Strategies for Change in Health and Social Care Services

This report explores the critical factors driving change in health and social care services, particularly focusing on Denise Local Action for the Disabled and similar organizations. It assesses challenges arising from these changes, such as resistance from challenged individuals and potential financial fraud, and devises strategies for measuring recent changes through surveys, questionnaires, and cost-benefit analysis. The report also evaluates the impact of these changes on service delivery and proposes appropriate service responses, emphasizing the importance of responsible management and continuous monitoring to ensure effective and beneficial outcomes for patients and stakeholders. It further discusses the key principles of change management and how changes in health and social care are planned and monitored to improve the overall quality of services.

FACILATING CHANGE

Contents
FACILATING CHANGE................................................................................................................1
Introduction......................................................................................................................................3
TASK 1............................................................................................................................................3
1.1 Explain the key factors that drive change in health and social care services :......................3
1.2 Assess the challenges that key factors of changes brings to health and social care services:
.....................................................................................................................................................4
D.2 Take responsibility for managing and organising activities.................................................5
TASK 2............................................................................................................................................5
2.1 Devise a strategy and criteria for measuring recent changes in health and social care.........5
M1. Identify and apply appropriate strategies to find appropriate solution................................6
2.2 Measure the impact of recent changes on health and social care services against set
criteria:.........................................................................................................................................6
2.3 Evaluate the overall impact of resent changes in health and social care...............................7
D.1 Use critically reflection to evaluate own work and justify valid conclusion........................8
2.4 Propose appropriate service responses to recent changes in health and social care services 8
M2 Select and apply appropriate techniques...............................................................................8
TASK 3............................................................................................................................................9
3.1 Explain the key principles of change management:..............................................................9
3.2 Explain how changes in health and social care are planned:...............................................10
3.3 Assess how to monitor recent changes in health and social care services...........................10
CONCLUSION..............................................................................................................................11
REFRENCES.................................................................................................................................12

Introduction
The following report is prepared in order to understand why ity is important to bring
change in the heath and scare facilities in order to improve the conditions of the disabled
patience. Denise is an adult home care who provide health care to the physically disabled or
mentally less developed people (Henderson Beach and Finkelstein 2011). They provide them
with the services like washing and cleaning and take care facilities so that they can continue with
their lives with less challenges. In order to run such type of organisations there is a need to take a
prior licence from the government and the challenge which they face is people resist to shift from
there resident to these home care services provider.
TASK 1
1.1 Explain the key factors that drive change in health and social care services :
DENISE
LOCAL ACTION FOR THE DISABLED
Change in the health and care department was brought because there was a wider scope that
could be achieved by bringing few changes in the existing system of health and care. The change
was needed in order to provide the patience with better services and so that they could be made

more comfortable. Reasons why the change in the existing system was required can be
understood well if studied under different heads:
Community’s misconceptions- people suffering from the disabilities finds it difficult to live
comfortable in the society where other people are not as same as they are. They underestimate
themselves and never try to live with the full confidence. The society also contribute in this by
making them feel different from the others by continuously making them realise about their
disability. This brings feeling of ignorance and discrimination among them. In the case where the
child or the parent is disabled for the life time starts becoming a burden to their family members
after a certain time period therefore it is better if they are shifted to the care taking authorities on
time (Miller and Rollnick,2012).
1.School related challenges- it is difficult for the physically challenged students to get
education. When they are ta home although they can learn from their family members but the
education which is provided at school are of different level. When they are shifted to the care
homes they are benefited with more education as there arrangements are done for all the children
so that they are not deprived of from their right of being educated.
2.Balanced diet-People who are challenged in any way of medical problem need to be
provided with extra nutrition and balanced diet. At homes they do not starve but also they cannot
maintain the required diet chart which is very necessary for them. When they are under the
supervision of doctors all the time they will have only that which is actually good for them
(Ertmer. and Ottenbreit-Leftwich,2010). Therefore this will help them in getting the balance diet.
1.2 Assess the challenges that key factors of changes brings to health and social care services:
Whenever there is a change brought in any sector it brings challenges with it. Although it
has positive outcomes it is difficult in managing the change at its initial stages. When a
difference was brought in the health and care supervise by the management of Denise many
challenges were faced by the employees, the subject matter and the family members of the
challenged people. These challenges can be put under different heads like:
1. Resistance by the challenged people: When the subject matters were asked to shift to
support living from there residential homes the main challenge was off to convince them to
support the idea. They find it difficult and risky to shift in a new place where there will be all
new people and there will be no member from there family. It was difficult to win over there
confidence that they will be provided with better care and health facilities.

