Impact of Change Management on Health and Social Care Services Report

This report provides a detailed analysis of change management within health and social care services, focusing on Local Action for the Disabled (LAD) and its transition from residential care to community-based supported living. It explores key factors driving change, including political, demographic, technological, and legal influences, and assesses the challenges these factors present. The report outlines strategies and criteria for measuring the impact of these changes, evaluating the effects on service users, staff, and the organization. It examines the strengths and weaknesses of various factors and proposes service responses to address recent changes. The report also delves into the principles of change management, planning, and monitoring changes within health and social care, providing a comprehensive overview of the subject.

Facilitating Change in Health
and Social Care

Contents
INTRODUCTION...........................................................................................................................1
TASK 1............................................................................................................................................1
1.1 Explain the key factors that drive change in health and social care services........................1
1.2 Assess the challenges that key factors bring to health and social care services....................2
TASK 2............................................................................................................................................4
2.1 Devise a strategy and criteria for measuring recent changes in health and social care.........4
2.2 Measure the impact of recent changes on health and social care services against set criteria
.....................................................................................................................................................5
2.3 Evaluate the overall impact of recent changes in health and social care...............................6
2.4 Propose appropriate service responses to recent changes in health and social care services 6
TASK 3............................................................................................................................................7
3.1 Explain the key principles of change management...............................................................7
3.2 Explain how changes in health and social care are planned..................................................8
3.3 Assess how to monitor recent changes in health and social care services.............................9
CONCLUSION..............................................................................................................................10

INTRODUCTION
In any Health and Social Care organisation, facilitating change is the dynamic process which
brings potential influence on service users and providers. Change is inevitable for every
organisation as it marks its growth and success. The environment in which a care organisation
perform its activities is changing rapidly because of changes in legislations, technological
advancements, economical changes, political activities and social change. All these changes
influence health and social care organisations that force them to review their systems, processes,
strategies and goals on continuous basis (Bearak, and et. al., 2016). This report is based on Local
Action for the Disabled (LAD) which is the care organisation that runs residential care homes as
well as other services for the individuals with learning disabilities. The local authority decided to
move from residential care to independent and supported community based living for residents.
In context of this, the report aims to highlight key factors which are responsible for introducing
change in the organisation. It also covers challenges that key factors bring to you care services
and development of strategy and criteria for measuring changes. Apart from this, impact of
recent changes on health and social care services impact of these are discussed. At last, key
principles of change management and the way changes are planned and monitor in Health and
Care services are discussed in the report.
TASK 1
1.1 Explain the key factors that drive change in health and social care services
In health and social care services, there are various factors that drive change. These factors
include political, legal, technological, cultural and demographic factors. All these factors
influence operations and working of care organisation. As Local Action for the Disabled is
shifting its residential care services to supported community based living for residents, it is very
necessary for manager to consider the forces that drive change organization’s services in order to
understand that whether they can be quartered or not (Bhanja and et. al., 2017). Some of the key
forces that drive change in care services provided by Local Action for the Disabled are
mentioned below:
 Political: This factor highly influences the change in care organization as it is associated
with guidelines and policies of government, norms and regulations, economic stability/
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instability in nation, residential land criteria, policies, funding issues, etc. Any change in
political laws can lead to impediment in progress of care organisation.
 Demographic and cultural: The factors like needs of community, age of service users,
lifestyle and many other factors can affect Local Action for the Disabled in moving its
services from residential care to community based supported living. With this new
concept, the service users belong to higher age might not be contented or others may be
worried regarding the accomplishment of their basic requirements associated with
supported living.
 Technological: This force plays very crucial role in enhancing the quality of care
services as well as in improving the experience of service users. Introduction of new
techniques like electronic communication, maintaining records by using electronic record
keeping, etc. will need to make the workers learn about new methodologies (Castañeda
and et. al., 2015). Therefore, resulting in integrating and driving alterations in services
related to health and social care.
 Legal: There are various legislations that can influence the changes that are introduced in
Local Action for the Disabled. These legislative acts include Health Act 2006, Care Act
2014, Health and Social Care Act 2012, NHS and Community Care Act 1990, etc. Proper
execution of these legislation and compliance with these will help care organisation in
running its operations successfully and embrace change at workplace.
