Investigating Health and Social Care Services: Unit 3 Project

This report provides a detailed investigation into health and social care services, focusing on integrated care models and local resources. It explores the provisions supporting integrated care, identifies unmet needs within the local context, and examines the process of identifying individual needs related to health, care, and support services. The report also delves into the role of healthcare practitioners in delivering person-centered care, the importance of leadership in fostering effective interprofessional and multidisciplinary team working, and various communication methods employed in health and social care organizations. Additionally, it includes a case study of a patient with hypertension and discusses the implications of their condition, highlighting the importance of comprehensive care and proactive management within the healthcare system. The report concludes by analyzing the need for improved communication strategies and the importance of addressing unmet needs to enhance the quality of care provided.

Unit 3 Project
Investigating Health and Social
Care Services for the individual

Contents
Introduction .............................................................................................................
Local Resource and Provisions that Supports the Integrated Care services.......
Unmet Needs in local Related to the Integrates Care Working............................
Identification of Basic Needs of Individual Related to Health, Care and Support
Services.................................................................................................................
Role of Health Care Practitioner in Person Centred Care....................................
Leadership Within Health, Care or Support Services to Promote Effective Inter-
professional and Multidisciplinary Team Working.................................................
Various Communication Methods That are Used in Health and Social Care
Organization..........................................................................................................
Appropriate Communication Strategy for Health Care Organization....................
CONCLUSION..........................................................................................................
REFERENCES.........................................................................................................

Task 1 - Report
Introduction
Integrated health and social care can be explained as the process in which range
of different health and social care services are provided to the patient while they are
placed in the health and social care home. This is important form he health and social
organization to provide better and effective services to the patient to recover their health
condition efficiently. This this report will be providing the overview of different type of
multidisciplinary care that is provided to the patient and client in health and social care
homes (Paparella, 2016). Local resources and provisions that can support the health
and social care services will be analysed an evaluated in the report. Local unmet
current needs associated with the health and social care organization will be explained
in the report. the process of identification of needs of individual person will be explained
in the study which are provided to health and social care services. Role of health care
and social care service will be explained for person centred care service in the health
and social care organization. The role of leadership in health care and social care also
will be explained to promote effective inter professional and multidisciplinary team
working with in the health and social care organization. Various responsibilities of
information sharing between the multidisciplinary team will be explained in the study.
Various communicational methods that can provide better support to different
individuals in meeting and evaluate the care needs in the health and social care
services. The interdiction of the local area which suffering from the issues is such as
Lewisham is an inner London borough with high levels of deprivation, inequalities and
unemployment. Our population is relatively young, ethnically diverse and significantly
deprived.
As part of our commissioning responsibilities, we have developed detailed plans
outlining our approach to improving health outcomes for patients in Lewisham, including
the improving the health of local people by delivering high quality health care services
along with reduction number of early deaths by tackling health inequalities by improving
management and treatment consistently ensuring value for money. Different effective

communicational strategies will be analysed and applied in the identification and
responding to the needs of various service users in the health and social.
Local Resource and Provisions that Supports the Integrated Care services
In local area various health care officials are available who are authorised to
perform medical practice and provide health care services to the patients. These
officials are nurses, doctors, dental care homes and pharmacists.
Integrated care services can be explained as the combine multiple health and
social services together to provide complete services to the client in the health and
social care organizations. There are different local resources are used by the health and
social care organization to provide the services to people who are living health and
social care home. These local resources are based on supplier who are present in

surrounding of the organization (McCormack and McCance, 2016). Some of the most
important local resources that are used by the organization are- learning and
development, Voluntary sector partnership and STP/ICS Integrated Volunteering
Approaches Program. There are main three resources that can be used by the health
and social care organization to provide integrated care to the people. The learning and
development resources are most important for the health care organization to utilise
better resources for the clients who are taking services of health and social care
organization. Other resources that are important for these services are related to the
human resources who work as volunteer in the organization to help the health official to
provide better services to the clients or patients.
GPs will be able to recruit multi-disciplinary teams, including pharmacists,
physiotherapists, paramedics, physician associates and social prescribing support
workers, freeing up family doctors to focus on the sickest patients. Other resources that
are important for these services are related to the human resources who work as
volunteer in the organization to help the health official to provide better services to the
clients or patients. The STP or ECS program is implemented by the National Health
Services in order to improve the integrated health care services in the health can social
care organization. 6 PCNs have been agreed across Lewisham and the contracts
formalising these arrangements between local GP practices, went live on 1 July 2019.
All the informational, human resources and strategic resources can help the
organization to maintain effective integrated services.
Provisions for Integrated Care Working
Some of the provisions that are made by NHS can help the integrated care
working to provide better services to the patients within the health care organization.
There are different health care provisions provide the support to the integrated care
working in order to provide better services to the patients and people who are living in
health and social care organizations (Buetow, 2016). Some of the most important

