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Health and social care partnerships unite several organizations in one location, where they may share resources and leverage influence. Enhancing the effectiveness and caliber of the services they are jointly delivering is the fundamental goal of the collaboration between health and social care. “Jo Tunnard", a former assistant director of the "Child Poverty Action Group" and a current "social welfare consultant", claims that the key elements of a partnership are respect for one another's positions, information rights, responsibility, competence, and the importance placed on a distinct input. This study analyses the legislation and regulations influencing the working relationship with partners and explains the relationship between individuals and careers that impact person-centred practice and affect the achievement of positive outcomes. The study focuses on networking and working collaborative nature with different agencies and community groups that bring benefit not only to the service users but also to the sustainable approaches and reach of the organization providing the care. Additionally, the study analyses the integrity of working with different agencies delivering positive outcomes and evaluates the methods, protocols, and limitations of using different communication methods to enforce relationships and partnerships with different professionals and organizations. The study also explains the features of effective, collaborative, partnerships and ways that the barrier can be overcome by evaluating the roles and responsibilities while establishing relationships within or beyond an organization.
Adults' well-being depends on the development and maintenance of wholesome, constructive working connections with individuals from other organizations as well as within the organization. One of the ways of maintaining this workplace relationship which helps in the betterment of adult care includes the implication of “regulations” as well as “legislation”. Some of the regulations and legislations are-
Health and Social Care Act 2008, including all amendments: This law mandates that all providers of "regulated activities" in "England" need to register with the "Care Quality Commission or CQC" and must follow the guidelines and requirements outlined in the rules created following that Act (Gov.uk, 2021). Primarily there were 14 regulations within this act. Nonetheless, many changes to such restrictions have been made as time has gone on. Likewise, according to the amendment of “regulation, 12” in “2014” stated, one individual should always offer emergency aid to another person in need, whether it's within or outside of the workplace (Legislation.gov.uk, 2023). Particularly if the other person is dealing with a critical circumstance like losing a friend or relative. It has also been evident from the “2015 amendment of regulation 20” that the employees should be notified regarding the safety incident (Legislation.gov.uk, 2023). Moreover, it has been reported that the sudden death of any service user can be directly related to the incident. On a different note, natural death due to a long-term health issue is not able to lie under this act. In a different context, the "amendment of 2021 for regulation 12" has mainly focused on Coronavirus infections to maintain safety and security within the workplace (Legislation.gov.uk, 2023). This "amendment" has highlighted the requirement for an authorized "vaccine for Coronavirus" to maintain help and safety within the workplace.
Care Act 2014: This law specifies how "adult social care" should be provided in England. This law is influenced by the guiding idea of "promoting health". The "well-being principle" refers to this. It imposes a general obligation on "Local Authorities" to ensure people have "freedom of choice" while providing help to improve "a person's well-being" (Cqc.org.uk, 2022). "The local authorities" need to focus on some factors regarding the people living in their area. Those include-
Apart from these lookouts "local authorities" along with other organizations present in the care sector must perform some other activities according to this act. Those activities include-
The implication of these regulations and legislation within the workplace helps in building as well as promoting "adult social care". According to the "Health and Social Care Act 2008" regulation, all organizations need to register with the CQC and must follow the guidelines and requirements provided by them. Although there were initially 14 regulations in place, there were numerous adjustments made throughout the year based on the circumstances. Likewise implementing the "amendment of regulation 12, 2014", when a worker needs assistance or dealing with a critical situation other co-workers should assist them (Legislation.gov.uk, 2023). This helps in building trust and motivation among coworkers which helps in building a positive environment that influences adult care. Apart from this another “amendment of regulation 20, 2015”, stated that if an employee suddenly dies then the company needs to pay compensation to them for their support and loyalty towards the organization (Legislation.gov.uk, 2023). However, if the person dies due to a terminal illness then this regulation would not be applicable. According to the recent "amendment of regulation 12, 2021" all the employees need to get vaccinated during the "covid pandemic scenario". This regulation provides a sense of security among coworkers which ultimately helps sustain trust within them as well as increases the safety and care approach (Legislation.gov.uk, 2023). Likewise, the implication of the "Care Act 2014" within the workplace helps promote various kinds of factors which are directly related to "adult social care" (Gant, and Bates, 2019). This act helps in promoting assuring as well as establishing measures that significantly help the people present within the workplace as well as people from different organizations and communities. Contrarily, these legal and regulatory uses may increase some degree of confusion in particular interactions. This may happen when the parties concerned are unsure of how a "particular law" would be implemented in a circumstance that could have a substantial effect on their relationship.
