Impact of Change and Management Strategies in Health and Social Care

This report delves into the critical aspects of change management within the health and social care sector. It begins by identifying the key internal and external factors that drive change, such as political, economic, sociological, and technological influences, and examines the challenges these factors pose, including resource management, stakeholder support, and data security. The report then focuses on evaluating recent changes in health and social care services, proposing strategies and criteria for measurement, including both qualitative and quantitative approaches like surveys, observations, and audits, while analyzing the impact of changes on service delivery and staff satisfaction. Furthermore, it explores the principles of change management, assessing how to monitor and adapt to changes effectively within the context of a real-world case study, Beacon Edge Care Home, referencing its Care Quality Commission (CQC) report.

Facilitating Change in Health and Social
Care

Table of Contents
INTRODUCTION...........................................................................................................................1
TASK 1: Understand the factors that drive change in health and social care services....................1
1.1 Key factors that drive change in health and social care services.....................................1
1.2 & M1 Challenges that key factors of change bring to health and social care services....2
Task 2 : Understand evaluating recent changes in health and social care services.........................3
2.1 & D2 Strategy and criteria for measuring recent changes in health and social care.......3
2.2 Impact of recent changes on health and social care services against set criteria.............4
2.3 & D1 Evaluate overall impact of changes .......................................................................5
2.4 & D2 Appropriate service responses to recent changes in health and social care...........6
Task 3 : Understand the principles of change management............................................................6
3.1 & D3 Explain the key principles of change management................................................6
3.2 & M1 Changed in health and social care plan..................................................................7
3.3 & D3 Asses how monitor is to be changes in health and social care...............................8
CONCLUSION................................................................................................................................9
REFERENCES..............................................................................................................................10

INTRODUCTION
Each and every business or organisation needs to develop effective change management
system to manage and sustain within the changing environment. Various changes in business
environment have a great impact on different activities, operations or functions of an
organisation. Health and social care organisations render significant health care services to their
customers or patients. These organisations mainly focus on well-being of people of community
or society but there are various externals as well as internal forces along with the changes which
influence the overall services and performance of the organisation. The present report will
determine various elements that drive changes in health and social care organisation. It will also
discuss changes in services provided by the organisations in healthcare sector. Furthermore, the
report will identify recent fluctuations or changes in Beacon Edge Care Home in relation to its
Care Quality Commission (CQC) report.
TASK 1: Understand the factors that drive change in health and social care
services
1.1 Key factors that drive change in health and social care services
There are various changes in both external and internal environments which affect
business functions or services of health and social care organisations such as Beacon Edge Care
Home. According to Care Quality commission (CQC) report, it has been identified that the
organisation has various issues and problems related to their organisational environment,
registration of manager, poor management of services and staffs, lack of communication, etc
(Brett, Staniszewska and Mockford, 2014). There are various factors which can drive changes in
health and social care services can be described as below - Political – Political factors have a great significance and impact on the change in health
and social care organisation. These organisations are concerned about stability of industry
or country, regulations, ethics, economic and government policies related to healthcare
services in a country. Economical – These are the factors which are linked with economic stability and
condition of a country. The economic factors include spending capacity of companies,
number of employees, profitability, etc. Economic condition of a country involves
investment power, demand of goods and services, exchange rate of currency, etc. The
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economic factors play a major role in effective functioning of business functions and
operations. Any changes in these factors greatly affect health and social care service
provided to the people (Davis, Campbell, Hildon and Hobbs, 2017). Sociological changes – It consists social life style as well as demographic factors which
may change the perception related to the needs of people along with their expectation for
the provision of utilising services. Changes in lifestyle and needs of people influence
health and social care organisations to alter their products and services as well.
 Technological factors – Technological factors refers to the technical areas in the business
environment affecting functioning of business or organisations. The technological factors
include communication, transportation, software, machines and other technologies used
in an organisation. The introduction of new technologies in health and social care
organisations helps to provide more effective and efficient care services to the people.
Therefore, it influences the healthcare organisation to make important changes related to
technology (Edwards, Wood and Edward, 2015).
The above mentioned factors greatly affect healthcare organisations to make significant
changes in their business structure, system and functions to provide improved and effective
services to their patients.
