Inter-Agency Working Report: Analysis of Healthcare Collaboration

This report delves into the concept of inter-agency working within the healthcare sector, emphasizing the collaborative efforts of multiple agencies to address complex issues. It begins with a detailed case study involving an elderly couple, Mary and Ted, highlighting the multifaceted factors influencing their situation, including emotional, cultural, ethical, health, social, and legal aspects. The report explores the formation of multidisciplinary teams and the crucial role of leadership, examining psychological, sociological, anthropological, and economic factors that impact team dynamics and effectiveness. It analyzes the cultural needs of the UK healthcare system and the importance of information sharing, addressing potential barriers and ethical considerations. Furthermore, the report identifies key agencies involved in inter-agency collaborations, such as hospital staff, technical staff, ambulance services, legal agencies, and government entities, and outlines the roles these teams play in ensuring patient care and confidentiality. The report concludes by reflecting on the challenges and benefits of inter-agency working, emphasizing the importance of effective communication, ethical practices, and patient-centered care in achieving optimal healthcare outcomes.

INTER-AGENCY
WORKING

Table of Contents
INTRODUCTION.....................................................................................................................................2
Question1..............................................................................................................................................3
Multi factors in case study.................................................................................................................3
Information sharing as cultural issue.................................................................................................6
Key agencies involved........................................................................................................................6
Attributes of an effective multi-disciplinary team..............................................................................8
Effect of leadership within the team..................................................................................................9
Skills of leader..................................................................................................................................10
Relevant models and concepts........................................................................................................10
Professionals code of ethics and standard.......................................................................................11
Question 3...........................................................................................................................................11
Reflection.........................................................................................................................................11
CONCLUSION.......................................................................................................................................12
REFERENCES.........................................................................................................................................12

INTRODUCTION
Interagency working is defined as more than one agency working together to solve
any issue or problem. Interagency working are conducted in multiple ways like multi
disciplinary, joint working, collaborations in many other ways (Sinha and et.al., 2018). In
United Kingdom all medical services are segregated into different agencies which requires
the collaborations or multi agencies involved in the health care services. Person cantered care
provide a specialised services to cure the individual in the best manner on the basis of the
needs and requirements of an individual. Whenever the multiple agencies engaged in any
case communication play an effective role to address the issue efficiently. Communication
also causes to a key barrier whenever multiple teams get involve with solving any medical
emergency. Multi disciplinary team also allows specialisation in medical services. Many
times patient needs special cure in the surveillance of specialist which are allotted to patient
through multi disciplinary services in medical. Multi disciplinary teams cover up all key areas
that facilitate the patient cure process in an efficient manner. This report would address all
different aspect associated with the fact that how culture and different cultural factors affect
over the health care sector. Legislation like The Health and Social Care Act 2012 are
associated with the health care sector in United Kingdom. While going along to entertain
health care services it becomes essential for the patient to overlook the package health care
organisation is granted to the patient against all the services would avail to the patient. This
report would cover up all different areas related to the case study of elderly lady called Mary
and her husband and also why the Mary’s husband seek medical support. This report would
further project the role of leadership in advancing the health care sector.
Question1.
Multi factors in case study
The case study on Marry has involved multiple factors that can be projected in the
following points.
Emotional factor: In the case study of Marry emotional factor played a crucial role. Due to
ths factor even after the urgency of medical assurance to Mary’s husband Ted she was not
ready to send him in health care centre (Mitchell and et.al., 2016). Emotional factor was

