T1 care Professional practice is a terminology

T1 Professional practice in health and social
care

Professional
practice is a terminology used to describe the changing roles and expectations
of different types of professionals. This term is used to describe how our
professionals provide good services to their service users.

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A
good professional practice is achieved through professional development. This
is the process where our professionals take time to study their own experiences
so they would be able to improve the future practice. It is a progression that
allows health and social care professionals to look back at their own
experiences and consciously think through all the decisions that they have made
and whether the decision was beneficial or not. (Wyatt, L. Wedleke, P. Peteiro,
M. Rasheed, E. 2017) 

Key issue 1

In Recent years, health and
social care establishment has been plagued by a series of scandal and failures
of catastrophic nature in respect of identifying underlying problems in
healthcare and the lack of team work across the healthcare settings.

D1&D2:

Failures of identifying underlying problems is
one of the key issues in healthcare. This issue occurs when healthcare
professionals fail, to conduct the recommended series of test and examinations
before imposing the diagnosis on their patient. This is a very important issue
because giving the wrong diagnosis to patients can cause a detrimental effect
on their lives. This is because, after diagnosing the patient the healthcare
professionals would prescribe a set of medication that would support and help
improve the health of the patients. However, because the diagnosis is wrong,
the healthcare professional could prescribe the wrong medication to the
patients which could then cause their health to get worst and create another
health problem for them. This is the reason why health and social care
professionals are recommended to use their code of conduct as a guidance to
help enable them to practice effectively and promote/preserve the safety of
their patients. (Nursing and Midwifery Council
NMC, 2015)

This links to the investigations conducted by Dr Bill
Kirkup into the Furness General Hospital in Barrow. The investigation clearly
highlights the catastrophic failures of care that could have cause the sudden deaths
of “three mothers and sixteen babies.” (Bunyan, 2015)

This enquiry was conducted between 2004 and 2013, following
the unreasonable deaths that were occurring in the hospital. The examination clearly
highlights that the maternity unit in this hospital was “seriously
dysfunctional” (Bunyan, 2015), meaning that there was no system and order in
the hospital and that none of the procedures were functioning well, imposing
the blame on the frontline staff at the Furness General Hospital. The report
clearly conveys that the frontline staff were responsible for the “inappropriate and unsafe care” (Bunyan, 2015) provided
to their service users, by conducting a series of repeated failures and not
reflecting at these failures but continuing to work as if nothing never
happened. One of the key issues in this hospital was that the frontline staff
were not conducting in-depth investigation to help them identify the underlying
problems. This failure started back in 2004, when a new born baby died from a
shortage of oxygen due to a mishandled labour. (Bunyan,
2015)

After this incident, the frontline staff conducted a
basic investigation, with minimum information of what occurred, failing to
identify the reason why this baby died after labour, so they were unable to
implement different types of clinical care to prevent this incident from taking
place again.

However, because the underlying problem was not solved,
between 2006 and 2007 there was a series of events that took place in the hospital
putting the health of their patients in danger. 2008 was seen as one of the
most devastating year in this hospital, where five serious incidents took place
in their maternity unit, claiming the lives of both babies and mothers. Some of
the stories that stand out the most were, the stories of a mother that died
following untreated high blood pressure and a baby that was damaged due to a
shortage of oxygen during labour. (Bunyan, 2015)

C1:

These case studies clearly illustrate that the
staff at the Furness General Hospital were not adhering to the acts and legislation
that they had to follow as health care professionals, below there are some
examples of them.

