Unit 3

[Name]
[Institution’s Name]
[Date]

pg. 1
 Table of Contents
Introduction......................................................................................................................................3
LO1 Examine the health, care and support services available to an individual requiring
multidisciplinary care......................................................................................................................3
LO2 Assess an individual’s capacity to identify their own needs to promote holistic person-
centered care....................................................................................................................................6
LO3 Describe the impact of own relationship with the individual and multidisciplinary teams
involved in the delivery of the care pathway.................................................................................10
LO4 Demonstrate the need for person-centered communication in implementing person-centered
plan:...............................................................................................................................................12
Conclusion.....................................................................................................................................14
References......................................................................................................................................16

pg. 2
Introduction

Multidisciplinary integrated care can be defined as health and social care sector promoting
practitioners and other professionals in the sector to collaborate together and offer high quality
services to patients and their families. The assignment is focused on developing understanding
about the efficiency of integrated care and multidisciplinary teams working on a shared idea to
improve patient’ experience and improve efficiency in healthy delivery system (Sara Shaw,
2011). The focus on the assignment is based on discussing integrated care and multidisciplinary
team within health and social care sector, while assessing individual’s capacity to promote
holistic person-centred care to implement adequate plan within the healthcare setting to set
perspective and deploy an inadequate person-centred plan.

LO1 Examine the health, care and support services available to an individual requiring
multidisciplinary care.

P1

According to Shaw (2011), the idea of an integrated care system is focused on improving
patient’s experience in a health and social care setting to achieve efficiency and value in the
health delivery system. However, the topic is quite broad which require working on an adequate
experience, the undertaken region selected for this study is found with carious need where
service user require proficient team to meet their different needs. The health care institution has a
professional team offering psychotherapy and counselling services, they also have a professional
team of personnel assistant to offer high quality social work for patients with dementia, etc. In
addition, the team further consistent of nursing department and GP practitioners as well (Gunja
et al., 2018a). In order to understand the nature of services, it is essential to include a case
example of Mr. Zee, he is a 64-year-old individual living in a residential home after the death of
his life. Even though, he has certain level of mobility as he is able to walk with the help of a
stick, but due to his week condition, he is frequently susceptible to fall, hence, he is afraid to
leave his place without any help (Gunja et al., 2018a).

In addition, Mr Zee is also diagnosed with early stages of vascular dementia and he
forgets his routine and rough sometimes, after this wife’s death he was living alone in a one-

pg. 3
bedroom apartment, but later was shifted to residential home so that he is looked after in a better
way. Following this case, it can be said that the hospital facility in the area is able to look after
him in a more professional ways offering multidisciplinary team consist of a GP, psychologist,
professional doctors, and social care workers to council in lead a better life and reduce the
problems he is usually facing in managing his routine. In this situation, it is important for a
hospital facility to offer different services under one roof, for example GP practice services in the
hospital are established under the Health and Social Act 2012, there are over 270,000 registered
service users in the city including Mr Zee, he was referred to the care house because he enjoy
people’s company, and there he will be able to receive continuous medical attention. Research
shows that GP practice plays an important role in developing person-centric services where the
patients are able to receive the right care system and treatment (nhs.uk, 2020).

Furthermore, the hospital also offer community mental health services registered under
CMHTs and Royal NHS Foundation Trust providing multidisciplinary assessment, treatment and
care for people to maintain and help people going through mental health disorder, it require the
institutions to work collaboratively with other medical professionals so that they are helped in a
better way and their needs are catered. It can be said that patients being refered to mental health
service unit by the GP are able to get treatment for their depression and other problems by
psychological therapies and counsellors. These bodies are supported by CCG NHS and Clinical
Commission group to improve the engagement of older people (nhs.uk, 2020).

