Vital Care Services: A Case Study

Mrs Gale is a 70 year old widow and retired unskilled worker. The patient lives alone and relies on her son to provide basic care, medication and meals. Mrs Gale has a history of weight fluctuation owing to lifestyle but is currently at risk of malnutrition due to Parkinson’s disease. Mrs Gale shows signs of early dementia and suffers from poor mobility and pain caused by arthritis. Mrs Gale also has mild depression triggered by loss and has become socially isolated. All names have been changed as per the Nursing and Midwifery Council confidentiality guidelines (2008).

The Government outlined their aim to fulfil their responsibility to provide care and protection for those who through their illness or disability are genuinely unable to express needs and wants or exercise control. However, they made clear that the right to self-determination would be at the heart of a reformed system only constrained by the realities of finite resources and levels of protection, which should be responsible but not risk averse. This section demonstrates a future vision for the safeguarding of vulnerable adults and discusses protection but also the importance of not being risk averse similar to what is outlined in the Human rights Act 1998 which discusses the right to independence which involves a degree of naturally occurring risk.

| * Identified the minimum levels of care a vulnerable adult should be given in care homes

The Health and Social Care Act 2012 came into force with crucial principles including new structures and arrangements in health care services to safeguard and strengthen the future of NHS and maintain the modernisation plan. In this Act, many new changes has been made to a number of existing Acts, National Health Services Act (NHS 2006), in order to enable health care system to tackle the existing challenges and also avoid any potential crisis in future. It has also introduced the proper allocation of NHS fund and budget, and improved the integrated care between NHS and social care services to promote patients’ choice in terms of delivering quality care.

Believe that the NHS should not to be privatised but reformed to meet the challenges of the 21st century while remaining in the public sector. She pointed out that across the country, the NHS is selling off its land and buildings and closing its services. This is happening at an unprecedented rate which is switching NHS funds and services away from NHS services to the private sector. The total debt is £50bn rising to £90bn and will lock-in future governments and future taxpayers for many decades to come. The NHS currently pays £0.5bn pounds a year in PFI charges and this debt is set to quadruple to £2.3bn a year by 2010. The beneficiaries are the banks, the shareholders and the venture capitalists, the construction industry and facilities management. The losers are the service users, staff and the British public. (https://www.theguardian.com/commentisfree/2007/oct/04/thenewprofiteers)

This essay will examine the following statement in relation to reforms proposed in the Health and Social Care Bill 2011 “Funding and delivering high quality health and social care services is problematic to all governments irrespective of political persuasions” I will provide an overview of the bill and investigate through critical analysis recommendations in the Bill for clinically-led commissioning. This will enable me to illustrate the problems in delivering a high quality care service that is needed by the changing society and the challenges this causes policy makers who uphold the ideology of the NHS.

There is a long history in delivering health care in the UK which can track back to The Poor Law 1834. The whole health and social care system had shifted to person centred care only since the beginning of last decade after recognising the changing of social structure in the UK and the need of placing service user in to the centre of the service. Therefore several legislations and policies were brought up either by the statutory body or independent organisation to emphasis the importance of person centred care in health and social care setting.

NHS cuts to continuing healthcare. This has led to disputes between NHS and social care professionals and shunted costs on to councils, who often have to fund care packages for people no longer fully funded by the NHS.

Fourth, both health care organization are anticipated that during our organizational restructuring on the Care Select Health System would most likely affect job satisfaction levels and potentially compromise the quality of services provided, yet evidence on the impact of hospital mergers on staff satisfaction is surprisingly scarce. Therefore, Care Select Health System staff might perceive mergers as a breach of the psychological contract (implicit commitments and expectations between employers and employees) when they feel they are not listened to, when they have to ‘suffer’ from delays in service development and job uncertainties. For instance, cultures of merging organizations might also clash when they have opposing attitudes towards

'Our health, our care, our say ' is a policy published by the Department of Health in 2006 which aims to provide a more effective health and social care service in the community outside of hospital. It 's main aims are to improve community based care, enable health independence and well-being, provide better access to general practice and community services, and greater support for people with long-term health conditions. It sets out the government 's vision for “high quality support meeting people 's aspirations for independence and greater control over their lives, making service flexible and responsive to individual needs. ' ' This policy really highlights the need for an improved, person centred healthcare service in the community, bringing together different interprofessional teams to provide quality care for the service user.

In the case study written by Elizabeth Layman “Job redesign for expanded HIS Functions” She explains the constantly changing environment of the Health Care Delivery System. I plan to discuss the principles set for goal setting, job enrichment, job enrichment in HIS and the impact of job enrichment on motivation and communication in the HIS department featured in her case study. Applied Principles of Goal Setting In this case study goal setting is very important HIS is going to go through a number of changes at a very frequent basis so looking at each component of the organization and departmentalizing goals by department is a good place to start “Leaders can examine their departments' alignment to achieve organizational goals at four different levels.

The need for critical care providers is increasing, especially with an aging American population. Patients in acute care settings receive 18 to 23 million days of critical care yearly at an estimated cost of nearly 1% of the gross domestic product (Health Research Services Administration [HRSA], 2006). There will be a need of 4,300 MD intensivists by 2020, but only an estimate of over 2000 are expected to be available to practice in the United States (Krell, 2008). This disparity can be reduced with the use of advanced practice registered nurses (APRNs) that are specifically trained in this specialty. APRNs are in position to provide quality care, address health system issues, and reduce health care costs while improving access. Unfortunately,

In 2000, an effort was made by the UK government to resolve certain inequalities that had developed within the NHS by releasing the “NHS Plan of 2000.” This plan greatly increased spending on employee pay, infrastructure, and access to services. Despite almost doubling spending in a ten year period,

As a medical professional, I have had many opportunities to interact with dying patients as well as with their families. Treating a dying person with dignity is very important not only to the individual but those involved with their care. Every person is a human being and deserves the best care available. In my opinion, those who are faced with the scary realization that they are dying shouldn’t be pushed aside because of their diagnosis, but treated with respect and helped through the process with the least amount of stress possible. “When dying patients are seen, and know that they are seen, as being worthy of esteem by those who care for them, dignity will be maintained”. (Lam, 2007)

During my reading I came to a similar conclusion of the definition of compassionate care to that of the group. I would agree with the definition in The Kings Fund (2009) that compassionate care is being empathic and showing understanding to accurately sense what another person is experiencing. However, I would like to expand the definition further. I believe to show true compassion in care, a holistic patient centred approach should be applied. The elements of this are founded upon catering for the physical, psychological and social needs of a patient (Hawthorn, 2015). This is a non-threatening approach in which patients are allowed to express themselves more freely (Mearns and Cooper 2005, cited in Hawthorn 2015, p.703). It simply refers