A key legislation that the professionals
failed to comply with is The Human Right Act 1998. This Act, reassures any
individual and gives them the right to be safe no matter who they are or if
they have committed serious crime. The professionals at this general hospital
clearly violated article 3 of the human Right Act, which states that everyone
has the right to have “freedom from torture and inhuman or degrading treatment”. (Human Rights Act 1998) Considering these case studies, the patients
were not exactly physically or mentally assaulted by the staff, however they
receive undignified treatment. Dignity is all about the natural value of human
being, in this case these women were not treated in a dignifying manner as they
were treated in a degrading way due to lack of attention and treatment they
receive from their practitioners. This can also be seen as inhumane because the
lack of treatment and the repeated failures of identifying underlying problems
of these death led these vulnerable patients to a preventable death. The
investigation clearly highlights how these deaths could have been prevented, if
the health and social care practitioners followed the correct procedures when
they were conducting their initial investigating. The professionals at Furness General Hospital,
should have known that every person has the right to be treated with the same
respect as them and that they have no right to disrespect them by proving a horrendous
service to their patients.

The Care Standards Act 2000 is one of the
legislations that will need to be strengthened after reviewing these case
studies, most of the women in this maternity unit received indigent care which
goes against The Care Standard Act 2000. This legislation clearly states that
all the workers in the health and social setting must ensure that all the
individuals are placed at the centre of the care being giving. This can be done
through ensuring that they meet all the standards stated in The Care Act 2014.
This legislation summary all the responsibilities that the staff at the Furness General Hospital needed to follow, however the staff didn’t do so. The
professionals at this general hospital, had duty to promote the wellbeing and
the safety of their patients. I believe that a way to prevent this cause from
reoccurring in the future practice is to ensure that all the health care
setting follow all the legislation as by doing so they will not be able to harm
or endanger any of their service users.

C2:

All these deaths took place because the healthcare
professionals failed to identify the underlying problem and they didn’t have
the clinical competency that would enable them to identify the risks involved
in the work that they were doing. All the investigations were conducted in this
unit was clearly not sufficient as it did not retain the information to help
them identify the areas of concern. (GOV.
UK, 2015)

The nurses and midwifes at this maternity unit clearly
lacked the ability to practice safely as professionals. Which then goes against
the professional standards designed by the Nursing and Midwifery Council, also
known as the NMC. One of the standard in the NMC clearly states that the nurses
need to be able to “Practice effectivelyHB1 HB2  and Preserve Safety”
(Nursing and Midwifery Council NMC, 2015).  However, looking
at most of the event that occurred in Furness
General Hospital maternity unit, most of the staff were not practising
effectively by not providing an accurate assessment to their patients so they
were unable to treat them and give them the effective support that their
patient needed. Looking at the story of a mother who died because a preventable
high blood pressure, the nurses and staff failed to identify the fundament problem
which then led to the death of the mother. This failure could have taken place
for different types of reasons such as lack of knowledge and lack of
experiences. According to the NMC clearly states that all the nurses and
midwifes need to maintain their knowledge and skills so they would be able to
provide a safe and effective practice. (Nursing and Midwifery Council NMC, 2015)

The nurses and midwifes in this maternity unit, were not
working cooperatively therefore they were unable to identify the underlying
problem. Working cooperatively is one of the skills needed by both nurses and
midwifes, this is because it allows them to work together to share their skills
and knowledge and experiences to help treat and provide a good service to
service users. If all the healthcare practitioners in this maternity unit were
working together, they would have been able to share their ideas and helped to
put all their knowledge together so they would have been able to identify where
and why their patients were dying so could have used other clinical care to
help prevent more patients from dying. (Nursing and Midwifery Council NMC, 2015)

 

 

 

 

Key Issue 2

D1&D2:

Failure
of team work is one of the key issues that is still reoccurring in health and
social care, even if the government has implemented new legislation to ensure
that all agencies work together, so they can share vital information when
needed. This issue normally takes place when some agencies fail to share
information with other agencies, so they would not be able to put all the
information together to see what is clearly going on. Without knowing what the
issues are, the healthcare professionals and the other professionals in the
other agencies will not be able to prevent or detect what is going on.
Therefore, it is very important that all the health care professionals work
with other professionals in other agencies so they would be able to work togethercb3  to
solve the problem or to prevent a problem from occurring. Failure of team work
clearly links into professional practice because The Care Act 2014, clearly states that
it is the responsibilities of the professionals to ensure that they work with
all the professionals from different agencies so they can communicate together
and share information if they see any sign or indicators of abuse. (Aldworth,
Whitehouse, and Moonie, 2013)

Recently there was a serious review on the case of Steven Hoskin,
a vulnerable adult that had learning disability and still lived alone in his
apartment. Steven was tortured and murdered because of his disability. Looking
into the investigation, before Steven was murdered he made several calls to
different types agencies in health and social care department, this includes
the police and health care services, to alert them and give sign to show that
he was in danger.

