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Working in partnership is an imperative aspect for health and social care because it supports the care homes to deliver good quality of services among patients and caters their needs effectively (Health and social care working in partnership. 2007). Partnership in health and social care makes it possible for single agency to resolve the issues by taking new as well as better solutions. Present report covers partnership philosophies and its relationship to health care services. Further, explanation has been given on the promotion of positive partnership working with professionals and organization as well as users of HSC. In addition to this, potential barriers of partnership working in health and care services are
The philosophies of working in partnership depict that health and social care settings need to work with integrity in order to provide quality services. According to the given case study, following philosophies are considered by the care home. These philosophies support the corporations to work with integrity and to give good experience to number of patients. Some of the philosophies are listed as below-
Empowerment- It is the most effective method where health and social care setting can distributes the roles and responsibilities of workforce in accordance with their qualities. It proves to be effective to enhance their level of motivation and to enable them for improving the service quality (Fanjiang and et. al., 2005). Further, under this philosophy, emphasis is laid on developing good partner's relationship. However, the power is shared among those who lack with the same. It assists the workforce to contribute towards well being of society as well as the care home. Apart from this, service providers also find it feasible to get a good position at the workplace where they can work with positivity.
Autonomy- This is another imperative philosophy of working in partnership. In this, service providers are provided with freedom to work according to their interest and they approach right kind of sources to complete their duties. This aspect facilitates to bring improvement in the service quality of nursing home where quality issues are being faced (Glasby and et. al., 2008).
Respect- This philosophy helps to promote the partnership in HSC by providing respect to clients by sharing detailed information among them with regard to their treatment and medication (Estes and Harrington, 2008). Furthermore, beliefs and values are considered while rendering services among patients or service users.
Power sharing- In this philosophy, power is shared among employees of care home who intend to work in partnership. This aspect proves to be effective in developing mutual understanding among them with regard to roles and responsibilities (Fonder and et.al., 2008). These certain criteria helps in collaborative partnership working in health and social care setting and enhances the level of satisfaction among clients and service providers.
Informed choices- Information choices philosophy is that where care homes come to know about the solution of ethical dilemmas by providing detailed information of treatment to all related parties (Haworth and et. al., 2002) . This philosophy results in a way that health care organizations give good experience to clients and ensures good quality of services by providing them better treatment along with the informed choices. Thus, aforementioned philosophies help to resolve the issues faced by one of the chains of nursing homes as it motivates the care setting to work in partnership in bringing alteration in the present quality issues.
Partnership in health and social care can be succeeded only when different parties work to achieve the common goals with long term relationship. The relationship of different partners within health and social care are evaluated as follows-
Relationship with social workers- Working in partnership must develop good relationship with social workers. This helps the health and social care setting to raise the awareness among general public by working with social workers. Here, social workers play an important role in bringing improvement in the society and care home can work with the same so as to work with integrity (Adams, 2007). It enables the health and social care setting to enhance the level of satisfaction among service users. Further, by developing good relationship with social workers, care setting can assess the needs of patients and accordingly, provide them treatment.
Relationship with colleagues or organizations- Nursing homes of UK are working with partnership where they need to build good relationship with other organization from which they get full support in rendering services to patients. However, they can be institutions, academies and group of experts as well as diagnostic centers (Burbach, 2002) . These all work jointly in order to ensure the safety in overall society and to promote good living of general people. Here, it is very important for health and social care settings of UK to establish a long term relationship with organization to bring improvement in the service quality and to give high level of satisfaction among users. By this, corporation can easily cope up with the changing scenario and can also bring technological updation in the care home. In addition to this, the aspect of working in partnership also proves to be effective to get all kinds of health services at one place (Glasby and et. al., 2008).
Relationship with clients or service users- Service users are the main party who is directly associated with the health and social care firm. Here, partnership organization needs to work in accordance with the preferences of service users. Also, they need to make informed choices as well as required to ensure the use of person centered approach. This facilitates to develop trust among clients. Apart from this, patients can be integrated in the decision making process and they should be invited to provide feedback. (Fanjiang and et. al., 2005) As per their feedback, there must be positive change in the work culture of care home. It leads to build good relationship among patients and service providers or care homes.
