Healthcare Practice: Supporting Individual Journey in Integrated Care

This report examines the provision of integrated health and social care, focusing on supporting the individual journey. It begins by outlining local community resources and unmet needs related to healthcare provision, emphasizing the differences between health and social care providers and the types of interagency care provision. The report then evaluates local resources in terms of meeting the needs of individuals requiring multidisciplinary care. Activity 2 delves into person-centered care, exploring an individual's capacity to identify their needs and the roles of healthcare professionals. It outlines person-centered assessments and critically evaluates capacity assessments. The report analyzes reflections on care assessments and work practice, and evaluates observation of partnership working within a multidisciplinary team and skills required for person-centred communication. The report uses the Oak House organization as a case study to illustrate the concepts discussed.

Supporting the Individual
Journey through Integrated
Health and Social Care

Table of Contents
INTRODUCTION...........................................................................................................................2
ACTIVITY 1....................................................................................................................................2
1) Outline local community resources and provision that supports integrated care
planning/working....................................................................................................................2
2) Describe local unmet need related to healthcare provision in own local area...................3
3) Explain the difference between health and social care providers and types of interagency
care provision in relation to meeting the needs of the individual requiring care...................4
4) Evaluate local resources/provision in terms of meeting the needs of an identified individual
requiring multidisciplinary care.............................................................................................5
ACTIVITY 2....................................................................................................................................6
PART A & B....................................................................................................................................6
1) Outline an individual’s capacity to support the identification of their own care needs.....6
2) Describe your role and that of different healthcare professionals in supporting the
individual through person-centred care..................................................................................7
3) Explain the process of different person-centred assessments in defining the individual’s
own care pathway...................................................................................................................7
4) Critically evaluate a capacity assessment of an individual’s care needs to identify areas for
improvement...........................................................................................................................8
PART C............................................................................................................................................8
Analyze reflections on anonymised care assessment and work practice...............................8
PART D.........................................................................................................................................11
Evaluate observation of partnership working within a multidisciplinary team and skills
required for person-centred communication........................................................................11
CONCLUSION..............................................................................................................................13
REFERENCES..............................................................................................................................14
1

