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GP surgeries and local health centres
Patients go here first when they need medical advice.
Doctors diagnose the patient’s illness. They may issue a prescription for medication or refer patients to other services.
Nurses might carry out treatment or health
screening, or take blood tests.
Hospitals
Patients go here for treatment that a GP cannot give.
It is where operations are carried out,
And A&E departments and some walk-in centres are located.
Patients are referred by their GPs to
specialist medical teams.
Clinics
Patients go here to be treated for specific medical conditions
Patients are referred by their GPs to specialist clinics based in hospitals and in the community.
• Trained personnel, including doctors and nurses, work in clinics.
Homes
This is where care is provided for housebound people or those who are recovering from-medical treatment such as an operation.
• Most people prefer to recover at home and some who are dying prefer to be nursed at home.
Residential care settings
• These are settings where people who can’t be cared for at home, or who feel that they can no longer cope with living on their own, are looked after,
They may provide full-time or temporary care for those who struggle living on their own.
Social care workers provide residents with personal care,
such as washing, toileting and dressing
Domiciliary care
Social care workers provide care for people in their own home.
• Care workers help people lead their daily lives by supporting their independence.
• Social care workers might help people with shopping, cleaning and transport, such as taking them to a doctor’s appointment.
Daycare centres
• These are used by older people and those with physical and learning disabilities.
They provide respite care.
Social care workers might take part in leisure activities with people attending.
Benefits of residential care
Trained staff meet people’s needs and support
them.
Specialist support is avalilable for those with more complex care needs
Companionship is provided by other residents and staff.
a A range of stimulating activities is offered.
Difficulties for people in residential care homes
losing some or all of their independence
reluctance to leave their own homes
isolation from friends and relations
cost of care.
Following policies and procedures in work settings
• ensure the health and safety of service users and health and social care workers
• support the day-to-day routines of service users
• enable the needs and preferences of service users to be met
• promote independence among service users,
Direct discrimination
someone is treated unfairly because of who they are
worse, differently or less favourably
• is treated unequally because of who they are
because of their characteristics.
Indirect discrimination
When a organisations policies , practices or rules have worse effect on some people than others
Equality act 2010
The Equality Act 2010 protects people from discrimination by:
employers
health and care providers, such as hospitals and care homes schools, colleges and other education providers
- transport services, such as buses, trains and taxis
public bodies such as government
departments and local authorities.
What is empowerment
Empowerment means giving individuals information and support so they can take informed decisions and make choices about their lives in order to live as independently as possible.
Possible risks in care ( ensuring safety )
Abuse by other service users and/or staff.
Inadequate supervision of facilities, such as
bathrooms.
Inadequate supervision of support staff, for example when moving patients.
Lack of illness prevention measures, such as clean toilets, hand-washing facilities and safe drinking water.
Infection due to lack of clean facilities and
equipment.
Managing risks in care (ensuring safety )
Using risk assessments to identify possible sources of harm,
assess the likelihood of them causing harm and to minimise the chance of harm.
Staff training to manage risks.
Appropriately qualified staff.
Ensuring all staff have Disclosure and Barring
Service (DBS) clearance.
Reports and complaints procedures
Accidents and incidents which happen in health and social care settings must be reported so that appropriate action can be taken. Complaints procedures must also be followed.
Barriers to incident reporting
Incident or accident is not seen as important at the time
Care staff have other pressing duties
Staff may not know about reporting procedures
Pressure from mangers to not report incidents or accidents
Four key points about complaints procedures
All care settings must have them in place.
All care settings must enable service users to access and use them.
They are checked when care providers are inspected.
They can lead to service improvements.
The right to complain
Service users have the right for:
. complaints to be dealt with within an
appropriate time frame
• complaints to be taken seriously
• full and thorough investigations of
concerns raised
• information about the outcomes of investigations into their complaints.
Data protection act
The Data Protection Act 1998 controls how personal information is used by organisations, businesses or the government. Data must be:
• used fairly and lawfully
• used for limited, specifically stated purposes
• used in a way that is adequate, relevant and not excessive
• accurate
• kept for no longer than is necessary
How is confidentiality ensured
By applying the requirements of the Data Protection Act 1998
By adhering to legal and workplace requirements specifiled by codes of practice in health and social care settings
By securely recording, storing and retrieving medical and personal information
By maintaining confidentiality to safeguard service users
Data storage
computers, tablets and mobile phones
• social media
• written, paper records
• photographs
Examples of professional bodies
The Nursing and Midwifery Council (NMG)
• The Royal College of Nursing (RCN)
• The Health and Care Professions Council
(HCPC)
• The General Medical Council (GMC)
Regulation of workers
follow codes of professional conduct
be familiar with and able to apply current codes of practice
ensure that revalidation procedures are followed
follow procedures for raising concerns (whistleblowing).
Safeguarding regulations
Safeguarding regulations protect service users from harm, abuse and neglect, and promote their health and wellbeing.
Safeguarding children
• protect children from maltreatment
• follow their organisation’s safeguarding
policies for protecting children and the actions to take if a child discloses
• prevent impairment of children’s health and development
protect children from infection
Local safeguarding children board
The job of the LSCB is to:
make sure everyone understands how important It is to keep children safe
make sure that all the agencies that are part the LSCB are doing the best job
report to the Department of Health
look into cases where children are badly hurt
Working partnerships
All services in health and social care function in partnership. This involves multidisciplinary working in order to ensure that service users get the care and support they need
Why is partnership important
Improves the lives of vulnerable adults and children
Improves info sharing with between professionals
Improves efficiency of care system
Difficulties in partnerships
Failure to communicate information between services
Lack of coordination of health and social care services (people don’t revive the care they need )
Delayed discharges from hospitals especially old people