Supporting the Individuals Journey through Integrated Health and Social Care

This document discusses the importance of integrated care in improving patient experience and efficiency in health and social care delivery. It explores local resources and provisions that support integrated care working, identifies current local unmet needs related to healthcare, provides support to an integrated care pathway, describes the role of healthcare, and provides appropriate leadership in healthcare support services.

Supporting the
Individuals Journey
through Integrated
Health and Social Care
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Table of Contents
INTRODUCTION...........................................................................................................................3
MAIN BODY ..................................................................................................................................3
P1 local resources and provision that supports integrated care working...................................3
P2current local unmet need related to healthcare.......................................................................4
P3 provide support to an the integrated care pathway................................................................5
P4 Describe the role of the health care .......................................................................................6
P5 provide appropriate leadership in the healthcare, support, service........................................7
P6 describe the responsibilities of information sharing..............................................................8
P7 different communication methods used to provide appropriate support...............................9
P8 apply appropriate communication strategies.........................................................................9
Current Scenario ...........................................................................................................................10
M1-.................................................................................................................................................10
Conclusion.....................................................................................................................................12
REFERENCES .............................................................................................................................13
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INTRODUCTION
According to studies integrated care is demonstrated as a concern of patients about
improving their experience as well as whether they have achieved greater efficiency and the
values from social care and health care delivery systems. This studies mainly focuses on the
multi-disciplinary and an integrated care of the social and health care sectors. In addition, this
studies even hep in addressing the issues of fraction-ism of more continuous care , or else patient
services and which could assist better coordinated this is frequently for the ageing groups in
which number of chronic disease are increasing day by day. Multidisciplinary is defined as a care
which is provided by healthcare professionals those are the members of several discipline which
includes psychiatrists, doctors, nurses, and social workers. This report would be covering social
and health care services for the individuals those are in need of multidisciplinary care.
MAIN BODY
P1 local resources and provision that supports integrated care working
Integrated care is defined as planning which is done with the group of peoples who works
together in order to understand their carer and service users therefore put them in regulation or in
control and than coordinates as well as deliver the services for the achievement of best outcomes.
There are number of essential elements which are included in integrated care such as
financing,infrastructure, communication and leadership these are the important points which are
reflection in the practices and planning of an recognized organization afterwards these all these
terms are used for the continuing improvement during integrated care. In the terms of
personalized integrated care number of individuals work together to bring care services, or health
services and voluntary organisations in a local areas (Archibald and Barnard, 2018). Being
together this provides a different and new union between medical and non- medical sectors in
order to support aged or older peoples those are living with numerous conditions from long term
and they are at risk of unplanned admissions in hospitals. In the process of integrated care
reviewing plans from the developing areas, interviews with local stakeholders or leaders these
activities are done to explore how plans are implemented and developed in practice these are
three important components of integrated care. Integration is set of methods which are based on
administrative, funding, service delivery, organizational and clinical levels have been designed to
develop connectivity and collaboration between the two sectors of cure and care sectors. There
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main aim is to improve the quality of life or else improving the quality of care along with this
devoting consumer satisfaction for the group of peoples by removing across several types of
settings, services, and providers.
P2curre
nt local unmet need related to healthcare
The term unmet needs are describes as stems where group of individuals they are
unwilling ing and they do not have ability to access national health services for their health
issues or from the patients those are receiving poor care while once being in the care of NHS. All
the allocation formulae have been using data of services for the purpose of adjusting all
allocations which are based on geographical need. In order to understand and enhancement of
provision while providing comprehensive care during Huntington's disease thus this is very
critical to understand the gaps which occurs in social support and health care services which are
provided to the patients of Huntington's disease (Barsky, 2019). The recent research shows that
there is a utilization of healthcare services in the case of Huntington's specially in Europe,
moreover studies are examining in systemic manner that needs for social support and health care
are barely lacking. This studies main aim is to find met or unmet needs for the social care and
healthcare services for the patients with Huntington's. There are several high level of unmet
needs which are based on social support and personal and health care services which are marked
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across stages of five disease but most of them are marked in disease satge III. The middle phase
includes (stage III) as well as advance phase include stages of disease which are( IV and V) of
Huntington's disease in which odds are increased having a greater level of total unmet needs
approx 3.5 to 1.4 times respectively later on this is compared with the early phase of disease
stages such as first and second (Dean and Davidson, 2018). This study aim is to explore social
demographic and clinical factors. There are some methods of unmet needs which are related to
the healthcare are mentioned below;
There were 86 patients those who required clinical diagnosis suffering from Huntington's
disease, they were from Norway and they were recruited .For the purpose of diagnosis their
clinical characteristics and social demographic factors were collected .There is one scale which is
known as (NPCS)- needs and provision complexity scale this scale is used for the approach of
patients needs of social services and healthcare services. For examining all the factors the level
of total amount of unmet needs was determined and to understand the level of unmet needs for
the personal, health , and social care logical regression models were utilized.