Financial fraud- Not all but many at the authority level took the wrong advantage of their power
and position. They take the financial advantages from the people they are giving services by
getting their trust at first and then took the advantage (Lankes, 2011)
. The person who is taking care mostly has all the financial details of the patient and this
promotes illegal use of their credit cards or other sources. Also it was observed that
sometimes the charges are include in the total bill against those services which were not
actually given to the patient.
2. Sexual abuse- Although it is not necessary that it is a con sexual sex abuse but other
activities like forcing the care receiver to undress even if not required, other sexual acts
falls under the category of sexual abuse it is mainly observed when the care receiver-is a
senior citizen.
Absenteeism of care taker- As it is a job under which supervision from the care taker is required
from 24*7. This led to the failure of the caretaker to be present all the time with the concern
person. As the reports about the changes in the health of the subject matter is given by the care
taker any absenteeism on his part will lead to loss of quality information which may have effect
on the future treatments of the patients(Gurman. and Kniskern 2011).
D.2 Take responsibility for managing and organising activities
Due to the change in the present conditions of the society and the culture there is a need
to bring change in the health and care facilities so that the minorities, senior citizens and other
challenged people can get better services. Although the care homes also challenges are faced but
through effective management these problems can be resolved.
TASK 2
2.1 Devise a strategy and criteria for measuring recent changes in health and social care
As the change has successfully brought in the health and care as people shifted to the
supported living. This brought change in the health care department. The difference which has
come in the department can be measured through survey, developing a questionnaire or through
doing the cost benefit analysis(Agrawal,2010).
Survey- The changes that are brought in the department of health and care can be measured
through conducting a survey. Survey helps in getting the response from the public which is
receiving the services of this department and they know it better that what are the new changes

they are observing in the particular department. Survey is method of studding the different
samples from the units and then overview of all is taken by collecting the data from all and then
interpreting it. It can be done in many ways like survey through interview which can be
telephonic, face to face, by mail or through other method(Choi and Ruona 2011). It has an
advantage of getting the response on the spot and non-responsiveness can be eliminated while
conducting this method.
1. Questionnaire- Another criteria to measure the change in the health and social
care is through the questionnaire. While preparing the questionnaire it should be
taken into consideration that all the quality questions are included in the
questionnaire. This help in collecting data from a number of people at the same
time. The quality of the data collected depends so much on the effectiveness of
the questions and there framing. They should be easy and in a language that could
be understood by all.
2. Cost benefit analysis- it is a method in with the change in the health and care
sector can be judged through the total change in the cost. If the total has increased
than it means that the profit margin has decreased and where the total cost is
declining with the change in time it is said to be a positive change in the following
sector.
M1. Identify and apply appropriate strategies to find appropriate solution
The best criteria of collecting the data should be selected so that no quality data is
missed also the actual changes in the health and social care can be identified. The
method should be selected on the basis of the requirement of a particular time period.
2.2 Measure the impact of recent changes on health and social care services against set criteria:
There are many changes made in the health and care after the people are shifted to
supportive living from that of home care. The responsibility of the doctors and the care taker
nurses has increased. People are now given knowledge about the different options which they
can opt for after comparing the services of different care providers (Lee,2011)
This helped people to take an effective decision as they can choose the best option for
themselves. The changes also helped the people in making their own budgets as they get all the
information about the expenses in advance and therefore they can choose the facilities according
to their personal budgets. The new system also provided the people with the option of deferred

