Financial Resources in Health and Social Care Organisations

2.1 Discuss the diverse sources of income that may be encountered in health and social care

The diverse sources of finance for health and social in England come from taxation (NHS), private insurance and Social health insurance,

Normally Health and Social care incomes and funding varies between different countries and yet normally there are three main models that are used to finance health and social care REF.

They a combination of the three will help give the income to health and social care organizations. Another source of income is used funding which in the UK brings in a very small amount of income that is needed in the health and social care industry. In England income is brought in to fund the National Health Service (NHS) through general taxation which is taken from working people’s salaries in the form of National Insurance contributions REF. The NHS is generally free to all its countries citizens but some extra payments used charges are charged to help towards the cost of dental treatments and prescriptions REF.

National Insurance contributions and general taxation make up the main source of income in Health and Social care and private health insurance policies which are held by 10.6 percent of the UK population are given as a user income but in the UK in the last few years user charges have only made up 1 to 1.5 percent of the whole income source needed in the Health and Social care industry REF

These private policies are often given by companies to their staff as an incentive to work for a company. Taxation is collected by the government be either direct tax such as income tax on individuals or corporation tax on companies or indirect tax such as value added tax, and import of export duty tax on the sale and buying of goods, central government uses these taxes to help finance health and social care. Unlike the UK in Canada 30 percent of their health funding is made up of user charges. There are arguments for and against general taxation being used to find the health and care industry the advantages of taxation are it does not discriminate against low income earners so that everyone gets proper Hospital treatment wherever they are rich or poor, it is also a reliable REF

income source for the health and social care industry as the government are controlling it and can easily raise taxation to keep up with increased health and social care demands. Sometimes these taxes have a set percentage that is allocated to go to the health and social care budget, and are known as hypothecated taxes REF. These taxes are popular because the public can see how much is going to health and care services and what is needed in the future. Opponents of general taxation say that people who don’t ever use a service still must pay for it REF .

Private health insurance and social health insurance policies bring in income to the health and social care industry and in the United State the income from these is much higher than the UK REF

The main argument against these policies is that in the UK around ten percent of the population cannot afford them and as a result their health and social care suffers REF. User charges bring in an income to the health and social care organizations.  In the US it is not uncommon for people to have to sell their own homes to pay for their care often leaving nothing behind for their family to inherit which raises a lot of questions about is it morally right to take a person’s often hard-earned life’s savings away from them REF. The innovation Excellence and strategic development (IESD) find money given to voluntary groups whose aim is to help improve innovative ideas in Health and Social wellbeing REF. The UK government currently gives these groups who meet this criterion around 6 million pounds a year amongst them. REF

Voluntary donations such as Redbridge voluntary care, and Hard who help children and adolescents are examples of money going in to health and social care.
Health care funding is raised from diverse income Sources nearly all funding relies on some of the taxation and used charges mentioned.

Private health sector can raise money in a variety of ways by charging for their services, selling their assets or using their property as collaterals for bank loans. As these organisations are profit making the fee for health care tend to be high and are only affordable by a few.

Evidence has shown there is no real clear system to show which income source is the best and all countries Health and Social care funding are a major challenge.

2.2 ANALYSE THE FACTORS THAT MAY INFLUENCE THE AVAILABILITY OF FINANCIAL RESOURCES IN HEALTH AND SOCIAL CARE ORGANISATIONS.

There are numerous factors that influence the availability of financial resources to a Health and care organization. They include: funding priorities, agency objectives and policies, private finance, outsourcing, inter-agency partnerships, government policies, geographical location, type of services

Private finance

Health and social care safety organizations will receive Government funding from the National Health Service (NHS) and Local Authority, the NHS gets its money directly from Public sources which makes up 85 percent of the United kingdom’s health income and 15 percent comes from the private sector REF. The type of General Practitioners (GP) service that is needed and provided to a care home for example will influence the Care homes available finances, as will community health and social services costs in other health and safety areas

However private funding from individual pockets may not be sufficient to sustain health and social care organisations. This will definitely influence the availability of financial resources for organisations. The use of salaried personal as opposed to paying per consultation with a GP for example will keep financial costs down and leave more finances available for other health and social care areas as will direct payments for care from patients who have private insurance policies, more resources may then be used in training people and purchasing technological equipment. Unemployment and the age of the population will affect how much funding central government can give to a Health and Social care organization. Private user payments for health and social care mean the richer side of society are willing to pay for private medical treatment and so in theory NHS funding should go further. NHS waiting lists for medical treatment have been shown to increase the amount of private medical treatment as middle to high income earners will often pay for a one-off operation or a course of medication out of their own income to help speed up their medical recovery improvement time.

Geographical location

If a country’s population or geographical location has large unemployment and many people are over retirement age then less funding will be available from the NHS and Local Authority the opposite would happen if you had a larger working population and minimal unemployment and retired people. Less funding will also be available from private sources if the majority of residents are of the no- working age groups.

