Assessing Healthcare Quality: Legislation, Policy, and Impact Essay

This essay explores the multifaceted aspects of healthcare quality management. It begins by defining healthcare, emphasizing the importance of quality, and introducing key concepts like the six aims of the healthcare system. The essay then assesses the impact of legislation and policy, such as the Care Act 2014, and regulatory bodies like the CQC, on measuring and monitoring quality. It compares different legislative and statutory requirements using theories like Total Quality Management (TQM), Continuous Quality Improvement (CQI), PDSA, and Six Sigma. Furthermore, the essay critically discusses how processes for measuring, monitoring, and improving quality affect working practices in care settings, highlighting standards like corporate leadership and effective communication. The essay also critically assesses the impact of external quality standards and explores the importance of promoting diversity, difference, and inclusive practices. It emphasizes patient and staff safety, hygiene, and the need for a clean healthcare environment to reduce risks and improve outcomes. Finally, the essay discusses the impact of improving quality on different individuals and the need for a holistic approach involving all stakeholders to enhance service provision.

RUNNING HEAD: HEALTHCARE 0
Healthcare essay March 23
2020

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Introduction
"Healthcare system has delayed in recognizing the contribution that the theory and practice of
improvement in quality can deliver batter value care."
Healthcare is a giant business with a humble explanation. Individuals in this pitch grind to
support people to get fit and stay healthy. People that find science and knowledge attractive or
just simply want to help people choose healthcare as there career. Doctors and nurses are best-
known medical professionals (Glanz, 2011). A minority of logical outlines for quality assessment
have directed measure expansion initiatives in the public and private sectors. The most
significant is the framework put out by the Institute of Medicine includes six aims for the health
care system. Medical professionals try to avoid damage and injuries to patients while taking care.
Providing facilities created on scientific facts to all who could benefit and refraining from
providing services to those not likely to benefit. One of the dimensions is providing maintenance
that is humble of and responsive to patient needs and values. Another is ensuring that patient
morals attendant all clinical decisions. It is essential to reduce delays for both who receive and
those who provide care. One of the most essential dimensions is providing care that does not
differ in value because of personal features such as gender, geographic location, and
socioeconomic position.
LO1 Assess the impact legislation and policy has on measuring and monitoring quality of
practice in health and social care
The Care Act 2014 circles out in local authorities’ duties in relation to evaluating people’s needs
and their eligibility for publicly funded care and support. Under this act native authorities that
carry out a calculation of anyone that appears to require care and support, regardless of their
likely eligibility for state-funded care focus the assessment on the person’s needs and how they
impact on their wellbeing, and the outcomes they want to achieve involve the person in the
calculation. This act expresses to provide access to an independent advocate to support the
person’s involvement in the valuation if required consider other things besides care services that
can contribute to the desired results.

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CQC is a self-governing steady of fitness care and communal care in England. There are several
reports provided by the care worth commission to understand the consequence of worth in the
fitness care and communal care setting. CQC states everybody has the right to accept safe and
high-worth care. If by any chance fitness care and communal care setting fail in providing worth
care than CQC takes power actions against the responsible ones. CQC takes action against the
fitness care and communal care setting that does not even try to improve their worth of services.
P1 Compare how different legislative and statutory requirements are taken into account in
measuring and monitoring quality in health and social care using different theories and
approaches
Total quality management is a worth oriented philosophy to benefit fitness care setting. TQM is
based on three principles that are continuous quality improvement (CQI), customer focus, and
teamwork. CQI involves shortening a procedure or a task and continually enhancing the process
of the system. TQM and CQI can benefit the overall worth enhancement of the fitness care
setting. While using CQI principle states making continuous efforts in the worth enhancement in
healthcare workstation benefit in overall growth.
A simple method of enhancing the quality of the healthcare workstation is PDSA. PDSA is "plan
do study act". This improves the superiority of projects and studies that were made for bringing a
positive change in healthcare workplaces. This process has been widely accepted by the
healthcare system. One unique element of this model is its cyclical nature of impacting and
evaluating change. The purpose of PDSA is to advance the quality of efforts because that will
improve the quality of the healthcare system (Leis, 2017).
Another interesting method of improving a healthcare workplace worth is six-sigma. Six-sigma
was primarily intended as a commercial strategy that includes refining, planning, and
monitoring, procedure to diminish or eliminate waste while enhancing satisfaction and increasing
monetary stability. This technique helps in measuring the process of capability and the
improvements by comparing the base plan with the efforts. This method also provides the
potential solution for an issue. There are dual chief methods used in six-sigma. One technique
examines the procedure consequence and analyses the flaws rate. The second technique uses
estimates of process variation to forecast if the change is accepted by healthcare workers or
people.

