Analysis of Quality Management in Health and Social Care Report

This report provides a detailed analysis of quality management within the health and social care sector, specifically referencing the Royal United Hospital Bath NHS Trust. It explores the perspectives of various stakeholders, including staff, legal bodies, and service users, regarding quality. The report examines the role of external agencies like the Care Quality Commission (CQC) and the Medicines and Healthcare Products Regulatory Agency (MHRA) in setting standards. It further investigates the impact of poor service quality on stakeholders, discusses existing standards for measuring quality, and explores different approaches to implementing quality systems, such as Total Quality Management (TQM) and Continuous Quality Improvement. Potential barriers to delivering quality services, both internal (lack of leadership, time constraints) and external (cultural barriers, lack of clear direction), are also analyzed. The report concludes by evaluating the effectiveness of systems, policies, and procedures, and suggests ways to improve quality within health and social care settings, emphasizing the importance of stakeholder involvement in the evaluation process.

Managing Quality in Health in
Health and Social Care

Table of Contents
INTRODUCTION...........................................................................................................................1
TASK 1............................................................................................................................................1
1.1 Perspectives that stakeholders in health and social care.......................................................1
1.2 Role of external agencies in setting standards......................................................................1
1.3 Impact of poor service quality on health and social care stakeholders.................................2
TASK 2............................................................................................................................................3
2.1 Standards that exist in health and social care for measuring quality....................................3
2.2 Various approaches to implementing quality systems..........................................................3
2.3 Potential barriers to delivery of quality health and social care services...............................4
TASK 3............................................................................................................................................5
3.1 Effectiveness of systems, policies and procedures...............................................................5
3.2 Other factors that influence the achievement of quality.......................................................6
3.3 Ways in which the health and social care service could improve its quality........................6
TASK 4............................................................................................................................................7
4.1 Methods for evaluating health and social care service quality..............................................7
4.2 Impact that involving users of services in the evaluation process........................................7
CONCLUSION................................................................................................................................8
REFERENCES................................................................................................................................9
.......................................................................................................................................................10

INTRODUCTION
In health and social care, quality is necessary component and it has various perspectives
as well as interpretations. It is necessary for external stakeholders and service users of health and
social care. It is a responsibility of health and social care sector is to provide better quality of
services to patients. This present report is based on Royal United Hospital Bath NHS Trust. It
gives acute care as well as treatment for catchment population almost 500,000 individuals in
Bath and surroundings villages and towns (Al Hamhum, 2013). Under this mention report
discuss about perspectives that stakeholders in the health and social care have related to quality.
Impact of poor quality service on stakeholders of health care will be discuss in this report.
TASK 1
1.1 Perspectives that stakeholders in health and social care
Quality concept is based on the perspectives of every users. It is depend on opinions,ideas
and likes of an individual in an effective way. In health and social care sector, there are various
types of stakeholders are included and these people take interest in activities as well as operation
of care homes. Perspectives of every stakeholders are different from the each other. According to
staff members perspectives they are giving services to users and according to them it is a
responsibility as well as liability of service practitioners to maintain quality of Royal United
Hospital Bath NHS Trust. It can only be done when workers of this care home are motivated in
order to perform practices effectively (Angles and et. al., 2013). Second is Perspective of legal
bodies and under this, government develops some policies as well as regulations for health care
homes so that they can follow them at the time of conducting their operations. Under this, there
are some other external bodied such as health care commissioners, national institute for clinical
excellence and Central Quality Commission (CQC) which set some benchmark for social and
health care. In Perspectives of service users, persons which use services of Royal United
Hospital Bath NHS Trust have their own opinions and perspectives related to service quality.
Under this, quality of care home should meet necessity of patients or service users.
1.2 Role of external agencies in setting standards
Under this, external agencies monitor and also support facilities related to health and
social care. They act like pursuant of the quality care, oversight authorities, protect interest of
stakeholders etc. These agencies work on maximising the oversight mechanism by providing the
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control to local, state and federal authorities (Armstrong, 2015). In this, external agencies pursue
advocacy programmes through giving incentives as well as accreditation guarantors on quality.
