Facilitating Changes in HSC

A Report on Changes in Health and Social Care Act

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INTRODUCTION

Facilitating changes refers to leading or implementation of new plan and policies to improve the performances of individual or organizations according to conditions and need. This approach often helping different leaders within organization and across the organizations to manage the changes and improve the interaction to bring desired quality as well as satisfaction. The report will present the reason for Bournemouth and Poole hospital to make the decision to being merged and factors that have been conspired for cost saving and merging patient database. The Health and Social Care Act 2012 confirmed the arrangements for making decisions about mergers involving NHS foundation trusts and set out Monitor’s statutory duty to provide advice to the OFT on the benefits of any such merger. Report will also describe the intention and impact of legal and regulatory restrictions applied to the merger of Bournemouth and Poole hospital as well as discuss the Care Act 2014 intended to changes to reduces the financial burden of medical treatment with the use of technology.

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In the next part, report will evaluate the improvement in quality through merger and impact of merger for the choice of competition terms. Moreover, it will analyze the overall impact of competition on health and social care organizations. In the end, report will explain the terms of merger between NHS trust foundation and outline the changes in health and social care as well as assess the recent changes has been monitor of maintaining competition in cost and resources efficiency.

TASK 1

(a) Reason to make decision into a merged trust and factors that has been considered

Merger refers to combining of two or more companies to improve the quality of services and products as well as reduce the cost of operations to increase the level of financial activity. According to given case, the boards of Poole Hospital NHS Foundation Trust (PHFT) and the Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust (RBCHFT) announced their intention to merge on the basis that such a merger would provide the trusts with the best opportunity to be financially sustainable and offer higher quality clinical services on 29 November 2011 (Savage and Ford, 2008). For that, both health and social care organizations Poole and Bournemouth has considered the Health and Social care Act 2012 as NHS foundation trust can merged their services according to Competition and Market Authority regulations.

This kind of act has been performed to improve the standard of health and social care services, financial process and effective utilization of resources to meet the goal of “Putting patient first”. In that process health and social care organization has refer the Fair tread policies which has been proposed by Competition Commission to maintain the ethical and legal approach in merger of services and resources in order to protect the rights of patients. Following are the key reason for merger of both health and social care organizations.

Demographic factors

Income

This is an important factor to make such decision to provide the standard services and products to customers at optimum cost. Both organizations has considered this fact to pool the resources and offer medical services 24*7 with new maternity center and different specialized services at one roof (Healy and Dugdale, 2009). However this kind of approach has influenced the facility of medical services as well as overcome the extra burden of financial charges proposed by the council. This has positive impact on local as well as national medical services by sharing of resources.

Birth and death rate

Health and social care organizations has analyzed data collected through the census and make decision for merging the facility to improve the effectiveness of medical services. In that process, Bournemouth and Poole trust has consider the distances of medical services at local and national areas that has significant impact on the birth and death rate of children. In order to overcome the issues, NHS trust allows both health and social care organization to merge.

Technological factors

According to research, four out of five people are using the internet services through home or smart phones. This has persuade health and social care organization to merge the services and provide online medical facility to encourage and aware the people about the health issues and offer them information about the overcome the impact of health cure (Wild and et al., 2012). This has influenced the decision of Bournemouth and Poole to merge the services. In the current scenario technology has added application in home and health care setting and improve the digital privacy to manage the data.

Financial factors

This has been an important factors that persuaded the Bournemouth and Poole Health and Social care organization to merge the services and implement the changes to overcome the financial burden. For example, the CEO of Poole's has stated that the preparation for the merger alone cost them more than £6m in lawyers and paperwork. “Without the merger the trust will have an £8m-a-year deficiency to manage the resources. In addition to this, management of Royal Bournemouth has concluded that "The merger would have saved £14m a year, with great benefits to patients. By considering this fact both health and social care organization has make the decision of merging the services(Ellaway and Macintyre, 2009). This has positive impact for national context that medical services are getting less expensive for population with effective quality.

(b) Intention and impact of legal and regulatory restriction and role of public awareness

In order to make the decision as well as merged the services, both Bournemouth and Poole health and social care organization has followed the law of national government and local council. In spite of that, following restrictions has influenced the process and decision of merger of Bournemouth and Poole health and social care organizations.