“Person-centred practice”, which is frequently referred to as individualized care, in which people want to be treated as whole persons by the specialists they trust to support and recognize. This kind of practice entails making decisions about the patient's health and care that are supported and managed to improve both their health and well-being and the caregiver's sense of coordination (Hee.nhs.uk, 2023). This practice ensured that involved people in the process get “high-quality health and care services”.
One of the most important aspects of creating a high-quality healthcare system geared toward social and health services for more individualized treatment is including individuals in the planning of their healthcare. Putting the patient at the center of the care improves the quality of care because people have access to the services according to their needs, as a result, they become more willing and active to take part in caring for themselves to make a healthier lifestyle alternative (Rosenberg, 2022). In the United Kingdom, there is a rising demand for personalized healthcare services because people have started to begin to live longer years with several health conditions as they get old with time (Alfano et al. 2019). Person-centered health care improves the health of a person while reducing the overall stress of Health Services. The government also emphasized collaborative healthcare along with the NHS to move towards person-centered practice.
On Each Order!
Person-centered practice can be described as an approach which places an individual who is being treated in the center of the care plan to focus on their particular needs and preferences to achieve and provide the best quality care. There are several positive and negative outcomes of person-centered practice for individuals and their families. This includes,
The approach for person-centered practice requires a professional in Healthcare who examines, identifies, communicates, and challenges the traditional practices of the organization sharing. Healthcare precisional does need to become more avail of their behaviour and communicative skills to interact with a person not only in clinical procedures but also in discussion (Wright and Collings, 2019). Leadership and management practices in adult care involve several management skills and leadership skills which include “communication and information handling”, partnership in collaborative working, improvement, and innovation in healthcare technique and practices, performance management, and “person-centered outcome management” and improvement.
Interactions with patients and caregivers in person-centered practice that influence patients' capacity to achieve favorable outcomes for themselves and their families:
The person-centered practice approach acknowledges the importance of the relationship between an individual and their carer. On a contradictory note, in some cases, the main focus is on the patient or person getting the care, and the rights of staff and carer person hold is often neglected and sacrificed. This leads to a decrease in the value and importance of the staff or carer. According to Balqis-Ali et al. (2022), The complex relationship between carer and patient does raise challenges and leads to questions about the carer’s self-worth and self-efficiency which negatively affect the quality of care. Thus, the status of the carer should be considered and supported by the policies of the organization (Summer Meraniuset al. 2020). It is crucial to instill person-centered attitudes and beliefs in healthcare professionals as well as a workplace culture that promotes "person-centered" care and implements “person-centered procedures” successfully.
Networking and collaborating with other organizations and neighborhood groups may be extremely beneficial for those who work in the health and care industries. Proper networking helps in combining resources and sharing expertise, through which the organization can reach common goals more quickly and successfully (Duchek, 2020). Likewise, collaboration within the other agencies or community groups helps in gathering different opinions and experts which makes it easier to reach common goals with efficiency. However, knowledge of the range of advantages is required for a better understanding of the advantages attained via networking and cooperating with other community groups and organizations.