opposing Marry in sharing the information related to illness of her husband with the
respective stakeholders. She was emotional about her husband and also possessive that makes
it difficult for her to share this information with any of her relative due to fear of not being
together with her husband.
Cultural factor: Cultural factor has also involved in the case study. Cultural factor also drive
the fact where both husband and wife not like to live away from each other. Culture always
influenced Marry to stay with her husband even if her husband need medical surviliance.
Cultural factor was resisting the Marry to share the information of her husband to medical
team in order to cure her husband. She was not ready to share any personal information about
her and husband and she used to ted her husband which also create more fear in the brain of
Marry in respect to hsarring the information about her husband.
Ethical factor: In the case study ethical factor was also a part of it. Ethical factor
demonstrate that it was the ethical responsibility of Marry to treat her husband in health care
centre in the best way possible (Uitdewilligen and Waller, 2018). IT was totally unethical to
not to share information about the medical illness of her husband with the professionals. As
her husband needed imidiate medical support which can only posible once the Marry share
information with the health care officials.
Health care factor: Health care factor is also a part of this case study. In United Kingdom
health care system is very advanced which allows the human being to cure all the diseases
effectively (Bischoff and et.al., 2017). Mary’s husband was not well which required him to
cure in an appropriate manner. Marry's husband needed imidiate heralth care support that can
only be granted by sharring the relevenat information about the illness of hyer husband. She
was not ready to share any of the information that created a hurdle for her husband.
Social factor: Social factor is also a part of this case study. Different other elements like
driver, manager and other social elements also becomes part of this case study. Social factpor
denote to not share the personal information in fornt of other unknowns. Socila factor also
created a challenge for Marry in order to share information about the illness.
Legal factor: In this case study legal factor also entertained. This is the legal right of the
Mary’s husband Ted to get the medical assurance against the disease. As it was the right of
Ted to get medical support and the duty of marry to share information about the illness of her

husband. On the basis of the information given by manager Gill assistant team started taking
care of Ted as he holds a legal right to cure against the medical issues he is facing.
The above mentioned elements are the key factors involved in the case study.
Formation of multi disciplinary and leadership
Formation of multi disciplinary and leadership can be entertained with the following
areas. All these aspects can be covered effectively in order to form multi disciplinary and
leadership.
Psychology factor: In order to form multi disciplinary team and leadership it becomes
essential to cover different elements associated with the psychological factor. Elements like
motivation of team members, perspectives, attitude, personality development of team
members, work management, stress management and other associated elements (Tengberg,
and et.al., 2017). Psychological factor also drive to not to share any personal information of
the patient Ted and Marry the wife of patient. IN the present case study Marry was afraid that
medical team would not deal effectively with the psychology factor which also resisted in her
mind to inform the medical professionals about the illness of her husband.
Sociology factor: In sociology elements like team dynamics, roles, socialization,
communication patterns, organisational power and other associated elements are discussed.
All these factors put a huge impact over the growth and success of multi disciplinary and
discipline (Akchayev, 2020). Medical team requires to maintain the sociology factor while
treating Ted. IN the case study even if Marry did not informa the medical staff she contain
rights to know the health development of her husband.
Anthropology factor: Anthology is one more crucial element that supports the multi
disciplinary and leadership to deliver the best results. This involve elements like corporate
culture, organisational rituals and cross cultural dynamics (Shachar and et.al., 2017). In
medical situation team and professionals also must cope up with the respective anthropology
factor. One of the key reason behind Marry did not informa the medical care centre was that
she was also afraid from hospital process to discloise the informatioon of patient and family
member. This factor make the hospital and care centre opposs to not reveal any of the
information about the patient and family members.

Economics factor: Economic factor involve decision making, negotiation and power related
elements. All these factors play a key role for the formation of multi disciplinary and
disciplinary aspects. Marry was not much financially stable which also opposed her to contact
with the medical professionals to cure her husband. This factor would support the poor
people like Marry in form of economic support to cure the diseases they are suffering from.
The above mentioned points are the key elements and factors associated with the
multi disciplinary formation and leadership in health care sector.
Cultural need of UK
United Kingdom has a well diversified culture in society. People from all religious
values exist in Unite Kingdom like Hindu, Muslim, Buddhist, Christian and different other
religion. In health care sector not any differentiation exists on the ground of religion. On the
basis of the skills and education professionals becomes part of the health care sector but not
on the ground of religion (Amiram and et.al., 2018). Health care is a basic need of an
individual and it is not associated with the religious values and beliefs. I United Kingdom
people belongs to all religious values becomes part of the sector. The health care sector does
not differentiate in its human resources on the ground of the religion of employee.
Information sharing as cultural issue
In health care sector information is a very prominent thing that needs to be shared by
the patient and family members to the health care professionals. In order to cure properly
being a patient it becomes crucial to reveal the entire information to doctor and other health
care professionals so that they can overlook properly in order to cure the patient. All the
information relevant to the cure process and disease must be shared with the professionals
involved in the treatment of patient. Doctors and professionals in health care treat patient on
the basis of the information patient provide to such peoples. Professionals look at the disease
based on the information patient grant to such professionals (Marr, Seasman and Bishop,
2017). In the treatment process doctor and professionals take the information in the
professional manner and note down all the information patient provide to them. It is also
important that patient provide the fair information to the professionals and also not to grant
any acess to any other individual in the health care centre. This is also the responsibility of
the hospital management to not to disclose the personal information of patient to any other
individual who are not associated with the patient. Hospital staff must ensure that data and
records of patients are properly protected by hospital management and staff. Staff like

