Analysis of Change Management in Health and Social Care Services

This report analyzes the factors driving change in health and social care, including political, economic, social, and technological influences. It examines the challenges these factors pose, such as funding issues and demographic pressures, and explores strategies for improvement. The report utilizes PESTLE and Force Field analyses to understand the forces at play, focusing on the implementation of the Care Act 2014 and its impact on service delivery. It evaluates the role of local authorities and the NHS in adapting to these changes, proposing solutions like audits, inspections, and surveys to measure and improve service quality, staffing, and patient care. The report highlights the importance of change management principles, including strategic planning and monitoring, to enhance healthcare outcomes and address the needs of an aging population.

Facilitating Change in
Health and Social care

Table of Contents
INTRODUCTION...........................................................................................................................1
TASK 1............................................................................................................................................1
1.1 Explain the key factors that drive changes in health and social care services.................1
1.2 Challenges that key factors of change bring to health and social care services...............3
TASK 2............................................................................................................................................4
2.1 Devise a strategy and criteria to measure the recent changes..........................................4
2.2 Measure the impacts of current changes on HSC services against criteria......................5
2.3 Evaluate the overall impacts of recent changes................................................................6
2.4 Propose appropriate services response to current changes in HSC..................................6
TASK 3............................................................................................................................................7
3.1 Explain key principles of change management................................................................7
3.2 Describe how changes in health and social care planned.................................................8
3.3 Assess how to monitor recent changes in HSC................................................................8
CONCLUSION................................................................................................................................8
REFERENCES..............................................................................................................................10

INTRODUCTION
Health and social care is that term which is related to the services that are available from
health and social care providers. In present scenario, it can be analyzed that there are various
people who are facing different issues or problems regarding health care because such
organization does not provide them proper treatment due to lack of funds and resources. This
assignment is based on King's Fund and Nuffield Trust which provide actual data and
information about health care issues in England for publishing this study that named as “Home
Trust”. NHS is the public health care organization which deliver various services or facilities to
the country people (Antheunis, Tates and Nieboer, 2013). The main purpose of this report is to
describe the factors which drive changes in health and social care services and explain current
alteration with principles of change management.
TASK 1
1.1 Explain the key factors that drive changes in health and social care services
Change management is defined as the set of whole system and procedures which form
and transform real situation of an organization for achieving desired goals and objectives. In the
current scenario, each industry require to change their system according to the environment so
they can easily reach with desired targets and goals which help in surviving in the market place.
This report is essential for giving huge emphasis on various factors which directly impact on
changing system within an enterprise. Along with this, health and social care association need to
undertaken different alteration and changes which assist in giving effective quality of healthcare
services to social care service users. In the current situation of England, people does not get
required treatment and facilities because organization provide expensive services and higher
costs. Local authority have to determine such factors and gives accurate funds or financial help
to the organization so that they can easily improve performance in better way (Bernabeo and
Holmboe, 2013). There are different factors that can help in identifying driver changes of various
companies like PESTLE analysis, Force Field analysis. Such are described as follows:
PEST analysis
Political factor – It define different rules and regulations, legislation, code of conducts,
legal authorities and acts that can be developed by country government. Apart from this, these
effects on the organization has different ways that includes social care for old age people who
1

were poor in England due to lack of healthcare services. In current time period, local government
are dealing with lack of funding and demographic pressures so they need to dealing with
implementation of Care Act, 2014 that has carry out important changes to the system. It was
passed on 15 May 2014 which describing intense care for older people and other patients. In this,
London council gives accurate funds to the healthcare center for improving their organization
performance and provide proper treatments to their patients.
Economical factor – This is another factor which has been creating major impact on
health and social care and it includes currency rates, economic growth, inflation rates, growth
and exchange rate, etc. Due to this, these variation directly effect which assessed by
administration of NHS regarding funding that does not fulfilling effectively (Brett and et.al.,
2014). Along with this, healthcare centers like NHS have to determine specific economic crisis
and also this gives proper quality based services and medical treatments to the people at less rate.
Local authorities provides accurate financial help for eliminating economic factors on healthcare
organization.
Social factor – This is related to social culture and value system of community. It
includes lifestyles, aging populations, minority ethnics society needs. For example, NHS is
regulating and operating business operations for delivering services to the old age people and
there are various aging patients so that they will carry out different changes in current operations.
They have to install new machine and techniques for support old age people.
Technological factors – This will define the new techniques and methods which help in
increasing company growth and success in high level. There are various changes and
improvement in working style in effective manner. NHS require to determine new technology
which maintain the functions and operations such as install electronic record keeping systems for
maintaining company data and information in proper way. Along with this, they are providing
better training and development sessions for their employees to learn high technological skills.
London council need to gives accurate resources and funds to the healthcare centers for smoothly
running of business operations and its functions properly (Brown and Osborne, 2012).
Force Field Analysis
This was introduced by Kurt Lewis in 1951. this is the model which is very beneficial for
carrying out several changes and creating appropriate decision through presenting graphical
form. Along with this, the organization execute Care Act 2014 by developing proper plan and its
2

