: from past practice to the
practice of the future. Health Affairs. 29(5). pp.779-784.
McClellan, M. and et. al., 2010. A national strategy to put accountable care into practice. Health
Affairs. 29(5). pp.982-990.
Meltzer, L. J. and et. al., 2010. Prevalence of diagnosed sleep disorders in pediatric primary care
practices. Pediatrics. 125(6). pp.e1410-e1418

Mitchell, P. and et. al., 2012. Core principles & values of effective team-based health care.
Washington, DC: Institute of Medicine.
Muldoon, L. and et. al., 2010. Community orientation in primary care practices Results from the
Comparison of Models of Primary Health Care in Ontario Study. Canadian Family
Physician.56(7). pp.676-683.
Reid, R. J. and et. al., 2010. The group health medical home at year two: cost savings, higher
patient satisfaction, and less burnout for providers. Health affairs. 29(5). pp.835-843.
Richards, K., Campenni, C. and Muse-Burke, J., 2010. Self-care and well-being in mental health
professionals: The mediating effects of self-awareness and mindfulness. Journal of
Mental Health Counseling. 32(3). pp.247-264.
Shortell, S. M., Casalino, L. P. and Fisher, E. S., 2010. How the Center for Medicare and
Medicaid Innovation should test accountable care organizations. Health Affairs. 29(7).
pp.1293-1298.
Online
Data protection. 2017. [Online]. Available through: <https://www.gov.uk/data-protection/the-
data-protection-act>. [Accessed on 6th April 2017].
NHS health Scotland. 2015. [Online]. Available through:
<http://www.healthscotland.com/equalities/equalityact.aspx>. [Accessed on 6th April
2017].