payments which helped the challenged people to save their residential homes for selling. As the
patients under the system of supportive care get the attention from the nurse for twenty four
hours their health is ensured and protected against ignorance and carelessness. The change in the
health and care system also brought independency in the people to live in the way they want. In
the supportive living by Denise people learn to face the problems and also how they can
overcome it which helps in the development of the individual (Cuthbert,2011)
When people started living with others in the supportive living they were more confident and
start looking at their life differently. When they live with similar type of people there confidence
increases and also it helps in the development of the individual.
2.3 Evaluate the overall impact of resent changes in health and social care
The evaluation of the overall impact of resent changes in the health and social care is
important as this help in determine that weather the inputs has given positive results or not. For
this different evaluation needs to be done like the economic evaluation. This evaluation gives the
results of the total inputs as well as the outputs which is the cost incurred and the results of the
cost that is incurred in it (Gifford 2011). As the Dennis has invested its recourses in bringing the
change it becomes important to do the evaluation of all in order to get the idea that weather the
change brought by them was effective financially or not. The changes in the U.K. health facilities
could not be overlooked. The better treatment to the patients was a result of the government
support, market forces, and the advancement that has taken place in the technology. Better
diagnoses of the diseases are done and this resulted into the increase in the number of successful
cases of the health related issues which was an outcome of better technology and more efforts of
the doctors. Although this has increased the pressure on the NHS as resources are limited but
they need to be allocated in various care taking bodies so that everyone can be benefited out of it.
This becomes a tough task as the resources are limited but their demand is increasing
continuously. The government has also supported these units after analysing their results and the
contribution which they made to the society.
D.1 Use critically reflection to evaluate own work and justify valid conclusion
The independent living is a good concept and has contributed in the society
(Moser,2010). Therefore development should be done in this area so that they come up with

more ideas and more facilities in order to provide its services to more people. Although it has
various drawbacks also but they can be controlled through effective control.
2.4 Propose appropriate service responses to recent changes in health and social care services
Performance appraisal is conducted in order to check the quality of the services provided.
Therefore in order to know that weather the proposed changes which are made in the health and
social care are good or not interviews from different service receivers can be done. This will help
in getting the detail data about whether the changes are acceptable by the society or not and
whatever the response is it is also supported with the reasons (Smith. and Stirling,2010). Also it
observed that these days the suggestion boxes are kept at the service place which are open for al.
anyone an just write and suggest the service provider to bring a particular change in the existing
practice and also if a new thing is needed to be added than it can also be given in the suggestion
box. In this process the identity of the individual remains undisclosed. Feedback forms also help
the management in getting the response from the customers that weather they liked there services
or not and if not than why. This help them in improving and providing the customers with better
services the next time. Also in the health and social care references play an important role in
getting the response from the customers. When someone after receiving the services of a
particular unit refer the same to his friends or relatives it shows that he was satisfied with their
services.
M2 Select and apply appropriate techniques
In order to get the responses of the customer after they are provided with the services it is
important to interact with them. This interaction can be done through interview, feedback forms
etc. which tells about the satisfaction of the customer. If any change is required it can also be
brought.
TASK 3
3.1 Explain the key principles of change management:
Beginning with what we understand about change what really change symbolizes ,change
management is that ongoing process in which try to adjust the corporate strategies and also to
the structures to cope up with the changes organizational objectives .: During 1996, John Kotter
wrote Leading Change*.he was found of writing and understanding the sentiments of people
going through the prevailing situation in his leading change basically he tried to look out that

