Executive Summary
The report is about the importance of working in partnership in health and care. The importance of this issue has been explained very noticeably through the Mid Staffs Scandal. The report conveys understanding of collaborative working and good practice as well as makes relevant recommendations for improvement in health and nursing care. The case taken for review is THE MID STAFFORDSHIRE NHS FOUNDATION TRUST. The effectiveness of partnership in relation to Health and Social care is evaluated. Different models of partnership working across the health and social care sector are analysed. Then current legislation and organisational practices and policies for partnership working in health and social care have been reviewed. Moreover, how differences in working practices and policies affect collaborative working have been evaluated. The possible outcomes of partnership working for users of services, professionals and organisations are evaluated and the potential barriers to partnership working in health and social care services are also analysed.
Introduction
An estimated 400-1,200 patient died as a result of poor care over the 50 months between January 2005 and March 2009 at Stafford hospital, a small district general hospital in Staffordshire.
It is often described as the worst hospital care scandal of recent times. In 2009 Sir Ian Kennedy, the chairman of the Healthcare Commission, the regulator of NHS care standards at the time, said it was the most shocking scandal he had investigated.
Francis's report that came out in February 2010 into care at Stafford hospital, based on evidence from over 900 patients and families, was scathing. .In his reports, He stated that there were people who entered Stafford hospita...
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...e user is different from being a service provider, there is always a need for being a service user and they will expect there service user to be adequate and academic in the fields of profession. On the other hand it is hard to define a service provider, for everybody’s needs have been categorised by their statement. Yet there is very little done on research and evaluation on the impact of service user participation the person with the long term condition should be central to all partnership working. Their expertise and knowledge about how their condition affects them physically, emotionally and socially will be a key focus in the planning and delivery of care to meet their needs. Where appropriate, and with the agreement of the person with a long term condition, partnership working should also involve carers. (Department of health, social service and public safety)
For the case study one considered the overall working environment of the organisation, with a particular client situation to apply the case study arguments around. This client was experiencing a catastrophic reaction to an event. One applied an integrated person-centred approach which considered meeting their needs by listening to the issue, and working with the person, and their family, as well as care staff, Registered Nurses (RN’s) and the Director of Nursing (DON). In order to find a resolution and meet the client’s needs. As well as, adding to their care plan strategies to assist with future behavioural and psychological symptoms of dementia (BPSD). This particular situation fit perfectly within the two questions of; does the organisation prevent me from providing person-centred care, and do we have formal team meetings to discuss residents’ care.
Tabitha walked onto the medical-surgical unit and received report on five patients in a record ten minutes before she began her busy shift Tuesday morning. The off going nurse managed to talk about the pet peeves and subjectives of each patient but was in a rush to make it to the monthly nursing practice council meeting and ‘everyone is doing fine’. Tabitha was unaware of the potential chaos that would ensue as her day progressed. As Tabitha walked into her patients’ rooms that morning to introduce herself, little did she know that Mrs. Jones is a high fall risk with no signage or alarms plugged in; Mr. Hill has fluids infusing at one hundred and fifty milliliters per hour with a history of congestive heart failure (CHF); and another patient is scheduled for surgery with no pre-operative paperwork or consents completed.
Whittington, C. (2003) ‘Collaboration and Partnership in Context’. In Weinstein, J., Whittington, C. and Leiba, T. (eds.) Collaboration in Social Work Practice. London: Jessica Kingsley Publishers. Ch.1.
A care relationship is special and requires skill, trust and understanding. This essay will elaborate how the quality of that relationship affects the quality of the care given and the experiences felt in receiving care. These different relationships will depend on the type of care given, who the care is given by and what sort of previous existing relationship there was to begin with. For a good care relationship to work it needs to follow the 5 K101 principles of care practice which are 'support people in maximising their potential','support people in having a voice and being heard','respect people's beliefs and preferences','support people's rights to appropriate services' and 'respect people's privacy and right to confidentiality'.(K101,Unit 4,p.183). If all of these needs are met a far exceptional quality of relationship between the carer and care receiver will be achieved.
The Institute of Medicine (IOM) reported in 1999 that between 44,000 and 98,000 people die each year in the United States due to a preventable medical error. A report written by the National Quality Forum (NQF) found that over a decade after the IOM report the prevalence of medical errors remains very high (2010). In fact a study done by the Hearst Corporation found that the number of deaths due to medical error and post surgical infections has increased since the IOM first highlighted the problem and recommended actions to reduce the number of events (Dyess, 2009).
Perspectives of service seekers- The individuals who seek the services of the Royal United Hospital Bath NHS Trust have their own perspective regarding the quality of the services. Quality of the home care must meet the essentials of the patients or service seekers. But it never means to fulfil the basic needs or requirements of the individuals who are seeking the service. On the other, hand if the home care is not able to meet the basic needs of the patients then this is important to analyze the certain reasons behind this (Janamian, et. al., 2014).
There are changes in the demographic as the population grows older, the number of older adult’s increases and thus, there is an increase of proportion of patients that are older adults for nurses to take care of (Wells, Y., Foreman, P., Gething, L., & Petralia, W., 2004). The nurses are there to assist and support the older adults in achieving wellness within their situation through empowering the clients (Touhy, et al (2012). Caring for older adults is important as there is an increase in population with deteriorating health. When caring for a client it is important to incorporate Jean Watson’s caring theories and Carative Factors to help influence and support the care. She encourages nurses to co-participate within the caring process by establishing unity and trust between the nurse and client. First, this paper will explain a situation in where I cared for an older adult and it will then introduce Jean Watson’s lower order needs, specifically the need for activity and how it relates to the older adult I cared for. Lastly, this paper will explain the nursing interventions I implemented to meet the lower order need, with a discussion of Carative Factor #4 relating to the client.
