Working in partnership is a fundamental component of practice in health and social care settings.. The concepts of joint, consultation and power sharing, are methods of working and for an effective service provision, they are very important. As Social Care workers we must to understand the importance of promoting service users independence, also we need to be attentive of their own roles and responsibilities and how they relate to others health care sector. It is known that, the nature of partnership it is divided on three levels. 1- Partnerships with users of services which authorise people to do informed choices and encourage independence. 2- Partnerships between different professionals within health and social care and inter-agency collaborating. 3-Organisational partnerships.
Partnership philosophies means: making informed choices, power sharing independence, self-sufficiency or autonomy, respect and empowerment. Partnership relationships with service users ,means working with : -children, elderly, young people in care, people with disabilities, people with learning difficulties, people with mental health issues, patients, refugees, asylum seekers, Partnership relation with professionals groups, also means working and collaborating with: social workers, health workers, educationalists, therapists, support workers Partnerships with organisations as well means working with: statutory, voluntary, private, independent, charitable and community settings. Health-Social-Care Professionals have an important role between partnership employees. Each level and professional group depend on, some sort of activities, which transmits the performance of the group.
It is known that are different levels of each group and as well different schemes of working but now I will discuss about the 3 levels of working in partnership in Health and Social Care Sector. Users of Service and professionals level:-As is known, health-care professionals are a part of group that relays towards the residents, meanwhile the residents, as well, they are playing a significant role and convey a result on professional team. It is useful to deliberate the significance of the support-workers, for the reason that, they are working in partnership with services users and they as well help them in becoming independent Professionals-workers, offer to service users, some extra settlement in the shorter time, but they every so often are not accomplished for a long-term benefits. Support-workers, performing work in partnership with services users and aid them in keeping their status on high standard.
With the purpose of undertake regular tasks and to do some modifications making sure that users of service get the short-term objectives but still they not pass ,to do so, in long-time. The report displays, that the outcomes, tell us about the need for the residents, to aid the users, in mental health, support workers to increase the group competence with the purpose of get a professional side view, in the meantime, they do it clearly for each of health care professionals, laterally with the users of services, should have to have a stronger understanding nature of supporting work, so, it could aid them, in placing the health sector in the direction of a higher level. -Interpersonal-level- is the second level and still fairly a significant level of HSC in working in partnership, is interpersonal skills. In this category, the group of retired workers such as: old age class, find it less problematic to offer the needs, in less demanding, way?
For the reason that, they have plenty of time to perform their job. Most of the individuals in the category of younger age class, they are feeling a little bit isolated, than the retired class, and this make it more problematic to achieve their wishes. All of these lead towards more emphasize on the interpersonal level to work in partnership. Therefore the interpersonal team, inclines to work the relationship with diverse levels of teams and make them to carry their wishes more efficiently. Working in teams, means, make it easy’’ and as well, to have a good understanding with the group to make the life easily. The method in which, local health services and practices work, appear to be separate alongside with these destitute assemblies. It might be, because, they have too many conflicting priorities or are less skilled at negotiating their chosen appointments. -Organizational-level- is the third level which take a new look when is coming about the importance of working in partnership.
The concept of partnership has a remarkable impact on employment’s social-policy problem. Therefore a new perception rises when we need speak about ,partnership and collaboration, for the reason that, both of these have some, new’ themes , Employment’s social-policy, mostly in admiration of the autonomy of health and social care. However, the terms are barely always definitely clearly and difficult to study, in utmost understandings partnerships has some consistency upon good structures of inter-professional relationship. By going from side to side, the past literature on the social behaviour of professionals, and in the meantime the nature of interprofessional working, one of the study displays that reciprocal functioning working in health social care, is hard to get, the difference in authority and culture among a mixture of occupational groups, and the logically competitive background of profession pushed for region in the identical areas of activity.
It displays, that, the matters which are handled in care, must to be solved before they become more difficult and therefore are properly understood. A metaphoric application to the absolute benefits of ‘partnership’ without any other way, it aids in upholding the quo-status and efficient profit in partnership working. Meanwhile we can also maintain an proper role for social work in the situation of partnership working at the organization level which has a brilliant role and area of study that make it more beneficent has therefore not defined moreover the cause is related and is unique from the related professionals.