Thus, the care organizations are highly impacted by the above discussed factors in many
aspects. Manager requires to ensure that change should be integrated smoothly and its impact
must prove beneficial for community as well as people.
1.2 Assess the challenges that key factors bring to health and social care services
There are various challenges that the key forces like technology, political, legal and
demographic factors bring to services associated with health and social care (Chen, and et. al.,
2016). These factors bring many challenges for service providers, users and other members of
Local Action for the Disabled. Some of the challenges are mentioned below:
 Maintaining quality of care is the challenge for Local Action for the Disabled as making
shift in services may impacts its quality.
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 Matching economy and efficiency is the most challenging task for LAD as service users
cannot compromise in any case.
 In shifting of residential care services to supported living, some changes are required to
be incorporated into existing services which can consequences to chaos within health care
service organisation. This is due to requirement of labor and resources to make the
employees comfortable with changes (Coulter, and et.al., 2015).
 Lack of interest or resistance employees or service providers regarding the new changes
can be bit challenging for Local Action for the Disabled as this outcome in restfulness
among them that ultimately cause lack of efficiency in their work.
 Availability of resources is also one among the challenges that Local Action for the
Disabled can face as resources are required in every area whether it be technological,
human resources, physical or financial resources. Accomplishment of the required
resources at appropriate time is quite challenging at the time of shifting to new services.
All the above mentioned are the challenges that manager of Local Action for the Disabled
should be taken into consideration while moving to supported living services. Overlooking of all
these challenges can create various difficulties for organisation (Davidoff, and et. al., 2018).
The strengths and weaknesses of key factors are mentioned below:
Factors Strengths Weaknesses
Political factors Political stability of country
provides an advantage to
health care firm to run its
operations smoothly.
Frequent changes in policies
of government and funding
issues hampers the working of
health and social care
organisation.
Legal factors Compliance with all the
regulations ensures smooth
working of firm (Drummond,
and et. al., 2015).
Non-compliance of laws and
regulations made by
government resulted to legal
consequences.
Demographic and Cultural Providing care services as per People with more age may not
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factors the needs of users will help
organisation to gain their
support and improve its
services.
be comfortable with shift in
services to supported living.
Technological factors Use of advanced technology
will help in improving quality
of services (Ebrahim, and et.
al., 2017).
Use of obsolete technology
may influence quality of
service in adverse way.
TASK 2
2.1 Devise a strategy and criteria for measuring recent changes in health and social care
After executing the idea of shifting from residential care services to community based
supported living, the very first requirement of Local Action for the Disabled is its administration
which seen to be relatively challenging. So, for measuring the recent changes in health and social
care, some strategies can be implemented which are mentioned below:
 Various change characteristics are identified like rate of change, character, its scale,
political or intentional change, and others that open up various answers to questions
associated with measuring these changes. It immensely relies on the forces that leads to
change.
 Taking feedback from the users of service is also a good strategy that proves to be
beneficial for Local Action for the Disabled as they the one who impacts the most by
moving of services among all the other stakeholders. The complaints and demands of
service users against the services provided earlier are taken seriously and can be avoided
at the time of shifting to supported living (Guiette and Vandenbempt, 2017).
 System quality assurance is certainly an another strategy that support manager of Local
Action for the Disabled in making shift from residential care services to community
based supported living possible. If any kind of compromise is made in the service quality,
then the shifting will be unsupportive.
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The criteria set for measuring the changes in Local Action for the Disabled so that its project
of moving from residential services to community based supported living services proves to be
beneficial for organisation. These includes:
 The change should involve benefits for users of service associated with their well-being,
providing them with best care possible, improving quality of their life as well as not
compromising with their care needs.
 The executed change must be beneficial for care organisations, service users and partners
as this maximize the efficiency of LAD and support in accomplishing desirable target
services (Han, and et. al., 2018).
 The introduced change must ensure that care professionals, workers as well as other staff
should be enough competent and skilled to measure those changes.
 The guidelines provided by government must be fulfilled while introducing any change
and therefore meet national objectives.
