Understanding the Need for Change in Health and Social Care Services

This report examines the need for change within health and social care services, using the Liverpool Home Care as a case study. It begins by identifying key factors driving change, such as the Health Act 1999, minority ethnic community needs, and lifestyle factors, and analyzes the challenges these factors present, including an aging population and human factors. The report then outlines strategies and criteria for measuring recent changes, including interviews, cost-benefit analysis, PDCA, 360-degree feedback, and Fishbone diagrams. It assesses the impact of these changes on service delivery and explores the application of change management principles using Kotter's eight steps. The report also covers the planning and monitoring of changes within the context of the chosen scenario, concluding with recommendations for improvement in service quality and market campaign effectiveness.

Understanding the Need for
Change in Health and Social
Care

Table of Contents
INTRODUCTION...........................................................................................................................1
LO 1.................................................................................................................................................1
Q1. Key factors that drive change in health and social care services that applied in present case
scenario (P1.1).............................................................................................................................1
Q2. Challenges that are key factors of change bring to health and social care services (P1.2,
D2)...............................................................................................................................................2
LO 2.................................................................................................................................................3
Q3. Strategy and criteria for measuring recent changes in health and social care which applied
in present case (P2.1, M1)...........................................................................................................3
Q4. Impact of recent changes on health and social care services against set criteria and applied
case scenario (P2.2).....................................................................................................................3
Q5. Overall impact of recent changes in health and social care (P2.3, D1)................................4
Q6. Services responses to recent changes in health and social care services (P2.4. M2)............5
LO 3.................................................................................................................................................6
Q7. Key principles of change management using Kotter's eights steps to successful change
(P3.1, M3)....................................................................................................................................6
Q8 How changes in health and social care planned (P3.2)..........................................................7
Q9. Monitor recent changes in health and social care services as applied to chosen scenario
(P3.3, D3).....................................................................................................................................8
CONCLUSION................................................................................................................................9
REFERENCES..............................................................................................................................11

INTRODUCTION
In health and care home, there are several things require maintain quality, standard, social
care, etc. It assists to implement appropriate caring and development of each person who take
appropriate services under care home (Hassink, Grin and Hulsink, 2018).
Present study based on case of Liverpool Home care where on the basis of ethnic
background proper caring implemented for 65 years old to 98 years old. After inspection of Care
Quality Commission, it has been seen that commissioner highlighted special measure to make
changes in care home.
Therefore, report cover implementation to make changes that are required to consider
plan CQC within next three months. It includes factors that drive change in health and social care
services that are applied to present case scenario. Furthermore, this report discusses about
strategy and criteria for measuring recent changes in health and social care. At last, report
explains about key principles of change management with using Kotter's eight steps.
LO 1
Q1. Key factors that drive change in health and social care services that applied in present case
scenario (P1.1)
In order to determines key factors that drive changes in health and social care services in
present case of Liverpool, following elements determines:
 Health act 1999: With respect to drive change in health and social care services for
present case of Liverpool, Health Act 1999 applied. This act aimed to improve quality
of care provided to patients and determines provision which intended to improve
coordination of care. In this context, different changes can be applied as per future
date and changes that are core for present care (Al-Shorbaji, Borycki and Winter,
2017).
 Minority ethnic community needs: Many cares of Liverpool determines different
health social services. Therefore, it is difficult to deal with minority which is
complicated. Home cares requires understanding different languages to deal with
different background. It is become easier to get interpreters and support workers.
1

Cares also work with appropriate system as well as their right options (Al-Shorbaji,
Borycki and Winter, 2017).
 Lifestyle factors: Another element which create major impact and biggest challenge
in front of Liverpool is lifestyle factor. It needs to be successfully understand by each
carer of home care. This is because, for proper caring they must know about their
patient lifestyle (Jewkes, Flood and Lang, 2015).
 NHS and Community Care Act 1990: Under this act, National Health Care Service
and Community Care determines any Adult those aged over 18 who eligible for
requires services from local authority who has right to full assessment of their needs
and services which provided by Liverpool. Individual also tailored to meet assessed
needs to ascertained appropriate
 Health and social care Act 2001: According to this act, in local areas care trust can
be established voluntarily. Hence, in Liverpool it is important to make arrangements
to work jointly. Commissioning of nursing care consider arrangements by health act
1999.
 Changes in government: In Liverpool, there are several rules and regulations
consider by government. They consider rules that influence population health within
the health sector and others as well. This system contains strengthening, human
resource development to build regulations in public health.
2

