Report on Facilitating Change in Health and Social Care - Unit 26

This report, based on a case study of Franworth Care Home, explores the multifaceted nature of change within the health and social care sector. It begins by identifying key factors driving change, such as increased service user demands, technological advancements, and the influence of policies like ...Read More

Unit 26 - Facilitating
Change in Health and
Social Care
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Table of Contents
INTRODUCTION...........................................................................................................................3
MAIN BODY ..................................................................................................................................3
PART 1 ...........................................................................................................................................3
1.1 Determine the key factors which are responsible for change in social and healthcare
practices..................................................................................................................................3
1.2 Evaluate different challenges which are bring by key factors of change in social and
healthcare practices. ..............................................................................................................4
PART 2............................................................................................................................................5
2.1 Devise a criteria and strategy in order to evaluate recent changes that happen in social and
healthcare. .............................................................................................................................5
2.2 Evaluate the effect of current changes on social and healthcare services against a standard
criteria.....................................................................................................................................6
2.3 Measure the effects of current changes in medical services. ...........................................7
2.4 Determine suitable service reactions for current changes in social and healthcare
organisations. .........................................................................................................................7
PART 3............................................................................................................................................8
3.1 Determine the main aspects of change management........................................................8
3.2 Determine how modifications are planned in social and healthcare services. ...............9
3.3 Determine how to evaluate current changes in medical sectors. ...................................10
CONCLUSION..............................................................................................................................11
REFERENCES..............................................................................................................................12
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INTRODUCTION
Change is an inevitable process in social and healthcare industry. It is a essential element
in healthcare industry as demands and expectations of service users is increasing gradually.
Higher demands, enhanced exceptions as well as reduction in materials are all majorly
responsible for change in health and social care organisation (Thomas, 2017). Modification is
basically a psychological considerable impact which is constant. Facilitating change will have a
potential impact on activities of organisation along with its various stakeholders. It brings
identification of problems and challenges and development of strategies in order to achieve
target objectives. The following report is based on Franworth care home. It is a social and
healthcare company in UK. It provide nursing and personal care to older individuals along with
people with physical and mental disabilities. In this study, different factors that are responsible
for change in social and healthcare practice if going to cover. Furthermore, evaluation of recent
changes will be done. At last, principles of change management will be evidenced.
MAIN BODY
PART 1
1.1 Determine the key factors which are responsible for change in social and healthcare
practices.
Modifications in healthcare industry is a constant process in social and healthcare
organisation. It is a process that involves transformation of an organisation from a current
situation to a desirable situation. Number of key aspects that brings modifications within the
enterprise of social and healthcare organisation. High demand for providing excellent variety of
care services to service users is the major aspect that drives modifications in social and
healthcare sectors. When companies like Franworth care home is not able to provide sufficient
amount of resources for sustaining the demands of their service users, then the only option which
is left is to change in their existing management and services. Technology plays a major role in
driving change in social and healthcare practices. For instance, introduction of robot practices for
catering patients who are in the emergence wards will bring an emerging change in healthcare
sector. Another major factor that drive change in healthcare units are various requirements of
individuals. As patients are asking for variety of facilities which needs to be fulfil by
organisations (Willis, 2016). One feature which have a major effect on health and social care
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organisations is policies and legislations. Care Act 2014 is one such legislation which encourage
care providers to consider a person centred approach. It consist of six main principles like
empowerments, prevention, protection, partnership, proportionality and accountability (Esses
and et.al., 2017). The main aim of this act is to protect individuals who are vulnerable to
mistreatment and help to enhance their quality of life. Providers of Franworth care home must
consider care act 2014 in order to ensure safety of their service users and safeguard them from
any kind of ill-treatment.
1.2 Evaluate different challenges which are bring by key factors of change in social and
healthcare practices.
The most essential factors of change will carry number of situations for the staff
members, service users and other stakeholders of Franworth care home. Such challenges are
need to be identifies in order to run activities and operations of organisation in an effective
manner. The most effective tool for identifying the challenges in key factors is PESTEL analysis.
The most crucial elements of this tool are discussed here.
 Political factors- This factors includes all those changes in rules and regulation that is set
by government. Political factor consist of taxation policies, political condition of nation
and so on. Changes in policies or rules which lead to have direct impact on health care
services and respective organisation have to perform task as per new rules or polices. It is
a challenge for Franworth care home to comply with all the legislations in an effective
manner.
 Economical factor- This consist of economic change or challenges that is faced by
health and care services. Economical factor includes interest rate, inflation rate,
exchange rate, unemployment rate and so on. Changes in economic condition of nation
will lead to affect the spending capacity of respective organisation. This will influences
number of staff in organisation and their practices. Exchange rate and interest rate are
considered as major challenges that is faced by health and care organisation.
