The policy has defined the mechanism by which the action areas would be organized and delivered. As the health and social services are involved in many of these action areas a strategy for integration has also been devised so a seamless delivery of patient care services can take place. Local organizations, National bodies and regulators such as Care Quality Commission (CQC), Nursing and Midwifery Council (NMC) and Monitor have the role of providing leadership, helping to create the culture and the environment for compassionate care. The following text which is entirely resourced on the document “Compassion in Practice” will examine the rights and duties and support systems constructed in the document . a. Action area one: Helping people to …show more content…
Role of the National Bodies The NHS CB to support the publication of ‘high quality care metrics for nursing’ by the National Nursing Research Unit To also provide leadership in identifying the indicators that relate to compassion and effective care CQC to develop means of integrating the metrics into the regulatory process The NHS CB to implement new metrics developed using information provided by the Commission of Quality Innovation Payment Framework To develop the ‘safety thermometer’ for all settings including mental health, learning disability, children and young people. To ensure transparency in sharing information with the public regarding quality of care. The DH to publish ‘Provider Quality Profiles’ for all registered facilities on quality of care indicators. The NHS to review the data on decubitus ulcers, falls, patient and staff experiences and make practice recommendations. d. Action area four: Building and strengthening leadership This action area is concerned with the development of leadership at all levels incorporating the core values of the six Cs in the care delivery …show more content…
The DH to augment the efficacy of the above All National Organizations to ensure the sharing of staffing information at all levels and relating it to patient experience and quality standards The Sector skills Councils for social care and health to develop a code of conduct drawing on the Dignity code, the National Pensioners Convention and the dignity challenge. The CQC to regulate the enforcement of the quality and staffing standards. f. Action a rea six: Supporting positive staff experience This action initiative is mandated to improve the working environment for the staff so that they can be motivated to adopt and practice the core values of the property The policy assigns universal responsibility for improvement of work environs f.i. Role of the Local Organizations: Providers to develop and maintain a culture promoting the core behavioral values towards the staff and maximizing their involvement using staff engagement toolkit Providers to apply ‘friends and family’ test to the staff Providers to share information about application and effects of the policy core values. NHS CB to facilitate setting and achieving local targets for high quality staff
... code: Standards of conduct, performance and ethics for nurses and midwives. London: Nursing and Midwifery Council. Pp. 2-3
Standards are important aspects of nursing that a nurse must learn and implement every day for the rest of their nursing career. These standards provide for a nurse’s competence in the quality of care they deliver to the public. Standards offer a necessary guidance to nurses everywhere in an effort to ensure that people are treated correctly and ethically. Patients expect nurses to have a general knowledge of the medical realm and to know exactly what it is they –as nurses- are responsible for. Nurses need to have a sense of professionalism that enable the patient to feel safe and secure, knowing that a competent person is caring for him. A lack of professionalism does the opposite, making it impossible for a patient to trust or respect the nurse caring for him. Standards of nursing, if utilized correctly, give the nurse that sense of professionalism the patient is expecting. It insures for the safety of the patient and allows the nurse to provide quality health care that is expected of a medical professional.
The changes to health policy and the re-organisation of the NHS in recent years which has led to improve integrated governance, has all developed as a result of the catastrophic failings that occurred in Mid-Staffordshire healthcare Trust. The Secretary of State for health, Andrew Lansley, announced a full public inquiry to parliament on the 9th June 2009 into the role of the commissioning, supervisory and regulatory bodies in the monitoring of Mid-Staffordshire Foundation Trust (Midstaff inquiry online, 2013). This inquiry was led by Robert Francis QC, who proposed recommendations to ensure that similar events do not repeat in future. The Francis report made 290 recommendations which included improved support for compassionate, caring and committed care, as well as stronger healthcare leadership (Health Foundation Online, 2014).
