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EQUALITY, DIVERSITY AND
RIGHTS IN HEALTH AND SOCIAL
CARE
HSC CM1
CODE: K/507/1406
By:
Oguchi Martins Egbujor
By: Oguchi Martins Egbujor FHEA 1
Learning Outcomes
1. LO1: Understand equality, diversity and rights in health and social
care.
2. LO2: Understand how to work in an inclusive way.
3. LO3: Understand legislation and codes of practice in relation to
inclusive practice in health and social care settings.
4. LO4: Understand the role of the health and social care practitioner
in relation to inclusive practice.
By: Oguchi Martins Egbujor FHEA 2
Equality 2010
The Equality Act 2010 requires that organisations undertake outcome
focused activities in addressing equality and diversity issues as a service
provider and employer, across nine protected characteristics.
Organisations have general duty to eliminate discrimination,
harassment and victimisation; advance equality of opportunity and to
foster good relations between people who share a protected
characteristic and those who do not share it. Discrimination of any sort
is unlawful
(NHS Foundation Trust, 2019)
By: Oguchi Martins Egbujor FHEA 3
The Protected Characteristics of Equality
• Age
• Disability
• Gender reassignment
• Marriage and civil partnership
• Pregnancy and maternity
• Race
• Religion or belief
• Sex
• Sexual orientation
By: Oguchi Martins Egbujor FHEA 4
Class Activity: 30/03/2023
Carry our a mini research to create understanding and knowledge
Define the following terms with examples and citations:
1. Equality
2. Diversity
3. Inclusion
4. Rights
5. Discrimination.
By: Oguchi Martins Egbujor FHEA 5
LO1: Understand equality, diversity and rights
in health and social care.
LO1.1. Define the terms:
• equality
• diversity
• inclusion
• discrimination.
LO1.2. Explain how rights are promoted in health and social care
services.
LO1.3. Discuss ethical dilemmas that may arise when balancing
individual rights and duty of care.
By: Oguchi Martins Egbujor FHEA 6
LO1.1: Define The Terms
• Equality
• Diversity
• Inclusion
• Discrimination.
By: Oguchi Martins Egbujor FHEA 7
Equality
Equality is not just about treating everyone the same; it is about
ensuring that access to opportunities are available to all by taking
account of people’s differing needs and capabilities
NHS Foundations
https://www.humber.nhs.uk/about/equality-and-
diversity.htm#:~:text=Diversity%20is%20about%20recognising%20and,
perspectives%2C%20opinions%20and%20person%20value.
By: Oguchi Martins Egbujor FHEA 8
Equality Duty
The Equality Act also requires public bodies (like local councils,
hospitals, and publicly-funded service providers) to consider how their
decisions and policies affect people with different protected
characteristics. The public body also should have evidence to show how
it has implemented equality that includes all the protected
characteristics.
By: Oguchi Martins Egbujor FHEA 9
Equality and Diversity
Equality means that everyone in the care setting is given equal
opportunities, regardless of their background, abilities or lifestyle. On
the other hand, diversity means that differences between people
should be appreciated, and people's beliefs, cultures and values should
be treated with respect.
(Toersen, N., 2022)
By: Oguchi Martins Egbujor FHEA 10
Equality
Equality Act 2010 stated that
everyone should be treated
equally, and no one should be
discriminated on any of the
following:
• Age.
• Gender.
• Ethnicity.
• Background or social class.
• Sexual orientation.
• Lifestyle.
• The type of illness or care need.
• Impairment, either physical or
mental.
• Religion or belief system.
By: Oguchi Martins Egbujor FHEA 11
Equality, Diversity and Inclusion
• Good equality and diversity
practices make sure that health
and social care services are fair
and accessible to all and that
everyone is treated in the same
way regardless of who or what
they are or their lifestyle.
• Holistic care will automatically
resolve any conflict points and
ensure seamless equality for all
patients.
• Equality impacts every aspect of
health and social care from the
physical structure of the building
to how each individual patient is
perceived and treated. The focus
should be on unique person-
centred care.
By: Oguchi Martins Egbujor FHEA 12
Diversity
Diversity is about recognising and
valuing differences through
inclusion, regardless of:
• age
• disability
• gender
• racial origin
• religion
• belief
• sexual orientation
• commitments outside of work
• part-time or shift work
• language
• union activity
• HIV status
• perspectives
• opinions
• person value
By: Oguchi Martins Egbujor FHEA 13
Diversity
Diversity can be described as
‘difference’. All individuals are
different; the many different parts
of a person’s character and
identity make them unique.
Examples of the things that make
up diversity are:
• Age
• Appearance
• Ability
• Disability
• Job role
• Health
• Background
By: Oguchi Martins Egbujor FHEA 14
Examples of Diversity Continues
• Friends
• Sexual orientation
• National origins
• Marital status
• Gender
• Family
• Religion
• Belief
• Values
• Culture
• Race
By: Oguchi Martins Egbujor FHEA 15
Inclusion
Inclusion is a state of being valued, respected and supported. It's about
focusing on the needs of every individual and ensuring the right
conditions are in place for each person to achieve his or her full
potential.
Inclusion in health and social care means the process of including
disadvantaged groups in healthcare activities, services and policies
within local communities.
By: Oguchi Martins Egbujor FHEA 16
Class Activity 31/03/2023
There are two types of discrimination, names:
1. Direct Discrimination
2. Indirect Discrimination
Carry out research to identify the two discriminations and explain them
with work-based examples
By: Oguchi Martins Egbujor FHEA 17
Discrimination
Discrimination is action that is
often based on a person’s
negative attitude towards others.
The following can all lead to
discrimination:
• Labelling
• Stereotyping
• Prejudice.
(Standard 4: Skills for Care)
• It involves treating people
differently because of
assumptions made about a
person or group of people based
on their differences.
• Negative attitudes and
behaviours exist in society that
can lead to individuals or groups
being oppressed or
disadvantaged
By: Oguchi Martins Egbujor FHEA 18
Direct Discrimination
This means treating one person worse than another person because of
a protected characteristic. For example, a promotion comes up at work.
The employer believes that people’s memories get worse as they get
older so doesn’t tell one of his older employees about it, because he
thinks the employee wouldn’t be able to do the job.
https://www.equalityhumanrights.com/en/advice-and-guidance/your-
rights-under-equality-act-2010#rights
By: Oguchi Martins Egbujor FHEA 19
Indirect Discrimination
This can happen when an organisation puts a rule or a policy or a way
of doing things in place which has a worse impact on someone with a
protected characteristic than someone without one. For example a
local authority is planning to redevelop some of its housing. It decides
to hold consultation events in the evening. Many of the female
residents complain that they cannot attend these meetings because of
childcare responsibilities
By: Oguchi Martins Egbujor FHEA 20
Harassment
This means people cannot treat you in a way that violates your:
• Dignity
• Creates a hostile
• Degrading
• Humiliating
• Offensive environment
For example a man with Down’s syndrome is visiting a pub with friends.
The bar staff make derogatory and offensive comments about him,
which upset and offend him.
By: Oguchi Martins Egbujor FHEA 21
Victimisation
This means people cannot treat you unfairly if you are taking action
under the Equality Act (like making a complaint of discrimination), or if
you are supporting someone else who is doing so. For example, an
employee makes a complaint of sexual harassment at work and is
dismissed as a consequence
By: Oguchi Martins Egbujor FHEA 22
Diversity and Inclusion
This is a UK government publication on equality and diversity in the
United Kingdom.
https://www.gov.uk/government/publications/inclusion-health-
applying-all-our-health/inclusion-health-applying-all-our-health
By: Oguchi Martins Egbujor FHEA 23
LO1.2
Explain how rights are promoted in health and social care services.
