Facilitating Change in Health and Social Care: A Case Study Report

This report examines change management within the context of Liverpool Home Care, a community health NHS trust. It addresses the challenges of adapting to changes in the healthcare sector, including financial constraints, workforce shortages, and the need for advanced equipment. The report analyzes strategies for measuring changes, such as service delivery improvements, new technology adoption, and the implementation of the PDCA cycle. It assesses the impact of these changes on service users, staff, and the organization's reputation, emphasizing the importance of a skilled workforce, technological advancements, and appropriate service responses. The report concludes by highlighting the key principles of change management and how they are applied in planning and implementing changes within health and social care settings, ultimately aiming to improve service quality and patient outcomes.

x Facilitating Change in
HSC

Table of Contents
INTRODUCTION...........................................................................................................................1
TASK 1............................................................................................................................................1
1.1: Covered in Brochure.......................................................................................................1
1.2: Challenges that key factors of change bring to health and social care services..............1
TASK 2............................................................................................................................................2
2.1 Strategy and criteria for measuring recent changes in health and social care..................2
2.2 Measure the impact of recent changes on health and social care services against set criteria
................................................................................................................................................3
2.3 Overall impact of recent changes in health and social care..............................................4
2.4 Appropriate service responses to recent changes in health and social care services........4
TASK 3............................................................................................................................................5
3.1 key principles of change management.............................................................................5
3.2 How changes in health and social care are planned.........................................................7
CONCLUSION................................................................................................................................8
REFERENCES................................................................................................................................9

INTRODUCTION
The concept of change is related with the development and growth of enterprise as via
this it becomes easy for company to execute their operations effectively. Further, health and
social care organisation carriers out its operations or activities so as provide effective services to
its users and in move to leads development (De Oliveira da Silva, Ramos and Moraes, 2017).
Therefore, changes or variation takes place within the workplace rapidly in terms of advanced
technology and assist in rendering better care services to the clients above their expectation level.
In this report, given organisation is ‘Liverpool Home Care’, it is a community health NHS trusts
developed in 2012. Company give controversial services for patients at the end of their life. This
report divided into different tasks which covers various factor of driver change, recent changes in
health and social care services. At last, principles of change management is also determined in
this report which will help the service provider to give better services to the need people.
TASK 1
1.1: Covered in Brochure
1.2: Challenges that key factors of change bring to health and social care services
There are various kinds of challenges that restrict ‘Liverpool Home Care’ in adapting
changes in a desired way due to which it is important for their manager to identify such
challenges along with their causes and make corrective actions accordingly. The changes which
are continuously taking place in the cut throat competitive world brings huge impact in the
smooth functioning of the medical business. Political stability, economic conditions, social
trends, environmental factors etc. need not to be fluctuating every now and then. This changes
affect the sales and profitability ratio at a large scale. Also, this forces gradually decreases the
market value of health and social care sector which is a negative sign for the company. Business
associates need to frame unique tactics in order to overcome the challenges prevailing in the
global market. In addition, with this, here are some challenges that can be faced by ‘Liverpool
Home Care’ during adaption of desired changes:
1. Lack of funds may be the major problem for ‘Liverpool Home Care’ as to acquire new
technologies for better treatment of patients, payment of salaries to the doctors and other
staff members and providing other basic health facilities to the patients requires huge
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amount of funds which can be possible only if the company have attained strong financial
position.
2. Shortage of workers is another challenge that can restrict ‘Liverpool Home Care’ as
adaptation of changes requires skilled and knowledgeable employees who are capable to
utilise available resources in an optimum manner.
3. Shortage of equipment and tools in the case of an emergency are required like robotic
surgery, ultrasound machines etc.
TASK 2
2.1 Strategy and criteria for measuring recent changes in health and social care
In order to measure recent changes or variation in health and social care there are
different factor which could be measured in the enterprise such as service delivery, new
technology, waiting time, respect of dignity and privacy etc. There are different measuring tools
of performance such as Survey, PDCA, focus group, fish bone analysis, questionnaire, 360-
degree cycle etc. Quantitative and Qualitative approaches play the major role in changes of
health and social care because one takes applies the numeric measure to find the extent of
changes where as another uses the method of comparing in terms of its effectiveness in past. This
both approaches provide detail knowledge regarding changes which have huge impact in last
couple of years. All this are most significant and essential tool but according to the case study
PDCA is more suitable tool which is determined as under:
Plan: As a deputy home manager in health and social care has different roles and
responsibility in order to plan how to develop new technology about overcoming above all issues
in an effective and efficient manner (Gleddie and Robinson, 2017). According to the case study,
there are some major issue which is faced by an organisation such as health and safety concern,
abuse of clients and so on. Therefore, in order to overcome such issue, manager can plan to
implement robotic surgery trend technology which is essential for the organisation to easily treat
patients effectively.