Finding inspiration: Sharing struggles, triumphs, and goals is one of networking's biggest benefits since it allows people to create new viewpoints they might not have otherwise thought of. Through this new ideas regarding the mitigation of those challenges along with efficient strategies that are to be implemented can be evaluated (Duchek, 2020). This is beneficial even for those who are using the services provided by these organizations.
Knowledge exchange within the network: Networking provides an immense opportunity to share as well as gather knowledge within the network. However, this is not a prominent benefit of using networking. On a contradictory note, this knowledge exchange helps in the career development of individuals who are present in the network (Duchek, 2020). This eventually motivates the employees present in the organization. As a result, it becomes easier for the organization to reach its goal while returning to sustainability.
"Networking" is important in every industry, including the "health and care sector". Proper networking within the different organizations along with community groups in this industry helps in reaching common goals as well as maintaining the sustainability of the organization. Apart from this it also benefits the people within the organisations along with those who are acquiring the services from them. However, sometimes conflict can arise while working within a network or collaborating with others. This kind of conflict can be solved by applying the "Interest-Based Relational" or "IBR" approach (Ryle and Kerr, 2020). This approach focuses on resolving the conflict by figuring out and taking care of the fundamental requirements and interests of the parties engaged in a disagreement (Ryle and Kerr, 2020). In order to arrive at a solution that is acceptable to both parties this approach seeks to encourage positive communication and understanding. On the contrary, it can be seen that both collaborative workings as well as establishing networking within different agencies and community groups provide a platform for individuals to share their skills, experience, and ideas. This kind of knowledge exchange motivates individuals to work more efficiently along with enhancing their skills. As a result, it automatically helps in reaching the individual as well as the organization's goals with efficiency. Apart from this networking and working collaboratively also provides a healthy workplace that helps in retaining the sustainability of the organization.
The degree to which health professionals collaborate and communicate with one another is one facet of integrated health care, commonly referred to as "interprofessional health care". The features that set integrated health care apart from other types of care include the creation of a complete treatment plan that takes into account the patient's medical, psychological, and social needs as well as the sharing of information regarding patient care among team members (Karam et al. 2021). As a critical step to enhance patient-centred care, save costs, decrease hospital admissions, and permit efficient hospital release, the "integration of community health and social care services' has received a widespread national promotion (Mitchell et al. 2020). Providing integrated care to individuals within the health and sector industry is crucial. As a result, working with other agencies who have expertise regarding helping individuals in need delivers a better outcome for those individuals. There are many benefits of using integrated working with other agencies. Some of those are-
However, on the other hand, only using integrated care without proper leadership cannot bring the finest outcomes for the individuals. Working with agents who place a similar emphasis on integrity care always offers the greatest specialists from their side. More to a similar context, when many experts gather in one place a conflict can arise within them without having proper leadership. However, for this type of "collaborative integrated care" to function well, systematic leadership is required. Building a culture that supports systems approaches is the goal of systems leadership (Gov.uk, 2023). Systems leaders encourage workers to integrate systems concepts into their work and set the tone for a more holistic approach inside the organization. Systematic leadership plays a crucial role in delivering better outcomes for individuals. Some of the roles system leaders play are:
Through evaluating these key roles played by the systematic leader within the collaborative project with other agencies it can be stated that systematic leaders also help in bringing better outcomes for the individuals. Despite the complexity of the concept of leadership, efficiency in achieving the ultimate goals is improved through proper monitoring, guiding, and developing a systematic culture (Scie.org.uk, 2023). However, having a long-term effect of systems leadership might be helpful for the organization to achieve its goal through integrated care while working with other agencies.
The ability to effectively communicate is essential for building relationships and collaborations with other professions and organizations. In the health and care sector, where it is necessary to work together to produce the best results for individuals, it is even more important. The organization can establish ties and collaborations with other businesses and experts through a variety of methods and protocols. Some of those methods and protocols include:
Any business can establish connections and collaborations with other experts and organizations by using this approach. However, implementing these methods comes with limitations as well. Some of the limitations are-
Collaborative partnerships among various agencies is crucial in delivering excellent care and support to adults. However, achieving effective collaboration can take time as it requires partners to overcome obstacles and share resources efficiently. This response discusses the characteristics of successful partnership working and strategies to surmount partnership barriers.