provisions in UK are- state health care provisions and other are private health care
provisions. The main motives of the health care provision are defined in order to
improve rh health outcomes in population and effectively respond to the expectations
and needs of people of country. This is how health care provisions are made by the
National Healthcare Services to provide better services to the people through integrated
care working in the health care and social care organization.
Unmet Needs in local Related to the Integrates Care Working
This is important for the health care organization to meet different needs of the
integrated care process in the health care organization. there are some issues are faced
by the health care organization in the integrated care are related to knowledge voluntary
workers and the strategically resources these are required for better performance of the
organization to provide better services to the people who need it so badly. There are
some unmet needs of the integrated care working in local place. Major unmet need is
related to the human resources that are required to provide personalised services to the
patients and clients. The people who are working in the health care and social care
organization care of organization are not enough to provide effective services to the
people (Mareš, 20170. The need is more level have the related level of expansion due
to the different between the GP centres to the person ones. There is lacks of the proper
level of transportation in the locality. No major challenges are faced by the patient in the
local area. All the health care services can be provided to the patient in local area. Main
issue that can be faced by patients is related to the traffic condition that can cause moe
time to reach the health care services. Human resources are very important for
providing better services to citizens of the country. There are some voluntary workers
are required to mate requirements of patients who are admitted in health and social
care organisation. This is major requirement that remains unmet in integrated care
working. Other resources which are unmet in health care organisation are related to the
financial resources. This is important for health care services to collect fund from the
various resources in order to provide better and effective services to clients. The other
resources are related to strategic implementation of policies and practices to meet all
the integrated services criteria within the organisation. For implementation of these
strategic policies it is important for National Healthcare Services to gain knowledge,

information and effective team to meet all requirements within the local place. This is
how some of the unmet needs of local place regarding integrated working are related to
financial issues, voluntary efforts of local people along with lack of information and
knowledge sources. . On the other hand, the patient serves the severe level of issues
in the increased level of cost of medication and prescription . thi is the having major as
there financial impacts. In the addition the financial drilling process, the increase level
as transportation and longer waiting times make the patient more level of worried to
have the descriptive questioning in perfect manner These are some unmet needs of
integrated care working within healthcare organisation.. On the other hand, the patient
serves the severe level of issues in the increased level of cost of medication and
prescription . thi is the having major as there financial impacts. In the addition the
financial drilling process, the increase level as transportation and longer waiting times
make the patient more level of worried to have the descriptive questioning in perfect
manner..

Health Care and Social Organisation and Interagency Care
Health Care and Social Organisation
Health and social care can be considered as the process of treatment of ill
people due to different health an e services are cure while disabilities and illness of the
human being are the problems for which we require health care services. Social care
services are meant to prevent the adults and children that have issues or risks that can
be related to the health issues and social or financial issues d medical conditions within
the hospitals, health centres and social-care is considered as providing care to the
vulnerable people with in different communities. NHS continuing healthcare assessors
consistently try to downplay and down score obvious health needs and categorize them
as social care needs. Basically health care organization used to provide health care
services to the people and on other hand social care services are considered as
organization that provide social services to the people. For example old age home and
mental care home are considered as social care organization.
Interagency Care
Interagency care is the care which is focused in the bringing people together and
engaging people together. This is all about the juvenile, education, mental-health, tribal
authorities and law-enforcement. All these activities are performed in the coordinated
and integrated action to serve children whose needs are more fluctuating some times.
The health is considered as the fitness and ability to perform all daily duties that a
normal physically and mentally fit perform. In the integrated health care service both
health and social care is provided to the people. These services are provided to the
patients in order to improve the recovery process of people.
The main differences between the healthcare & social care and interagency care
is that interagency care is mainly focused on the mental health and satisfaction of
mental needs and the healthcare & social services are highly focused on the physical
health of people. This is how interagency care and health care services are highly
different from each other.

Task 2 – Case Study and Product Evidence (real life work activity).
Introduction
A patient whose name is james is considered for the Diagnosis
process. He is 53 year old and according to his claims his family had
history of Hypertension and Kidney Failure. James have no food or drug
allergy. James also has been suffering from hypertension for last 15 years.
There is no interpreter is required in the pricess because patient speaks
English.
CASE STUDY
Name have been changed for confidentiality.
James is a 53-year-old Chinese man with the height of 1.72m, and weighs 82kg where
his BMI is 27.7kg/m2 (overweight). James runs his own business and is currently
staying with his wife and 3 children. He claims that he does not smoke and does not
drink at all. According to the James, the paternal side of his family has family history of
hypertension and kidney failure where else for the maternal side, hypertension was
known to be the family history. Patient has no known drug or food allergy. James was
known to have had hypertension 15 years ago and a history of pulmonary tuberculosis
35 years ago. James denied of being diagnosed with diabetes mellitus in the past. As
for drug history, James was only on 10mg of lovastatin (tablet) once at night and
according to the James, he was compliant to the medication.
James was admitted into Accident and Emergency department and complained of
shortness of breath (SOB) and mild giddiness. He also complained of having chest pain
and a first episode of shortness of breath earlier before he was admitted into the
hospital. On examination, he was found to be alert and conscious. Venous blood gas
sampling was done and pH was found to be 7.306 (low), pCO2 was 44.2mmHg, pO2
was 45.8mmHg and HCO3 was 24.7mmol/L. Blood pressure was found to be
157/95mmHg, pulse rate was 72bpm, SPO2 was 97%, body temperature was 35.4°C
and respiratory rate was 21 breaths per minute. Reflo value was also obtained and it