P3 provide support to an the integrated care pathway
Integrated care is defined as planned which is done with group of peoples while working
together afterwards these plans are put together in order to regulate and coordinates or to control,
in addition services are delivered to get the best outcome. There are numerous benefits of
following integrated care, this provides evidence which are based on perception's of
professionals and integrated working shows wide range of benefits for the practitioners and this
include enhancement in their enjoyment or their well-being in their lives during working
(Foulkes, 2018). The care pathway is known as complex intervention for developing decision-
making mutually as well as organisation of care which is approached for the group of patient at a
well- defined period.
There are some characteristics of care pathway which are mentioned below;
 The statement is a readily observable for the key elements and the goal which are based
on the characteristics, evidence, expectation and beat practices.
 Communication have been accelerated between the patients and team members and
families
 The monitoring , evaluation, documentation, outcomes, variances, these all are essential
during care pathway.
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 Each and every suitable resources should be identified in a good manner.
 The coordination care could be processed by performing all the coordinating roles or else
doing activities in a sequence such as patients, care team and their known or relatives.
The important aim of care pathway is to improve the quality of care and during the continuation
and risks are adjusted for the purpose of promoting patient safety, patient outcomes, or providing
patient satisfaction and utilizing all the resources (Hancock, et.al., 2018).The concept of care
pathway requires the field of health operation management which are nearly described on the
basis of design, analysis, planning, this regulates and control all the important steps which could
provide a better service to a client. They are mentioned by five levels below;
1- There should be a care plan which should be applied for individual patient, this means
planning of patient, or patient protocol.
2- The planning related to care should be according to care pathway such as planning for patient
group .
3- The capability of professional planning such as space and equipment this is also known as
resource planning .
4 – Making the planning of group of patients or number of patients which could be treated under
the care activities , this is known as volume planning of patient.
5- Making policies for the long term this means strategic planning.
P4 Describe the role of the health care
Patient – centred care is defined as treating a patient in a good manner or devoting healthcare
with whole respect and dignity as well as involving them in every decisions which are taken
related to their health. This kind of care is also known as person- centred care and this care is
associated with individuals healthcare rights. When healthcare workers provides services to the
patients – centred care, this means healthcare is put in the centre, this is explained below;
 Patient should be treated with whole respect compassion and dignity.
 Healthcare professionals should support their patients mentally and emotionally
 Healthcare workers should be friendly with the patients while treating or
communicating , and care should be given in a compassion manner.
 Person- centred care in this process care is shared between community of hospital and
health service (Hilton, Unsworth and Murphy, 2018).
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 Care should suit the needs of the patients, what kind of care patient want or else what
they wants to achieve.
 Healthcare professionals must be supported and make their patients to understand and
learn about their health (Walsh, et. al., 2018).
 They should help their patients to find better ways or to take self care as well as to
become independent.
 All the groups of patients should be involved during decisions of their health.
The term patient- centred care is all about the way healthcare workers treat their patients or in
other words this could be explained as how government and healthcare services developing or
creating their policies in order to put them for the healthcare users. Every individual have the
rights to access healthcare when they need , but all the individuals should be aware about
whether the care which is provided by their heath care is high quality or safe. In addition to
supply patient- centred care , this is very important for the healthcare professional to understand
the good concept of care preferences, and all these preferences should be respected during the
treatment. There are four principles of person centred care described below;
 Group of individuals should be treated in a compassion manner
 Coordinated care and support should be provided
 Personalized care should be offered as well as support and treatment should be given.
P5 provide appropriate leadership in the healthcare, support, service.
