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Support In Health And Social Care Practice Social Work Essay

For a good and appropriate health and social care practice, there must be some defined principles of support.  'Principles' means moral rule or regulation of behavior, whereas the social care can be described as sets of values.

Support is necessary to makes health and social care practice successful.  Good support services are one of the important factors for individuals to choose the right health and support services.  This assures them that their treatment is caring and beneficial. For example take people with learning disabilities. We can able to make some independent choices but people with learning disabilities may not have that option.  So the support services are needed to ensure that these people get the best possible care.

Social support is type of support which is related to the person's health. The most elemental factor by which this effect of socialization works is a basic and sometimes overlooked reason for the success of psychotherapy. Sometimes just knowing that there is someone to talk to and confide in can help people overcomes their problems just as much as any treatment (Clark, 2005). Inorder to deal such kind of health and care issues, there is an global authority that is responsible for establishing rules and regulations, called World Health Organization (WHO). 

1.2 Procedure for Protection from Harm.

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Health and social care staff has the responsibility to protect clients, patients, the public and colleagues from the risk of harm. They must work appropriately so they can able to protect them from harm. They must be sure that their behavior does not put clients and patients at risk, even they should concern about their health issue also. They should make sure that the clients and patients should away from any chances of infection or environment harms (Common purpose Consultation draft).

Valuing and respecting others is a basic courtesy. However in order to reinforce our

Society's values, we have laws that state the ways how all people should be treated.

These laws affect how workers behave to others in the workplace. The NHS demands that staff behave in a professional way, to their clients and to their colleagues. There are important Acts relating to equality like employment equality, gender recognition, partnership, sex discrimination, human rights, disability and even racism, also provide legal protection to everyone relating to health and care system (College, 2008).

1.3 Person-centred approach

The person-centred approach is intended to support relationships by providing an empathetic, understanding, accepting and genuine therapist, counselor or carer relationship. In a health and social setup a trustworthy relation with a service user is very important. In the beginning it is just an approach towards care but now it's become an integral part of health and social care services especially in the UK.

Person centred approaches is not only a system of care but it is also what is need either physical or psychological, of the person. It is a system in which each and every user interest is considered and every user is equally preferred. In this approach, staff is always asks the consent about his action and even to the user. There are particular patients assigned to the care worker, thus it enables him to participate in few choices regarding to patient. It is closely relevant to the Rogers' person centred concept. It recognizes the individual as being at the heart of their own care. Active listening is a good tool to know the actual issues and matters of the client, thus care worker can develop the techniques of working together (Cox, 2011).

1.4 Ethical dilemmas and conflict

A situation in which principles and rules are not able to determine which of action is right or not. It is a condition in which ethical morals are being refused to obey. It results in conflicts between workers, staff, users and families etc

Dilemmas in health and social practice could be not obeying the codes and the law by social care workers. It may include the inappropriate alternatives for clients. Incorrect reporting by social worker this may be due to strict legal boundaries and regulations. Some time the staff may fall out or absent, even confidential are sometime leaked from the settings.

Conflicts and Dilemmas that may arise between the duty of care and individuals rights could be staff having a difference of opinion. For example if the staff of different agencies working in a single working setup, there is a more chance of conflict, this is because of lack of understanding between the two. This will lead to the suffering of users and carers. Dilemmas could know when to get further help regarding child protection and safeguarding issues for example if you did not refer the case to social services the child might still continue to suffer abuse. Another dilemma would know when to break confidentiality and share information.

LO 2:

2.1 Implementation of policies, legislation, regulations and codes of practice

A policy should be applicable to all, covers all the Issues of confidentiality, according to the Data Protection Act and what will be the action in case of breach. It should include accountability and continuously monitored and reviewed. A complete procedure should be available to all the workers. Appropriate instructions should be given to employees about the implementation of the policies. All legal issues should be discussed in policy

Following are the laws that are in force by the government, in order to save the people from discriminations. (Legislation Information England, 2011):

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Health and Social Care Bill 2011

Building the National Care Service - White Paper (2010)

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Employment Rights Act 1996

Disability Discrimination Act 1995

Protection from Harassment Act 1997

Human Rights Act 1998

Disability Rights Commission Act 2000

Employment Equality Regulations 2003

Mental Capacity Act Code of practice (2007)

Code of Practice

The code of practice for health and social care worker mentions the responsibility of employers with respect to the care worker. The code of practice requires that employers should stick to the standards as in their codes; and their support to meet the codes and should take action when carers not meet the standards.