was found to be 17.1mmol/L and blood ketone was 0.9. Lungs were clear and
abdominal was soft and non-tender. Cardiovascular testing was done, and it showed
dual rhythm no murmur. The initial impression of this James by the general practitioner
in the hospital was impending diabetes ketoacidosis. James was immediately given 6
units Act rapid subcutaneously and the GP also planned to give O2 3L/min and to
prescribe GTN 1/1 subcutaneously and Aspirin 1/1.
Later on, day 1 of admission, James complained of increased in sweating, shortness of
breath, body weakness and vomiting for 3 times in the morning. James blood pressure
was 123/76, pulse rate was 82bpm, SPO2 was 99% and respiratory rate was 20
breaths per minute. When James was asked, he mentioned that he has not done body
check-up and blood pressure measurement for at least 5 years now. Later in the
afternoon, James complained of excessive sweating and lack of appetite for the past 3
days. James then denied of having any chest discomfort or shortness of breath,
headache, and abdominal pain. Besides that, James also complained of having polyuria
and needed to wake up more than 3 times at night for micturation. James also
complained of having polydypsia, lethargic and vomiting for 2 times in the morning.
James was examined and he was found to be alert and conscious where he responded
fully to Glasgow Coma Scale (GCS).
James was also found to have good hydration and his capillary refill time (CRT) was
less than 2 seconds. Vital signs were obtained, and temperature was back to normal,
37°C, blood pressure was 151/69, SPO2 was 97%, pulse rate was 88bpm and reflo
value was 14.6. The management plan by the local GP was to continue monitoring the
reflo value, prescribe 10mg lovastatin (tablet) once at night and 10mg amlodipine
(tablet) once daily and have James to rest in bed. As James was able to tolerate orally,
IV drip was off, and James could take fluid orally. On day 2, James was found to be
comfortable. However, James complained of having poor oral intake and that he was
sweating profusely. He was still feeling mild giddiness and lethargic but no more chest
or abdominal pain.
Vital signs were observed and temperature was 37°C, blood pressure was 128/84,
pulse rate was 96bpm and reflo was 14.9mmol/L. Fundoscopy was also done and

James was found to not have any signs of retinopathy and chest X-ray was found to be
clear. The management plan for day 2 was to continue 10mg amlodipine once daily,
allow fluid intake orally, continue reflo monitoring 4 hourly and to trace and review the
fasting blood sugar (FBS). On examination, James was found to be alert and responded
well to the GCS with the score of 15/15. Blood pressure was taken, and it was 145/100
when patient was lying down and 130/90 when James was standing. Renal profile was
normal except for low potassium level of 3.0mmol/L. Impression for this James was
newly diagnosed diabetes mellitus.
Further management plan for this James was to conduct a stress test on James after
discussing with the specialists and to monitor James blood pressure for both lying down
and standing up position 4 hourly for a day. Further plan was to start 500mg metformin
(tablet) twice daily, 150mg aspirin (tablet) once daily, 20mg lovastatin (tablet) once at
night, trace urine full examination microscopic examination and to refer the James for
diabetic counselling. Besides that, local GP also decided to off amlodipine and to
change it to 4mg perindopril (tablet) once daily. This is how all the services are provided
to the patient to help him to get out of problem of Hypertension. Both health care
services and social care services are provided to the patient in order to maintain fast
recovery rate.
Identification of Basic Needs of Individual Related to Health, Care and Support Services
There are different needs of individual persons related to healthcare and support
system. It is also important them to effectively identify all his needs to stay safe and
healthy for longer time. This is important for health care organisations to make the
people aware of tier own health conditions in order to stay safe healthy and socially
effective. Initially this is important for the health and social care organisation to involve
individual person in own care to improve the health condition in the country (Byers,
2017). By this process the outcome of healthcare system and social care system can be
improved by implementing integrated care working in health and social care
organisation. NHS had made some commitment regarding involvement of people within
the health care procedure and integrated care working within the local place and