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Accountability to Professional Bodies

Empowering Individuals

Ill Health and Specific Needs

Regulate the people who work in H&S

E.g. The Nursing and Midwife Council (NMC) (Ensure nurses etc have right quals) - Barrow in Furness

The Royal College of Nursing (RCN) (set out the principles of nursing)

The Health and Care Professions Council (HCPC) (sets standards for conduct and ethics)

The General Medical Council (GMC) (decides whether doctors are qualified to work here and standards all should follow)

People have specific needs and ill health which can be treated in a range of settings.

Later Adulthood Care

Early Years Care

Caring for People with Mental Ill Health

Rights: Choose own GP, equal/fair treatment, consulted over care, consulted over preferences, protected from harm/risk, access to complaints procedures and access to advocacy/empowerment.

Carer's role: Keep people safe, enable them to live independently, access to benefits, confidentiality, work in partnership with different care providers, stop discrimination, promote rits, provide mediation, prevent self neglect and prevent abuse.

Specific needs: Development and progression of phys/mental conditions (treatment and medication, provision of support at home), Involvement of family or friends (supported to make decisions) and Interventions to maintain phys/mental health (nutrition, oral health, ageing advice and exercise programmes).

Types of mental health problems: Bipolar, anorexia, self harm, Alzheimer's, schizophrenia, psychosis, OCD, PTSD & post natal depression.

Care providers: Family & friends, NHS, Charities (Mind) & private sector (Priory group)

Legislations: Mental Health Act 1983 (amended 2007)

Prevention: talking, eating well, activity, drink sensibly, keep in touch with people, ask for help, take a break, care for others.

Specific needs: learning disability, physical disability, challenging behaviour, severe illnesses and victims of abuse/neglect.

Five main providers: Parents, other family members & friends, teachers and assistants, specialist support workers and specialist medical staff (paediatricians at Gt Ormond St).

Carer's Role: Keep safe, healthy environment, accessible learning environment, encourage learning and play, enable a positive contribution, ensure their welfare, confidentiality, work in partnership wit parents, stop discrimination, don't be judgemental promote rights.

Children's rights: Communication/language, physical development, P.S.E development.

  • through literacy, maths, understaing the world and expressive art & design.

Discrimination/Confidentiality?

Safeguarding

Monitoring Care Internally

British Medical Association (BMA) - trade union for doctors and med students.

Royal College of Nursing (RCN) - trade union for nurses.

Royal College of Midwives - trade union for midwives.

Unite or Unison - protect people in all occupations across healthcare.

Roles:

  • Protect and promote rights of trades or professions.
  • Protect and promote rights of members.
  • Offer advice and legal support to protect members.
  • Follow codes of practice and policies.
  • Internal monitor roles: lead/senior nurses, doctors/consultants, matrons, ward sister, specialist nurses or healthcare assistants.
  • Whistleblowing helps maintain best practice.
  • When not followed:
  • bad practice could harm
  • complaints from service users
  • staff may leave or perform less well
  • provider may receive negative reports

Children Act 2004

Care Act 2014

Examples of safeguarding?

Caring for People with Physical/Sensory Disability

Codes of Practice

Monitoring Care Externally

Caring for People with a Learning Disability

Guidance for situations such as health & safety, data protection,

confidentiality, professional conduct, end of life care and safeguarding.

Why have them:

  • Best practice
  • Rights and responsibilities of staff
  • Outline behaviour/attitudes expected of staff
  • Achieve compassionate care
  • Enable safety for staff and users

Inspections may focus on:

  • Analysis of data or trends
  • Investigation of complaints
  • Observation of service delivery
  • Collection of service user feedback
  • Interviews with staff

Criminal investigations may happen as a result of:

  • Sexual, physical, financial or emotional abuse
  • Safeguarding
  • After a referral to the police from CCG
  • After referrals from individuals
  • May lead to the dismissal of staff

Inspection in England

Regulation and Inspection Process

Four key care priorities: Choice, Care in the community with personalised support, innovative services & early, intensive support.

Care providers: Family & friends, support workers, psychologists and social workers.

Carer's role: Meet their needs, use appropriate language, respect their preferences, empathise, treat with dignity, confidentiality, social activities, access to healthcare and report risk.

Types: Sensory (hearing/visual), Neurological (motor neurones), Spinal (spina bifida) and Amputation.

Care providers: Family members & friends, support workers, physiotherapists and specialist medical teams.

Carer's role: Help to deal with diagnosis, support, care reflects needs, enable them to access services, help obtain suitable equipment, arrange adaptations to settings, support with self care programmes, help access benefits, ensure respite care is available and help the family cope.

