This means that a balance is kept between helping someone and interfering with their personal lives. This allows clients to be independent which improves the quality of their lives. This is how the organisation implements the care value base: 1. Promoting anti – discriminatory practice The GP surgery allows people from all ethnic groups to allow to come to the GP surgery. Also the GP surgery gives information about diseases which are most common in one ethnic group e.g. Anaemia in Afro Caribbean. This shows that they care about all ethnic groups and races.
2. Maintaining confidentiality of information
The GP surgery does not disclose information such as medical conditions and personal details about any of the patients to any organisation. 3. Promoting and Supporting Individuals rights – right to independence, safety and dignity Patients are taught how to look after their health hence their right to independence is met. Also any personal details and private conversations are not disclosed. Hence the right to safety and dignity is met. 4. Acknowledging Individuals’ personal beliefs and identity Talking to the patients and asking questions about their personal details which will be kept confidential meets the 4th care value.
5. Protecting individuals from abuse Any injuries or domestic problems are reported and dealt with. In this case the person is given as much support as possible and emotional care is provided. Additionally, CRB checks are carried out on all workers. 6. Promoting effective communication and relationships This is achieved by allowing the patients to communicate via the telephone and people are spoken to in different languages to make them feel comfortable.
7. Providing individualised care Individualised care is provided when the patient is being checked by the GP/nurse thus different support is provided for different problems. Implementing the ‘Confidentiality of Information’ value The GP maintains confidentiality of information by keeping conversations they have confidential and by not disclosing any information to any other client. Doctors do not have the right to disclose information about a patient’s medical records to anyone even to family members.
Parents too cannot find out information about their child without their permission hence teenage pregnancies are kept private and confidential even from the parents itself. However, medical records can be shared only between professionals such as specialists but the identity of the person’s medical records will not be identified. This is so that the patient is provided with a range of treatment options hence have a greater chance of curing the problem. Nevertheless, the patient can still request for their medical information to be passed on even to a professional as it is their privacy.
There are exceptions to this Confidentiality of Information value. This is made clear when the person sign a consent form when the register with the GP surgery. For example a doctor can inform a patients partner that they have HIV/AIDS. Additionally only the two GPs and the nurse have access to a patients medical records. When the surgery is not opened such as weekends, public holidays and the time between the morning and afternoon surgery the GP surgery has CCTV cameras for security – the security of patient records.
Implementing the ‘Providing Individualised Care’ value Individualised care is care that is ‘designed for one person’ [Ref: GCSE Health and Social Care book for Edexcel] A patients needs is examined by the GP/Nurse when they come in for a check up. Thus, based on this a plan is developed for the client for example a diabetic person depending on the severity of the situation have to follow a strict diet to ensure that the glucose levels are kept at a manageable level. As this plan will be based on a patients needs the plan would be individualised hence the ‘Providing Individualised Care’ value is implemented.
What if the care value base is not applied all the time If the care value base is not applied all the time, a client’s Physical, Intellectual, Emotional and Social health (PIES) will be affected. For example: if confidentiality of information is not applied: EMOTIONAL: The client may not trust the care worker which will lead to a low self esteem because they feel that they are not valued hence do not matter. (emotional) SOCIAL: Also if the information about them having a certain disease which has been controlled by antibiotics is made aware to the general public – there will be high social stigma attached to them. Hence the person may not be able to feel that they can socialise which leads to low self image, low self esteem hence low overall health and well being.
INTELLECTUALLY: If the client feels discriminated against they will be affected intellectually in that they will not look research what their rights are and what laws protect them as the Race Relations Act 1970 has been broken.PHYSICALLY Finally this can lead to negative feelings which may mean that as they are unable to trust one care worker they will not trust any care worker hence will not go to the GP surgery or hospital to get treated hence their health will deteriorate.
An example of possible conflict that a care worker could come across in everyday is the patients not getting the appointments they want, waiting too long for an appointment and disagreeing with the surgery not opening all day and in the weekends. A typical day of a GP: GP’s have tight schedule’s and experience stress as part of the day to day life of a GP. Firstly they experience the stress of university and meeting deadlines as well as revising and learning new concepts. However this is short term. A GP’s worst nightmare is that this stressful and long lifestyle is the part of a GPs life.
I am going to discuss the typical day of the main GP (who owns the GP surgery) – Dr. K. Lahon: At 8:30 the GP arrives at the surgery. This is one hour before the GP surgery opens. This is so that any paperwork which was not completed the previous day can be completed. This can take from 15 minutes to 2 hours depending on how much paperwork there is. To reduce the paperwork the GP completes as much of it as he can on the day. Additionally arriving 1 hour before the GP surgery opens allows the GP to look over the appointments he has during the day – the morning and evening surgery. He can then briefly look at each patients history details which is on a secure database only to which the two GPs can look at and the nurse. This is one way how the GP surgery meets the ‘confidentiality of information’ care value.
9:30 and the morning surgery begins. Appointments are being booked by the receptionists. On average there are 2 -3 emergency patients who come in. They see the GP or nurse after the rest of the people who have an appointment see the GP/nurse. This takes up to 30 minutes extra. By 12:30 the GP finishes seeing patients. Then, the GP goes to the reception to sign any remaining prescriptions and to collect the letters or any messages from patients or hospital doctors. Before the GP leaves for lunch, he listens to any queries that the receptionists have or if the nurse/other GP have. This takes around 1/2. Hence by 1:30 he is free from to go to have lunch and come back for afternoon surgery.
At 2:00 the GP looks at blood tests that have arrived from the hospital. This is on average 6 each day. The GP then phones the receptionist to phone certain patients to inform them that their reports have arrived and that they need to book an appointment with either the main GP, the other GP or the nurse. This divides the work load equally hence reduces stress. The more serious blood reports are discussed by the main GP or the other GP. This takes 1/2 hour.
At 3:00 the GP checks the post and mail for example to refer patients. Then the GP deals with paperwork such as life insurance forms and child protection reports. This takes 1 hour to do each day. It is 3:30 and the GP comes in 1/2 before the afternoon surgery begins. This is so that the GP can complete any further paperwork; look at the appointments so look at each patients history briefly. At 4:30 the afternoon surgery begins and it is normal for the GP to be on tight schedule.
As it is normally fully booked, I finish at 7:30 10 minutes per patient. However although the GP afternoon surgery is supposed to finish at 7:00, patients come in late, patients have many questions to answer especially if they are diagnosed with a new disease such as diabetes which takes longer than 10 minutes. When the afternoon surgery is closed at 7:30. The GP goes over the emails which have been sent during the aftern on surgery and typing referral letters. This takes usually an 1 hour. At 8 o clock, 1 hours after the set finishing time, 7 o clock the GP can go home. Sometimes the GP has to attend meetings e.g. meetings with the other doctors who are part of the Ealing Primary Care.