On the other hand, the health care services did not
identify the patterns Steven’s calls so they didn’t recognise the fact that
this vulnerable adult was in danger. Steven desperately wanted to have friends
so he accepted the friendship of some strangers into his life without realising
the dangers. He started to bond with his new friends without realising the true
mining of their friendship and not knowing that they were going to lead him to
his death. He was tortured and force to undertake several actions that
endangered his health. Then his new friends compel him to leave his house and
walk towards a railway. After reaching railway, Steven was forced to jump over
the safety rail and fall to his death.

C1and B1:

Due to
Steven’s disability the healthcare professionals should have known that there
was a high risk of Steven being bullied, so they should have made weekly plans
to check on him, even if he did not want to be checked. This is because,
depending on the learning disability that he had, Steven did not have the
mental capacity to understand the true meaning of the friendship between him
and his new friends. Therefore, the learning disability that Steven had
automatically made him vulnerable which then meant that the healthcare
professionals and other agencies had to use both The Mental Health Act 1983 and
The Mental Capacity Act 2005 to protect Steven. The Mental Health Act 1983,
would have ensured that Steven received the right care and treatment. This act
would have helped the healthcare professionals prioritise Steven, by ensuring
that they were monitoring his safety and wellbeing. Looking in depth into this
case review, Steven lacked the mental capacity, which would have enable him to
distinguish between good and bad. Therefore, the health and social care
professionals had the right to protect Steven as he did not have the capacity
to make his own decision. The Mental Capacity Act 2005, help to protect
and empower vulnerable people who have no got the capacity to make their own
decision. The act clearly states that the person/ people that can make decision
regarding any circumstances or situations. This another way of allowing people
that are more likely to lose their mental capacity to make some plans ahead.
(Aldworth, Whitehouse, and Moonie, 2013) This
act helps to protect the people that have mental problems by clearly stating
the person that would be able to make decision for them so they will not be
exposed into any unsafe decisions or harm. (Aldworth,
Whitehouse, and Moonie, 2013)

C2:

Before his tragic
death, Steven made several calls to numerous agencies all of which should have
alerted them to the danger of his situation and his vulnerability. According to
the investigation, every agency had a piece of a jigsaw that needed to be put together
to view what was causing Steven to call the emergency services very often,
however they never discussed the information that they had, leading this
vulnerable adult to his death. The investigation portrayed that the police and
the ambulance services were called to go Steven’s house in numerous occasions,
each time these were attended by different police officers and paramedics,
treating Steven case as one off-event. There was no communication between these
agencies so they were unable to put all their jigsaw puzzle together to
actually see what was going on in Steven’s life. Infective communication caused
the death of this vulnerable adult, as all the agency failed to safeguard him.
On the other hand, if the was an effective communication between these
agencies, Steven would have survived this tragedy. Each agency had a very
strong sense of failing a vulnerable man, but they were able to move on by
making some changes to their procedures. The police forces have a new
development to help prevent cases like Steven’s from reoccurring again. Now the
police forces are required to read about serious case reviews and think about
the neighbourhood policing.

B Grades

What is equality and what is diversity and inclusive
practice?

 

How does this contribute to professional practice?

Example of practice to support practice

 

 

B3:

How lack of training and experiences of professionals can endanger
lifes

Lack of team work can have an impact on the life of a
vulnerable person

The importance of legislations

Training

The importance of code of Conduct

How we can support equality and diversity in practice and
how it would enable us to improve future practices  

 

 

 

 

 

 

 

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