how did people transform their organisations he tried to explain what he observe while looking
people transforming , for success we always required to take steps which leads to successful
changes in our life but for all good and successful changes we require some sense of urgency we
need to have positive attitude with positive vision to look forward, there to achieve successful
changes we need to show some commitment in our work ,its required a lot to adopt changes
which bring successful changes that is leadership quality ,stakeholder engagement good and
proper communication skills ,and Kotter 8 step change follow each of these characteristics. The 8
step change model is for helping managers deal with transformational change. And further
Kotter’s tried to explain his point of helping managers deal with transformational change in his
8step change model. These all 8 steps are overlapping with each other .If we look the first three
of them then these together works all about generating creating and up bring the “climate for
change “, further to add up next few steps focus on engaging and enabling the organisation ,and
last remaining steps tries to focus on implementation and sustaining changes(Eppig Blake,
2015)..
Now understanding these 8 steps change model for leading change we will first came across:
Climate for change: we all know that change is need to happen then the question arise that from
where should we start till how much we need to do? When we will be able to see the end of
change? to spark the initial movitation to get things moving , changing in the proper way ,
there ocurs a sense of urgency that is first and foremost step is to create urgency what we are
required to do is we need to increase potential threats we need to develop the scenerio that
might could take place or happen in future ,futher in creating urgency we need to examine
the opportunites that should be or could be exploited. We should start giving dynamic and
potent reasons to people so that they could start thinking and talking we should initate
honest and meaniful discussions .
It is correctly said “if you act without preparation ,you could be in for a very humpy ride”.And
take your team together for good transformational changes and work hard the second step
under climate change is build a powerful coalition. Be a strong leader ,briing right people
together and convince them that change is necessary ,by being a good leader you need to
check the weak areas of your time aork that out for proper change have people from
different departments in your team .

“If you wish to make a future you must make it more probable” then there comes the third step
that is create and develop a good vision for change: the need of clear vision is to make
people understand that why are doing this thing what the need of change, when start
thinking about changes it basically new ideas comes to keep them all to make your vision
clear .What you need to do is create a plan for your vision try to summaries your plan to
others for clear vision.
Now under engaging and enabling the organisation , few steps comes that are communicate
the vision and next is remove obstacles and the further step is to create short term wins ,the
communication is not just data transfer but something more remove the obstacle which don’t
let you bring changes and start celebrating small wins . Now under implementing and
sustainable change comes last steps that are built on the change and transom it into proper
things, after ever victory analyse what is right and what is required to improve for good in
future
3.2 Explain how changes in health and social care are planned:
After the success of Dennis it was observed that it is good to bring change in the other
health and social care providing units. For this effective communication between the
management of the Dennis and the other institutes was done so that they can interact and realise
how it is better to have the independent living system in the country so that they also contribute
in this. Also in order to bring the change in their own unit the staff is well communicated about
the objectives and also there vision is made clear as how they can achieve those goals. For this a
set hierarchy is followed for the flow of information about the change and there effect which will
be observed in the future.
3.3 Assess how to monitor recent changes in health and social care services.
Whenever any change is brought it is necessary to monitor it on a continuous basis in
order to check its efficiency and effectiveness in the organisation. For this control needs to be
done on the different activities so that if any change is required it can be brought at the same
time. Also this help in reducing the time wastage of making the corrections in future (Amundsen
Berglund and Westskog,2010). The change can also be monitor through observing the consumer
and employee satisfaction as if they are satisfied than we can say that the change is effectively
implemented in the organisation. Their satisfaction is must as if even if one of them is not
satisfied by the change brought than it cannot continue for a long period of time. Therefore

monitoring is important and should be done in the best manner even if it includes incurring of
more cost in the total cost of change brought.
CONCLUSION
From the above report it can be concluded that although it was difficult to implement changes in
the health and social care as initially people resisted to it. Later after realising the advantages of
independent living people started adopting it. There are many ways in which this sector was
improved and also various difficulties were faced by the Dennis in continuing with the new
concept of home care to independent living.

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