support worker, support staff should not know the personal information of patient. It is
essentials that support worker and staff must only aware in respect to the necessary
information related to the patient that can guide them in fulfilling the overall responsibility
they carry. In case of breaching i the privacy of the patient than possible actions will be taken
against the hospital management as per the guidelines of the data protection act. Information
in health care sector is also taken to keep the record of the health history of the patient. This
is important in context to the future treatments of patient.
Key agencies involved
Various agencies involved in case of creation of multi disciplinary.
Hospital staff: Hospital staff would become a part of the multi disciplinary creation. Health
workers like doctors, nurses and many others would become a part of the creation of multi
disciplinary creation (Sood, McGurk and Vaz, 2016). Doctor, nurses would be engaged in
treating patients under multi disciplinary aspect.
Technical staff: Technical staff would also be involved to maintain the machinery of system.
Various machineries are also installed to check the patient health which is maintained by the
technical team.
Ambulance services: To transport patient from one location to another ambulance team
serve to patient. They play a key role in transporting patient from one location to other
locations.
Legal agencies: Legal agencies are also engaged to ensure the protection of all the rights
patients are allotted by the legal structure of United Kingdom (Bishop and et.al., 2017). They
ensure the protection of all regulations in favour of patients.
Government: Government also gets involve in creation of multi disciplinary. Government
are the key stakeholder associated with every functional activity.
The above mentioned agencies are the key agencies involved in creation of multi
disciplinary.
Role of team
Teams play the following role.

Not reveal the information of patient: This ios the role of team to not to disclose any
personal information about the patient and famile members. This is also a legal boundation
over the hospitals and health care organisation to not to disclose any of the persoanl
information about the patient without the personal consent of the patient and family members.
Marry was afraid of lossing the information if they go to medical care centre that also became
teh reason why she did not informa about her husband medical illness.
Mental health: The hospital staff requires to control the mental health of the Marr’s
husband. Mental health plays a crucial impact over the overall results of the treatment. In
case of cure process mental health is needed to be positive for both patients and the family
members (Montesi and et.al., 2016). Marry was also not mentallky well as share was
suffering from anxiety and depression which also opposed her to cure her husband disease.
Integrated working: The health care process is an integrated practice. Multiple agencies are
involved in the case so that patient can get the proper treatment (Kock and et.al., 2018). The
process requires various teams to involve so that proper treatment can be granted to the
patient.
Ageing care: Team also need to take control of ageing care of patient. This influence the
entire cure process of patient. Team take care of the ageing effect of the patient while treating
the patient. Ageing care is also the need of Marry as her husband was old with requires
dpecial support in form of ageing care.
Counsellor: Counsellor is a significant part of the team. Counsellor consults the patient about
the entire cure process. He suggest the treatment, medicines and all other aspects of the cure
process (Tosserams and et.al., 2020). Counsellor involves therapist, doctor and many other
individuals that can guide the Marry and her husband about the right medical direction in
order to cure the disease.
The above mentioned points indicate about the key role teams paly in order to
cure the patient.
Type of professional contact with
Different contacts are also signed by the patient. Contacts like health care contract,
package, insurance and many other contracts are also becomes part of the health care

