Reflective Approaches in Implementing Person Centred Practice

This study material discusses the aspects of different legislation for person-centered care, provides suggestions for appropriate solutions to different problems, and helps in improving skills in providing person-centred care with a short, medium, and long-term plan.

Unit 19: Reflective Approaches in
Implementing Person Centred Practice

Contents
INTRODUCUTION....................................................................................................................................3
PART 2.......................................................................................................................................................3
P3 Aspects of different legislation for person-centered care...................................................................3
P4 Suggestion of appropriate solutions to different problems.................................................................5
Themes conduct critical evaluation on health and safety, safeguarding and protection in complying the
legislative requirements...........................................................................................................................6
TASK 3.......................................................................................................................................................7
P5 Produce a comparative reflective account of own provision of periods of person-centred care in
different workplace settings.....................................................................................................................7
TASK 4.......................................................................................................................................................7
P6 Construct a short, medium and long-term plan to improve own practice and skills in providing
person-centred care..................................................................................................................................7
P7 Analyse the practicality of own plans in relation to contributing to the collective effectiveness of
own workplace team................................................................................................................................8
CONCLUSION...........................................................................................................................................8
Appendix 1: Reflective Log book............................................................................................................8
Appendix 2 SWOT Analysis:..................................................................................................................9
Appendix 3 – Personal Development Plan.............................................................................................11
REFERENCES..........................................................................................................................................12

INTRODUCUTION
Person centred care demand in increasing day by day as it is very helpful in providing
right treatment to patient. This type of care services lead to focus on crucial aspects of care such
as full filling the need and demand of patient as well as fast recovery. It is very important for
care giver to have required skill set and ability to meet with the requirements of patient. This
report will includes different rules and legislations that is related to health care sector. In this
report different types of person centred care are determined as well as goals and objectives are
developed in order to improve the capability of person cantered care provider. Apart from this
person development plan is created in order to increase skills of personal and professional
growth.
MAIN BODY
PART 2
P3 Aspects of different legislation for person-centered care
It has been evaluated that by the passage of time it has bee determined that person centred
health practices are evolved. This makes significant increase and safety. In addition to this, this
has been signified that as per according to the past cases it becomes essential for health care
organisation like hospitals to effectively follow all the legal legislations as well as laws in a well
defined manner (Bing-Jonsson and Et. AL 2018). With the assistance of basic requirements with
the help of which government and public to ensure person-centered practices get conducted in a
well defined and lawful way. Further this has been evaluate that, with the help of effective legal
support organisation can avoid any legal consequences and obligations. Mentioned below there
are some certain form of legislation that are being followed by NHS in context with person-
centered care:
Health and Social Care Act, 2008 (Regulated Activities) Regulations 2014-
As per in accordance with regulation 9, this is most important legal right of an individual
to get effective health and care in context with services that are designed specially for related
individual. In addition to this, this right ensure that each and every person get effective person-
centered treatment as well as care that are relatively suitable to requirements and needs of
patient. In this, it becomes essential for health care authorities to make formative adjustments
related to offering proper support to patients. Furthermore, NHS is required to ensure that they
abide all the essential regulations as with the help of this they can effectively able to avoid any
form of punishment and treatment. For instance, if NHS duly failed to undertake patients
consent for treatment that are duly suggested by NHS doctors. In this case, it falls under breach
of the present respective regulation and lead entity to face number of issue in future.

The Care Act, 2014- The care act mainly include rules as well as laws that are duly get
applied in health care organisation (Edvardsson, 2015). In this, it becomes main responsibility of
organisation to effectively abide this law in order to conduct their functions in a well defined and
legal manner. By abiding this law organisation can effectively able to promote effective
treatment to those individuals who seek proper care. In addition to this, it has been evaluated that
there are different types of amendments have been undertaken in this act. Thus, it becomes
essential for NHS to avoid negligence of The Care Act, 2014 as this will lead entity to face
number of serious issues.

