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Health and Social care

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Contents * Introduction Pages 1-2 * Surgery Organisation Pages 3-7 * Surgery Roles Pages 8-11 * Surgery Care Value Base Pages 12-15 * Surgery Care needs of individuals Pages 16-21 * Surgery Barriers Pages 22-27 * Nursery Organisation Pages 28-30 * Nursery Roles Pages 31- 34 * Nursery Care Value Base Pages 35- 39 * Nursery Care needs of individuals Pages 40- 47 * Nursery Barriers Pages 48-52 * Surgery Questionnaire Pages 53- 64 * Nursery Questionnaire Pages 65- 76 * Conclusion Page 77 * Bibliography Page 78 Organisation Explanation of Flow Chart Chafford Hundred Medical Centre is a statutory care sector. Statutory services are clearly defined by legal statute and would normally be delivered by, for example, the NHS. An example of this is the A&E department in a hospital. Statutory services are available to all client groups ranging from infants (0-3 years) to the elderly (65+ years). The surgery is run by the government and is part of the NHS. It is free healthcare for the public and is provided by hospitals as well as surgeries. The NHS is now the largest organisation in Europe. It is recognised as one of the best health services in the world by the World Health Organisation. This has brought about some fundamental changes in the way the NHS is structured and the way in which the different organisations within the NHS relate to each other. The following is a diagram which illustrates how the NHS works. I obtained it from the NHS website. The NHS, which the surgery is part of, is run on a national level. This includes key government departments divided into various other departments. Each of these departments then have a different responsibility within the NHS. Next in the hierarchy is the Secretary of State for health in England. The Secretary of State for Health, Alan Milburn MP has the responsibility for continuing the reduction in waiting times and delivering modernisation in the National Health Service. ...read more.


After consultations with their doctors, some patients, who have more serious problems, perhaps specific to a particular area of medicine can be professionally referred to a hospital. Professional referral is when a client may be put into contact with a service by a care practitioner such as a doctor, nurse or social worker. Physical Barriers According to my questionnaire, this particular care setting has no physical barriers that could stop a client from using it. This means that the care setting has a ramp for wheelchair access. This is very useful for disabled patients as they must be able to enter and exit the building easily. There are also adapted toilets within the Surgery, allowing clients with all kinds of different physical needs to use the facilities. There are also lifts available for the disabled patients which mean they can easily go from one floor to the next, for example if their doctor is on the first floor of the surgery. There is also no risk of thefts or muggings in or around the Surgery. This may be due to the surgery being in a good neighbourhood or being in a well lit area that is not easily accessible to anyone. Also, there are wide doorways available for clients to use as well as adequate, clean waiting areas. In addition, there are professional communicators available all the time, should the patient be deaf etc. This means they will be able to communicate to the doctor and share problems via the communicator. This means that friends or family of the client cannot be affected, as there are no physical barriers that can make it difficult for people to use the service. Psychological Barriers There are some psychological barriers that a client may face when using this service. A client may be embarrassed by their problems and not wish to share them with the doctor. For example, if someone has an STI, they may be reluctant to discuss this with their doctor. ...read more.


There are also adapted toilets within the nursery, allowing clients with all kinds of different physical needs to use the facilities. There is also no risk of thefts or muggings in or around the nursery. This may be due to the nursery being in a good neighbourhood or being in a well-lit area that is not easily accessible to anyone. In fact, one requires s code to be able to open the front door, so the children's' safety is ensured at all time. Also, there are wide doorways available for clients to use as well as adequate, clean waiting areas. In addition, there are professional communicators available all the time, should the child be deaf etc. Also, the nursery assistants are trained to know sign language anyway as this is part of their course of training. This means children will be able to communicate to the care workers and share problems via the communicator, if needed. Friends and family of the child may decide not to send them to the nursery as there is no lift. This may be because the family will feel their child will be isolated or left out f=if they cannot join in certain activities, even if these activities only occur on an irregular basis. Psychological Barriers There is only one psychological barrier that clients may face when using the service. This is a problem that parents of the children are likely to have-guilt. Parents may feel they are not being a good parent by leaving their child at the nursery. They may also feel worried about the quality of care their child will be receiving. It is only natural that a parent has these worried about their child, especially when first leaving them at the nursery. This does mean, however, that there are no other psychological barriers that may be faced. So clients are not embarrassed by problems, as the clients are mostly children, who will feel open to discussion if they come to trust and like the care worker. However, clients do not feel they will be losing independence by using this service. ...read more.

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