513 - Manage Health and Social Care Practise 1.1

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Unit 513 – Manage Health and Social care practice to ensure positive outcomes for individuals 1.1 (Unit 527 – 1.1) Outcome based practice is an approach designed to achieve desired patient care goals. This involves a combination of teamwork, quality improvement and outcomes being measured. The personalisation document has been introduced into a lot of recent government documentation. A system of care and support tailored to meet the needs of the individual is key, and has replaced the sixe fits all approach previously used. The social model of disability believes this is a better option to the needs-led assessments of the past. Harris et al 2005 supports this research. The 3 dimensions of this model are: • Outcomes involving change, such as those that focus on developing self-confidence, or skills which enable independence. • Outcomes maintaining quality of life, occasionally referred to as maintenance outcomes. • Outcomes associated with the process of receiving services, or those which involve being valued and listened to. Harris et al, categorised these dimensions into a four-part framework which also showed how needs could be met. Diagram: Access to all areas of the home This framework is seen as a user-centred approach to care, this involves the care worker acting as a facilitator within the care setting. (adapted from internet – source - open learn works site) 1.2 Outcome based practice is a new way of working and has replaced the needs-led approach. One of the main problems with the needs-led approach was that professionals focussed on the immediate situation and support required rather than the bigger picture and any future needs/changes. The identification of `needs’ is very subjective, and due to needs changing this could not be measured accurately as this lacked direction and purpose and was impossible

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