Case Study: Identify and compare examples of inter-professional working in various health and social care contexts

1. Identify and compare examples of inter-professional working in various health and social care contexts. Examples of inter-professional working , care in the community, care in acute settings, service users, carers and the voluntary sector, maternity and infant care, mental health care

2. Analyse how the policy of putting patients at the heart of inter-professional working can be achieved in practice. Patients at the heart of inter-professional working. Building collaborative relationships among professionals, patients, carers and communities. Leading collaboration, finding the right partner, developing collaborative relationships, capture and sharing learning. Changing existing ways of working and embedding collaborative activity in organisational culture

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In the context of successes in your own health and social care setting and issues from the case study below, identify and compare the examples of inter-professional working and analyse how the policy of putting patients or service users at the heart of inter-professional working have been achieved in practice in these contexts. 

Case study: 2000

Rochdale serious case reviews find dysfunctional multi-agency working and social care failures Two serious case reviews highlight numerous problems across all agencies involved in the Rochdale child sexual exploitation case by Tristan Donovan on December 20, 2013. Hence students should be aware that not all the information may be factual) 

https://www.rochdaleonline.co.uk/uploads/f1/news/document/20131220_93449.pdf

Nine men have each been sentenced to up to 25 years in jail for a catalogue of serious sexual offences against teenage girls in Rochdale, exposed following widespread media coverage of grooming cases in the area. The men were found guilty last month of abusing their victims, aged 13 to 22, between 2005 and 2013. The defendants pleaded not guilty to the charges during two separate trials at Manchester Minshull Street Crown Court, which lasted a total of 15 weeks. A 10th man pleaded guilty and was sentenced last September.

 During the sentencing, Judge John Potter said the fact that the women, now in their 20s, had given evidence was a testament to their “bravery, courage and fortitude”. Three of the victims were present in court to watch the sentencing and the public gallery erupted into applause when the sentences were read out.

 The principal victim in the case, who was abused by all of the defendants, walked into a police station in 2012 claiming to know about “Rochdale grooming”, after news emerged of the convictions of a number of Asian men for grooming white girls for sex. 

The victim reported that when she was aged 14 and 15 she was repeatedly sexually groomed by a large number of men from the Rochdale area. The victim – described by prosecutors as an “extremely vulnerable young woman” who had had a difficult home life and a learning disability – said her phone number had been passed around and that hundreds of men would ring her wanting to meet for sex.

 The 10 men were charged as part of Operation Doublet, a police investigation into the alleged sexual exploitation of teenage girls by men in Rochdale. The operation has led to more than 100 people being arrested and questioned, the majority of whom had links to Rochdale.

 Many of the offences date back 10 years and were first reported shortly after they were committed. In some cases the victims decided they no longer wanted to cooperate with police inquiries, while in other cases the police decided not to pursue the allegations. The victims were later approached by detectives to give evidence after the principal complainant came forward in 2012.

 During the trial’s opening, the prosecution told the jury that even in the relatively short period of time since the offences had taken place “the whole of society has a much greater understanding of child sexual exploitation”. In a statement read out to the court on Thursday, one victim said her experiences had been eating her up inside and that it was hard to describe the “brilliant relief” that came from telling someone. “After all these years something had been done. My head was clear and I could start to move on,” she said of the guilty verdict. A spokesperson for the NSPCC child protection charity said the victims in the case had shown “a great deal of bravery to speak out, particularly the young girl who walked into a police station after seeing coverage of other child abuse cases in the Rochdale area and told detectives her grim story. This sends out a strong message that other victims of abuse can feel confident they will not be ignored and will be taken seriously.”