P2

The term Unmet healthcare needs can be defined as a situation where an individual need
healthcare needs, but they are not able to receive it. It can be said that there are two types of
needs – population driven and service driven. Considering the targeted location, all basic and
other needs of people are defined such as eating, clothing, washing, mobility, emotional and
physical, etc. There are over 270,000 people in the region with urgent health and social care
needs, the figure indicates that a larger portion of population in the region require health and
social care services and they are not able to receive it due to the increasing burden on the sector.
In addition, the ageing population in the region is continuously increasing, which will further
increase the burden on the healthcare system (Peduzzi and Agreli, 2018).

pg. 4
 The reason that there has been delays in offering unmet need to elderly people under the
Care and Support Act. Furthermore, the lack of integrated care offered by the institutions and
cooperation between health and social, support care professional is another reason which require
unmet needs. For example, if a child of 4 year is diagnosed with learning disabilities and heart
problem, he will be referred to paediatrician in a larger establishment but it will take certain level
of time because of health lockdown due to Covid-19 restriction in hospitals, all the appointments
were cancelled and the child will require to wait. The type of need will have bad impact on the
child and his family, it will further cause stress about the child’s health and wellbeing (Peduzzi
and Agreli, 2018).

M1

There is a wide range of service care provider in the UK established under legal and
statutory and non-statutory setting. These firms working with a variety of inter-agency care
services working round the clock to meet the needs and demands of the user users. The agencies
work with the local City Council, Royal NHS Foundation Trust, and Mental Health NHS
Foundation established to work as a multidisciplinary team to deliver health and social care
services to people in need. These local hospitals are working under the NHS which further
include hospital care, primary care, and public care. In general, the main role of the GP is to
diagnose the initial illness of the patient and provide the treatment for the illness, they are also
required to refer to a specialist in case it is necessary (Peduzzi and Agreli, 2018). Furthermore, it
is important for an institution offering integrated care organisations to engage the primary care
services to promote health and wellbeing of the individual. Whereas, social care services work as
independent institution run under the local authority, however, they have the authority to deal
with the daily needs such as maintaining patient’s mobility, social care, offering personal
assistance such as feeding, medication, hygiene, etc. These include social workers providing
practical support to people so that they can cope with their routine and daily business, these
services are primarily offered to elderly people, children, and families with certain level of
disabilities. Their role is to provide physical, emotional, and social support to people live their
life in a normal way and maintain their independence, dignity, and control (Shaw, Rosen and
Rumbold, 2011).

pg. 5
D1

When working in a multidisciplinary team, it is important for health and social care
professionals to learn new ways of working and capitalize on new skills to develop and progress
their resources. It requires the individuals to adopt a holistic system to coordinate different
interventions and services to meet the complex needs of people, develop personal strengths, and
achieve their desirable outcomes. In care provision, it is essential for the service user and careers
to follow the complex needs of people especially when working in individual need system. It
requires the system to follow inter-agency working, for example, NHS working with CQC
involving the patient and their families involved in the treatment process as well. It will increase
the transparency of the system with shared responsibility towards care delivery (Shaw, Rosen
and Rumbold, 2011). It is also essential for the health and social care sector to improvise their
communication system and work on developing their information sharing system across the team
and service user. Furthermore, it is also important for the institutions to learn about new
opportunities and barriers working in a multidisciplinary team in the region to help their target
service user. The overall system will support the institutions to have greater independent and
wellbeing under the integrated care system in the community. Furthermore, it also requires the
institution to work on the changing demand of health and social care system to improve the
quality of care towards people, however, it requires the workforce to offer high-end training,
planning, and reflection time (Shaw, Rosen and Rumbold, 2011).

LO2 Assess an individual’s capacity to identify their own needs to promote holistic person-
centred care.