In order to ensure effective partnership working in adult care, clear communication shared goals and values, and trust and respect among agencies are crucial. Communicating effectively, defining roles and responsibilities, and having capable leadership and management are essential to overcoming potential barriers.
A person-centered approach ensures great treatment via relationships built on respect and trust. This method helps to ensure that the consumers of the service receive the desirable and necessary results. This improves both the organization's and each person's reputation within the network of healthcare providers (Wright and Collings, 2019). Looking at pre-existing partnerships that help to improve the quality of care and ensuring that they are effective in care providing and evaluating how the care provided can be improved is a critical job to execute.
Effective collaboration needs good communication, this allows maximum care for adults or young people all the time. Sharing information that is complete and accurate helps to assist the career to provide the required assistance to the patient by making sure that quality care is provided. Clear communication among different agencies is emphasized in the “Care Act 2014” and the “Mental Capacity Act 2019” when making decisions for the benefit of service users (Martin et al. 2019). One should make sure to work within their boundaries of “knowledge and capacity” to take “responsibility and keep records stored correctly”.
Evaluating procedures that are used for partnership in adult care practice needs to be maintained systematically, monitored, and reviewed. The evaluation is a regular process and reports monthly about the outcomes of the progress. Procedures that operate effectively with all the professionals involved lead to “positive outcomes”, “coordinated service delivery”, “a professional approach”, “clear roles and responsibilities”, “organized communication”, “avoidance of duplication”, “prevention of mistakes”, and “efficient resource use” (Spade, 2020). Negative results for young people as well as professional competition, misunderstandings, and time wastage are possible if the processes are ineffective (Spade, 2020). This is why a strong working relationship at the beginning of the partnership is important.
In order to provide a person-centered approach and deliver the greatest support and care possible, it is crucial to collaborate with many agencies in elder care while assisting individuals. Effective inter-agency collaboration and information sharing are not enough to achieve successful outcomes if service users do not feel involved (Holmes et al. 2019). Involving caregivers, families, advocates, and other individuals is necessary, and good communication skills are essential for successful relationships.
Building successful connections within and outside of the company requires cooperation. To give people the finest care and assistance possible, it's crucial to work in conjunction with other experts including social workers, doctors, and local government officials (Buttaro et al. 2019). This may be done through pooling resources and knowledge, as well as jointly determining each person's requirements, preferences, and objectives.
In collaboration with other experts from other agents, to give a service that is centered on the needs of the individual. Organizations are crucial. People must understand their roles, responsibilities, and restrictions as well as the expectations of other professionals to do their duties effectively (Hartley et al. 2020). This involves being proactive in identifying and addressing any issues that may arise, as well as promoting a culture of respect, openness, and trust.
Establishing strong bonds with families is crucial for person-centered practice to provide favorable results for individuals. This entails attending to their needs, responding to them, offering them moral support as well as material assistance, including them in the care-planning process, and delivering frequent status updates. Understanding the relationship between the care delivered and the patient's family is crucial for providing effective care. (Merrick et al. 2019). The carer can show that they respect the patients and their families by listening to their opinions and feelings and being sensitive to their requirements. It is also important for the family to understand and trust the carer as carers build trust by being reliable and consistent when working with a patient.
A popular instrument for determining a person's preferred method of handling conflict is the Thomas-Kilmann Conflict Mode Instrument or TKI. In the context of managing adult care through a person-centered practice approach, this can be a valuable tool to help the leaders to understand not only their conflict but also their management styles and problems with other team members (White et al. 2020). Understanding the style and conflict leaders or managers can adapt ways to manage conflict to meet the needs of their clients.