By: Oguchi Martins Egbujor FHEA 24
Promoting Rights of Individual
• Choice
• Risk
• Opportunity
• Respect
• Service provision to meet individual needs
By: Oguchi Martins Egbujor FHEA 25
The Rights of
Individuals
• To be respected
• To be treated equally and not be
discriminated against
• To be treated as an individual
• To be treated in a dignified way
• To have privacy
• To be protected from danger and
harm
• To be supported and cared for in a
way that meets their needs, takes
account of their choices and also
protects them
• To access information about
themselves
• To communicate using their
preferred methods of
communication and language
Oguchi Martins Egbujor
Rights In Healthcare
The right to health means that functioning public health care facilities,
goods and services must be available and accessible, equally, to all.
States must do everything they can, within their available resources, to
provide all these things
By: Oguchi Martins Egbujor FHEA 27
Individual Rights
• Right to be Respected
• Right to be treated with equality,
and fairness
• Right to be respected as an
individual and not discriminated
against, privacy, dignity,
protection from danger and
harm
• Right to access information
relevant to themselves
• Right to communicate using
their preferred methods of
communication and language
• Right to be cared for in a
manner that takes account of
their needs, choices, preferences
By: Oguchi Martins Egbujor FHEA 28
Your Responsibilities
• Take account of individuals’ needs, wishes, preferences and
choices, whilst ensuring your own and the safety of individuals, key
people and others when carrying out your work activities
• Operate within the limits of your own role and responsibilities, in
relation to health and safety
• Where necessary, you seek additional support to resolve health
and safety problems
• Report health and safety issues to the appropriate people and
complete health, safety and security records, according to legal and
organisational requirements
Oguchi Martins Egbujor
Care Practitioner’s Responsibilities
You need to:
• Make sure that you are aware of, and follow organisational health,
safety and security procedures before you start work
• Before you begin any work activities you must check and use any
risk assessments
• Examine the areas in which you work and any equipment you have
to use to ensure that they are safe, hazard free and conform to
legal and organisational requirements for health and safety
• Remove, where possible, hazards that might pose a health and
safety risk to yourself and others
Oguchi Martins Egbujor
Legislation, Policies, Procedures and Codes of
Practice
• Care Act 2014
• Health and Social Care
• Act 2012
• Data Protection Act 1998
• Human Rights Act 1998
• Common Law Duty of
Confidentiality
• Caldicott Guardian
• Codes of practice relevant to
sector
• Related policies and Procedures
• Current legislation as relevant to
Home Nation.
Oguchi Martins Egbujor
Inclusion
• Individuals at the centre of planning
• Support and review
• Valuing diversity
• Overcoming barriers
• Empowerment
• Access to comments and complaints procedures
By: Oguchi Martins Egbujor FHEA 32
LO1.3
Discuss Ethical Dilemmas That May Arise When Balancing Individual
Rights And Duty of Care.
By: Oguchi Martins Egbujor FHEA 33
Ethical Dilemmas
• Duty of care
• Confidentiality
• Managing own values
• Risk taking
• Rights versus responsibilities
By: Oguchi Martins Egbujor FHEA 34
Ethical Dilemma
Ethical dilemma in health and social care is a situation where a care
practitioner must decide between competing values and know that no
matter what choice they make, there are consequences. Ethical
dilemmas may conflict with the care practitioner's personal values or
with the Code of Ethics for health and social care
By: Oguchi Martins Egbujor FHEA 35
Ethical Dilemma
Ethical dilemma involves the need to choose from among two or more
morally acceptable options or between equally unacceptable courses
of action, when one choice prevents selection of the other
Video on Ethical Dilemma:
https://www.youtube.com/watch?v=byjnaqaAzvA
By: Oguchi Martins Egbujor FHEA 36
The Rights of
Individuals
• To be respected
• To be treated equally and not be
discriminated against
• To be treated as an individual
• To be treated in a dignified way
• To have privacy
• To be protected from danger and
harm
• To be supported and cared for in a
way that meets their needs, takes
account of their choices and also
protects them
• To access information about
themselves
• To communicate using their
preferred methods of
communication and language
Oguchi Martins Egbujor
Code of
Conduct
For Care
Workers
1. Be accountable by making sure you can
answer for your actions or omissions.
2. Promote and uphold the privacy, dignity,
rights, health and wellbeing of people who
use health and care services and their
carers at all times.
3. Work in collaboration with your colleagues
to ensure the delivery of high quality, safe
and compassionate healthcare, care and
support.
4. Communicate in an open, and effective
way to promote the health, safety and
wellbeing of people who use health and
care services and their carers.
5. Respect a person’s right to confidentiality.
6. Strive to improve the quality of healthcare,
care and support through continuing
professional development.
7. Uphold and promote equality, diversity and
inclusion.
Oguchi Martins Egbujor
Potential Tension
• Duty of care
• Consent
• ‘Need to know’
• Policy
• Procedure and protocols
Oguchi Martins Egbujor
Duty of
Care
A duty owned by one to another to take
reasonable care not to cause physical,
emotional or economic damage. Duty
of Care in Employment: both employer
and employee have a common law duty
of care to each other, to other
employees and to those who may be
affected by their activities. This includes
exercising reasonable care in order to
protect others from the risks of injury,
death or health problems, or economic
loss or harm
Oguchi Martins Egbujor
Confidentiality
Confidentiality means respecting
someone's privacy and abstaining
from sharing personal or potentially
sensitive information about an
individual, especially if that
information has been shared in
confidence.
www.ena.co.uk/confidentiality
Oguchi Martins Egbujor
The Tension Between
Maintaining Confidentiality
Maintaining
Confidentiality and the
Need to Disclose
Information
• Duty of Care
• Consent
• Need to know
Oguchi Martins Egbujor
Caldicott
(2013)
The Eight
Principles
To Share or Not to share
1. Justify the purpose(s)
2. Do not use personal confidential
data unless it is absolutely
necessary
3. Use the minimum necessary
personal confidential data
4. Access to personal confidential
data should be on a strict need –
to-know basis
5. Everyone with access to personal
confidential data should be aware
of their responsibilities
6. Comply with the law
7. The duty to share information
can be as important as the duty
to protect confidential
information
8. Inform Care Users about how
their confidential information is
used
Oguchi Martins Egbujor
Care Values
Caring
Dignity
Respect
Learning
Reflection
Commitment to quality care and support
Oguchi Martins Egbujor
6Cs Care
Values
Health and Social Care practitioners are expected to
possess the following care qualities and values
1. Communication
2. Caring
3. Compassion
4. Competence
5. Commitment
6. Courage
Oguchi Martins Egbujor
Respect and Dignity
• Ensure that the service you provide is delivered equally and
inclusively
• Provide active support to enable individuals to take as much
control as they are able
• Identify and take appropriate action when behaviours and practice
discriminate against individuals
• Seek extra support and advice when you are having difficulty
supporting equality and diversity
• Ensure individuals have the appropriate information about how to
offer comments on the support and care they receive
Oguchi Martins Egbujor
Duties and Responsibilities
Your duties and responsibilities
include to assist people who need
care and support services with all
aspects of personal care, and to
participate in daily activities of their
choice, including:
• Washing
• Personal hygiene
• Dressing
• Assisting with meals
• Day trips
• Recreational/ leisure activities
• Crafts
• Reading
• Writing
Oguchi Martins Egbujor
Class Activity 01/04/2023
Group Work Dilemma
You should research on the legal framework regarding equality
and rights of individual, and the codes of practice relevant to
health and social care. Discuss in the group how the legislation
and codes of practice informed the role of the practitioner to
protect their service users in a difficult situation where dilemma
ensued.
Oguchi Martins Egbujor
Class Activity 2 01/04/2023
Please explain the following:
1. Diversity and Inclusion?
2. Discrimination
3. The rights of individuals in health and social care?
4. Duty of care?
5. Code of practice for health and social care?
6. Dilemma?
7. Disclosure of confidentiality?
Oguchi Martins Egbujor
LO2
Understand how to work in an inclusive way.