INTRODUCTION
The integrated health care services refer to the providing different health care services to
patients so that their needs and requirements can be fulfilled within organization. The main aim
of this service is to provide proper experience to service users. This also includes
multidisciplinary team from which healthcare professionals can provide appropriate care and
services to patients. Within the multidisciplinary team, different members of professionals and
others who provide specific services to service users. These professionals coordinate with each
other and provide services according to the needs and requirements of patient. This is an
effective approach as it assists in in providing care and services to those individuals who are
highly concerned about their services. This approach is useful in people who have dementia
problem within their health (Kaehne, Beacham and Feather, 2018). There are different type of
resources occur who provide support to individual. The implementation of integrated care or
multidisciplinary team provides support to individual in their health and social care journey. In
this assignment, the community resources and provision are covered for provide support to
integrated care plan. In addition to this, where different types of needs and services average
sometimes or not provided by health care provision. There are various differences between
service providers and integrated care provision. The provision of local resources provides
meeting with its requirements of individuals who needed multi-disciplinary care team with their
services. In this report, the integrated services of oak house organization are discussed who
provide services of slough people who are having dementia.
ACTIVITY 1
1) Outline local community resources and provision that supports integrated care
planning/working
There are different types of resources and provision occurs from local communities that
provide support to integrated care planning. In this resources of local communities provides
services to the resident of given area so that integrated plan can be achieved properly. The local
communities can provide different types of tools and assistance to healthcare professionals from
which they can provide integrated care to services users. The provision of different resources and
approaches provide support to individuals from which they can attain their services for integrated
care plan. The main objective of resources and provision is to provide and enjoy about health and
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wellbeing of people (Clarke, Nightingale and Cunliffe, 2018). This also helps in promoting their
health including physical, social, emotional and mental health. The local communities have
resources from which they can reduce the barriers that occur among internet care plan from
which they cannot fully provide services to people. This also includes different stages of
management from which the healthcare professionals are multidisciplinary team can provide
services to applying integrated care system within their setting. The other resources that are
provided by local communities so that they can support integrated share plan is start
strengthening of relationship of health Care across people so that they can deliver proper care
and services to the residents. The provision which they provide has very different activities from
which objective of integrated care plan can be achieve. There are various elements that are
needed for implementation of integrated plan is that engagement, communication, governance
and infrastructure. This provides reflection in the practices and planning of organization from
which they can develop continuous improvement with their services (Stewart and et. al., 2017).
This also includes provide information about integrated plant to the communities so that
more people can get involved with in it. From this they can provide effective services to patient
with high quality of care according to their needs and requirements. The occurrence of different
legislation provides support to integrated care plan from which health Care professionals of
different background and provide services according to the needs by considering the within the
procedure of services. This highly useful in providing treatment of dementia people as health
care professionals can consider the ethics and requirements of these people with the help of
different legislation that are provided by local communities.
2) Describe local unmet need related to healthcare provision in own local area
The people of local area have their higher needs regarding their services which need to be
full filled properly. This impact mainly on the people of local area as they does not attain their
independency of making decision by own. The older people are relying for their daily activities
on others. This developed various impacts on their mental and physical health. As in some older
people there are dementia has developed from which they have Difficulties in performing their
daily activities. The older people of local area have their own needs and choices including
independent and free living. So it is necessary to provide care according to their requirements.
As the provision of local area cannot provide services and care according to the needs of older
people. As the staff does not manage health condition of dementia people which are needed to be
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occur properly so that it can meet the needs of people of local area. The local area also provide
extra care services from their local housing provision which does not provide needs of people
who are having dementia. The Dementia people sometimes need services and care with their
homes. There are also various unmet needs that are provided by healthcare provision to people
who having dementia. The unmet needs include more special services people who have high
consideration about their services (Bridges and et. al., 2020). This also includes providers of
specialist housing to those who are under age of 55 including long-term conditions. In this, it
also includes improving the availability of different range of housing that provides efficient
services and support to people who have this disability. The occurrence of enhanced care of
nursing is also the unmet need of people of local area as they are also having different needs that
day want to be occur in their services. In order to enhance and influence health and wellbeing of
older people, various number of advanced services are providing to them which developed as
unmet needs of them. As the people of local area want to become independent about their
choices but healthcare innovation provides housing to them as they are having dementia. The
health care provision of this area provides flexible services with improve models to dementia
people but this also occur as their needs (Allbutt and et. al., 2017).
3) Explain the difference between health and social care providers and types of interagency care
provision in relation to meeting the needs of the individual requiring care
The social care providers have different aspect from integration of care provision. The
healthcare providers provide services to their people without any consideration of patient culture
and belief. This may reflect negative impact on the services of people as each and every patient
is different beliefs and culture. Due to this culture and beliefs, their perception about services and
care is developed. This sometimes developed difficulties among professionals for which they
cannot deliver appropriate services and care among people. The health and social Care
organization have different responsibilities among their organization. As these health Care
providers for linked with imagination happy responsibility to obey various laws and legislation
from which they can provide services to people (Miller, Brown and Mangan, 2016). As each
service providers are from different backgrounds from which they perform their action. The
health care provision has different roles and does not work in collaboration. They do not provide
services same station by providing information to each other. This develops inconvenience in
providing the needs of individuals as the healthcare providers do not understand that
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appropriately. The integrated care provision provides appropriate needs and services according to
needs and requirements of individuals. As in this provision, different types of professions are
included who perform their role and share the information with each other about the patient.
From this care provision the help of a journal can develop and provide high quality services to
people. They can provide services by respecting the individual and rights of patient. This also
helps in providing services aspiration field motivated about his care and services. It also ensure
about the confidentiality of information of services that can be managed by healthcare
professionals while delivering services to people (Valentine and et. al., 2017). This is an
effective approach of living services among these patients were having dementia as they are
highly concerned about their information and services which can be prevented with the help of
this care provision. With this the appropriate care and services can be provided to those
individuals who require care. In the context of oak house, they provide proper care and services
to people who are suffering from dementia. They also respect the needs of these people so that
they can provide proper services among service users. This also provides services from which
they can protect users from any harm that can be occur from various factors.
4) Evaluate local resources/provision in terms of meeting the needs of an identified individual
requiring multidisciplinary care
The multidisciplinary team refers to the group of members who have different background
from which they provide specific care and services to service users. The different people have
different needs of services are needed to be implement properly. This highly occurs among as
people who are having dementia. This type of people needs quality of services that can fulfill
their needs and requirements properly. Also have various considerations which need to be
considered while delivering services to them. So in order to provide which of these individuals it
is necessary to implement multidisciplinary care and team that can provide proper care and
services to them (Thomson and et. al., 2018). The given local area provides proper services to
people so that they can fulfill the needs of individuals. this local area implement group strategies
so that it can pursue best practices and approaches to older people so that they can meet with
their needs. They provide multidisciplinary team in different organization including oak house
from which need of individual could be consider. Within the services they provide psychiatrists,
social worker and nurses who can provide proper mental health services to older people. This
also provide with this effective approach the providing right of care so that is older people can
5