Q2. Challenges that are key factors of change bring to health and social care services (P1.2, D2)
With respect to determines key factors, it can be stated that there are several challenges
bring in health and social care services of Liverpool. They are as follows:
 Ageing problem: Care Quality Commission consider their involvement in Liverpool to
maintain more security and effectiveness for appropriate working. However, home care
face issue of ageing. This is because, Liverpool deals with 65 years to 98 years age
group. Therefore, different background of them create impact so that best care home must
be consider which commissioned for special measures. Dealing with distinctive
background is major factor in front of home care so that commissioner highlighted to
measure changes.
 Human factors: Change is inevitable so that it create impact on the care home’s people.
Human factors consider behave physically and psychologically in relation with particular
environment. It is very typically for Liverpool because, there patients exist who belong
from different background and special training required for them to understand working
pattern (Hassink, Grin and Hulsink, 2018).
PEST analysis
 Political factors: Political factors create major impact on Liverpool. This is because, CQC
determines changes to follow laws and regulations with operational details.
 Economic factors: The program of local structure in the country also create impact on the
financially independent and self-rules. Hence, it is essential to implement body of local
level.
 Social factors: Factors in social elements such as emotional, cognitive, falling, etc. create
impact on larger demand for private or public care home.
 Technological factors: CQC stated that Liverpool requires to use supportive technologies
for providing better care and solve issues in care home.
SWOT analysis of care home
Strength
 Well-designed facility.
 More storage to keep essential things regarding care of people
 Accomplish demand of all care users.
3

Weakness
 Lack of building living facilities
 High capital requires to make changes as CQC.
 Communication barriers which create negative impact.
Opportunities
 Make effective strong position
 Availability of assisted living facilities
 Well targeted market campaign
Threats
 Increased regulations determine by CQC
 Emphasis on cost cutting can leave vulnerable
 Economic downturn
Recommendations
• Liverpool must requires to focus on the make changes in quality of services. This is
because, there is no standard quality services provided so that it create negative impact on the
results and performances.
• With the help of effective market campaign, Liverpool should provide services to their
patients.
LO 2
Q3. Strategy and criteria for measuring recent changes in health and social care which applied in
present case (P2.1, M1)
In the present case scenario of Liverpool, recent change creates major impact. This is
because, new rules, regulations and policies implemented that need to be understand by all staff
members of Home Care. It assists to look upon effect on service delivery to communicate
successfully in the market. On the basis of recent changes, it can be stated that all members must
share their responsibility. Different level of staff must be prepared in structure so that it would be
beneficial to deliver services among different members. Front line staff members must take
proper care to deal with several challenges that exists in Home care.
4

As per recent changes, strategy must be prepared which develop appropriate working in
health and social care. There are several numbers of people with variety of tasks included who
consider diversity of devices and technologies. It is occurring with residential environment.
Factors are driving migration which increase cost to provide health care. It is essential to
prevalence chronic disease with improve survival rates of various disease, injuries, etc.
Committee also charged with examining major trends in health care delivery with resulting
challenges from one or many perspectives (Heymann, Chen and Kalache, 2015).
In addition to this, it is essential to look upon primary care and services that are available
from bereaved person's perspective. In respect to this, information can be offer with practical
advice and opportunities discuss the death. Well received and investigation also consider that can
be applied to primary care. With the help of health care technologies, medical devices and
information also produce to conduct additional research and development. Interview: With respect to make changes in the Liverpool, it is essential to use interview
program. In this context, questions can be asked from different care users in the care
home. As per their statement, changes in the institute will be develop. Interview
conducted with age group of 65 to 98 and elder age. Therefore, it can be stated that
certain questions has been asked to provide instructions. CBA: Cost benefit analysis is another strategy that can be used to estimate strength and
weakness of Liverpool. For instance, transactions, activities, functional businesses
requirements etc. can be successfully evaluated as the best approach to accomplish
benefits. As per this model, fiscal, economic, social value of project outcomes specify
which sees benefits in selected healthcare sector. PDCA: PDCA is the four step management method that can be applied in Liverpool for
control and continuous improvements of services. In this aspect, four steps included such
as act, plan, check and do which assists to identify problems and test potential solution as
well. In this consideration, in Liverpool planning consider assessment of problems with
making solution over it. 360 degree: 360 degree method consider effective functioning in the chosen care home
with implementation of idea that are considered unattainable which assists to develop
view of patients with aggregating data from the different touch points. It is also used to
perceive appropriate functioning at workplace. As per this method, six parties are
5

