Supporting Individual Journey Through Integrated Care

This report discusses the importance of integrated healthcare services in providing better and improved services to the users of service. It covers local resources and provisions that support integrated care working, current local unmet needs related to health, care, and support service provision, providing support to an individual in a health, care or support service setting towards the identification of their own care needs, the role of the healthcare, or support service practitioner in supporting person-centred care, leadership within the remit of own role in a healthcare, or support service to promote effective inter-professional and multidisciplinary team working, responsibilities of information sharing between multidisciplinary teams, different communication methods used to provide appropriate support to different individuals to meet and review their care needs, and communication strategies in identifying and responding to the needs of different service users in a health, care, or support service.

SUPPORTING INDIVIDUAL JOURNEY
TROUGH INTEGRATED CARE

Table of Contents
SUPPORTING INDIVIDUAL JOURNEY TROUGH INTEGRATED CARE....................................1
INTRODUCTION.................................................................................................................................3
P1: Local resources and provision that supports integrated care working..........................................4
P2: Current local unmet need related to health, care, and support service provision in own locale:. .4
P3: Providing support to an individual in a health, care or support service setting towards the
identification of their own care needs................................................................................................4
P4: The role of the health care, or support service practitioner in supporting person-centred care:...5
LO3:.......................................................................................................................................................6
P5: Leadership within the remit of own role in a healthcare, or support service to promote effective
inter-professional and multidisciplinary team working:.....................................................................6
P6: Responsibilities of information sharing between multidisciplinary teams:..................................6
P7: Describe different communication methods used to provide appropriate support to different
individuals to meet and review their care needs:...............................................................................7
P8: Communication strategies in identifying and responding to the needs of different service users
in a health, care, or support service:..................................................................................................7
CONCLUSION.....................................................................................................................................8
REFERENCES......................................................................................................................................9

INTRODUCTION
Integrated health care refers to the attempts to partly or fully blend the behavioural
health services involving general and speciality medical services to the users of services
(McDermott and et.al., 2019).
The report will aim to assess the health care and support services, assessment of
individual to identify needs, the impact of relationship with the individual and
multidisciplinary team and d the need for person-centred communication.
LO1:
P1: Local provisions and resources which supports integrated care
As per the views of author, integrated care has been considered as the major concern
which aims to enhance patient experience and attain higher efficiency from various social and
health care systems as well. The local area discussed here involves the resources and
provisions from the local systems is as follows:
 Systems leadership is a local vision program run by local vision sites and leadership
centres that concentrates upon attaining systems changes in the leadership and
management development.
 Care support teams helps in providing batter care to community and people. Through
effective teams goals of healthcare can be attained.
P2: Present local unmet need of healthcare, and support service provisions
The distinction between social care and health care providers is that healthcare
providers focus on treatment and prevention of diseases or illness and the social care
providers provide their assessment with all the activities of a daily routine of a person.
The various kinds of interagency care provisions to meet the needs of the individual
who need care involves maternal and child care health, colorectal cancer screening and
cardiovascular disease prevention.
LO2:
P3: Supports for individual in healthcare and support services for the recognition of their care
needs:

Identification of own needs by the patients is important as it allows the patients to be
actively involved in their own care, support and treatments. It can improve their health
outcomes and experiences as well (Warwick-Giles and Checkland, 2018). The anonymised
care assessment that represents the individual’s capacity to make decisions in their can help
them in identification of individual’s capacity to support their care needs and improves their
health.
P4: Role of the healthcare and support service professions for supporting person-centred care:
As a healthcare professional for supporting person-centred care various duties have to
be followed. The role of various healthcare practitioner for supporting various individuals by
person-centred care is as follows:
 Various health care professional provide person centred care. It supports
people to effectively manage and make various informed decisions regarding
the healthcare and their own health.
 It also allow them to constantly develop their skills and knowledge involving
confidence which supports their decision making.
Challenges in attaining person-centred care
• There are various challenges such as agreeing on the roles and responsibilities which can
influence person centred care.
• Ineffective communication can be a challenge as in person centred care collaboration is
crucial and without effective communication goal of person centred care cannot be attained
(Baxter and et.al., 2018).
• Dealing with conflict is also a challenge as conflicts in a team and workplace are inevitable.
Advantages of a person-centred care
•The person centred care assists in identifying accurate ways through which they can
communicate and enhance their care quality.
• Person centred care can help in improving independence to patients.
• It also helps in promoting the safety and self-care to the users of service.
However, there are various complexities for considering distinct individual
considerations and needs for planning and provisions as resource availability, obtaining