Oguchi Martins Egbujor
Assessment
LO2.1. Explain how to promote equality and support diversity.
LO2.2. Describe how to challenge those not working inclusively in
a way that promotes change.
LO2.3. Explain how to support others in promoting equality and
rights.
Oguchi Martins Egbujor
LO2.1
Explain how to promote equality and support
diversity.
Oguchi Martins Egbujor
Promote Equality and Support Diversity
• Person-centred practice
• Inclusive practice
• Understanding own beliefs and
attitudes
• Enabling choice
• Providing opportunities
• Access to services according to
needs
• challenging discrimination
• duty of care
Knowledge of individuals’:
• Beliefs
• Cultures
• Values
• Needs
• Preferences
Oguchi Martins Egbujor
Person-centred Care
Being person-centred is about focusing care on
the needs of individual. Ensuring that people's
preferences, needs and values guide clinical
decisions, and providing care that is respectful of
and responsive to them.
Oguchi Martins Egbujor
Inclusive Practice
Inclusion health is a ‘catch-all’ term used to describe people who
are socially excluded, typically experience multiple overlapping
risk factors for poor health (such as poverty, violence and
complex trauma), experience stigma and discrimination, and are
not consistently accounted for in electronic records (such as
healthcare databases)
Oguchi Martins Egbujor
Inclusive Practice
Inclusive practice can be defined as attitudes and methods that
ensure that all service users can access quality healthcare. Every
care practitioner works collaboratively and in partnership to
make sure that care users feel welcome and valued, and that
they get the right support to help them to access quality
healthcare that meets their needs and achieve positive outcome
Oguchi Martins Egbujor
Inclusive Practice
Inclusive practice means:
• Being versatile and flexible.
• Ensuring consistency and accessibility for all.
• Working collaboratively.
• Encouraging personalisation.
• Varying learning opportunities.
• Embracing Equality, Diversity and Inclusion.
Oguchi Martins Egbujor
Understand Own Belief and Attitude
Attitudes arise out of core values and beliefs we hold internally.
Beliefs are assumptions and convictions we hold to be true based
on past experiences. Values are worthy ideas based on things,
concepts and people. Behaviours are how these internalised
systems (attitudes, beliefs and values) are expressed.
(Kumar, H., 2023)
Oguchi Martins Egbujor
Enabling Choice
Enabling choice and control means having independent and
impartial information, advice and advocacy that is clear, specific
and local.
(SCIE, 2021)
Oguchi Martins Egbujor
Enabling Choice
Patient choice in health and social care is the legal right of a
patient to choose where they receive their treatment. In other
words, if you need to be referred due to a mental or physical
health condition, you have the legal right to choose which
hospital or service you would like to attend.
Oguchi Martins Egbujor
Providing Opportunities
Equal opportunities in the context of health and social care mean
every individual receives the same level of access to social care
and medical help regardless of their own personal differences.
These differences are far-reaching and include a variety of things,
such as religion, age and race.
Oguchi Martins Egbujor
NHS New Model of Care
• Changes in patients’ health needs
and personal preferences.
• Changes in treatments,
technologies and care delivery.
• Changes in health services
funding growth.
• Getting serious about prevention
• Empowering patients
• Engaging communities
• The NHS as a social movement
Oguchi Martins Egbujor
LO2.2
Describe how to challenge those not working
inclusively in a way that promotes change.
Oguchi Martins Egbujor
Challenge To Promote Inclusiveness
Promote Change:
• Informed questioning
• Non-confrontational approach
• Effective communication
• Mentoring
• Modelling
• Training
• Reporting
• Whistleblowing
Oguchi Martins Egbujor
Being Informed
Changes in patients’ health needs and personal preferences.
Long term health conditions -rather than illnesses susceptible to
a one-off cure -now take 70% of the health service budget. At the
same time many (but not all) people wish to be more informed
and involved with their own care, challenging the traditional
divide between patients and professionals, and offering
opportunities for better health through increased prevention and
supported self-care.
Oguchi Martins Egbujor
Mentoring
Mentoring is increasingly being used in the health and care
context to share experience, develop understanding and transfer
skills. In the high-pressure health and care context, mentoring
programmes are one of the most valuable and effective
development opportunities that organisations can offer.
Mentoring programmes are relatively low cost, high value
interventions that provide both mentors and mentees with a
wide range of personal and professional benefits.
Oguchi Martins Egbujor
Benefits of Mentoring
• Exposure to new ideas and different ways of thinking
• Opportunities to develop new skills and knowledge
• Increased understanding of the bigger picture and context
• Challenge and support to reflect on performance and
development opportunities
https://tpchealth.com/coaching-and-mentoring-in-health-and-
social-care/mentoring-programmes/
Oguchi Martins Egbujor
Modelling
Modelling and simulation tools enable you to understand the
potential impact of any proposed service changes or
developments. Using them enables you to evaluate the potential
impact of changes that are made to both the service and the
wider system. This helps to reduce time, energy and resources in
implementing changes that lead to unforeseen results.
(NHS England, 2022)
Oguchi Martins Egbujor
Modelling
Health and Social Care Modelling quantitatively models how care
is delivered, applying process and data mining, machine learning
techniques, production and operations management. In this
group, predictive modelling, analytical statistics and computing
research combine to improve the efficacy of complex-care
systems and are tools for devising sustainable continuing-care
systems.
Oguchi Martins Egbujor
Reporting In Health and Social Care
Health and social care professionals have a duty of care to ensure
the safety and well-being of individuals that they are supporting.
Workers must report any poor or unsafe practice to their senior
or manager. If the practice continues workers should report their
concerns to a more senior manager. Workers can also report
their concerns directly to the local authority Adult Safeguarding
team, or to the inspectorate.
(City and Guilds, 2019)
Oguchi Martins Egbujor
Unsafe Practices
Unsafe practice includes:
• Lifting an individual without referring to their care plan, risk
assessment or without using the necessary hoist or equipment
• Leaving an individual on their own, when their care plan clearly
states they should not be left on their own
• Ignoring individual’s choices or requests for help.
https://www.hee.nhs.uk/developing-flexible-models-sharing-
good-practice
Oguchi Martins Egbujor
Whistleblowing
You are a “Whistleblower” if you are a worker and you report
certain types of wrongdoing. This will usually be something you
have seen at work though not always. The wrongdoing you
disclose must be in the public interest. Whether it is in the public
interest will depend on:
1. The number of people affected.
2. The nature and impact of the wrongdoing
3. Who the wrongdoer is
https://www.equalityhumanrights.com/en/whistleblowing
Oguchi Martins Egbujor
Whistleblowing Concerns
You may be protected by law if you report any of the following:
• A criminal offence, for example fraud
• Someone’s health and safety is in danger
• Risk or actual damage to the environment
• A miscarriage of justice
• The company is breaking the law – for example, it does not
have the right insurance
• You believe someone is covering up wrongdoing
Oguchi Martins Egbujor
Non-Confrontational Approach
Non-confrontational approach involves giving a non-committal
response to mistakes, for example “Oh really” or “I don't know”
rather than using lengthy arguments, discussion or correction. It
is important though not actively to mislead the person by giving
wrong information.
Oguchi Martins Egbujor
Examples of Non-Confrontational Approach
• Keep calm and use a calm voice -
a person may be more sensitive
to the emotional content of
speech.
• Be prepared to repeat
information – avoid stating “I just
told you that”, it is not the
person’s fault that they cannot
remember.
• Try to calm the person if they
become distressed.
• Do not argue and disagree with
the person. Accept, rather than
contradict.
• Do not bombard the person with
questions, this will just increase
their anxiety, instead listen,
Oguchi Martins Egbujor
Examples of Non-Confrontational Approach
• Give information in a simple format - dementia can affect a
person’s language skills and understanding information can be
more difficult as the condition progresses.