Do: It is second step of PDCA which is used by the Liverpool Home Care to do plan in
an effective appropriate manner. In this manager should provide training to their staff members
who have lack of knowledge about the technology. Thus, it will support an enterprise achieve
better outcomes within predetermined time period.
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Check: At this level, Dumpty manager check all process are done in an effective and
systematic manner (Hutchings, Quinney and Galvin, 2015). In this they also check the
requirement of capital and many other resources for implementing robotic surgery trend.
Act: It is a last stage in which Dumpty manager impalement new technology which will
be essential for the business to measure the importance of technology for the organisation.
2.2 Measure the impact of recent changes on health and social care services against set criteria
Above discussed all changes are highly impact on organisation, staff and an individual in
direct manner. It is essential for the Liverpool Home Care to stay change with the market trends
as well as satisfy the needs that are arising in health and social care in order to develop effective
impact on the community. Therefore, after making some variation on HSC services of Liverpool
Home Care, the effect has developed a long-lasting and positive r0065putation on patient's mind.
Registered administrator: It is essential for HSC to recruit a register administrator have
the skill and power to lead the staff members and administration about how to deliver services
systemically (Karigane and Takubo, 2017). Liverpool Home Care appointed a registered
administrator which is liable for keeping service and leading regarding rules in regards to which
health related services should run.
Skilled workforce: It is identifying as one of the important factor for the organisation to
train their workforce towards achievement of better results within predetermined time period.
Along with this, company want to impalement robotic surgery trend in which they require to
provide training to those employees who have lack of knowledge in this criteria. In addition,
training is more significant for the company to easily treat patients and provide quick services to
them.
At present, there are various changes which are taking place such as technological with
using of new and updated tools and techniques, modern equipment and machines etc. There is
positive impact of implementing such changes in current market due to having tough competition
in HSC sector. With having knowledge and understanding of external environment, the managers
of Liverpool Home Care need to implement such changes for the betterment of their employees
as well as an organisation. For example, implementation of advanced technology reduces efforts
of employees and increases their work efficiency as well due to which the retention rate of
employees will be increased. To access positive changes on business operations, audit must be
required to conduct which enable the managers to understand what can be done and its outcomes.
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It gives them guidance to adapt changes in authentic manner. There are some benchmarks which
are set by government must be followed by the managers of Liverpool Home Care which
includes performing actions as per laws and regulations. When changes are done as per
government norms, then this is beneficial for society and stakeholders. When there is change in
working style of Liverpool Home Care due to understanding cultural and demographical
requirement of consumers, then this assist in improving working style of Liverpool Home Care
and brand image in industry.
2.3 Overall impact of recent changes in health and social care
Recent change is highly impact on the business operation of health and social care. With
the help of appropriate training program, staff member of the HSC is capable to provide better
and secure services to their patients (Leventhal and et. al., 2015). Skilled staff member has power
to easily deal with complex situation and accomplish better results within predetermined time
period. In this patient's behaviour is more professional and polite.
The main effect of such change or variation has happen in favour of service user. In this
all patients are treated with better and secure techniques. Due to enhanced technology, service
seeker is more happy and recovering in speedy manner. It is also essential and beneficial for the
family of patients because they are relieved as service provided by the doctor is safe and secure.
Adapting changes in Liverpool Home Care makes positive impact on their users as well as
employees in following way:
 Implementation of robotic surgery trend technology makes easy for the staff members to
treat their patients more carefully. It increases the satisfaction level of patients which
indirectly makes positive impact on their loyalty with company.
 Provide training to their staff members who have lack of knowledge about the technology
increases their working behaviour and efficiency due to which they can contribute
maximum efforts towards organisational goals and objectives. It establishes a healthy
working atmosphere due to which the users also feel comfortable along with their staff
members.
 Check the requirement of capital and many other resources for implementing robotic
surgery trend motivates the managers to invest where they can get maximum return to an
organisation in future.
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 Technological change: The continuous improvement in technology has created huge
impact on health and care sector. The adoption of 3D technology in the medical field has
enabled the administration to provide best medical treatment to the patient. By doing so
the chances of recovery of customer raises which is a positive sign for health and social
care sector in the cut throat competitive world.
 Modification in medical field: By continuous research and development in the
medical field it as come up with many unique ways of treatment. This helps in curing
many deadly disease in the global environment. It has created positive impact on the
health and social care sector in the intense competitive world.
