Principles of Health and Social Care
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Table of Contents INTRODUCTION ..........................................................................................................................3 TASK 1............................................................................................................................................3 1.1.................................................................................................................................................3 1.2.................................................................................................................................................4 1.3.................................................................................................................................................5 1.4 ................................................................................................................................................5 TASK 2............................................................................................................................................6 2.1.................................................................................................................................................6 2.2.................................................................................................................................................7 2.3.................................................................................................................................................8 TASK 3............................................................................................................................................9 3.1.................................................................................................................................................9 3.2...............................................................................................................................................10 3.3...............................................................................................................................................10 TASK 4...........................................................................................................................................11 4.1...............................................................................................................................................11 4.2...............................................................................................................................................12 4.3...............................................................................................................................................13 REFERENCES .............................................................................................................................14
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INTRODUCTION Principles of health and social care are the norms and practices that are being followed at the centre of health and social care in United Kingdom. Health and Social Care in UK is the term related to a set of incorporated or advanced services that are being rendered by practitioners at these centers in UK (Pereira and et.al., 2008). The purpose of this report is to understand the basic principles of health and social acre practice that are to be kept in mind and followed at unit of health care. In this report, explanation will be given on how are principles of support and care implemented in practice of health and social care. Then, the impact of implementation of policy and legislation on practices of organization will be explained. This is followed by understanding of theories that underpin health and social care practice along with own contributions to the development and implementation of health and social care organizational policy will be explained.
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TASK 1 ABC Care Home is the centre of health and social care in London and caters the needs of weak and helpless people. The servicer users belong to different ethnic groups and religious background and have different physical and medical needs. The role of a care worker working in ABC Care Home has been assigned. TOLL-FREE NO: +44 2038681671 WHATSAPP NO: +44 7999903324
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1.1 Principles of support within a care home are mainly implemented so as to ensure that service users are properly cared for. The main principles of support are confidentiality, promotion of equity and anti discriminatory rights of the service users. These principles are applied at ABC Care Home as privacy and confidentiality is maintained of the patients especially of the elderly ones and their medical information is protected from getting disclosed. All their personal records are kept well protected and safe at the Care Home. No kind of discrimination is allowed to be followed while treating the persons and all are treated with equality irrespective to the culture and religion they belong to. People of old age are given special services and aides which they require according to their medical conditions (Safeguarding Adults: The role of health services, 2011). In addition to this, principle of support assumes that every individual has its own identity and belief and as a care worker at ABC Care Home preference is given to those beliefs of the service users and they are supported too. Promotion of all rights of all individuals as a principle of support is also being applied at ABC Care Home. This involve in ensuring that needs of all people taking service at Care Home are being known as they belong to different ethnic and socio economic backgrounds and the respective needs are being met also (Price, 2006). Apart from this, other principles of support that are being implemented at ABC care home are that all patients and their family members are well informed of the disease condition of the patient. The family members also have the right to know the care and medication that is being given to the service users. 1.2 It is important for any social and health care service unit to take suitable measures so as to protect the clients from harm or abuse. ABC Care Home has also adopted certain procedures that help to ensure that patients are protected from harm. In this respect, the current policy of National Health Service has outlined certain measures that need to be taken by a health and social care centre in order to safeguard the clients and save them from any kind of exploitation. This policy has been implemented at ABC Care Home according to which it is the obligation of the health care worker to adhere to the strict procedures and policies so that abuse and neglect of patients is prevented (Making sure health and social care services work together, 2013). As service users come from various ethnic and religious backgrounds therefore, a set of procedures TOLL-FREE NO: +44 2038681671 WHATSAPP NO: +44 7999903324
