january 2018 paper- 1a-c

Question 1

3(b)

Answer 1

Positive impacts of personalisation for Zoe:
she can access services directly reducing delay in her care
she will be able to participate more fully in her communityshe will feel included in her community
she may be less likely to feel isolated
she will have access to information and guidance about her choices
she will be able to access support to enable her to continue living independently
she will have more choices
she will have opportunities to live life the way she wants to

Factors which may limit the impact of personalisation for Zoe:
care is limited by her prescribed budget
access to services may be limited in her area
availability of services may be limited in her area
stress of managing her own budget
she may overspend her allocated budget
she may need an advocate to help her manage her budget/access services
any positive content can be expressed as a negative

Question 2

1(c)

Answer 2

Clinical-led commissioning: health professionals can directly commission services for their local populations

Regulating providers people can choose services that best meet their needs, including from charities or the private sector

Greater voice for patients: health watch organisations set up to promote greater involvement
Strengthens the collective voice of patients
Feedback should be used to assess the quality of services
No decision about me without me
Better collaboration and partnership working across local government and the NHS
Puts people at the centre of decision-making
Enhances voice, choice and control

Question 3

1(b)

Answer 3

facilitate the coproduction of EHCP/care and support plans/health care plansallocate and review budgets (e.g. individual, direct payments)provide personal budgets to those who are eligiblehousing (e.g. choice of residence, housing adaptations, meeting housing needs)removal of geographical barriersdecentralisation and commissioning (e.g. outsourcing services, promoting greater range of choice)carry out an assessment of anyone who might need care and supportfocus the assessment on the person’s needs and the outcomes they want to achieveinvolve the person in the assessment and their carer or advocate provide access to an independent advocate who can support the person’s involvement in the assessmentinvolve other services in the community that might help the person achieve their outcomesuse national minimum thresholdsto decide whether the person is eligible for a personal budget (i.e. ensure fair access to care across different areas in the UK)

Question 4

1(a)

Answer 4

Threemarks for each way. Tworequired.Effective relationships lead to:better understanding of an individual’s needs and preferencesbuilding trustdeveloping mutual respectrecognising diversitybuilding confidenceempowering the individualhearing the individualsupporting the individual to make their own decisions about their careeasier/more comfortable for individuals to communicate wishes/needs/opinions/problems/challengesfeeling valuedfeeling secureBuilding effective relationships means being:caringapproachablereliableempatheticrespectfulsupportive