The codes basically reflect existing practice. The purpose of the workforce regulation is to protect and promote the interests of service users and carers. The code is made to complement the policies and procedure about legislation and employment of staff.

2.2 Development of Policies and Procedures

Local policies and procedures provide the primary infrastructure for a quality system including all the aspects of health and Social care. Without the proper policies and procedure, it is impossible to keep the quality improvements efforts in their places. Policies and procedures provide the base for the desired outcomes, how health and social care is to be delivered, according to the national legal and policy requirements.

First of all it is essential to follow the National Minimum Standards and introduction of document control before any policies or procedures.

Header containing the draft number

Title of policy and procedure

Approval date and the approving authority.

Footer, stating the policy area, the date of review and the revision number.

A copy is available to every staff member.

In the development of policies and procedures, it should be keep in mind that it should be:

Client focussed

Be useful for the intended users e g service users, staff, management

Should comply with the accreditation and legislative requirements

Should improve the quality of service

Should be accessible to all concerned

The main contents of a policy:




Health, safety and welfare issues

Fairness and consistent procedure

Monitoring and review

2.3 Impact of policy, legislation, regulation, and codes of practice

The main impact of writing policies and procedures, codes and other developed supporting documentation, is that the organization is working smoothly and rises with passage of time. If the policies and procedures and other regulations are not according to the plan, organizations and workers are always unsure that they are working according to the legal guidelines and professional bodies.

The first step in this process is to specify what to expect from its staff. The policies and procedures state what the requirement is, and what should be done in such a situation. With the help of appropriate polices and procedure, it is a piece of cake to determine the quality of practice and services, even in case of any inspection. Quality of service can easily be demonstrated by the organization by showing all the supporting documentation.


3.1 Theories in health and social care practice.

There are different learning theories, which are related to health and social care practice. These theories include (M.Braungart, G.Braungart, 2007):

Behaviorist Theory

This theory is solely about observation. It mainly focuses on direct observation; it is considered that learning is the product of the stimulus conditions (S) and the responses (R) so that it is also called the S-R model of learning. The learning process is relatively simple not only in humans but also in animals. Behaviorist theories are more used in education and psychology. It is also used in combination with other theories, like cognitive theory.

Cognitive Theory

Cognitive theory consists of a number of sub theories and is mainly used in education and counseling. This theory is based on the learning and changing in the cognition including perception, thought, memory, and interpretation. Cognitive learning, a highly active process directed by the individual, involves receiving the information, interpreting it based on own knowledge and then reorganizing the information into new way.

Social Theory

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Social learning theory is on learning that involves consideration of the personal characteristics of the learner, behavior patterns, and the environment. In early formulations, behaviorist features and the imitation of role models; next the focus was on cognitive considerations, such as the attributes of the self and the internal processing of the learner.

Psychodynamic Theory

This theory is different than the rest of all. As this is all about motivation and emotions rather than responses, the psychodynamic theory emphasizes the importance of conscious and unconscious forces in guiding behavior, personality conflicts, and the enduring effects of experiences. As Pullen (2002) pointed out, negative emotions are important to recognize and assess in nurse-patient-doctor-family interactions, and the psychodynamic theory can be helpful in this regard.

Humanistic Theory

This theory is all about the probability and positivity. Every individual is unique and wants to move in positive way. Humanistic theory go with healthcare providers, as they focus on caring and patient centeredness, an orientation that is increasingly challenged by the emphasis in medicine and health care on science, technology, cost efficiency, for- profit medicine, bureaucratic organization, and time pressures.

3.2 Impact of Social processes on users

The social processes are the fundamental in social relationships are established due to interaction among people. Following are the few processes that occurs amongst people or groups in health and social care

Accommodation: It is the adjustment of people or groups in which health and social care people starts accommodate others in case of limited services or carers

Assimilation: Penetration of people or groups, who share memories, ideas, emotions and attitudes of other persons or groups during their course in health and social care setting.

Competition: Sometime, especially in case of an insufficient supply of anything even services that user's desire, the competition starts among users.

Conflict: Sometime people instead of competing for the services or the objects starts competition with the person make them rival so it results in conflict among them.