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is required to be followed in ABC Care Home needs to work on the principle of equality and similar services for all. Furthermore, in this procedure, the service will be provided on first come first serve basis so that rights of clients can be protected. Furthermore, in order to protect the rights of colleagues, the procedure should be transparent (Amado and McBride, 2002). The procedure starts from scheduling the appointment of patients with practitioners. After this, the practitioners are being selected on the basis of vacancy and daily work schedule not on the basis of their religion. Thus, equality is promoted in this procedure which is helpful in promoting the rights of both clients and colleagues. In addition to this, practitioners at Care Home are responsible for the services they provide to the individuals and it is their responsibility to protect their rights and also ensure their privacy and confidentiality. Procedures like strengthening of basic human rights of protection and equality are also followed within the care home. Apart from this, policies of NHS include allotting of personal health budgets to people and ABC Care Home make use of such provisions to ensure that people at care unit are exploited on any account (Mackay and et.al., 2012). In addition to this, some other procedures can also be applied in order to protect the clients or patients from harm. This can be by taking regular feedback from them regarding the way in which care workers treat them and provide care and support to them. Also, they can be ascertained that they can anytime complain about the conduct of care worker if they do not find it appropriate. 1.3 A person centered approach refers to the variety of approaches that are adapted to help people to make their plan for future who are users of social care services at the care home. It is the way through which support for such individual can be planned. The benefits of using a person centered approach at ABC Care Home with the service users present there are that with it, care workers can focus on personal needs of the individuals and know about their wants and desires so that they become central to the process of nursing care. It helps to know the patients from different ethnic and religious groups as an individual and provide care according to their specific needs and preferences. A person centered approach will help in boosting the morale of different service users as they will not feel inferior of being related to any particular ethnic and TOLL-FREE NO: +44 2038681671 WHATSAPP NO: +44 7999903324
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religious group which is not equally valued in the society. This helps to promote physical as well as an emotional comfort and support to them (What is the Person Centred Approach?, 2013). The use of person centered approach at ABC Care Home also help in fostering trusting care giving relationships with the service users which eventually lead to their satisfaction with the clients. In addition to this, with this there is an increased opportunity for the care home to reach to people which belong to different ethnic and socio economic backgrounds (The importance of person-centred approaches to nursing care, 2013). 1.4 The field of health and social care is such that it might happen that any kind of ethical dilemmas may arise while imparting services to the individuals. Here, a situation is given according to which Mrs. M is a service user in the residential care home of 67 years of age. She is having lung cancer and likes to smoke and drink whisky and despite the advice of doctors she cannot cease this habit. Recently, Mrs. M has been suffering from acute pains and the painkillers are not working effectively. The ethical dilemmas that have arisen while providing support to Mrs. M are that doctors have refused to prescribe stronger painkillers to her as this would have serious impacts on her health but the staff cannot see Mrs. M suffering. The dilemma is whether to provide her the painkillers or not. It is difficult to leave the lady suffering with pain and on the same it is not ethical to give her those pills which can prove harmful for her. Such type of ethical conflicts may arise while imparting care to the clients. Furthermore, there can be a case of vulnerable people suffering from infectious disease, in such a case, service providers may witness ethical dilemma that whether to treat that person or not. Thus, in ABC Care Home conflicts may arise in such cases (Harlen, 2005). The Human Rights Act 1998 explains that every individual at health and social care and express their views regarding the kind of treatment they want. They also have the right to get complete information on the type of health care service they require and what kind of treatment they are being given. In addition to this, the Mental Capacity act states that for persons suffering from mental health problems and those lacking in the capacity of taking decisions they are to be taken in their best of interest that will be most suitable to their health. TOLL-FREE NO: +44 2038681671 WHATSAPP NO: +44 7999903324
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TASK 2 2.1 It is important to implement various regulations, legislations and codes of practice within the health and social care unit so as to ensure that proper services are being imparted to the clients without any exploitation of their rights. The Health and Social Care Act 2012 is considered as an effective legislation that contains policies that act as a guidance in this field. This Act has been implemented by The National Health Service (NHS) which specifies certain standards for the care units like ABC Care Home that help them to render much advanced and better services to the clients and adopt a patient centered approach (Health and Social Care Act 2012: fact sheets, 2013). The act encloses within it various systems and procedures that are liable on providers of health at ABC Care Home and also contain their professional accountability which needs to be followed by them.