• Give instructions one at a time, ideally with a visual cue. Let
the person complete each step before giving them a further
instruction.
Oguchi Martins Egbujor
LO2.3
Explain how to support others in promoting
equality and rights.
Oguchi Martins Egbujor
Support Others Promoting Equality and Rights
Support others:
• Communication;
• Mentoring
• Modelling
• Peer observation
• Training
• Supervision
• Appraisal
• Reflective practice
• Continuing professional
development.
Oguchi Martins Egbujor
Class Activity 07/04/2023
WhatsApp Group Activity Over Easter Period
I request all of you to work as a group; broadly research the legal
framework and codes of practice relevant to Equality and Rights
of individuals receiving care. You are required to discuss as a
group how the legislation and codes of practice inform your role
as a health and social care practitioner.
Oguchi Martins Egbujor
LO3
Understand legislation and codes of practice in
relation to inclusive practice in health and social
care settings.
Oguchi Martins Egbujor
LO3.1
Summarise legislation and codes of practice
relating to equality, diversity, inclusion and
discrimination.
Oguchi Martins Egbujor
Legislation and Code of Practice
• Care Act 2014
• Health and Social Care Act 2012
• The Equality Act 2010
• Human Rights Act 1998
• United Nations Convention on the Rights of the Child 1989
• European Convention on Human Rights 1950
• Codes of practice relevant to sector
• Current legislation as relevant to Home Nation.
Oguchi Martins Egbujor
Health and Social Care Act 2012
The main aims of the Act are to change how NHS care is
commissioned through the greater involvement of clinicians and
a new NHS Commissioning Board; to improve accountability and
patient voice; to give NHS providers new freedoms to improve
quality of care; and to establish a provider regulator to promote
economic, efficient and effective provision. In addition, the Act
will underpin the creation of Public Health England, and take
forward measures to reform health public bodies.
https://www.legislation.gov.uk/ukpga/2012/7/notes
Oguchi Martins Egbujor
The UN Convention on the Rights of the Child
(UNCRC) 1989
The UN Convention on the Rights of the Child (UNCRC) applies to
everyone under the age of 18. Its aim is ensure that children
grow up in a spirit of peace, dignity, tolerance, freedom, equality
and solidarity. The UNCRC was drafted in 1989 and is the most
widely ratified human rights treaty in history.
https://www.togetherscotland.org.uk/about-childrens-rights/un-
convention-on-the-rights-of-the-child
Oguchi Martins Egbujor
The Care Act 2014
The Care Act 2014 is the law that sets out how adult social care
in England should be provided. It requires local authorities to
make sure that people who live in their areas: receive services
that prevent their care needs from becoming more serious or
delay the impact of their needs.
https://www.cqc.org.uk/guidance-providers/adult-social-
care/care-act-easements-it
Oguchi Martins Egbujor
The European Convention on Human Rights
(ECHR) 1950
The European Convention on Human Rights (ECHR) protects the
human rights of people in countries that belong to the Council of
Europe. All 47 Member States of the Council, including the UK,
have signed the Convention. Its full title is the 'Convention for
the Protection of Human Rights and Fundamental Freedoms’.
https://www.equalityhumanrights.com/en/what-european-
convention-human-rights
Oguchi Martins Egbujor
ECHR 1950
• The right to respect for family
and private life (Article 8)
• Freedom of thought, conscience
and religion (Article 9)
• Freedom of expression (Article
10)
• Freedom of assembly (Article 11)
• The right not to be discriminated
against in respect of these rights
(Article 14)
• The right to protection of
property (Protocol 1, Article 1)
• The right to education (Protocol
1, Article 2)
• The right to participate in free
elections (Protocol 1, Article 3)
Oguchi Martins Egbujor
ECHR 1950
• The right to life (Article 2)
• Freedom from torture (Article 3)
• Freedom from slavery (Article 4)
• The right to liberty (Article 5)
• The right to a fair trial (Article 6)
• The right not to be punished for
something that wasn’t against
the law at the time (Article 7)
• The right to marry and start a
Family (Article 12)
• The abolition of the death
penalty (Protocol 13)
Oguchi Martins Egbujor
Code of
Conduct
For Care
Workers
1. Be accountable by making sure you can
answer for your actions or omissions.
2. Promote and uphold the privacy, dignity,
rights, health and wellbeing of people who
use health and care services and their
carers at all times.
3. Work in collaboration with your colleagues
to ensure the delivery of high quality, safe
and compassionate healthcare, care and
support.
4. Communicate in an open, and effective
way to promote the health, safety and
wellbeing of people who use health and
care services and their carers.
5. Respect a person’s right to confidentiality.
6. Strive to improve the quality of healthcare,
care and support through continuing
professional development.
7. Uphold and promote equality, diversity and
inclusion.
Oguchi Martins Egbujor
Duty of
Care
A duty owned by one to another to take
reasonable care not to cause physical,
emotional or economic damage. Duty
of Care in Employment: both employer
and employee have a common law duty
of care to each other, to other
employees and to those who may be
affected by their activities. This includes
exercising reasonable care in order to
protect others from the risks of injury,
death or health problems, or economic
loss or harm
Oguchi Martins Egbujor
The
Standard
and
Behaviour
The Code of Conduct describes the standards of
conduct, behaviour and attitude that the public
and people who use health and care services
should expect. You are responsible for, and have
a duty of care to ensure that your conduct does
not fall below the standards detailed in the Code.
Nothing that you do, or omit to do, should harm
the safety and wellbeing of people who use
health and care services, and the public
(Skills for Care)
Oguchi Martins Egbujor
Performance
Criteria
You need to:
1. Support individuals, key people and
others to identify short, medium and
long term communication needs of
individuals
2. Examine records and reports to enable
you to observe appropriately and
recognise changes in the individuals’
communication needs
3. Work with individuals and key people to
observe and monitor any changes in the
individuals’ communication needs
4. Observe and evaluate individuals’
communications when they are
communicating with: (1) yourself (2) key
people (3) others
5. Seek further help, advice and support
when the individual’s communication
needs change
6. Record and report changes to the
communication needs of individuals
within confidentiality agreements and
according to legal and organisational
requirements
Oguchi Martins Egbujor
The Rights of
Individuals
• To be respected
• To be treated equally and not be
discriminated against
• To be treated as an individual
• To be treated in a dignified way
• To have privacy
• To be protected from danger and
harm
• To be supported and cared for in a
way that meets their needs, takes
account of their choices and also
protects them
• To access information about
themselves
• To communicate using their
preferred methods of
communication and language
Oguchi Martins Egbujor
LO4
Understand the role of the health and social care
practitioner in relation to inclusive practice.
Oguchi Martins Egbujor
LO4.1
Evaluate the role of the health and social care
practitioner in meeting individuals’ needs through
inclusive practice.