 Organization structure change: In health and social sector organization
structure change helps in raising the overall productivity of the employees. By doing so
best and quality medical facilities are provided to the patient on immediate basis. This
assist in coping up with the dynamic environment.
2.4 Appropriate service responses to recent changes in health and social care services
By introducing variation and modification in the Liverpool Home Care, they will be more
capable to include knowledgeable employees, better medication, effective management and
progress of the company (Liu and et. al., 2018). By covering better medication in their medical
practices, the health and social care enterprise would be capable in order to accomplish better
outputs and more effective facilities could be concerned in their specialisations. Business
reputation among community will be more strong and positive. Also, knowledgeable and
experienced service giver support and enterprise to enhance their entire work quality in an
effective and appropriate manner. This will track to effective dependency of the service user and
their family members on Liverpool Home Care. The rate of occupancy and maximum number of
beddings will support an organisation to grow as well as increase their sales and profitability.
Also, different number of patients can be treated or handled in the enterprise at same time. Some
of the additional information are listed below which might enhance the performance of health
care:
Interviews: By interview it is meant framing certain questions that are presented to the
stakeholders who give answers on the basis of their analysing ability of a specific situation. This
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method can be useful to know the responses of the stakeholders towards the changes that are
recently introduced to know their impact on the growth and development of an organisation.
Suggestion boxes: It is a device which is used for obtaining additional comments,
suggestions, questions and requests from the stakeholders who write their inputs on piece of
paper and drop it in the opening of the box. Anonymously the stakeholders can give responses to
the managers towards the changes they have recently introduced. It is a good way of analysing
the impact of the changes that are introduced in an organisation.
Feedback: It is an information that is sent by the stakeholders to the organisation who
are affected by the changes that the managers have brought in the organisation. By analysing the
impact of the changes introduced if they are profitable for the growth and development of the
organisation or not.
Debate: It is a process of formal discussion on a particular topic that involves discussing the
negative and positive impacts of that particular topic on the related stakeholders. Debate gives
opportunity of active participation to the stakeholders to discuss about the changes introduced by
the managers on the working and growth of an organisation.
TASK 3
3.1 key principles of change management
Change management is identifying as a systemic and effective approach of dealing with
the transformation or transition of an enterprise's technologies, process or goals. The motive of
change management is to develop strategies for controlling change, effecting change and
supporting people to adopt to change or variation. Such strategies cover having a structured
process for requesting a modification as well as performance for responding to substance and
applying them up (Mahafzah, 2018). Liverpool Home Care is a one of the best care provider to
the patients. There are some types of key principles of change management which is effective for
the organisation to manager all changes in an appropriate and systematic manner. Leavitt’s
model of change is more suitable according to the case study.
Leavitt’s model of change is referring as a simple and effective change management
process which plan and done an organisational restructure and it will also support an enterprise
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in assessing the impact of proposed variation. This model includes some parts which are
determined as under:
People in health and social care, there are different people such as accountant, managers,
receptionist, service provider and many other. All this are play vital and effective role by
providing quality services to the user. All this people have proper knowledge, skill, efficiency
and experience to handle all changes in an effective and appropriate manner. There are some
roles of that people which are explained as under:
Change in task is a role of manager to educate their staff member about frequent changes
in task. Thus it is essential for the service provider to easily give accurate service to the service
seeker.
Change in structure is another role and responsibility of manager which refereed as
modifying the job duties. It is important for the employees because with the help of this they can
learn new responsibilities and duties and treat user according to them (Overholt and et. al.,
2017).
Change in technology is another essential role which is play by the manager in order to
implement new technology for treating patients safely and securely.
Tasks is another part of the change management model which is related with the goals
and objective of tasks. It mainly covers two things like how aspects can be proceeded and
effectively and second things is identifying how to achieve such things. There are some factors
which is highly effect on such things such as change in people, structure and technology.
Structure is component of the change model includes relationship, hierarchical structure,
management between different level of administration, communication patterns and their
employees. This will require to be adjusted by different factors like change in technology, tasks
and people.
Technology is another important element of change management model which is used by
the health and social care to treat patients safely (Stone and et. al., 2015). In this, there are some
technology which is used by the Liverpool Home Care are such as robotic surgery trend, LAN
lines etc.