P3

The concept of health care needs as the ability to benefit from it (normative needs). This
concept, used in health policies, has led to the exclusion of care for those people who, in theory,
would not benefit from existing technology. The point of social interest is that a need for health
care does not cease to exist because the knowledge and resources to cover it do not exist. On the
contrary, this implies a challenge for the research and design of health resource allocation
systems. A health services system whose planning is based on the needs perceived by the people
must contemplate promotion, primary prevention, primary care and self-care in health at the

pg. 6
centre. Thus, paraphrasing Virchow, Labish states that a health system is required in which
medical care is "redundant". A health system must consider the provision of goods and services
within and outside the health sector, especially for the poorest, due to its implications in cutting
the cycle of poverty and reducing potential social isolation (The King’s Fund, n.d.).

From the point of view of health policies, in light of our results, it is important to
consider that: a) We must recognize the value of maintaining analytical instruments that identify
the needs and demands of people, so that they are considered and valued in the political agenda
of the sector. b) It is important to improve the image of health institutions, since they are seen as
scarce assets, and contribute to the personal devaluation of the poorest. Thus, it is essential to
keep the community informed about the normative orientations and the bases on which planning
is carried out, and to what extent what the community demands is considered. c) Families are a
potential resource in health, being the main social support against deficiencies. Family education
for self-care in health is a strategy that can be increased. The key role of women is reiterated. d)
In the popular sectors there is potential for health promotion, starting with basic aspects of
promoting healthy environments (The King’s Fund, n.d.).

These achieve the interest of the community and can be extended to other areas. e) The
relationships that people establish between illness and the socioeconomic conditions of a country
allow us to understand the importance of having healthy public policies. This is that: all sectors
aim at people's health, increasing the country's human capital. f) Finally, it is important to move
towards a model of shared responsibility in health, through communication and permanent
dialogue between the various social actors (The King’s Fund, n.d.).

P4

The meaning of individuals focused care is neither simple nor uniform. Underneath we
offer you a definition, particularly situated towards individuals with dementia, as one of the
fundamental difficulties presented by centred consideration. First, the individual should be
regarded and esteemed as a full citizen, second, it is important to foster an individualized
consideration plan on top of the changing necessities of individuals, with new components of
remuneration and reaffirmation as mental handicaps increment. Also, third, care supplier needs
to grasp the viewpoint of the individual with dementia. Fourth, steady friendly brain research

pg. 7
should be presented to assist individuals with dementia carry on with a daily existence where
they see relative prosperity. Similarly, individual focused care can likewise be deciphered as a
consideration model to work on the personal satisfaction of older individuals in circumstances of
fragility or reliance, putting the focal point of care on the individual. For this, characterizing the
personal satisfaction is fundamental (The King’s Fund, n.d.).

Personal satisfaction comprehended as the discernment that an individual has of their

place in presence, with regards to the way of life and worth framework in which they live, and
corresponding to their objectives, assumptions, guidelines and concerns. Affected by actual
wellbeing, autonomy level, mental state, relationship with the fundamental components of its
current circumstance, and social connections. From the most thorough viewpoint, considering the
Public Administration, it very well may be deciphered as an intercession model, giving a bunch
of procedures and instruments that work with customized and individual situated mediation.
Case the executives addresses an intercession model for customized care (The King’s Fund,
n.d.). It depends on the need to facilitate local area assets in light of individuals' requirements as
they give the individual a focal spot, look to accomplish progression being taken care of by
individuals. They consolidate the figure of a caseworker, as an organizer inside the organization
of social and wellbeing assets. They are focused on the plan of individual consideration plans,
where targets, activities and assessment of expert mediations will be laid out. Individual focused
care is just a have an impact on of viewpoint: not individuals should adjust to the focuses and
benefits, yet a remarkable inverse, public elements, focuses and benefits should adjust to
individuals to regard hence the independence and uniqueness of every one of the clients of our
administrations (The King’s Fund, n.d.).

