Marwa Afzal Unit 5 – Meeting individual care Mrs Shabbir
and support needs.
P6: Agencies
Health – an organisation responsible for this is the Clinical Commissioning Group
which was formed in April 2013 to take on more responsibilities from GP services
and commission them, which is a partnership of organisations that work together
to plan and pay for health and social care services to improve the lives of people
who live and work in their area, they also plan how to deliver services to patient
and carer ensuring they meet their needs at a high quality but also affordable.
Some examples of the partnerships in this organisation would be the NHS, the
GP, local councils and community and voluntary sectors. Clinical Commissioning
Group organisation has now turned into an Integrated Care System, this is a new
partnership to ensure healthcare is provided to a wider area with more people, it
coordinates services and plans to do it so that the populations health improves,
and it reduces inequalities between diverse groups. Integrated Care Systems
(ICS) are organisations that have partnered together to improve lives of the
people who live and work in their area through planning and paying for health
and care services, this would be paying for a further services that wouldn’t be
covered for by the NHS or by medical insurance, this also involves bringing
together different organisations to work together in a coordinated way and
provide seamless and person centred care.
Social – an organisation responsible for this are the Local Authorities that
commission social care services to achieve personalised, community-based
support, they organise and fund support and care for those with moderate or
high needs who are unable to fund it themselves. Local authorities are
administrative bodies that operate in a specific area, they are responsible for
providing the public with essential services and they govern over individuals in
that area, they have an essential role in representing their local population in
their area, they do this by voicing and meeting their needs by making important
decisions to directly impact the communities wellbeing and quality of life. Part of
this is 152 local authorities who have health and social care responsibilities in
their localities such as NHS partnership and housing support. To further this
organisation, they use guidance like the Adult Social Care Framework to guide
them. An example of a local authority is the Manchester City Council, which is a
district council that aims to improve community well-being and to provide better
services for the people thar live in that specific area, they have three main
categories which are representing the community, meeting local needs by
delivering services and improving quality of life and community well-being.
Another organisation part of the social sector is the Health and Well- being board
which are responsible for commissioning healthcare services, their main aim is to
improve the health and wellbeing of local people and tackle health inequalities.
To do this, political, clinical, professional and community leaders from across the
care and health system come together to improve the health given to local
people. They provide health and social care services through commissioning to
those who need them, manage the resources at hand, ensure their performance
is effective and constantly improve the service given. An example of a health
and well-being board is the Trafford health and wellbeing board, this is used to
bring Trafford into the Greater Manchester Health and Social Care Partnership, it
has three main partnerships which are physical activity, safer Trafford, and the
, safeguarding board. It is used to bring together these key leaders of health and
social care systems and improve the health and wellbeing of the populations it
also reduces any health inequalities by understanding what their community
needs and being able to deliver it to them.
The Common Assessment Framework is a framework that offers a way to look at
what is working in a sector and what is not working to ensure their performance
is best possible, if something is not working, they produce something better.
Involved in this is for the educators and other childcare practitioners to listen to
a child and their carer to establish if an extra support is needed for a child with
additional needs. This framework covers three domains: the development of the
child or young person, parents and carers, family, and environment, these
domains are essential to identify potential additional needs or concerns for a
child.
The Department of Health: National Framework for Continuing NHS Care is a
framework, for adults aged 18 or over funded by the NHS, that provides
guidance for parties involved to follow, it is a national assessment that consists
of three tools to aid and support any decision making needed to be done. A team
will look at a person’s care needs and refer them to the help they need and
analyse the severity of their needs. This framework covers 12 domains these are:
Breathing, food and drink, continence, skin and tissue viability, mobility,
communication, psychological and emotional needs, cognition, behaviour, drug
therapy, states of consciousness and other significant needs.
The National Eligibility Criteria, Care Act 2014 is a framework that is used to
assess a person to see if their needs are eligible for support from any local
authorities in that area, there are 2 National Eligibility Frameworks which are:
one for people with care and support needs and one for people with just support
needs. It supports those who are suffering abuse, neglect or are receiving poor
health, from an early age, the local authorities support them to avoid any further
abuse and help maintain their wellbeing. There are three questions in both
frameworks, for the people with care and support needs the questions are ‘Do
the needs arise from a physical or mental impairment or illness?’, if answered
yes, ‘Do these needs mean that the person is unable to achieve 2 or more of the
listed outcomes?’ and if answered yes, ‘Is there consequently a significant
impact on the person’s wellbeing?’. For the carers with support needs the
questions are ‘Do the needs arise because the carer is providing necessary care
and support, if answered yes, ‘Is the carer’s physical or mental health
deteriorating, or is the carer unable to achieve any of the listed outcomes?’, and
‘Is there consequently a significant impact on the carer’s wellbeing?’.
For Alex, the organisations that would be involved in commissioning his health
and social care services would be the Intergrated Care System, this organisation
is used to improve the lives of people who live and work in a certain area, this
specifically links to Alex: he suffers with mental health meaning he would need
help with a therapist who he would be referred to by a clinical commissioning
group, who would if needed in his case as he is unable to work, offer to pay and
support him with this transition. Another organisation that would be used for
Alex, is the Care Act 2014 which is the legislation to provide Alex with his clear
support plan, this is what his care workers would follow to ensure he is given the
right treatment and medical care, Alex is given medication for his anxiety and