Understanding Integrated Care and its Implementation

The provided assignment content consists of a list of academic articles and books related to health and social care. The topics covered include partnership working, integrated care, patient-centered care, quality improvement, health equity, and safeguarding vulnerable adults. Additionally, there are online guidance documents for health and social care providers, including principles of good practice in medication reconciliation and guidelines for the development of health and social care standards.

Principles of HSC
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TABLE OF CONTENTS
INTRODUCTION...........................................................................................................................3
TASK 1............................................................................................................................................3
1.1 How principles of support are applicable to his care.............................................................3
1.3 Benefits of using a person centered approach for Mr. Bob...................................................4
TASK 2............................................................................................................................................4
1.2 and 3.3 Outline procedures for protecting clients, patients and colleagues from harm and
effectiveness of interpersonal working........................................................................................4
TASK 3............................................................................................................................................6
1.4 Understanding of ethical dilemmas/ conflicts that has risen in providing care and support
to Mrs. Helen...............................................................................................................................6
TASK 4............................................................................................................................................6
2.1 How you have implemented policies, legislation, regulation and codes of practice in
significance to own work.............................................................................................................6
2.2 and 2.3 Local policies and procedures can be developed in accordance with national and
policy...........................................................................................................................................7
3.1 Theories that accentuate health and social care practice.......................................................8
3.2 How social processes such as isolation and exclusion, marginalization impact users of
HSC services................................................................................................................................8
TASK 5- PORTFOLIO ...................................................................................................................9
4.1 and 4.2 Explain own role, responsibilities, accountabilities and duties within and outside
the HSC workplace and own contribution to development.......................................................10
4.3 Recommendation to develop on your own contributions....................................................10
CONCLUSION..............................................................................................................................11
REFERENCES..............................................................................................................................12
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INTRODUCTION
Health and social care practices within the society is essential as it support the individual
in maintaining their health (Mandelstam, 2013). However, in the present scenario individual is
affected by different form of diseases which overall affects their health. Therefore, it is the main
principle of health and social care to support individual in providing proper treatment to patients
and also promoting health awareness regarding infectious and non-infectious diseases. The
present report focuses on different case studies that generally emphasizes on understanding the
principle of support that are applicable within the care setting. Furthermore, the report also
outlines certain procedure used within the HSC setting for protecting the rights of clients,
patients and different colleagues from harm and abuse. Furthermore, the report has also assessed
and outline different legislation regulation and code of practices required within the care home
that support in maintaining ethical perspective within the HSC setting.
TASK 1
1.1 How principles of support are applicable to his care
Principle of support within the residential care and HSC setting is the main principle that
needs to be followed by each and every care work so that they can easily provide care and
support to the patients (Kaplan and et.al., 2010). According to the case scenario, Mr. Bob lives
within the residential care home and has suffered from the stroke of Type 1 diabetic so bob is not
able to meet his daily requirement. However, he also feels isolated from the other residents who
live in the care home. It was also stated in the case scenario that Bob is suicidal and have tried to
harm him because of frustration. In such scenario, it is necessary for care worker to provide
principle of support so that he can meet their daily needs and requirement (Chongsuvivatwong,
and et.al., 2011).
Within the residential care home, care worker must provide proper support to Mr. Bob
which will result in maintaining the health of patients by providing them with proper treatment
and medication. However, in order to ensure that Mr. Bob is properly cared within the care home
it is essential for service provider to focus on different principle of support that is care worker
must ensure proper communication with Bob so that they may not feel alone and isolated in the
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care home (Mir and et.al., 2013). Furthermore, care worker may also use modern technology
within the residential car home so that they can monitor activities of Bob.
1.3 Benefits of using a person centered approach for Mr. Bob
Person-centered approach is defined as a concept under which care worker support in
accomplishing preferences and requirement of clients and customers (Tew and et.al., 2011). It is
one of the effective approaches within the HSC setting which support in handling clients by
providing them with required services and treatment according to their need and preferences.