There is a leader in the field of inter professional care team and this is very essential because this
assure the consistency and continuation of care as well as this process encourage number of
healthcare workers to deliver effective, beneficial health services, this is a phase which motivates
and mobilizes healthcare professionals (Kondrat, et. al.,2018). Medical professionals are usually
known as inter professional care teams. There is need of more knowledge and understanding the
way front-line managers in the field of health care are assisted in the new roles which are quite
developed and the way inter professionals are facing challenges and putting their efforts working
in a collaborative manner in their daily practice. The recent studies shows that governance modes
have been adopted by front-line managers which mainly focus on working in collaboration and
on leadership between the other professions. This result into all the front-line mangers they
practice their leadership in the terms co- governance to a hierarchical governance. There are
some consequences which are related to self governance and co – governance in this process
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occupational groups should be well explained by the social educators (Lam, 2019). This might
dispute on front line mangers and their abilities and their qualities which makes ensure quality of
services and along with this this might conflict front-line mangers responsibilities and their roles
of development in their working place or in staff. The results shows that front line managers
have been experienced many challenges while they try to integrate with different new
professionals or competence (Sengupta and Blessinger, 2018). All the front-line managers they
should support every individual and put complete efforts in order to achieve goals for the
services. They must have ability to approach a change and thus they must appreciate and support
creativity while working in the community that makes different professions. Furthermore the
roles of social educators they need more clarification in the services that could be traditionally
dominated by the healthcare professions and clinical professions. Therefore new strategies have
been developed and the ways of working in the occupations of healthcare have been improved
well from the few years which lead to highest degree of inter professional during collaboration.
P6 describe the responsibilities of information sharing
Multi-disciplinary teams these are the mechanism which are utilized during coordinating and
organising health and healthcare services in order to meet the requirements of individuals along
with the complex care needs (Leijten, et. al., 2018). This team brings all expertise together and
different professions with different skills than this process assessed the plan and could manage
care jointly. The ideal multi-disciplinary team includes, practice nurses, general practitioners, as
well as community health nurses. According to community or other networked multi-disciplinary
should support individuals and their care goals and work proactively. In addition to accessing the
range of social care and health care or else community services consequently multi-disciplinary
focusing on keeping individuals independent and well as well as delivering their right of care in
their communities in order to protect from unnecessary care of hospitals. Presently there are
several care services and health services which are increasing day by day and have been
delivered in integrated ways or in combined ways (Rokach, 2019). They would delivers care for
the group of patients or the service users in a effective manner or more efficiently. Multi-
disciplinary this is team for the group of health or this might be called as care staff they belongs
to the different organisations or different professions, they are the members of the multi-
disciplinary teams for example GPS workers, nurses and social workers, this team works
together for the decision- making which regards with the patient care or the treatment of group
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of patients as well as for the service users. Multi-disciplinary this is beneficial and used in both
terms care settings and healthcare (McAlpine, Pyhältö and Castelló, 2018).
P7 different communication methods used to provide appropriate support
The care of patient nowadays have become inevitably this seems that there is need of involving
different and more individuals , this all is about needing a share patient in order to discuss their
management. This is resulting into that interest and use have been increased of the
communication technologies and information technologies in order to support health services.
Important information are lifeblood of healthcare system this means communication systems are
the heart which pumps, this statement means there is always a significant discussion on
information, investment technologies and due to this reason communication system they receive
less attention. Whilst there are some specific significant which occurs during advance research in
particular areas such as telemedicine clinics has adopted simpler services like electronic mail and
voice mail and still this is not a commonplace in several health services (McBeath, Drysdale and
Bohn, 2018).
P8 apply appropriate communication strategies
Communication with adolescents and children this is important phase which requires a special
attention, this is the responsibility of healthcare professionals to assure about the information
which are being relayed and could be provided on that level which could be understood well and
assure about patient safety as well as keeping adolescents and children engaged in decision –
making and in medical care. This studies shows that communication with children, and
adolescents is very essential. This focus on the health literacy in the field of informative health
care system (Olson, et. al., 2019).