  • Give personalised care
  • Promoting users' dignity
  • Dealing with conflict in an appropriate way
  • Allowing for needs and preferences
  • Promoting independence
  • Providing support
  • Promote users' rights, choices and well being
  • Balance the rights of the individuals, other users and staff
  • Putting users at the heart of the service

1. Identify the purpose/scope of the inspection

2. Gather views of users

3. Gather information from staff

4. Observe service delivery

5. Review records

6. Look at documents and policies

7. Feed back at a meeting with inspection team

8. Publish findings

9. Take actions to improve services

CQC - Independent regulator

  • Monitor, inspect and rate services
  • Register care providers
  • Protect service users
  • Be an independent voice

NICE

  • Produce guidance for providers
  • Develop quality standards
  • Provide information services

PHE

  • Protect the health of people
  • Share info
  • Carry out research

Service Improvements

and OFSTED!

Hospital

  • Hand hygiene procedures
  • Store cleaning equipment properly (cross contamination)
  • Replace damaged equipment
  • Better nutrition for patients
  • Complete documents properly
  • Reduce delay in patient referrals

Early years setting

  • Replace unsafe equipment
  • Promote individual development/needs
  • Improve record keeping
  • Improve partnership with parents
  • Provide a rich learning environment
  • Improve leadership and motivate staff

What 'rights' do you remember?

Rights and Empowerment

  • Dignity
  • Independence
  • Privacy
  • Safety and security
  • Equality
  • Free from discrimination
  • Express needs and preferences
  • Dignity - Privacy when using the bathroom.
  • Independence - Allowing old person to stay in their home, supporting those with l. difficulties.
  • Needs - Support with food/clothes, whether to be treated by male/female doctors.
  • Safety - Dealing with conflict, protecting from risk or harm, encouraging behaviour change.
  • Equality - Allocation of budgets between departments, accountability to local authorities.
  • Discrimination - Complaints procedures, investigations into abuse.

Partnerships

Roles, Settings and Responsibilities

Advantages:

  • Improves ives of the vulnerable
  • Service users don't need to repeat information
  • Improves info sharing
  • Improves efficiency in care
  • Coordinates care
  • Provides holistic care
  • Improves planning and comissioning of care (complement rather than disrupt each other)

Disadvantages:

  • Failure to communicate
  • Lack of coordination between services
  • Delayed discharges from hospital as no support in the community (older people)
  • Possibly different IT systems
  • Cuts in funding prevent effective partnerships

Socialcare roles

Care manager

Care assistants

Social workers

Youth workers

Support workers

Settings

Residential care

Domiciliary (home) care

Daycare centres

Partnership with families:

Informal carers, friends and family - ADVOCATES

Healthcare roles

GPs

Specialist doctors - cardiology, oncology, paediatrics and geriatrics.

Nurses

Midwives

Healthcare assistants

Occupational therapists

Settings

Surgeries and health centres

Hospitals

Clinics

Home

Should know roles and responsibilities

Do you?

Supporting people with a physical disability

Home

Educational setting

Work

Leisure setting

Access to Services

People may encounter issues accessing services. There is a process involving three criteria:

1. Referral - Usually from a GP.

2. Assessment - It will consider:

  • their needs and impact on their care
  • the things that matter to tm (e.g. getting dressed)
  • their choices and goals (e.g. taking up a new activity)
  • the types of services needed (e.g. information, advice, facilities & resources)
  • the needs of their family
  • the limtation of cost and service provision

3. Eligibility criteria - must consider whether the needs:

  • arise from a disability
  • make them unable to achieve two or more of the specified outcomes
  • impact on well being

Needs and Outcomes

Barriers

Unit 2 - Working in Health & Social Care (in a nutshell)

  • Prepare and eat food and drink
  • Maintain personal hygeine
  • Use a toilet
  • Dress appropriately
  • Move (inside and outside)
  • Access personal relationships to avoid loneliness
  • Access work, training or volunteering
  • Use facilities and transport
  • Care for others (e.g. child)

Reasons why people don't get access to H&S services:

  • Specific needs - if they have learning/physical difficulties, mental ill health, older people, children, refugees and people transitioning between sexes.
  • Individual preferences - religious/cultural beliefs, people who want to be treated locally, women receiving care from women, those with terminal illnesses not wanting treatment, mental ill health and older people who want to remain independent.
  • Other barriers - financial (rich v poor), social (homeless), cultural (English not first language) or geographical (may not receive the same level of care in your area)
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