Essay On Freudian Psychoanalytic Theory Of Personality

Philosophies and concepts of working in partnership

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This report is based on various philosophies and concepts on working in partnership in health and social care sector. The said report is based on an analysis of a serious case review relating to the death of Adult A by the Adult Safeguarding Partnership (TASP).  The report is made with an intention to provide study material to the agencies that work for the health and social care of the adults to recommend and provide the agencies with a action plan to prevent similar events that cause the death of an individual. The report also highlights the necessity to work in partnership when one is engaged in the health and social care sector. In fact, the report signifies that partnership is essential between that patients suffering from various disorders and the professionals analysing their conditions with the help of various tests and observation.

The primary philosophy of working in partnership refers to a set of rules and beliefs that a health and social agencies develops while working together with the other heath organisations (Sines, Saunders and Forbes-Burford 2013). It signifies the coming together of different health and social organisations with an intend to form a constructive partnership with the individuals that require the help of these health organisations and agencies. In the present case study, the death of Adult A is reviewed by a Tameside Adult Safeguarding Partnership (TASP) to figure out ways to prevent similar incidents from re-occurrence. There are various philosophies of working in partnership related to the health and social care sectors. Some of such philosophies are as stated below:

Independence – Independence refers to a person’s ability to take important decisions by himself. It is therefore, the duty of all the health agencies to provide the disabled with such independence with the help of proper guidance and care (Wilson and Game 2011).

Empowerment – Empowerment refers to improving a person’s ability to control his life. Therefore, the health agencies follow this philosophy to provide the disabled with proper guidance to feel secure in their life.

Respect – It is the primary duty of the health agencies to ensure that the disabled individuals in the society are respected and the same can be done so by providing them with adequate knowledge of proper medical and health care and guiding them enough to take proper decisions relating to their heath. This, in return, will make them stable and accepted in the society as a whole.

Partnership relationships within health and social care

Autonomy – The health agencies need to work in partnership to provide a more comfortable environment where a disable individual feels free to express his thoughts and ideas. This will help an disabled person in identifying the areas and sectors where he can excel and be successful. Therefore following autonomy as a philosophy to work in partnership in the health sectors is essential (Glasby and Dickinson 2014).

Quality Information – As the work of health agencies even though being popular is usually ignored by many disabled people and their families, it gets important that the health agencies create awareness about their work by providing quality information about their policies and practices. With the help of such awareness, the health agencies will be able to help and safeguard the interest of more disabled individuals and their families. However, it is important for the society in large to be aware of the partnership work which these health agencies carry out (Petch, Cook and Miller 2013).

These philosophies do not set ground rules on how the disabled individuals or the society should behave. Instead it provides for a framework for analysis the drawbacks and loopholes and overcoming the same keeping in mind the best interest of the disabled and the society. These philosophies provide the need to look into various kinds of harassment issues, which an individual faces due to his disability, and remedy the condition applying ethics and morals to the way we look at the said issue (Stuckler and Nestle 2012).

This is one of the most important sector in the health and social care sector, It basically refers to the essence which is needed to form a strong organisation and agencies related to health welfare in United Kingdom. The section describes the relationship, which a heath care organisation or agencies need to maintain with each of its service users (Parton and Berridge 2011). This relationship defines the basic structure and the success of every health care agencies and organisation. The primary principle in which the relationship between an individual involved with health care organisation and a service user should be based is on negotiation. This is a principle, which will allow both the parties namely the organisational volunteers and the service users to work together and in an efficient and cooperative manner. It is necessary to analysis the relationship between the said two parties and the best method to do the same is to allow both to believe that they work for each other’s welfare and overcome certain social barriers to provide emotional, medical and technical help to the people who are unhealthy (Roland, Guthrie and Thomé 2012). The best way to help the disabled is that health care organisations and agencies used expert knowledge and help to provide various kind of assistance to the disable people in the society. This assistance involves philosophical, mental, social and financial assistance, which will help the disable people to grow and live a more respected life in the society.

Models of partnerships working across the health and social care sector

Some of the service users who seek help from various health care organisations and agencies are affected with complex health issue or other issue, which are complicated in nature. For resolving the same, the individuals involved in the health organisations can use a non-hierarchy method of relationship to help the disabled in their complex needs (Wilson, Seymour and Perkins 2010). Another way to help the health related issues and people in the society is to maintain good relationships with all the health and social care organisations and agencies who work for the same common interest at a local, national and global level. Maintaining good relationships will help the organisation to form one combined union which will help the disabled in the society or the people suffering with health issue in a more joint and collective manner. For a more successful way to form a unified structure of an organisation to help the disabled, the organisations and agencies working in the said health care sector should work together without any envy and negligence from the work of the other organisations and at the same time be ready and willing to share the information they contain related to a particular case with the other organisations and agencies dealing with similar issues (Richardson 2010). In short, the conclusion here is that every organisation should maintain a friendly relationship with the service users to make the service users feel comfortable and secure. At the same time, the organisation should also maintain cordially relationships with other organisations and agencies working for the welfare of the health and society at a local, national or global level (Great Britain Department of Health 2012).