There are different external agencies and their roles are given below:
Care Quality Commission (CQC)- Main objective of this agency is to set some
standards for the residential and social care administration. Their major focus on provide daily
basis activities with better quality. IT is non- departmental public body and set standards so that
service users of Royal United Hospital Bath NHS Trust can take better basic facilities.
Role- Its main role is to supervise as well as regulate services at health and social care. It
takes actions if in case the care home does not meet with pre- defined standards.
Medicines and Healthcare Products Regulatory Agency (MHRA)- It is government
agency which assures care devices as well as medicines should be safe and also in the
professional way. It is responsible for assuring that health care firms improve safety and quality
in the care setting.
Role- It role is to maintain quality of equipments and care devices properly. It works on
improving health of patients rapidly (Chawla and et. al., 2016).
National institute for clinical excellence- It gives advices to National Health Services
(NHS) in UK country. From this, health care homes can work in an effective or better manner
and provide better services to patients.
Role- It helps in generate guidelines and also provide advice on continuous basis to health
and social care services.
1.3 Impact of poor service quality on health and social care stakeholders
Poor services impact on health and social care negatively. It can minimize cost as well as
productivity of Royal United Hospital Bath NHS Trust. Poor quality if are homes can minimize
consumer satisfaction which can lead from to be shut down, there are many different health
regulation agencies which take some legal actions against it. On the other hand health and social
care firms should have affect on service users, if in case the services users are not satisfied then
productivity of Royal United Hospital Bath NHS Trust can be reduced. So, it is necessary for
health care home to provide better services and use effective equipments which can help in better
treatment to service users. With the help of this, service users will be loyal towards firm and they
will retain towards company for long period of time. Poor service quality develops negative
impact on mind of stakeholders. In relation to this, there are some important aspects are bad
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reputation of health care homes, disrupt findings, inappropriate planning and bad quality. All
these aspects develop negative impact on business as well as activities of care homes. In addition
to this, poor quality reduces the satisfaction level of consumers. It is necessary to Royal United
Hospital Bath NHS Trust to develop better strategies for overcome from all problems
significantly (Courtney, 2013). In order to make improvement in service quality, there is a
requirement to care home to arrange funds and purchase new equipments as well as machineries.
These will help in increase quality of services. On the other hand, manager should provide
training to staff members about equipments so that they can use them in proper manner.
TASK 2
2.1 Standards that exist in health and social care for measuring quality
Thought behind seek standardization related with the advance daily activities to quality of
care environments. There are many standards for analysing quality and also helpful in measure
care quality. In context to this, standards from Code of Practice, CQC, NMC and NICE are
existing in order to assuring quality to increase capacity to safe the service users. These all
standards are helpful to service users to meet with standards and also maintain them to provide
better quality of services in an effective manner. Health and social care organisations consists
isolated standards which aids in analysing quality of health care homes. All these given standards
are followed through health and social care homes to assures better applications of practices of
quality services with firm. On the basis of given case study, it is necessary for Royal United
Hospital Bath NHS Trust to set better standards with motive to make improvement in its quality
services in United Kingdom. In order to this, it has been determined that standards should be
fulfilled through health and social care that signified various aspects to maintain qualities of
service (Dingwall, 2014). It is necessary that staff should follow code of conduct of health and
social care and also should acquire relevant knowledge as well as skills of satisfy requirements
of patient. Under this, standards are regarded as necessary aspect and assists service users with
demand of quality services to provide on time basis. Standards consist different duties and also
rights of consumers and care workers so that they can fulfil them in better way.
2.2 Various approaches to implementing quality systems
Quality standards that exist in the services of health and social care are put some steps
rapidly in modifying areas. Quality services are helpful in leading the health care organisations at
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upper level. In health and social care, quality system gives more understanding of elements of
quality through executing the various models in Royal United Hospital Bath NHS Trust. There
are different approached of quality systems given below:
Quality control- It is related to identifying essential issues as well as circumstanced
those can affect on development of health and social care (Duprez and et. al., 2018). Under this,
it is necessary that Royal United Hospital Bath NHS Trust should focus on controlling and
manage quality of services in significant manner.