1.2 & M1 Challenges that key factors of change bring to health and social care services
The major factors discussed above includes various external factors which affect the
internal environment of the health care organization and influence them to make significant
changes in the business system, and functions. Beacon Edge Care Home faces various challenges
due to these changes as it is important for overcoming them for sustaining their position and
providing effective healthcare services to the people. It is necessary for the organisation to
identify significant changes within the business environment to make beneficial modifications in
their company or business functions. However, different changes such as innovation in
technology, fluctuating government and legal policies etc. can influence the entire functioning or
system of healthcare organisations (Wylie, Knudson, Khan and Baral, 2016). Various challenges
faced by Beacon Edge Care Home due to different factors of change are as described below -
 Resource management – Due to change in business environment, technology and
government policies it is difficult for an organisation to manage its resources effectively.
An organisation to needs to plan and redesign its business activities, operations, services
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provided and allocation of resource with respect to the various changes. Therefore, it is a
major challenge which the healthcare organisation needs to overcome by making
appropriate modifications in their functions and structure (Makai, Brouwer and Nieboer,
2014).
 Support of stakeholders – The changes in business environment also affects corporation
of all the stakeholders connected to an organisation. There are many stakeholders which
support Beacon Edge Care Home in terms of finance, investments, services and other
elements that helps the organisation to carry out business functions with consistency.
Some stakeholders are not much motivated to support or adopt the changes. For example
– Employees are important stakeholders for a business or company which are responsible
for performing business functions and activities. Due to the changes in external or
internal business environment. Employees generally avoid or resist changes as it provides
a feeling of stability and security to them. This affects their performance while working
for an organisation facilitating changes (Ajzen, 2015).
 Security and privacy – Another challenge faced by healthcare organisation is security
and privacy of the information related to patients. The changes in technology makes it
difficult for Beacon Edge Care Home to secure important information and data as it is all
collected in the information system of the organisation which needs to be changed
according to the change or innovation in technology.
Task 2 : Understand evaluating recent changes in health and social care
services
2.1 & D2 Strategy and criteria for measuring recent changes in health and social care
In order to implement various changes in an organization resources such as Time and
Money are very essential. The process of implementing any change is also not so easy and
smooth as there are various hidden factors existing which has potential to make this procedure
difficult. Hence, it is necessary for Beacon Edge Care Home to measure every change program
or process for ensuring its effectiveness and efficiency. For measuring recent changes in Beacon
Edge Care Home, the organisation requires a significant measuring technique, criteria along with
statistical data. The measuring tools or techniques include identifying the approach which can be
used to measure changes (Giles-Corti, Vernez-Moudon and Owen, 2016). According to nature of
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changes and situation at Beacon Edge Care Home two approaches can be used – Qualitative and
Qualitative approach.
 Quantitative approach includes utilization of numbers or numeric rt measure the extent of
changes. In case of the chosen organisation qualitative approach can be used in order to
measure effectiveness of programs related to the changes for improving environment,
management, quality of services, communication methods and quality of care provided to
the patients in the organisation etc (McCormack and McCance, 2016). According to CQC
report there was lack in communication between patients and staff in Beacon Edge Care
Home, the environment of the organisation was not much healthy and clean, there was no
manager registered and there was no proper management related to various levels of staff
and medication of patients.
 Qualitative approach is also useful and can be integrated in order to supplement the
quantitative approach. Qualitative approach includes measurement of effectiveness in
various changes by collecting and analysing facilities, events, people's perception,
opinions, behaviour, views and actions (Brett, Staniszewska and Mockford, 2014).
Beacon Edge Care Home can use qualitative approach to measure various aspects of the
changes consisting users perception or opinion about the changes or change programs.,
satisfaction of staff with the changes as well as management's feeling with regards to
changes.
 Observation: Two kinds of observation are: Direct Observation - where the observer is an
unidentified 'fly on the wall' (generally with approval of those being observed);
Participant Observation - where the observer participate in the activity with the
participants and inquire questions.
 Feedback: The procedure of collecting or giving data about an activity to others either
formally or informally. It can be carried out internally and externally. This can be utilized
in monitoring performance e.g. 360 degree feedback where staff performance can be
acquire from colleagues, service user and their family members.
 Audit is an in-depth systematized research in any part of an organization. It is a fair
examination and evaluation of a company financial records which can be done internally
by a manager or externally by a business.