treatment (Siddiqu and et.al., 2017). All these contracts get involved in the cure process to
give the perfect treatment to the patient.
QUESTION 2
Attributes of an effective multi-disciplinary team
A multi-disciplinary team should always have different positive attributes for
providing their services in very effective manner. In the case of Mary and Ted, this team was
shown its different attributes while working in the well-being of this couple (Graefand Sieber,
2018). Basically, Ted has dementia and that’s why he is highly required proper care, so the
multi-disciplinary team have to develop its care attributes theory in order to take care of Ted.
The leader of team should follow the theory of situational leaders to handle current
emergency situation of Ted in proper manner. Some key attributes of multi-disciplinary team
have been discussed which it used in existing situation of Mary and Ted.
Humanistic: The humanistic is the first main or prime attribute of this team, because in this
situation the main objective of team is to provide proper healthcare support to Ted by
providing them dementia care package. This attribute is basically showing the positive image
of this team. Due to having humanistic attribute, team was motivated to change the mindset
of Mary, because currently she is doing well for her husband Ted. This attribute indirectly
has provided basic healthcare right to Ted.
Helpful: In this dynamic world, people only think about themselves, and only few people
exist in market place who really wants to work in the welfare of society. In this situation, the
multi-disciplinary team has taken decision for providing an effective health care support to
Mary and her husband Ted without the aim of gaining any benefit.
Punctual: The team is very punctual in its existing job role, because when the team got the
message of volunteer through the manager, on that time this team has taken quick action of
this matter (Craig,Reay and Nakarada-Kordic, 2019). Team timely reached at the house of
Mary and Ted for providing them proper healthcare support after knowing their current
situation. This attribute of team is very excellent and appreciable, because a multi-
disciplinary team always required to provide healthcare support to people on time.

Effect of leadership within the team
Leadership mostly affects a team in very positive way, so that in the case of Mary and
Ted, the leader of the heath service team has encouraged to its different team members for
visiting the house Mary to know the actual condition of her husband Ted. This quality of
team leader projects on thing that, existing leader of this heath service of this team has an
effective leadership skill (Santosand et.al., 2017). On the other side, most members of this
team have well-developed interaction values as well because of having an effective leader.
Basically, when this team has visited at the Mary’s house, then members has interacted with
couple in very proper manner, and that’s why they become capable provide the health care
support to this couple.
Existing team leaders has proper knowledge about the impact of dementia, and that’s
why leader of this team has taken quick decision for visiting Ted’s house with its team.
Ethically, health care team and health service provider always has required to provide
different healthcare services on time when people really want their help (Diadjeng,Suhariadi
and Damayanti, 2018). In this current situation, leader of multi-disciplinary team has taken
quick decision for visiting in the couple’s house to provide them proper support relating to
healthcare on time. Each team should always have an effective team leader, because this type
of leaders mostly provides proper guidance to its different member about how to handle
different healthcare situations.
In the current scenario, team leader has to choose transformational leadership style or
approach, because this approach will be enabled to leader for transfer its style or attribute
according to various situations. For example; currently leader has required to properly
communicate with Mary to convince her for providing proper healthcare support to her
husband. Currently behaviour of Mary for her husband is not ethical, so this leadership
approach helps to existing team leader for encouraging her to change her behaviour and
perception to get better condition of Ted.
Skills of leader
There are different skills and abilities has used by the team leader of healthcare
service for supporting the team as well as Mary’s husband Ted.
Skills of emotional intelligence: Currently the team leader has effective skills of emotional
intelligence. These skills basically help to this leader for understanding the actual condition
of any patient (Frost,2017). For example; in the case of Mary and Ted, existing leader of

health service automatically got that, this couple has really required dementia care package,
otherwise, they will be faced harm or hurt. That’s why these skills are productive for this
team leader.
Communication skills: The leader within local health service team has well-developed
communication skills as well, because when its team has visited in the house of Ted, then the
leader and its team has interacted with couple in very proper manner. Without support of
these skills, leaders were able to offer excellent services to Ted by providing proper guidance
to its team members.
Social skill: The leader has social skill as well that motivates in working in the welfare of
society. Currently Ted is also a part of society, so leader has helped to him by using this
social skill. This skill has motivated to various team leader to convince Ted’s wife to get
proper care support.
Spiritual skill: Leader’s spiritual skill is also too excellent that encourages leader for helping
people by heart. This skill motivate leader for giving higher priority to people’s health in
personal life. This skill has enabled to leader for encouraging its team to timely visit in the
house of couple to help them in current condition.
Cognitive skill: This another major skill that has enabled to leader of multi-disciplinary team
to give proper instructions to various team members to support Ted. Then it has suggested to
team for providing dementia care package to Ted for overcome dementia health issue.
Relevant models and concepts
Mary's case is completely linked with Sweden's care model, because according to the
Swedish care model, everyone has equal right to achieve proper medical care. This model is
basically applicable in Sweden that is based on the fundamental principles which show the
equal worth of each person (Stahland et.al., 2019). However, many countries take learning
from this Sweden care model. For example; the leader of healthcare team has followed this
model while providing the health care support Ted and Mary. According to this model,
existing couple also has full right to take proper health care support. However, Mary was
avoided to take this support from team, but the team has played an excellent role by giving
them dementia care package. Currently Mary’s behaviour is completely against the Sweden
care model, because she not wants to provide care support her husband by admitting him in
nursing home. Ted has full right to take care support, but his wife is violating this right by