The law in United Kingdom provides for various functional and academic models in executing effective partnership in handling health and social care sector. The various models are identifies below:-

Functional Model – The functional model is the most practical and popular model of partnership work in the health and social care sector. The said model includes local health and social care strategic partnerships (Andrews and Entwistle 2010). The Local Strategic Partnerships in Health care are formulated with the primary intention to unite all the important health care organisations and agencies for improving health and social care facilities in a particular area. Another technique for improving local health and social care in the said model is with the help of local health care and social agreements. The local health care and social agreements go further in providing a more secure safeguard to health and social care as they are affiliated with the central government of United Kingdom. The said agreement is formed by an association of the local health agencies and organisation with the central government. These agreements are provide a framework , objective and the idea which the government plans to achieve with adequate funding and conducting innovative ways to protect and safeguard the health and social care in United Kingdom (Druss and Mauer 2010).

Academic Model – Academic model is more independent compared to the functional model and it provides for a separate model called the unified model. The features of an unified model is that it consists of a single trust which has a separate and an independent financial sources to fund its activities and the said trust follows its own rules, ideas and contains its independent objective, aims and motives to promote health and social care (Care Quality Commission 2010).

Coordinate Model – The coordinate model of working in partnership with regards to health and social care sector provides a model which builds a self-governing model for providing, promoting and managing the health and social care. This model is adopted mostly by the local government agencies that work for the welfare of the health and social care. This model has a separate hierarchy and the separate entity and trusts work under the said model to help and promote health and social care in the society (Haubenhofer et al. 2010).

Alliance Model – The alliance model is based on the concept of working for health and social care in partnership with the help of an agreement. This model helps the health care agencies to operate foe their own interest with a common purpose of health and social care promotion. This model makes it possible to achieve a largest group of agencies and organisation to come together as it allows an local health agency or organisation to have alliance with other similar health agencies and organisation with the intention to achieve greater health care (Billis 2010).

Unified Model – This model of partnership can be obtained by applying a non-commercial research model to obtain a license by submitting an abstract relating to the proposed research model. For official use, operational license is provided depending on the role of the user. This model provides a combined single trust which is having single financial system and one strategic direction in giving health, care to the service users.

LSP Model – Local Strategic Partnership helps in bringing their representatives together from all sectors. The main aim of this model of partnership helps people to work together in a joint community. The structure of an LSP is flexible and helps in attaining the main aim of an organisation. This model helps involves a lot of other people in the process of learning.

Coalition Model – This type of model helps in improving the social and health care of the people. The coalition model believes in empowerment, independence, freedom and respect. These factors help in achieving more transparency in the organisation. It also enables the organisation in improving the quality of care that is provided to the service users. This model enable health care organisations to work corporately based on agreement and to operate based on its own self-interst.

Hybrid Model – This organisation is operated strategically under a combined model in enabling the health care services to work effectively.

Coordinated Model – This model helps the partnership agencies to operate in a free way while many individuals work taking help from other people. Local Government led partnerships are having this model. Integrated single structure cannot be seen in coordinated model and their functionality.

The health and social agencies and organisations work in partnership to protect the children, youth, adults, disabled and physically and mentally disturbed individuals in the society. The law of United Kingdom also has made certain legislation for the protection of such individuals. These legislations help the health and social care agencies in their welfare activities and practices. Some important legislations which help the health care sector are as follows:-

The Health and Social Care Act, 2012 – The said Act helps in promoting, enhancing and improving the quality of care provide to the various individuals and groups who require protection under the health and social care sector.

Mental Capacity Act, 2005 – This Act helps to unite all the agencies working for the health and social welfare of the people with mental disability and work together n partnership to promote their welfare (Rosen, Goodwin and Dixon 2010).

Care Standard Act, 2000 – The said Act is one of the most primary legislation in United Kingdom that supports the health and social care sector. The said Act provides for ground rules on management and operations of various health care organisations in United Kingdom. The Act rules need to be complied by every establishment in the heath care sector.

Children Act, 2004 – The said Act makes provisions that allow the local authorities to work in association with the various health and social care agencies and organisation that work for the welfare of children in United Kingdom (Department of Health 2010).

For achieving the best results for health and social welfare in a society, it is important that the international, national, regional and local organisations and agencies with common purpose of social and health welfare work together to promote health care. The government needs to take control of the health and social care sector to analysis whether the work of the various health and social organisation is complying with the statutory requirements set by the form of various legislations formed in United Kingdom. In the present case, the death of Adult A was a topic of conducting a serious case review for finding the mistakes and preventing such deaths for re-occurrence (Care Quality Commission 2012). The said report if reviewed by the government can provide recommendations from skilled professionals to combat the re-occurrence of similar events.

