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The provision of health and social care services adapt themselves in order to meet the needs of their service users. Numerous factors are influential in the planning of new and upcoming changes within the health, social and childcare sector.

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Introduction

AO1 Four different categories traditionally divide health and social services. These include a statutory sector, this is provided by the state and is gained through legislation; they include the national health service and local councils. There is also the voluntary sector, these include non-profit organisations and are set up through volunteers. These tend to turn into services through the registered charities, an example being age concern, whereby they provide day centres for the elderly, they also provide services to help individuals with everyday tasks like going food shopping or cleaning tasks. Furthermore, there is a private sector, this includes private health care and social services. They, unlike the voluntary sector, run as a business in order to gain profits, these include private hospitals, residential homes and dental care. The fourth and most commonly unnoticed group of carers which provide health and social care service for those in need is the informal carers, these individuals are usually unpaid workers, and could be partners of the person in need, a relative or even a friend. Another example of this would be that of church lunch club, whereby it is easy access for people. It should be noted that all of these services, whether they are profit or non-profit do perform and work together at a local level. The provision of health and social care services adapt themselves in order to meet the needs of their service users. Numerous factors are influential in the planning of new and upcoming changes within the health, social and childcare sector. These include the local demographic characteristics, statistics and trends and also the national standards and objectives. Local demographic characteristics Local demographic characteristics and trends influence local planning, in that the services need to be able to respond to the general public within their caption area, and in order to do this they need to be aware of the changing demographics of the area, whereby they will look through statistics of that area, the sorts of point which will be ...read more.

Middle

The 'national service framework' enables there to be local targets which are placed alongside the national level of targets, this therefore allows there to be more specialised care for the people in certain areas than others. The quality of service provision is supported by the 'national service framework' (NSF) and 'the national institute for clinical excellence' (NICE). These are several principles for local planners which have to be taken into account of. The local target settings are: * The targets are developed in partnership with others * The targets are in line with the population needs * The targets address the local service gaps * The targets offer value for money * The targets deliver and equity * The targets are evidence based The way in which services are commissioned Purchasing a range of services for local communities is what is known as commissioning, there are able to purchase a range of services which will help the community, the services include those which are needed to improve health and social care within the area, there are all paid for from the unified budget. This unified budget is based around the population, which would be around 100, 00 which also includes to 50 GP's also involved. Different levels below shows the organisation of the complex system of commissioning. Level 1 - PCG is an advisory sub-committee of the local health authority. Level 2 - PCG is a sub-committee that manages a budget devolved to it by the local health authority. Level 3 - PCG is a free standing body accountable to the health authority for commissioning services for primary community health, and hospital services for its patients. Level 4 - A free-standing body accountable to the health authority for commissioning primary community health and hospital services and for providing primary and community health services. The commissioning of services is still part of the purchaser- provider system, whereby it is an organisation that buys, or provides good and services. ...read more.

Conclusion

order to fulfil this target schools in and around the area of Milton Keynes will need educate children of the dangers of drink and drugs. They will also have to educate children on the consequences of bullying and the effects which it will have on the individual which is being victimised. Promoting good health Parents and children will soon have the opportunity to get to GP surgeries which are closer to their living surroundings which will hopefully decrease the amount of ill health within the families. This also links to the new public transport opportunities which, as many single parent families may not be able to afford to have cars themselves, so with new stoppages they will be able to attend general checkups. Schools will also educate their students on how to be healthy and to be aware of many illness by which teenagers are often quite susceptible towards for example STI's. Promoting independence socially and economically In order to create this feeling for the individuals of the Milton Keynes area they need to create opportunities for the adults to get jobs, and also give them more education on certain areas of employment. If there are schemes put in place whereby individuals are more able to be in a position to buy homes, or to rent homes, which in the future will also be a good investment for their families. Making positive contribution towards the newly renewed transport system These new transport links will give people the opportunity to get around more often with the area links, it might also be quite cost effective with the weekly, or monthly tickets which are available. Promoting and educating families on family relationship to create children with adequate socialisation Children from lone- parent families may often lack in socialisation from the lack of both parents being present within their lives, therefore school and other eternal organisations should be available to children and the parents to help with minor issues and problems which might be occurring at home. ...read more.

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