Unit 2: Working in Health and Social Care

1. Unit 2:Working in Health and Social Care Starter: Discuss what do we mean by: Public sector Private sector Voluntary sector? May 2018 Write a definition for each in your notes. Holy Cross College Hospital NHS Foundation Trust

2. Learning objectives… By the end of this section, you will be able to: Identify the different sectors in health and care. Describe how they are funded. Explain the range of organisations within each sector and the services they offer. Discuss the impact of each sector on the people in our case studies.

3. Sectors in Health and Social Care There are three sectors which provide different experiences of care. These sectors and the organisations within them work together to provide the services people need. What are the key differences between the 3 types of sector? Task: Discuss with the person sitting next to you and write down your ideas in your workbook.

4. Public Sector (Statutory) services Task: Where does the funding come from? NHS Foundation Trusts: Hospitals Mental health services Community health services Adult Social care Children's services GP practices • Task: • Which are Healthcare and which are Social Care? • Which are Primary care and which are Secondary care?

5. NHS Three categories of care: Primary healthcare Secondary healthcare Tertiary healthcare https://www.youtube.com/watch?v=bDdZCv5v2Rg Task: In your workbook, write down examples for each category.

6. NHS Primary Care First point of contact for patients How would a service user access these services?

7. NHS Secondary Care How would a service user access these services?

8. NHS Tertiary Care How would a service user access these services?

9. NHS Foundation Trusts Independent organisations funded by the government. Their aim is to move decision making from a centralised NHS to local communities Task: What are the advantages of local community decision making? To respond to local needs and wishes.

10. NHS Mental Health Foundation Trust Some support offered by GP Specialist service providers: counsellors, psychologists, psychiatrists, psychiatric nurses In-patient support for people with very severe problems. Trusts are managed by the community – including patients families, friends, local organisations, local residents. Task: What are the advantages / disadvantages of having specialist mental health services? https://www.youtube.com/watch?v=kE2HLJS_7to

11. NHS Community Health Services Work with GPs and social services Provide care for service users to enable them to live as independently as possible in the community rather than hospital or residential care. Task: Think of as many examples of Community Health Services as you can. What are the advantages of Community Health Services?

12. NHS Community Health Services Adult and community nursing services Specialist services e.g. sexual health clinic Walk-in centres Community Health Services Health visiting and school nursing Palliative / End of life care Physiotherapy Speech therapy Occupational therapy https://www.youtube.com/watch?v=DEARD4I3xtE

13. Adult Social Care For people over the age of 18 who have disabilities, mental health problems or frail Unable to support themselves without support and assistance Task: Who is responsible for Adult Social Care services? What services do Adult Social Care offer? https://www.youtube.com/watch?v=tAtKHh056wg

14. Adult Social Care Care, stimulation and company Cooking, cleaning, shopping and personal needs Sheltered Housing Schemes Day centres Care in Service Users own home Residential care Adult Social Care Older people, disabilities, mental illness Training Centres for adults with learning difficulties Respite or short term residential care

15. Children’s Services The responsibility of Local Authorities. Their aim is to support and protect vulnerable children and young people, their families and young carers. Task: Which providers do Children's services work very closely with? What support do Children’s Services offer?

16. Children’s Services Safeguarding children who are at risk of abuse Nursery care (Under 5s) and After school clubs Abuse, significant harm, sexual, physical, emotional harm or neglect Children’s Services Fostering and Adoption Parenting skills for parents and carers Surestart Children’s Centres Practical help in the home https://www.youtube.com/watch?v=YoFx0mw2uyg&t=96s

17. GP Practices First point of access to health and care provision. Medical conditions and preventative healthcare. Initial diagnosis and referrals to specialists for further investigation and treatment https://www.youtube.com/watch?v=sLbHlnb4j2o Task: Who do GPs work with in the multi-disciplinary team? Which other agencies do they also work with?

18. The GP Contract Task: How are GP practices funded? Are they all funded the same amount? Which patient groups take up the most GP time?

19. The GP Contract Funding assessment takes into account: The age of their patients Their gender Levels of morbidity and mortality on the local area Number of people living in residential or nursing homes Patient turnover Task: What type of GP practice would you expect to receive the highest level of funding?

20. The Voluntary Sector Often known as charities. They vary widely in their size, history and services they provide. They include well known group such as: • Shelter • NSPCC • The Samaritans They rely on charitable donations and fundraising but may also get support from central or local government.

21. How many people turn to Shelter for help and advice a year? In England, how many homeless families are living in temporary accommodation? Shelterhttps://www.youtube.com/watch?v=8kyb0dhW5ss

22. Every Childhood:What do the NSPCC do? NSPCChttps://www.youtube.com/watch?time_continue=35&v=Md8Xzdu-lXw

23. Why do people call the Samaritans? The Samaritanshttps://www.youtube.com/watch?v=5rWLm9W4Zls

24. What do Jump do? • Where is Jump based? • How is Jump funded? • Choose a service user and briefly tell their story…

25. The Voluntary Sector Third Sector services are social care services provided by voluntary organisations. Government departments sometimes pay charities to provide services on their behalf. For example, MENCAP provides residential care, day care and educational services for people with learning difficulties and service users can use their personal funding to pay for these services.

26. The Voluntary Sector Key features of a Voluntary organisation: Not run for profit Use volunteers for at least some of their services Managed independently of central government or local authorities

27. The Voluntary Sector How have charities recently been in the news? Think Higher: What are the disadvantages / weaknesses with the voluntary sector?

28. The Private Sector Managed by commercial companies. These are organisations that need to make a profit to stay in business. Often provide services for central government and local authorities including adult social care, NHS and children’s services.

29. The Private Sector Nurseries and pre-schools Hospitals Domestic help Domiciliary day care services Private Sector Services Childminders Residential and nursing homes for older people Dentistry Task: Why might people choose to go private? Mental health services

30. The Private Sector How Private Healthcare works in England https://www.youtube.com/watch?v=TellOzigwaQ

31. The Private Sector Funded by: Fees paid by the service users Payments form a healthcare insurance scheme, e.g. Saga, AXA or BUPA Grants and other payments from central and local government Think Higher: What are the weaknesses of the Private Sector?

32. Local Services Research task Research the local services you have been given and fill in the table. How are they funded? Which Sector do they belong to? Which service user groups do they support? Highlight them in the details section.

33. Informal Services Offered unpaid by people who want to help Families, relatives, church, babysitting groups etc.