access to services. As the multidisciplinary team provide services according to the acts. This help
in delivering care services by maintaining confidentiality and respect of older people from which
they will motivated about their services. As the local area have their provision of acts which
includes the multidisciplinary team within organization from which care and services can be
provided to people who are having dementia. The local area provides different accessibility to
organization so that they can include multidisciplinary team with their services which can
provide a factor services to people. Their provision that provide consultant healthcare
professional from which the older people can share their experiences and need (Field and Brown,
2019).
ACTIVITY 2
PART A & B
1) Outline an individual’s capacity to support the identification of their own care needs
There are various identification occur from which capacity of individual can be support so
that they can take their own needs. This involves communication which provides understanding
about their needs by individuals so that they can take for the step in developing their own care. In
the context of case, Dorothy is having dementia and she highly concern about their meeting with
others. But after communication with her it has been identified that day she has her own choices
from which she can develop her own care needs. The general practitioner of local area provides
support to the capacity of Dorothy, from which she was able to do her regular activities. As the
general practitioners consider her from which now she can identify her own care needs. With the
services of general practitioner, she feels comfortable and security with in her home. The
General practitioner helps in the decision of Dorothy as she wants to make friendly with her
neighbors and friends. She wants also to visit church and other places. The general practitioner
provides proper support to the decision of Dorothy which makes her to support on her care needs
(Jacobs and Mynatt, 2017). She has the past experiences as she is not appreciated which
develops more dementia within our health and she is highly worried about meeting with any
stranger. Now she can make her own decisions in her care and services which provide promotion
in health and wellbeing. The occurrence of a general practitioner makes some more open
comfortable and happy about a situation.
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2) Describe your role and that of different healthcare professionals in supporting the individual
through person-centred care
The individuals can be support with the help of person centered care as with this the proper
care and services can be provided by considering them within it. The role of mine and healthcare
professional is to provide information about services to people were involving in it. Also include
to make informed decisions including people and their families so that they can know about the
process of their services. The role of healthcare professionals to ask various questions about
needs and requirements of patient from which we can apply services according to them. This can
be popular seen in the case of Dorothy. She was properly asked about her needs and
requirements and day-to-day activities. In her questions, her all necessities are included along
with her likes, dislikes and things that are affecting to her are asked. This developed comfortable
and sense of security in her which makes her to open about her queries among general
practitioner. The role of general practitioner and mine is to involve family and friends and other
carriers within the services of patient so that proper decision can be make among patient. This
provides positive outcomes and satisfaction of services from patient as they also feel part of
services. This reduces the impact of various barriers that may develop while delivering care to
patient who are having dementia. But in case of Dorothy, her concerned about needs is reduced
as she was able to make her own decisions with another day to day activities.
3) Explain the process of different person-centred assessments in defining the individual’s own
care pathway
There is process of person centered care help in identifying on care pathway for individual.
The first process includes in person centered care is that involving patient in decision making
process. This assists patients so that they can feel support in their actions. With this the capability
of a patient can be developed by their own and can carry out don't care pathway. The support is
necessary to be provided by health Care professional and general practitioners to patients that
they can make their own decisions towards their care and services. The implementation of
positive behavior can also assist them to promote their own health and care pathway (Gillick,
2017) (Berneri, 2019). This is necessary to be occur for people who have long term conditions
and rely on health care services. The proper support and motivation patient can adopt positive
behavior among them to take steps in their care pathway. In the context of case, the general
practitioner provides proper support in care to Dorothy who develops motivation and her to do
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her daily activities. The consideration of views of patients who are having dementia is an
important assessment which helps individuals in their own care pathway. It also gives
consideration of priorities while delivering services and care also assist in defining the care
pathway of individual. The Dorothy is fully supported by her general practitioners while
delivering person centered care approach. In person centered care assessment, it is necessary to
consider thoughts, believe and feeling of patient so that they can find their own care pathway.
4) Critically evaluate a capacity assessment of an individual’s care needs to identify areas for
improvement
The individual have different capacity assessment for which they can identify the areas for
improvement that is needed to be considered while delivery services to them. The each person
has different capacity from which they cab asses their care needs. This is necessary to occur as it
provides assurance about services that is delivering in their services. From this, they can assess
the quality of care that are providing to them. The each person has their own capacitive from
which they can receive services. The identification of this capacity can provide easier for general
practitioners from which they can improve the area of services according to the needs of them.
This occurs as effective approach in the care services of Dorothy as general practitioner capacity
of her from which area of care and services is improved. In this, the general practitioner plays
important role by monitoring the action of people that analyze the capacity of individual. This
assist those in providing improved care from which individuals can assure about their quality of
services. With the continuous and regulator improvement can be promoted within the services of
dementia people. As capacity assessment provides capacity of a person mental ability in making
decisions about their personal care. This develops positive impact on the services of
independence as they can be satisfied in their quality of services. This is needed to be applied by
healthcare professionals in situation mostly including dementia people as they are highly
concerned about their decisions.
PART C
Analyze reflections on anonymised care assessment and work practice
The partnership between multi-disciplinary team provides positive outcomes of services in
assessing anonymous care and work practices. By working within multi discipline team with
various members, I can provide effective services and care to patients. As the multidisciplinary
8