There are several models of partnership working across health and social care sector. These are listed as follows-
According to this model, health and social care setting works independently according to functionally specialized structure of the corporation. This will help the agencies for working in partnership to operate in a self-directed form. However, they should coordinate with respect to management, training and staff in rendering services among service users. Furthermore, this model can be helpful in achieving quality standard and accordingly, in providing services among service users (Burbach, 2002) . In addition to this, local government provides full support for all care settings to work independently.
This is another appropriate model of working in partnership under which there remain only one financial system and single strategic direction. Also, corporation work on the basis of common aim and objectives. This aspect makes it possible to lower done additional charges and bring improvement in the service quality. Similarly, this model gives several types of benefits for corporations as well as clients (Fonder and et.al., 2008). This include reduction in waiting time, accessing good quality of services and relocation of hospitals and developing strong infrastructure facilities. It contribute towards upward direction of business.
This is another approach of working in partnership for health and social care. Under this, all corporation or health care setting work according to own self interest in order to achieve the common objectives (Haworth and et. al., 2002). This way corporation work jointly for common purpose but represent themselves individually in order to provide good quality of services to patients at number of locations.
In addition to this several practical models are also there by which health and social cares can work effectively. This include local health care strategic partnership as well as local health care areas agreement. Under this, corporations support each other to achieve the common aim and objectives. This in turn country can have less impact of number of diseases and successful running of health care organization can be ensured (Mumby, 2012).
There are several legislation and organization process as well as policies for partnership working in health and social care practice. The first legislation is related to The health and Social Care Act 2012 wherein care homes accountability is enhanced. Also, guidelines are provided for care home to improve service quality by taking into account rules and regulations. Further, Care Quality Commission Regulations 2009 sets standard for all care home to protect clients and ensure their safety with effective work practices. In addition to this, Care Standard Act 2002 also specifies regulations for the ethical conduct of care setting and fulfill objectives set by government. On the other hand, several kind of practices and policies for partnership working is also applies. Under this, risk assessment processes and adult safeguarding as well as health health team are some of the specific ways through which health and social care practices are working with integrity in order achieve the set objectives (Petch, 2012). Apart from this, government can take legal action in case care setting do not follow the set standard. The main reason behind such strict approach is to provide safety for general public and ensure their well being in society. In order to grow and operate smoothly in long run, care setting standards are required to be developed in effective manner. It is the prime duty of every care organization to provide best quality services to its patients. Further the organization is required to ensure that all the ethical aspects are taken into consideration in effective manner. If such practices are not followed then fines, penalties and charges can be imposed which will affect in long run (Mumby, 2012).
There are number of working practices and policies used by health care organization which affect collaborative working to a great extent. However, they work together but because of implementation of regional and local policies corporation may have impact on collaborative working. These differences can be understood as follows-
Roles and responsibilities-Under this, collaborative working invites conflict among professionals, practitioners and other staff members. This in turn corporation face barriers in meeting organization objectives (Rogers, 2011). Furthermore, health care professionals may have confusion in certain situation which creates barriers in providing services to users. Thus it can be stated that the roles and responsibilities of each and every person involved in collaborative working must be clear. This will result in smooth flow of all the activities, operations and will also provide the best possible outcome.
Organization structural difference-Due to different organization structure collaborative working is not easy at the initial phase. Here, care settings have their own set of objectives and aim. Owing to this, it is critical process to covert different care homes into integrated approach (Moss, 2012).
Communication-This is another issue because all organizations adopt different processes in meeting communication need. Owing to this, collaborative working create issues in managing work and delivering good quality of services to number of patients. It can be stated that effective communication is very essential for the success of collaborative working. Lack of communication has an direct impact on the entire efforts and productivity of all people (Petch, 2012).
Cultural differences-Every organization has unique set of culture, belief and values as well as pattern of doing work. Owing to this, collaborative learning creates issues because of cultural differences and distinct philosophies of all involved organizations. One of the best way to overcome the issues related to cultural differences is by encouraging the more and more team activities. The benefit of this is that at the time of working together people will be able to understand the culture of each other. This will automatically result in eliminating the cultural differences (Rojko, Lesjak and Vehovar, 2011).