implementation. Health care centers required accurate financial support and other resources for
improving the old age people health. There are different type of resources which are required for
providing proper treatment to old age people such as new medical equipment, good structure,
etc. There are various form of principles of force field analysis which assist in analyzing
situations that are as under:
Driving force includes that factors which directly impact on certain situations and
motivate them towards accurate direction through this they will easily achieved desired goals and
targets effectively (Chou and et. al., 2013). Along with this, there are various changes which are
made in proper manner under different forces so this will help NHS for increasing productivity
and using new methods for better treatments. It is a positive factor of the healthcare center where
they will make better employees workforce which gain satisfied funds and fulfill desires.
Restraining factors is a major driving force which reduces its effects. This includes poor
maintenance of tools and methods, inappropriate management, lack of resources, poor staffing
services and home care treatments, etc. and it is essential for undertaken such forces at the time
of adopting such changes.
1.2 Challenges that key factors of change bring to health and social care services
There are various number of aspects hat can easily identifying and evaluating such
changes in the health and social care services. It is one of the major impact on employees,
service users and organization through this they can face various challenges as per the occurring
situations. Along with this, healthcare services need appropriate funds and revenue for providing
accurate treatments to the old age patients. Thus, local authority are mainly deal with
demographic load and finances are required for proper social care systems. In addition to this,
they are mainly concentrate on executing Care Act 2014 according to the necessity due to this
Home Trust report explaining the different forms of healthcare issues and problems for improper
governance and poor resourcing services that published by King's Fund and Nuffield Trust
(Coleman and et.al., 2012). There are various company which have to undertaken new
techniques and methods for different types of alterations so that effective health care services can
giving old patients (Coleman and et. al., 2012). In addition to this, there are certain challenges
and effects which drive changing factors within health and social care services so it will
improving staffing services, using new techniques and methods for managing whole business
operations and functions in better way.
3

In addition to this, service users are facing different forms of issues or problems while
waiting for the treatments and taking appropriate medical services so this can be huge issue for
employees to manage the discharge and admissions of patients. Moreover, it is required for
handle and manage all people by encouraging and motivating them and also provide better
healthcare facilities to the old age people.
Staff play crucial role in smoothly running of business operations and its functions while
performing at work place in better way. Along with this, London councils require to help in
giving accurate funds for using new techniques and methods such as robotic surgery, ultrasound
machines, therapies and other equipment (Fisher and et. al., 2012). Thus, management need to
take correct decision regarding learning and training sessions so that NHS required to be
determined for improving quality based services which increasing their abilities, skills and
knowledge for enhancing profitability effectively.
The healthcare organization are facing various number of challenges about adaptability of
modifications for healthcare and social care. In this, Care Act 2014 should be enforced for
aggravated care of common public who are from any age group. The major changing challenge is
aging population because firm are not able to handle all the patients at the same time. Thus, they
required to provide home care services like NHS gives better care to patients. Sometime old age
people can providing treatments in effective manner. Another major challenges are define as
electronic record keeping system that help in controlling and maintaining all records related to
medicines by determining cost factors. NHS need to undertaken all important record keeping for
maintaining and managing healthcare services.
TASK 2
2.1 Devise a strategy and criteria to measure the recent changes
In the health and social care systems, there are many of changes can be identified due to
implementation of Care Act 2014. this act was formulated for improving health and social care
services so that hospitals or healthcare centres can provide better quality of services in an
effective manner (Ginter, Duncan and Swayne, 2018). The Act enabled various roles and
responsibilities of government authorities as well as local authorities regarding healthcare
services for societal people. It can be seen or analysed through a basic report which prepared by
King's Fund and Nuffield Trust and gave name as “Home Truth”. They examined that in the
4