Furthermore, with the help of person-centered approach it will help in meeting personal
preferences and needs of Bob which will result in satisfying the Bob so that they can minimize
the suicidal activities (Gamliel and Peer, 2010). The different benefit of using person-centered
approach is
 The person-centered approach is commonly used as counseling procedure for Mr. Bob so
that care worker can proper guide and direct him so that they can overcome the Type 1
Diabetic disease.
 Furthermore, the approach is also advantageous for Bob as it would result in providing
proper treatment and suggestions so that they may not feel isolated and engage with the
other residents of care home (Swanson and et.al., 2010).
 Another benefit of using person-centered approach is that care worker engage in the
proper communication that further improve and amend confidence level of patients that
overcome queries and problem of service users.
TASK 2
1.2 and 3.3 Outline procedures for protecting clients, patients and colleagues from harm and
effectiveness of interpersonal working
In order to protect the client, patients and colleagues from the harm and abuse at the
workplace, it is essential for HSC setting to follow proper procedure for ensuring proper health
and safety at the workplace. However, promoting the proper health of patients and clients and
keeping them safe is the foremost objective of HSC (Riekert, Ockene and Pbert, 2013). For this,
it is the main responsibility of employers and care worker to safeguard and protect patients and
other staff from the harm or abuse. As per the case study, Mr. Arthur is the senior worker whose
duty is to monitor the health and safety at the workplace. One evening, the night shift nurses
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realized that patients or service user has not taken epilepsy-control drugs all the day when Mr.
Arthur was on the duty (Benson, 2012). In such situation for protecting the clients and patients
from harm certain procedure is being outlined for the senior staff that is-
1. They must make sure that patients within the care home must intake proper medication in
the proper time period so that it may adversely effect the health of patients.
2. As, senior staff Mr. Arthur must ensure proper identification of harm and risk factor
within the HSC setting so that they can manage the risks and harm by providing
comfortable and safe environment to the patients (Aveyard, 2014).
3. However, Mr. Arthur must also ensure proper monitoring and checkup of the patients
time table that they have taken proper medication or not. This support the patients to
timely take the medication so they may easily recover from the illness.
4. In order to protect the client and patient from harm senior staff Arthur must focuses on
implementing different act within the setting so that they can protect the rights of patients
against the harm and abuse.
In addition to this, for protecting the clients and patients from harm it is essential for the
care home to focus on interpersonal working that would support in providing quality treatment
and health care services to patients (Guidance for health and social care providers; Principles of
good practice in medication reconciliation, 2014). The effectiveness of inter-professional
working in the care home can be evaluated by measuring the expectation of patients that is team
has satisfied the requirement of patients or not. However, inter-professional working may also
result in delivering quality and effective services and treatment that would assist in overcoming
the diseases of patients and service users. In addition to this, the effectiveness of inter-
professional working is that it ensure collaboration of different professional and expertise that
share their knowledge and responsibilities in such a manner that it may lead to improve the level
of care within the HSC setting.
TASK 3
1.4 Understanding of ethical dilemmas/ conflicts that has risen in providing care and support to
Mrs. Helen
According to the case study, Mrs. Helen pregnant lady has been admitted in the
emergency department (ED) in the critical condition as she has been met with the car accident
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(McIntyre, Dahlgren and Whitehead, 2006). She shows the sign of heavy internal blooding thus,
doctor has advised to have blood transfusion to save her and fetus. But Helen refuses to accept
the blood as well as surgery as being a Jehovah Witness. Therefore, through considering the
above case scenario as care worker I faces ethical dilemma related with transfusion of blood that
is I should transfer the blood or not as Helen has refuses to accept the blood or products. Thus, to
overcome this ethical dilemmas and conflict that has risen in providing care and support to Mrs.
Helen care worker must respect the client decisions and their religious belief (Marmot, Friel and
Bell, 2008). Therefore, in such situation I must ensure transfusion of blood and blood products to
save her life and fetus as providing care and treatment is the foremost ethical value that care
worker need to perform while rendering services in HSC. However, for the security and safety
purpose care worker must not disclose the name of individual of whom blood has been
transferred to Mrs. Helen.
