Ervice Users Providers Legislation Challenges


This study will discuss the service users as well as service providers in the UK, who are an active part of the health and social care system, Moreover, this study would describe the UK based health and social legislation and their speciality in order to provide high-quality care and support to community people. finally, this study will highlight the barriers that are associated with offerings of positive care in the community.

practitioners and organizations which provide the care:

According to Batterham et al. (2016), NHS has mentioned that people in the society who suffer from poor mental and physical health, need proper health and social care. Based on the NHS guidelines, different people can be eligible for care in society due to their different needs. For example, deprived people suffering from poor health facilities, lack of social support and education, poor financial condition and abnormal mental as well as physical health, need immediate care from the social workers and health professionals (NHS, 2018). On the other hand, people who reside in the middle- and upper-class society, may suffer from the severe depression, anxiety, physical illness and psychological instability, which make them eligible for the immediate care and support.


There are different health care professions, health organisational and the care practitioners who are associated with providing proper care and support to the service users. According to Bradley et al. (2016) in the UK care professionals such as NHS professionals, care staffs, NHS nurses and midwives are responsible for assessing the physical, psychological and emotional needs of the service users. Moreover, the social workers and NGO staffs are also included into the care professional who provides the social care and support to deprived and poor community who are devoid of proper healthcare, education and housing facilities (, 2018). Different health care organisation plays a crucial role in monitoring the overall quality of health and social care service provided to the service users in their society. In the UK, there are different healthcare organisations such as Public Health England (PHE), Department of Health and social care, Department of Health (DOH), Medicine and healthcare product regulatory agency (MHPRA) and Home office (NHS, 2018). All these organisations emphasize on promoting equal and bias-less health and social care services, news and communication, transparency and freedom in the health care process and perfect implementation of different health and social care policies to meet needs to the service users.

Different legislations are associated with the health and social care process, which are important to be implemented and followed but the health care professional, care practitioners and social care staffs, in term of ensuring the optimum care and support to each service user (Cowlishaw and Kessler, 2016). There is different legislation that assists the service providers to provide proper care and support to the service users based on the guidelines of these legislations. Different UK based legislations are Health Act 2006, UK National Health Service law, Health and Social Care Act (2012), Health and Safety at Work Act 1974, Food Safety Act 1990 and Food Safety (General Food Hygiene) Regulations 1995 and Data Protection Act (1998) (NHS, 2018).

Each of the above-mentioned regulations has its individual purpose which is associated with the betterment of the overall health and social care process in the UK. Under the Health Act (2006), health professional, NHS nurses, midwives and NHS care practitioner would assess the proper psychological and physical needs of service in order to form the proper clinical setting relevant to patient’s needs (NHS, 2018). As stated by García-Moreno et al. (2015), Health and Social Care Act (2012), emphasize on the reorganisation of the structure and guidelines of the National Health Service, England. Under this act, all the health and social care staffs are obliged to provide equal, high-quality and timely care as well, as support to all the citizen who needs this service. Based on the guidelines of UK National Health Service Law, the NHS staffs, nurses, midwives are blighted to not only assess the health needs and provide better care to service users but also to show offer respect and dignity to service users in terms of improving the integrity of their work. On the contrary Griffiths et al. (2016) argued that that, sometimes, NHS nurses and midwives face severe ethical and moral dilemmas, in order to respect the decisions of patients suffering from mental instability. Department of Health, England and UK government not only focus on developing policies on improving the quality of health and social care in the society but also founded the legislation in order to provide the health safety to service providers and as well as service users during the care process (NHS, 2018). Health and Safety at Work Act 1974, ensures that healthcare authority should arrange the safety framework within the health and social care organisations in order to protect both the service providers and service users from the sudden hazards, accidents and injuries. On the contrary Hayes et al. (2016), in most of the cases, although this act is highly effective and ensures safety for both service users and service providers, in few healthcare organisations, all the guidelines of these acts are maintained in a strict manner. this is the reason for recurrent accidents cases, work injuries of the health staffs. There is an important act developed by the UK government, Safety Act 1990 and Food Safety (General Food Hygiene) Regulations 1995. This act emphasizes on responsibilities of the health and social care staffs to offer hygienic, nutritious and healthy food and drinks to the service users in order to ensure their safety and health. On the other hand, Data Protection Act (1998) is one of the most important acts in healthcare, that ensure the confidentiality and authentication of all the public and private documents and details of the staffs, organisations and service providers.

barriers and delivery of positive care in your answer:

In the UK care service is monitored and regulated by different organisations such as Public Health England, Department of Health (DOH) and Department of Health and social care. UK based Citizen, who need care and support are provided with proper rehabilitation, housing, psychological and physical support, emotional support and hygiene. Based on the guidelines of National Health Service (NHS), NHS staffs, nurses and midwives are associated with providing 24 hours health assessment, health check-up, assessing the health needs f the staffs. different NGOs and social organisations in the UK work under the Department of Health and Social Caren that ensures that all the deprived and needy people who seek the proper social support are provided with proper economic, social, emotional and educational support. As stated by Paton et al. (2015), Health Care Executives are the active part of Public Health England, who visits different areas in the UK and assess the needs of people. Health Care Executives work under the Department of Health (DOH) and National Health Service and ensures that no one who needs the social and health care support is devoid of these services. Move rover, NHS staffs are also associated with a healthcare awareness campaign in which they visit different villages and rural areas in England, London, in order to provide proper health educational and social awareness to people.