Health and social care professionals encounter a diverse amount of individuals who have different needs and preferences regarding their health. As professionals they must ensure that all services users, whether it is older people with dementia, an infant with physical disabilities or an adult with an eating disorder (National Minimum Data Set for Social Care, [no date]), are treated in a way that will successfully meet such needs. In fact, health and social care professionals have a ‘duty of care’ towards services users, as well as other workers, in which they must legally promote the wellbeing of individuals and protect them against harm, abuse and injury. (The Care Certificate Workbook Standard 3, [no date]) Duty of care is a legal requirement
Perspectives of workers or staff members- Workers who are providing the services to the service seekers or we can say the health service practitioners as well as professionals have the responsibility and liability to maintain the quality of the Royal United Hospital Bath NHS Trust. This can be done only when the staff of the home care is motivated enough to perform the practices efficiently. For this the monetary and non- monetary reward can provided to the employees of the home
A positive care environment is reinforced by legislation and national care standards implemented by the Scottish Government. Legislation such as, Data Protection Act 1998, Mental Health (Care and Treatment) (Scotland) Act 2003, Health and Safety at Work Act 1974, GIRFEC (Getting it right for every child) and the Regulation of Care (Scotland) Act 2001 put safeguards in place to give the service user legal rights.
Public Expectations: In Health and Social Care, the public expects employees/workers to be caring, respectful towards the patients protected characteristics which means avoiding conflicts such as discrimination and inequality treatments. They should be able to protect personal information of the patients by following the 'Data protection and Confidentiality Act 1998'. They are expected to give good supportive advice towards their patients and employees to improve the quality of work and welfare benefits. They expect higher standards of care, detailed information about their treatment, communication and involvement in decisions making activities and also access to the latest treatments (Thekingsfund,
...re. The care standards act requires that staff deliver to patients, safety, confidentiality, privacy, choice and consent. By providing this individuals feel more comfortable as they feel that they can express their opinion and vast amount of trust can be developed.
The Scottish Government [TSG] (2005). National Care Standards - support services (revised march 2005) [PDF] available at The Scottish Government website; scotland.gov.uk/Resource/Doc/239525/0066023.pdf
The code is structured around four key areas. Prioritise people, practise effectively, preserve safety and promoting professionalism and trust. The Code can be used by nurses and midwives as a way of strengthening their professionalism. If the code is not followed correctly it could bring their fitness to practise into question. http://www.bfwh.nhs.uk/onehr/wp-content/uploads/2016/01/Reflection-for-revalidation-May-2015-values.pdf Prioritising patients is an important role in nursing.
In her paper emerging model of quality, June Larrabee discusses quality as a construct that includes beneficence, value, prudence and justice (Larrabee, 1996). She speaks of quality and value as integral issues that are intertwined with mutually beneficial outcomes. Her model investigates how the well-being of individuals are affected by perceptions of how services are delivered, along with the distribution of resources based on the decisions that are made (Larrabee, 1996). She speaks of the industrial model of quality and how the cornerstone ideas of that model (that the customer always knows what is best for themselves) does not fit the healthcare model (Larrabee, 1996). Larrabee introduces the concept that the patient va provider goal incongruence affects the provide (in this case the nurse) from being able to positively affect healthcare outcomes (Larrabee, 1996). The recent introduction of healthcare measures such as HCAHPS: Patients' Perspectives of Care Survey has encouraged the healthcare community to firmly espouse an industrial model of quality. HCAHPS is a survey where patients are asked questions related to their recent hospitalization that identifies satisfaction with case based solely on the individuals’ perception of the care given. This can lead to divergent goals among the healthcare team or which the patient is a member. Larrabee’s model of quality of care model
Nursing and midwifery council (2008) The Code: standard of conduct, performance and ethics for nurses and midwives. London: Nursing and Midwifery council
Another factor being looked at in quality of care is patient satisfaction. There has been some debate as to whether the patient’s perception of their care truly reflects the quality of care. I feel like this can be looked at from both angles. The nurse to patient ratio certainly factors into this as well as the acuity of the patients which can vary dramatically. Just stepping onto the floor we have a long list of “to do’s” for our patients; doctors to call, test results to look for, protoco...
This system gives the mandate to the NHS clinical commissioning groups to monitor the wellbeing board’s health and social services provided. The main aim is to improve the services delivered. The white paper Act 2010- Equity and Excellence: Liberating the NHS has enabled the government to set the standards needed to develop an electronic database that would be used to assess peoples care and their treatment needs. More legal framework are outlined in the Care Act that was published in 2014 (Gov. UK.,