The roles of organisations in health and social care sector

public sector, voluntary sector, private sector

The public sector organisation that provides Health and social care that is financed and directly managed by the government. the health care is free and example of this is the NHS

primary care, secondary care, tertiary care

Is provided by GP’s, dentists, and pharmacists. Primary healthcare services are normally accessed directly by the service user when needed. Also known as the point of contact

Includes most hospital services, mental health services and many of the community house services. They are normally accessed via the GP who make appropriate referrals to a consultant or other healthcare specialists such as a hospital A psychologist or community nurse and request an appointment for further examination or specialist treatment.

it provides specialist and normally complex services. For example, specialist spinal injury unit or hospice support referral to the services is done by healthcare professionals who have identified the need.

it was established in 2004 and is a health service largely financed by the government that manage the delivery of hospital services, mental health services and community health services in England

is a provision for individuals over 18. who have disabilities, mental health problems or who is frail due to age or other circumstances. these people are unable to support themselves without a specific planned assistance.

can in service users homes, day centres to provide care, stimulation and company, sheltered housing schemes, residental care, respite care - carers at home get a break, training centers for adults with learning disabilities

thier aim is to support and protect vulnerable children and their families also young carers. the local councils children’s departments are required to work in close collaboration with other care providers and the NHS also education services.

services to safeguard children who are at risk of abuse or harm, day care for children under 5 and after school support for older children, hello parents and carers with parenting skills, practical help at home, support of a children’s centre, arrangements for fostering and adoption

GPs are often the first point of access to health and social care provisions. They have an extensive knowledge of medical conditions. their role is to make initial diagnosis and refer individuals if necessary to specific father, investigation and treatments.

the age of their patients, their gender, levels of morbidity and mortality in the area, The number of people who live in residential or nursing homes, this generates a greater workload, patient turnover- newer patients generate more work than established patients

The voluntary sector plays an important role in providing services in the community. These organisations each serve a specific client group

are non profit organisations: any income is used to develop thier services, usually use volunteers for at least some of their services, managed independently of central government or local authority

Age UK, British Heart Foundation, Alzheimer’s society

health and social care provisions is managed by companies. these organisations that need to make profits in order to stay in business

Private school, Nursery and preschool services, Hospitals, Domiciliary, daycare, services, Residential and nursing homes for older people, mental health services

Hospitals, daycare centre/units, Hospice care, residential care, Domiciliary care, The workplace

hospitals provide both impatient and outpatient services., outpatient services may include regular clinics, day Surgery and other specialist daytime care. Where is impatient services include treatment of individuals whose conditions require 24 hour special support. if you need specialist support, you will normally be referred to by your GP and the service users have the right to choose which hospital they wish to attend and the consultants they wish to see., some hospitals also provide accident and emergency services which individuals can access directly for emergency treatment

geriatric- the frail, elderly, Parametric -Children, oncology - people with cancer, cardiology - People with heart conditions, Psychiatry - Mental illness health, orthopaedic - people with bone disorders, radiology- diagnosis and treatment for using x-rays

they are normally provided for specific client groups. In most places. There is a daycare centre for old people people with disabilities and people with learning difficulties people with mental health problems and for people with specific conditions, such as dementia or visual impairment., The provision is designed to provide a friendly, stimulating and supportive environment for people who would otherwise be socially isolated. They normally offer educational facilities and support where appropriate to help people progress into employment.

It aims to improve the quality of life for people who have unable illnesses. The Carras may be available from the diagnosis of the illness to the end of the individuals life. The care is holistic as it provides physical, emotional and spiritual and practical needs of the individual. they can also help to support their family and carers

It refers to the longtime care of adults and And children, needing 24 hour care which cannot be provided appropriately in their own home. Residential care units are usually specialised units providing care for specific clients. This can be groups with mental illness, problems, learning difficulties, older people, there are two types of care homes. The first one being a residential care home, which provides help with personal care, such as washing dressing and taking medication The second one is a nursing home which provides personal care, but also provides 24 hour nursing care by qualified nurses who may also contribute to the planning supervision and monitoring of healthcare tasks