TASK 4
2.1 How you have implemented policies, legislation, regulation and codes of practice in
significance to own work
In order to ensure quality care services to the service users and patients within the HSC
setting it is essential for implementing different policies, legislation, regulation and code of
practices as per the norms of national and local policies (Hawn, 2009). Therefore, implementing
all the policies, regulation and code of practices plays significant role in the HSC setting as well
as it also assist the care worker in rendering proper and quality services to the patients. The
different implemented policies, legislation, code of practices within HSC are- Data Protection Act- The foremost policy and legislation implemented within the HSC is
related with data protection. With the help of implementing this policy it plays significant
role in protecting the personal information of patients from third party. For instance; with
the help of data protection act it may also result in protecting the information of disease
that patients suffered in order to maintain confidentiality (Theodosius and Hollinrake,
2015). Anti-discrimination Act- Another regulation that is significant in HSC is focusing on
anti-discrimination regulation that eliminate and overcome the discrimination of patient
in the HSC (Guidelines and Principles for the Development of Health and Social Care
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Standards, 2013). However, implementation of Anti-discrimination act also support the
care worker in providing proper care and treatment to both infectious and non-infectious
disease patients.
 Code of practices for care worker- However, implementing code of practices also plays
significant role in HSC as with the proper code of practices care worker can render
proper service to the patients (Mandelstam, 2013). However, with the proper code of
practices within the HSC care worker will perform their duties according to the specific
guideline mentioned within the code of practices. However, it also support in maintaining
the code within the setting in order to avoid unethical practices within the care setting.
2.2 and 2.3 Local policies and procedures can be developed in accordance with national and
policy
For providing proper guideline within HSC setting it is essential for management to
develop effective policies and procedures accordant with the national and local policy so that
care worker can perform the services accordant with the governmental law (Munn-Giddings and
Winter, 2013). Furthermore, the implemented policy, legislation, regulation and code of practices
has positively impact the organizational practices. Fir instance; with the help of data protection
act care worker are required to maintain the confidentiality and privacy of the patients personal
information. In addition to this, the act will also support in maintaining the positive image of
HSC among the UK region that often result in attracting large customers.
However, HSC setting also focuses on implementing Anti-discrimination Act within their
premises and operations that results in benefiting the workplace in avoiding the discriminatory
practices among the treatment of patients. In addition to this, with the help of this act care worker
may also maintain the ethical practices and activity in serving the different disease patients in the
effective manner (Liebler and McConnell, 2004). In addition to this, implementing policy and
procedure within HSC also establish a clear guideline and standard that need to be followed and
abide by the care worker to render quality treatment and services within the premises.
Furthermore, organizational policy amended with local policies also result in enabling positive
affect on the health and social practices as they will implement the new policies and legislation
that result in protecting the right of patients within the setting.
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3.1 Theories that accentuate health and social care practice
There are different theories within HSC setting that generally focuses on measuring
different needs of individual in the HSC. One of the major theory within HSC is Maslow theory
that generally focuses on determining different needs and requirement of individual and patients
in HSC (Kitson and et.al., 2013). Under this theory individual needs are classified in 5 different
needs that is physiological needs, safety need, social needs, esteem need and self-actualization
needs. The foremost need is physiological need that generally focuses on meeting the basic need
that is acquiring quality services to overcome the illness. The self-actualization needs is the last
need under which service users are satisfied with the services that is being provided within the
HSC setting and they have attained the thing that they want to attain in the HSC setting (Kaplan
and et.al., 2010).
Another theory within HSC setting include Erik Erikson theory of human development
that generally focuses on determining different caring and service requirement in the different
stages of life. Furthermore, Erik Erikson theory also state that care services get changed
according to the age and development of patients in the HSC.