Figure 1: Thomas-Kilmann Conflict Mode Instrument or TKI
The Interest-based Relational or IBR Approach is another tool that can be applied in leadership and management in adult care. The IBR method may be a useful tool for leaders and managers in the context of leadership and management in adult care as they handle disputes among team members or between team members and clients (Drushkuet al. 2019). Leaders and managers may assist in developing healthy, cooperative relationships and helping to identify solutions by concentrating on the underlying interests and requirements of all parties involved.
Collaboration with colleagues is crucial in providing top-notch care and support to service users in the adult care sector. In order to achieve the organization’s goals, it is necessary to assess our working relationships with coworkers to ensure they are effective. This evaluation may consider relevant laws and theories on managing conflicts. I would consider communication, trust, and respect when evaluating the effectiveness of my professional interactions with colleagues. I would evaluate whether I communicate with my coworkers clearly and effectively, whether I actively listen to their views and feedback, and whether I am open to constructive criticism. My co-workers and I have formed positive working relationships that have increased the provision of person-centered care. I and my team members share a common understanding of our duties and communicate frequently to fulfill the needs of service users. I utilize the "Thomas-Kilmann Conflict Mode Instrument", and "TKI" to handle conflicts that may arise in the workplace (Angeles, 2019). This method allows us to recognize our approaches to conflict resolution and use them to find resolutions that meet the requirements of all parties involved. My colleagues value each other's viewpoints and work cooperatively to achieve our objectives.
The “Care Act 2014” establishes a legitimate structure that guides local authorities and other entities on their duties concerning adult care. It emphasizes the significance of collaborating with various agencies, such as social care providers and healthcare professionals, to deliver personalized care (Alexander, 2021). As a care worker, I work alongside my colleagues to provide excellent care to our service users. My team collaboration involves conducting frequent team meetings, where I discuss the needs of the service users, exchange information, and assess care plans with my team members. This approach ensures that I am working collectively towards shared objectives.
“The Mental Capacity Amendment Act 2019” provides a structure for evaluating and approving procedures to restrict the liberty of individuals. It highlights the significance of involving service users and their families in the decision-making process (McGorry et al., 2022). As a care worker, I collaborate closely with service users, their families, and other experts to ensure that their rights are upheld, and their needs are fulfilled. I and my team employ the Interest-based Relational, IBR Approach to manage conflicts that may arise while making decisions about service user care.
The Health and Social Care Act 2008, and all its subsequent changes, establish a structure for governing health and social care services. It highlights the significance of providing services that are safe, efficient, and centered around the individual. As a care worker, I collaborate with my colleagues to ensure that the appropriate regulations, guidelines, and procedures are. I and my team members undergo frequent training and stay updated on legislation, including "GDPR", data security, subject access requests, and data management (Mondschein and Monda, 2019). I and my team's objectives are to safeguard service user information, maintain confidentiality, and provide outstanding care
In my working relationships with colleagues, there are areas where improvements can be made. One such area is dealing with conflicts and disagreements. Conflicts may arise due to varying priorities or approaches to care and support, requiring a well-defined strategy to manage them effectively. The Thomas-Kilmann Conflict Mode Instrument is a conflict management theory that can be beneficial in these situations (Angeles, 2019). It offers a framework for recognizing and addressing different conflict styles to manage conflicts effectively.
Another area where I can improve my working relationships with coworkers is to ensure that all have a shared grasp of our roles and responsibilities. Clear roles and responsibilities are critical for ensuring that all partners work toward a common goal and prevent task duplication or overlap (Oclooet et al., 2021). In this regard, the “Care Act 2014” emphasizes the importance of clear communication and cooperation, and there are also training opportunities available to ensure that all partners are aware of their roles and responsibilities.
Finally, evaluating one's working relationships with coworkers is an important part of ensuring that service users receive high-quality care and support. Building positive and collaborative working relationships requires effective communication, trust, and respect, while conflict resolution strategies and clear roles and responsibilities can help resolve challenges and areas for development. I can contribute to a culture of excellence in elder care by constantly evaluating and improving my working relationships with coworkers.
