1.1 Explain outcome based practice
Outcome based practise developed as a concept from clinical pathways of the 1990’s. A clinical path includes descriptions of key events that, if performed by caregivers as described, are expected to produce the most desirable outcomes for patients with specific conditions or procedures. Under the outcomes based practice approach health care providers are adopting outcomes-based practice methods to achieve desired patient care goals. Outcomes-based practice (sometimes called outcomes management) involves a combination of teamwork, continuous quality improvement, and process and outcome measurement. These collaborative multidisciplinary efforts build on the ...view middle of the document...
2 critically review approaches to outcome based practice
Outcome based practise is still a relatively new concept, as illustrated by the NHS white papers in 2010 and 2011, the basic principles of these approaches are ultimately aimed at improving service provision and making services person centred. However there is an underpinning reliance on inter-professional working to meet these objectives and an prevailing culture of each agency working to its own objectives and within its own ideologies, therefore processes or outcomes will be measured by each agency differently according to their systems. To become a successful approach recognised and accepted by all agencies involved there needs to be effective communication, clarity of goals and systems and respect for the objectives of all participants. In order to be successful the service user also needs to be recognised as a major participant in the services they require and receive, and adequate financial systems in place to achieve these goals.
1.3 analyse the effect of legislation and policy on outcome based practice
The frameworks illustrated by the white papers in 2010 and 2011 postdate the policies, procedures and standards by which M&D operates, and the aims of the organisation have always been to implement a holistic approach which meets the needs of each individual service user. However it is possible to ascertain from experiences with the service users with whom we work that it is not always easy for other agencies to implement these changes for a variety of reasons which may include lack of financial backing to implement changes or to target funding,, insufficient staffing levels, lack of understanding of other roles within the multidisciplinary approach, different approaches to providing services and lack of communication between agencies within a multidisciplinary approach as well as different outcomes being identified or prioritised by different agencies.
1.4 explain how outcome based practice can result in positive changes in individuals lives
Outcome based approach requires a person centred approach, to discover the needs and requirements of the individual and their expectations of the care that they receive and what they, and the health care professionals expect to achieve from the service they receive. Therefore the outcomes are going to differ for each individual. Therefore it should also improve participation and choice on behalf of the service user, and therefore be holistic and appropriate to need rather than a generic one size fits all service provision. This can therefore improve physical and mental health and improve the sense of well being and self esteem for the individual.
2.4 Explain how to challenge practices that act as barriers to children and young people’s well being and resilience.
It could be that a service user lives in a home where the staff complete a communal meal and a communal shop, but to move on in the community the service user needs to...