Health, social care and early years provision 1 Health, social care and early years provision Unit © Harcourt Education Limited 2002

Care needs of major client groups Client group name Age range (years) Babies and children 0 – 11 Adolescents 11 – 18 Adults 19 – 65 Older people 65+ People of any age who are well, but have special needs because of a physical or mental disability Disabled people

Babies and children Health needs Development needs Social care needs Maternity services Health screening e.g. growing normally Vaccination Immunisations School health services Dental services Specialist services such as paediatrician, optician etc. Health screening e.g. hearing and sight tests Nursery education Toys Books Primary education Family Friends Playgroups Nurseries Crèches Childminders Benefits School

Adolescents Health needs Development needs Social care needs Vaccination Immunisations School health services Dental services Specialist services Health promotion services and school e.g. dangers of smoking, contraception etc. Secondary education Books Visits to new places New experiences e.g. work experience School Friends Family Youth services e.g. youth clubs Youth offending services Child protection Telephone help lines e.g. Childline

Adults Health needs Development needs Social care needs General medical services Wider range of specialist care e.g. hysterectomies, strokes etc. Recuperation and rehabilitation services Mental health services Maternity services Complementary therapies Further education Day release to college Correspondence courses Night classes Stimulating employment Family Friends Refuges Homelessness services Support services e.g. Samaritans Advice services e.g. Citizen’s Advice Bureau

Older people Health needs Development needs Social care needs Home nursing care Personal care Domestic help Equipment e.g. bed rails Specialist help for specific problems Foot care Day care facilities e.g. fitness activities Residential care Sheltered accommodation Books Television Conversation Day care centres e.g. games, creative activities Residential care Sheltered accommodation Family Friends Day care centres e.g. talking groups Residential care Sheltered accommodation

Disabled people Health needs Development needs Social care needs As all other age groups Suitably adapted facilities e.g. toilets Supported community living Hospital care Day care centres Home care As all other age groups Day centres for those with learning disabilities Suitably adapted resources e.g. talking books, Braille books Physical access to new places As all other age groups Family Friends Domiciliary care

Types of care services Statutory Private Voluntary Set up because Parliament has passed a law that requires the services to be provided. Includes NHS trusts and local authority services Hospitals and clinics Community services e.g.GPs, district nurses, health visitors, dentists Social services and education e.g.residential and nursing homes, day centre, home care, early years centres, nurseries, schools Hospitals and clinics Residential and nursing homes Nursing and home care agencies Domestic help agencies Run on a profit-making basis Hospices Day centres Befriending services Luncheon clubs Child protection agencies Child care agencies Help in the community Run on a non profit-making basis

Barriers to care BARRIERS TO CARE Physical barriers Cultural and language barriers Psychological barriers BARRIERS TO CARE Geographical barriers Resource barriers Financial barriers

Lack of adapted toilet facilities Physical barriers Stairs Lack of lifts Lack of adapted toilet facilities No places to leave equipment, e.g. prams and buggies Communication difficulties

Psychological barriers Fear of hospitals of losing independence Stigma associated with some services Not wanting to be looked after Mental health problems

Not having enough money to pay for services Financial barriers Charges and fees Not having enough money to pay for services Services not available within local area due to lack of resources

Geographical barriers Location of service or practitioner Lack of public transport Long bus or car journeys

Cultural and language barriers Cultural beliefs about who should provide care and how illness and social problems should be dealt with Difficulties in using English Como?

Sorry, we are now closed until 9 a.m. tomorrow morning. Resource barriers Lack of staff Lack of information about services Lack of money to fund services Large demand for services Sorry, we are now closed until 9 a.m. tomorrow morning.

The care value base CARE WORKERS EMPOWER CLIENTS BY Promoting anti-discriminatory practice Maintaining confidentiality of information CARE WORKERS EMPOWER CLIENTS BY Promoting and supporting individuals’ rights Acknowledging individuals’ personal beliefs and identity Protecting individuals from abuse Promoting effective communication and relationships Providing individualised care