'Provision of care in the NHS is integrated, seamless and effective' Essay

'Provision of care in the NHS is integrated, seamless and effective' - Essay Example Although much progress has been made, NHS clinical governance systems do not yet formally recognize the need to work in collaboration with local authorities when adult safeguarding concerns arise during healthcare delivery. There was also a clear request from NHS respondents for guidance to clarify the relationship between adverse incident reporting, complaints, and safeguarding in order to encourage reporting in a way that supports the investigation and empowers staff in the process. The aim of this guidance is to encourage organizations to develop local robust arrangements to ensure that adult safeguarding becomes fully integrated into NHS systems. This will result in greater openness and transparency about clinical incidents, learning from safeguarding concerns that occur within the NHS, clarity on reporting and more improved positive partnership working (Department of Health, 2008). NHS Lack of Communication The lack of communication with NHS has caused problems for patient care (Borrill, 2002). In The NHS Plan2 shows the need to break down barriers between staff. This was emphasized so as to tackle the inefficiencies in working practices identified: ‘Old-fashioned demarcations between staff mean some patients see a procession of health professionals... Information is not shared and investigations are repeated ... Unnecessary boundaries exist between the professions which hold back staff from achieving their true potential.’(Borrill, p.27) ‘Throughout the NHS, the old hierarchical ways of working are giving way to more flexible team working between different clinical professionals’( p82). The importance of teamwork in health care has been emphasized in numerous reports and policy documents on the National Health Service. One particularly emphasized the importance of teamwork if health and social care for people are to be of the highest quality and efficiency: ‘The best and most cost-effective outcomes for patients and clients are achieved when professionals work together, learn together, engage in clinical audit of outcomes together, and generate innovation to ensure progress in practice and service.’ Over the last thirty years this has proved very difficult because of the barriers between Professional groupings - such as doctors and nurses (Borrill, 2002). Influence and Future Practice The response of the government has been to promise a huge increase in spending on the NHS. A key challenge is how this better funded delivery of healthcare can be managed to achieve good, fair and cost effective services for the whole population. A primary prescription that policy makers and practitioners have offered for meeting such a challenge facing the NHS is the development of multidisciplinary teamwork. This report details the findings of a major national study of teamwork in the NHS on the factors associated with effective team working, and the effects on quality of care and well-being of staff (Borrill, 2 002). Planning, implementing and managing change in a fast-changing environment is increasingly the situation in which most organizations now work (Chapman, 2007). However the many complaints against NHS mannerism show their influence and practices needs improvement. Dr Janet McCray presents a grounded theory model of how inter-professional workings can be facilitated. Arising from a learning