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At ABC Care Home the policies are implemented so that it can be ensured that people belonging to varying ethnic and cultural groups. The legislations and code of conduct are such that they prevent any kind of exploitation of the clients and apply equality among all (Rushton, 2005). ďƒ˜ The important policy is within The Health and Social Care Act 2012. According to this, it is the duty of service providers to follow anti discrimination and reduce inequalities towards service users. Care workers have the accountability of not showing any such kind
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of behavior that lead to inequality of the service users and thus lead to their abuse and neglect. ďƒ˜ Another policy of The Health and Social Care Act 2012 is that of improving quality of services to clients. The relevant outcomes for this purpose include quality of service as experienced by the service users as well as service provided to them. Code of conduct according to the policies requires workers to follow all these policies properly. Code of conduct- They are also given by General Social Care Council which is for social workers because they regulates their behavior towards the patients at care homes. Basically this is a set of statements that lists the standards of professional practice and conduct on part of care workers at residential care homes. This includes that social workers should protect and promote the rights and interests of service users and maintain their trust and confidence. They should also promote the independence of service users and safeguarding them from any harm. Care Standard Act, 2000- This act ensure that all provisions which are related to care are matching the standards of National Minimum Standards of government. Disability Discrimination Act, 2005- In 1995 this act came in to force. The public transport providers are required to reduce discrimination amount towards the people on their trains and buses due to disabilities (Mackay and et.al., 2012). Management of health and safety at work regulation, 1999- This explains to staff members and health care manager that what measure they should take to keep all staff safe and secure (Harlen, 2005). 2.2 The legislative policies that are provided by The National Health Service (NHS) are applied all over the regions but it may happen that local policies and procedures may vary (Lane, and Tribe, 2006). This depends on varied backgrounds of the population belonging to the specific region and their needs. In order to develop local policies and procedures in accordance with national and policy requirements at ABC Care Home there is the need to know the needs of the local people and have all information regarding their cultural background. The Care Home can take the assistance of the local government and authorities to develop policies and systems according to that of national ones in collaboration to the needs of people specific to the region (SAFER FOR PATIENTS, SUPPORTIVE FOR PROFESSIONALS, 2006). In the given scenario, TOLL-FREE NO: +44 2038681671 EMAIL: help@instantassignmenthelp.com WHATSAPP NO: +44 7999903324 WEBSITE: https://www.instantassignmenthelp.com GET THE BEST ASSIGNMENT WRITING HELP FROM EXPERT WRITERS
it is clear that the care home serves vulnerable people from various religious and ethnic groups. Therefore, in local policies there may be provisions of different treatment of various groups due to power of majority groups at local level. Nonetheless, at national level, equality and discrimination principles are followed which can be incorporated by ABC Care Home to align local policies with national policies (Day and Wigens, 2006). Practitioners at ABC Care Home need to gather information about the various policies of NHS which contains highlights about different health and social acre needs and also on advanced and modern techniques of care which can lead to enhancement of services. Local policies can be applied at local community local level by taking assistance from local authorities who have more knowledge on the type of services as prevailing in the local communities. According to the requirements as well as values and beliefs of local people the policies can be framed and services can be made available to them. The National policies give huge impact on resourcing of all health care services because they set evaluation criteria and performance indicators. It further helps in this involving more and more number of people from the local community and increasing awareness among them (Lane, and Tribe, 2006). This will further impact in a positive manner by enhancing their participation in formation of local policies and procedures. This will also help in framing of policies according to the requirements. 2.3 There is a strong positive impact on applying the rules and regulations along with code of practice on that of policy and practice of ABC Care Home. With their implementation, needs and interests of the clients making use of services at the care home is well protected and safe guarded. The policies includes code of conduct and behavior which should be followed by all practitioners and their implementation help in their proper behavior towards the service users according to the policies and procedures. These also help in adopting the best practices at ABC Care Home which will eventually lead to better and effective services to the clients and fulfilling their requirements and needs. The implementation has an impact on setting of standards for the care home in relation to the services to be rendered to the clients. TOLL-FREE NO: +44 2038681671 EMAIL: help@instantassignmenthelp.com WHATSAPP NO: +44 7999903324 WEBSITE: https://www.instantassignmenthelp.com GET THE BEST ASSIGNMENT WRITING HELP FROM EXPERT WRITERS