teams consist team members from different backgrounds (Reeve and Cooper, 2016) . With this,
professionals can work together by objecting a specific set of goals of services. The
multidisciplinary team professional needs to maintain confidentiality about the information of
patients so that they can maintain and carry out positive impact of their services. The relationship
and partnership between professional team members occur properly so that I can collaborate with
each other. This assist them in improving service outcomes and share vulnerable information to
particular health Care professional. By maintaining such working style, satisfaction among
patients can be influenced. This also includes use of efficient resources for patient by
professional between each other.
The main important aspect within multidisciplinary team is sharing information between
them. This provides assessment about the outcome and various risks can be identified. There are
various conflicts occur between multidiscipline team as each multi-disciplinary professional has
their own views and experience (DiClemente and et. al., 2016). This can develop different types
of issue within the services of patient. It is necessary for responsibility to provide or share
information to each one. As this provides clear idea about any task and areas from which who is
responsible for it. Along with this, the responsibility sharing information with in
multidisciplinary team also provides efficiency of services as they have proper information about
the impact of things on patient which develops issue in his health. By providing information, the
healthcare professionals can participate according to their role of duty within the services. This
evaluates the impact of services on patient by enhancing their health. There are also various
discrimination occur when the lack of information between multidisciplinary team. Thus,
providing information can also reduce discrimination between workers from which function of
delivery of services occur properly.
There are various advantages and disadvantages of multidisciplinary team occur loading
sharing of information that provide impact on the care needs of individuals (Moss, 2017). The
advantages include the movement in the outcomes of health by a developing satisfaction among
patients. The multidisciplinary team can use resources properly and efficiently from which
services can provide appropriately. The disadvantages of multidisciplinary team is that, there is
always pressure of providing services occur to patients. This also involves that each
professionals come from different backgrounds from which conflicts may develop. This team
requires collaboration to be occur as a better when frequently but with the inappropriate
9

