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hope for more patients to have successful kidney transplants. In care home settings,
the acquisition of new equipments like the air pressure mattress is indispensable
equipment for anyone at high risk of developing pressure ulcers or who have existing
pressure ulcers. The alternating pressure of the mattress depends on the weight of
the service user allowing relieved on a regular basis and trim down the number of
times a person needs to be turned, greatly enhancing the comfort of the very poorly
or terminally ill.
In addition, economic factors also drive change. These factors include the general
prosperity of the country and its neighbourhood, the rate of unemployment, areas of
poverty, the level of inflation and exchange rates in relationships involving other
countries and currencies. The state of the economy affects the level of demand for
goods and services, the prosperity of communities and the availability and cost of
raw materials and labours. The economy tends to move in cycles, but these are not
easy to predict. All services, whether public services, private services or charity
provision, are affected by changes in the economy.
At present, there were lots of changes in the health and social care sector due to the
recent financial crisis that affects the economy of United Kingdom. As a result, the
coalition government have wasted no time to save money in reshaping parts of the
health services. According to the health secretary, the popular NHS direct services
will be substitute with cheaper alternative. Under the government's plans, some
strategic health authorities and hundreds of primary care trust are to be abolished
affecting thousands of employees and service users. Examples of recent cost-cutting
measures cited by professionals are hospital bed closures, pressure to give patients
cheaper, slower-acting drugs, cuts to occupational health support, and reductions in
community health services. Furthermore, according to a study, it make known that
for the most part of job losses it involved frontline staff as patient services are
withdrawn. Along with mounting numbers of patients are being deprived of
treatment for conditions such as loss of sight, arthritis and infertility as
the NHS increasingly rations healthcare in order to save money. But, the spending
cuts done by the government does not only affect the health and social care sector
but the life of Britons as a whole. It affects the sick, the disabled and Britain's poorest
families. Among the biggest cuts are only allowing claimants to have the replacement
for Incapacity Benefit, the Employment and Support Allowance for one year, Cutting
Disability Allowance for those people in care. Cutting Council Tax benefit by 10%.
Reductions in the help given for childcare to working families, and slashing housing
benefit for the under-35s by paying them the "shared room rate" instead of enough to
live on their own etc.,
clearly show that the change is succeeding. Tasks completed provide further urgency
and momentum among the organization and lessen the impact of negative
comments.
At the final phase, the action plan is implemented fully allowing staff not to let up of
the change. Collaboration occurs when staffs are willing to endorse or stand behind
the change and displays commitment. As managers, at this phase, should sustain the
change. It is done when a new way of operating has been shown to staff to succeed
over the some minimum period of time Staffs at this point, displays advocacy that
maintains the attitudes and behaviours supporting the change..
To relate this in my work, in my care home, there are recent changes that were
implemented due staffs failing to do proper documentation. Firsts, the home
manager scheduled a meeting and consultation to all the unit managers. At the
meeting, to develop a sense of urgency among staff, she used a video based scenario
regarding right documentation. The video shows the positive and negative effect of
proper documentation to staffs, residents and management. In the meeting, everyone
was asked about the ways to improve the situation. Then, decided that every staff
should be knowledgeable and competent enough to do appropriate documentation at
work through trainings and observations to make sure that they have the awareness,
understanding and collaboration about the agenda of the meeting. On the other
hand, the unit managers are to be the guiding team to lead, direct and show the
proper way of documentation to unit staffs. Before the meeting ends, she makes sure
that everyone understands about the directions in which the organization is headed
and there would be recognition as the best unit that could implement the change.
Finally, now every staff is confident regarding answering the forms in the care plans
of every resident and certain to do the right documentation. The as proposed the
guiding team use appraisal and supervision to measure the change. Plus the home
manager monitored the change by evaluating the care plans of the residents with the
help of a unit manager every end of the month for this change to become a culture in
the care home.