involved in Liverpool for implementation of ideas in successful manner. In this regard,
top management, customers, self, subordinates, peers and superiors involves. All these
members helps to communicate goals and objectives that helps to increase more desired
level of results at workplace. In this consideration, it can be stated that performance level
increases.
 FISHBONE diagram: In order to implement this process, Liverpool can assess effect on
front line staff. This is because, it is the process show cause and effect relationship
between different level of staff members. Therefore, it assists to focus on appropriate
system that can establish effective results at workplace. Potential causes of the problems
identify to make right solution for it.
Q4. Impact of recent changes on health and social care services against set criteria and applied
case scenario (P2.2)
In the health and social care services, there are several aspects can be undertaken which
ascertained to set criteria and applied for present case scenario. With this regard, recent changes
can be taken place with direct users and families those use services. In this consideration,
Liverpool can set their new rules and regulations to take appropriate care of all members exists in
Care Home. In the present care home services provided to 65 to 98 years old age people.
Therefore, it is essential to assess appropriate requirement as per their body. It assists to estimate
approximately working of care taker which is beneficial to estimated outcomes (Al-Shorbaji,
Borycki and Winter, 2017).
Increasing evidence of the service also create impact on the revealed with care taker. In
this regard, it can be stated that diseases must be reduced with consideration of three principles.
In Liverpool, it is essential to consider well-being to enable individual to acute care and
placement in the care homes. Supporting with the greatest assets for a particular person in care
home also lead to consider integrated services. As a result, it assists to focus on the significant
advantages (Duckett and Willcox, 2015).
Furthermore, recent changes also build to maintain security that is beneficial to attain
overall targets to promote more important functioning. It will assist to deal with effective
services and appropriate working of the whole team. It regulates to focus on the promotion which
can be successfully develop and attain with targets in appropriate manner. In the present case, it
6

can be stated that maximum number of respondents are taking important part to deal with the
systematic working in health and social care sector (Jewkes, Flood and Lang, 2015).
In order to measure recent changes, CQC should conduct interview program that assists
to assess report. Board members have also asked to write about detailed plan which ensure
positive changes that are identified with failing and implement different functioning as well. In
this way, strategy device to focus on appropriate health and social care services. From the
meeting, they are also gain feedback from different people that assists to improve services in
Liverpool. There are different measurement tools that are impact on direct users using that are as
follows: PDCA: PDCA consider plan do check, act or plan, do check adjust. It is one of the
iterative four step management method that used in business for control and continuous
improvement in the process. It is also known as Deming wheel which contain principle in
Liverpool for improvement. Surveys: In order to conduct survey, it can be stated that survey method with recent
changes on health and social care services develop to improve results. Interviews: From different care users in Liverpool interviews will be taken regarding
services. As a result, Care Quality Commission will determine changes towards them in
health and social care.
 Focus groups: Focus group for health and social care services, there are different aspects
must be consider with explored perspective of service providers and commissioners
regarding associated transition.
Q5. Overall impact of recent changes in health and social care (P2.3, D1)
In Liverpool, services are organised with qualitative sources. Therefore, it helps to
maintain effectiveness among care users to make sure that day to day activities will be regulate
in overall functioning. In Healthcare department, there are different kinds of services organised
for people to deliver appropriate and better things. Hence, it leads, shape and take proper care in
England to make sure people have support, care and treatment with compassion, dignity and
respect. In order to make recent changes in Liverpool, following impact can be seen:
For government: With respect to make recent changes in health and social care, government
must regulate their rules and regulations as per the Care Quality Commission. As per changes, all
Care home for health and social care require to make sure all things known by government. They
7