 Social factor- This involve demographic factors such as customer behaviour, social life
style, expectation and so on. It is challenge for health care organisation to consider
different demographic factor in order to meet with the needs or requirement of client.
Organisation needs to analyse and requirement of customer so that company can provide
appropriate services (Prakash and Fodor, 2018). It is essential that service provider have
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necessary skills and capability to identify the issues as well as provide appropriate
services.
 Technological factor- it is crucial for organisation to use new and advance technology
while offering heath and care services (Upadhaya and et.al., 2020). Advance technology
is very expensive to implement and it is challenging for respective company to train
employees in order to use updated technology in effective manner. This is time as well as
cost consuming process for health and care organisation.
 Environmental factor- This factor includes weather, climate changes, environmental
pollution, recycling, ecological system and so on. There are different types of heath care
equipment required for performing high quality heath care services to customers. It is
challenging for respective organisation to deal with waste management issues in this
service sector.
 Legal factor- There are various laws and legislation that is developed by legal authority
to perform organisational activities. Legal factor includes employment laws, consumer
law and other laws that is develop for maintaining safety and health of individual. It is
challenges for wellbeing and aid organisation to carefully follow all set of health and
safety rules.
PART 2
2.1 Devise a criteria and strategy in order to evaluate recent changes that happen in social and
healthcare.
It is very essential in healthcare sector to evaluate, measure, re-evaluate and monitor
plans for understanding aspects which are responsible for driving modifications in the enterprise.
There are various ways for devise criteria and strategy for analysing and reviewing current
modifications such as evaluating research survey, comparing changes with one another and
weighting the evidences. There is a wide range of changes that can be done in Franworth care
home such as incremental changes, transformational changes, remedial changes, continuous
changes and planned changes. Such kinds of change be measure on the criteria of research
survey. The fundamental aspects for survey could be through questionnaires, descriptive
research survey, evaluation, casual explanation and many others (Fishbein and et.al., 2016).
Crucial information and data can be gathered through perspectives like beliefs, opinions
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behaviours and attitudes of individuals by asking them questions regarding how do they like the
recent services which is being delivered to them. Cost, trust and rewards of individuals must be
consider during analysis of modifications through surveys. In addition to this, sampling theory is
also an strategy for reviewing recent changes in respective organisation. Taking feedbacks from
service users is also an effective strategy as they are affected through modification within the
premises and management of organisation (Buse and et.al., 2018). Self evaluation is also a
process for measuring the effectiveness of changes. It can be done until the accomplishment of
satisfaction. Thus, these changes will help respective organisation to enhance their service
quality and to bring customer satisfaction. IT will help them to acquire target gaols and
objectives. It will also benefit their service users by improving quality of life and gaining best
possible treatment by not compromising their needs.
2.2 Evaluate the effect of current changes on social and healthcare services against a standard
criteria.
It is very essential to evaluate current modifications in Franworth care home against a set
criteria in respect to staff and customer satisfaction. Modifications in the organisation will effect
on both service providers and their patients. It will develop a trust between organisation and
service users which is based on the constant improvement in their services. In addition, it is very
essential for respective organisation to measure the effectiveness of occurrent which has
implemented. For this, organisation can utilize CQC guidelines as a standard or a set criteria and
can measure their operations against this (Maibach, 2019). This stands for care quality
commission which is a government body in UK which is developed to inspect and regulate
social and healthcare practices in organisation is very necessary for the organisations to comply
with their guidelines for offering a better quality of clinical practices to their patients. Some of
the fundamental standards of CQC are discussed here.
 Service providers must deliver person-centred care and should consider requirements of
patients.
 Patients should be treated with all dignity and respect and each and every patient must be
treated equally without any discrimination.
 Organisations should provide food and drinks to the patients in order to ensure their good
health conditions.
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Thus, it is very essential for the respective organisation to analyse the effects of their
modifications in context with such guidelines that bring customer satisfaction and provide them
high quality of care.
2.3 Measure the effects of current changes in medical services.
Modifications within organisation has a vast effect on its services as well as stakeholders
like service users, staff members and many others. These impacts could be positive of negative.