M2

Learning from real patients in clinical practice is excellent for medical education; If, in
addition to this, constant tutoring and an enriching environment of continuous experiences are
integrated, this becomes a means for the development of the teaching-learning process. The
undergraduate internship or its equivalents are essential in the training of medical students, since
it is in this environment that the cohesion of all the theories learned during their training in the
classroom with the clinical exercise carried out and supervised will take place. The trend in

pg. 8
health and social care sector is oriented towards adherence to international standards to offer
quality teaching. The medical career is no stranger to transformations and improvements in
educational matters, through history these great milestones can be identified (Vorakulpipat et al.,
2019a). Science-based learning, problem-based learning, competency-based learning, and
perspective-based learning are incorporated within person-centred assessment in these stages, the
scope of the curriculum was modified, beginning with a focus on disciplinary content and
migrating towards demonstrating the capacity for innovation. The Ministry of Health mentions
that health organizations, must continuously incorporate new resources that allow them to obtain
a higher quality of the experience (Vorakulpipat et al., 2019a).

D2

It is essential to align management by processes from the strengthening of the autonomy

of health professionals and workers, to develop, maintain and improve these processes of a
human organization, as well as the mechanisms and systems that allow responding to attention
problems. Last but not least, emphasis must be placed on continuous institutional improvement
based on increasing the skills of institutional leaders and health teams, through a program to
strengthen service skills, which intervene in the institutional culture. patient and family centred.
It is important to understand, at this point, that the AHCP must be the reason for being of health
institutions, and for this reason it is necessary to perfect a culture based on human values that
facilitate the humanization of services (Vorakulpipat et al., 2019a).

Likewise, it is a priority to promote a leadership that allows contributing to the

deployment and maintenance of this culture, and to invest to improve the conditions and
development of professionals and workers in a humane and friendly environment, strengthening
their autonomy. The vital viewpoints for an organization to foster the refined patient-focused
care model are introduced as figuring out an adaptation strategy, send, normalize and fabricate
normal implications in light of corporate qualities, and accomplish process the board
arrangement. It additionally requires the specialists to fortify the abilities of institutional pioneers
and wellbeing groups and bring issues to light all through the staff. It additionally requires the
administration at medical clinics to prepare the mentors and adjust the data and client care to the
AHCP model. It likewise requires the administration to characterize and execute instruments and

pg. 9
components to identify needs, assess and screen proposed markers, self-survey and complete
outside assessment (Vorakulpipat et al., 2019a).

LO3 Describe the impact of own relationship with the individual and multidisciplinary
teams involved in the delivery of the care pathway

P5

Preparing gatherings to function as superior execution groups requires institutional

methodologies pointed toward working on the non-specialized abilities of colleagues. This works
on the presentation of parental figures and the wellbeing of patients. The execution of preparing
projects and change procedures in clinical practice is slow and complex, since it suggests the
responsibility of the state, institutional and help faculty levels, and requires a social change in the
origination of medication. I have dealt with concentrating on the utilization of test systems to
prepare specialists and experts from various disciplines is broadly utilized in basic medication
and sedative careful settings. Test system based preparing increments group execution by
working on individual authority, correspondence and treatment of hazard circumstances. The
fundamental benefit of test system-based preparing is that expectations to absorb information and
dangers for the patient are limited. In the reproduction situation, mentors can give definite,
individual or aggregate criticism with impressive skill and without the pressure of a clinical
emergency (Vorakulpipat et al., 2019a).

P6

Working as a healthcare worker, I have a duty towards my patient, therefore, I have

worked on capitalizing on my skills with the help of my team. However, I believe that it is
essential to under the legal responsibility towards professionals under GDPR 2018 before
handing the details to an outsider. In order to properly lead a multidisciplinary work team, it is
important to promotes cooperation and interdisciplinary exchange through the good work of the
group leader, whose role is to smooth out rough edges between its members and prevent people
within the group from stepping over others and feeding their desire for prominence. Clearly
define the objectives that the team has to achieve, as well as the objective of each of its members.
It clearly defines the different roles of its members so that they do not compete with each other

pg. 10
and clearly know who does what, how they do it, what objective each one has to meet, the results
expected of each one and to whom each one reports. team members (Vorakulpipat et al., 2019a).