3.2 How social processes such as isolation and exclusion, marginalization impact users of HSC
services
In order to sustain in the society or within HSC it is essential for patients and staff to
engage in the social process that would support the individual in understand each other behaviour
as well as it also assist in understanding patients belief and values so that care worker can easily
provide the required services (Chongsuvivatwong, and et.al., 2011). Different social processes
such as isolation, exclusion and marginalization etc. negatively impact the service user of HSC
setting. The social processes such as isolation result in separating the individual from the other
resident in care home that may result in gaining stress level among the individual (Mir and et.al.,
2013). However, with the isolation patients get depressed thus result in harming themselves.
Furthermore, there are certain impact of isolation, exclusion and marginalization on the services
users of HSC setting that is-
1. Through isolation and exclusion service users within the HSC setting feel dissatisfied
with the services provided by the care worker.
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2. However, with the isolation patient or client distract themselves from the other residents
within the HSC setting as well as they may also enhances their stress level (Tew and
et.al., 2011).
3. In addition to this, with improper social processes within the HSC setting it may
negatively affect the patients health as they feel lonely and depressed that result in high or
low blood pressure.
TASK 5- PORTFOLIO
Name
Job title Care Worker
Health and social care
sector
My roles and
responsibilities at
work
My performance
objectives (Strengths
and weaknesses of my
contribution at work)
Personal and
professional
development
Areas of
recommendation of
my work
To meet different
need and requirement
of patients.
Provide proper and
quality treatment to
patients.
Regular monitoring of
patients
My performance
objective is to render
quality care treatment
and services to patients
(Gamliel and Peer,
2010).
To satisfy the patients
by providing adequate
services.
Proper communication
skills
Effective knowledge
regarding the medicine
Ability of working in
team
To understand the
behaviour of patient
Effective use of
technical medical aid
Interpersonal skills
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4.1 and 4.2 Explain own role, responsibilities, accountabilities and duties within and outside the
HSC workplace and own contribution to development
In order to render proper services within and outside the HSC workplace there are
different roles and responsibility that need to follow so that I can provide proper and quality
service to patients (Swanson and et.al., 2010). Own roles, responsibilities, accountability and
duties within and outside the workplace are
Within HSC workplace-
1. Duty is to provide proper medication and services to patients.
2. Another role is to treat all the patients equally and fairly (Riekert, Ockene and Pbert,
2013).3. My role within the HSC is to understand the requirement and each and every patients and
provide them appropriate service accordant with their requirement.
Outside the HSC workplace-
4. Outside HSC my duty is to provide ethical services and fairly charge money from the
patients.
5. Whenever, patients call for the emergency care worker have to go at their place or home
for providing them care and treatment.
Therefore, for ensuring proper and smooth system it is required for the care worker to
focus on developing and implementing the organizational policy that would result in minimizing
the misrepresentation or misunderstanding among the requirement of patients (Benson, 2012).
Furthermore, I must also develop good working workforce within the HSC setting that results in
adhering and aiding the organizational policy within the HSC setting.
4.3 Recommendation to develop on your own contributions
In order to develop my own contribution within the HSC setting I must focuses on
acquiring and amending my abilities so that I can easily render quality services within the HSC
(Glasby and Dickinson, 2014). The certain recommendation to develop my own contribution
include-
 Understanding behaviour of patient- For developing the own contribution within the HSC
setting it is recommended to care worker to focus on understanding the different
behaviour and values of patients. Understanding their behaviour assist me in determining
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the requirement that they want to overcome or reduce the diseases. In addition to this,
with understanding the behaviour of patients I can also easily acquire information
regarding the patients that avoid conflict or issue at the workplace (Aveyard, 2014).
 Effective use of technical medical aid- Another recommendation for developing and
improving my own contribution include proper and effective use of technical and medical
facilities so that I can easily render quality services to the patients.
Therefore, from the above recommendation and advises I can easily develop and amend
required skills and abilities that further support me in rendering ethical and quality services and
practices at the HSC workplace.