Oguchi Martins Egbujor
The Role of Health and Social Care Practitioners
• To ensure equality, inclusion,
diversity
• To encourage independence
• To promotion of rights
• Person centred practice
• To empower individuals
• To challenge unfair or
discriminatory practice
• To support
• To educate and mentor others
• Risk management
• To report and whistle blow
• To reflective practice
• To work to legislation
• To review and develop policies
and procedures
• To organisational culture
Oguchi Martins Egbujor
Inclusive Practice
• Providing holistic screening and
health assessment to
understand the social and health
needs of the person beyond
their immediate complaints
• Ensuring that individuals with
deteriorating health and
increasing needs are identified
and receive adequate support
including, where appropriate,
social care
• Regularly asking about relevant
social issues (such as housing
status, access to benefits and
welfare support)
• Regularly recording relevant
information (such as health and
social care needs) in individuals’
records
• Providing extended and
personalised interventions for
those who do not respond to
brief interventions
By: Oguchi Martins Egbujor FHEA 97
Responsibilities of Healthcare Professional
• Offering access to a translator or interpreter instead of waiting for the
individual to ask, to ensure they are fully able to communicate and
understand
• Making sure you are familiar with people’s entitlements to services
and that you don’t refuse access to someone who is entitled to your
service
• Supporting individuals to attend appointments and engage with
treatment and wider support
• Taking part in outreach activities to bring the services you provide as
a health and care professional to the community
By: Oguchi Martins Egbujor FHEA 98

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EQUALITY, DIVERSITY AND RIGHTS IN HSC CM1 30 MARCH 2023.ppt

  • 1. EQUALITY, DIVERSITY AND RIGHTS IN HEALTH AND SOCIAL CARE HSC CM1 CODE: K/507/1406 By: Oguchi Martins Egbujor By: Oguchi Martins Egbujor FHEA 1
  • 2. Learning Outcomes 1. LO1: Understand equality, diversity and rights in health and social care. 2. LO2: Understand how to work in an inclusive way. 3. LO3: Understand legislation and codes of practice in relation to inclusive practice in health and social care settings. 4. LO4: Understand the role of the health and social care practitioner in relation to inclusive practice. By: Oguchi Martins Egbujor FHEA 2
  • 3. Equality 2010 The Equality Act 2010 requires that organisations undertake outcome focused activities in addressing equality and diversity issues as a service provider and employer, across nine protected characteristics. Organisations have general duty to eliminate discrimination, harassment and victimisation; advance equality of opportunity and to foster good relations between people who share a protected characteristic and those who do not share it. Discrimination of any sort is unlawful (NHS Foundation Trust, 2019) By: Oguchi Martins Egbujor FHEA 3
  • 4. The Protected Characteristics of Equality • Age • Disability • Gender reassignment • Marriage and civil partnership • Pregnancy and maternity • Race • Religion or belief • Sex • Sexual orientation By: Oguchi Martins Egbujor FHEA 4
  • 5. Class Activity: 30/03/2023 Carry our a mini research to create understanding and knowledge Define the following terms with examples and citations: 1. Equality 2. Diversity 3. Inclusion 4. Rights 5. Discrimination. By: Oguchi Martins Egbujor FHEA 5
  • 6. LO1: Understand equality, diversity and rights in health and social care. LO1.1. Define the terms: • equality • diversity • inclusion • discrimination. LO1.2. Explain how rights are promoted in health and social care services. LO1.3. Discuss ethical dilemmas that may arise when balancing individual rights and duty of care. By: Oguchi Martins Egbujor FHEA 6
  • 7. LO1.1: Define The Terms • Equality • Diversity • Inclusion • Discrimination. By: Oguchi Martins Egbujor FHEA 7
  • 8. Equality Equality is not just about treating everyone the same; it is about ensuring that access to opportunities are available to all by taking account of people’s differing needs and capabilities NHS Foundations https://www.humber.nhs.uk/about/equality-and- diversity.htm#:~:text=Diversity%20is%20about%20recognising%20and, perspectives%2C%20opinions%20and%20person%20value. By: Oguchi Martins Egbujor FHEA 8
  • 9. Equality Duty The Equality Act also requires public bodies (like local councils, hospitals, and publicly-funded service providers) to consider how their decisions and policies affect people with different protected characteristics. The public body also should have evidence to show how it has implemented equality that includes all the protected characteristics. By: Oguchi Martins Egbujor FHEA 9
  • 10. Equality and Diversity Equality means that everyone in the care setting is given equal opportunities, regardless of their background, abilities or lifestyle. On the other hand, diversity means that differences between people should be appreciated, and people's beliefs, cultures and values should be treated with respect. (Toersen, N., 2022) By: Oguchi Martins Egbujor FHEA 10
  • 11. Equality Equality Act 2010 stated that everyone should be treated equally, and no one should be discriminated on any of the following: • Age. • Gender. • Ethnicity. • Background or social class. • Sexual orientation. • Lifestyle. • The type of illness or care need. • Impairment, either physical or mental. • Religion or belief system. By: Oguchi Martins Egbujor FHEA 11
  • 12. Equality, Diversity and Inclusion • Good equality and diversity practices make sure that health and social care services are fair and accessible to all and that everyone is treated in the same way regardless of who or what they are or their lifestyle. • Holistic care will automatically resolve any conflict points and ensure seamless equality for all patients. • Equality impacts every aspect of health and social care from the physical structure of the building to how each individual patient is perceived and treated. The focus should be on unique person- centred care. By: Oguchi Martins Egbujor FHEA 12
  • 13. Diversity Diversity is about recognising and valuing differences through inclusion, regardless of: • age • disability • gender • racial origin • religion • belief • sexual orientation • commitments outside of work • part-time or shift work • language • union activity • HIV status • perspectives • opinions • person value By: Oguchi Martins Egbujor FHEA 13
  • 14. Diversity Diversity can be described as ‘difference’. All individuals are different; the many different parts of a person’s character and identity make them unique. Examples of the things that make up diversity are: • Age • Appearance • Ability • Disability • Job role • Health • Background By: Oguchi Martins Egbujor FHEA 14
  • 15. Examples of Diversity Continues • Friends • Sexual orientation • National origins • Marital status • Gender • Family • Religion • Belief • Values • Culture • Race By: Oguchi Martins Egbujor FHEA 15
  • 16. Inclusion Inclusion is a state of being valued, respected and supported. It's about focusing on the needs of every individual and ensuring the right conditions are in place for each person to achieve his or her full potential. Inclusion in health and social care means the process of including disadvantaged groups in healthcare activities, services and policies within local communities. By: Oguchi Martins Egbujor FHEA 16
  • 17. Class Activity 31/03/2023 There are two types of discrimination, names: 1. Direct Discrimination 2. Indirect Discrimination Carry out research to identify the two discriminations and explain them with work-based examples By: Oguchi Martins Egbujor FHEA 17
  • 18. Discrimination Discrimination is action that is often based on a person’s negative attitude towards others. The following can all lead to discrimination: • Labelling • Stereotyping • Prejudice. (Standard 4: Skills for Care) • It involves treating people differently because of assumptions made about a person or group of people based on their differences. • Negative attitudes and behaviours exist in society that can lead to individuals or groups being oppressed or disadvantaged By: Oguchi Martins Egbujor FHEA 18
  • 19. Direct Discrimination This means treating one person worse than another person because of a protected characteristic. For example, a promotion comes up at work. The employer believes that people’s memories get worse as they get older so doesn’t tell one of his older employees about it, because he thinks the employee wouldn’t be able to do the job. https://www.equalityhumanrights.com/en/advice-and-guidance/your- rights-under-equality-act-2010#rights By: Oguchi Martins Egbujor FHEA 19
  • 20. Indirect Discrimination This can happen when an organisation puts a rule or a policy or a way of doing things in place which has a worse impact on someone with a protected characteristic than someone without one. For example a local authority is planning to redevelop some of its housing. It decides to hold consultation events in the evening. Many of the female residents complain that they cannot attend these meetings because of childcare responsibilities By: Oguchi Martins Egbujor FHEA 20
  • 21. Harassment This means people cannot treat you in a way that violates your: • Dignity • Creates a hostile • Degrading • Humiliating • Offensive environment For example a man with Down’s syndrome is visiting a pub with friends. The bar staff make derogatory and offensive comments about him, which upset and offend him. By: Oguchi Martins Egbujor FHEA 21