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2.2 Impact of recent changes on health and social care services against set criteria
The impact of changes in Beacon Edge Care Home can be measured in various ways
such as conducting interviews, surveys and collecting or analysing the feedbacks from patients,
employees or other stakeholders. There are various changes implemented in the healthcare
organisation such as the company registered service provider is now ensuring that the medicines
were managed safely as observed in the CQC report. Although one of the interim managers had
completed audits (checks) of the medicines and records. The company also published a leaflet
which consist information that they take great care to focus on the person and that their person-
centred approach emphasises respect, dignity and quality of life (Davis, Campbell, Hildon and
Hobbs, 2017). There is a link between changes, perception, opinions and emotions. Therefore,
the impact of changes can be measured by analysing perceptions and feelings of people. In order
to do this survey can be the best tool or instrument which can be used. Surveys can be helpful in
collecting relevant information or opinions of people with regards to the changes implemented in
the organisation. An effective qualitative analysis of feedbacks form patients, staff and other
stakeholders can determine the impact of changes in Beacon Edge Care Home and people
connected to it. Analysis and calculation of statistic can also help understand the impacts
changes had in the healthcare organisation(Giles-Corti, Vernez-Moudon and Owen, 2016). These
can be done by assembling quantitative information through questionnaire, or through analysis of
computer record. For example, in Beacon Edge Care Home manual or computer record may
include significant patient information such as discharge time, appointment time, treatment
administered etc. analysis of this information can help to understand the condition before and
after the change. The space between the two time periods might assist in understanding the
impact of changes within the company.
 Staff satisfaction – Staff satisfaction refers to measurement of happiness of the employees
with regards to job roles and working environment. It is important to ensure staff
satisfaction in order to maintain good performance of the organisation. Feedbacks needs
to be collected from employees to make sure they do not resist the changes implemented
and are satisfied with the change program (Edwards, Wood and Edward, 2015).
 Customer satisfaction – The effect of proposed change upon customer satisfaction is an
unintended outcome or consequence of a planned action or strategy. Satisfaction of
customers is very essential for an organisation to be successful. Changes in healthcare
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environment, management, services etc can be very beneficial for the organisation and its
performance within the healthcare industry or sector.
2.3 & D1 Evaluate overall impact of changes
There are various impact of changes or change process on an organisation or company
such as Beacon Edge Care Home. The overall impact of changes on the chosen health-care
organization can be described as below -
Efficiency of the organisation – Organization's efficiency refers to its potential of achieving
goals and objectives. Each and every organisation or company needs to be more effective while
making or implementing any changes such as reallocation or resources, changes in business
functions, structural changes etc. The Beacon Edge Care Home needs to make optimum,
utilization of resources for increasing the efficiency of its business functions and activities. The
changes implemented in the organization are likely to help the health care organisation in
providing effective and efficient health and social care services to its patients. Registered
mangers can legally manage all the operations of the organization, well structured staff can
perform their roles and duties effectively such as providing medicines as well as care to patients
(Wylie, Knudson, Khan and Baral, 2016).
2.4 & D2 Appropriate service responses to recent changes in health and social care
Response to changes in Beacon Edge Care Home is very important in order to manage
them in most effective way. One of the significant way to respond a change positively is through
training and development of the employees or staff. Training and development is a continuous
process that helps employees to sustain in every situation or condition. While implementing
changes or change program the training program for employees must be conducted. It must be
ongoing program along with the changes. A review procedure of measuring the knowledge and
skills of the employees must be conducted to identify the level of improvement or development
needed by the employees the organization. Training is essential for employees to improve their
skills or attributes (Makai, Brouwer and Nieboer, 2014). Change Impacts an organization in
terms of:
 Cost and Response Time - Radical change needs considerable resources and time as
against additive changes.
A slow and postponed change management project easily looses steam.
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 Staff Satisfaction - Some individuals grow on new conditions, others prefer to plan and
prepare in advance.(Principles of Leading Change Management, 2018)
Preparing for change implementation reduces its negative effect on staff and staff satisfaction.
 Customer Satisfaction – Changes brings improvement, and therefore leads to
development of more effective workplace environment. An effective workplace
environment helps in providing high quality and satisfactory services to the clients.
Task 3 : Understand the principles of change management
3.1 & D3 Explain the key principles of change management
The methods of controlling and identifying of all kinds of required changes that will be
dealing out in specified and systematic approach to transform goal of organisation will be termed
to as change management. So in this order of leading and summing up with various kinds of
changes there are several principles that are guiding for bringing about modification.
Kurt Lewin’s change management model - unfreeze, transition and refreeze
Unfreeze – The first stage of this change model is
Change management model - John P Kotter's eight steps to successful change
1. Establish the need for urgency- In this stage management focuses on the requirement of
implementation of change within company. In the context of case, cited venture is going
to register manager and implement new technology for health improvement. The main
aim of this change in to improve working environment within company and also enhance
productivity of services.