Almost, in every country of the world, there are problems of division and a deficiency of continuousness in services for older individuals and other groups of people with complex and numerous needs. In different countries working in partnership, has a range of different models, each with them strengths and them limitation foe example:-Program of Care All-Inclusive for Elderly People and Social Health Maintenance Organisations in America.-SIPA project in Canada.-Rovereto Project in Italy.-and in Australia, Co-ordinated Care Trials’. Nevertheless, in English background, partnership working among health and social care, is a central characteristic of government policy and the concentration of an important variety of activities at the local level. The model of partnership can be perfected with an order, which is beyond a single identity, for the reason that similarity sometimes, may result to avoidable disagreement among the 2 working partners.
Nevertheless, there are different styles of modelled partnership, which may work among the 2 health care structures, For example: -Project partnership model- is the type of partnership with limited-time and it is designed to benefit for both health social care centres. – Problem orientation partnership model – is a designed association, destined to meet the difficulties of both health structures. – Ideological-partnership model -’ is the partnership point of view of the both systems where any decision- making have to be taken in consideration -Ethical partnership model-is a designed model-partnership, destined to develop a better way of living for clients and consumers and patients. Reacting to the highlighting of central government on working in partnership, a large number of different partnership activities have been settled in different parts of the country, together with Care Trusts, Use of the Health Act flexibilities, Joint Appointments, Use of Staff Secondments and Joint Management Arrangements.
Health-care structure needs to be branded by high levels of citizen-empowerment plus service-user group with the intention of make it more operative. The service-users, have an immense access in the direction of large data- information, about health-care and in this manner they can have a good opportunity to choose where to have management. In England, transference of health-care towards local and regional government had led to health-care being well thought-out according to the needs of local residents pretty than at national level. .From a dogmatic viewpoint, at national level, there are a number of organizations including: Board of Health and Welfare, Medical Responsibility, Council on Technology Assessment in Health Care, Pharmaceutical Benefits and Medical Products Agency. National Board of Health and Welfare, has many different responsibilities in the fields of social services such as: medical and health services, health-environment, transmissible disease prevention, control and epidemiology, which produce, across the country, every year a report of health-care performance.
The committee members on Pharmaceutical Benefits Board, which regulates the pricing of medicines, are from groups of service user. The service-users have been demanding more equal relationship with their health-professionals and they, are no longer, accepting the traditional role of the patient as a passive recipient of care. Their demands for greater participation in their individual care have been heard and the government and health provider have been encouraged to frame policies with more objectives of boosting the participation of service-users in delivery and planning of health -social -care, services. A lots of studies have been made, to improve the standard and the importance of service-user group empowerment. According to Smith, Prosser, & Joomun 2007, the assessment of a new health scheme, has produced some results of service-users’ mind-set for health support workers, through the emphasis group debates and a series of interviewees.
The purpose of the studies have been made to define the efficiency and suitability of some unique performance which are offered by support-staff. According to Corcoran 1985, in earlier research, he found out, the similarity in patient’s mind set of para-professional and professional therapist. Corcoran chosen, that service users which were stronger to look for aid from para-professional then professional therapists, with ranges such as constancy and understanding offerings no significant difference. Both, objects offer strong sustenance for the use and occupation of para-professional staff, representing, for the most part, which both, service-users and visitors are relaxed with their involvement in health -social service area. Models of service-users- Like Mackenzie-2006, den BoerÂ et al.Â -2005 studied the involvement of para-professional as a resources for effective cost criteria to give up the encumbrance for health-professionals, with specific circumstances, on the way to their success in the self-determination of psychological treatment for melancholy and anxiety illnesses.
The objects which put forward this, as well put emphasis on mind-set of the service-user, pretty than the professional, as it was in situation of Mackenzie 2006]. Para-professionals involved in den BoerÂ et al.Â, were hired as mental health care members, which are rewarded to perform their responsibilities and aid the voluntary staff, as well, they call for no experience in observation to the delivery of psychological treatment . Â Research displayed, no statistical modification ,among the relief and use of treatment among para-professional and professional groups, but there are some compromises, that ,study of the chosen group from service users’ viewpoint favoured para-professionals supporting, the previous work of Corcoran-1985.
The aims, of the studies, were aimed at identifying the function of mental health, which sustain employees in noticing by service-users and health-care professionals, this consecutively recognizes the level of function of para-professionals as associates of community mental health-care 2.2- Legislation –is the law which is publicised or passed by a governerning body or it is the process, through which, the rules are passed by a legislative body which is recognized and authorized to do so. Policy -is a declaration of approved intent, which obviously and indisputably sets an organisations’ views with high opinion in the direction of a particular matter.