Thus, it is very important to evaluate such impacts (Surr and et.al., 2017). Service users of
Franworth care will have some doubts in adjusting to new environment but eventually they will
adapt the scenario. However, it is necessary that each change should have positive impact on
outcomes of the care services. Total effect of modifications within the organisation can be cost-
benefit, efficiency of staff members, case completion, improvement in waiting and response
time and referral rates. Efficiency within organisation will bring accuracy and safety in clinical
practices of service providers. Organisational efficiency basically link to utilization of resources
in order to acquire best possible results. Thus, any organisation who enhance their resources in
production without ant kind of waste is known as efficient organisation. Changes in the
organisation is said to be fruitful and beneficial service users as totally different temperament as
well as introduction of technology will help them to lead a improved quality of life. Impact can
also be measure through conducting surveys, interviews and questionnaire for getting feedback
of service users and their relatives. Change is also beneficial fr staff members and workers as
they found some opportunities in improving their clinical skills by means of training an
development program being provided in organisation. Introduction to technology reduce work
load for staff members and eliminate their manual work which eventually brings efficiency in
their work.
2.4 Determine suitable service reactions for current changes in social and healthcare
organisations.
Reactions to modifications in organisation who are going through modifications
important to manage change. One such way for responding to change in a positive way is
through training of staff members. Impact of training in healthcare sectors is very effective as
training is very essential for developing specialisation in different areas. Process of training and
development needs to be constant during implementation of change. For understanding the effect
of training program it is necessary to evaluate the overall skills and knowledge of service
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providers. It can be conducted through testing, rating and interviews (Redmond, 2017). It is
important for respective organisation to ensure that proper communication is going on within the
premises so that staff members could be able to understand the importance of training. As
healthcare organisations include a broad range of technical fields therefore it is very important
to provide appropriate training program to healthcare professionals. Management of respective
organisation is required to consider leadership quality for facilitating change. It is important in
context with providing assistance to staff members for working in an efficient manner and to
smoothly adapt changes.
PART 3
3.1 Determine the main aspects of change management.
Management of change can be define as a procedure to deal with modifications and
transformations of goals, operations and technologies of an organisational main focus of change
management is to implement strategies for regulating change, effecting change and help
individuals to adapt with change (Moss, 2017). Changes are made in Franworth care home for
improving the quality of their services and eliminating the chances of risks and to provide high
quality of service to their patients. However, changes made in the organisation can be managed
through implementation of some frameworks and models. Such models for managing change are
discussed here.
Kotter’s 8 step Model of Change-
John Kotter who was a change management and leadership professor introduce a eight
step change model in 1955. He states that change projects do not get success as their victory is
declare very prior to the project. Steps of the model are discussed as follows: Create urgency: This step consist of creating a feeling of urgency among service users of
the organisation in order to motivate them for acquiring target goals and objectives. Build the team: This step is majorly associated with involving right candidates in the
team by determining a mixture of commitment, knowledge and skills. Developing a vision: This phase is linked with developing a correct vision by considering
emotional connect, creativity and objectives. Communicate: It is important to communicate with individuals of organisation regarding
change and it is an important element of change management.
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 Eliminating obstacles: In order to run task of organisation in a smooth manner it is
important to remove all hurdles and implement a feedback (Barton and et.al., 2016). Focus on short term gaols: Diving the gaol into smaller sections and then put emphasis
on achieving success is an important strategy. Do not give up: It is important for organisations for not giving up which process of
change management is going on.
 Implement change: Along with managing change in an effective way it is also important
to render it and then make it a part of work environment.
McKinsey’s 7S
It is also an effective model for managing change in the organisation (Pranka, 2018). It is
a framework for organisational effectiveness which states that there are seven internal factors of
a company which is need to be aligned and render in order to be successful. Seven elements of
model are discussed here.
 Strategy: It is a plan for organisation fro developing and maintaining a competitive
advantage over their rivalries.
 Structure: It is a way of arrangement and organisation of company.
 System: They are the daily activities and tasks that is use by staff members for getting
things done.
 Shared values: They are the crucial values of organisation as shown in its general and
cooperate work.
 Style: It is a way or style adopted by leadership.
 Staff: They are the employees and general capabilities.
 Skills: They are the competencies and abilities of employees within an organisation.
3.2 Determine how modifications are planned in social and healthcare services.
It is very necessary to develop a proper plan in order to implement change in the
organisation. Once leaders and managers of Franwoth care home decide to implement change, it
is important to develop a step by step process for acquiring target objectives (Blake and Lloyd,
2019). Change planning needs to consider eight step process for successful implementation.
Steps for planning for change are discussed as follows:
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 Recognise need for change: this particular step can be develop at top management of the
organisation or may be in marginal sections of the organisation. Change may occur due to
external or internal forces.
 Develop goals for change: It is important to determine the necessity fro change. For this
step, opportunities and problems are needed to measure properly (Vasculitis and et.al.,
2017). Then change is defined in terms of structure, culture, technology as well as
products.