It is also sometimes called at home care is care that is provided in the clients home rather than in a specialist care Setting. The car may be short term for example, providing support following the discharge from hospital or for family with a new baby or maybe needed as a longtime solution for service users with disabilities or for an older frail person., The support given can vary from one visit a day to 24 hour care, providing both support with domestic tasks and intimate. Personal care. appropriate, domiciliary care can ensure that service users are able to live as independently as possible in their own homes

Occupational Health services aim to keep a workforce fit and healthy so that they are able to carry out duties for which they are employed or to insist employees to regain fitness following an injury or illness., The services are normally provided by your employer to support the people that they employ. This can include assessing to nurse based in the workplace or referral to doctor or the health professionals. Referrals may be to a counsellor if the employer is supposed to be suffering from work related stress or physiotherapist if there may be problems with employers posture or strain injuries.

self referral, third party referral, professional referral

when an individual contacts a care provider there self. through a phone call or email making an appointment or attending a care setting. Access to primary healthcare

Is when a friend neighbour or relative contacts at health or care service on another persons behalf. E.G and neighbour may ring the social services department on behalf of a frail, elderly person. these referrals are usually to services that are available through self referral

When A house or care, professional contacts and the service provided to request support for a service user E.G a GP referring a service user to a hospital consultant

The local authorities have a duty to carry out community care assessment for anyone who appears to be finding it difficult to look after themselves without additional help. The adult social services department is usually responsible for this, and it would normally be a social worker who completes such an assessment. Once the assessment has been done to identify what they need, the carers and service users will be provided with a written copy of the report outlining needs identified and the action agreed

in order to decide whether a person is entitled to care and support from the local authority as social service department assessor. Usually a social worker has to consider whether these needs arise from a physical and mental impairment or illness or secondly, and inability to achieve at least two of the following daily activities .

Prepare and eat, Wash themselves all their clothes and manage their toilet needs, Dressing appropriately, especially colder, weathers, Move around the house easily and keeping their house safe and clean, Maintain family, or as a close relationships in order to avoid socialised isolation, Access work, training, educational or volunteering use local facilities, including shops and other services, Carry out caring responsibilities, including caring for their children and meeting the outcomes likely to affect their health and well-being

if an adult is eligible for support called the national Asda ability criteria. The local authority has a duty to make sure the identified needs are met.

as social care is not usually free of charge and people may have to contribute to the car. The local authority carries out if financial assessment where they take into account the service users, regular income and their savings. This will decide whether the service user must contribute to the cost of their care , and if so how much they will contribute. If service users are eligible, they will normally receive a personal budget which are cash payments.

Service users can have difficulty accessing Calvin. Social care typically when people are unwell or have complex personal difficulties. These difficulties mainly to service users and their families is not receiving a car they need and have the right to

Language barriers is if English is not the service uses first language and there is no interpreter available or the service user has hearing impairment and there is no sign available to support support communication, Inconvenient location of the services, particularly if the service user has to rely on public transport. Additionally, the cost of travelling maybe a financial barrier as helpful travel is not always available., Financial barriers such as the cost and difficulty In providing care for children, while at the service or can’t miss out on the wages to go to the service, Scarce resources for example, long, waiting times for hospital appointments or treatment. Lack of beds available in hospitals or appropriate residential settings. Restricted opening times or specialist resources not easily available, Communication such as service users, failing uncomfortable to communicate easily with care providers and as a service users because they feel discriminated against all that is prejudiced against them. EG some groups and society such as travellers may not feel comfortable at care settings where they may feel they are discriminated against.

Charities and patient group, Pressure groups

They represent their service users when they need to contact liaise with other official agencies. For example MENCAP Will represent their service users and support them. If they are lying with other organisations, such as their local counselling, house department, social services or is the health and social care professionals.