The possible outcome of partnership working has been explained according to different parties involved with the same such as service users, health professionals and organization. It has been explained as follows-
Outcome for service users- Collaborative working of health and social care facilitates to provide support for service users., This is because services users will not be required to search for the appropriate care home. Instead they can easily access good quality of services as per their requirement (Willcocks, 2008). Furthermore, service users can get their issues resolve in most effective manner because they can access to right kind of experts and professionals.
Health professionals-The aspect of collaborative working provide rich experience to health professionals because they can share their knowledge among number of health experts. Also, this is the right way to learn from other and adopt the best method for providing services in society. In addition to this, collaborative working create barriers for health professionals to fulfill their responsibilities because of operation of care home at diverse level (Gajendran and Brewer, 2012). Owing to this, they face difficulty in assessing the risk at the initial stage. On the other hand, resources need can be fulfilled because of partnership working by which health professionals can easily reduce the number incidents take place in care home.
Organizations-Working in partnership is the most effective aspect for organizations because it aid to reduce cost of production and reduces waiting time of clients to a great extent (Matin, 2006). Also, care homes get experts who have potential knowledge in the same field. However, at the initial stage it becomes critical for all corporation to management collaborative working because of changing culture, values and practices. Apart from this agencies cannot follow the standard imposed by government which in turn ethical aspect may be affected. However, working in partnership is profitability in both financial and non-financial aspect.
There are several barriers faced while working in partnership in health and social care settings (Worley, 2013). It generate active participation of all care workers as well as health professionals to provide resolve the issues and ensure successful implementation of collaborative working.
Poor communication- The first issue may be faced because of improper communication. As all care homes have their set pattern or process for communication among different department. In this regard it might be possible that care worker do not get enough guideline for work to be done by them (Willcocks, 2008). Here, due to lack of guidance staff members may not be able to achieve their targets on right time.
Lack of coordination-The main motivate of collaborative working is to work for common purpose in order to improve the efficiency and effectiveness of corporation. But because of lack of coordination among each department it might be possible that care settings do not work with integration. However, these issues are likely to occur because of different culture, values and beliefs of all corporations (Petch, 2012).
Conflict because of different partnership philosophies-Under this different corporation have their own set pattern of doing work by which it becomes critical for them work in partnership at the initial stage. It is the reason conflict may take place among them. On the other hand, conflict may arise because of unwillingness in sharing data and information with other care home. Owing to this, agencies cannot work with integrity and the set objectives are not achieved on right time (Worley, 2013).
Lack of training among partners-Under this process due to lack of training staff members may not be able to cooperative with each other. Hence collaborative working may affect all work practices of corporation. However, there will be low level of motivation among workforce and they cannot concentrate on their work. At this juncture, service providers do not get clear direction of working (Rogers, 2011).
In order to grow and earn adequate profits in long run, working in partnership is very important. The relation and coordination among service provider and user in health and social care is required to be very effective. Along with this, all the professionals which are associated with health and social care are required to perform their task and deliver services in best possible manner (Making sure health and social care services work together, 2013). Below mentioned are some of the strategies which can help in improving the outcomes for partnership working in heath and social care:
Equal respects for all- It may happens that the people working in partnership belongs to different culture, educational and social background. In such situation partnership can be successful only when people have respect for each other. At the time of discussion or any issues, the views and opinions of others are required to be listened and respected (Estes and Harrington, 2008). This will create a sense of satisfaction among all the people which have formed partnership and will also result in getting the best possible outcome of the same.
Communication- In every type of partnership, communication plays a very important role. It can be stated that effective communication is when the messages and information are sent and received in best possible manner (Moss, 2012). In case of emergency proper communication between health care professional, services user and providers is must.
Allocation of rights and duties of partners- One of the effective way to get the best outcome is by making all the partners aware about their roles and duties. Most of the time when people are not aware about their roles then obstacles are created in accomplishment of aim and objectives (Fanjiang and et. al., 2005). In case of emergency, if the professional and service provider are aware about their roles then best possible services can be provided to users.
From the aforementioned report, it can be concluded that for working effectively in partnership in health and social sector various aspects are required to be considered. The implementation of devised strategy in report will help in improving the functioning of partnership in HSC and will result in fruitful outcomes. The study also reflects that while offering services to service users it is important for care workers to consider range of legal policies and frameworks. With this aspect, the customers interest can be safeguarded and optimum benchmark required for maintaining health care services can be attained.
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