Part 3 Quality management in healthcare delivery - Locus Help (2023)

Unit 3 Quality management in the distribution of health and social care

present

The concept of quality is the main element we will focus on in our Unit 3 assignment report, Quality Management in Health and Social Care. We then discuss the perspectives of different healthcare stakeholders. We will also discuss the role of external agencies that can help set quality standards. The impact of poor service quality on organizations and patients should be discussed. We will also discuss different approaches to implementing quality systems in the context of home care services and barriers to implementing these approaches. After that, we need to discuss the effectiveness of systems and policies, and finally we will discuss methods of assessing the quality of health and social care from an external and internal perspective, and we will also discuss the implications of involving users in the assessment process in the report below.

task 1

1.1 Explain how health and social care stakeholders view quality.

The quality of health and social care varies from person to person. Older clients may not like the home care services that their family members or caregivers receive.

• Service seeker's perspective-Individuals seeking services from Royal United Hospital Bath NHS Trust have an opinion on the quality of the service. The quality of home care must meet the basic needs of the patient or user. But it is by no means intended to meet the basic needs or requirements of service seekers. On the other hand, if home care does not meet the patient's basic needs, it is important to analyze some of the reasons behind it (Janamian et al., 2014).
• Views of employees or employees -Customer service staff or we can say nursing staff and professionals have a responsibility and obligation to maintain the quality of Royal United Hospital Bath NHS Trust. This is only possible if the caregivers in the home are sufficiently motivated to perform these practices effectively. For this purpose, monetary and non-monetary incentives can be offered to home care workers.
• a technician's perspectiveThe efficient and effective operation of Royal United Hospital Bath NHS Trust also depends on its technical services. Total for this in home careQuality control(TQM) can be established, i.e. a system in which high quality standards are maintained by the entire workforce of the organization. In addition, functional quality of home care such as auditing, record keeping, monitoring and feedback from clients should also be documented, this will help in providing information etc.
• Perspective of a legal person——Other external bodies, such as the Central Quality Council (CQC), the Health Service Commissioner and the National Institute for Clinical Excellence, set standards for health and social care. These agencies can take action within their boundaries if standards are not met (Blake et al., 2015).

Examples include dressing, feeding and washing patients. All these activities require a greater focus on customers. This can only be achieved by increasing the collaborative approach to the work of Royal United Hospital Bath NHS Trust. This is also useful in the home care recipient setting (Janamian et al., 2014).

1.2 Analyze the role of external agencies in setting standards.

Two external bodies in health and social care could be the Care Quality Commission (CQC) and the National Institute for Clinical Excellence.

Care Quality Commission (CQC):It is a non-governmental agency in the United Kingdom. It sets standards in health and social care

• The CQC guarantees home care services and sets standards to ensure essential services are provided to Royal United Hospital Bath NHS Trust recipients.
• The CQC also regulates and monitors home services and social care.
• Ensuring the rights of vulnerable groups.
• Take action if hoes and welfare do not meet predetermined standards (Blake et al., 2015).

National Institute for Clinical Excellence:Advice to the National Health Service (NHS) in the United Kingdom. The role of NICS is described as follows −

• It develops guidance and, from time to time, gives advice to health and social services.

• It also sets standards for home care and social care services.
• NICE also forwards a wide range of information to healthcare providers (Rawlins, 2015).

1.3 Assess the impact of poor service quality on health and social care stakeholders.

• The organizational effect of poor carePoor service quality can have a negative impact on an organization. Low quality costs reduce organizational productivity, which also reduces the profitability of Royal United Hospital Bath NHS Trust. On the other hand, poor organizational quality can also reduce customer satisfaction, which can lead to organizational failure. The CQC and other health regulatory bodies may have to take certain legal actions, which may also harm the organization's branding (Blake et al., 2015).
• The impact of poor care on service users -Healthcare organizations must have a great impact on the users of their services. If customer satisfaction at Royal United Hospital Bath NHS Trust declines, this could lead to negative word of mouth and the organization could lose customer loyalty. When home care services are provided of poor quality and with poor quality equipment, there may be dangers to care recipients and others (Sahel et al., 2015).

task 2

2.1 Explain what standards exist for measuring the quality of health and social care.

Develop health and wellness quality standards to maintain the basic framework. The health care quality standard was approved in March 2006. The list of quality standards is as follows:

• These qualities and standards are ensured by the Health Services Command (HSC) and measure the quality of services (Sahel, et. al., 2015).
• Quality standards also provide content for the improvement of healthcare institutions.
• Quality standards help those who need care at Royal United Hospital Bath NHS Trust to ensure they know what they are entitled to.
• Royal United Hospital Bath NHS Trust quality standards also legitimize the formal review of quality standards and safety issues in the organisation.
• Royal United Hospital Bath NHS Trust's quality standards also contribute to meeting human rights and equality-related duties in home care.