Many charitable groups act as a pressure group and campaign on behalf of the individual members that they represent. They may do this through writing to the paper, using social media organisation and contact MPs. NSPCC Campaigns to ensure the government to introduce policies and laws that support the protection of children

if a client has serious communication problems and advocate makes the contact behalf, E.G client may have a learning difficulty speech, impediment, poor literacy skills, a limited grasp of English or lack of confident when talking to professional healthcare workers. Advocates are usually volunteers they work with the individual service users get to know them and build a trusting relationship so that they can accurately represent their needs wishes and preferences.

All settings must have formal complaint produce the settings have a responsibility to ensure their service users, and where appropriate their families, and who are informal Carers understand how to access and complaints when they are unhappy with the quality of care provided. The produce and outcome of any complaints will be checked whether the setting is inspected

Cat organisations are required to whistleblowing policies. Whistleblower policies provide protection for staff who tell the press with organisations outside the setting in which they work that the quality of care at the workplace is dangerously poor E.G if they report the situation to the media, the police or professional bodies in order to in awareness of the problem and bring about change

there are independent organisations with the responsibility for inspection and regulation of health and social care services in England.

The care, quality commission (CQC), The national Institute for health and care excellence (NICE), Public health, England (PEH), Ofstad

The CQC is responsible for monitoring and inspecting health services and adult social care services in England. It aims to ensure that health and social care services are of high-quality and that they deliver safely efficient and compassionately.

NICE is responsible for providing guidance on current best practice in health and social care. It publishes guidance and advice that aims to control and improve health and social care provisions. For example NICE provides guidance on the most appropriate treatments for people with specific conditions and diseases, such as cancer or diabetes., NICE aims to provide a smoother transition for service users, moving from house services to social care services and from children’s services to adult social services. NICE has jurisdiction in England and Wales and its recommendations are national providing consistent approaches for service users wherever they live

is an executive Agency sponsored by the department of health that was set following the implementation of the health and social care act. It aims to protect and improve the public health and well-being of people in England and to reduce health inequalities. The focus of all public health organisations is on the protection and improvement of the health of a community or population in contrast to the individual support of a service user, Things that you can do is setting up house promotion programs to improve the national house. Research projects to improve our knowledge of public health issues and generate strategies to address these problems. Taking measures to protect the national house when there is a public concern.

The office for standard in education, children services and skills, OFSTED regulates and inspect services, educate children, young people and adults or care for children through inspections., Following the inspection and judgement about the overall effectiveness of the provider is based on judgements of rating, the effectiveness of leadership and management, the quality of teaching learning and assessment and personal development behaviour and welfare outcome for children and the learners. They are then graded from one being outstanding and for being inadequate

the CQC requires services to register with them before offering care services. When a service provider applies for the registration, there are checks to ensure that it meets the necessary standards of safety and has the resources to ensure high standards of care. Once registered the service says are continually monitored this includes regular inspections., Inspections are drawn from a range of backgrounds, including experienced health and care professionals Members of our related professionals and also care uses and their informal carers. The inspection Teams make judgements supported by robust evidence on the quality of provisions, such as whether the care provider is safe, carrying efficient services that are well managed and well lead, each of the national regulation publishes national minimum standards of provisions in these areas for the types of settings they inspect. The main evidence to support their judgements, are the feedback of service users, their families, their friends and staff at the setting, written reports of care practices, and produce, information from the linked local organisations, records of complaints, on site, inspections of practical care provisions

Inspections can be stressful. Weaknesses in the provision may be identified that managers were unaware of being areas of concern. Managers and staff may feel vulnerable and on occasion angry. They may feel that they cannot make the improvements needed to support care providers Regulators publish clear, guidances that outline what is expected to see. following inspection, the regulator publishes a report. The CQC publishes the outcomes of each inspection and the healthcare provision are graded accorded to the quality of care provided.

following an inspection where the practice does not meet the required standard, the regulator can enforce changes which may include requiring or recommending improvements to provision policies and practices in specific areas. Issuing a requirement notice or warning notice to set out what improvements the care provide, must make and by when. Making changes to care provision regulation to limit the range of care that they are able to provide. Pursuing a criminal prosecution in extreme cases.

