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This essay will give an overview of the structure and quality of health and social care within the United Kingdom (UK).This essay will give an overview of the structure and quality of health and social care within the United Kingdom (UK).

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´╗┐Health care policy and quality This essay will give an overview of the structure and quality of health and social care within the United Kingdom (UK). The integration of health and social care is one of the key influences of holistic care. This essay will also explore equity of access, quality control, assurance and improvement in regards to providing the highest care for health and social care patients. To achieve quality; legislations, policies and procedures need to be in place to guide staff and patients. These are monitored monthly and annually to maintain high standards of care (NHS Institute for Innovation and Improvement Excellence 2013). The policy the author will focus on is the Infection Control Policy, concentrating on the assessment and implementation in health care settings. As well as how high quality standards are maintained and continued within the policy. Confidentiality will also be conserved in this essay; therefore no Trust will be mentioned if the information is not in the public domain. In the UK there are a range of health and social care services for every individual, from health clinics to learning disability schools. They subscribe to the same goal in providing compassionate care with the best quality, standards and evidence based practice. The National Health Service (NHS) is a publicly funded agency providing healthcare to anyone who is a resident in the UK. It was first established in 1948, formulated on the idea that excellent healthcare should be available to all individuals regardless of their wealth. Since then, there have been many changes and innovations to improve the quality and standard of the NHS (NHS Trust Development Authority 2013). The NHS is a growing system that is influenced by global epidemiology. Knowledge and skills immensely extends through global interaction. According to Filetoth (2003) international standards provide harmonisation and standardisation of health care amongst different countries. Through joining knowledge with international services, the NHS is able to fill gaps in practice. ...read more.


The use of alcohol sanitizers have also been put in place to provide quality assurance and make sure even if there is minimal contact with patients, hands are still decontaminated (Lashley and Durham 2002). Wearing protective clothing (PC) such as gloves, aprons and masks is another tool in perverting infections and is continually used on the SU, this minimises the contact between staff and patients preventing microorganism transmitting on clothing and skin. The Isolation Policy is instigated through wearing PC outside the isolated rooms. Quality assurance of PC regulations is to make sure that there is enough supply of all the protective clothing and are appropriately placed outside the isolated rooms. Training is another form of quality assurance; staff should be up to date on their knowledge of different forms of PC, when and how to use them. Training should highlight the importance of all PC being single use. Several studies show the need to change gloves between patients is usually overlooked (WHO 2009). This can cause infectious outbreak and cross contamination: therefore the isolation policy confidently states the importance of changing PC between patients and sometimes even during different procedures with one patient (Wilson 2006). Additionally using and cleaning equipment in the correct form can reduce the risk of contamination with microorganisms. All instruments within the SU should be categorised to be high, medium or low risk, for example high risk equipment such as forceps and scalps need to be fully sterilised before and after use. Whereas bed pans and commodes are medium risk; they do not need to be sterilised at the point of use, but must be sterilised between each patient. In some cases the SU provide the commode solely for the isolated patient and then the process of sterilisation takes place after it is not needed. On the SU sometimes thermal sterilization is also used. This is a great form of high quality assurance in essence to when it?s time and temperature is measured (Hoffman, Bradley and Ayliffe 2004). ...read more.


Filetoth, Z. (2003) Hospital acquired infection: causes and control. London: Whurr (Great Britain) House of Commons Health Committee (2014) Public expenditure on Health and social care [online]. Available at: http://www.publications.parliament.uk/pa/cm201314/cmselect/cmhealth/793/793.pdf (Accessed 15 March 2014). (Great Britain) Department of Health (2009) health and social care act 2008: Code of Practice on the prevention and control of infections and related guidance [online]. Available at: http://www.google.co.uk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=7&ved=0CFIQFjAG&url=http%3A%2F%2Fwww.acc.co.nz%2FPRD_EXT_CSMP%2Fgroups%2Fexternal_providers%2Fdocuments%2Fguide%2Fprd_ctrb114310.doc&ei=GAA3U5adKcap7AaFkYGIBQ&usg=AFQjCNHgFExZEJhRb1CtDpMoolOQPahrEg (Accessed 16 March 2014). Goldstone, J. (1998) ?The role of quality assurance versus continuous quality improvement? Journal of vascular surgery 28(2) Available at: http://www.sciencedirect.com/science/article/pii/S0741521498701806 (Accessed 20 March 2014). Hoffman, P., Bradly, C. and Ayliffe, G. (2004) 3rd edn Disinfection in healthcare Massachusetts: Blackwell publishers NHS Institute for Innovation and Improvement (2013) National Policy and Regulations. Available at: http://www.institute.nhs.uk/patient_experience/guide/the_policy_framework.html (Accessed 24/3/2013). Infection Control Policy, (2012) local Trust Policy. Infection Control Policy, (2013) local Trust Policy. Lashley, F. and Durhm, J. (2002). Emerging infectious diseases. Springer publishing company [online] available at: http://books.google.co.uk/books?id=jkjL2t_EafIC&printsec=frontcover#v=onepage&q&f=false (Accessed 19 March 2014). Melissa, K., Blazeby, J., Strong, S., Carroll,F., Ness, A. and Hollingworth, W. (2013) ?Are multidisciplinary teams in secondary care cost-effective? A systematic review of the literature? Cost Effectiveness and Resource Allocation 11(7) [Online]. Available at: http://www.resource-allocation.com/content/pdf/1478-7547-11-7.pdf (Accessed 14 March 2014). NHS Trust Development Authority (2013) Delivering High Quality Care for Patients. Available at: http://www.ntda.nhs.uk/wp-content/uploads/2012/04/framework_050413_web.pdf (Accessed 12 March 2014). NMC (2010) Confidentiality. Available at: http://www.nmc-uk.org/Documents/Standards/nmcTheCodeStandardsofConductPerformanceAndEthicsForNursesAndMidwives_LargePrintVersion.PDF (Accessed 10 March 2014). Nursing and midwifery council (2013) Quality assurance framework. Available at: http://www.nmc-uk.org/Documents/EdandQA/Quality%20assurance%20framework%20FINAL%2017.06.13.pdf (Accessed 30 March 2014). Nevill, M. and Head, Z. (2012) ?Involving patients in preventing infections? Nursing times June. [Online]. Available at: http://www.nursingtimes.net/Journals/2012/05/31/z/e/k/050612_guidance_infections.pdf (Accessed 26 March 2014). Perry, C. (2007) Infection prevention and control Blackwell publishers: Oxford RCN (2005) Good practise in prevention control: guidance for nursing staff. Available at: http://www.wales.nhs.uk/sites3/documents/739/rcn%20infection%20control.doc.pdf (Accessed 27 March 2014). Seshadri.S and Baumann. M (2008) ?Reverse isolation for neutropenic patient?s? Community Oncology 5(628?632) [online]. Available at: http://www.oncologypractice.com/co/journal/articles/0511628.pdf (accessed 14 March 2014). Wilson, J. (2006) Infection control in clinical practice 3rd edn. Edinburgh: Elsevier limited WHO (2009) Glove use. Available at: http://www.who.int/gpsc/5may/Glove_Use_Information_Leaflet.pdf (Accessed 23 March 2014). WHO (2004) Practical Guidelines for Infection Control in Health Care Facilities. Available at: http://www.wpro.who.int/publications/docs/practical_guidelines_infection_control.pdf (Accessed 19 March 2014). ...read more.

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