Learning aim B

• HSC services are provided and managed by a wide range of organisations. some services are directly funded and delivered by the government or public sector such as NHS
• There is some service which is provided by the private companies and are profit making business
• Primary health care is provided by GPs and dentists and pharmacists. these are directly assessed directly by the service user and usually the first point of cIntact you have with the NHS
• Secondary health care- is specialist treatment or care such as psychiatry usually given in hospital or clinic referred from primary care service provider.
• Tertiary health care- provides specialist and complex services. For example, spinal injury units
• Public sector- these organisations are finances and directly managed by the government. Funder mainly through tax and national insurance
• example of public sector:

  • NHS
  • NHS foundation
• Private sector- these are managed by commercial companies and need it make a profit to stay in business
• Examples of private sector:

  • private schools
  • nurseries
• voluntary sector- often known as charities and vary in size, history ans the service they provide. Reliant on donations and government grant
• Examples voluntary sector:

  • charities
  • NSPCC
• The health service funded by working people in the uk, paying taxes and national insurance, which is a percentage of their wages
• People who are earning sometimes need to pay a subsidy payment like for prescriptions, dental check ups
• Department of health receives funding from central government.
• tertiary health care- specialist care for complex or terminally ill care. Rehabilitation service and professional who work as part of the end- of- life team in hospitals or the community working in people’s own home.
• Primary health care - you can directly make an appointment to the service na she a registered patient
• Hospitals

  • Need GP referrals
  • outpatient treatment
  • inpatient (24 hr care )
• voluntary sector

  examples of charity include Mencap and Age Uk

  • charities often support NHS, social services and children services
  • charity is set up to represent people with specific needs and provide help and support voluntarily
• Private sector 


  Services are provided and managed bu commercial companies. These business want to make a profit

  • these companies often provide services for central government and local authority
• PRU- pupils referral unit 


  PRU is maintained by a local authority which is specifically organised to provide education for children who are excluded, sick, or unable to attend school
• Young cares support 


  Offer support for young careers under 18 and help to look after a relative with a disability illness or mental health condition or alcohol problem
• Children’s home

  • not for under 10s
  • own room but shared facilities
  • staffed by social workers
  • temporray
• Types of referral: third party 


  When a friend, neighbour or relative contact, Health or Care service

  This is done through a letter email or phone call
• Types of referral self


  When a person contacts ex service provider by a letter email or phone call
• What is a referral?

  When a health and social care professional pauses on the details of an individual to another organisation because they have identified a need
• How to overcome geographical barrier

  • Assisted transport
  • Flexibility time
  • Wide transport networks
• Individual preference as a barrier

  • Choosing not to access service
  • Religious or cultural preferences
  • Availability in service
• What do Care assessment consider

  • Things which matter to the service user
  • Types of services, information and advice
  • The need of a family
• Local authority and youth work

  • At reach use work Mobile for areas of antisocial behaviour
  • Usually part time and evening work in a club
  • Paid by local authority
• Professional referral :types of referral

  • When a Health or Care professional contact another service provided to request support for a service user
  • This is a letter email or phone call
• Eligibility criteria – financial assessment


  Local authority will carry out a financial assessment which will take into account the service users regular income and their savings
• What will the financial assessment decide?

  • Whether the service user must contribute to the cost of the Care, and if so, how much
  • Service users, if they are eligible, will normally receive a personal budget
• Informal carers on assessment


  If a client is supported by family or friends, these carers have the right to a carers assessment to see whether they need support to carry out caring activities
• Who carries out assessment?


  Adult social services are responsible for the assessment
• Who benefits from an advocate?

  Children

  People would learn disabilities

  People with communication issues
• Mental health, community group


  In community centres specialist group meet once a week or fortnight or even monthly offer as sense of belonging, art and music therapy
• Role of advocacy

  • Supporting servers user, so no discrimination takes place
  • Supporting services user, so they feel empowered
  • Supporting services user so that they can access services
• Why is financial a barrier?

  • Paying for service
  • Low income
  • Travel cost
  • Taking time off work
• Why is geography a barrier?

  • Lack of transport
  • High temperatures
• How to overcome a financial barrier

  • Not missing appointments and being on time
  • Paying for small prescriptions