Adult care requires collaboration to guarantee that service users receive high-quality care and support. The following criteria can be used to assess the effectiveness of partnership work:
Clear communication is essential for successful collaboration. Partners must create effective contact channels that allow for the exchange of information and ideas. All partners must have access to important information through regular, open, and transparent communication (Carton et al., 2022). Miscommunication can contribute to misunderstandings, mistrust, and decision-making delays.
Engaging multiple stakeholders is essential for successful partnership work, and it is crucial to involve them from the outset and throughout the process. All stakeholders should be given equal opportunities to share their views and perspectives to ensure inclusive engagement (Ferreira et al., 2020). This approach can help create a shared understanding of each partner’s goals, objectives, and responsibilities, which is essential for effective collaboration. If stakeholder engagement is ineffective, it can lead to a lack of commitment and hinder the achievement of desired outcomes.
A shared vision is critical to the success of partnership activity. Partners must have a shared knowledge of the partnership`s goals and objectives, and each partner must play a role in achieving these goals. A shared goal fosters collaboration, which is necessary for providing high-quality services (Ocloo et al. 2021). Without a common vision, partners may have different objectives and work toward different goals, resulting in conflicts and the partnership's potential failure
Partnerships should be evaluated regularly to find areas for improvement. The evaluation procedure should be formal and should include all stakeholders. The evaluation should assess the partnership's effectiveness in meeting its objectives, find areas of weakness and strength, and suggest solutions to improve the partnership's performance (Aughterson et al. 2021). Continuous evaluation fosters accountability and openness, and it is a critical tool for improving partnership collaboration.
Working in a partnership necessitates a clear grasp of each partner's roles and responsibilities. This can help to avoid misunderstandings and ensure that everyone is working toward the same objectives (Docrat, Besada, and Lund, 2019). Joint working agreements or other formal documentation can be used to create clear roles and responsibilities, which can then be reviewed and updated as needed.
Effective partnership working also requires mutual trust and respect between partners. This means valuing each other's expertise and contributions, being open to feedback and constructive criticism, and building relationships based on trust and mutual understanding.
Leadership is a critical element in the success of collaborative efforts. Leaders can assist in establishing clear goals and objectives, directing and supporting partners, and ensuring that everyone is working toward a shared goal. Effective leadership can also aid in the resolution of any conflicts or issues that may develop within the partnership.
Effective collaboration is essential for providing high-quality care and assistance in adult care. Stakeholder engagement, clear communication, a shared vision, and continuous evaluation are key processes that support successful partnership work. Partners must constantly seek agreement on improvements to ensure that the partnership stays relevant and serves the changing requirements of service users.
Conclusion
The relationship between the carer and the person receiving personalized care is significant to provide quality care to them by placing them at the center of the process. It can be concluded that establishing a positive relationship with individuals, carers, and different agencies within a collaborative adult care service is significant to achieving a positive outcome for the people who are using this service and their families. In addition to networking and collaboration with other agencies and community groups, which can have a significant positive impact on service users and the sustainability of the organization, legislation, and regulation also play a significant role in determining how organizations interact with one another. Trust and respect and effective partnership while working can be achieved which is crucial to foster and facilitate quality care to the patient. Because it may have both favorable and unfavourable effects while treating a patient, the person-centered approach can be both underutilized and overvalued. As opposed to its disadvantages, a person-centered approach can enhance health and well-being, mutual interaction in relationships, cost-effectiveness, and the environment at work, which can include higher personal and financial costs, exclusion of specific groups, exclusion of staff as individuals, and unfairness brought on by empathy. Better results for individuals can be achieved by integrated cooperation with other agencies, and successful partnership-building depending on excellent communication. The first step in enhancing partnership work and producing beneficial results for all parties involved is removing obstacles to collaboration and assessing one's contribution to building strong partnerships.
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