Total quality management- It helps in meeting expectation and demands of patients and
increase standards of health care homes. It is helpful in minimising errors and any kind of
wastage. Consumer in health and social care environment can be staff, community, patient,
physician etc. It helps in increasing efficiency as well as productivity of business.
Continuous quality improvement- It is necessary for development of health and social
care services. Under this, care homes favour quality assurance due to their main concentration on
problems those are concerned with regulations such as documentation of service users along with
staff members and also process of administration.
Under this, Royal United Hospital Bath NHS Trust uses the TQM approach because it
helps in remove all defects from health and social care home and also enhance customer
satisfaction at broad level.
2.3 Potential barriers to delivery of quality health and social care services
In social and health care Royal United Hospital Bath NHS Trust face external as well as
internal factors. In delivery of quality care related services, there are necessary factors and they
act like barrier (Honeyford and et. al., 2013). These all factors decrease motivation level of
people from accept modification and also tale some positive outcomes. In internal barrier involve
limitations and risks in organisational structure as well as resources. On the other hand, external
barriers can lack of the health insurance, family support and also financing system. Other than
these, some internal and external barriers are mention below:
Internal barriers
Lack of leadership- Leadership is necessary to guide or lead employees about any
activities as well as necessary actions. Having minimum leadership quality, there are different
types of problems can be arise among management and employees. Leadership should guide
staff to provide better services to patients and focus on improving their health.
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Availability of time- In this present time period, every firm seek to give services in
minimum time and it is a main disadvantage for health and social care firms. It can impact on
health of patients so it is necessary for staff to develop proper time period for any kind of health
activity so that treatment of patients can be done properly (Keenaghan, Sweeney and McGowan,
2012).
External barriers
Cultural barriers- In health and social care industry, background of Royal United
Hospital Bath NHS Trust are different from each other. So, they can not adjust in environment
and do not adopt the cultural changes rapidly. It affect negatively on their performance level.
Clear direction- If care home is not give proper directions to staff then they can not able
to perform properly. In addition to this, it is a responsibility of manager to provide guidelines to
staff so that they can focus on attaining set activities and targets in systematic manner.
TASK 3
3.1 Effectiveness of systems, policies and procedures
There are different kind of policies, process and systems in health care which are
necessary to followed through health and social care firms. These are helpful in maintain some
standards as well as effectiveness of services. On the basis of government of United Kingdom, it
is right of person to obtain services of health care in private and public health care. In addition to
this, health care professionals and Royal United Hospital Bath NHS Trust give the better care to
service users. Under this, quality health and social care firms are constituted with the service
oriented legal bodies to seek towards provide the better services of health and social care. Royal
United Hospital Bath NHS Trust promote quality of services of health and social care in
geographical areas and also main professional standards (Khamis and Njau, 2016). Under this,
firms want to attain objectives through executing policies like for an instance give effective
health care services to users, conduct disease programs and also provide incentives as well as
some other advantages to the health care professional and technical staff to firms. In addition to
this, policies and procedures are effective in executing social and health care services because
these are helpful in assuring improvement in quality services of Royal United Hospital Bath
NHS Trust.
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3.2 Other factors that influence the achievement of quality
Factors which can influence effectiveness of Royal United Hospital Bath NHS Trust
involve documentation and record of an affirmative outcomes of firm. This trust seeks to provide
enhance integrity to stakeholders in order to attain quality. There are different key factors which
influencing quality achievement mention below:
Resources availability- This factor is having significant affect on procedure to attaining
the services of health and social care (Lozano-Sufrategui and et. al., 2017). In this present
scenario, there is limited natural resources and also procedure to improving quality of services
and products demanding several resources. Or maintain service quality, proper resources should
be necessary.
