In the recent years, the health and social care providers sometimes fail to provide efficient health care service with equality, human rights and dignity for which the patient cannot get appropriate services from the service providers. there are certain issues in delivering efficient services due to diversity, discrimination in providing the services an inequality of getting the services which raises the complications in managing the patients across the country (Glasby, 2017; Dickinson, and O'Flynn, 2016). The aim of the report is to analyse the case study of Mr. S and evaluate the existing problem that raise difficulties for Mr. S to get proper services and support from the health and social care professionals. Mr. S does not get proper service from the hospital where he is in his final stages of chronic renal failure and his life could be prolonged by regular renal dialysis treatment. However, the hospital fails to provide him proper treatment with kidney dialysis and effective medication so that he can lead a normal life and overcome his issues. Through this study, it is hereby possible to evaluate the case study and identify the issue of developing effective recommendations through which it is easy to mitigate the existing problems in the health and social care institutions.
As per the case study, Mr. S is an unemployed 41 years old man and suffering from kidney failure and the hospital is unable to provide him suitable services as per his present condition due to lack of policy implementation and poor budget at the hospital. After a long period of sickness such as diabetic, suffers from ischaemic heart disease and cerebra-vascular disease, and after those disease was aggravating the stroke as well also after couple years his kidneys failed, it is difficult for him to continue his job. The hospital denied giving him proper service at his severe condition of irreversible chronic renal failure to administer dialysis. In 2001, his kidney failed as well and he needed proper dialysis and effective medication at this stage, but the hospital was unable to provide proper treatment and care to Mr. S due to lack of infrastructure and budget which deteriorate the condition of the patient. Mr. S went to public hospital for proper treatment with effective cost for better treatment and care of Mr. S, but due to infrastructural failure and lack of budget, the public hospital could not provide him proper treatment and care, which influence Mr. S to choose the private nursing home for treatment and dialysis, which is costly for him and difficult to afford. The hospital provides the dialysis only to those who can afford kidney transplant, but for Mr. S, it is not possible to have kidney transplant, due to poor condition of his body. after that, Mr. S is forced to choose private hospital for treatment and kidney dialysis, but it is difficult for him to afford the treatment in long run, due to high cost in the private nursing homes. In this case of Mr. S, there are lack of fulfilment of human rights, diversity and discrimination at the hospital in providing treatment and care to the patients and there is lack of dignity of the patients be maintained as the staff in the hospital do not listen the perspective and preferences of the patient during developing the care plan for treating Mr. S.
In the present case study, the hospital denied providing proper treatment and care to the patient Mr. S, which raises the issue of lack of fulfilling human rights, diversity, discrimination and lack of equality and dignity for which the patient did not get proper care and support from the staff members and nurses at the public hospital. This is a serious issue in the public health where inequality in health care setting as well as discrimination and lack of access of appropriate health care increases problems among the service users to get proper care and support from the efficient service providers (Sandhu, and Stephenson, 2015; Heap, Lorenzo, and Thomas, 2009). In the health and social care, the health and social care providers need to promote cultural diversity and reduce discrimination so that everybody can get equal treatment and care from the service providers. Valuing each culture and developing patient centric approach are necessary in the health and social care, where it is possible to increase wellbeing of each patient and give them suitable care and support according to their health needs and preferences (Heap, Lorenzo, and Thomas, 2009). However, in the present case, the main issue is that the hospital failed to support Mr. S and denied giving him proper care and support, lack of dignity and poor cooperation of developing patient centric care deteriorate the efficiency of the services in the public hospital. The hospital denied giving him kidney dialysis as the patient cannot be able to manage kidney transplant at his serious health condition, for which the hospital denied him to provide kidney dialysis. The diversity and discrimination exist in this case, where the hospital should focus on non-discrimination as the patients are from different nationality, race, tribe, creed, colour, age, gender, politics, social and educational status, cultural background or the nature of their health problems and hereby it is necessary for the hospital to promote equality and reduce discrimination at the hospital (Heap, Lorenzo, and Thomas, 2009).