It is a pack of principles and rules, which offer a certain direction for an organization. Procedure and Practice is a clearly method for implementing an organisations step by step policies or responsibilities. Procedures refer to a logical structure of activities and processes which have to be followed, to complete a duty or role in an accurate and reliable method .In HSC there are current and relevant legislation plus organisation practice with policies and procedure which affect partnership-working, such relevant legislation are as following: -Equality Act 2010 – Care Standard Act 2000.
– Disability Discrimination Act 2005.
Equality Act 2010- is the law that was passed to prevent different categories of discrimination, for example indirect and direct discrimination, abuse and persecution. According to Wikimedia Foundation, Inc -January 13, defined Care Standards Act 2000 as an Act of the United Kingdom Parliament which offers for the management of a variation of care institutions, comprising children’s homes, independent hospitals, nursing homes and residential care homes. The Care Standard Act-was passed in April 2002, by replacing Registered Homes Act 1984 plus sections of the Children Act 1989, which refer to the care and the accommodation of children. Disability Discrimination Act 2005, as originally decreed, contained provisions making it un-lawful to discriminate against a disabled people regarding hire, the delivery of goods, services and facilities, and the clearance and controlling of locations.
It also kept in check some supplies in relation to education and allowed the Secretary of Transport to create guidelines with a view to simplifying the ease of using taxis, public service transport and rail vehicles for disabled individuals. The 2005 Act, creates significant improvements in the direction of the Disability Discrimination Act 1995, constructing on corrections already made towards that Act by other legislation since1999.(www.legislation.gov.uk/ukpga/2005/13/notes/contents). A disabled person, under the Equality Acts 2010, is an individual who has a physical or mental deficiency which have a considerable or long term negative consequence on their capacity to do normal regular activities as well Individuals with progressive conditions, individuals with HIV contamination, cancer or multiple sclerosis, automatically run into the disability definition, under the Equality Act 2010. Dependence people to non–approved drugs or alcohol, they are not enclosed by the disability explanation. (www.gov.uk/definition-of-disability-under-equality-act-2010).
Alongside with the acts, demarcated above are some other important ones, similar to Children Act 2004, Data Protection Act 1998, and Health Act 2006. The objective of these current legislation and organisation practice with policies and procedure is to restructuring the law, relating to the assessment and regulation of numerous organizations in health social care and make sure a smoother, reasonable and durable working-partnership.
2.3- Organizational practices and policies can help in increasing the productivity of the workers. Working in partnership can rise their moral and it can as well aid them to progress the quality of work in various methods. Almost of the administrations has policy-makers and researchers, which work in various ways to create some in the fields of structural development. This aids, in gaining the human-resources management and social-care of workers determination, which has valuable viewpoint on the structural and human-resources challenges facing difficulties on the subject of group-work and working in partnership.
There are new administrations in which it is significant to contemplate that workers catch an extra benefit from working in partnership. In particular, the team-research would desire to create links with the research-team undertaking the, National-Tracker -Survey of PCGs plus PCTs, and other key researchers in this domain. In addition, the duty which the users of service achieve, it make it more and more appropriate to them. The Most important motive behind creating service-user performance count is that the administrations are not going to concern about the quality of work of their workers in other words, the quality of their work groups as well growths.
LO-3- Good partnership working must be based on:-honesty and opened communication-regard for the knowledge and experience of the individual and, where is applicable, to their caretakers regarding to their condition, circumstances and preferences for care. Choice, equality, sincerity, trust and sympathy plus effective and accessible support ,all of those are the good outcomes for working in partnership To aid people to take a more pro-active role, in dealing with their long-term condition ,they and where is applicable their support workers, must have access to the info and support which they need , developing the knowledge and confidence, communicating efficiently with health-care professionals and participate in planning and decision making for their private care .In return, professionals health-care , must to develop new skills in communicating and interacting with service users and their support workers as partners and make sure that productive response and evaluation processes, are in place which will simplify an open and truthful communiqué.
