Topic 1

• Types of H&SC Provision

  • statutory – provided in statute and funded by the government
  • private – profit making business where services are chargeable
  • voluntary – charities and not-for-profit organisations set up to meet an identified need
  • informal – unpaid care provided by someone who has a personal relationship with the individual
• Purpose of H&SC Provision

  • Provide a standard of care to meet government legislative and regulatory requirements
  • Provide types of intervention specific to the individual’s needs and preferences
  • Provide individualised care to meet long- and short-term needs and preferences
• Health Services

  1. Hospitals
  2. GP Surgeries
  3. Clinics
  4. Pharmacies
  5. Dental Services
  6. Ambulance Services
  7. Rehabilitation Services
• Purpose of hospitals

  • Accident and emergency treatment and aftercare
  • Treatment of infection, diseases and conditions
  • Surgery for identified conditions
  • Follow up in outpatient departments and clinics
  • Health and wellbeing centres
• Purpose of GP Surgeries

  • Consultations
  • Minor Surgery
  • Practice nurse services
  • Clinical advice and diagnostics
  • Referral to other services
  • Guidance on healthy lifestyles
• Purpose of Clinics

  • Mobile Screening
  • Family planning services
  • Addiction services
  • Sexual health services
• Purpose of Pharmacies

  • Non-emergency medical advice
  • Dispensing services (prescriptions)
  • Offer/provide non prescription medication
• Three types of medication

  • Prescription only Medication (POM): Prescribed by a doctor or authorised health professional and would be dispensed by the pharmacy. For example, antibiotics.
  • Pharmacy (P): An intermediate level of control, can be bought only from pharmacies and under a pharmacist’s supervision. For example, emergency contraception, thrush medication, treatment for fungal infections.
  • General Sales List (GSL): May be bought from retail stores or supermarket. For example, paracetamol or ibuprofen
• Purpose of Dental Services

  • Regular and emergency dental treatment.
  • Oral health advice.
  • Referral to hospital services. Dentists can be accessed via the NHS (statutory sector) or through the private sector. Many people over the age of 18 are expected to contribute towards their dental costs even when accessing NHS dental care.
• Purpose of Ambulance Services

  • Provide emergency assessment and transfer to hospital (999 service).
  • Provide initial treatment to stabilise a condition (999 service).
  • Transport services from home to clinics (non-emergency, pre-booked services).
• Purpose of Rehabilitation Centres

  • Support for the individual to develop and regain abilities needed for daily life
• Social Services

  • Residential Services
  • Foster Care
  • Respite Services
  • Community Services
• Purpose of Residential Services

  • 24 hour support and care for an individual with particular needs
• Purpose of Foster Care

  • Day to day care to support wellbeing, education and to advocate on behalf of the child or young person
• Purpose or Community Services

  A local service to promote wellbeing, meet a range of individual needs and support the individual's independence
• Types of Foster Care

  • Short Term: When a child is looked after for a few weeks/months whilst future plans are made for them
  • Long Term: When a child cannot go home to their birth family and adoption isn't an option.
  • Emergency: The child is looked after for a few nights and it is usually no notice and unplanned
  • Kinship: When the child is cared by someone they know/relative
  • Respite: A child with a disability, special needs or behaviour issues they're taken from their parents for a short amount of time so the parents have a break.
  • Specialist Therapeutic: Given to children with complex needs and is given by experienced and specialist foster carers
• Benefits of Community Centers

  • Helps to bring a community together.
  • Gives people the opportunity to volunteer/give back
  • Combats loneliness.
  • Gives young people a safe space to socialise.
  • Promotes healthy living.
  • Provides knowledge/education.
• Types of Community Service

  • Family Centers: Community resources which provide local support to parents, children, and families. They represent a key resource and help to target families in deprived areas. Include parenting courses, workshops and signposting to other parenting resources and support.
  • Homecare Services: Homecare community services are intended to help people who need care and support to live fulfilled lives within their own homes and to avoid social isolation.
• Child Residential Services

  Residential care for children and young people can be arranged under the law if a child has been abused and removed from their home. For many children, it is an alternative option to foster care and may be more appropriate if the person has complex needs such as emotional or behavioral difficulties.
• Advantages of Child Residential Services

  • The individual may choose and prefer this environment if a family atmosphere is traumatic or upsetting for them.
  • Have access to the correct support needed to manage any issues e.g. restraint for self-harm or physical abuse.
  • More specialist staff training to cater to their needs means increased support and empathy to help their recovery or development.
• Disadvantages of Child Residential Services

  • Can impact on their emotional wellbeing as they are missing out on a family environment.
  • Lack of close relationships and connectedness.
  • May be unable to engage in social outings due to staffing issues or location of the residential service.
• Types of Respite Care

  • Respite Holiday: A respite holiday is any holiday for the individual, their carers or both parties. There are also charities that can help to find grants for people.
  • Sitting Service: Sitting services are free or have a small charge. It uses trained volunteers or paid professionals who will come to the individuals own home and spend time with the individual to give the carers a break for a few hours.
  • Hospice: Aims to improve the quality of life and wellbeing of adults, children and young people who have a terminal illness. It is free, paid for through a combination of NHS funding and public donation. They usually take referrals from GPs and hospitals but individuals can contact them directly to make initial enquiries too
  • Day care: provides carers with respite. It is often provided at a local centre to so individuals can socialise. It is often tailored to specific individuals e.g. elderly