2. Ensure there is a powerful change group to guide the change- Once the target and aim of
the change is framed then in the next stage organisation focus on the group. With help of
group support and systematic structure, change can implement in effective manner.
3. Develop a vision- In this stage, cited venture will focus on the vision and mission of the
change that is going to implement in the organisation. As Beacon Edge Care Home
implement new technology for improve existing services and facilities for customers.
4. Communicate the vision-In this stage company will communicate the vision to all staff
members and personnels.
5. Empower the staff- In this stage organisation empower staff member by provide them
training and development regarding changing policies, strategies and practices.
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6. Ensure there are short-term wins- In this stage, organisation motivate and encourage
employees for successful implementation of change
7. Build the change- In this stage, finally changes will implement in the company for
achieve its objective.
8. Change the corporate culture- In this stage finally company changes helps in improving
culture and environment. The implemented change should support for effective culture.
In this stage management make continuous efforts to ensure the change is seen in every
aspect in the company.
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Illustration 1: John Kotter's eight-step model
(Source : John Kotter's eight-step model. 2017)

3.2 & M1 Changes in health and social care plan
In context to changes in Health and social care, it is essential to make few improvements
in general development within the company. It helps to enhance in providing effective services
and enhance development rate of the entire organisation. To oversee work and utilize some sort
of technique to enhance generally improvement in piece of the overall industry. There are some
new technique must be there and make a few improvements with the help of changes in Health
and social care organisation.
 Major service changes and reconfiguration must put patients and the public first, by
leading to sustainable and higher quality services. The CQC report of Beacon Edge Care
Home clearly presented that the service was not well led and the staff lacks in providing
effective care to the patients. The organisation needs to focus on making changes in there
organisation structure and operations. Skilled employees can be recruited for filling the
gaps in various department so that care services can be provided efficiently. Patients
suffering form dementia needs to be provided more care.
 Change should be clinically-led and supported by a distinct clinical evidence base. It is a
major duty of senior practitioners directing reconfiguration to build that evidence base,
and to build assistance within the local clinical community on the case for change. The
Beacon Edge Care home can take support form local health and social care communities
such as medical equipments, staff and nurses to solve the issues related to the resources
required in the organisation. There are 33 patients suffering from Dementia in the
organisation therefore Beacon home required more staff to handle and provide good care
to them.
 Senior management have a major role in the design and development of proposals, so
these reflect current and future commissioning purposes. Manager in Beacon Home
should be registered in order to fulfill the legal requirements in provide health and social
care services to the patents, the senior management in the organisation can get all the
license and registration to build a strong organisation structure for increasing
effectiveness and efficiency.
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3.3 & D3 Asses how monitor is to be changes in health and social care
In health and social care organisation we can evaluate or Monitor plan. There are various
methods which are useful to focus on monitoring the changes implemented in the healthcare
organisation. These methods can be described as below -
Operational plan - It is the types of the plans which help to keep our organisation lively it
ensured more effective planning and the progress which is related with the day to day activities
of the organisation. It includes daily activities of the organisation. During this operational plan
for change we can make clear objective, provided services, standards of the quality, desired
outcomes. routine of the works, staff via their rules, requirement of resources and the process of
the service. Operational plan is important for prepare organisation to raised the funds. How to get
the money, sources. It reduces the risks for making contingency plan.
Strategic plan - It is the long term plan like as future goals of the health and social care
organisation. It is the systemic plan where we make future goals. Operational values, and
requirements of the organisation such as strengths, weakness, opportunities and threat. It also
directs the current actions of the organisation. This plan is making for the years. Generally it has
a certain target and objectives. For example: Nepal government have a plan to give water for all
within the next five years. To achieve success from the plan we need to start working from the
operational plan (Davis, Campbell, Hildon and Hobbs, 2017).
Feedbacks – Through feedback suggestions for changes can be taken and for details about the
services provided to the customers.
CONCLUSION
From the above report, it was summarized that it is very essential that each and every
organisation should have to develop effective change management in the organisation. Further
this report also summarized the various changes in both external and internal environment which
affects business function or services of health and social care organisations by using the tool of
Pestle analysis. Challenges that key factors of change bring to health and social care services is
also included in this assignment. Key principle of change management is also discussed in this
report to make the change management plan effective as well as this assessment also measure
overall impact of changes. Addition to this, this report also sum up Strategy and criteria for
measuring recent changes in health and social care. Beside this, appropriate services responds to
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