current situation, many of people are facing problems associated with health and social cares.
Report has been analysed that there are lots of healthcare centres who are not giving proper
treatments, facilities and services to the needy people. Hospitals are also not able to adopt better
tools or techniques and other equipments that must be undertake to treat patients in well manner.
There are lack medical facilities and health care services so old age people are facing several
issues in the London. Therefore, local authorities took part for researching about the health and
social care system and prepared report. They have identified the reason behind it which is lack of
funds or financial support of local authorities (Grol and et. al., 2013). London Councils has
considered these issues and decided to give proper support regrading finance and provide
sufficient funds to the healthcare and social care industries so that they can make improvements.
NHS also undertake various strategies and appropriate planning that will support in bringing
effective changes such as:
Audit and inspection are best method to analysing the particular problems and make
better solution in an effective manner. This process considered to review of performance of staff
persons within organisation. It is beneficial in determining the actual problems and bring changes
to improve their performances.
Survey is another way to bring changes as in this, management can take feedbacks from
staff members and people in which considered health and socials care services. this will support
in making various changes and satisfy services users in an effective manner.
2.2 Measure the impacts of current changes on HSC services against criteria
There are different methods and tools which directly impact on measuring recent changes
in health and social care services while conducting survey and investigation. Along with this,
management can developed common format of questionnaires by making various questions
regarding some current modifications. NHS company required to determine such factors which
help in examining and analyzing the actual situation and that can directly effect on organizational
changes that improves their employees performance in better way (Haas and et. al., 2012).
In an organization, employees are play an essential role in delivering medical facilities
and also healthcare related services which is very useful for fulfilling all needs and wants of their
patients. There are various experts and specialist who required appropriate salary in spending
their time and gives their best efforts so this will enhancing the payment range which encourage
them to deliver better facilities.
5

In addition to this, changing factors is directly impact on service users because they need
to acquire effective treatments for handling all services or facilities and feel relax with the help
of healthcare center services. According to the investigation project, King Fund and Nuffield
Trust which are facing by country people due to different issues for inappropriate health and
social care facilities so they need better technologies in surgeries, operations and therapies within
an organization.
2.3 Evaluate the overall impacts of recent changes
The whole impact of change management will take place within the health and social care
services. Along with this, such type of changes will directly impact on NHS working
environment effectively (Hibbard and Greene 2013). This is also considered that they require to
conduct correct investigation or examination for examining implications and its effects on social
care facilities. The Care Act 2014 giving effective services or facilities while executing within an
enterprise in better way. It can be possible for acquiring reviews and feedback from service
users. It is that act which describe different alterations within the care home systems because old
aging people can easily get appropriate services for improving their health.
As per the scenario, service users can getting best treatments and medical facilities for
improving their health related issues or problems. If patient are old age then they prefer home
care services so firm can provide them nursing or staffing facilities for better improvement in
their health issues.
2.4 Propose appropriate services response to current changes in HSC
There are various kinds of responses which proposed by an organization and this can
adopt such changes that has been creating accurate surroundings within HSC. According to case
study, there are different issues and problems which are associated with Care of health so this is
required for carry out certain factors and implementing Care Act 2014 for effective changes in
proper way. Healthcare industry are facing various challenger related to employees who required
higher for getting services and medical treatments so administration have to take accurate
decisions with the help of experienced and skilled employees, doctors, staff members, nurses
who giving effective healthcare services to the needy people. London council should provide
accurate funds and methods for improving performance of an enterprise.
6