  • 22. Victimisation This means people cannot treat you unfairly if you are taking action under the Equality Act (like making a complaint of discrimination), or if you are supporting someone else who is doing so. For example, an employee makes a complaint of sexual harassment at work and is dismissed as a consequence By: Oguchi Martins Egbujor FHEA 22
  • 23. Diversity and Inclusion This is a UK government publication on equality and diversity in the United Kingdom. https://www.gov.uk/government/publications/inclusion-health- applying-all-our-health/inclusion-health-applying-all-our-health By: Oguchi Martins Egbujor FHEA 23
  • 24. LO1.2 Explain how rights are promoted in health and social care services. By: Oguchi Martins Egbujor FHEA 24
  • 25. Promoting Rights of Individual • Choice • Risk • Opportunity • Respect • Service provision to meet individual needs By: Oguchi Martins Egbujor FHEA 25
  • 26. The Rights of Individuals • To be respected • To be treated equally and not be discriminated against • To be treated as an individual • To be treated in a dignified way • To have privacy • To be protected from danger and harm • To be supported and cared for in a way that meets their needs, takes account of their choices and also protects them • To access information about themselves • To communicate using their preferred methods of communication and language Oguchi Martins Egbujor
  • 27. Rights In Healthcare The right to health means that functioning public health care facilities, goods and services must be available and accessible, equally, to all. States must do everything they can, within their available resources, to provide all these things By: Oguchi Martins Egbujor FHEA 27
  • 28. Individual Rights • Right to be Respected • Right to be treated with equality, and fairness • Right to be respected as an individual and not discriminated against, privacy, dignity, protection from danger and harm • Right to access information relevant to themselves • Right to communicate using their preferred methods of communication and language • Right to be cared for in a manner that takes account of their needs, choices, preferences By: Oguchi Martins Egbujor FHEA 28
  • 29. Your Responsibilities • Take account of individuals’ needs, wishes, preferences and choices, whilst ensuring your own and the safety of individuals, key people and others when carrying out your work activities • Operate within the limits of your own role and responsibilities, in relation to health and safety • Where necessary, you seek additional support to resolve health and safety problems • Report health and safety issues to the appropriate people and complete health, safety and security records, according to legal and organisational requirements Oguchi Martins Egbujor
  • 30. Care Practitioner’s Responsibilities You need to: • Make sure that you are aware of, and follow organisational health, safety and security procedures before you start work • Before you begin any work activities you must check and use any risk assessments • Examine the areas in which you work and any equipment you have to use to ensure that they are safe, hazard free and conform to legal and organisational requirements for health and safety • Remove, where possible, hazards that might pose a health and safety risk to yourself and others Oguchi Martins Egbujor
  • 31. Legislation, Policies, Procedures and Codes of Practice • Care Act 2014 • Health and Social Care • Act 2012 • Data Protection Act 1998 • Human Rights Act 1998 • Common Law Duty of Confidentiality • Caldicott Guardian • Codes of practice relevant to sector • Related policies and Procedures • Current legislation as relevant to Home Nation. Oguchi Martins Egbujor
  • 32. Inclusion • Individuals at the centre of planning • Support and review • Valuing diversity • Overcoming barriers • Empowerment • Access to comments and complaints procedures By: Oguchi Martins Egbujor FHEA 32
  • 33. LO1.3 Discuss Ethical Dilemmas That May Arise When Balancing Individual Rights And Duty of Care. By: Oguchi Martins Egbujor FHEA 33
  • 34. Ethical Dilemmas • Duty of care • Confidentiality • Managing own values • Risk taking • Rights versus responsibilities By: Oguchi Martins Egbujor FHEA 34
  • 35. Ethical Dilemma Ethical dilemma in health and social care is a situation where a care practitioner must decide between competing values and know that no matter what choice they make, there are consequences. Ethical dilemmas may conflict with the care practitioner's personal values or with the Code of Ethics for health and social care By: Oguchi Martins Egbujor FHEA 35
  • 36. Ethical Dilemma Ethical dilemma involves the need to choose from among two or more morally acceptable options or between equally unacceptable courses of action, when one choice prevents selection of the other Video on Ethical Dilemma: https://www.youtube.com/watch?v=byjnaqaAzvA By: Oguchi Martins Egbujor FHEA 36
  • 37. The Rights of Individuals • To be respected • To be treated equally and not be discriminated against • To be treated as an individual • To be treated in a dignified way • To have privacy • To be protected from danger and harm • To be supported and cared for in a way that meets their needs, takes account of their choices and also protects them • To access information about themselves • To communicate using their preferred methods of communication and language Oguchi Martins Egbujor
  • 38. Code of Conduct For Care Workers 1. Be accountable by making sure you can answer for your actions or omissions. 2. Promote and uphold the privacy, dignity, rights, health and wellbeing of people who use health and care services and their carers at all times. 3. Work in collaboration with your colleagues to ensure the delivery of high quality, safe and compassionate healthcare, care and support. 4. Communicate in an open, and effective way to promote the health, safety and wellbeing of people who use health and care services and their carers. 5. Respect a person’s right to confidentiality. 6. Strive to improve the quality of healthcare, care and support through continuing professional development. 7. Uphold and promote equality, diversity and inclusion. Oguchi Martins Egbujor
  • 39. Potential Tension • Duty of care • Consent • ‘Need to know’ • Policy • Procedure and protocols Oguchi Martins Egbujor
  • 40. Duty of Care A duty owned by one to another to take reasonable care not to cause physical, emotional or economic damage. Duty of Care in Employment: both employer and employee have a common law duty of care to each other, to other employees and to those who may be affected by their activities. This includes exercising reasonable care in order to protect others from the risks of injury, death or health problems, or economic loss or harm Oguchi Martins Egbujor
  • 41. Confidentiality Confidentiality means respecting someone's privacy and abstaining from sharing personal or potentially sensitive information about an individual, especially if that information has been shared in confidence. www.ena.co.uk/confidentiality Oguchi Martins Egbujor
  • 42. The Tension Between Maintaining Confidentiality Maintaining Confidentiality and the Need to Disclose Information • Duty of Care • Consent • Need to know Oguchi Martins Egbujor
  • 43. Caldicott (2013) The Eight Principles To Share or Not to share 1. Justify the purpose(s) 2. Do not use personal confidential data unless it is absolutely necessary 3. Use the minimum necessary personal confidential data 4. Access to personal confidential data should be on a strict need – to-know basis 5. Everyone with access to personal confidential data should be aware of their responsibilities 6. Comply with the law 7. The duty to share information can be as important as the duty to protect confidential information 8. Inform Care Users about how their confidential information is used Oguchi Martins Egbujor
  • 44. Care Values Caring Dignity Respect Learning Reflection Commitment to quality care and support Oguchi Martins Egbujor
  • 45. 6Cs Care Values Health and Social Care practitioners are expected to possess the following care qualities and values 1. Communication 2. Caring 3. Compassion 4. Competence 5. Commitment 6. Courage Oguchi Martins Egbujor
  • 46. Respect and Dignity • Ensure that the service you provide is delivered equally and inclusively • Provide active support to enable individuals to take as much control as they are able • Identify and take appropriate action when behaviours and practice discriminate against individuals • Seek extra support and advice when you are having difficulty supporting equality and diversity • Ensure individuals have the appropriate information about how to offer comments on the support and care they receive Oguchi Martins Egbujor
  • 47. Duties and Responsibilities Your duties and responsibilities include to assist people who need care and support services with all aspects of personal care, and to participate in daily activities of their choice, including: • Washing • Personal hygiene • Dressing • Assisting with meals • Day trips • Recreational/ leisure activities • Crafts • Reading • Writing Oguchi Martins Egbujor
  • 48. Class Activity 01/04/2023 Group Work Dilemma You should research on the legal framework regarding equality and rights of individual, and the codes of practice relevant to health and social care. Discuss in the group how the legislation and codes of practice informed the role of the practitioner to protect their service users in a difficult situation where dilemma ensued. Oguchi Martins Egbujor
