booklet 5

• public sector= part of the economy that is controlled by the state and funded by tax contributions such as GP practices
• primary healthcare= normally accessed directly by the service user when needed
• secondary healthcare= accessed via the GP who makes an appropriate referral to a consultant specialist
• tertiary healthcare= provide specialist and complex services
• NHS foundation trusts= created to devolve decisions making from central government to local organisations and communities enabling them to be responsive to needs and wishes of local people
• adult social care= for people over 18 years of age

  responsibility of local authority to provide support to service users
• children's services= responsibility of local authorities that aim to support and protect vulnerable children and young people
• GP practices= have an extensive knowledge of medical conditions and are often the first point of access to health and care provision
• GP practices:

  ~ work in local communities to make initial diagnoses

  ~ make referrals if needed

  ~ work in multidisciplinary teams and take holistic approach
• private sector= organisations and services whose primary aim is to make a profit
• voluntary sector= is not-for-profit and is not government controlled
• hospitals= provide both inpatient and outpatient services

  ~ provide treatments for conditions

  ~ do regular clinics and other specialist care
• day care centres: provided for specific client groups

  ~ offer educational facilities

  ~ designed to provide a friendly, stimulating and supportive environment
• hospice care:

  ~ aims to improve the quality of life for those with incurable illness

  ~ available from diagnosis

  ~ holistic form of care

  ~ care can be extended to bereavement period
• residential care:

  ~ long term care for adults and children

  ~ 24 hour care where it can’t be provided adequately at home

  ~ there are two types: personal care and nurses providing care
• domiciliary care:

  ~ provided in service users home

  ~ care can vary from short to long term

  ~ support for domestic and personal tasks
• self referral= making an appointment with a health and social care service yourself
• third-party referral= when an individual contacts services for another individual
• professional referral= when practitioner may want their patients to see another professional and arrange them to do so
• community care assessments= the duty of local authorities for anyone who finds it difficult to look after themselves without help
• eligibility criteria= decides whether a person is entitled to care and support from the local authority.
• barriers to accessing health care:

  ~ language ~ cognitive

  ~ financial ~ individual

  ~ geographical ~ religion/culture
• barriers to sensory disabilities:

  ~ emotional= anxiety or low self-esteem

  ~ visual impairment affects how much you can see

  ~ hearing problems can hinder communication

  ~ mobility issues
• barriers to learning disability:

  ~ cognitive= lack of understanding

  ~ lack of awareness

  ~ emotional= attitudes to feelings of being stigmatised
• barriers for physical disabilities:

  ~ mobility= lack of access

  ~ emotional

  ~ discrimination issues
• support for hearing impairment:

  ~ hearing aids

  ~ interpreter

  ~ subtitles

  ~ sign language
• support for visual impairment:

  ~ braille

  ~ cane

  ~ guide dogs
• support for physical disabilities:

  ~ adaptations to home

  ~ automatic doors

  ~ wheelchair access ramps or lifts