Co-operation: many users in are practice work together to look after each other, and not to solely depends on carer.

Intermixing: Different people spend time and mix with communities that have different values and beliefs. People with different cultures, religions, values, social class backgrounds etc, influenced one's values and beliefs.

3.3 Effectiveness of inter-professional working

Interprofessional care is the provision of health services to patients by few healthcare providers who work together to provide quality care in healthcare settings.

This point need no prove that this kind of care offers many benefits like an enhanced health care provision, improved healthcare outcomes especially in case of poly pharmacy and multiple disease conditions. There is negligible chance of conflict and competition, as everyone performs their roles and properly using clinical resources. Others include easier recruitment of caregivers and lower staff turnover rates. Inter professional care, is the provision of complete health services to patients by multiple health caregivers who work together to deliver quality care. It can be implemented to assist in health care system renewal and improved sustainability.

A research in Health care systems indicates that interprofessional care can provide many benefits, including improved patient care and safety, enhanced provider satisfaction and better organizational efficiency. It can also contribute in innovation and sustainability. Interprofessional care benefits arises due to research include that the communication increases while medical errors decreases. According to research study in emergency department, medical error reduced from 30.9 to 4.4%. If there is less communication and coordination, it will results in extra medical testing and increasing costs. Another research study indicates that, if there is a team of professionals in large hospitals the chances of unexpected cardiac emergencies can be reduced up to 50% (Ontario, 2007).


4.1 Own role, responsibilities, accountabilities and duties

There many roles and responsibilities of a worker regarding to the employer and the people or client during working in health and social care setup. There are different kind of persons with different preferences, choices and nature with which you have to coordinate with. There are individuals' care and support plans, which help you a lot in dealing with such kind of situations and individuals. Therefore it is essential to read, understand and follow those care and support plans.

When I talk about my role, it is also depend on key principles and ethical practice. Always respect and prioritize public trust and confidence and accountable for the quality of work. Always be responsible for maintaining standards and improve knowledge and skills. Support them during their course, and guide them to live open and independent. In order to provide quality care listening is the key, which helps to understand them

These are some of the worker responsibilities towards individuals you support:

Their rights and interests should be protected.

Build trust and maintain their confidence

They should keep away from any kind of damage and harm.

Their behavior does not harm anyone.

These are some of the ways that you can maintain professional boundaries including you should be reliable and do not make inappropriate relationships with others, protect and promote the people around you. Always be honest and trustable. You should always follow the written policies and procedures and cooperate with the people around you. Do not discriminate against anyone and maintain clear and accurate records. Always try to improve your knowledge and skills. In case of any concern you should report them to higher authorities.

4.2 Own contribution to the development and implementation of policy.

In the development of health and social care organizational policy following contents are included

Scope Context and Policy Statement

Process for development

Implementation Plan

Monitoring and review

A complete policy proposal plan has been submitted along with the Policy Protocols, Guidance and Procedures Document

Scope Context and Policy Statement

It includes what kind of agencies, services and peoples included in the documentation. and the services and other legal contents which should be mentioned in the document. There must be a clear statement regarding to policy, its protocols, procedures and guidelines.

Process for Development

In the process of policy development there will be some identified resources that must be included like national audit report, inquires, acts, local requirements and in case of incident what steps and measures should be taken.


An implementation plan is attached when policies are submitted. This should improve consideration of need for how aims and objectives will be achieved, what will be the learning and development plans and Proposal, how the documents are used, how to monitor and review the policies and finally the performance standards.

Implementation Plan for this Policy

How this policy will be implemented and who will take the lead responsibility of it. What will be the development and learning opportunities.

4.3 Recommendations

Social workers should perform and manage their tasks with responsibility and full attention. They should always show positive attitude and professional behavior towards their work. It is necessary to continuously enhance social work skills and this can be done by continuing professional development programs. Health and Social care workers should aware of the body language of the client and able to identify the situations and client condition.

Health and Social care workers should have strong and useful contacts within the field. Social worker should encourage users to make their own system of support, and guide them to help themselves and others when necessary. Health and Social care workers should make flexible and trustworthy relations with the users, families and with the colleagues. Health care setups should provide such environment to the workers where they can express constructive and innovative ideas to help others. (Cavallari, 2003).

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