collaboration may develop in effectiveness of services. The teams members of this team are
depend on available resources.
The role of mine in partnership working and production for delivering the care pathways is
includes analyze situation of patients. This helps me in determining the impact and cause of issue
of patient’s health (Kolpakova, 2019). From this, I can provide proper information to different
professionals so that they can treat patients according to their need and requirements. In
partnership working, I can also coproduce care pathway from which satisfaction of services some
operations can be achieved. This also includes maintaining confidentiality about information of
patients so that they can feel more trust on me and team members. With the help of proper
communication, the care and services of individuals can be implemented successfully within
their services.
There are various responsibilities occur with in balancing rights and choices of individuals
there care duty. The responsibility of health and Care professional of multidisciplinary team
involves working in an appropriate manner so that they can maintain rights and duty of care of
individuals. They need to maintain equilibrium between care and rights of patient so that their
choices of services can be provided to them (Doughty and Appleby, 2016). This also involves
promotion of well-being and safety of individuals so that they can ensure about their services
without any harm and abuse. In this, the professionals must include families patients with in
there care plan so that they can feel comfortable about their services. As duty of care includes
safeguarding of patients by keeping them safe in their illness including any type of other harms.
There are various policies and processes occur with an organization which needs to follow by
professional so that taken provide legal services by balancing rights and choices of individuals.
There are different communication methods that can be used within care assessment and
work practices which care needs of an individual can be supported. These communication
methods are written, verbal, non-verbal, visual and listening. These methods are needed to be a
girl within the setting of healthcare organizations. As it help in developing relationship
confidence trust respect and needs of patients. The methods of communication the healthcare
professionals can identify requirements of patient so that they can deliver proper services
according to them. Within this communication method verbal communication can be occur by
asking questions to patients. As with the help of communication the health professionals can
10

identify the impact on physical and mental health of a person which occur has disability within
communication.
There are some balanced approaches that provide support to individuals from which we can
take positive risk so that they can meet there needs of care. This involves identification of
personal dignity by individual themselves from which they can take positive risk. The approach
of protecting individuals from abuse and harm also provide support to individuals from whom
they can take positive within their needs of care. The involvement of individuals in various
recreation education and training program also help in developing confidence among individuals
that provide support to individuals in their requirements of care. The approach of supporting and
promoting independence of individuals that helps in developing potential from which they can
do for themselves. The environment of individuals in their services and care plans by providing
information also helps in supporting to them. So that they can meet there individuality care needs
(Lundqvist, Weis and Sivberg, 2019).
The role of mine in facilitating and empowering individual so that they can communicate
about their changing care needs involves various responsibilities. I can support individuals by
communicating properly to them so that they can develop their confidence skills and knowledge
which help them in managing and taking decisions by their own (Cheers, 2019). The
coordination individuals also help them in facilitating so that they can communicate about their
needs. With this, it helps in developing trust and confidence among patients which enhance them
to share their needs. It also involves in my responsibility to communicate with patient’s family so
that they can also help me in empowering individual so that they can communicate about their
changing needs. I also need to communicate about different skills to individuals so that their
confidence level can be increased. It also involves sharing information about confidential
environment so that there changing needs can be implemented in services properly.
PART D
Evaluate observation of partnership working within a multidisciplinary team and skills required
for person-centred communication.
The partnership between multidisciplinary team must occur properly as the impact between
their relationships can be occur on patients. So it is necessary that the members of
multidisciplinary team must collaborated communicate with each other so that they can provide
11

effective services to their patients. The partnership between team members must occur towards
specific goals of services for individuals (Hetling and et. al., 2018). This also includes active
sharing of information and regular meetings so that their partnership can help individuals. There
are various skills required in professional while delivering person center communication to
patients. The identification of patient’s agenda can be occur by developing various questions
among them. The multidisciplinary team and healthcare professional must listen to their patients
with focused. The healthcare professional’s must also include open-ended questions among
patients that they can feel part of their services. This also involves that the healthcare
professional must does not interrupt patients while they are communicating with them. As lack
of this, may develop negative impact on patients. The multidisciplinary team must understand
the perspective of patients by properly communicating them so that they can provide services
according to it.
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CONCLUSION
From the above conclusion it has been concluded that, integrated services are beneficial for
the service users who need proper health and social care services within their service. As with
the help of multidisciplinary team and integrated care provision, the proper services can be
provided to people who are highly concerned about their facilities. With the availability of
different resources and provision, the healthcare professional can support individuals with their
health care throughout their life. This is beneficial among dementia people by providing care
needs according to them. As dementia people are highly concerned about their services which
need to occur as properly. There are different care division are provided with an organization
including benefits among patients. This need to be implementing by care professionals so that
they can provide your services according to service user so that it can be benefited them in their
health. While treating dementia people, it is necessary to provide person centered care approach
from which they feel influence towards their services. The multidisciplinary team can provide
various information about patient by sharing with each other. This provides impacts on the needs
of individuals as they have different needs of services according to their experiences.
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