Nursing and midwife council (NMC), Royal College of nursing (RCN), House and care, professions councils (HCPC), General medical Council (GMC)

it is a statutory authority set up by Parliament that is responsible for regulating the standards of professional practice of all nurses and midwives in the United Kingdom wherever they are working., It exists to protect the public and It sets high standards for initial education and training of nurse and midwives. Continuing professional development. Standards Of professional practice and standards of personal conduct, both at work and leisure time, the NMC set the standards and formal code of practice required of all nurses and midwives. They have to provide evidence of continuing learning and training in order to remain on the register. All narcissism midwives required to register with them who investigate any allegations that their members are not meeting the standard sat, they also have the power to restrict a nurse practice

Although it’s not an inspector or regulator of nursing practice, it is the worlds largest union and professional body representing the nursing profession. It Represents nurses in the public private and voluntary sector. It aims to maintain high standards in nursing practice through their education and research activities.

It was set up under the health and social act it promotes good practice and also exists to protect the public throughout the United Kingdom from poor standards of care. It regulates a wide range of healthcare related professionals. it regulates 16 types of different professionals, and all of them must be registered with them. and this insures that they have achieved the relevant qualifications and meet the standards of professional practice and personal behaviour required by the council, If a member of the public fields that are professional that is registered with them is not meeting the standard set they have a right to complain. And then they will investigate complaints and take appropriate action.

It is an independent organisation for registration and regulation of doctors. it oversees UK medical education and training. Decides which doctors are qualified to work in this country. Set standards that doctors must meet. Takes action to address shortfalls in standards of treatment that may put patient safety at risk or bring the medical profession into dispute, When a series Consign is raised about a doctors behaviour or professional practice name investigate. If the concern is uphold, they may restrict the doctors right to practice. The doctor may be required to work on the supervision or to undertake further training, or in extreme service may be removed temporary or permanently from the register

Organisations, providing health and social care services are required to ensure that all employees understand how to meet National standards in their professional practice

The health and social care act. It requires that registered providers of care services must ensure that they have sufficient numbers of appropriate qualified staff to meet the needs of their service users at all times. They must also provide or support training and professional development to ensure that their staff carry out their caring role., In social care settings, the new staff are required to complete an introduction program to meet the requirements of the common institute standards within 12 weeks of commencing the new job. This requires the manager to ensure that all new employees understand how to implement the codes of practice in their workplace, and how to meet the current national occupational standards for their role

They are the standard of professional practice that should be met in the workplace. the national occupational standards, underpin the codes of practice in care settings and the curriculum for the training of practitioners and cover the standards that are included in the codes of practice for professional bodies, for example, the nursing and midwife council, the national occupational standards describe skills, knowledge also understanding needed to undertake a particular task or job to a nationally recognised level of competence.

in order for health and social care practitioners to maintain the high standards required in their sector. They need to continually update their skills. This will ensure that they are following the best practice and the most up-to-date produces. It is the responsibility of the care manager to ensure that the support staff who are not members of professional organisations (e.g The organisations which regulate professionals in health and social care) also regularly update and extend and skills

all care organisations required by their regulators which include professional organisations and the inspection of agencies have to have formal procedures to address complaints. Where allegations of poor practice are made against staff. This will normally initially be addressed through the organisations internal disciplinary systems. However, in more serious instances the regulatory body, for example, the GMC. the NMC or the HCPC may be involved. in more extreme circumstances, for example, cases of assault or death to be caused, the police may deal with these complaints

many practitioners will be members of trade unions or professional associations which support them if they are accused of professional misconduct or are in conflict. In other ways with their employer. E.G, many doctors belong to the British medical Association, BMA. Many nurses belong to the royal College of nursing RCN how many midwives belong to the Royal College of midwives RCM. Social workers are often members of the trade union UNISON

protocols are accepted codes of practice and behaviour required of professionals by their regulatory bodies. The regulatory bodies such as the GMC, the NMC and the HCPC also provide protection for employees by ensuring that the standards expected of them are clear and transparent. As part of their introduction and ongoing training house and social care practitioners must fully understand their professional responsibilities and the protocols which they must practice