M3

The development of leadership in the company increases the quality of work in the team.
Technological transformation, customers with new behaviours, the demand for new solutions,
require a fast pace of execution that cannot be the responsibility of a single professional. A
leader with a growth mindset increases the commitment of the people who make up his team,
makes the talent of each of them more visible and allows them to reach high-value opportunities
in a multidisciplinary team. We need to do a self-assessment, for that there are tests on the
market that show the types of skills that we lack. From there prepare an individual development
plan. What makes a person a leader is their ability to listen, take initiative and prepare. The daily
need of the professional, the demands of the service. In addition, there are courses that prepare us
to become good leaders. I think first of all the experience. The person has to be a visionary, they
have to want to be a leader, be determined and committed (Peduzzi and Agreli, 2018).

D3

Personally, the showdown with different pioneers. I believe the best trouble to be the
consciousness of old patients with respect to the need to change, to develop the help. The trouble
in emergency clinics exists since everything incorporates expenses and that restricts a great deal.
You must be inventive OK for the financial plan you need to work with. The primary troubles we
face in practicing authority is the issue of individuals' responsibility. Inside the medical clinic,
the trouble likewise exists because of the huge number of medical attendants who, ordinarily, are
on the job three times each week, which makes the connection troublesome. The way that the
vast majority of individuals are successful makes it hard to practice initiative. The stance of
somebody who works with the assurance of not losing his employment is not the same as
somebody who knows that assuming that he accomplishes something wrong he could think twice
about work. The fundamental trouble today in the city public assistance to practice authority, I
accept, is bunch precariousness. The high turnover of experts for political reasons. As far as I
might be concerned, the best trouble is the issue of relational connections, knowing how to
manage the most various characters to persuade and cooperate for shared objectives (Peduzzi and

pg. 11
Agreli, 2018).

LO4 Demonstrate the need for person-centred communication in implementing person-

centred plan:

P7

Communication is a craftsmanship, an expertise that should be dominated by the nursing

staff since we need to bargain with our patients as well as with their families, specialists, and the
remainder of the wellbeing experts in the group. It can't be perceived that a medical caretaker
isn't fit for giving honest and right data to their patients, for this reason some of the most
important concepts for carrying out adequate and effective communication techniques must be
reviewed and updated. I believe that they are capable of providing medical information at the
time they are confronted with the patient, but experts believe that one's own predisposition can
have an impact on the outcome of the interaction. Therefore, it is best to prepare for the meeting
to be optimal. We have to think beforehand that we are going to give the patient all the necessary
attention and that she is really going to listen to him before responding. I have experience that it
is also of vital importance that we prepare the interaction scenario, that we look for places of
intimacy and comfort to talk with the patient and/or families, without forgetting the rules of basic
courtesies such as knocking on the door before entering (Peduzzi and Agreli, 2018).

P8

As a professional nurse, I have worked on strengthening my skills to learn about non-verbal

correspondence. As a matter of fact, at times it isn't the case significant what is shared with a
patient, yet the way things are said. For that reason, look, eye to eye connection, grin, motions,
act, manner of speaking, are deciding variables while advancing great medical caretaker patient
intercommunication. I have experience that the look and actual contact are components critical in
non-verbal correspondence, since they give a ton of data. It satisfies a progression of capabilities;
among them we feature that of giving criticism to the medical caretaker on how the data is
showing up. Keeping in touch with the patient conveys interest in him and everything that he
says to us. Nonetheless, we should know that various societies might see direct eye to eye
connection or actual contact in an unexpected way. In our way of life, direct eye to eye

pg. 12
connection generally demonstrates that the medical caretaker is centred around the
conversationalist, nonetheless, in different societies, that equivalent eye to eye connection can be
seen as a test to one's power, an absence of regard, and so forth. Likewise, private space can be
affected by culture, age, close to home state, or valuable encounters. At the point when
somebody's very own space is abused, they might feel shaky, unfortunate, with blended
sentiments, or furious and, subsequently, they won't discuss transparently with the medical
caretaker (Peduzzi and Agreli, 2018).