TASK 3
3.1 Explain key principles of change management
The principle of change management is the best concept which guide, influence and
smoothly execution of business strategy for long term benefits. This will mainly concentrate on
changing current situation for new one. For making effective, change management procedure
should be implemented in an organization. Along with this, there are different principles of
change management to recognize and this can used by NHS which major aim is to identify
variation of the firm. Such are described as follows: Involve every layer– Organizational changes are taking place at each level of the
company. It includes setting targets and execution, strategy that direct effect on various
level of the firm. Training– A manager needs to provide appropriate training and development for
bringing changes within an enterprise.
Leavitt's model of change– The described model consist of four stages. Such are explained as
follows: People– For using this approach, manager need to focus on their skills, knowledge and
productivity effectively (Hughes and Wearing, 2016). Technology- The shifting of advanced technology can make such changes for doing
specific things. Structure- This includes execution process for powerful alterations. Managerial tasks- Modification assist for managing certain task which can improves
production quality in a firm.
Kotter's model of Change: Creating urgency- In this, hospital manager has doing efforts for making urgency among
employees. This will create interaction of employees at the time of occurring certain
changes. Form coalition- It can achieving by recognizing appropriate leaders in an organization
that includes stakeholders.
 Making vision- NHS manager required for making vision to creating certain changes in a
firm.
7

3.2 Describe how changes in health and social care planned
The appropriate plan for changing system can carry out effectiveness and efficiency
within an enterprise. NHS need to recognize required changes which arise in the systems and it
will directly impact in future time period. Along with this, health and social care services
necessary for providing to their patients which can help in improving their health related issues
or problems. There are various plan for NHS such as:
Appropriate communication process- It is necessary for organization is to gives proper
information regarding changes like using new methods or techniques, emergency facilities for
patients so staff member can accept such changes (Hughes and Wearing, 2016).
Training and development programs- In this, it is required for opting changes associated
with management which has been conducting training and learning sessions for using new
methods. Also local government help in accepting such challenges and provide financial
assistance to them.
3.3 Assess how to monitor recent changes in HSC
Changes are inevitable in nature that is depend on specific condition that includes health
care services are facing major issue or problems of funds due to that selected company require
for increasing probabilities of errors or mistakes. Therefore, it is that procedure which assist in
identifying hidden obstacles that create problem for firm at the time of controlling firm activities.
For example, in described scenario different social sector corporations are encountering with
main issues related with capital so that they will fail to giving best quality based services to
desired customers. Therefore, company manager is responsible for encouraging their employees
towards achieving potential goals and targets in better manner. This includes reduces conflicts,
different issues which might increased due to execution of changes at workplace. The main
advantages of this process is that this will help in managing every factor for alteration in better
way by determining required components.
CONCLUSION
As per the above described report it can be concluded that Health and social care is that
term which related to the services that are available from health and social care providers.
Change management define as the set of whole system and procedures which form and transform
real situation of an organization for achieving desired goals and objectives. There are various
8

number of aspects hat can easily identifying and evaluating such changes in the health and social
care services.
9

REFERENCES
Books and Journals
Antheunis, M. L., Tates, K. and Nieboer, T. E., 2013. Patients’ and health professionals’ use of
social media in health care: motives, barriers and expectations. Patient education and
counseling. 92(3). pp.426-431.
Bernabeo, E. and Holmboe, E. S., 2013. Patients, providers, and systems need to acquire a
specific set of competencies to achieve truly patient-centered care. Health Affairs. 32(2).
pp.250-258.
Brett, J., and et.al., 2014. Mapping the impact of patient and public involvement on health and
social care research: a systematic review. Health Expectations. 17(5). pp.637-650.
Brown, K. and Osborne, S. P., 2012. Managing change and innovation in public service
organizations. Routledge.
Chou, W. Y. S., and et. al., 2013. Web 2.0 for health promotion: reviewing the current evidence.
American journal of public health. 103(1). pp.e9-e18.
Coleman, E., and et.al., 2012. Standards of care for the health of transsexual, transgender, and
gender-nonconforming people, version 7. International journal of transgenderism.
13(4). pp.165-232.
Fisher, E. B., and et. al., 2012. Peer support for self-management of diabetes improved outcomes
in international settings. Health affairs. 31(1). pp.130-139.
Ginter, P. M., Duncan, W. J. and Swayne, L. E., 2018. The strategic management of health care
organizations. John Wiley & Sons.
Grol, R., and et. al., 2013. Improving patient care: the implementation of change in health care.
John Wiley & Sons.
Haas, L., and et. al., 2012. National standards for diabetes self-management education and
support. The Diabetes Educator. 38(5). pp.619-629.
Hibbard, J. H. and Greene, J., 2013. What the evidence shows about patient activation: better
health outcomes and care experiences; fewer data on costs. Health affairs. 32(2).
pp.207-214.
Hughes, M. and Wearing, M., 2016. Organisations and management in social work: everyday
action for change. Sage.
10