Competition policy

The introduction of competition into the NHS has meant that the work of providers and commissioners have become increasingly exposed to competition regulation. According to section75 of competition law, Monitor of services and medical staff need to be done. The Poole organization is at risk of going bust because of its own competition duty. The competition commission has rejected the merger of Bournemouth and Poole hospital as merger will force the changes in the process of health and social care services. In that case NHS has taken different approaches to overcome the impact of changes and get the positive outcome from the merger (Anderson and McFarlane, 2010).

Consumer protection

This is an legal restriction that has applied to merger of health and social care organizations. According to this legal fact, council has been disagreed for the merger as it will not beneficial for patients. Merger will proposed the changes which might affect the rights of patients.

Fair trade Act 2012

According to this Act, merger will lead the changes in the procedure of services and implementation of new facility. National government has decided to carry out the investigation under Part 3 of Enterprises Act 2002 that has influenced the decision of merger.

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Role of public awareness

Yes, the public awareness have been an important element to drive and stop the changes in the health and social care organization. The act like merger and acquisition need to be done by consulting the local people or offering them information by reliable sources (Ham, Dixon and Brooke, 2012). The health and social care services are subject of public sector services which is rights of individual. For that reason the activity like merger and acquisition needs to be perform under the awareness of public by informing them about all changes to make right decisions which is beneficial for society.

(c) Assistive technology to make differences to independent living of individual and reduce the financial burden of medical treatment

The national government of UK has confirm the merger and acquisition by proposing the Carr Act 2014. According to this law, health and social care organizations can merge the services to facilitate the changes which may overcome the financial burden and encourage the medical service. In addition to this, Bournemouth and Poole hospital can use the acquisition technology to provide the medical assistance to patients that not able to approach the organization, By using the acquisition, these two medical organizations will offer the mutual medical services which will overcome the financial burden and improve the quality in services as well as meet the Care Act 2014 requirements. Bournemouth organization can able to acquire the Poole health care organization to maintain the trust of population and would make the significant impact on the living of local population (Øvretveit, 2009). This would help both organization to manage the resources for mutual benefits which will help to reduce the cost of medial services that also good for people of UK.

TASK 2

(a) Improvement in quality, choice of services for patients from the proposed merger

By following the process of merger both organization Bournemouth and Poole health care are going to share the resources and medical facility that individual had for offering the medical services to patients. According to past record of merger of organizations, it is considered that proposed merger of Bournemouth and Poole Health care organizations will improve the quality of care services as communication and co-ordination of staff members will increase the level of managing functions. In addition to this, improvement in the knowledge of care staff to maintain the standard in development and delivery of services (Cameron, Hastings and Elisson, 2005). The sharing of knowledge and process to meet the health and social care objectives will encourage the standard of medical services as well as increase the trust of patients to avail services to these organizations.

The merger of Bournemouth and Poole will help to develop new facility like online medical services, use of simple process to assess the information and implement the changes to enhances the satisfaction of patients. In addition to this, merger of health care organization will increase the choice of patients to utilize the medical services of different aspects at one place which will be cost and time effective. So, it is considered that proposed merger of Bournemouth and Poole will be beneficial for medical facility and choice of services for patients of UK.

(b) How can the impact on merger valuated for choice and competition term for health and social care

In order to evaluate the impact of merger of Bournemouth and Poole health care organization, management can analyze the feedback data of patients after using the services of merged organization. This could be effective way to evaluate the impact of merger on the basics of choice of services and competition terms. By merger the level of competition will overcome in the health and social care industry as Bournemouth and Poole will work for mutual cause which will be beneficial for patients to choose care services (Chan, Ho and Day, 2008). This kind of act has been performed to improve the standard of health and social care services, financial process and effective utilization of resources to meet the goal with minimum competition. In that process health and social care organization has refer the Fair tread policies which has been proposed by Competition Commission which is good for services users to get desired services at one place.

By the considering the quality of services and competition terms after the merger, management of health and social care can evaluate the positive or negative both impact of merger of health care organizations.

(c) Impact on front-line staff of the rationalizations that were proposed in the merger, in terms of services delivery

The proposed merger of Bournemouth and Poole Health and social care organizations will have the impact on front line staff members in terms of delivery of services to patients. For that management has to consider the following factors:

Process of services

Both organizations are following different process and procedure for delivery of services to patients. The merger of health care organization will influences the process of services as management have to make changes which might not affect the quality of services by lack of co-ordination and communication (Goodwin, Gruen and Iles, 2006). The less understanding of process will hamper the services of front line staff of Bournemouth and Poole health care organization after merger.