NHS policies for patient centric- IN order to effectively provide treatment to
patients it has been analysed that different types of effective policies have been duly
implemented and undertaken by NHS. This is done by entity with an aim to provide effective
treatment to patients. In addition to this, number of good practices that are mainly centred on
patients such as care planning, work in a well defined and integrated manner and take consent
of patients are being undertaken by NHS. Along with this, it has been analysed that wide
range of personalised services have been undertaken by entity. For example- negligence and
avoid of any policy by any staff member get treated as breach of code of conduct.
P4 Suggestion of appropriate solutions to different problems
Health and Social Care Act, 2008-
This has been identified that, major issue that has been evolved while adoption of this
act is that. In this, entity is effectively required to follow different types of amendments as
well as rules in order to further ensure greater safety of individuals. Thus, as to effectively
overcome this issue in a well defined manner this becomes most important responsibility to
evaluate any new amendments in official sites. With the help of this, entity can effectively
able to make sure that they have undertaken all the necessary obligations in a well defined
manner.
The Care Act, 2014-
This has been duly evaluated that, scope of the care act 2014 is huge. In addition to
this, it has been evaluated that it not only include person-centered health practice but it also
involves other practices (Connolly and Moss, 2019). Thus, major issue that has been seen
related this act is related to undertake formative classification of laws that are mainly related
to person-centered. However, this has further get resolved by having clarity in
implementation of all the essential as well as provision.
NHS policies for patient centric-
This has been duly evaluated that, policies of NHS are duly applicable in organisation
in order to encourage employees to perform their activities and work in an effective and
efficient manner. In addition to this, it has been analysed that, there is formative set process
formulated under NHS policies and are required to be effectively abide by each and every
team member. Apart from this, it has been evaluated that there are number of members who
respond to this in a negative manner and resist towards change. This makes essential for
organisation to offer effective training measures as well as sessions to member with the
formative assistance of open communication.
Assessment the challenges faced by health care professionals in interpreting different
legislation with regard to planning provision of person-centered care practice
There are number of challenges which health care professionals come across while
interpreting the legislations. Same have been described below:

 Lack of similarity between ethics and law: This is about the situation where health
care professionals fails to understand the law in the right sense because of
requirement of being ethical (McCormack, and McCance, eds., 2016). There are
some acts which may not be legal but ethical for example, a person is suffering from a
serious issue which binds the health care professional to not to disclose the procedure
of particular procedure of the treatment but ethically it should be mentioned to the
patient.
 Limited understanding of legal terms: There are some legal terms which are not
expressed in English which makes it difficult for the health care practitioners to
understand the actual meaning. This can cause issue in developing the provision of
person centered health practice according to the law. In such a case, NHS may face
issues in carrying the person centered health practice.
Thus as per the above mentioned discussion it has been analysed that, there are
number of challenges that are being faced by health care professionals. This makes their work
ineffective. Thus, it is essential for entity to make sure that they abide all the legal legislations
in a well defined manner.
Themes conduct critical evaluation on health and safety, safeguarding and protection in
complying the legislative requirements
Health and safety-
Health and safety is most essential element that are required to be duly undertaken by
health care organisations in order to offer effective health care treatment and facilities to their
patients. In this by emphasizing upon safety and health of patients health care organisations
can effectively able to ensure health and safety of patients (Briseid, Skatvedt and
McCormack, 2017). In this, it becomes essential for health care units as well as organisations
to make sure that they abide all the essential legal legislations as well as laws. As with the
help of this they can safeguard themselves to being get caught into any legal penalty. In
addition to this, it has been identified that an effective and formative legal support provide
formative assistance to entity to conduct their functioning in a lawful manner.
Safeguarding-
Security is one of the most essential concern of an individual. This has been identified
that patients within health care entities and organisations are concerned towards their proper
safety. Thus, it becomes essential for NHS to make sure that they implement all the essential
and effective legal obligations in entity as to further provide effective safeguard to patients.
With the assistance of this, they can not only able to avoid any legal case but can effectively
able to provide formative treatment to patients in a well defined manner.
Protection-