Improving partnership-working in and among organizations ,require to identify and remove barriers in the direction of effective working across the all care lines and crosswise self-controls and specialisations, this can involve revising and improving systems and processes, such as: -to extend the placement of multi=disciplinary groups, -to identify and address areas of overlap and duplication which can obstruct operative services -to examine how schedules for out of hours sustenance could be improved -to ensure effective release procedures are in place supporting individuals leaving the hospital. -to look at how communication-systems can be quicker and how can be made more effective, so that individuals are seen by the precise person, in the exact place at the accurate time.
The Department of Personal and Public Involvement Policy -subsidises to this, by appealing the participation of people and organizations informing and influencing the progress and development of services. Officials, statutory, independent, voluntary and community sector suppliers, must build on the relationship which is already in place, identifying how the services are planned and how can be more developed, re-designed and incorporated to meet people’s needs. This will mean, harnessing the knowledge, expertise and resources of residents and carers, along with the voluntary and community area. The services and the facilities offered by the voluntary and community sector, like as: access to transport, complementary therapies, patient education and equal support teams can play an significant role in improving the services delivered in Health and Social Care.
Working in partnership means, looking further than health, social and care, in the direction of more collaborative work, with other Agencies, Government Departments, Organisations and Services in sectors such as: benefits, housing and employment, addressing the broader factor, which affect an individual’s health, wellbeing, quality of life and stimulating operative methods to address these. Communal barriers which can be found in partnership working are: -Poor or lack of communication,-misinterpretation of situations, -Unreliable or incorrect record-keeping.
– Not following the policies and procedures.
Obstacles, such as , I have just mentioned them above ,can stop individuals from efficiently communication with each other, which can create distress and as well can hint in the direction of certain dangerous situation. The way, in that, a lack of communication can make harms could be seen in the, case of Victoria Climber. As is know the system that were involved a social service and other agencies did not communicate each other and so consequently unfortunately, Victoria died in a horrible way, as a result of the lack of information, distributed from one agency to another. The good part which come out of this awful situation though take account of Every Child Matters and as well the Children Act 2004. Another barrier which can be met in working in partnership is therefore not following policy and procedure by professionals, the way to cause problems is that to put children in hurtful and unsafe situation.
The way to overcome the problems is to have systematic safety-checks by other professionals to ensure that location is safe and the staff-members are following the policies and procedures, this will aid to be careful with children not being victims and they are not in any risk Another obstacle that can be met in working in partnership is a misinterpretation of information which was passed on. Although, that information which was passed on is a good one, the staff-members, always have to check what was passed on is a clearly hint of the situation and that information it was received clearly too.
The manner in which this barrier can be over-come is checking with the person who got the message if they understand clearly and the information is precise. Or else it can create confusion in the organization and as well certain situations can’t be solved correctly because of the misconstruction of the evaluation. In summary, numerous barriers can be made in a lots of different situations, but every obstacle has a solution and can be overtake by evaluating the problem working together to resolve it. As a result this aids to construct a better organization which can create a better life for people who may really need In the following table I will relate another barriers which can be met in working in partnership and the principles for strengthening strategic approaches to collaboration. Barriers
Is about breaking up of service duties across and within agency restrictions Procedural barriers
Defines the differences in planning and budget cycles
Means ,differences in funding mechanisms and resource flows Professional Barriers
Is about Differences in ideologies, values and professional interests
Perceived threats to status, autonomy and legitimacy.
Principles for strengthening strategic approaches to collaboration Collective Vision: Stipulating what is to be completed in relations of service user-centred objectives, illuminating the determination of collaboration as a mechanism for reaching such objectives, and mobilising obligation around objectives, results and mechanisms.
Transparency of Responsibilities and roles: Stipulating and approving ‘who does what and planning organisational engagements by which responabilities and roles are to be achieved
Appropriate Motivations and Recompenses: Encouraging organisational performance reliable with agreed objectives and accountabilities, and joining organisational self-absorption in the direction of collective objectives.
Responsibility for Shared Working: Observing accomplishments in relation to the specified vision, holding people and agencies to account for the completion of pre-determined roles and duties, and providing response and examination of vision, accountabilities, motivations, and their interrelationship.
Promptitude Partnership Framework should be formed like on the following:-Constructing of shared values and principles.-Agreeing of specific policy shifts.-Being ready to search new option of service -Agreed determinate boundaries.-Agreeing roles related to commissioning, purchasing and providing.-Identifying resource pools.-Guaranteeing operative management.-Providing sufficient capacity of development -Sustaining and developing good personal relation-ships.-Giving precise courtesy to reciprocal trust and attitude.