Theme
Theme
Communication
Effective communication is essential in terms of enabling the individuals, including patients and their carers/representatives to have effective and meaningful dialogues with each other to achieve the effective standardised care provisioning measures stipulated by NHS England. Care staffs are required to adapt their communication tone and style to suit the patients. They are also required to adopt particular communication aids and techniques. NHS has also made it obligatory for the care service providers to enable the individuals who utilise British Sign Language, any language other than English or manual alphabets for the deaf and blind to have the services of professional interpreters. The cost incurrence in this context has to be managed by NHS England. The care communication process by the NHS staff with the patient representatives has to be effective enough to capture the perspectives of such individuals in terms of health care practical support necessities. For those working on related research, seeking healthcare dissertation help can provide additional insights into enhancing communication strategies. The enhancement of the inclusivity of the system to effectively involve both the patients and their formal as well as informal carers would be required for the betterment of personalised care and support processes.
Quality Improvement
In NHS England, the care quality improvement process relies upon the formulation of measures pertaining to safety and quality into the care administration specifications through according penalties and incentives as per the requirements. The emphasis is on assuring of safety and quality through improvement of health process leadership so that the patients could be enabled to assess how care has been provided to then and the manner in which the values and cultures of the care organisations have been expressed in professional behaviours.
Team working
The primary objective of effective team work espoused by NHS England is responding to particular conditions within any particular professional context which could come into conflict with the professional wisdom and ethics of the practitioners. The direct implications could be acknowledged as either success or failure of the care providers to establish an agreed objective set recognise to fulfil the needs of the patients as per the NHS statutes.
Professional Behaviours
In the NHS structure of professional practices involving PCC, The fundamental rationale of this is discernable in the format of task oriented structure of the organisational framework of NHS which does not provide much space for empathetic approaches for the practitioners towards their patients. Emphasis is concentrated on safety and competence.
Person centred care
Person Centred Care (PCC), in the NHS, refers to the empowering the patients to manage their health through their own prerogatives in the form of making informed decisions regarding their treatment and care. NHS is required to support the endeavours of the patients to improve their health so that they could be provided the best opportunities to lead their lives as per their own accord. The Five Year Forward View has been formulated for the purpose of implementing of changes in the relationship between the NHS and the healthcare service subscribers.
The primary deficiency pertains to the Value Based Practices (VBP) elements in terms of the various personal judgements of the health practitioners which become coloured through their past experiences. Issues occur involving personal health and effective resilience of the health practitioners towards increased stress measures. Running of appointments which could set the agenda rather than adapting to the patient conditions is another of the issues.
Thus, it is necessary to focus on the strengths of the patients rather than the conditions which exist. The remedial steps could be prompt responses which the practitioners would have to generate through efficacy of communications. Emphasis would be required to be concentrated on the active listening abilities of the healthcare service providers. Ultimately, the VBP could only be implemented through a readiness to both act and resolve the value based problems. The studies performed by NHSFV Patient Focus has outlined that majority of the patients with problems require particular explanations regarding their issues so as to be able to provide feedback. This has to be focused on while developing solutions.
Reflections
The deficiencies in the NHS performance scenarios are directly related to the challenges which confront the organisation in terms of performing in the proper manner. One such instance could be outlined as the evolving of patient services to meet the changing formats of the particular healthcare problems such as diabetes, antibiotic resistance, obesity and others. Another shortcoming has been the administrative decision of closure of the localised health services since the centralisation drive has set in. This has fundamentally affected the capabilities of the NHS regarding meeting the needs of the aging population of the UK where, according to the studies performed by the Nuffield Trust, an additional 17000 hospital beds would be required by 2022 apart from the required increment in the numbers of the hospital staff, equipment, nursing assistants and doctors.
The improvement of such deficiency in services could be addressed through greater involvement of unpaid carers in the form of family members, community representatives and friends as well as other personnel who could be involved in the immediate support network of the patient. The staff members at the NHS trusts and other hospitals are required to listen to their patients as well as be cognisant of their opinions so that the recognising of the significance of incorporation of the values and priorities of the patients could be achieved so as to incorporate the same into care service related decisions.
However, the patients reported that careful listening on part of the hospital staff could only bring forth the improvement of care in the process of medical assistance provisioning as per the necessities of the patients. However, the patients also conveyed that the general practice of the staff about handling of patient communication was to interrupt the patients only after 15-20 seconds to the commencement of their conversation within the visitation duration. This has been a case despite the often observed fact that the patients generally do not exceed the threshold of 60-90 seconds in terms of concluding their communication.
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