  • 49. Class Activity 2 01/04/2023 Please explain the following: 1. Diversity and Inclusion? 2. Discrimination 3. The rights of individuals in health and social care? 4. Duty of care? 5. Code of practice for health and social care? 6. Dilemma? 7. Disclosure of confidentiality? Oguchi Martins Egbujor
  • 50. LO2 Understand how to work in an inclusive way. Oguchi Martins Egbujor
  • 51. Assessment LO2.1. Explain how to promote equality and support diversity. LO2.2. Describe how to challenge those not working inclusively in a way that promotes change. LO2.3. Explain how to support others in promoting equality and rights. Oguchi Martins Egbujor
  • 52. LO2.1 Explain how to promote equality and support diversity. Oguchi Martins Egbujor
  • 53. Promote Equality and Support Diversity • Person-centred practice • Inclusive practice • Understanding own beliefs and attitudes • Enabling choice • Providing opportunities • Access to services according to needs • challenging discrimination • duty of care Knowledge of individuals’: • Beliefs • Cultures • Values • Needs • Preferences Oguchi Martins Egbujor
  • 54. Person-centred Care Being person-centred is about focusing care on the needs of individual. Ensuring that people's preferences, needs and values guide clinical decisions, and providing care that is respectful of and responsive to them. Oguchi Martins Egbujor
  • 55. Inclusive Practice Inclusion health is a ‘catch-all’ term used to describe people who are socially excluded, typically experience multiple overlapping risk factors for poor health (such as poverty, violence and complex trauma), experience stigma and discrimination, and are not consistently accounted for in electronic records (such as healthcare databases) Oguchi Martins Egbujor
  • 56. Inclusive Practice Inclusive practice can be defined as attitudes and methods that ensure that all service users can access quality healthcare. Every care practitioner works collaboratively and in partnership to make sure that care users feel welcome and valued, and that they get the right support to help them to access quality healthcare that meets their needs and achieve positive outcome Oguchi Martins Egbujor
  • 57. Inclusive Practice Inclusive practice means: • Being versatile and flexible. • Ensuring consistency and accessibility for all. • Working collaboratively. • Encouraging personalisation. • Varying learning opportunities. • Embracing Equality, Diversity and Inclusion. Oguchi Martins Egbujor
  • 58. Understand Own Belief and Attitude Attitudes arise out of core values and beliefs we hold internally. Beliefs are assumptions and convictions we hold to be true based on past experiences. Values are worthy ideas based on things, concepts and people. Behaviours are how these internalised systems (attitudes, beliefs and values) are expressed. (Kumar, H., 2023) Oguchi Martins Egbujor
  • 59. Enabling Choice Enabling choice and control means having independent and impartial information, advice and advocacy that is clear, specific and local. (SCIE, 2021) Oguchi Martins Egbujor
  • 60. Enabling Choice Patient choice in health and social care is the legal right of a patient to choose where they receive their treatment. In other words, if you need to be referred due to a mental or physical health condition, you have the legal right to choose which hospital or service you would like to attend. Oguchi Martins Egbujor
  • 61. Providing Opportunities Equal opportunities in the context of health and social care mean every individual receives the same level of access to social care and medical help regardless of their own personal differences. These differences are far-reaching and include a variety of things, such as religion, age and race. Oguchi Martins Egbujor
  • 62. NHS New Model of Care • Changes in patients’ health needs and personal preferences. • Changes in treatments, technologies and care delivery. • Changes in health services funding growth. • Getting serious about prevention • Empowering patients • Engaging communities • The NHS as a social movement Oguchi Martins Egbujor
  • 63. LO2.2 Describe how to challenge those not working inclusively in a way that promotes change. Oguchi Martins Egbujor
  • 64. Challenge To Promote Inclusiveness Promote Change: • Informed questioning • Non-confrontational approach • Effective communication • Mentoring • Modelling • Training • Reporting • Whistleblowing Oguchi Martins Egbujor
  • 65. Being Informed Changes in patients’ health needs and personal preferences. Long term health conditions -rather than illnesses susceptible to a one-off cure -now take 70% of the health service budget. At the same time many (but not all) people wish to be more informed and involved with their own care, challenging the traditional divide between patients and professionals, and offering opportunities for better health through increased prevention and supported self-care. Oguchi Martins Egbujor
  • 66. Mentoring Mentoring is increasingly being used in the health and care context to share experience, develop understanding and transfer skills. In the high-pressure health and care context, mentoring programmes are one of the most valuable and effective development opportunities that organisations can offer. Mentoring programmes are relatively low cost, high value interventions that provide both mentors and mentees with a wide range of personal and professional benefits. Oguchi Martins Egbujor
  • 67. Benefits of Mentoring • Exposure to new ideas and different ways of thinking • Opportunities to develop new skills and knowledge • Increased understanding of the bigger picture and context • Challenge and support to reflect on performance and development opportunities https://tpchealth.com/coaching-and-mentoring-in-health-and- social-care/mentoring-programmes/ Oguchi Martins Egbujor
  • 68. Modelling Modelling and simulation tools enable you to understand the potential impact of any proposed service changes or developments. Using them enables you to evaluate the potential impact of changes that are made to both the service and the wider system. This helps to reduce time, energy and resources in implementing changes that lead to unforeseen results. (NHS England, 2022) Oguchi Martins Egbujor
  • 69. Modelling Health and Social Care Modelling quantitatively models how care is delivered, applying process and data mining, machine learning techniques, production and operations management. In this group, predictive modelling, analytical statistics and computing research combine to improve the efficacy of complex-care systems and are tools for devising sustainable continuing-care systems. Oguchi Martins Egbujor
  • 70. Reporting In Health and Social Care Health and social care professionals have a duty of care to ensure the safety and well-being of individuals that they are supporting. Workers must report any poor or unsafe practice to their senior or manager. If the practice continues workers should report their concerns to a more senior manager. Workers can also report their concerns directly to the local authority Adult Safeguarding team, or to the inspectorate. (City and Guilds, 2019) Oguchi Martins Egbujor
  • 71. Unsafe Practices Unsafe practice includes: • Lifting an individual without referring to their care plan, risk assessment or without using the necessary hoist or equipment • Leaving an individual on their own, when their care plan clearly states they should not be left on their own • Ignoring individual’s choices or requests for help. https://www.hee.nhs.uk/developing-flexible-models-sharing- good-practice Oguchi Martins Egbujor
  • 72. Whistleblowing You are a “Whistleblower” if you are a worker and you report certain types of wrongdoing. This will usually be something you have seen at work though not always. The wrongdoing you disclose must be in the public interest. Whether it is in the public interest will depend on: 1. The number of people affected. 2. The nature and impact of the wrongdoing 3. Who the wrongdoer is https://www.equalityhumanrights.com/en/whistleblowing Oguchi Martins Egbujor
  • 73. Whistleblowing Concerns You may be protected by law if you report any of the following: • A criminal offence, for example fraud • Someone’s health and safety is in danger • Risk or actual damage to the environment • A miscarriage of justice • The company is breaking the law – for example, it does not have the right insurance • You believe someone is covering up wrongdoing Oguchi Martins Egbujor
  • 74. Non-Confrontational Approach Non-confrontational approach involves giving a non-committal response to mistakes, for example “Oh really” or “I don't know” rather than using lengthy arguments, discussion or correction. It is important though not actively to mislead the person by giving wrong information. Oguchi Martins Egbujor
  • 75. Examples of Non-Confrontational Approach • Keep calm and use a calm voice - a person may be more sensitive to the emotional content of speech. • Be prepared to repeat information – avoid stating “I just told you that”, it is not the person’s fault that they cannot remember. • Try to calm the person if they become distressed. • Do not argue and disagree with the person. Accept, rather than contradict. • Do not bombard the person with questions, this will just increase their anxiety, instead listen, Oguchi Martins Egbujor
  • 76. Examples of Non-Confrontational Approach • Give information in a simple format - dementia can affect a person’s language skills and understanding information can be more difficult as the condition progresses. • Give instructions one at a time, ideally with a visual cue. Let the person complete each step before giving them a further instruction. Oguchi Martins Egbujor