The care approach used by the care home is a person-centred care plan, this allows for all dimensions of health to be met. In order to meet Graces physiological health care needs it is important to first identify her physiological health problems, these problems include; a diagnosis of mixed type dementia and a previous medical history of hypertension, hiatus hernia, anaemia and recurrent UTI’s. Grace’s diagnosis of dementia as previously mentioned has resulted in poor nutritional intake, this in turn has led to Grace developing a...
One of the significant current discussions in healthcare since the Francis Report, concerns the regulation and training of Healthcare Assistants. Healthcare Assistants (HCAs), also known as Healthcare Support Workers, work in a wide variety of healthcare settings from GP surgeries and clinics to acute hospital wards. There are 1.3 million of them working in front-line care roles in the UK (DoH, 2013). These workers are currently unregulated and at present there is no compulsory role-specific training. HCAs are legally permitted to carry out most clinical tasks of a Registered Nurse, however, there is no definitive list stating what tasks they can or cannot undertake. This paper will attempt to demonstrate that there is an urgent need for HCA regulation and standardised training. It has been divided into four parts. The first part deals with the arguments for HCA regulation, the second with the hurdles that regulation would bring and the last part will attempt to draw some concussions and recommendations.
For several years there has been much media attention and professional pressure regarding the use of mixed sex wards. Much of the controversy has been fuelled by the Labour government’s manifesto commitment to abolish mixed sex beds, which they finally conceded was an impossible task early in 2008. However, much of the available fiction, and most of the more inciting press coverage, actually relates to inpatient areas with overnight accommodation, especially the more vulnerable groups, such as those with mental health problems and the elderly. In 2009 the National Health Service (NHS) set a commitment to eliminate mixed accommodation in hospital as part of their commitment to improvement of privacy and dignity of patient (BBC health, 2009). Meanwhile, the report of department of health in 2009 shows that, 99% of trust says they are providing the same sex accommodation and 97% same sex toilet and washing area, but nearly a quarter of patient still complain of being in a mixed sex area when they where first admitted to hospital (BBC health, 2009). In the first quarter of the year 2010, the National Health Service organisation reported over 8,000 trusts that were unsuccessful in implementing single sex accommodation without clinical justification (Blackman, S. 2010). These new information has led the 2010 elected coalition government to take action to finally make mixed accommodations a thing of past in England. Form 2011 health trust which are not performing well and do not comply with the rule will be named public (Blackman, S. 2010). Additional to this, Andrew Lansley health secretary in his comment laid out the changes. ‘‘National Health Service will have clear standard in the future, spelling out when they should report a b...
The Bill states that “ To safeguard its future the NHS needs to change to meet the challenges it faces - only by modernising can the NHS tackle the problems of today and avoid a crisis tomorrow” (Health and social care bill 2011). Smith (2011) reinforces this opinion as she highlights the problems faced by the NHS and infers that it was decisions made early on in its creation that has caused the escalating problems faced by the NHS today and that there is a ‘scramble’ to correct early mistakes but without a destroying the core ethos of the NHS.
The Nursing and Midwifery code of conduct states that in order for nurses to practice effectively they must be able to work and communicate effectively with colleagues. Multidisciplinary working helps to ensure both patients and staff are kept informed about the care of the patient and that any risks can be identified and reduced. Multidisciplinary teamwork in healthcare has a key role in creating a culture which is safe and effective in deciding upon the best practice related to patient specific care. It has become apparent in some organisations, the importance of multidisciplinary working with one example being the Francis report of the shortcomings in care at Mid Staffordshire Hospital where patients suffered appallingly due to the lack of person centred care with one such concern being professional disengagement where clinicians where not raising concerns to colleagues. Baylis, D 2014. This need for networking and shared knowledge is a focus point in the Person Centred Framework (McCormack and McCance 2010) where it is showcased that a prerequisite of nurses is to have developed interpersonal skills in order to encompass a positive care environment where effective staff relationships are formed. This then has an impact on the ability to share decisions and ultimately impacts person centred outcomes of creating a culture which is central to the
The practice of using inter-professional teams in delivering care is not a new concept but current health policy requires professionals work within a multidisciplinary team Department of Health (2001) and entrenched in the Nursing and Midwifery Council (2008) Code. The principle focus of this essay is to discuss the importance of inter-professional collaboration in delivering effective health care and what challenges and constraints exist. The integration of a case study will give an insight into inter-professional collaboration in practice.
A care worker has many responsibilities. For example, it is a care worker’s responsibility to treat each individual fairly and equally with care. This is because a care worker would have to help people who have difficulties doing everyday tasks like getting up out of bed, getting to different places around the home, getting dressed, using the facilities and on some occasions eating. Some clients in the home could have physical disabilities, learning disabilities or mental illnesses such as dementia and Alzheimer’s. A role that a care worker could have is spending quality time with the residents, talking to them and doing activities as a group. This will make the residents feel valued and cared for. Another role that a care worker could have would be to tend to a
“Is There Personal Responsibility In Healthcare?” Medical Malprocess. 4 March, 2009. Web.19 April, 2014. < http://thesystemmd.com/?p=230 >