 The children social services were alerted to the problem in 2006 by sexual health workers. The role of the children social service is to investigate and suggest if a strategy meeting or assessment was needed and to inform the police to start an enquiry.  After their investigation it was concluded that no strategy meeting or assessment was needed due to inadequate evidence. An enquiry discovered that most of the social workers for the young victims with the children social services were unqualified, a strategy that has been used to cut cost and to create a diverse workforce.  These social workers worked really hard considering their workloads. Social workers and other professionals were also found to have focused on the behaviour and lifestyle expectations of the young people and not their safeguarding needs and so allowed themselves to be reassured by family members that they would protect their children.  The managers of the Children social care were very happy with what the organisations provided.

 The enquiry also found that the Police, Child Social services, NSPCC and other agencies met to create an effective specialist child sexual exploitation team. After many months of deliberations there were funding disagreements and a lack of communication resulted in a disconnect between strategic objectives and front line operations. The Specialist Child sexual Exploitation team sometimes lacked a basic understanding of child sexual exploitation.

 The men involved were all of an ethnic minority race. The enquiry found that the agencies were a bit reluctant with their investigation due to the cultural sensitivity and racial influence in the case. 

Helpful information

 The following sources of information may be useful for the completion of this assignment.

Crawford, K. (2012), Inter-professional Collaboration in Social Work Practice. London, Sage

Day, J. (2013), Inter-professional Working: an Essential Guide for Health and Social Care Professionals. Andover, Cengage EMEA

Glasby, J. (Ed), Dickinson, H. (2014), Partnership Working in Health and Social What is Integrated Care and How Can We Deliver It? Bristol, Policy Press

Seale, B. (2016), Patients as Partners – building collaborative relationships among professionals, patients, carers and communities. London, The King’s Fund

Thomas, J. (Ed), Pollard, K. C. (Ed), Sellman, D. (Ed). (2014), Basingstoke, Palgrave Macmillan

Marmot, M.,  Friel, S.,  Bell, R.,  AJHouweling T,  Taylor, S. (2008) Closing the gap in a generation: health equity through action on the social determinants of health. The Lancet, Volume 372, Issue 9650, 2008, pp. 1661-1669

Ko, M.,  Sanders, C., de Guia, S.,  Shimkhada, R., Ponce N.A. (2018) Managing Diversity To Eliminate Disparities: A Framework For Health. Health Affairs VOL. 37, NO. 9: Sept 2018.

Betancourt, J.R.,  Green, A.R., Carrillo, J.E.,  Park, E.R. (2005) Cultural Competence And Health Care Disparities: Key Perspectives And Trends. Health Affairs VOL. 24, NO. 2: RACIAL & ETHNIC DISPARITIES

David Stuckler, D., Basu, S., Suhrcke, M., Coutts, A., Mckee, M. (2011) Effects of the 2008 recession on health: a first look at European data. The Lancet Correspondence VOLUME 378, ISSUE 9786, P124-125, JULY 09, 2011.

Kondilis, E., Giannakopoulos, S., Gavana, M., Waitzkin I.H., Benos, A. (2013) “Economic Crisis, Restrictive Policies, and the Population’s Health and Health Care: The Greek Case”, American Journal of Public Health 103, no. 6 (June 1, 2013): pp. 973-979.

Conrad, P., Barker, K., K.(2008).The Social Construction of Illness: Key Insights and Policy Implications. Journal of Health and Social Behaviour Vol 51, Issue 1_suppl, 2010

https://www.england.nhs.uk/ourwork/innovation/healthy-new-towns/ NHS England leads the National Health Service (NHS) in England.

www.scie.org.uk/future-of-care/adults/recommendations. The Social Care Institute for Excellence (SCIE) is an independent charity which improves the lives of people who use care services by sharing knowledge about what works- for general reference

hub/resources/legislation/https://www.rand.org/content/dam/rand/pubs/research_reports/RR500/RR561/RAND_RR561.pdf. The RAND Corporation is a non-profit institution that helps improve policy and decision-making through research and analysis.

https://www.nhsconfed.org/-/media/Confederation/Files/Publications/Documents/Partnership-working.pdf?dl=1&dl=1 the NHS Leads the National Health Services in England.

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