Economic factors- For health and social care firms, an economic situation plays a
necessary role in planning services as well as quality improvement. An economic situation of
United Kingdom is not good so it direly affect on planning and service provision of Royal United
Hospital Bath NHS Trust in content to meet satisfaction of service seekers. For achieving quality
standards, planning and forecasting both are necessary.
All these factors influence on attaining quality care standards in Royal United Hospital
Bath NHS Trust with the help of execution of prospectus and better quality system, mainly
includes needs of work by giving better performance.
3.3 Ways in which the health and social care service could improve its quality
Royal United Hospital Bath NHS Trust can execute different ways to improve its service
quality. Overcrowding minimize efficiency as well as capability of workforce at Royal United
Hospital Bath NHS Trust. Under this, capacity of facility is full and there are some additional
beds those are occupied (Moule and et. al., 2016). Improvement in quality needs safety,
efficiency and effectiveness of services. There are different ways for improvement given below:
 Evaluation and analysis of national development policies as well as plans for health care
services in order to meet aims.
 Firm can gather planning and feedback related to necessary problems.
 Under this, there is a requirement to national government to focus on the consideration of
private sector firm in order to improve quality and utilise resources in better way.
 The health care firms should do the continuous checking of machineries and equipments
for the purpose of improvement.
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 Under this, questionnaire can develop by management to give improvement areas,
satisfaction level and give better information regarding expectation.
TASK 4
4.1 Methods for evaluating health and social care service quality
Various methods are there that can be utilise by Royal United Hospital Bath NHS Trust
in order to examine the quality of services offer by it to its customers. One of the main benefit of
this is that it help in effectively deal with all errors arise during carry out different operations and
at the same time help in better satisfy the needs of customers (Ostojic, Bilas and France, 2013).
Evaluation done by external perspectives such as care quality commission support in operate in
an effective manner. Major methods that can be utilise by Royal United Hospital Bath NHS
Trust in order to evaluate the quality of services are given below under the following points:
 Questionnaire: It is one of the most popular approach utilise to examine the services
offer by health and social care homes. In this manager develop a questionnaire related
with the services provided by health care home and then distribute the same to all service
users. One of the main benefit of this approach is that it helps in get opinions and views
of patient about the services offer to them and this also make the manager about the areas
of improvement.
 Survey: This is another most effective method opt by health and social care homes to
evaluate the quality of services offer to patients. As per collected information, entity do
changes in the services so it can better satisfy the needs of its patients and can generate
more number of profits.
4.2 Impact that involving users of services in the evaluation process
Through concentrate on collaborating work, Royal United Hospital Bath NHS Trust can
develop quality assessment system. It is helpful in provide importance to quality assessment
components with in hygienic, effective and safe environment. Through acknowledge quality
concerned with health and social care requires to wider perspective. In context to this, failure of
service users involvement can cause injury or disease any time (Rutitis and et. al., 2014). So, it is
complex for health and social care firm is to determine quality when practices are completed.
Through involvement of the service users which belongs to various background can also lead
firms towards creativity as well as innovation. For make improvement in quality services, some
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factors are necessary to be include by Royal United Hospital Bath NHS Trust. Through
increasing premises as well as facilities of trust, large number of patients can use its services. It
is necessary for Royal United Hospital Bath NHS Trust to take feedbacks as well as reviews
from patients in order to improve and increasing quality system by providing satisfactory
services. Staff members of care home should focus on provide better services to patients and also
give them better treatment so that they can recover rapidly (Sun and Buys, 2012).
CONCLUSION
It has been concluded from the above given report that heath and social care industry
need to maintain quality of its services in better manner. Perspectives of various stakeholders in
health care involve perspective of crevice users, legal bodies, technicians and service providers.
Under this, leading agencies taking initiatives for monitoring and also planning approaches of
health and social care to examine areas and quality of lacking. Under this mention report studies
about the potential barriers to delivery social and health care services quality. Effectiveness of
policies, procedures and systems used in health and social care setting in attaining quality in
services has been studied in this.
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