ďƒ˜ It allows service users to take a stand against nonlegal and unethical activities of ABC Care Home's staff members (Inbar and et.al., 2012). For example, if legislative requirements of Equality Act and Health and Safety Act are fulfilled by ABC limited then it will help in satisfy all the users from different groups as they will be treated equally. In addition to this, legislation and policies also allow service users for taking action against unethical practice of service provider in ABC Care Home. Nonetheless, there will be a disadvantage that service users may take undue advantage of the same or become dominant. But, in long run, this would have positive impact of ABC Care Home. It will help this health care organization to establish reputation of being ethical and equal to all service users disregarding of their ethnic and religious group (Alakeson, 2013). In addition to this, these have an impact on adapting and following such activities and procedures that ensures safe and secured care and service to the clients. Along with this, this will also help in protecting the interests of the service providers at ABC Care Home (Qureshi, 2001). The policies of ABC Care Home include factors like health and safety, protecting rights, risk assessment, harm minimization, confidentiality, conflict of interests and equal opportunities. These policies will have a positive impact on ABC care home organizations as they necessary and effective measures in order to ensure safety and security as well as quality of service to the service users at the place
(Rushton, 2005). Its impact is also that it makes care workers
accountable of their activities towards clients so they respect all their human rights
TASK 3 3.1 There are some important theories in the health and social care that help in dictating of legislations and rules within the system and work as a social care in ABC Care Home. One such theory is social learning theory which explains that learning through observation help in planning of care plans for the service users. The theory assumes that with help of understanding the importance of learning through observation a care worker will be able to properly plan for the clients and provide them the best and efficient care who belong to varied backgrounds and cultures (Beresford, 2006). Another theory that influences the work of care worker at ABC Care Home is anti-oppressive theory which pertains to the style of professionalism and with it worker TOLL-FREE NO: +44 2038681671 WHATSAPP NO: +44 7999903324
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can emphasize on his role of social justice and imply individual rights and interests getting service at the care home. Another important theory in this aspect is anti-discriminatory practice on the basis of which care worker at ABC Care Home refers his work as a social practice that renders services to a range of diverse social and ethnic backgrounds and also does not limit the services on any of these grounds. In addition to these theories, humanistic theory is also an important one which emphasize on needs of the individual while designing care plan for them (Alakeson, 2013). As a care worker in ABC Care Home this theory requires to take care of the rights and dignity of the clients and adopting a person centered approach so that better services can be provided.
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Further in this context, Maslow link the needs of human with motivation. In this aspect, care workers have basic needs in starting which are physiological needs like food, shelter and water etc. After competition of basic needs, workers will feel motivated to achieve at next level of this hierarchy which is safety and security stage. In this stage worker wants the job security and stability for safety purpose (Day and Wigens, 2006). When needs of this stage is achieved care worker will motive to achieve net level and the process will go son on. In the Maslow's hierarchy theory last stage is self fulfillment. 3.2 Social processes have a lot of impact on the service users in ABC Care Home. Social processes and learning have lead to the promotion of use of person as well as patient centred TOLL-FREE NO: +44 2038681671 WHATSAPP NO: +44 7999903324
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approach while imparting care to them. This has lead to the increment in the scope of services and improvements related to care to them by the service providers. This has also lead to the inclusion of more efficient care givers in this field for the care home which ultimately lead to enhancement of services for the clients in ABC Care Home (VanVactor, 2012). Social process involves interaction among people which will be positive for ABC Care Home as learning can be facilitated through this. Nonetheless, there can also be negative impacts of the same as it will increase disease due to human interaction. In the given scenario also it can be analyzed. In this care home, all types of people come to avail the service due to which vulnerable people can become a reason of giving less preference by other service users (Beresford, 2006). Because of the social