Since various legislations are passed in United Kingdom about the health and social care sector, the implementation of the same, may differ from local, regional to national health and social care agencies (Aarons, Hurlburt and Horwitz 2011). The most primary differences that arise in the policies of various health and social care organisations include the difference in their objective and aim; difference in the roles and responsibilities of the organisation, Structural differences between various organisations. A national health care organisation can have a different model structure for its working compared to an organisation working on a local level. In the same way, different organisation working in different parts of the United Kingdom may adopt different cultural ideas and values for the working of the organisation. Thus, cultural difference is another difference that affects various health and social care organisations in United Kingdom.

In the present case, the heath care agencies that Adult A was connected with had their own self-regulating policies and procedures (Boyle 2011). They lacked a common policy and procedure. This is one reason that added to the tragic result of Adult’s A death. The same could have been prevented if the said heath organisation followed one policy. The professionals engaged in the said organisation failed in complying with their duty to safeguard the interest of a disabled individual resulting into his death (Shaw, Rosen and Rumbold 2011).

With reference to the Adult A case review, the outcome of partnership working could be analysed by observing that the death of Adult A was a result of inefficiency of the service user (Adult A), the professionals and the organisational structure.

Service User – Adult A was suffering from harassment since a very long period and he was unable to efficiently handle the harassment, which finally resulted into his death. Adult A had learning disabilities and yet his name was not mentioned in the Learning Disability Register. He was not provided access to certain services which was discriminatory in nature (Oliver, Sapey and Thomas 2012).

Professionals – The professionals in the organisation which Adult A was connected with failed to conduct regular tests and diagnosis of Adult A. They failed in taking quick and effective prevention of the harassment he was suffering. The professionals in the organisation failed to calculate the risk that Adult A suffered and failed to safeguard his interests.

Organisational Structure – The health organisation, which Adult A was connected with, failed to follow a common policy and procedure. The organisations failed to conduct an adequate follow up of the medicals needs of the service users. Criminal Justice Services failed to protect Adult A. The failure of the organisation to understand the risk that Adult A and his family faced by their oppressors, which clearly makes it obvious that they failed in their duty to safeguard and protect the interest of Adult A contributing to his death (West 2012).

Working in partnership with regards to health and social care sector can cause various difficulties. The primary objective of the partnership and the commitment of the partners may be few of the primary difficulties that affect the smooth and efficient working of a partnership agency. However, there are many other difficulties, which a partnership agency working jointly for the welfare of health and social care sector can face. Some of the said difficulties are as follows:-

The responsibilities and the roles of professionals including the partners, working within the agencies are undefined. This makes it clear that the partners are unaware of their roles, which provides of division of power between them. This results in duplication of work conducted by an organisation, which is time-consuming. The partners need to form a transparent mode of working for effective and quick results of health issues of the service users (Steele and Cylus 2012).

Inefficiency in time commitment by the partners is another barrier in the smooth running of partnership. Since partners have to take time out for being involved with the health and social care sector, they take a longer period to adjust with the new responsibility and role proving inefficiency in time commitments at a earlier stage. However, the said barrier needs is resolved when a partner learns to mange his time for working with the said heath and social care sector.

Every form of partnership attracts different of opinion and philosophies. However, difference of opinion and observation of different working philosophies by different partners adversely affects the efficiency of the partnership goal to promote health welfare. The partners need to overcome their internal issues and conflicts to achieve better results for health and social care promotion (Glasby 2012).

One of the major drawbacks of a partnership organisation working for the welfare health care is that they choose to work independently and fail to provide information and important data to other health organisation. It is important to create awareness about the importance of combined efforts on a national and international level to combat health issues. Thus, the lack of working as one common organisation as a whole with ultimate aim to promote health care is a major barrier to partnership working and health care

The lack of proper training among the different partnership organisation regarding the health and medical care issues is another barrier that makes the partnership organisation inefficient. Every professional and individual involved with the partnerships that related to working with the health care sector require adequate knowledge and training of medical and health care facilities to help the service users in the best way possible (Marmot et al. 2012).

Lastly, lack of one common strategy to be followed by the partnership organisation, which also in the present case resulted in the death of Adult A is a significant barrier in the working of the health and social care sector. Different agencies follow different guidelines and sometimes a single partnership entity or a trust is engaged in following different guidelines or rules to work with different service users. This caused major inefficient and the results are very tragic like that of Adult A (World Bank Group 2012).

After the analysis of the Adult A review, the following strategies need to be adopted to improve the outcome of partnership working in health and social care sector.