It is essential for an organisation to provide effective protection within their premises.
In context with a health care organisation it is essential for them to offer proper protection
facilities to their patients. According to the present scenario, it has been identified that NHS
adopt effective compliant resolving team in which complaints to patients get resolved in an
effective manner. This will not only benefit entity to provide support to patients but also aid
them to ensure their maximum satisfaction.
TASK 3
P5 Produce a comparative reflective account of own provision of periods of person-
centred care in different workplace settings.
Person centred care can be describe as the care service plan in which heath services
provider will provide only those services that is helpful in recovery of patient. This type of
services are only in respect the patient as per the responses. It is responsibility of health care
provide to provide right and accurate service to patient while considering needs and
preference of patients. There are various principle that are regarding to patient centred care.
These key principle will help in providing right treatment and services to patient. There are
different companies which is providing different types of person centred care.
While working in different organisation as a person centred care provider I have
analysed that both of these companies are working on different principles of patient centred
care. While dealing with Mr. Z I have to be very kind and respectful and it is more difficult to
example things. In this case I have to be more enduring and understanding. Where as in case
of Mr. X, I have to be more encouraging and motivating. I have to be more supportive to Mr
X as he needs to do lots of physical exercise and follow proper diet plan in order to recovery
fast.
TASK 4
P6 Construct a short, medium and long-term plan to improve own practice and skills in
providing person-centred care.
It is very important for an individual to analyse and evaluate different skill set that is
required to perform task in better manner. There are various types of potential skills and
capability that is essential for performing activities in heath care sector. In order to enhance
my performance for conducting task and activities in effective manner I have used SWOT
analysis. This is an effective tool that will help in determining individual strengths, weakness
as well as opportunity and threat. By using this method I will be able identify what are my
core skills and abilities as well as analyse those area in which I need to improve. This will
also help in analysing what are various opportunities that can be accomplished by developing
skills and knowledge.
Personal development plan is very supportive in increasing skills and capabilities of a
person. In order to develop ability and potential as a personal centred professional short,
medium and long term goals are mention below.

 Short term goal – To develop communication skill with in 3 months of time frame
in order to effectively communicate with patients.
 Medium term goal – To enhance leadership skills with in 6 months of time period
with the motive of developing strong team.
 Long term goal - To become the best personal care provider with in one year by
increasing knowledge.
Different learning and development theories are used in order to achieve set goals. These
theories provide proper assistance for improving skills. Personal development plan is helpful
in improving skills and competencies that will lead future professional and personal growth.
P7 Analyse the practicality of own plans in relation to contributing to the collective
effectiveness of own workplace team.
Personal development plan is very supportive in increasing the quality of my work.
Due to this plan I am able to develop as well as enhance various skills that is supportive in
achieving desired goals. With the help of personal development plan I am able to contribute
my maximum efforts in effectiveness of my workplace team. By developing leadership skills
and capabilities I am able to guide team effectively. Correct and accurate leadership is very
helpful in enhancing overall performance of a team as well as accomplishing desired goals of
organisation.
CONCLUSION
From the above report it has been analysed that there are various skills and
competencies that is required in personal centred care provider. These skills helps in
providing better and effective care services to patient as well as meeting with their
requirements. There are different rules and legislations that is related to health care sector. It
is crucial to follow all rules and regulations.
Appendix 1: Reflective Log book
List the assessment criteria for which the activity provides
Scenario1: Give a brief description of the patient or service user or individual in need
that you have provided person centered care to.
Mr Z is one of my crucial patient and he was dealing with dementia problem. This is the
mental health issues in which person forget things. Mr Z is of age 60 and he is dealing with
memory loss issues. As a person centred profession, I have to call this patient after regular
interval for check up These check up are very important for fast recovery of patient. In recent
time I did not communicate to my team member about check up calling of dementia patient.
Provide evidence of how you have provided person centered care taking into
consideration the key principles of person centered care.
While dealing with Mr Z patient and providing person centered care I have taken
communicating and sharing information into consideration. In this is have share information
about the dementia issues with the patient and his family. It is important to provide right and
accurate information as this will help in conducting recovery process easily.
Description of activity and how have provided person centered care for Individual 1