Quality standards for health and social services are important to both large and small health care organizations (Cowles, 2012). As healthcare delivery becomes more complex, service and healthcare organizations require a more integrated approach. There are already a number of prominent quality standards that have helped to marinate standards, some of which organizations such as the Royal United Hospital Bath NHS Trust have in mind are effective leadership, accountability for home care to those in need, providing a safe and secure care service , flexible services, promotes, protects and improves healthcare through the use of innovative technological devices and clear communication. These standards are measured and evaluated by the Home Care Regulation and Quality Improvement Agency (RQIA) (Pejovi?, et. al., 2016). The most important part of a nursing home is the protection of care users. It ensures that the requirements and essence of the patient must be met. Staff at the Royal United Hospital Bath NHS Trust also ensured efficiency in the services provided to the service to avoid waste and excessive use of machinery and other equipment (Cowles, 2012).

2.2 Evaluate different approaches to quality system implementation.

The quality standards that exist in healthcare have come a long way in these rapidly changing times. Variations in the quality of home care services can lead to mountain organization. The Healthcare Quality System ensures a broad understanding of the elements of quality through the implementation of different models across Royal United Hospital Bath NHS Trust. Home care quality systems have proven valuable. In addition, the quality services of home care organizations also help in researching and comparing structures so that Royal United Hospital Bath NHS Trust adopts the most suitable model for its smooth functioning. In addition, Total Quality Management (TQM) can be used to implement the quality standards of the Royal United Hospital Bath NHS Trust (Sahel et al., 2015).

Methods of implementation of these quality systems-For continuous growth and improvement, Royal United Hospital Bath NHS Trust can implement TQM. Continuous quality improvement is important for the development of health services (Thorogood & Coombes, 2010). Typically, home care providers prefer quality assurance because it focuses on regulatory issues such as applicant documentation, home care, and staff managing the process. Total Quality Management (TQM) was recognized as the best approach at Royal United Hospital Bath NHS Trust, as its implementation enabled a comprehensive and informative analysis across the organisation. Furthermore, adopting TQM can correct biases in home care,customer satisfactionit can be raised to a great level (Mohammad Mosadeghrad, 2013). In addition, Royal United Hospital Bath NHS Trust fees can also rise to a huge level.

2.3 Analyze possible obstacles to the provision of quality health and social services.

Obstacles to the provision of quality health and social services are explained below:

There are both internal and external obstaclesIn areas of health and social care such as the Royal United Hospital in Bath, NHS Trusts can face internal and external factors. Internal barriers can be lack of improvements in technology and equipment and lack of adequate communication systems, among others. This can lead to dissatisfaction among those seeking help. External obstacles can be a lack of health insurance, a financing system, and a lack of family and social support. These obstacles can lead to unfavorable conditions. For example, a lack of communication between staff or nursing staff at Royal United Hospital Bath NHS Trust could result in poorer treatment for those seeking help. In addition, weak management systems in organizations fail to stimulate innovative changes. In addition, the lack of health insurance can also lead to non-adherence to the scheme for all locals (Ozok, 2012). Poor funding systems may also be responsible for the mismanagement of Royal United Hospital Bath NHS Trust. In addition, the lack of quality system in Royal United Hospital Bath NHS Trust can also lead to weak leadership, lack of training and development programs etc. These factors can also negatively affect the overall management system of the organization (Sahel et al., 2015).

task 3

3.1 Evaluate the effectiveness of the systems, policies and procedures used in health and social care institutions to achieve the quality of the service provided.

At the Royal United Hospital Bath NHS Trust, nurses and paramedics provide care to patients. In addition, nurses also provide palliative care to elderly patients suffering from heart disease, cancer, etc. This palliative care provides the necessary care and helps in describing the patient's condition. The specific policy, procedure and scenario of Royal United Hospital Bath NHS Trust is that a high quality health and social care facility is involved in the organization of services that provide high quality health and social care (Ozok, 2012). These organizations seek to achieve goals by implementing policies, such as programs for critical illness, providing better health care to recipients and patients, and providing incentives or other benefits to the organization's health care workers and other qualified personnel. This may include a performance-based pay structure and culture, including monetary and non-monetary rewards. The policy is effective in the provision of home care and social care as it ensures quality improvement at Royal United Hospital Bath NHS Trust.