consent and reporting incidents and accidents. Another complexity is feeling unsafe to raise
concerns by the patients.
LO3:
P5: Leadership role in a healthcare and support services for promoting effective
multidisciplinary team working and inter-professional services:
The frontline managers largely exercise the leadership and establish various relationships
and integrate various roles and inter-professional. The leaders supports individual and
collective efforts so that overall goals of the healthcare services can be attained. They
facilitate change and also supports creativity of various different healthcare professionals.
The positive partnership working and collaboration in healthcare and support services
results in Empowerment, effective information sharing, informed decision making and
establish professional roles and responsibilities of various practitioners (Lalani, Bussu and
Marshall, 2020).
P6: Information sharing in multidisciplinary teams:
Effective communication in the multidisciplinary teams encourages the teamwork
among all the members. It encourages promotes clarity and continuity, fosters collaboration
and prevents errors. The Health care workers have to agree on how to provide care and
support in the most person-centred way. They have to ensure effective communication and
build relationships through promoting equality and diversity. It is the responsibility of all the
members of multidisciplinary teams to work as part of a team and be a supportive team
member and developing their knowledge and skills to their work. They also have to keep and
file clear records and keep to regulations as well.
Advantages of information sharing in multidisciplinary teams of healthcare
 It provides patients the access to entire team of experts involved in their care
 Information sharing also improves service coordination among the team.
 It also expedites the referral processes as well.
Limitations of information sharing in multidisciplinary team of healthcare
 Sharing information in multidisciplinary teams lacks the patients’ involvement in their
healthcare services.

Patients might reject the teams if their preferences are no taken into account (Thornicroft and
et.al., 2019).
Impact of information sharing on the individuals care needs
The impact of individual care needs on sharing information with the multidisciplinary
teams can helps in providing better and customised services to individuals. It also allow the
management of side effects and long term morbidity way more effective.
LO4:
P7: Communication methods for providing support to various individuals for meeting and
reviewing care needs:
It is crucial in healthcare services as they can provide support to various users of service.
Various communication methods which are used for promoting and supporting individual for
meeting and reviewing care needs are as follows:
 Verbal communication can be used to discuss and evaluate outcomes
 Written communication is used to record and file all the reports and information of
patients.
Face to face communication can help the patients to be more confident and actively
participate in their health care services (Briggs and et.al., 2018).
 Non-verbal communication can be used while providing services.
 Visual communication
Characteristics of person-centred planning
The patient in the care centre and all relatives and family of that patient are
considered as full time participants in health care services. The person cantered planning
reflects a capacity. Person centred planning helps in building a commitment which is
shared in order to take action which identify a person’s rights in their health care and
support service. It also leads to continual listening between the patients and practitioners.
Person centred planning also helps the practitioners in learning and actions. All this helps
the individuals to get what they want out of life.

P8: Various communication strategies for recognizing and responding in a healthcare and
support service the needs of various service users:
Communication strategies which can be used in identification of various services users in
healthcare and support services. Various communication strategies used are as follows
• Involvement of friends and family can help in improving communication between users of
service and service providers.
• Reporting concerns effectively can also help in creating better communication in multi-
disciplinary teams (Hernández and et.al., 2018).
Own role that facilitate and empowers the individual for communicating their dynamic
care needs are as follows:
The major responsibility is to be good at listening. It can help in better analysis of needs and
preferences of the patients.
Another responsibility is to be good at explaining things so that explaining treatment,
outcomes and process is easy.
One other responsibility is to use plain everyday language so that patients can understand
better.
Better communication can help in enhancing patient satisfaction when the healthcare team
explains information clearly. It can help in understanding the patient’s experience,
preferences and then provided most suitable option. Communication problems between
providers and between care providers and patients.
Various provider-to-patient communication challenges
• Major issue is inappropriate informed consent as it can influence the treatment of patients.
•The unsympathetic response towards a patient’s complaint is another issue which can break
down the confidence and trust of clients.
 In few cases, the combination of both issues can cause harm to the patients.
The most common provider-to-provider communication breakdowns involve
miscommunication about the patient’s condition and inadequate documentation of the reports
and information of patient data. Another communication breakdown include failure to
interpret the medical record of patient.

CONCLUSION
From the above discussion it can be concluded that integrated healthcare services help
the healthcare professions to provide better and improved services to the users of service. All
healthcare professionals have to work in collaboration in order to provide their services.

REFERENCES
Books and Journals:
Baxter, S. and et.al., 2018. The effects of integrated care: a systematic review of UK and
international evidence. BMC health services research. 18(1). pp.1-13.
Briggs, A.M. and et.al., 2018. Elements of integrated care approaches for older people: a
review of reviews. BMJ open. 8(4). p.e021194.
Hernández, C. and et.al., 2018. Implementation of home hospitalization and early discharge
as an integrated care service: a ten years pragmatic assessment. International journal
of integrated care. 18(2).
Lalani, M., Bussu, S. and Marshall, M., 2020. Understanding integrated care at the frontline
using organisational learning theory: A participatory evaluation of multi-
professional teams in East London. Social Science & Medicine. 262. p.113254.
McDermott, I. and et.al., 2019. Achieving integrated care through commissioning of primary
care services in the English NHS: a qualitative analysis. BMJ open. 9(4). p.e027622.
Thornicroft, G. and et.al., 2019. Integrated care for people with long-term mental and
physical health conditions in low-income and middle-income countries. The Lancet
Psychiatry. 6(2). pp.174-186.
Warwick-Giles, L. and Checkland, K., 2018. Integrated care: Using “sensemaking” to
understand how organisations are working together to transform local health and
social care services. Journal of Health Organization and Management.