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M1 Critically discuss how processes for measuring, monitoring and improving quality of
practice have an impact on ways of working in a care setting
Few quality standards that I have recognized in my health maintenance and social care are
corporate leadership, active care, manageable and responsive services, defending and promoting
health and social wellbeing, and effective communication. Also, the main objective that was
recognized in fitness care and social care was duty of quality.
Healthcare settings workplace should take care of cleanliness and should take safety measures.
Not just health care practitioners or professionals, it is essential to keep the health maintenance
and social care clean for patients or visitors as well. Health maintenance and social care settings
involve biological hazards, drug exposure, waste gas contact, breathing hazards, ergonomic
dangers, and risk of getting infected from the patients present at the health maintenance and
social care. Maintaining perfect hygiene in wellbeing maintenance and community care is
essential for both patients or visitors and medical students or professionals. To progress the
safety it is essential to learn about the care system and how to decrease the errors in the
management plan. Healthcare is one of the growing parts because every day there are new
challenges for the medical experts. Nursing is the major occupation within the business. Nurses
are the most essential part of the healthcare sector. They take care of the patient directly and help
the doctors as well in taking care of the patients. Creating a safe and quality healthcare
environment is essential (Ingham-Broomfield, 2014).
D1 Critically assess the impact of a current set of external quality standards on systems
and working practice in a care setting, over a defined period
There are also theories available to change the healthcare workplace in a safe place. The most
available theories and models are based on improving the quality of the workplace. Another
essential method is to practice workplace cleaning and hamper the change. Healthcare workplace
workers need to implement changes systematically to expand the quality of the healthcare
workstation. This approach should be followed mutually by the medical professionals and the
people that visit the healthcare workplace. People that visit healthcare workplaces should behave
in a certain manner when they at a healthcare workplace. Visitors must understand the
significance of keeping the hospitals clean for the next visitors and people working in the
healthcare workplace. To ensure the implementation to be successful the entire group of

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healthcare workers and professionals needs to promote the change so that every person visiting
would know the seriousness of the change. A clean healthcare workplace will keep all safe the
patients, workers, and visitors. Successful implementation often requires a sequential approach
with resolving different problems that come in the way. For a healthcare workplace to have
positive vibes it is essential to keep in clean. A clean healthcare workplace lowers the stress and
fatigue in the patients and they feel comfortable in the healthcare workplace. A clean hospital
reduces allergy and infection risks and improves the quality of the healthcare workplace. A clean
healthcare workplace will keep the pests and viruses away in those ways patients will recover
faster in the absence of viruses (Brereton et al., 2012). Improved quality of healthcare workplace
will also help in-country development. If the population of the country is safe and healthy than
the country will automatically grow as a whole. Maintenance of hygiene and cleanliness at the
workplace increases the germs fighting power (Al-Abri, 2014). Cleaning the healthcare
workplace once will not help the workers need to clean the hospitals frequently.
LO2 Discuss the impact that improving quality has on different individuals in a care
setting
It is significant to understand the seriousness involved in fitness maintenance and community
care quality. A safe and secure health maintenance and social care should ensure patient safety
and the individual’s safety that are taking care of the patients. It is essential to keep nurses safety
as a priority because they are the ones who take care of the patient without thinking about
themselves. In today's environment where people have a weak immune system, it is easy for
those to catch the infection very easily. Health maintenance and social cares should be upheld
properly for medical students or professionals and patients or visitors' safety. Few basic steps can
help maintain the health maintenance and social care. Healthcare workplace staff needs to
dispose of the waste properly so that workplace visitors or patients are not exposed to unwanted
germs (Madhukumar & Ramesh, 2012).
P2 Discuss the importance of promoting diversity, difference and inclusive practices in a
care setting
Equality is about ensuring that all service users can access the same chances irrespective of
lifestyle, ability or background. Diversity is about demonstrating respect for individual beliefs,

