Unit 2 - Working in Health and Social Care

  • Created by: Rebecca
  • Created on: 17-11-20 10:06

Health and Social care professionals

  • Nurse (consider the different types of nurses)
  • Doctor
  • Consultant 
  • General Practitioner (GP)
  • Health visitor 
  • Pharmacist 
  • Support worker 
  • Healthcare Assistant 
  • Care assitant/ manager 
  • Occupational therapist 
  • Dietician
  • Nutritionist 
  • Psychartist 
  • Occupational therapist 
  • Psyhiotherapist 
  •  Youth worker 
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Essential skills required by HSC professionals

  • Effective communicator/ active listener
  • Written communication skills 
  • Epathetic/Compassionate/ Caring 
  • Ability to intereact with sensitivity 
  • Can remain calm
  • Takes advice from line manager
  • Takes samples of urine or blood (If qualfied to do so)
  • Providing Personal Care (if necessary)
  • Patience and Interpersonal skills 
  • Literacy/ record keeping
  • Time management 
  • Following rules/regulations/instructions or policies at the setting. 
  • Observation 
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The role of the advocate

  • Talk to the serivce user to understand how they might feel about their care, and support them with decisions. 
  • Finds information to help further support the service user about decisions relating to their care. 
  • Speaks to professionals to understand the care required and support the service user with this. 
  • Ensuring that HSC services follow the correct procedures and challenge any decisions about the service users care. 
  • Communicates on behalf of ther service user to stand up for their rights. 
  • Supports service users choice by completing applications/letters. 
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Health and Social Care Settings

Primary Care: First point of care provided to a service user (Generic)

  • General practice/surgery
  • Pharmacy 
  • Denist 
  • Optician 

Secondary Care: Rerral service users can access the specialised care required. 

  • Hospital 
  • Cardiology 
  • Clinics
  • Operations 
  • Rehabilitation services such as Physiotherapy.
  • Specfic wards
  • Day care units
  • Nursing Home
  • Residential Care home
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Tertiary Care

Tertiary Care: 

  • Cancer management 
  • Neurosurgery 
  • Cardiac surgery 
  • Plastic surgery 
  • Treatment for servere burns 
  • Advanced Neonatual services 
  • Palliative care 
  • Complect medical and surgical interventions 
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Types of care

Types of care provided to service users in Health and Social Care include: 

  • Domicially Care
  • Palliative Care 
  • Informal Care 
  • Formal Care 
  • Tertiary care 
  • Primary Care 
  • Secondary Care
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Methods of referral

Three types of referral include: 

  • Self referral 
  • Professional referral 
  • Third party referral
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External organisations that regulate HSC Settings

  • The Office For Standards in Education, Children's Services and Skills (OFSTED)  
  • National Institute for Care Excellence (NICE) 
  • Care Quality Commission (CQC)
  • Public Health England (PHE)
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Ways of improving a service from inspection

  • Use of regular inspection feedback. 
  • A nationwide standard for service 
  • Reccomendations for actions are made and must be actioned. 
  • Services respond to action plan. 
  • Use of feedback from all stakeholders including service user. 
  • Information obtained from inspection is uesed to produce an action plan. 
  • Inspection report is required to be available to the public. 
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Ways working practice can affect service users

  • Identification of poor working practices
  • Improved outcomes 
  • Applying care values and principles
  • Information management and communication 
  • Accountability to professional bodies. 
  • Safeguarding 
  • Staff having relevant skills or training 
  • Line management
  • Implementation of code of practice 
  • Meeting National Occupational Standards
  • Policies and procedures
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Ways of internally regulating a HSC setting

  • Line managers 
  • Feedback 
  • Observation
  • Complaints 
  • Survey 
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Responsibilities of an employer

  • Provide training or CPD
  • Ensure professional care and apply organisational polcies 
  • Meeting the National Occupational Standards 
  • Staff safeguarding 
  • Complaints procedure 
  • Whilstleblowing policy
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Barriers to accessing a service

  • Geographical 
  • Cognitive 
  • Anxiety 
  • Financial 
  • Individual preference 
  • Communication
  • Cultural or religious views 
  • Language 
  • Family circumstances 
  • Eligibility criteria 
  • Lack of knowledge/ educational understanding. 
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Barriers to accessing a service

  • Geographical 
  • Cognitive 
  • Anxiety 
  • Financial 
  • Individual preference 
  • Communication
  • Cultural or religious views 
  • Language 
  • Family circumstances 
  • Eligibility criteria 
  • Lack of knowledge/ educational understanding. 
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Regulating professional bodies

  • Nursing and Miwifery Council (NMC)
  • General Medical Council (GMC) 
  • Health and Care Professional Council (HCPC) 
  • National Occpational Standards (NOS)
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Key legislations in HSC

  • RIDDOR (2010)
  • Human Rights Act (1998) 
  • Equality Act (2010)
  • COSHH 
  • Health and Safety (First aid) Regulations (1981) 
  • Data Protection Act (1998) 
  • GDPR (2018)
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Policies in HSC