2.2 Measure the impact of recent changes on health and social care services against set criteria
In Local Action for the Disabled, the modifications made in organisation were earlier
introduced by various other institutions but, the attempts made by all of them were an
unsuccessful. Therefore, after the successful attempt of introducing change by Local Action for
the Disabled, a huge impact is being observed on its services. The new development by
organisation has triggered many major influences not only on users of service but, also on staff
as well as organisation. By this, a bond of trust has been generated between organisation and
service users based of steadiness in administering quality care services. Earlier, service users
were quite concerned regarding the concept of community based supported living and the way
they will get comfortable in such kind of surrounding, but now after they have realized that the
services they get are not at all being diluted, their families along with them too seem happy and
relaxed with the new change. In addition to this, they also observed several problems with new
technologies and practices at primary level for about 5 to 6 months (Hernandez-Boussard, and et.
al., 2016). Steadily, they were enable to cope up with those for which the staff members and
other workers of Local Action for the Disabled should be valued.
Previously to the move to community based supported living, employees used to do huge amount
of work manually, but by using advanced technology, the organisation started to use electronic
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communication, electronic recording systems, etc. which has minimised the work load of
employees and maximize their efficiency. In order to make the employees adaptive with
technological advancements, training rendered to them has been productive as they this helps in
improving their skills and competencies and now they fall into highly skilled category.
Previously, government had disputes with land administered to Local Action for the Disabled
and some of the matters are still in procedure to be resolute. Hence, any kind of change
implemented in care organization leaves an influence on its users of service along with their
families, staff, management and other workers of association. So, before executing any kind of
change, its impact influence on organisation must be taken into consideration (Imran, and et. al.,
2016).
2.3 Evaluate the overall impact of recent changes in health and social care
The change executed by Local Action for the Disabled has not only influence its users of service
as well as their families, but also the members of organisation are impacted by it. The care
organisation has impacted both positively and negatively by the change. In health and social care
organisation, the uses of services had many doubts about the new living services offered by
LAD, but after some time the adjusted comfortably in the new environment. The service uses
who are of higher age are also in the process of adopting new surroundings as they take some
time to make themselves feel happy and comfortable with the surroundings. The workers of the
organisation provided service users with most support and care, which makes the higher aged
people soon be comfortable with the new environment. In addition to this, the change executed
by organisation has proved to be beneficial for them. The exposure to new environment that
support service uses in leading improved life quality with better means. For getting feedback
from the service users as well as their families, various ways like interviews, questionnaires and
surveys were conducted (Kumar, and et. al., 2016). From the feedbacks get through service
users, it has been found that the impact on workers as well as other members of organisation has
quite positive. In specialising and enhancing the skills by undertaking training sessions
associated with technological advancements, the employees founder opportunities to them.
Implementation of advanced technology has reduced the workload of organisation along with
manual work. It also decreases the requirement of human resource within the firm. Highly skilled
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and competent employees lead the organisation towards battle service provisions which in turn
results in efficient working within firm and overall system.
2.4 Propose appropriate service responses to recent changes in health and social care services
In context of the recent changes in health and social care services, various types of
responses are provided within the Local Action for the Disabled. These responses can be
associated with the service users, staff members, management, families of service users and other
members of institution. Some of the responses are associated with shifting of Local Action for
the Disabled from residential care to community based supported living. The service responses
towards recent changes are mentioned below:
The management should ensure effective leadership in order to facilitate change appropriately
within the firm. The leader is responsible to guide employees and other members towards
efficient working and smooth adoption of changes (Lewis, 2019). If the manager or leader
provided guidance to their employees at initial level, then it supports them in accomplishing
desired goals within a specified short period of time. The manager of organisation required to
encourage workers to engage more within firm and help them to accomplish efficiency. The
employees should provide with proper assistance whenever the required as this helps in
improving the quality of services.
Apart from this, the processes and policies associated with change should always be keep
updated new laws and legislations made by government. For ensuring proficient working in
entire system, the employees must be provided with all the information on regular basis so that
they stay updated within the firm regarding the policies and procedures and enable to work
accordingly. In the organisation, it should also ensure that service users are involved in all stages
because their support will be needed always at every point. The organisation provided its
services according to the needs of users therefore, the should be considered before taking any
kind of decision about executing change in current services. Thus, adequate service responses
proposed to changes and Local Action for the Disabled also needed to attain desired outcomes
which are in the favour of change (Shartzer, Long. and Anderson, 2016).
