Unit 2, LA B Flashcards
Learning Aim B
B1 - The roles of organisations in providing health and social care services
The Public Sector
Financed and directed by the government. NHS is funded by the taxpayer and national insurance contributions
- NHS Foundation Trusts, to include Hospitals, Mental Health services and Community Health services
- Adult Social Care
- Children’s services
- GP practices
The Voluntary Sector
- Charities - rely on donations
- Not run for personal profit
- Use volunteers
- Not managed by government however the government can pay for their services
The Private Sector
- Commercial companies, e.g. bupa.
- They work in all sectors including nurseries, mental health, hospitals or residential care.
- Provide services for the government.
Hospitals
Inpatient and outpatient services.
Outpatient - clinics, day surgery, specialist day time care.
Inpatient - 24 hours specialist support.
Referred via A&E or a GP
Day Care Units
Old people, disables, learning difficulties, mental health.
Friendly, supportive and stimulating environments.
Hospice Care
Improve quality of life for people who have terminal illnesses.
Palliative care.
Holistic care.
Individuals, their family and friends. Support can extend to the bereavement period.
Residential Care
Long-term care for adults and children needing 24 hours support.
Provide care for specific groups.
Residential care - personal care.
Nursing home - personal care and 24 hour nursing care.
Domiciliary Care
Provided in a clients home.
Can be short or long term.
Can be a visit of 24 hours care.
Domestic tasks or intimate personal care - delivering meats, DIY jobs, installing security equipment, arranging transport.
The Workplace
Occupational therapists help to keep the workforce healthy.
Provided by an employer.
B2 - Issues that affect access to services
Referral
- Self Referral: is when a person contacts a care provider personally, e.g. GPs. (Mainly to primary health services)
- Third-party Referral: is when a friend, neighbour of relative contacts a health of care service on another person’s behalf. (Primary health services)
- Professional Referral: when a professional contacts another service provider to request support for a service user. (E.g. a GP refers a patient to a hospital specialist)
Assessment
Community care assessment (usually adult social services)
They provide;
-Reassurance and information about organisations that can help.
-Devices to help people - e.g. electric can openers.
-Referral to different care - e.g. domiciliary care to residential care.
Carer’s assessment
Provide the service user with a written report outlining the needs identified and action to be taken.
Eligibility Criteria
National eligibility criteria;
1. a physical and/or mental impairment or illness.
2. an inability to carry out two of the following tasks;
-prepare and eat food
-wash themselves or their clothes
-manage their toilet needs
-dress appropriately
-move around their home easily
-carry out caring responsibilities
-meet the outcomes likely to affect their health and wellbeing
Barriers to access
- Language
- Inconvenient location of service
- Financial- childcare during appointment or loss of wages
- Scarce resources-long waiting times in hospitals; restricted opening times; limited availability of specialist resources
- Communication- discomfort due to fear of discrimination
B3 - Ways organisations represent interests of service users
Charities/Patient groups
They can represent the service user. e.g. shelter, crisis.
Advice, guidance, support.
Pressure groups.
Campaign on an individual’s behalf.
Advocacy
An advocate will speak on someones behalf. E.g. if they have learning difficulties or brain damage, etc.
Usually volunteers who are trusted by the individual
Complaints policies
All care settings must have formal complaints procedures. The settings have to make sure patients and their families are able to access these services.
The procedures and the outcome of any complaints will be checked whenever the setting is inspected.
If a service user complains they have the right to;
-have their complaints dealt with efficiently and quickly
-have their complaints fully investigated
-be told the outcome of their complaint
-receive compensation if necessary
Whistleblowing policies
Care organisations have to have whistleblowing policies.
The policies protect staff.
B4 - The roles of organisations that regulate and inspect health and social care services
Care Quality Commission (CQC)
An independent organisation who are responsible for monitoring and inspecting health and adult social care services in England. They aim to ensure that services are of a high quality and are delivered safely, effectively and compassionately
National Institute for Health and Care Excellence (NICE)
An independent organisation who provide guidance on current best practice in health and social care
Public Health England (PHE)
An independent organisation that is sponsored by the Department of Health. The PHE aims to protect and improve the health and wellbeing of people in England