  • Medication policy 
  • Health and Safety policy 
  • Risk assessment policy 
  • Data protection and confidentiality policy 
  • Disclosure Barring Service (DBS) policy 
  • Safeguarding policy 
  • Lone workers policy 
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Organisations represent the interest of service us

  • Appointing adovcates
  • Ensuring a complaints policy is in place 
  • Whistleblowing policies 
  • Feedback from Charities 
  • Raise awareness 
  • Feedback from patient groups. 
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Methods of obtaining feedback

  • Questionaire 
  • Focus group 
  • Informal conversation
  • Survey 
  • Suggestion box
  • Observation 
  • One to one interview 
  • Feedback from advocate/relative or other staff caring for the service user
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Methods of improving a service

  • By benchmarking against the national standards, assessed against the organsiation criteria/ code of practice, applying quality standards. 
  • Acting on Care Quality Comission (CQC) or external agency feedback to address weaknesses and improve service provision. 
  • Monitoring, reviewing and evaluating service provision to implement improvements. 
  • To provide staff with training or Continual Professional Developemt (CPD) to address gaps in skills or knowledge. 
  • Engage with service user feedback to address any areas of concern/ gaps in service provision. 
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Ways organisations protect their employees

  • Risk assessment completed if a professional has to provide care in a domicially setting. 
  • Risk assessment of procedures 
  • Clear methods or reporting and line management structure. 
  • Systems to keep in touch with employers. 
  • Suitable equipment such as Hoist and lifts (if necessary)
  • Appropriate training on manual handling, safeguarding, COSHH and RIDDOR.
  • Staff encouraged to have trade union or professional association membership. 
  • Provide Personal Protective Equipment (PPE) such as masks and gloves. 
  • Ensuring that a lone workers policy is in place (if necessary). 
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Ways professional can keep their service user safe

  • Following complaints procedures
  • Using whistleblowing oppotunities 
  • Keeping to food hygine standards 
  • Providing necessary clothing and protective equipment. 
  • Following polcies and procedures
  • Using risk assessments to identify risks and hazards 
  • Organising regular equipment safety checks
  • Controlling substances harmful to health 
  • Safeguarding the service user from abuse or harm. 
  • Appointing a designated first aider. 
  • Undertaking raining or continual professional development, raising awareness about safety issues. 
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Physical needs which can be assessed incldue:

  • Mobility 
  • Ability to care for themselves. 
  • Maintenance of a safe environment 
  • incontinence 
  • Sensory loss/ hearing vision.
  • Washing and dressing
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Ways of promoting a service users rights:

  • Respecting the service users beliefs
  • Not to be discriminated against 
  • To be communicated effective with 
  • Information of ther service users to be kept confidential 
  • Treat the service user with respect to maintain their dignity 
  • Protecting the service user from abuse. 
  • Provding individualised care for the service user. 
  • Promoting the human rights, for example privacy or freedom of speech
  • Provide an advocte 
  • Provide assistive technologies/ adpatations or equipment (if necessary) 
  • Providig choices, involving the service user about decisions relating to their care or treatment. 
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Examples of accountability

Accountability - is the obligation to explain, justify and take responsibility for ones actions. For example: 

  • Only completing activities which the professional is trained or competent to do. 
  • Updating training or undergoing Continual Professional Development (CPD) or revalidation (if applicable to the profession). 
  • Following/ adhering to the code of practice associated with the particular profession. 
  • Following policies and procedures (give examples of specfic policies to specfic professions. 
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Methods of communicating in a multi-disciplinary t

  • Only communicate and share information with staff on a need to know basis, following the codes of practice in place to ensure that your position is not compromised.
  • Safe storage and retrival of medical and personal information. By following the Data Protection Act (1998). 
  • Following appropriate procedure by password protecting confidential documents to only grant access to those whom require access. 
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Ways of promoting anti-discriminatory practice:

  • Implement policies and procedures to ensure equality of care. 
  • Adhere to codes of practices/ Professional guidelines to promote good working practice. 
  • Follow the Equality Act 2010 to promote the rights of all service users. 
  • Challegnign direct or indirect discrimination to enable the service user to feel valued and included. 
  • Using communicative strategies to enable the service user to express their choices and beliefs in relation to decisions made about their care. 
  • Empowering the service user by providing them with indiviudalised care or a person centred approach.
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Benefits of a multi-disciplinary approach:

  • Improved partnership working to share information and to ensure that there are no gaps within provision/service. 
  • Team work approach, sharing experiences, knowledge and expertise maximzing skills to ensure holistic approach is adopted for the service users care. 
  • Wider resources are made available enabling individualised care. 
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Empowering a service user to be independent

  • Assertive training
  • Life skills training
  • Time management skills 
  • Transport support 
  • Money management 
  • Meal planning 
  • Empowering ther service user to take the lead. 
  • Creating a daily timetable 
  • Assisting with providing a plan
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Professional can promote independence by:

  • Promoting choices 
  • Encouraging service user to access service whivh they may require 
  • Supporting the use of equipment and adaptations 
  • Empowering ther service user to make their own choices and decisions. 
  • Communicating and advocating the wishes and needs of the service user. 
  • Facilitating social interations with others
  • Enabling the service user to make mistakes and take risks. 
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