According to Shepherd et al. (2015), positive care is the patient centred care, which emphasizes on executing, assessing and analysing health and social needs of service users in order to set relevant care strategies to meet the needs. The evidence-based report suggests that there are some barriers that are associated with delivering positive care to service users. As mentioned by Sweeney et al. (2016), one of the most common barriers is consent from service users and their families. In the majority of the cases, family members and service users are not agreed to give their full consent in the implementation of the innovative person-centred treatment process. The reason behind this may be, service users and their family think that the innovative and new treatment process can increase the financial burden or the service users may be unable to adapt with the new treatment process (Mossialos et al. 2015). Another common barrier is the lack of transparency in communication. In most of the cases, service user’s do not want to reveal their social, physical and psychological issues to the health and social workers this make huge communication gaps between the two parties, thereby leading to the inappropriate treatment. On the contrary Paton et al. (2015) argued that sometimes communication cannot be done properly for delivering the proper person-centred care, such as in the case ofthe dementia and mentally disabled patient. In this process, the health professions need to set the clinical; setting based on the current physical and psychological health of the patients. Lack of skilled staffs in health and social care is one of the important barriers that affect the outcomes of health and social care. In this aspect, Hayes et al. (2016) stated that in the majority of health care organisations there is the scarcity of skilled staffs as compared to the huge number of the patient which act as a potential barrier in terms of producing the positive care to the service users.

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From the above-mentioned discussion, it can be concluded that any individual in the society who is suffering from the poor physical and mental condition, is eligible to get proper care and support. Different organisations are there in the UK, that are associated with ensuring the delivery of proper care and support to people, such as the Department of Health, National Health Service and Department of Health and Social Care. there are some barriers such as lack of communication, poor consent from service users and lack of skilled staffs that lead to poor delivery of the positive care in the society.

Reference list:

  • Batterham, R.W., Hawkins, M., Collins, P.A., Buchbinder, R. and Osborne, R.H., 2016. Health literacy: applying current concepts to improve health services and reduce health inequalities. Public health, 132, pp.3-12.
  • Bradley, E.H., Canavan, M., Rogan, E., Talbert-Slagle, K., Ndumele, C., Taylor, L. and Curry, L.A., 2016. Variation in health outcomes: the role of spending on social services, public health, and health care, 2000–09. Health Affairs, 35(5), pp.760-768.
  • García-Moreno, C., Hegarty, K., d'Oliveira, A.F.L., Koziol-McLain, J., Colombini, M. and Feder, G., 2015. The health-systems response to violence against women. The Lancet, 385(9977), pp.1567-1579.
  • Griffiths, P., Ball, J., Drennan, J., Dall’Ora, C., Jones, J., Maruotti, A., Pope, C., Saucedo, A.R. and Simon, M., 2016. Nurse staffing and patient outcomes: Strengths and limitations of the evidence to inform policy and practice. A review and discussion paper based on evidence reviewed for the National Institute for Health and Care Excellence Safe Staffing guideline development. International journal of nursing studies, 63, pp.213-225.
  • Hayes, J.F., Pitman, A., Marston, L., Walters, K., Geddes, J.R., King, M. and Osborn, D.P., 2016. Self-harm, unintentional injury, and suicide in bipolar disorder during maintenance mood stabilizer treatment: a UK population-based electronic health records study. JAMA Psychiatry, 73(6), pp.630-637.
  • Paton, C., Crawford, M.J., Bhatti, S.F., Patel, M.X. and Barnes, T.R., 2015. The use of psychotropic medication in patients with emotionally unstable personality disorder under the care of UK mental health services. The Journal of clinical psychiatry, 76(4), pp.512-518.
  • Shepherd, A., Sanders, C., Doyle, M. and Shaw, J., 2015. Using social media for support and feedback by mental health service users: thematic analysis of a twitter conversation. BMC psychiatry, 15(1), p.29.
  • Sweeney, A., Clement, S., Filson, B. and Kennedy, A., 2016. Trauma-informed mental healthcare in the UK: what is it and how can we further its development?. Mental Health Review Journal, 21(3), pp.174-192.

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