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3.2 How changes in health and social care are planned
Change management is more essential for an enterprise which support in enhancing
business performance as well as also support in achieving target and goals easily. There are some
methods which determined planned of change or variation in HSC as under:
 Consultation: Management consultants may be helpful in improving financial and
operational health of an organisation as they are well trained in solving complex
problems related to finance and can suggest various strategies that are well suited to a
particular situation. Management consultants can help businesses in reducing costs, make
savings thereby improving the performance of the business and solving problems by
finding better ways of doing things.
 Communication: Effective communication in an organisation is important so that the
goals can be achieved in a better way and this can be made possible by adopting a bottom
to top type of communication method. This gives entire staff an opportunity to share their
ideas which can lead to a better decision making and problems at the bottom levels can be
easily solved. The staff members are more encouraged to work enthusiastically if they
have a say in the company decisions.
 Management Style: It is the way managers of a company plan and organise work and
exercise their authority among the subordinates. A democratic type of management style
invites employees to get involved in decision making. It involves extensive
communication from both managers and employees and can be helpful while taking
complex decisions as the employees can come up with new innovative ideas that might
be helpful in making strategically sound decisions.
 Managing anxiety: During the time of crisis, confusion and difficulties, both individual
and organisation can face anxiety related problems. The anxiety of an organisation can be
coped up by evaluating threats and opportunities and working on its weaknesses with the
means of its strengths. Management of organisational anxiety is important so as to
increase productivity, creativity, morale and appropriate decision making.
 Staff Development Needs: Identifying learning and development needs of an employee
depending on his capabilities. This can be achieved by various methods like establishing
focus groups, monitoring performance, setting clear expectations, analysing the tasks
being performed to achieve goals and objectives. This will enhance knowledge, skills and
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abilities of employees and help in achieving goals of an organisation.3.3 How to monitor
recent changes in health and social care services
Evaluate research surveys is identifying as an effective and appropriate approach via
which health and social care can easily manage their recent variation in the organisation. Before
development of any type of policy and strategy, firstly they need to organise survey on their
service user and workers for evaluating their views about such changes.
Customer or staff satisfaction is another essential and important way to monitor and
control recent variation in health and social care services (Vainchenker and Plo, 2015). In this
role of business manager is to provide appropriate services to the staff members and patients,
therefore they are satisfied and perform towards achievement of long term goals and objectives
of an organisation.
CONCLUSION
From the above mentioned information, it can be concluded that change is important for
the success and growth of an organisation. There are different types of divers that impact on
business performance and productivity. In order to overcome such changes company, need to
apply advanced technology. Beside this, key principles of change management are also more
essential and important for the business to manage and monitor recent trends in an effective and
easy
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REFERENCES
Books and Journals
De Oliveira da Silva, B., Ramos, L.F. and Moraes, K. C., 2017. Molecular interplays in hepatic
stellate cells: apoptosis, senescence, and phenotype reversion as cellular connections
that modulate liver fibrosis. Cell biology international. 41(9). pp.946-959.
Gleddie, D. L. and Robinson, D. B., 2017. Creating a Healthy School Community? Consider
Critical Elements of Educational Change. Journal of Physical Education, Recreation &
Dance. 88(4). pp.22-25.
Hutchings, M., Quinney, A. and Galvin, K., 2015. Negotiating the triple helix: harnessing
technology for transformation. Leading Issues in elearning. 2. p.143.
Karigane, D. and Takubo, K., 2017. Metabolic regulation of hematopoietic and leukemic
stem/progenitor cells under homeostatic and stress conditions. International journal of
hematology. 106(1). pp.18-26.
Leventhal, J. R. and et. al., 2015. Immune reconstitution/immunocompetence in recipients of
kidney plus hematopoietic stem/facilitating cell transplants. Transplantation. 99(2).
pp.288-298.
Liu, Y.F. and et. al., 2018. ICAM-1 Deficiency in the Bone Marrow Niche Impairs Quiescence
and Repopulation of Hematopoietic Stem Cells. Stem Cell Reports.
Mahafzah, A., HSC ACQUISITION LLC, 2018. System and method for facilitating a
promotional event. U.S. Patent Application 15/852,812.
Overholt, K.M. and et. al., 2017. Identification of a murine CD45− F4/80lo HSC-derived marrow
endosteal cell associated with donor stem cell engraftment. Blood advances. 1(27).
pp.2667-2678.
Stone, L.C. and et. al., 2015. Cytoglobin expression in the hepatic stellate cell line HSC-T6 is
regulated by extracellular matrix proteins dependent on FAK-signalling. Fibrogenesis &
tissue repair, 8(1), p.15.
Vainchenker, W. and Plo, I., 2015. TET2 loss, a rescue of JAK2V617F HSCs. Blood, 125(2),
pp.212-213.
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