Health And Social Care - Meeting Individual Needs Unit 7

7.1 The Structure and Provision Of Sevices

Definitions:

Health Care: medical care
Social Care: non-medical care, main users i.e. children and families, older people etc

4 Sectors:

• Statutory -> funded by governement and NI and income tax
                 -> legal right to recieve
                 -> free to those eligible
  
• Private    -> make profit
                 -> available to those who pay               
                                                                      ]  ------->  INDEPENDENT SECTOR
• Voluntary -> non-profit making
                  -> use voluntary and paid staff
                  -> free/ low cost to client
  
• Informal   -> care via friends/family
                 -> non-professional

Structure of Sevices

1) Primary        -> first point of contact i.e. G.P.

2) Secondary  -> ususally in hospital, consultant based, referral needed i.e  mental health team

 3) Tertiary       -> community/insitiutional settings for those with critical/chronic illnesses i.e. hospices

Structure of Social Services

Local Authority (Cheif Executive)
*
Social Services Department
*
- Special Needs (Adults)
- Elderly People (Adults)
- Children and Families
- Education

Care Value Base Review
- confidentiality
- effective communication
- advocacy
- empowerment
- redress
- anti-discriminatory practice
- fostering equality and diversity

Single Equality Act (2010)

- Merged existing legislation
- Attempted to simplify and strengthen them
- Illegal to discriminate on grounds of: age, sex, religion etc.

Children's Act (1989/2004)

- Child's needs come first, all sectors work together
- MIXED ECONOMY OF CARE
- 2003 = every child matters
- 2004 = prevention over intervention

Human Rights Act (1998)

- Protects basic human rights i.e. right to life/ marry/ have children etc.

Mental Health Act (1983)

- allows sectioning on grounds of mental illness

NHS and Community Care Act (1990)

- introduce 'internal market'; competition between service providers
- MIXED ECONOMY OF CARE
- all sectors work together

WHY HAVE LEGAL FRAMEWORK?

•  establishes minimum standard required
• establishes what clients are entitled to
• empowers clients and holds care givers accountable
  

Family Allowance Act (1945) - financial aid for all children except the first
NI Act (1946) - paid into national scheme, covers loss of earnings
NHS Act (1948) - free health service for UK residents
National Assistance Act (1948) - Local Authorities to provide care for residents

7.2 Care Planning For Individual Needs

Normalisation- offering services which support people and respect their choices and empowers them

Wolfensberger (1974)

* helps disabled people to use ordinary services with the use of assistive technology.

The Jay Committee (1979):

• use normal services
• strengthen existing support networks with professional ones
• specialised services to meet needs unabe to be met by ordinary services
• advocacy provided

advantages
- promotes independence
- allows people to live in own homes
- prevents institutionalisation

disadvantages
- expensive
- requires trained staff to implement
- risk assessment

Care Planning- NHS and Community Care Act (1990…