3.2 Analyze other factors that influence the achievement of the quality of health and social care.

Factors influencing the effectiveness of the Royal United Hospital Bath NHS Trust included the organization's documentation and validation results records (Ozok, 2012). In addition to this effect in home care, the value of the reward is also decisive. Royal United Hospital Bath NHS Trust also strives to satisfy its stakeholders with a high level of integrity to achieve quality. These factors influence the achievement of quality standards of care at Royal United Hospital Bath NHS Trust through the implementation of an effective and successful quality system, which often includes requirements to achieve appropriate performance levels (Hu, 2014). Organizations that work without setting standards cannot achieve their goals due to imperfect internal systems.

3.3 To propose ways in which the quality of health and social care can be improved.

Royal United Hospital Bath NHS Trust may apply certain methods to improve the quality of services.

Due to overcrowding, the capacity and efficiency of staff at the Royal United Hospital Bath NHS Trust has fallen to an enormous level (Ozok, 2012). In addition, agency aid seekers also have to wait in line. The capacities of residential aged care facilities are almost full and the auxiliary beds are full, leading to chaos in residential aged care facilities. The main problem of the Royal United Hospital is the lack of staff and equipment. As a result, hospitals had difficulty accepting new patients and home care management could not maintain quality due to overcrowding.

Problems such as those mentioned above can be recognized and removed by applying certain methods. When necessary, organizations can adopt a comprehensive approach and a palliative approach. These approaches can help address staff shortages by recruiting more talented workers to meet growing workforce demands. In addition, Royal United Hospital needed to update its technology systems to make its work environment more efficient. Therefore, the organization may also need to expand its buildings and infrastructure (Sahel et al., 2015).

task 4

4.1 Evaluate methods for assessing the quality of health and social care from an external and internal perspective.

There we discuss some ways of assessing health quality from an external and internal perspective -An impact assessment carried out by the Care Quality Commission (CQC) helps determine application in the external environment. Care quality commissions are also useful in documenting external factors in an organization's ability to perform its functions (Blake et al., 2015). On the other hand, Internal Total Quality Management (TQM) factors inquired about the financial performance of Royal United Hospital and also help in understanding customer behavior (Mohammad Mosadeghrad, 2013). This approach is commonly used in health and social care settings at the Royal United Hospital. The Royal United Hospital's quality assurance program also focuses on specific issues such as documentation, monitoring and administrative processes. In addition, Care Quality Councils are also effective for organizations in developing healthcare practices and procedures that can lead to increased service seeker satisfaction. TQM is probably the best approach for home care because of its ability to analyze external and internal factors. In addition, TQM has benefited the Royal United Hospital by ensuring its sustainability and providing it with a competitive advantage (McKee, 2012).

4.2 Discuss the impact of service user involvement in the evaluation process on service quality.

The influence of the inclusion of service users in the evaluation process on service qualityRoyal United HospitalIt can be positive or negative. They are described as follows −

By focusing on working together, the Royal United Hospital can establish a quality assessment system. It also gives meaning to elements of quality assessment in safe, hygienic and efficient environments. By recognizing the quality of health and social care, a broader perspective should be introduced. In addition, failure to involve the person asking for help can sometimes result in injury. It is difficult to analyze the quality of health and social care when practice is carried out without the involvement of stakeholders or other parties (Barber et al., 2011). By engaging service seekers from diverse backgrounds, organizations can bring innovation and more creativity (Barber et al., 2011). Let's discuss the essential factors for improving the quality of the Royal United Hospital. Organizational development called for diversity, and the Royal United Hospital needed quality measures so that decisions made could guide performance that signifies performance. In addition, improving the facilities and grounds of the Royal United Hospital will enable it to serve more patients. In conclusion, we can say that health and social care providers must reach new heights in service delivery (Barber et al., 2011).

in conclusion

In the report above, we discuss the views of different stakeholders in health and social care services, including recipients or patients, providers, technicians and other legal entities. The role of two external bodies, the Care Quality Commission and the National Institute for Clinical Excellence, is then well described. Then it also describes the effect of poor care inbusiness organizationand service seekers. Industry standards of health and care are also a good measure of quality. It then discusses the evaluation of different approaches implemented in quality systems and possible obstacles. It also describes the effectiveness of policies, procedures and systems used in healthcare in achieving quality service. The report also includes some ways to improve the quality of home care services. Finally, it also focuses on evaluation from internal and external perspectives and then characterizes the influences involving service users during the evaluation process.

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