The Human Rights Act 1998 need to be maintained at the hospital as everybody have the right to get proper care and treatment from the health and social care institutions, however, in this ca, this is also violated as the hospital failed to develop patient centred care and provide suitable service as per the condition and heath issue of the patient (Boulware et al., 2016; Gradinger et al., 2015). In addition to this, the legislation of equality, diversity and discrimination such as Anti discriminatory Act and Diversity management practice nalos need to be maintained an implemented in the hospital so that the staff ambers and nurses can fulfil the patient’s requirements and treat all the patients fairly. It is also necessary to manage transparency ad accountability of the health and social care service so that every patient can access the health and social care, which is absent in this present case for which the patient could not get proper service from the services providers at the hospital (Sandhu, and Stephenson, 2015; Dyer, 2015). The Health and Social Care Act 2010 aims on give the individuals a greater service facility without any diversity and discrimination. it is the right of the individual to get proper service and effective treatment front he hospitals and other public institutions (Baldwin, 2016; Heap, Lorenzo, and Thomas, 2009). The care act 2010 bis also effective for providing proper guidelines to the hospital to manage the patient, but the public hospital in this case failed to treat the patient at his final stage (Baillie, and Matiti, 2013). The principles of health acre and procedure under the Care Act 2010 will provide effective practice to the service providers to develop patient centred care to treat the patient with care and support (Braveman et al., 2011; Dyer, 2015). However, in this present case, Mr. S did not get proper service and treatment due to inefficiency of the organisational staff and doctors at the public hospital as well as lack of budget and infrastructure.
In addition to these, the Equality Act 2010 reduces the unlawful treatment of the individual at the hospital and through this act the health care institutions try to treat all the patients fairly for enhancing equal treatment for all the patients irrespective of their diversity in culture, values, beliefs income level condition ad criticality of health condition (Sandhu, and Stephenson, 2015). This law also protects the individual by providing proper access of the health care treatment and efficient services where all the individual can get equal opportunity for obtaining proper heath care service and appropriate treatment according to their health condition (Heap, Lorenzo, and Thomas, 2009). In this regard, it can be stated that, the public institutions need to develop equal treatment for the all the patients across the society so that everybody can get the chance to access the services from the public hospitals at affordable cost of treatment. Additionally, the code of conduct is another effective practice which provides all the rules and guidelines to the health and social care institutions for managing the quality of the health and social care service. As per the code of conduct in the health and social care settings, the service providers need to be accountable and manage transparency and accountability at the workplace for treating the individual fairly. Open communication, cooperation with the patient and developing patient centric care are necessity in the health care organisations for treating the individual and maximising wellbeing of the patients by delivering quality care and appropriate treatment according to their heath needs and preferences. Respecting the personal rights, managing confidentiality and supporting the patient are also necessary, which are absent in case of Mr. S, where the public hospital failed to provide effective treatment, quality care and support to him due to lack of efficiency, poor management at the hospital, lack of budget and infrastructure and absence of maintaining the code of conduct and legislations in the health and social care.
It is the responsibility of the public hospital to promote equality, maintaining dignity pf the patient and maximise human rights of the individual. in the present case, Mr. S was not treated fairly with respect and dignity due to the efficiency of the staff at the hospital. The hospital in this regard need to avoid discrimination and promote integrity ion working with the patients, communicating with the individual and maximising wellbeing of the Mr. S by delivering proper treatment and quality care to him according to the health issues and preferences of him. It is the right of Mr. S to get proper care from the service providers at the public hospital, but due to lack of efficiency in supporting the patient at the hospital, Mr. S choose private hospital for his treatment which is costly for him to afford.
It is necessary to mitigate the above-mentioned issue in case of Mr. S, so that it is possible to provide proper care and effective treatment at the public hospitals by ensuring that all the patients will be treated fairly in near future. In order to improve the health and social care services at the public hospital, it is necessary for the hospital to follow the code of conduct for managing the quality of the treatment and services as well as implement the health care legislations such as Health and Social Care Act 2010, Care Act 1998, Equality Act 2010, Non-discrimination Practice and Human Rights Act 1998, so that it is possible to enhance and promote equality, non-discrimination and dignity of the patients at the hospital. The staff embers need to respect the patient and communicate with the Mr. S for understanding his preferences and health needs after proper diagnosis as well as develop proper patient centric care for Mr. S which will be effective for maximisation of the wellbeing of the individual. In addition to these, the staff member needs to reduce discrimination and provide equal opportunity to all the patients in the society, where all the patients can access the service successfully. upholding and promoting equality, diversity and inclusion of the patient in the care plan as well as managing transparency and accountability will be helpful for the public hospital to serve effective treatment and quality care to all the patients equally by respecting their needs and preferences.
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