Quality in Health and Social Care Services: A Comprehensive Report

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LO2- Comprehend approaches to attain quality in health and social
care services
2.2 Interpreting different approaches in order to implement quality systems
2.1 Standards followed in health and social care to measure quality
Standards in health and social care are defined as the set rules and criteria that are applicable to all health and social care settings and helps in promoting better
outcomes for the patient and the provider of services. The standards for quality in health and social care were first introduced in 2006 by the Health Service Command
that was introduced to ensure better functioning of health and social care services in the UK (Black., 2013). The standards of care and quality are essential in health
care because it provides the monitoring and regulating guidelines to monitor the services at the settings. The quality standards aims to better explain the quality of
services to the individual practicing it and to make them aware of the outcomes that may follow after the services are providing with high quality ( Decker et al., 2013). It
helps in identification of the needs of the service seeker and allows the provider to deliver person centered care. The quality of Royal United NHS Bath was measured
following these standards by the CQC and some of the basic standards that were inspected were following, administration of medicine, quality of drug control, fluid and
nutrition control, documentation, infection control service delivery, waiting time, and person centered care approach. The standards of quality should be followed in the
organization to enhance the patient satisfaction and the effectiveness of the services.
There are variety of approaches utilized in contemporary health and social
care to be able to provide adequate care and enhance the quality of services
in health and social care sector. Approach is referred to a set action taken or
executed in order to achieve the desired goals. The proper Quality
Management Planning is an essential step in order to promote better quality
service and quality management at the Royal United NHS trusts. Several
quality management and introduction models are applicable in health and
social care setting but the use of Total Quality Management model is most
widely done in this setting due to its beneficial effects and positive results
(Goetsch and Davis., 2014). Total Quality Management model is well fit for
this case as it provides good amount of planning and understanding of the
quality standards. The model consist of eight basic principles that comprise of
process thinking, , total employment commitment, decision based facts,
strategic thinking, customer satisfaction and effective communication,
decision based facts, continuous improvement approach, and integrated
system (Sallis., 2014). TQM is the best applicable approach in this case as it
will deal with the improvement of services based on the goals that are patient
centeredness and satisfaction. It will also help in achieving higher global
marketing and overcoming the challenges of funding and resources for the
NHS trust.
2.3 Suggesting potential barriers to delivery of quality health
and social care services
Barriers are defined as the challenges or problems and difficulties faced in path of an
action or process (Jacobs et al., 2011). While the delivery of services in health and social
care sector various barriers are presented that hampers the growth of the services and
achievement of the quality of the services. These barriers are perceived to be internal or
external as per its nature and outcomes. The internal barriers are the ones that are
concerned with the issues and problems appearing internally inside the organization
whereas the external barriers are the ones that are associated with the external factors that
influence quality of services in an organization.
Internal barriers include the issues among service provide that includes lack of
communication, lack of partnership and team working, untrained and skilled staff, lack of
resources, lack of quantity of staff and noncooperation between the management and the
staff. The internal barriers are mainly affecting the quality of services by providing
inappropriate services that has poor standards of care and non-integration of services that
fails to address the needs of the individual (Jacobs et al., 2011). These factors influence the
quality by providing unsatisfactory services with low knowledge and skills. Lack of
knowledge among the service provider is another very important barrier in this setting that
can lead to inadequate service base.
An external factor includes lack of funding, lack of support from external agencies, breach
of ethics, and lack of social support. External factors influence the quality of service in the
manner that the funding issues will cause lack of resources that will directly and indirectly
impact the services (Mosadeghrad., 2014). In the Royal United NHS trust lack of
communication, funding and resources as well as lack of skilled staff members is perceived
as major factors and barriers in delivery of quality services. These issues have led to poor
quality services in this organization and needs to be addressed to improve the quality of
services and achieve better positive outcomes.
References
Black, N., 2013. Patient reported outcome measures could help transform healthcare. Bmj, 346,
p.f167.
Decker, S., Fey, M., Sideras, S., Caballero, S., Boese, T., Franklin, A.E., Gloe, D., Lioce, L.,
Sando, C.R., Meakim, C. and Borum, J.C., 2013. Standards of best practice: Simulation standard
VI: The debriefing process. Clinical Simulation in Nursing, 9(6), pp.S26-S29.
Sallis, E., 2014. Total quality management in education. Routledge.
Goetsch, D.L. and Davis, S.B., 2014. Quality management for organizational excellence. Upper
Saddle River, NJ: pearson.
Jacobs, B., Ir, P., Bigdeli, M., Annear, P.L. and Van Damme, W., 2011. Addressing access barriers
to health services: an analytical framework for selecting appropriate interventions in low-income
Asian countries. Health policy and planning, 27(4), pp.288-300.
Mosadeghrad, A.M., 2014. Factors influencing healthcare service quality. International journal of
health policy and management, 3(2), p.77.
r healthcare organisations. The TQM Journal, 27(5), pp.544-564.
Mohammad Mosadeghrad, A., 2013. Healthcare service quality: towards a broad definition. International
journal of health care quality assurance, 26(3), pp.203-219.
Valentine, M.A., Nembhard, I.M. and Edmondson, A.C., 2015. Measuring teamwork in health care settings:
a review of survey instruments. Medical care, 53(4), pp.e16-e30.
Kuo, D.Z., Houtrow, A.J., Arango, P., Kuhlthau, K.A., Simmons, J.M. and Neff, J.M., 2012. Family-centered
care: current applications and future directions in pediatric health care. Maternal and child health
journal, 16(2), pp.297-305.
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