CONCLUSION
From the above report it can be summarizes that health and social care is the foremost
provision that provide quality and effective care to the patients with different needs. Care worker
within the HSC setting are responsible for providing proper care and medical aid to the patients
to overcome or minimizes the illness of services users. The report has also concluded that using
person-centered approach within the care home or residential home is an effective approach that
result in meeting the need and preferences of the patients. Furthermore, the report has also
assessed and outline different legislation regulation and code of practices required within the
care home that support in maintaining ethical perspective within the HSC setting. However, it
also positively impact the operational policy and operation of HSC that result in providing
quality services to service users and patients.
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REFERENCES
Books and Journals
Aveyard, H., 2014. Doing a literature review in health and social care: A practical guide.
McGraw-Hill Education (UK).
Benson, T., 2012. Principles of health interoperability HL7 and SNOMED. Springer Science &
Business Media.
Chongsuvivatwong, V. and et.al., 2011. Health and health-care systems in southeast Asia:
diversity and transitions. The Lancet, 377(9763). pp.429-437.
Gamliel, E. and Peer, E., 2010. Attribute framing affects the perceived fairness of health care
allocation principles. Judgment and Decision Making. 5(1). pp.11.
Glasby, J. and Dickinson, H., 2014. Partnership working in health and social care: what is
integrated care and how can we deliver it?. Policy Press.
Hawn, C., 2009. Take two aspirin and tweet me in the morning: how Twitter, Facebook, and
other social media are reshaping health care. Health affairs. 28(2). pp. 361-368.
Kaplan, H. C. and et.al., 2010. The influence of context on quality improvement success in
health care: a systematic review of the literature. Milbank Quarterly. 88(4). pp.500-559.
Kitson, A. and et.al., 2013. What are the core elements of patient‐centred care? A narrative
review and synthesis of the literature from health policy, medicine and nursing. Journal of
Advanced Nursing. 69(1). pp.4-15.
Liebler, G. J. and McConnell, R. C., 2004. Management Principles for Health Professionals.
Jones & Bartlett Learning.
Mandelstam, M., 2013. Safeguarding Adults and the Law. Jessica Kingsley Publishers.
Marmot, M., Friel, S. and Bell, R., 2008. Closing the gap in a generation: health equity through
action on the social determinants of health. The Lancet. 372(9650). pp. 1661-1669.
McIntyre, D., Dahlgren, G. and Whitehead, M., 2006. What are the economic consequences for
households of illness and of paying for health care in low-and middle-income country
contexts?. Social science & medicine. 62(4). pp. 858-865.
Mir, G. and et.al 2013. Principles for research on ethnicity and health: the Leeds Consensus
Statement. The European Journal of Public Health. 23(3). pp.504-510.
Munn-Giddings, C. and Winter, R., 2013. A handbook for action research in health and social
care. Routledge.
Riekert, K. A., Ockene, J. K. and Pbert, L., 2013. The handbook of health behavior change.
Springer Publishing Company.
Swanson, R. C. and et.al., 2010. Toward a consensus on guiding principles for health systems
strengthening. PloS. 7(12). pp. 1000385.
Tew, J. and et.al., 2011. Social factors and recovery from mental health difficulties: a review of
the evidence. British journal of social work, p.bcr076.
Theodosius, C. and Hollinrake, S.,2015. Safeguarding Vulnerable Adults: Exploring Mental
Capacity and Social Inclusion. Taylor & Francis Group.
Online
Guidance for health and social care providers; Principles of good practice in medication
reconciliation. 2014. [Online]. Available through:
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<http://www.hiqa.ie/publications/guidance-health-and-social-care-providers-principles-
good-practice-medication-reconcili>. [Accessed on 5th March 2016].
Guidelines and Principles for the Development of Health and Social Care Standards. 2013.
[Online]. Available through: <http://www.isqua.org/accreditation/updates/new---principles-
for-the-development-of-health-and-social-care-standards>. [Accessed on 5th March 2016].
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