aspiration for service improvement in positive manner so that day to day activities of the care
home must successfully implement to regulate overall functioning. However, selected care home
facing issue of funding arrangements so that government must take part to secure them for long
term effects (Hassink, Grin and Hulsink, 2018).
For workers in services: As a society, each person dependent on families to provide all kinds of
support. In this regard, it is essential to examine multiple evolving roles of family caregivers
which create impact on assuming these roles. It assists to describe dynamic nature for care giving
over time. Due to increasing in complexity and scope, decision maker must find evidence on
health and well-being of older adults. On the basis of survey, it can be stated that health or
functioning successfully developed which requires helps to take self-care activities (Jewkes,
Flood and Lang, 2015).
For service users: In a health and social care, there are different recent changes exists that
consider public involvement for their care. Changes create positive impact on overall
performance. This is because, it contains maintenance of appropriate working which requires
increasing caring of service users (Heymann, Chen and Kalache, 2015). With respect to make
changes, whole care home consider services which would be beneficial to accept standards that
are best to deal with Liverpool performances.
Q6. Services responses to recent changes in health and social care services (P2.4. M2)
In order to make changes in health and social care, it can be stated that proposed services
deliver in quality manner to all people who are taking care from Liverpool. As per irrespective
age or disability, it can be stated that independence and well-being enable each individual to live
their own homes for as long as possible. Consequently, it supports to reduce admission to acute
care and placement in care homes. Supporting with the greatest assets also promote to focus on
integrated services that ascertained to take appropriate working in whole care home.
Furthermore, it is essential to deal with centred approach and integrated services that
develop significant advantages to look upon career and family outcomes. Services responses can
also successfully have delivered through creating awareness and information and support with
information. As a result, it increases to provide support and information which advice training to
deal with the each person in care home. In addition to this, care taker also ascertained their
functions with information and it advices to develop successful training program to continue
caring role. It assists to reduce the need for high cost formal health and social services support.
8

Providing support to staff in hospital and residential homes take care in shorten time to stay
healthy and reduce admission from homes (Bulmer, 2015).
With the help of responses for appropriate changes, it can be stated that health and social
care services will be successfully targeted to attain overall programs in systematic manner. With
this regard, independence and dependence people should consider their value in overall system.
It assists to focus on each person services in appropriate manner. Services could be responding
towards effective functions and information. It will be successfully centred in health and social
care to attain all activities in desired way (Goldberg, Fishbein and Middlestadt, 2018).
LO 3
Q7. Key principles of change management using Kotter's eights steps to successful change (P3.1,
M3)
In order to develop significant changes, it can be stated that there are several key
principles must be implemented with change management in health and social care. With the
help of Kotter’s eight step, improvement in care home ability determines to make changes in
Liverpool. With respect to determines key principles of change management in Liverpool,
Kotter's eight steps has been implemented successfully. They are as follows:
 Create a sense of urgency: In order to create significant results, create urgency is the
first step as per changes Liverpool. Support also creates honest and convincing
appropriate working. It can be accomplished by talking with potential threats with
discussing possible solution.
 Create a guiding coalition: It is a good idea to establish change team that can occupy
itself with changes to implement. All group members of the team need to make their
efforts and encourages to all employees to cooperate and take constructive approach.
Coalition is made up from employees working in different jobs and position so that all
employees those are working in different systems (Green and Thorogood, 2018). All
team members required to perform functions that enable with open communication.
 Create a vision for change: With the help of clear vision, each person requires to
understand what Liverpool to accomplish agreed with appropriate time frame. It makes
changes more concrete and appropriate support that can be implementing to attain more
desired level results (Beresford and Croft, 2016). Ideas of employees can be incorporated
9

