Topic 1

• Provision


  -The act of providing or supplying something

  -Voluntary: Serivces provided by charities or organisations e.g. British Heart Foundation

  -Statutory: Provided by law, gov or local authorities; required to keep everyone safe and healthy e.g. NHS

  -Private: Profitable services, owned or run by a person/company e.g. Bupa

  -Informal: Any person often loved one providing care, usually unqualified
• PIES

  -Physical Health

  -Intellectual Health

  -Emotional Health

  -Social Health
• Health care services


  -Any service provided by a health care professional, that relate to diagnosis, prevention, treatment, assessment, or care of the health of human beings

  -E.g. GPs, Respite day centres, Rehab units, Dentists, Hospice, Sexual Health clinics, Maternity services, Ambulances
• Social care services


  -Social care services provide support to people with learning disabilities/illnesses and mental illnesses

  -E.g. CAMHS, Respite care, Residential care home, Support living services, Family coordinator, social worker, therapist, TA
• 13 Fundamental Standards of the CQC


  -cqc.org.uk

  -Person-centred-care

  -Dignity and respect

  -Consent

  -Safety

  -Safeguarding from abuse

  -Food and drink

  -Premises and equipment

  -Complaints

  -Good governance

  -Staffing

  -Fit and proper staff

  -Duty of candour

  -Display of ratings
• Legislation 


  A law or set of laws that has been made official by government or parliament
• Regulation


  An official rule, principle or condition that controls procedures or behaviours
• Intervention 


  Involvement in a situatuon in order to improve it or at least prevent it from getting worse
• Person centred care


  Care that is tailored to the specific needs, abilities and preferences of the particular individual
• Legislative vs regulatory requirement

  -Legislative- legal requirement to do something

  -Regulatory- a rule or procedure you are required to follow
• Purposes of HSC provisions

  -Provide a standard of care to meet government legislative and regulatory requirments

  -Provide types of intervention specific to the individuals needs and preferences

  -Provide individualised care to meer long and short term needs and preferences
• Long term needs


  Chronic or progressive conditions that will not get better or will take a long recovery time
• Short term needs


  Often goal orientated where there is an expectation of getting better
• Intervention for physical health


  -Resources and aids eg stair lifts, walk in showers, closed boxes for medication etc

  -Support for personal care eg cooking, washing, bathing, feeding, dressing, whatever they need for comfort

  -Transport to all medical appointments and meetings

  -All care for physical needs to be met
• Intervention for intellectual needs


  -Support to attend school/work/college. Creating a pleasant and safe environment

  -Make recipient feel encouraged to stick to daily routines

  -Adaptations to working patterns and exam times in order to feel more flexible

  -Encouragement to learn new skills/ experiences

  -Support positive thinking

  -Autonomy
• Intervention for emotional wellbeing


  -Mental health support counselling services, advocacy, antidepressants, medications, respect and flexibility, relaxation techniques/medication

  -Acceptance and validation- care staff getting to know the individual and respecting them

  -Organisations eg CAMHs
• Intervention for social wellbeing


  -Support to attend social events (transport, company)

  -Companionship and befriending scheme to combat loneliness

  -Support groups

  -Community hubs/events

  -Can be beneficial for those suffering with depression, post partum, learning disabilities

  -Benefit the elderly, ex prisoners, ex drug users etc
• Services hospitals provide


  -Accident and emergency treatment and aftercare

  -Treatment of infection, diseases and conditions

  -Operations for identified conditions

  -Follow up in outpatient departments and clinics

  -Health and wellbeing centres
• Infection


  Caused by a virus, ‘bacteria’, parasite or fungus
• Disease


  An abnormal condition which negatively impacts the function of an organism and that is not immediately caused by an injury
• GP surgeries services: Consultation


  -Doctor will take time to listen and understand your symptoms and undertake a physical examination if required
• Voluntary provisions


  -Provided by charities and/or organisations

  -Easy access

  -Free

  -Limited services/ quality
• Statutory provisions


  -Must be provided by law; the government require them to be provided

  -NHS, 1948

  -Cheaper for everyone

  -Limited spaces due to funds

  -Long waiting times
• Private provisions


  -These services make a profit, they are owned by someone or a company

  -Bupa

  -Expensive, not accessible to everyone -Services will be high quality
• Informal


  -Includes any person such as family members, friends or neighbour who is giving regular, ongoing assistance to another person without payment, usually unqualified
• Purpose of health care

  -Provide a service by a healthcare professional that relates to the diagnosis, prevention or treatment of any diseases or impairment

  -Examples: GP, hospitals, dentists, respite day centres, ambulance services, sexual health clinics, health visitors, physiotherapists, rehab units, maternity services
• Purpose of social care provisions

  -To provide support to people with learning disabilities, physical disabilities/ illnesses and mental illnesses
• Social care services 


  -CSMHS, respite care, residential care home, supported living services, counselor, community services, therapists, social worker, family coordinator
• Functions of hospitals


  -Accident and emergency treatment and aftercare

  -Treatment of infection, diseases and conditions

  -Operations for unidentified conditions

  -Follow up in outpatient departments and clinics

  -Health and wellbeing centres
• Functions of GP Surgeries

  -Consultations

  -Minor surgery

  -Practise nurse services

  -Clinical advice and diagnostics

  -Referral to other services

  -Guidance on healthy living
• Functions of clinics


  -Mobile screening

  -Family planning services

  -Addiction services

  -Sexual health services
• Functions of pharmacies


  -Non emergency medical advice

  -Dispensing services (prescription)

  -Offer/provide non prescription medication
• Functions of dental services

  -Regular and emergency dental treatment

  -Oral health advice

  -Referral to hospital
• Functions of Ambulance services

  -Emergency assessment and transfer to hospital

  -Initial treatment to stabilise a condition

  -Transport services from home to clinics
• Functions of rehabilitation centres

  -Support for the individual to develop and regain abilities needed for daily life
• Functions of residential services


  -Where an individual wouls reside/ live

  -Provide long term care to individuals. in the form of 24 hour support and care
• Functions of foster care (types)

  -Long term

  -Short term

  -Kinship

  -Emergency

  -Respite

  -Specialist therapeutic
• Functions of Respite care

  -Short term care provided to an individual in the form of:

  -A hospice

  -Day care

  -A sitting service

  -A respite holiday

  -The purpose is to enable families to have a short break
• Functions of community services

  -Provide a local service to promote wellbeing

  -Meet a range of individuals needs and support their independence

  -Includes: Community centres, family centres and homecare services