First of all it is very important to treat a person with respect and dignity. While dealing with
Mr Z case, I have gone through their medical history, lifestyle as well as preferences. This
helped me in gaining complete understanding about the information of patient as well as the
procedure that will be more beneficial. I have looked the whole situation form the perspective
of dementia patient. I have done necessary checkups and provided proper medicines. I have
also developed a proper plan for dementia patient which includes regular check up for
determining recovery process.
Scenario 2: Give a brief description of the patient or service user or individual in need
that you have provided person centered care to.
Mr. X is lives in U.K. with his wife and a child. He is a bank manager. Due to his constant
sitting job he is suffering from obesity from past few years. The disease has resulted in
causing number of more health issues which are related to heart conditions. As a senior care
giver I will provide excellent person centred care is order to make him healthy and fit.
Provide evidence of how you have provided person centered care taking into
consideration the key principles of person centered care.
Person centered care principle that is considered in this care is support and encouragement. I
have analysed that Mr X is lack of motivation and confidence due to his obesity problem. It is
essential to encourage patient so that they give their 100 % in fast recovery.
Description of activity and how have provided person centered care for Individual 2
I have communicated with the patient in order to analyse the major reason of this issue.
Through this I have analysed that due to sitting job Mr. X has gain weight and this is
increasing the number of issues in patient body which is related to heath problems. I have
suggest different method and procedure that can be taken into consideration for resolving this
issue. I have also develop a proper diet plan that will be very effective in weight management
and health lifestyle. I has also suggested different exercise which needs to be performed on
daily basis.
Produce a comparative reflective account on own provision of periods of person-
centered care (taking into account scenario 1 & 2)
As a person centered care provider I have deal with two different cares in which one is of
Dementia and other is Obesity. Both of these two cases are vary different and required
different care procedures. While handling dementia case, Mr. Z is old aged person and
required more care as compare to Mr. X case. Mr. X is very young and his job role and
lifestyle is the major issues of Obesity problem. Dementia is mental health problem where as
obesity is physical problem.
Appendix 2 SWOT Analysis:
Strength Weakness
I have complete knowledge and
understanding about my job role and work.
This helps in performing task and activities
in better and effective manner. I believe as a
health care service provider I should treat
each and every patient with kindness. I have
effective time management skills that are
There are various areas which are my
weakness and this is affecting the
performance as a person centric care
professional. In this field I am dealing with
different types of patient and it is very
important for me to memorize basic
information about patient as well as their

very helpful in performing different work in
required time frame. My decision making
skills are very strong that support me in
taking right and accurate decision as per the
requirement. My decision are helpful for my
patients as well as hospitals. I have
leadership skill and this skill is supportive in
influencing as well as directing team
members.
issues. I am lacking in this area as it is very
difficult for me to memorize details about my
patient. This lead to have negative impact on
relationship with my patient. While
communicating with patient I have to check
the file and report which is very time
consuming. Lack of communication skill
affect the whole process of working and
providing right treatment at right time.
Opportunity Threat
There are many opportunities for me in order
to improve my performance as well as
capability to deal with patients. I should use
written reminder notes as well as colour
coding articles while assisting patients. I
needs to develop strong communication skills
in order to increase team work as well as
perform all task in required manner. I need to
inform patient about the whole process as
well as care steps that is required for fast
recovery. I should instruct family as well as
communicate they about the methods and
procedure that will be used for patient. It is
very important the family member are
complete informed about the problem of
patient.
In appropriate treatment to patient is one of
the major threat that can have impact on
patient recovery as well as my professional
career. Changes in rules and regulation that is
set by government and higher authority lead
to affect the functioning of task. Risk of
confidentiality of data and information about
patient is the major threat. It is very
important for personal care service provider
to follow all rules and regulation while
conducting personal centred health care
activities.