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values, cultures and lifestyles and appreciating difference. The first most important standard of
health care and communal care setting is to satisfy the patients that are involved with the health
care and communal care setting.
Healthcare workplace crossways the countries face problems. Problems such as clinical
variations, preventable medical errors, exposure to infections, delay inpatient discharge, and
sometimes dwindling cash flow. Health maintenance and social cares should have consistency
and determination to manage all these issues. Healthcare systems need to work in specific fields
to advance the quality of the workstation.
P3 Discuss the importance of safeguarding different service users towards improving
quality in a care setting
Patients or visitors that visit health maintenance and social care should behave responsibly and
adopt all the necessary measures that will keep them safe. It is essential to maintain cleanliness
in the healthcare workplace and cooperate with healthcare professionals and workers. Health
maintenance and social care workers can explain basic guidelines to the people entering the
workplace to keep them aware of germs or drug exposure. Also, keep them aware of the fact that
kids are strictly not allowed in the health maintenance and social maintenance. Healthcare
professionals and workers should always take basic safety measures to avoid getting caught by
the infection. In healthcare centres, there is always a machine present that is mainly used for
diagnosing any kind of illness. The medical professionals and workers need to use them with
care and keep the visitors and kids away from it. For example, x-ray machine rays are not safe it
becomes vital for the fitness maintenance and social care team to look after the matter.
M2 Review the practical impact on a care setting of the requirement to meet different
stakeholders’ needs in working to improve the quality of service provision
One of the basic steps to maintain healthcare workplace safety is to eliminate potential hazards
(Vincent et al., 2014). It is essential to keep the workplace free from physical and chemical
hazards. Workers should make sure that rules and regulations related to hazards are being
followed. Sometimes there are chances that chemicals or drugs present in the healthcare
workplace might get stolen for illegal practicing. Healthcare workplace workers need to manage
things properly to avoid hazardous situations (Popendorf, 2019). It is a mutual duty to maintain
and improve the quality of the healthcare workplace. A theory can be defined as a system of

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ideas held as an explanation of a group of facts. There are different theories available to
understand a specific topic. Impact theories state hypotheses and assumptions about particular
involvement and simplify a change. The supreme model for change in health care would
encompass both types of theories. Theories develop an understanding of a particular topic. To
understand a theory people undertake methods. There are specific theories that help in
maintaining the quality of the healthcare workplace.
One of the basic and essential theories is hand hygiene theory. The main priority of every
healthcare workplace is to reduce the amount of healthcare workplace infections (Pittet et al.,
2011). Infection is an illness when one person's germs or illness are transferred to another due to
exposure to germs. Such infection or illness is estimated to affect about one in eleven patients in
the United Kingdom. The patients that were to be discharged early had to stay for a bit longer
because of the exposure to the germs. Fifteen and thirty per cent of such infections are measured
to be preventable, individually by better hand washing and distancing oneself from the medical
professionals and avoid contact with the patients. It is also essential to sanitize hands before and
after entering a healthcare workplace. The significance of hand hygiene has been recognized
since the mid-1800. Ignaz Semmelweis found out that hand cleansing reduced illness in obstetric
departments (WHO, 2010). After this study, much evidence has been found regarding the
significance of good hand hygiene. It is essential to create a safe working environment for the
medical staff. People who visit healthcare working place should understand the significance of
cleaning their hands before entering the healthcare workplace. Also, medical professionals
should keep their hands clean as well so that when they touch someone there are no germs
present in hands. Although many hospitals promote hand hygiene but just promoting would not
help healthcare workers have to make sure if someone is entering or exiting from the healthcare
workplace they have properly washed or sanitized their hand (Erasmus, 2010). If the hand is not
properly washed or sanitized than it can create eye infections or serious stomach infections.
Humans always touch their faces with hands and that can spread the germs. It is essential to keep
hands clean to avoid hazardous situations. People that are working in or have visited a healthcare
workplace should refrain oneself from touching their eyes and face to avoid infection.