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Current Scenario
As per the case demonstrate that Mr. Johnson 65 years old man who had moved to
Britain recently from St. Lucia couple years before. The medical history of Mr. Johnson is not
really good as he has a left sided stoke. As he able to move with the help aid stick but it debits a
probability that he can might fall so he is scared to leave house as well. He has no family and
relative near by his house. He lives alone in one bedroom apartment. Johnson also have minor
symptoms of vascular dementia that makes his memory weak. Until recently his neighbours was
helping him in daily households things but his neighbour is out of city for a while. Johnson also
have issues in regards with high blood pressure and heart condition in order to control as he need
his medication on daily basis. Due to dementia, he often forgets his dose. Earlier, he was sociable
and spend a lot time in pubs which recently closed. As he is depressed and isolated. His
neighbours called social services as he can express his conditions and concern that he is looking
after himself. As they claim that unpleasant smell coming from his apartment.
M1-
Health care and social care may defined to the betterment health care infrastructure which
may involve both public as well as private sectors. As it vis demop0nstrated by many authors
that health is perceived as modi faction and function of welfare, which is directly proportional
and inclines towards a variations of factors. Factors that can be concluded as biological,
environmental, standard of living and nutrition. As the health care aims on providing medical
care to each individuals and targetted population.
The heath care deals with number of challenges that can be treatment and diagnosis
which evolve physical disabilities and mental disabilities. As the health care sectors are divided
into three parts hospital care, primary care and public health. Social care handles with daily
routines activities of living which may not only contains deed such as feeding and basic level of
maintenance of hygiene but also depends on in dependency of an individual, influence social
interactions, protecting from challenges and circumstances as well as coping with complex and
crucial relationships . It is funded and manges by the help of social services. It can be divided
into four parts which can be social work, personal care, protection, social support. One of major
difference between health care and social care system is technically based on the way they are
delivering their services to the people. As their collaboration can make a enough better society.
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There can be many people who can find a maze for health, social care as well as house
services and collaborated benefits and process confusing and jumbled. The number of people
which suffers and deals with chronic stages of health issues which may also arise number of
interventions. As the complex needs that may be visited or contacted several of people with
different culture and medical history. The number and proportions of the targetted population
with health and social care that may can increase as the population grows up. As there can be
improvisation that can be measured to improve these sectors. Focusing and aiming on the self
support policy through better and relevant information often forwarded by electronically with the
help of remote professional support. This will help to improve communication for
communication for an individual.
According to studies there are several identities has been observed and it is concluded
that each individual debits number of dimension of identities, it is generally depend on the
nature and behaviour of social interaction. Communication is essential and it is major key of
learning and obtaining experiences. People across the globe try to communicate and interact by
using their own language. The people generally learn other language in order to understand other
countries people. For example., in Indonesia people consider English as foreign language and try
to learn English in order to understand people and their culture, values and moral.
The identity range as according to Huntington, they are few identities as follows first is
Ascriptive which depends on the age, the four-fathers, relation of blood as well as ethnicity. To
deliver their message and stay indulge in the conversation until and unless their communication
aim and goal achieved, to improvise number of policies and strategies have been taken to cut of
the barriers. In general, the process of communication and the intercultural communication in
particular basis, and for decoding of messages and the idea reflects people's personality. Well it
is ongoing policy that have undertaken by development in local area co ordination that can
provide a better support to an individual as well as it also include their family and loved ones to
develop and determined a stigma power of strength, capabilities, capacities rather than the needs
and requirements which are allowed to fulfilled through policies which are considered to
strengthen the system.
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Conclusion
As per the studies, there are number of health services which provided by many
organisation in order improve performance and evaluate the better health care learning
knowledge to each individual in targeted audience. In recent times, it has considered that number
of health care agencies has established committee to cover and provide a large community of
population. The formation of safety and health committee is essential and significant although
they provide consultation as well as cooperation within the relationship of employers , workers
and management. Every organisation whose population are more than forty has adopted a policy
which is establishment of Safety and Health Committees. In this policy the four heads are choose
who are supervisor and they are responsible for the causes and out comes of this committee. It
shall consist of four titled designations which are a chairman, a secretory, representatives of
employers and representatives of employees. The collaboration of this relationship beneficial in
developing and implementing new strategies and plans in order to promote productivity and can
improve performances.
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REFERENCES
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Rokach, A., 2019. The psychological journey to and from loneliness: development, causes, and
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