processes, more and more people make use of services of health and social care unit and so this has gained the attention of NHS due to which policies are being reformed by it. Along with this, it has also resulted in provision of services to individuals belonging to diverse cultures without any kind of discrimination on any grounds. In addition to this, service users at ABC Care Home have more of privilege in making use of services provided by care workers. Social processes like learning and training sessions at ABC Care Home will have a positive impact on the care workers. This is so as training sessions and other interactive sessions will help them to learn methods to take effective measures to conduct their services. This also helps them to establish communication with the service users and build relations with them so as to know their needs. In this context, social processes includes marginalization, unemployment and social exclusion etc. In this social process, individuals or group of persons are pushed to edges and fringes of mainstream activity (VanVactor, 2012). For example, group of people if experiences the social exclusion or discrimination then they will also experience inequalities in health. The individuals who are social excluded due to their religious beliefs and sexual orientation they often experience the poorest health and services of health care. 3.3 Inter professional working is a practice in which all professionals belonging to the health and social care unit work in coordination with one another so as to provide effective care to the clients (VanVactor, 2013). This approach is quite successful for service users as with this enhanced services are provided to them at ABC Care Home. The effectiveness of this practice can be known from the fact that with this, there establishes a strong working relationships TOLL-FREE NO: +44 2038681671 WHATSAPP NO: +44 7999903324
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between the practitioners and the organization. With this, there is an increased sharing of information and facts which lead to better designing of plans for the clients. This results in improvements in care being imparted. Inter professionals who work at ABC Care Home mainly include the medical expertise, nurses and senior nurses, care workers as well as professionals who provide meditation and stress free sessions to clients. The professional also include family members of clients, various community agencies and other voluntary and non voluntary agencies who work towards betterment of service users. In addition to this, inter professional working also lead to overcoming of professional boundaries and sharing of responsibilities among one another so that needs and interests of clients is better taken care of (Alaszewski and Alaszewski, 2005). This also ensures that rights and beliefs of individuals are safeguarded more appropriately. This eventually increases the overall performance of ABC Care Home. The partnership working means many health professionals work together effectively to care and meet the needs of patients. In this when a patient seeks to hospital care then he will meet and interact there with many health care professionals (Beresford, 2006). In collaboration and partnership, number of health professional work together to provide effective and quality care to the patients.
TASK 4 For this, it is given that findings of Care Quality Commission about ABC Care Home were not according to the standards and it has failed in certain criteria. As a manager of the organization, there is now the need to resolve the failings that are being mentioned in the report given by CQC. 4.1 As a manager of ABC Care Home, I will now ensure implementation of rules and regulations and check on regularly their practice within the care home. The ethical code of conduct and norms will also be checked on regular basis and will be taken note of. I will take the responsibility of having free and open flow of communication with my colleagues as well as the service users to know their views and ideas regarding the services being rendered. It will be my duty to take regular feedback from care workers and clients so that it can be ensured that suitable TOLL-FREE NO: +44 2038681671 WHATSAPP NO: +44 7999903324
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measures are being taken so as to protect the service users from any kind of risk or abuse (Amado and McBride, 2002). I will take the responsibility of recruiting and selecting a professional and well qualified staff from outside which has the capability in understanding the needs of the people and their complex behaviour. In addition to this, I will also take the responsibility to organize proper training and development programs for the staff so that their skills in care are enhanced. It will also be my duty to report to CQC of any serious injuries or accidents at ABC Care Home and all records of such incidents are well recorded in the care home also. I will also ensure to hire a monitoring unit outside the care home which can review and monitor the performance and efficiency of employees (Birnbaum, 2012). Apart from this, I can also make contribution to meet good policy requirements by conducting regular meetings and review sessions with staff members and care workers. This can help in getting reviews about the ways in which services are being provided to the patients and also take suggestions and find ways in which services can be made effective further.