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TASK 3
3.1 Explain the key principles of change management
In an organisation, managing change constantly is very necessary but it is not easy and it is
inevitable because of rapid changes in the environment of organisation. There are various key
principles of change management that helps the manager of LAD in managing the change within
organisation appropriately. For managing the change appropriately, there are various principles
that need to be taken into consideration by manager. In this, understanding the need of change is
very necessary for the manager in order to ensure enhancement in the services that is provided to
service users. The manager has the responsibility to communicate employees about the change
and its significance for them in the organisation. After communicating the change appropriately
and engaging all the employees into it, the manager required to prepare proper plans and
strategies and execute the change appropriately so that it will lead to enhancement in services of
the organisation (Taube-Schiff, and et. al., 2017).
3.2 Explain how changes in health and social care are planned
Changes are considered as the response towards the significant opportunities and threats that
arises from the external environments. It defines the response of organisation to business factors
and managerial perception as well. In terms of this, Local Action for the Disabled considers
prominent methods to plan and implement change in more effective and prominent manner that
are discussed as under:
Communication: In order to make planning regarding change, it is determined that the
leader and manager of Local Action for the Disabled need to develop and have healthy and
proper communication with their employees and make them understand that the prominent
changes are for their betterment and development. With the help of suitable communication,
resistance of employees gets reduce towards the execution of change as through good terms and
relations, managers are capable enough to make subordinates understand about change and also
motivate them to adopt it as it is for their career development and betterment of organisation
(Wylie, and et. al., 2016).
Staff development needs: While implementing change, managers of Local Action for the
Disabled need to prominently analyse the requirements and needs of their employees like if they
want change in their working life or not. Changes are introduced by determining that
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subordinates need new tools and techniques in order to perform their task as it is useful in
eliminating the resistance of staff. In terms of it, they should evaluate that the employees actually
want change in their working manner or they are more ease with current working manner and on
that basis, changes are introduced.
Consultation: Before implementing change, it is quite important for them to provide
counselling to their employees in order to determine their overall requirement regarding the
change. In terms of this, both communication and analytical skills are significant within the
manager or the counsellor who consult employees regarding the change. As counsellors are the
one who convince employees to adopt changes in their working manner which is useful in
eliminating the resistance of employees towards the implementation of change (Shartzer, Long.
and Anderson, 2016).
3.3 Assess how to monitor recent changes in health and social care services
In order to implement changes in more effective manner, Local Action for the Disabled
need to opt prominent methods to monitor changes with the strengths and weaknesses that are
discussed as under:
How to Monitor Strengths Weaknesses
Surveys for Staff To implement change this
method of monitoring is
important as it can become
beneficial for organisation to
know their employees
behaviour towards change.
If company does not conduct
any survey for their staff then
it becomes difficult to
implement and monitor
change within the organisation
(Hernandez-Boussard, and et.
al., 2016).
Surveys for Customers After the implementation of
change, in order to monitor it
in most appropriate manner it
becomes significant for Local
Action for the Disabled to
conduct survey of their
employees as it tends to
While doing survey, somehow
it becomes difficult for
company to get negative
feedback towards their
changes that can demotivate
them and their overall
performance.
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become strength for them.
Focus Groups Focusing on the large groups
is useful and beneficial for
Local Action for the Disabled
to monitor change are large
groups in an organisation are
the most influential and their
positive response towards the
change is more important and
significant to strengthen the
position of company.
If company does not put
emphasis on the large groups
and its employees resist
change then it becomes quite
difficult for Local Action for
the Disabled to effectively
monitor their prominent
change within an organisation
(Kumar, and et. al., 2016).
Referral Rates While monitoring change
referrals of employees and
peers are important as it is
quite beneficial for company
to have judgement of their
trustworthy employees as
well.
In terms of if employees do
not give prominent referrals
then it shows that they are not
interested and leads to
influences the decision of
company.
CONCLUSION
As per the above mentioned report, it has been concluded that it is very necessary for an
organisation to execute changes in appropriate way in order to lead organisation towards growth
and success. Health and social care sector, providing effective and high quality healthcare
services is very necessary in order to satisfy service users and develop trust among them. The
manager needs to take into consideration various aspects, strategies and issues that leads to
success not only for the viewpoint of management but also offers financial benefits to
organisation as well as service users, workers and other members. Proper execution of all the
strategies associated with change will lead the organisation to accomplish its desired goals within
specified period of time.
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