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D2 Evaluate the involvement of service users, their families, staff and the community in
quality improvement measures in care settings
The internal and external stakeholders of health maintenance and social cares are board members
of a healthcare setting, staff members, volunteers, and donors. External stakeholders are the
clients, patients, and unrestricted members like a community. Health maintenance and social
cares involve this category of people that will be directly affected after any big decision is made
(Farooq, 2017).
It is a mutual responsibility of the people and healthcare professionals to maintain and increase
the quality of the healthcare workstation. There is a combination of things that needs to be
undertaken. Healthcare workplace should maintain and improve the health measures, decrease
the cost of cure, and expand the access to the people that are in need (Buntin et al., 2011).
Quality in healthcare services and delivery cannot be defined simply. Quality upgrading in
healthcare is a systematic method. The people involved in this system are healthcare
professionals, workers, practitioners, patients, and the remaining population. All the groups of
people involved in this industry are essential (Becker, 2014). To provide proper care to all the
people involved it is essential to improve and maintain the quality of healthcare workplace.
Healthcare professionals, patients, the rest population and respective governments of the country
have to all team up and improve the quality of the healthcare workplace. Enhancing the quality
of the healthcare workplace will improve the quality of lifestyle of the people as well. There will
be fewer illnesses in people and the country. If fewer people get ill the working will not get
disturbed and the country will grow economically.
Keeping the healthcare environment clean is just one thing. It is essential to keep the healthcare
workplace safe from hazardous situations as well. The hospital or clinics need to have a
systematic administration. A proper administration involves dividing people into groups to
handle a particular department of healthcare workplace. Attention to a particular situation helps
in properly managing the matter. U.K. government in the last 25 years has recorded major
changes in organizing a systematic healthcare system. At the healthcare workplace, there should
always be nurses and doctors available in case of any emergency. The national health planning
process has laws and regulations set to maintain and improve the quality of the healthcare
workplace. Law and regulations help implement national health policy it also established

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discipline in both people and the healthcare experts. Laws and regulations defend community
health from infectious diseases and other public fitness risks. Rules and measures provide
awareness to people and help in maintaining their health.
Conclusion
In the world where technology is on the peak of evolution medical science is also sighted
incalculable improvements. When it comes to speaking of patient needs, safeguarding patient
safety, the competence of the system, and quality improvement, the healthcare system achieves
far below satisfactory levels. Overall educating the quality and routine in the healthcare setting
can help benefactors with dependable, cost-effective and continued healthcare procedures
(Chassin, 2011). This allows them to attain their goal of refining care and enhancing patient
satisfaction results. It all starts with healthcare service providers to get modified and provide a
safe and healthy environment. This essay has highlighted the importance of having a safe
healthcare workplace or environment. This essay has discussed the strategies and methods
through which a healthcare workplace can advance the quality of their work environment. This
essay has highlighted what measures should be taken to maintain and progress the quality of the
healthcare workplace. This essay has reflected on the legislative and statutory requirements to
improve the quality of the healthcare workplace. While concluding the discussion the essay has
highlighted the importance of quality in the healthcare workplace.

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