with the vision. Hence, vision adopted to set strategies will assist to accomplish their
goals.
 Communication ate the vision: It is one of the important objectives to take change
model is to create support and acceptance among different workers. It can be accomplish
with attain new vision in Liverpool. All the employees get appropriate chance to get and
their opinion, concern and anxieties as well (Dickinson and O'Flynn, 2016). New vision
must fully adopt across the entire care home.
 Remove obstacles: Before change is accepted at all levels which are crucial to change
which is necessary to remove obstacles that could taken with the vision. By entering into
with all care takers, it can be stated that clear resisting the change (Al-Shorbaji, Borycki
and Winter, 2017). To encourages acceptance of the vision by the care taker which assists
to ideas are incorporated in changing process.
 Create short term wins: Motivates is more than the success. It creates short term goals
so that care taker has clear ideas that are going on. When the goals met, care taker need to
motivated to fine tune and expand with changes in process (Harper, Dominguez and
Hodes, 2018). It will be clear across the changing method of care home.
 Consolidate improvements: There are many changes take place which declare too early.
Changes are very slow going process and it must be driven into the overall corporate
health and care sector culture (Duckett and Willcox, 2015). Quick wins are only the
beginning of long term changes so that the organisation needs to keep looking for
improvements. With the help of accomplishment of success, changes can be made to
paying off.
 Anchor the change: At last step of the Koter’s model, changes can be consider in
Liverpool important part which is become more important for the care home. Change
does not come with true things so that it will be taken values and standards with
appropriate agreement. New vision of the employee’s behaviour also provide seamless
match (Barer, 2017). All care taker must keep on their progress and consolidate change
which is beneficial to understand about the appropriate working.
Q8 How changes in health and social care planned (P3.2)
In order to planned changes, it can be stated that stakeholders' analysis assists to increase
positive interest of all people who are involved and effect the project. In this consideration, it can
10

be stated that potential issues can be identified that disrupt changes in health and social care. In
order to engage all people such as staff members, government, business, etc. care users
expectations and requirement can be successfully ensure to include active participation that is
important for express ideas and issues in the present care planned. There are several ways in
which Liverpool can make changes that are planned in successful way. They are as follows:
 Communication: There are several ways to make changes in Liverpool. From this,
communication is one of the important perspective which assists to focus on the all team
member participation which consider effective and important role in overall success of
the care home. All members of the team require improving their communication level
which assists to promote and produce overall regulations. Furthermore, it is also
important to make appropriate plan within the system that incorporate several changes in
the whole program. On the basis of culture and environment, it is important to look
towards the requirement of communication. It helps to support and make progress and
social care planned in successful way.
 Top-down or bottom-up: All work of the enterprise of care home consider in top-down
and bottom up. It assists to maintain effective consideration which would be beneficial to
target overall care users in care home. On the basis of interest and knowledge all
members must take their part to recognised new vision and changes also taken at
appropriate place. Current staff requires training which would be beneficial to actively
contribute to the changes (Hassink, Grin and Hulsink, 2018). As a result, their support
also builds with public recognition so that employees are actively taking part to help
when another change is needed.
 Management style: Management style also takes important part in the Liverpool. This is
because; in this aspect it is important to focus on staff member’s needs and requirements.
When they are highly satisfied with working and behaviour of their managers. They are
actively take part in accomplishment of objectives and goals of care home (Heymann,
Chen and Kalache, 2015). Consequently, chosen care home selected hierarchy of
management style that assists to meet with innovative characteristics and overall
development program. As a result, it undertakes creativeness. Quality also maintains
successfully to build different aspects of care users. Each member has different needs so
that it is important for all care takers to consider effective working system with roles and
11

responsibilities. They have to take their roles and responsibilities as per interest and
capabilities. In this regard, it is important to focus on physiological, safety, security, self-
esteem and self-actualisation needs. When care taker feels satisfied, they contribute their
part to gain more significant advantages.
Q9. Monitor recent changes in health and social care services as applied to chosen scenario
(P3.3, D3)
In respect to monitor changes in health and social care services, following things must be
cater:
 Measuring and monitoring: In Liverpool, Quality Care Commission considers their
important part which is beneficial to focus on the appropriate measurement and
monitoring. In this way, health and social care services can be providing to deal with the
appropriate working and evaluation of plan. In present care home, 65 to 98 years’ age
group people taking services of care so that it would be beneficial to focus on their
appropriate participation which is beneficial to assess overall performances of care home
(Drummond, Sculpher and Torrance, 2015).
 Evaluation with research survey: Further way to monitor recent changes is evaluation
with research survey. It is one of the important ways to find accurate system of the
desired level efficiency. It assists to regulate and manage functions that are useful to
assess and monitor health and social care services. With consideration of the systematic
and appropriate system, it can be stated that more significant advantages will be
successfully gain. According to the primary research data, it can be said that maximum
number of employees deal with qualitative work
 Customer and staff satisfaction: It is one of the important ways and considers to assess
customer and staff satisfaction. With the help of appropriate working system in the care
home, it can be stated that all care taker must focuses on the each person requirement.
This is because; their main motto is to deal with qualitative services which would be
beneficial to focus on the appropriate working system. In this regard, targets and goals
will be accomplished (Jewkes, Flood and Lang, 2015). Customer and staff satisfaction
can be measure in Liverpool with assessment of care users and care taker performances.
With this regard, effectiveness can be identified that helps to apply create health and
social care planned in appropriate manner.
12

