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Health, Social Care and Early Years Provision

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G.C.S.E Health and Social Care Centre St. John's Marlborough Centre no 66631 Madeline Elisabeth Payne Candidate No Unit 1 Health, Social Care and Early Years Provision I have chosen to do my coursework on Northlands Doctors Surgery in Calne. I have chosen this place because it is a health service and is used by different clients with different needs. I also did a week of work experience there in the summer. Northlands Surgery, Calne Type of service provision - Health, Social Care and Early Years (all ages) Address - Northlands Surgery, North Street, Calne, SN11 0HH Working hours - Mon - Fri 8.30am - 5.45pm Emergencies only on Sat 9am - 10am Sector - Public Population of local area - 11,516 (1991) but as there are three surgeries in Calne, Northlands serves about a third of this amount. Northlands employs 29 staff, around 13 of these are health care staff. Funding - National levels National framework - Parliament Secretary of State for Health Department of Health Strategic health authorities Secondary health care Primary care trusts Targets and Funding - The national targets set; The NHS will provide a universal service for all based on clinical need, not ability to pay. The NHS will provide a comprehensive range of services. The NHS will shape its services around the needs and preferences of individual patients, their families and their carers. The NHS will respond to different needs of different populations. The NHS will work continuously to improve quality services and to minimise errors. The NHS will support and value its staff. Public funds for healthcare will be devoted solely to NHS patients. The NHS will work together with others to ensure a seamless service for patients. The NHS will help keep people healthy and work to reduce health inequalities. The NHS will respect the confidently of individual patients and provide open access to information about services, treatment and performance. ...read more.


This base describes the kind of attitude towards care you would appreciate if you were being cared for as a patient or client. The guidelines care practitioner's follow in order to ensure that clients know what qualities of care to expect are based on this set of principles. Care workers empower clients by: 1. Promoting anti-discriminatory practice * Freedom from discrimination * The right to be different * Aware of assumptions made surrounding gender, race, age, sexuality, disability and class * Understand prejudice, stereotyping and labelling and their effects * Use of language (political correctness) 2. Maintaining confidentiality of information * Secure recording systems * The need and right to know * Value and protect client * Policies, procedures and guidelines * Boundaries and tensions in maintaining confidentiality 3. Promoting and supporting individuals' rights * Dignity * Independence * Health * Safety * Choice * Effective communication 4. Acknowledging individuals' personal beliefs and identity * The benefits of diversity * Choice * Respect * The right to be different 5. Protecting individuals from abuse * Hostile or negative * Support * Dignity 6. Promoting effective communication and relationships * Provide and obtain information * Express values * Express and understand needs, fears and wishes * Maintain identity 7. Providing individualised care * Control of own life * Respect * Needs catered for * Improve quality of life * Provide independence * Balance between control and assistance * My chosen care workers use the entire care value base but a few values are used daily and very often. The practice nurse, Jane Smith, must promote and support individuals' rights every day and with every client she deals with. She also must keep confidentiality, promote anti-discriminatory views and protect from abuse, to name but a few. The practice manager, Bob Jones, doesn't really deal with clients on a face-to-face basis but he does deal with patient notes and therefore must maintain confidentiality. Jane deals with the care value base in a totally different way to Bob. ...read more.


Information in different languages would also encourage people of different cultures to visit the surgery. I think the hours that staff are available for are not very long and could do with extending. My chosen care service provides information to help clients to sort out their lives. For example providing information on job centres and education centres can help people to earn their own money and change their life's for the better. Users of the Service Users of this service can be any age, any sex and any culture. The users do not have to pay fees, unless they need prescriptions and other treatments. The NHS pays for this service. Barriers to access Physical: doors are not automatic, which may cause a problem for wheelchair and buggy users. There are all so no ramps, which can cause a problem when I weather starts to worsen. Psychological: fear of losing impendence can prevent people from using a service like this one, but I think Northlands does give an appropriate amount of freedom. For clients will mental health problems there is also a counsellor available. Financial: the NHS does help to eliminate some of the financial barriers, although there can still be problems with prescriptions, treatments and operations etc. Geographical: because the surgery is a fairly rural some client may have difficulty visiting the surgery, but this problem is overcome by the fact that the doctors and nurses do house calls when necessary. There is also a very good public transport service in Calne. Resource: the surgery opening hours, in my opinion, is not open for a very long time, from 8:45-11:10 to 3:20 - 5:15. I think these could do with lengthening. A lot of information is provided on this service due to a website and phone being freely available. Cultural and language: Northlands is very sensitive to the needs of all cultures and beliefs. The only problem I can think of is they may not be aware of beliefs of some cultures so I suggest an education session. ...read more.

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