Appendix 3 – Personal Development Plan
Goals Personal /
Professional Development
Plan ACTIVITY (Use
SMART targets) Current
Skills and Competencies
used in personal and
professional plan
Indicate how you have
monitored your progress,
underpinning learning and
development theory. Add
time scales to show how you
intend to check your
progress throughout the
course of your plan.
Evaluate the effectiveness
of your personal
development plan
To develop communication
skill with in 3 months of time
frame in order to effectively
communicate with patients.
For developing
communication skills I have
used coaching method as
well as read books and article
to improve my
communication. Social
learning theory of
development theory is very
helpful in monitoring the
process of my
communication skills.
Effectiveness of
communication skill can be
analysed through my
relationship with patients.
With the help of this skill I
am able to express and
convey solution to patient
problem accurately.
Communication skills are
helpful in providing better
personal care services to
patients.
To enhance leadership skills
with in 6 months of time
period with the motive of
developing strong team.
Leadership skills are
developed with the support
of behavioural development
theory. With the help of this
theory I am able to get proper
guidance to improve my
leadership skills.
By developing leadership
skills I am able to influence
and guide my co worker as
well as team members. With
the help of this skills I can
encourage my patients to
follow instructions properly.
To become the best personal
care provider with in one
year by increasing
knowledge.
In order to increase my
knowledge and information
about health care sector and
person centred care services I
have used cognitive
development theory.
Accomplishment of this
goals will lead to have direct
impact in improvement of
my professional careers.

REFERENCES
Books and Journals
Bing-Jonsson, P.C., and Et. AL 2018. Norwegian translation, cultural adaption and testing of
the Person-centred Practice Inventory–Staff.
Boomer, C. and McCance, T., 2016. Meeting the challenges of person-centredness in acute
care. Person-Centred Practice in Nursing and Health Care: Theory and Practice,
p.205.
Briseid, K., Skatvedt, A. and McCormack, B., 2017. 12 How Knowledge Developed Through
Ethnography May Inform Person‐Centred Healthcare Practices. Person‐Centred
Healthcare Research, pp.149-157.
Brooker, D. and Latham, I., 2015. Person-centred dementia care: Making services better with
the VIPS framework. Jessica Kingsley Publishers.
Coetzer, R., 2019. The potential role of relatives in designing person-centred assistive
technologies (innovative practice). Dementia, 18(7-8), pp.3161-3164.
Connolly, L. and Moss, H., 2019. Music, spirituality and dementia: Exploring joint working
between pastoral care professionals and music therapists to improve person-centred
care for people with dementia (Innovative Practice). Dementia,
p.1471301219885560.
Edvardsson, D., 2015. Notes on person-centred care: What it is and what it is not.
Freeth, R., 2017. Humanising psychiatry and mental health care: the challenge of the person-
centred approach. CRC Press.
McCormack, B. and McCance, T. eds., 2016. Person-centred practice in nursing and health
care: theory and practice. John Wiley & Sons.
Mudge, S., Stretton, C. and Kayes, N., 2014. Are physiotherapists comfortable with person-
centred practice? An autoethnographic insight. Disability and rehabilitation, 36(6), pp.457-
463.
McCormack, B., Manley, K. and Titchen, A. eds., 2013. Practice development in nursing and
healthcare. John Wiley & Sons.
Brooker, D. and Latham, I., 2015. Person-centred dementia care: Making services better with
the VIPS framework. Jessica Kingsley Publishers.
Naldemirci, Ö., and et.al., 2018. Tenacious assumptions of person-centred care? Exploring
tensions and variations in practice. Health, 22(1), pp.54-71.