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4.2 As the manager some negative points regarding my role were that earlier I was not able to properly frame policies and implement them at the workplace. It was required of me to monitor and observe the care workers and their behaviour towards the service users. With this, my
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contribution was negative as i was also not able to ensure safety and protection to the clients in proper manner. As the manager of ABC Care Home my own contribution to development of health and social care policy for the organization. I will make efforts in protecting the individuals from exploitation and abuse. It needs to ensure appropriate policies that are mentioned in legislations given by NHS. I will contribute in administration of ethical practices by the practitioners towards the service users so that they are not ill treated and are protected from risks (Day and Wigens, 2006). I will contribute to implement policy and take reasonable steps that will help in identifying the possibility of discrimination of any individual and take necessary steps to prevent. It will be ensured that all support measures necessary at the care home are applied and followed successfully by the care workers so that equality of rights and interests of all can be ensured. Local needs of population of the region will be identified and policies will be implemented according to those provided by NHS (Ericson and et.al., 2001). Along with this, for effective development and implementation of policy for ABC Care Home proper guidance from local authority will be taken and reference from guidelines of NHS will be followed and their effectiveness will be checked regularly to ensure that all procedures are being followed accordingly. 4.3 In order to develop my own contributions as a manager in meeting good practice requirements can be in the form of professional development of my own self as well as the staff of ABC Care Home (Harlen, 2005). It can be recommended that appropriate planning and delivery of care should be ensured according to the individual rights and interests to the service users. There is a need to properly identify the risks and threats associated with health and security of clients and for this regular monitoring and reviewing of systems and procedures should be carried out at ABC Care Home. It was found that ABC Care Home was not able to control the activities like misbehave and abusing. Therefore, service providers should take reasonable steps to protect people. I should also make necessary arrangements for protected people and ensuring all legal compliances like reporting major activities to CQC (Ericson and et.al., 2001). TOLL-FREE NO: +44 2038681671 WHATSAPP NO: +44 7999903324
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The behaviour and activities of staff towards the clients should be checked on regularly so that clients are not exploited. Responses and complaints of the service users need to be given special preference and should be given immediate responses to clear their complaints (Mendelstem, 2009). Feedbacks and views of clients on their service should be taken regularly so that improvements can be brought in. In addition to this, it is suggested that proper recruitment and selection process be followed in taking qualified staff and effective training should be provided to them o timely basis (Moon, 2008).
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CONCLUSION From the present report, it can be concluded that health and social care practice in ABC Care Home involve many challenging roles and responsibilities as it deals with people belonging to varied groups and cultures. It is important for health care practitioners of the organization to identify and understand the individual needs and plan for their care according to them. The policies of health and social care are also important to implement within the place so that effective services can be rendered.
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REFERENCES Online Health and Social Care Act 2012: fact sheets. 2013. [Online]. Available through: < https://www.gov.uk/government/publications/health-and-social-care-act-2012-fact-sheets > [Accessed on 1st November 2013]. Making sure health and social care services work together. 2013. [Online]. Available through: < https://www.gov.uk/government/policies/making-sure-health-and-social-care-services-worktogether > [Accessed on 1st November 2013]. Safeguarding Adults: The role of health services. 2011. [Online]. Available through : < http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAnd uidance/DH_124882 > [Accessed on 1st November 2013]. SAFER FOR PATIENTS, SUPPORTIVE FOR PROFESSIONALS. 2006. [Online]. Available through: < http://www.scotland.gov.uk/Publications/2004/02/19016/33961 > [Accessed on 1st November 2013]. The importance of person-centred approaches to nursing care. 2013. [Online]. Available through: < http://www.open.edu/openlearn/body-mind/health/nursing/the-importanceperson-centred-approaches-nursing-care > [Accessed on 1st November 2013]. What is the Person Centred Approach?. 2013. [Online]. Available through: < http://www.bapca.org.uk/about-2/what-is-it.html > [Accessed on 1st November 2013]. Books and journals Alakeson, A., 2013. The individual as service integrator: Experience from the personal health budget pilot in the English NHS. Journal of Integrated Care. 21(4). pp.188 â&#x20AC;&#x201C; 197. Alaszewski, H. and Alaszewski, A., 2005. Person-centred planning and risk. London: Jessica Kingsley. Amado, N.A. and McBride, M.W., 2002. Realising individual, organisational and systems change: lessons learned in fifteen years training about person-centred planning and principles. Baltimore, MD: Paul H. Brookes Publishing Co. Beresford, P., 2006. The White Paper and Prospects for Social Care: A Personal View. Journal of Integrated Care. 14(3). pp.3 â&#x20AC;&#x201C; 7. Birnbaum, D., 2012. A different kind of public healthcare system. Clinical Governance: An International Journal. 17 (3).pp.248 - 252 TOLL-FREE NO: +44 2038681671 WHATSAPP NO: +44 7999903324
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