avoiding to admit her husband in nursing home. So, she needs to change own current
negative mindset and perception, and also needs to get motivated to provide healthcare
support to husband.
Professionals code of ethics and standard
Multi-disciplinary team was completely followed ethics and standard in the case of
Mary and Ted, because they have reached on time to communicate with this couple. On the
other side, they forced to provide dementia care package to couple in the terms of their well-
being, because on that time, Mary said to Ted that, team will put us in a nursing home, I
would rather die.So, this reaction of Mary was not favourable for her husband, because
according to current situation he is highly required an appropriate healthcare support from
any healthcare team or health service provider (Allison and Kolonay, 2018). Existing team
has shown its higher standard of healthcare in the case of this couple, because taking quick
action on this type of cases is really necessary to remove issue of any casualty.
Decisions of manager Gill, which he was taken to support Marry helped her for
overcome that situation. He has fulfilled its responsibility in very proper manner by
formulating an effective teamwork. He faced different barriers and challenges also while
providing healthcare service to Ted, like; conflicts between team members due to different
background, improper time management etc. But he used its excellent managerial skills to
provide proper health care support Ted and his wife Mary. He has provided “dementia care
package” to Ted for overcome this dementia healthcare issue.
Principles of care ethics
Autonomy: A person has fully right to take proper healthcare services, so that different
healthcare professionals have to fulfil their obligation of supporting people who are suffering
form any health care issues. In the case of Mary and Ted, team have to support them, because
this is their prime duty of obligation.
Non-Maleficence: In the current scenario, various workers of team was tried to avoid
different negative factors while supporting this couple, like, harm, abuse and discrimination.
They have judged Ted only as dementia patient. So, this is really good thing in current case
of Ted and Mary.

Beneficence: A healthcare professional should always be capable for adding some positive
value in lives of patients, in which all members of healthcare service team was properly
helped to Mary and Ted, by providing them the “dementia care package”.
Justice: Ted is suffering from dementia, but his wife not agree to provide proper healthcare
support to her husband, so basically this action of Mary is completely against the social
justice, so that care support leader and its team has provided justice to Ted by helping him in
his current condition.
Question 3
Kolb's Reflection Model
Concrete experience: I learnt various aspects related to culture during the entire experience
if this project. I experienced that the entire experience of this project have improved my
knowledge about diffferent element that influence the information sharing of patient in
medical care process. I have exp[erienced that different elements such as mental stability of
relatives of patient, mentality and different other elements.
Reflective observation: I have observed that all different elements such as mentality,
education, income and all such elements influence the decision of family members and
patient in order to cure the disease. I have observed that economic support is among the
major support patient and his family members seek against the cure process.
Abstract conceptualisation: I can conclude that this learning would further support me in
understanmding the mentality of patient and his family members in order to cure the disease.
I also identiifed the dsigniifcance of information hsarring in order to cure the disease. IT
becoxmes essantial in medical condition to reveal the information as it is needed to cure the
disease. All different stakeholders such as health care workers, doctors and other associatde
stakeholders play a key role in promoting health care of patient.
Active experimentation: In future I can plan to implement better resources for adressing any
project. I had a shortage of resources taht also affected the outcome of this project. Resouyrce
management was a priortise aspect in conducting the project next time.

CONCLUSION
On the basic of above findings, it can be concluded that Mary’s husband Ted is really
suffering from the dementia, but his wife doesn’t want to take him for any healthcare service
centre, because she highly scared to leave her husband in the nursing home or care centre.
However, a local healthcare service team got this matter through a volunteer, and then the
leader of this team order team for reaching this couple to know their actual health issues.
Then, this team has provided dementia care package for helping him to overcome this issue
of health. The Sweden’s care models is relating with this Mary’s case.
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