  • 77. LO2.3 Explain how to support others in promoting equality and rights. Oguchi Martins Egbujor
  • 78. Support Others Promoting Equality and Rights Support others: • Communication; • Mentoring • Modelling • Peer observation • Training • Supervision • Appraisal • Reflective practice • Continuing professional development. Oguchi Martins Egbujor
  • 79. Class Activity 07/04/2023 WhatsApp Group Activity Over Easter Period I request all of you to work as a group; broadly research the legal framework and codes of practice relevant to Equality and Rights of individuals receiving care. You are required to discuss as a group how the legislation and codes of practice inform your role as a health and social care practitioner. Oguchi Martins Egbujor
  • 80. LO3 Understand legislation and codes of practice in relation to inclusive practice in health and social care settings. Oguchi Martins Egbujor
  • 81. LO3.1 Summarise legislation and codes of practice relating to equality, diversity, inclusion and discrimination. Oguchi Martins Egbujor
  • 82. Legislation and Code of Practice • Care Act 2014 • Health and Social Care Act 2012 • The Equality Act 2010 • Human Rights Act 1998 • United Nations Convention on the Rights of the Child 1989 • European Convention on Human Rights 1950 • Codes of practice relevant to sector • Current legislation as relevant to Home Nation. Oguchi Martins Egbujor
  • 83. Health and Social Care Act 2012 The main aims of the Act are to change how NHS care is commissioned through the greater involvement of clinicians and a new NHS Commissioning Board; to improve accountability and patient voice; to give NHS providers new freedoms to improve quality of care; and to establish a provider regulator to promote economic, efficient and effective provision. In addition, the Act will underpin the creation of Public Health England, and take forward measures to reform health public bodies. https://www.legislation.gov.uk/ukpga/2012/7/notes Oguchi Martins Egbujor
  • 84. The UN Convention on the Rights of the Child (UNCRC) 1989 The UN Convention on the Rights of the Child (UNCRC) applies to everyone under the age of 18. Its aim is ensure that children grow up in a spirit of peace, dignity, tolerance, freedom, equality and solidarity. The UNCRC was drafted in 1989 and is the most widely ratified human rights treaty in history. https://www.togetherscotland.org.uk/about-childrens-rights/un- convention-on-the-rights-of-the-child Oguchi Martins Egbujor
  • 85. The Care Act 2014 The Care Act 2014 is the law that sets out how adult social care in England should be provided. It requires local authorities to make sure that people who live in their areas: receive services that prevent their care needs from becoming more serious or delay the impact of their needs. https://www.cqc.org.uk/guidance-providers/adult-social- care/care-act-easements-it Oguchi Martins Egbujor
  • 86. The European Convention on Human Rights (ECHR) 1950 The European Convention on Human Rights (ECHR) protects the human rights of people in countries that belong to the Council of Europe. All 47 Member States of the Council, including the UK, have signed the Convention. Its full title is the 'Convention for the Protection of Human Rights and Fundamental Freedoms’. https://www.equalityhumanrights.com/en/what-european- convention-human-rights Oguchi Martins Egbujor
  • 87. ECHR 1950 • The right to respect for family and private life (Article 8) • Freedom of thought, conscience and religion (Article 9) • Freedom of expression (Article 10) • Freedom of assembly (Article 11) • The right not to be discriminated against in respect of these rights (Article 14) • The right to protection of property (Protocol 1, Article 1) • The right to education (Protocol 1, Article 2) • The right to participate in free elections (Protocol 1, Article 3) Oguchi Martins Egbujor
  • 88. ECHR 1950 • The right to life (Article 2) • Freedom from torture (Article 3) • Freedom from slavery (Article 4) • The right to liberty (Article 5) • The right to a fair trial (Article 6) • The right not to be punished for something that wasn’t against the law at the time (Article 7) • The right to marry and start a Family (Article 12) • The abolition of the death penalty (Protocol 13) Oguchi Martins Egbujor
  • 89. Code of Conduct For Care Workers 1. Be accountable by making sure you can answer for your actions or omissions. 2. Promote and uphold the privacy, dignity, rights, health and wellbeing of people who use health and care services and their carers at all times. 3. Work in collaboration with your colleagues to ensure the delivery of high quality, safe and compassionate healthcare, care and support. 4. Communicate in an open, and effective way to promote the health, safety and wellbeing of people who use health and care services and their carers. 5. Respect a person’s right to confidentiality. 6. Strive to improve the quality of healthcare, care and support through continuing professional development. 7. Uphold and promote equality, diversity and inclusion. Oguchi Martins Egbujor
  • 90. Duty of Care A duty owned by one to another to take reasonable care not to cause physical, emotional or economic damage. Duty of Care in Employment: both employer and employee have a common law duty of care to each other, to other employees and to those who may be affected by their activities. This includes exercising reasonable care in order to protect others from the risks of injury, death or health problems, or economic loss or harm Oguchi Martins Egbujor
  • 91. The Standard and Behaviour The Code of Conduct describes the standards of conduct, behaviour and attitude that the public and people who use health and care services should expect. You are responsible for, and have a duty of care to ensure that your conduct does not fall below the standards detailed in the Code. Nothing that you do, or omit to do, should harm the safety and wellbeing of people who use health and care services, and the public (Skills for Care) Oguchi Martins Egbujor
  • 92. Performance Criteria You need to: 1. Support individuals, key people and others to identify short, medium and long term communication needs of individuals 2. Examine records and reports to enable you to observe appropriately and recognise changes in the individuals’ communication needs 3. Work with individuals and key people to observe and monitor any changes in the individuals’ communication needs 4. Observe and evaluate individuals’ communications when they are communicating with: (1) yourself (2) key people (3) others 5. Seek further help, advice and support when the individual’s communication needs change 6. Record and report changes to the communication needs of individuals within confidentiality agreements and according to legal and organisational requirements Oguchi Martins Egbujor
  • 93. The Rights of Individuals • To be respected • To be treated equally and not be discriminated against • To be treated as an individual • To be treated in a dignified way • To have privacy • To be protected from danger and harm • To be supported and cared for in a way that meets their needs, takes account of their choices and also protects them • To access information about themselves • To communicate using their preferred methods of communication and language Oguchi Martins Egbujor
  • 94. LO4 Understand the role of the health and social care practitioner in relation to inclusive practice. Oguchi Martins Egbujor
  • 95. LO4.1 Evaluate the role of the health and social care practitioner in meeting individuals’ needs through inclusive practice. Oguchi Martins Egbujor
  • 96. The Role of Health and Social Care Practitioners • To ensure equality, inclusion, diversity • To encourage independence • To promotion of rights • Person centred practice • To empower individuals • To challenge unfair or discriminatory practice • To support • To educate and mentor others • Risk management • To report and whistle blow • To reflective practice • To work to legislation • To review and develop policies and procedures • To organisational culture Oguchi Martins Egbujor
  • 97. Inclusive Practice • Providing holistic screening and health assessment to understand the social and health needs of the person beyond their immediate complaints • Ensuring that individuals with deteriorating health and increasing needs are identified and receive adequate support including, where appropriate, social care • Regularly asking about relevant social issues (such as housing status, access to benefits and welfare support) • Regularly recording relevant information (such as health and social care needs) in individuals’ records • Providing extended and personalised interventions for those who do not respond to brief interventions By: Oguchi Martins Egbujor FHEA 97
  • 98. Responsibilities of Healthcare Professional • Offering access to a translator or interpreter instead of waiting for the individual to ask, to ensure they are fully able to communicate and understand • Making sure you are familiar with people’s entitlements to services and that you don’t refuse access to someone who is entitled to your service • Supporting individuals to attend appointments and engage with treatment and wider support • Taking part in outreach activities to bring the services you provide as a health and care professional to the community By: Oguchi Martins Egbujor FHEA 98