M4.

In reflection, I should ensure that our words, which certify a craving to help the patient, match
our non-verbal communication. A concise grin during the meeting is a proper methodology for
all societies. Normal non-verbal correspondence hindrances to abstain from are murmuring,
moving eyes, firmly crossed arms, rushed and jerky developments while really focusing on the
patient, and inquiring as to whether they need any extra consideration when we are leaving the
room. the room. These nonverbal correspondence signs pass that we come up short on time or
want on to give quality patient consideration. Correspondence is one of our best weapons to have
the option to give quality patient-focused care. I must know about the hindrances to this viable
correspondence as well as the new difficulties of care adjusted to the patient's way of life, which
can turn out to be in excess of an issue, a valuable chance to fill in our calling (Peduzzi and
Agreli, 2018).

M5

These judgments allow me to understand that the nurse-patient interpersonal relationship goes
through nuances of communication and care: it encompasses care oriented to procedures,
fundamental nursing procedures and logical information (instrumental consideration), which is
introduced by true correspondence; and incorporates care situated towards abstract, wistful and
intense subject matters (expressive consideration) that is appeared through emotional
correspondence, which we characterize as a language where the sensations of the subjects
included go through a trade of messages. The understanding of the communicative action made it
possible to observe during professional practice in the 24-hour Emergency Unit that, at first,
nursing care is directly articulated with the "time" factor. This is because this scenario requires

pg. 13
professional agility and mastery of technical procedures, given the immediacy of results imposed
by urgent and emergency situations, as well as an excessive number of visits/days. In an
emergency, time is of fundamental importance in established relationships, since on the one hand
the patient demands that his needs be met promptly and on the other the professionals need to
attend to the patient's demands, be prompt and immediate as recommended by the institution's
standards (Peduzzi and Agreli, 2018).

D4

The lesson I have learned from this experience in the emergency scenario, the nurse needs to be
attentive to the different forms of non-verbal communication, since many patients who arrive at
the unit have an unfavourable clinical condition for verbal communication. The nurse at that time
needs to observe what the facial expression and the body manifest as signs and symptoms, in
order to evaluate the objective and subjective clinical picture and institute the appropriate care.
Thus, care arises from the perception and observation of the other, from the knowledge of the
needs of those who seek help and this favour the nurse being attentive to verbal and non-verbal
signals. For me to implement the care that the patient himself is going to demand, his body is
going to talk to me [...] I am also going to interview him to find out what he needs most and,
based on that, trace the behaviours. When the nurse establishes the relationship through
communication, she fulfils the purpose of care, since in any healthcare environment verbal and
non-verbal communication are present, as well as the interaction of the subjects (Peduzzi and
Agreli, 2018).

Conclusion

To conclude, it can be said that procedures and logical information (instrumental consideration),
which is introduced by true correspondence; and incorporates care situated towards abstract,
wistful and intense subject matters (expressive consideration) that is appeared through emotional
correspondence, which we characterize as a language where the sensations of the subjects
included go through a trade of messages. The analysis indicates characteristics of communication
and care in each care space of a 24-hour Emergency Unit. In the reception and risk classification,
despite the fact that nurse-patient communication is presented objectively due to the need for
orientation and direction of flow, other attitudes are evident. The communication is oriented to

pg. 14
the completion of the risk classification instrument and to the approach of subjective needs that
occur in the disease-health process. Another singularity refers to the first moment of the
interaction, in which the nurse is cordial and attentive, but when the patient's dissatisfaction
occurs, she needs to maintain self-control and personal withdrawal.

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