ASS134 Fe

ASS134-3
Health Services Planning and Management
Student ID Number
Assignment One Answer sheet
Submission Date
Please answer all questions fully

There is no word count for answers.
Remember to add in-text referencing but you
do not need to provide a reference list as this
is already in your notes.
Q1) Discuss the factors in the case study that
reflect an invisible asylum for the service
users.
A total of over 5,000 youngsters in England are in care at any one time, and the case study
revealed that local authorities are under significant pressure to provide suitable living
arrangements for youths aged 13 to 16. As a result, municipalities have started making use
of unlicensed care facilities. The aim is to provide a safe environment for at-risk teenagers
in the near term. Nonetheless, the youth often stay for a while and then go on to
community-based independent living. Due to things like these worries, an invisible refuge
has been established for this population:
Terrible children accommodations: poor accommodation, like that in the practical

example, is seen as inappropriate in the hospital setting. In damp settings, children are
exposed to several kinds of diseases including cholera and other infectious diseases. .
There is less physical freedom when there are too many people in a place, as the 5,000
children in the practical example. Insufficient insulation Unsafe; maintenance are
necessary; there also issues of electrical problems in such case which is harmful to the
children. There is a healthcare gap since no one is checking up on the children to see
whether they are being cared for where they have gone because the institution is
overloaded and children are escaping thereby causing an invisible asylum to this
population.
Care facility care that is not regulated: Age-appropriate activities and resources have to
be readily accessible at children's accomodations, hospitals and other care facilities. Each
carer and programme participant must pass a thorough background investigation, get a
certificate for working with children, undergo a physical exam, and complete a child care
education course to improve inclusive practice. According to Local Authorities in this
given scenario, children in care, often those above the age of 16, are helped to live more
"independently" in "unregulated housing." This arrangement is often referred to as
"supported housing," "autonomous and semi-independent homes," or plain
"accommodation." Unlike to foster care or children's homes, which allow young people to
transition into adulthood at their own pace, unregulated housing, on the other hand, is not
required to adhere to any specific laws thereby creating an invisible asylum.
Inadequate safety for protecting children: Strategies to guarantee the safety of children
are included in safeguarding but not seen in this case analysis. The healthcare facility main
objective is to protect the children who have been identified as being in crisis or at danger
of suffering significant damage. The procedures to follow in the case of a child welfare
issue are outlined in child protection policies and protocols. Yet, the case study
demonstrates that the medical facility did not sufficiently protect children. Because to the
many types of prejudice and discrimination that these children experience, including their
exposure to hazardous substances like hard narcotics, this community now has increased
the issue of invisible asylum.
2) Explain the actions that need to be taken in

order to mitigate the factors that create the
invisible asylum
To mitigate the aforementioned factors that create an invisible asylum for this demography,
the following actions are necessary:
Promoters of policies that motivate care homes and hospitals to accept government health
insurance can influence lessening the effect of the case study's invisible asylum issue. As
previously stated, this may be accomplished by raising awareness of the responsibility of
community health professionals in addressing these access issues. Enrolment and
advertising of public health insurance programmes should be improved and streamlined.
Government should facilitate effective training for healthcare staff in safeguarding
vulnerable children as this will help promote quality of health for the children and reduce
the practice of invisible asylum (Kearsley, 2014).
Another action plan to adopt in reducing invisible asylum is by recruiting qualified workers
to deal with the problem of invisible asylum. From the case study it was observed that the
number of healthcare workers cannot accommodate 5000 vulnerable children therefore,
more capable workforce will help motivate workers to encourage person-centred care. The
case study demonstrated that dissatisfied staff members contribute to subpar care for
hospitalised patients. Those in charge of staffing healthcare facilities must develop
strategies to keep personnel from leaving (Kearsley, 2014).
Hospital care managers who do not compromise on recruiting will have a lower turnover
rate. The solution is to increase employee involvement (Lux, 2009). Workers that are
invested in their jobs perform better and show greater loyalty. A doctor like that will do
whatever it takes to ensure their patients get the best care possible. Contrarily, a disengaged
worker may do the bare minimum and not think twice about leaving for greener pastures
(Lux, 2009).
3) Outline the actions that you see as

priorities and discuss the risks to:
A. The Organisation if not addressed.
and
B. The Service Users if not addressed.
The Organisation:
Communication threatens the organisation since it lowers the quality of care given to
patients. If staff motivation and patient inclusivity can be increased via better
communication, the healthcare facility will see an uptick in their patient population as
children will no longer abscond from the care home. According to the NHS,
miscommunication results from unsatisfied patients as children in the care home describe
the staff as nice and friendly, but they do not like the fact that they are expected to go to
bed by 10pm and get up by 8am. Better patient outcomes and reduced hospital
readmissions may result from including patients in their care plan and pay closed
concentration on patients’ need (Visconti, 2016).
The service users:
Among the possible hazards for the children in the facility are the use of drugs issues
which are inadequately addressed since essential medical care is unavailable. When a
person-centred approach is not adopted, health monitoring for long-term diseases such as
depression, and anxiety, which may reduce the quality of life or even death, is less likely to
occur. Effective chronic illness treatment may enhance health outcomes for low-income
people, and the UK healthcare system can sustain its present level of investment (WHO,
2016).
Lack of patient participation and inclusion is a further threat to service users. By including
patients in decision-making on their care, medical practitioners may improve patients'
health and well-being, provide better care, and ensure they utilise healthcare funds wisely.
Better health outcomes and financial savings for the state result from citizen participation
in health and care (Hynes, 2015). Comorbid patients who suffer from more than one illness
at once may benefit from patient-centred treatment. Patient-centred care might be a
medical treatment that considers everyone’s values, preferences, and cultural norms while
ensuring that such considerations are paramount in clinical decisions (Hynes, 2015)
4) Present and explain a methodology of

intervention that you would use to effect
positive change in planning, management,
improved delivery and review of the service.
A methodology of intervention to effect positive change in planning and management
is the application of the Kotter model to organizational change.
Eight phases make up the Kotter change process: instilling a sense of urgency, building
influential guiding alliances, formulating a vision and plan, disseminating the vision,
eliminating roadblocks, and giving workers the authority and resources they need to
implement the change. this phases are further explained in relation to the case below:
Organisational transformation using the Kotter model.
 Modify plans; incorporate a compelling reason and a solid motivation to act.

 Build a capable steering group by assembling individuals who acknowledge the
necessity of change and have the power to affect it.
 Have a plan for persuading others to "buy into" the change necessary for
sustainability.
 Progress may be made by discussing the strategy with all stakeholders involved.
 Aid folks in achieving their goals by supplying the necessary resources.
 Planning for and achieving short-term triumphs is critical for inspiring ongoing
attempts to effect change.
 Maintain the advantages obtained and strive for even greater success.
 Incorporate new techniques into existing frameworks to establish the standard
(Baloh et al., 2017)

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ASS134-3

Health Services Planning and Management

Assignment One Answer sheet

Please answer all questions fully

Terrible children accommodations: poor accommodation, like that in the practical

2) Explain the actions that need to be taken in

3) Outline the actions that you see as

4) Present and explain a methodology of

 Modify plans; incorporate a compelling reason and a solid motivation to act.

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