Culture and management

An organization has own culture and management of resources to deliver the health care services as per the requirements and need of patients. The merger of Bournemouth and Poole will affect the services of front line staff members as they need time to co-ordinate with new staff members. It will affect the flow of information and communication of staff members which is not good for delivery of service. However the merger of health care organizations will help to reduces the financial and improve quality but it will take time to understand the cultural gap and establish new methods of services delivery for front line staff (Griffith and Tengnah, 2011).

Simplification

The law has been developed for health and social care organizations to simply the process of services delivery according to needs of patients. This is an important impact of competition policy which supporting the population to understand the process of health and social care.

Flexibility

By reforming the structure according to competition policy the health and social care organization can enhance the flexibility (Annor and Allen, 2008). This will aid organization to arrange the resources as well as proper utilization.

Accountability

The need of proper accountability will be fulfill by considering the Fair competition policy. In that health and social care organization has to impairment the rules and regulations proposed by the national government of UK. This will also improve trust and privacy of patients.

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Cost efficiency

This is major benefit of imposition of competition policy in which services of health and social care organizations are less costly as they can share resources. In the current scenario, organizations utilizing the medical resources to meet the objectives but not for patient prospective (Atwal and Jones, 2009). The competition policy has improved the efficiency in the health care services for users.

TASK 3

(a) Terms of merger and key principle of change management applied

Merger is process of working for mutual objectives and goals by sharing resources and power for benefit of organization as well as services users. For the merger of NHS trusts and Foundation trust following terms can be implied:

Cost and quality

The main aim of NHS and Foundation trusts is to reform the cost and quality of health and social care services to meet the exception of patients as well as overcome the financial burden of Bournemouth and Poole hospital. By performing the merger both organization will use the resources for mutual benefits and develop the quality services by sharing the knowledge.

Minimization of risk

Health and social care services has involved much of risk to manage the situations as well as conditions of patients. In order to overcome the risk in the services to protect the patients merger has been performed between NHS and Foundation trust to provide all necessary health care services at one place (Cameron, A. and et. al., 2012).

Address the culture

This is an important change management principle which has been applied into merger of NHS and Foundation trust. However both organization working in the same industry but the culture was different which affecting the services and process of delivery. By facilitating the change by merger Bournemouth and Poole performing under one culture.

Prepare for unexpected

According to this change management principle, by using the merger techniques health and social care organizations preparing the themselves for risk to face the risk conditions and meet the objectives effective manners by sharing knowledge and resources .

(b) Outline the changes in health and social care organization

By the successful merger of Bournemouth and Poole hospital, it is considered that changes can be planned for to improve services. Following are the key changes that has positive impact on health care services.

Financial sector

The merger would have saved £14m a year, with great benefits to patients. By considering this fact both health and social care organization has make the decision of merging the services. This has positive impact for national context that medical services are getting less expensive for population with effective quality (Georghiou and et. al., 2012).

Services

This is an important change that has been carried out from the merger of Bournemouth and Poole hospital as they have improved the standard of health and social care services. The other health care organization can use the planning of managing changes in the arrangement of resources according to merger of PHFT and RBHFT.

Database

The merger of two organizations has facilitated the changes in the development and modification of patient and internal database of health care services. This is also an positive feature of merger between health care organizations.

(c) Recent changes in the health and social care services by maintaining competition policy

By the analysis it is considered that the implementation of competition policy health and social care organizations has develop new plan by making effective changes in the quality and delivery of services to patients (Griffith and Tengnah, 2011). The recent changes like use of technical or online sources for offering and collecting the information by web site and smart phone application health and social care organization providing cost effective service. In addition to this, health and social care organization are referring the Fair tread policies which has been proposed by Competition Commission to maintain the ethical and legal approach in merger of services and resources in order to protect the rights of patients.

CONCLUSION

From the above study it is considered that, competition and Care Act policies has significant impact on the merger of Bournemouth and Poole hospital to improve the quality of services and cost efficiency by facilitating the changes. Report has described the impact of regulation and role of Care Act 2044 for reducing the cost. In the next part, report has report has evaluated the impact of merger on front line staff, quality and choice of services for patients. In the end, report has explained different terms of merger like cost, quality and minimization of risk as well as applied change management principle.

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