CONCLUSION
From the above report, it can be stated that understanding and leading change with
health and social care requires to make changes in systematic manner which deals to focus on the
appropriate working with makeing changes. In these regards, present study based on case of
Liverpool which includes several types of caring for age group of 65 to 98 years. In auditing of
the care home, there are several negative things occurs which need to be change. Quality Care
Commission regulate certain regulations to make improvement in the business. This is because,
there is lack of proper and effective working which create impact on the health and effectiveness
of the service users. Furthermore, it summarised about the recent changes that took place because
of care taker inefficiency. On the basis of its measurement, report care different methods and
tools that are successfully implemented to regulate different activities to improve quality. It is
needed to perform overall system which would require focusing on the targets and goals in
desired manner.
Moreover, it articulated about methods to make changes in systems of the care home
that assists to look upon qualitative services. It assists to take systematic working which need to
develop with several types of regulations. As per recent changes, it can be stated that overall
business development will be seen. Hence, it is one of the significant perspective to consider
different changes in Liverpool.
13

REFERENCES
Books and Journals
Al-Shorbaji, N., Borycki, E.M. and Winter, A., 2017. Discussion of “Representation of People’s
Decisions in Health Information Systems: A Complementary Approach for
Understanding Health Care Systems and Population Health”. Methods of information in
medicine. 56(Open). p.e20.
Barer, M., 2017. Why are some people healthy and others not?. Routledge.
Beresford, P. and Croft, S., 2016. Citizen involvement: A practical guide for change. Macmillan
International Higher Education.
Bulmer, M., 2015. The social basis of community care (routledge revivals). Routledge.
Dickinson, H. and O'Flynn, J., 2016. Evaluating Outcomes in Health and Social Care 2e. Policy
Press.
Drummond, M.F., Sculpher, M.J. and Torrance, G.W., 2015. Methods for the economic
evaluation of health care programmes. Oxford university press.
Duckett, S. and Willcox, S., 2015. The Australian health care system (No. Ed. 5). Oxford
University Press.
Goldberg, M.E., Fishbein, M. and Middlestadt, S.E., 2018. Social marketing: Theoretical and
practical perspectives. Psychology Press.
Green, J. and Thorogood, N., 2018. Qualitative methods for health research. Sage.
Harper, G., Dominguez, M. and Hodes, M., 2018. Sexuality and Gender Identity in Child and
Adolescent Mental Health: Some Reflections on Social, Psychiatric, and Mental Health
Service Changes. In Understanding Uniqueness and Diversity in Child and Adolescent
Mental Health (pp. 223-236).
Hassink, J., Grin, J. and Hulsink, W., 2018. Enriching the multi-level perspective by better
understanding agency and challenges associated with interactions across system
boundaries. The case of care farming in the Netherlands: Multifunctional agriculture
meets health care. Journal of Rural Studies. 57. pp.186-196.
Heymann, D.L., Chen, L. and Kalache, A., 2015. Global health security: the wider lessons from
the west African Ebola virus disease epidemic. The Lancet. 385(9980). pp.1884-1901.
Jewkes, R., Flood, M. and Lang, J., 2015. From work with men and boys to changes of social
norms and reduction of inequities in gender relations: a conceptual shift in prevention of
violence against women and girls. The Lancet. 385(9977). pp.1580-1589.
14