 Select a change agent: It is an individual who is responsible for taking the risk of
applying changes (Georgeff, 2018). It is important for change agent to alert with the
operations, supportive and should be exposed to good ideas.
 Diagnoses of current situation: It is important fro change agent to analyse current
situation of the culture for helping employees to adapt with the change by showing
negative consequence of present situation.
 Select a method: Mangers of the organisation is required to select best ,method for
implementing change by communication with other stakeholders.
 Develop a plan: This step requires implementation of plan. Plan note particular
activities and events which are require to be apply to bring the change.
 Implement plan: Mangers can implement these change as per the plan by providing
materials, developing competencies as well as new skills and rendering new behaviours.
3.3 Determine how to evaluate current changes in medical sectors.
It is necessary to monitor recent changes which has been implemented in healthcare
sector in order to ensure the safety of patient and enhance the quality of services. First thing is to
ensure that the plan which has been developed is to manage risks factors in the organisation. It is
important for healthcare professionals of Franworth care home to regularly evaluate health
conditions of their patients in order to measure the effectiveness of change implementation.
Other important aspect is to ask with their service users regarding how they are liking the new
environment. Leaders of the organisation can measure efficiency of stakeholders and healthcare
professionals in order to monitor the effectiveness of change winch has been implemented
(Challis and et.al., 2018). Taking assessment of the employees is also an important aspect to
measure change in the organisation. Identifying improvement in lifestyle of service users is also
an effective way to monitor the impact of recent changes.
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CONCLUSION
It can be concluded from the above report that, change the most crucial factor in social
and healthcare organisations as it is a constant procedure which ensure continuous improvement
in clinical services and delivery of high quality of treatment to patients. Implementation of
changes need to focus on several aspects, problems and strategies as well as benefits that are
linked with staff members, service users and workers of the organisation. Organisation needs to
properly implement such strategies by using models and plan of action within the organisation
and through regularly reviewing and monitoring recent changes which has been done by means
of assessment, feedbacks and may other methods.
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REFERENCES
Books and Journals
Thomas, P., 2017. Integrating Primary Healthcare: leading, managing, facilitating. CRC Press.
Willis, E., 2016. Patients’ self-efficacy within online health communities: facilitating chronic
disease self-management behaviors through peer education. Health communication.
31(3). pp.299-307.
Esses, V.M., and et.al., 2017. The global refugee crisis: Empirical evidence and policy
implications for improving public attitudes and facilitating refugee resettlement. Social
Issues and Policy Review. 11(1). pp.78-123.
Prakash, A. and Fodor, E., 2018. Systems and methods for facilitating integrated behavioral
support. U.S. Patent 9,990,471.
Upadhaya, N., and et.al., 2020. Mental health and psychosocial support services in primary
health care in Nepal: Perceived facilitating factors, barriers and strategies for
improvement. BMC psychiatry. 20(1).pp.1-13.
Fishbein, D.H., and et.al., 2016. The full translational spectrum of prevention science:
facilitating the transfer of knowledge to practices and policies that prevent behavioral
health problems.
Buse, C., and et.al., 2018. Conceptualising ‘materialities of care’: making visible mundane
material culture in health and social care contexts. Sociology of Health & Illness. 40(2).
pp.243-255.
Maibach, E., 2019. Increasing public awareness and facilitating behavior change: Two guiding
heuristics. Climate change and biodiversity.
Surr, C.A., and et.al., 2017. Effective dementia education and training for the health and social
care workforce: a systematic review of the literature. Review of educational research.
87(5). pp.966-1002.
Redmond, B., 2017. Reflection in action: Developing reflective practice in health and social
services. Routledge.
Moss, B., 2017. Communication skills in health and social care. Sage.
Barton, J., and et.al., 2016. Green exercise: Linking nature, health and well-being. Routledge.
Pranka, M., 2018. Biographical disruption and factors facilitating overcoming it. In SHS Web of
Conferences. (Vol. 51, p. 03007). EDP Sciences.
Blake, H. and Lloyd, S., 2019. Influencing organisational change in the NHS: lessons learned
from workplace wellness initiatives in practice.
Valaitis, R.K., and et.al., 2017. Implementation and maintenance of patient navigation programs
linking primary care with community-based health and social services: a scoping
literature review. BMC health services research. 17(1). p.116.
Georgeff, M.P., Precedence Health Care, 2018. Process for facilitating the management of care.
U.S. Patent 10,121,558.
Challis, D., and et.al., 2018. Community Care, secondary health care and care management.
Routledge.
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