Empowerment of a disabled person is very crucial as it allows an individual to make his own decisions. In the present case, Adult A should have been promoted to make his own decisions and be accountable for the same.

The health care organisations need to indentify the true need and requirements of every service user that comes to them and after judging and analyse his needs, find an appropriate solution to protect and safeguard the service user (Wallerstein and Duran 2010).

Conclusion

There are various philosophies, models and concept of working in partnership with regards to health and social care sector. Most of these philosophies and models provide positive and efficient outcome to promote health care. However, it is important to follow and comply with the legislation set in the United Kingdom for health care along with creating an efficient and effective partnership working in the health and social care sector. Certain difficulties or barriers may come cause inefficiency in the working of such partnership organisation, however, with help of innovative measures one can combat the barriers and promote health care nationally and globally.

Reference List

Aarons, G.A., Hurlburt, M. and Horwitz, S.M., 2011. Advancing a conceptual model of evidence-based practice implementation in public service sectors.Administration and Policy in Mental Health and Mental Health Services Research, 38(1), pp.4-23.

Andrews, R. and Entwistle, T., 2010. Does cross-sectoral partnership deliver? An empirical exploration of public service effectiveness, efficiency, and equity. Journal of Public Administration Research and Theory, p.mup045.

Billis, D. ed., 2010. Hybrid organizations and the third sector: Challenges for practice, theory and policy. Palgrave Macmillan.

Boyle, S., 2011. United Kingdom (England). Health Systems Review. Copenhagen: WHO Regional Office for Europe.

Care Quality Commission, 2010. The State of Health Care and Adult Social Care in England: Key themes and quality of services in 2009 (Vol. 343). The Stationery Office.

Department of Health, 2010. Healthy lives, healthy people: Our strategy for public health in England (Vol. 7985). The Stationery Office.

Druss, B.G. and Mauer, B.J., 2010. Health care reform and care at the behavioral health—primary care interface. Psychiatric Services.

Glasby, J. and Dickinson, H., 2014. Partnership working in health and social care: what is integrated care and how can we deliver it?. Policy Press.

Glasby, J., 2012. Understanding health and social care. Policy Press.

Great Britain. Department of Health, 2012. Health and Social Care Act 2012: Chapter 7, Explanatory Notes. The Stationery Office.

Haubenhofer, D. K., Elings, M., Hassink, J., and Hine, R. E. (2010). The development of green care in Western European countries. EXPLORE: the Journal of Science and Healing, 6(2), 106-111.

Marmot, M., Allen, J., Bell, R., Bloomer, E. and Goldblatt, P., 2012. WHO European review of social determinants of health and the health divide. The Lancet, 380(9846), pp.1011-1029.

Oliver, M., Sapey, B. and Thomas, P., 2012. Social work with disabled people. Palgrave Macmillan.

Parton, N. and Berridge, D., 2011. Child protection in England. Child protection systems: International trends and orientations, pp.60-88.

Petch, A., Cook, A. and Miller, E., 2013. Partnership working and outcomes: do health and social care partnerships deliver for users and carers?. Health & social care in the community, 21(6), pp.623-633.

Richardson, G., 2010. Mental capacity at the margin: the interface between two Acts. Medical law review, 18(1), pp.56-77.

Roland, M., Guthrie, B. and Thomé, D.C., 2012. Primary medical care in the United Kingdom. The Journal of the American Board of Family Medicine,25(Suppl 1), pp.S6-S11.

Rosen, R., Goodwin, N. and Dixon, J., 2010. Where next for integrated care organisations in the English NHS? (pp. 15-03). London: Nuffield Trust.

Shaw, S., Rosen, R. and Rumbold, B., 2011. What is integrated care. An overview of integrated care in the NHS. London: The Nuffield Trust.

Sines, D., Saunders, M. and Forbes-Burford, J. eds., 2013. Community health care nursing. John Wiley & Sons.

Steele, D. and Cylus, J., 2012. United Kingdom (Scotland): health system review. Health systems in transition, 14(9), pp.1-150.

Stuckler, D. and Nestle, M., 2012. Big food, food systems, and global health. PLoS Med, 9(6), p.e1001242.

Wallerstein, N. and Duran, B., 2010. Community-based participatory research contributions to intervention research: the intersection of science and practice to improve health equity. American journal of public health,100(S1), pp.S40-S46.

West, D., 2012. How mobile devices are transforming healthcare. Issues in technology innovation, 18(1), pp.1-11.

Wilson, D. and Game, C., 2011. Local government in the United Kingdom. Palgrave Macmillan.

Wilson, E., Seymour, J.E. and Perkins, P., 2010. Working with the Mental Capacity Act: findings from specialist palliative and neurological care settings. Palliative Medicine, 24(4), pp.396-402.

World Bank Group ed., 2012. World Development Indicators 2012. World Bank Publications.