B1 Flashcards

1
Q

What are the ways services are provided?

A

in the public sector:
1. NHS Foundation Trusts, including hospitals, mental health services and community health services
2. adult social care
3. children’s services
4. GP practises
in the voluntary sector - hospices , marie curie nurses , residential care homes, nursing homes
the private sector - BUPA, boots, Mind, MENCAP, Age UK

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2
Q

state settings where hsc services are provided to meet different needs

A
hospitals
day care units
hospice care
residential care
domicillary care
the work place
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3
Q

what are issues that affect access to services

A

referral
assessment
eligibility criteria
barriers to access eg. individual preferences, financial, geographical, social, cultural

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4
Q

what is MENCAP

A

Provides residential care to those with a learning disability
Provides education services
Trains people to work with those with a learning disability
Promotes awareness of learning disabilities
Challenges prejudice, discrimination, stigma
Allow individuals with learning disabilities to participate in activities
All included, listened to and valued

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5
Q

What are hospices?

A
  • Care homes, peoples homes, hospice buildings
  • Aim of hospice staff is to improve the lives of people who have a terminal illness
  • Take care of peoples P,I,E,S needs – hospice care = holistic care
  • Aim to control the pain and other symptoms through palliative care (offered to people towards end of life)
  • Support carers, family, close friends during person’s illness and bereavement
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6
Q

what is palliative care

A

it is offered to people towards the end of their lives
• Multidisciplinary approach to specialised medical care for people with serious illnesses
• Is active and holistic
• Focuses of relieving symptoms, pain, physical and mental stress
• Provides psychological, social and spiritual support
Goal of palliative care
• Achieve the best quality of life for patients and their families
it aims to:
• Help people to regard dying as a normal process
• Offer support to help patients live as actively as possible until their death
• Help relatives cope during patient’s illnesses and bereavement

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7
Q

what is residential care?

A
  • for individuals unable to look after themselves and who don’t have family members to look after them at home – most need personal care, but some also need medical care
  • people in residential care homes receive social care or personal care from assistants or support workers
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8
Q

what is personal care

A

helping people meet their day to day needs such as bathing, toileting, taking medication

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9
Q

describe domicillary care

A

domiciliary care – care at home
• Key principle is independence
Types:
- Formal – provided by paid staff (care assistant, carers)
- Informal – provided by family members, relatives who aren’t paid
- Voluntary – informal & formal care is provided by people and services within the voluntary sector

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10
Q

describe what hospitals provide

A
  • Provide emergency care in A&E departments
  • Where patients receive treatment from specialised staff and equipment
  • People are referred to hospitals by gps
  • People who need health services have a right to choose which hospital they attended & are involved in decisions about treatment
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11
Q

what are day care units

A
  • Usually provides services meeting the needs of older people, people with mental health or learning disabilities and respite care
  • Staff – assess patients’ health needs
  • Surgery and other medical procedures can be done
  • Can be part of the NHS but some are privately run
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12
Q

in the work place what should be provided

A

Occupational health services aim to keep all workers fit and healthy
Have nurses in the workplace
Counsellor
Physiotherapist

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13
Q

what is the criteria used to decide which service individuals receive

A
  • Referral
  • Assessment
  • Eligibility criteria
    Referral: a person has an appointment with their gp, where their health needs are assessed, gp may refer them to a specialist doctor
    Assessment: people who need personal care will have their needs assessed by social services. They will look at their needs, their choices and goals, needs of their family.
    Eligibility criteria: local authority needs to assess whether people meet the eligibility criterial for personal care. They look at whether the persons come from a physical or mental illness, make them unable to achieve 2 or more specified outcomes, impact significantly on the persons wellbeing because of this.
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14
Q

what are barriers to services?

A
  • Language – no interpreter, no sings
  • Financial – difficulty providing care for child while going to appointments
  • Communication – feel discriminated, prejudice eg. Traveller
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15
Q

what individuals may struggle when accessing services

A
  • Children
  • Refugees
  • People with learning and physical difficulties
  • People will ill mental health
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16
Q

what individual preferences may cause difficulties when accessing services

A
  • People with religious/ cultural beliefs may reject certain medicines
  • Women who prefer to receive care from women
  • People with a terminal illness who chose not to have treatment
  • People with ill mental health may be unable to make decisions for themselves
  • An older person who wants to remain independent
17
Q

outline four barriers when accessing services

A

Financial –
Social – rough sleepers are unlikely to get the services they needs
Geographical – people who live in certain areas might not get the same level of service
Cultural – if English isn’t someone’s first language

18
Q

what are ways organisations represent interests of service users

A

charities / patient groups
advocacy
complaints policies
whistleblowing policies

19
Q

what are charities

A

Charities: organisations set up to represent people with specific needs and provide help and support, often voluntary

20
Q

examples of charities

A

• NSPCC – works to prevent and end child abuse in UK
Offers advice on safeguarding and preventing neglect

  • Mental health Foundation – works to improve lives of those with mental illnesses, carries out research
  • Shelters – works to reduce homelessness, provides advice about renting properties, promotes the need for safe, secure and affordable homes
  • Stonewall – works to promote awareness of lesbian, gay, bisexual and trans issues to reduce prejudice and discrimination
21
Q

how do Charities serve different groups of service users by

A

raise money
change public attitude
challenge prejudice
carry out research

22
Q

what do patient groups do?

A
  • Represent the interest of people with specific health needs
  • Provide feedback on NHS services
  • Provide volunteers
23
Q

what is advocacy

A

Advocacy – speaking on behalf of someone else, to represent their interest
They:
• Express the service users views and concerns so that they are taken seriously
• Allows the service user to access information and services
• Allows service user to defend and promote their rights
• Allows service user to explore choices and options
• Allows service users to challenge discrimination and the effects of being stigmatised

24
Q

what individuals might need an advocate

A
  • People with ill mental health
  • Children
  • People who’s first language isn’t English
  • People with a learning disability
  • People with confidence issues
25
Q

why are service providers inspected?

A

to ensure they meet the required standards eg. High quality care

Inspectors have experts to help make judgements of quality, they need to know the services are safe, caring and effective

  • after inspection, service providers are graded,
  • they are given improvements of a time scale of which they should be met
  • they may be asked to implement policies or practice changes
26
Q

who regulates hsc in england

A

The Care Quality Commission (CQC) – independent regulator for hsc in England
• It registers care providers
• Monitors, inspects, rates services eg, NHS trusts, gp practises, residential homes
• Takes action to protect service users

27
Q

what is ofsted?

A

OFSTED – independent public body that reports directly to parliament
• It inspects childcare, adoption, fostering agencies and teacher training
• It publishes its reports or its findings