Unit 3.2 Health And Social Care Analysis

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Task 5: 3.2: Measuring the quality in the health and social care sector presents distinct challenges. For instance, the large influence played by subjective judgements about the quality of personal relationships between carer and user and the process-related service characteristics makes it difficult to develop indicators of service quality, including those of service impact on final outcomes. Using some of the key features of the ‘Production of Welfare’ approach, the paper discusses recent developments in the UK of the theoretical and practical frameworks used for assessing quality in social care and for understanding the final impact of services on the well-being of their recipients. Key current and future challenges to the development of such frameworks include difficulties in disentangling the impact of social care services on final outcomes from the often dominating effects of other, non-service…show more content…
Understanding this collaborative aspect of social care, and the central role of the carer-service user relationship in defining the unit of production and consumption of care is therefore fundamental to assessing effectively service quality (Donabedian, 1988). By focusing on this relationship as the object of .quality measurement, we ensure that assessments of quality are not divorced from the practice of caring, which has been a critique of some early quality assessment systems for social care (National Institute for Social Work, 1988). This focus also excludes from quality assessment aspects such as equity, efficiency and accessibility which are perhaps better considered as indicators of 'aggregate' performance of the support system in general, rather than defining the quality of the care worker-service user
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