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Implementation and Changes in Health Care

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If a new and improved patterns of joint working together between different agencies with increased flexibility of available services and a locality based and needs- led approach was introduced. For this to work, joint working requires a multi-disciplinary team approach not just at the professional level but also at the management level. Clear delegation of responsibility for the delivery of different aspects of community care would prevent professional boundaries been broken and in return would improve co-ordination and relationships between the agencies that provide community care. Community Care Assessments/ Placements in appropriate setting would be able to be completed in time. This would prevent blocking of beds and allow the patient to be in their own home or a residential home setting.
If a planned approach to the resourcing of community care was made. This would allow key decisions to be made and how future needs should be resourced. If there was more flexibility in budgets to facilitate greater innovation and creativity in response to need. There should be a degree of ring-faced especially for new finance with clear guidance to how it is spent..
There should be no permanent decisions made about a person's future care in an acute hospital setting. Assessments done in these settings can lead to the clients proper needs not been met and they could be placed in a unsuitable setting. If hospital staff had access to budgets for services for people with less complex needs, e.g., home helps ,this would not delay them in hospital and would free up beds so hospital duties could be carried out.

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