Organisational priorities

Letting local councils purchase Health and Social care services through agencies out of their budget will influence what funds are available for Health and social care organizations and vary greatly from one area to another depending on the various financial demands in other areas of a community. From 1991- 1999 the creation of General practise fundholding ( GPFHs )  meant that Doctors practises  got paid a budget based on all their referrals the year before the scheme started and then out of this budget allocated to them they would pay directly for any patient referrals once the s name started it has been shown that as a result in the year before the scheme started more  patient referrals were made than after the scheme started meaning that the GP  practises had been given a bigger budget than they actually needed which meant they had more financial resources available to spend on their own practise which meant that financial incentives and gains often became more important than patient care.

outsourcing agencies such as Interserve where they help people in their own homes is another way health and social service organizations provide care to the community outsourcing is expensive and will impact on available financial resources. If the economic state of the country is good generally there will be more financial resources available for Health and safety organizations to use from Central Government.

All these factors mentioned will influence the amount of financial resources available to a Health and Social care organizations.

2.3 REVIEW DIFERENT TYPES OF BUDGET EXPENDITURE  IN HEALTH AND SOCIAL CARE ORGANISATIONS.

Budgets are used to plan and control the operations of an organizations finances. They will provide organisations  with information on how much money they are likely to get in and how much they are likely to spend; a budget is made up at the start of each fiscal year running from April the first to March the 31^st REF.  A Balance sheet shows an organizations assets thing such as cash, accounts, building equipment and furniture etc.  A cost centre deals with all staff costs such as salaries and training and non-staff costs such as medicines, building equipment, laundry costs, a cost centre department works out these costs for each of these things. All these are incorporated into budgets expenditure for health and social are organisations.

. A project Manager must plan various budget areas for a Health and Social organization. A project Manager can use what is known as a force field analysis where he lists in one column all the reasons for change and uses a scoring system to mark these reasons then he lists all the reasons for not changing something and scores these items, he then subtracts the negative score from the positive score to give him an indication of whether he should go ahead with a project of not REF. There are diverse types of Budget there is the master budget which will contain information on each category of budget such as the sales budget, training budget, direct labour budget and overhead budget and the technology budget, and the capital expenditure budget. The income needed for all these budgets is put together to try and work out the likely financial state of a Health and Social care   organization at the end of a fiscal year.

A sales budget dealing with a Care home for example will often get its patients sent from the local authority a care home.  for example, needs to know how how many residents are likely to be staying in the year. Without knowing this source of income, it is difficult to make up a budget. REF

Direct labour budget- This is a budget worked out by Data collected by an organization cost centre. It is made up of Doctors, Nurses, physicians, social care workers, managers, cleaners etc must work out their daily or hourly pay scale, and how many hours they are going toned to work in a week or month to cover the needs of the social care resident. Material budget-  This involves working out how much each Resident in a care home or patient in a Hospital costs after working out things such as the cost of laundry, medicine, cleaning materials, equipment, etc.

Training budget – This will be trying to assess how much staff training is needed in what areas and the cost of it.

Overhead budget – This is a budget where the item cannot be directly linked to a resident of patient, it may include Agency staff Security staff, office administration salaries costs.

Technology and medication budgets- These are where you try to work out the costs for possible new technological items and the costs of future medical and drug supplies. The capital expenditure budget- This takes in to account what a card home may invest in in the future things such as new computers, New transport vehicles, New buildings.
Budgets are crucial to a Health and are organization in understanding what finances are going to be needed to be spent in the year ahead the various budgets mentioned will help an organizations financial controller plan more easily.

2.4 EVALUATE HOW DECISIONS ABOUT EXPENDITURE ARE MADE WITHIN A HEALTH OR SOCIAL CARE ORGANISATION.

A decision on expenditure within a Health and Social care organization is made with the focus being on making money. out.  They will know this through budgetary information available to them. They will try to work out how long it is to cover the cost of any expenditure before they get their initial cost outlay back.

Another decision-making expenditure tool to be used is to know the net present value(nvp) of the organization REF. If for instance you are planning to build a lot of Care homes then the financial controller will decide what the value of the cash flow will be then and what income they are likely to make in real financial terms compared to the net value of that money now as money brought in a few years’ time will be less in real value than it is now REF. Any financial team will try to see if the predicted revenue coming back in is more than the initial expenditure. If it is they will justify spending money. By cost analysis the Health Care Tech holdings company can find out how much the whole project will cost in real terms. The cost of building Care homes will include fixed costs such as building materials but also variable costs such as salaries to pay for workers’ labour costs, surveyors costs, environmental planning permission costs etc.

On any expenditure decision whether it is long term of short term planning a break-even figure is the minimum an organization is likely to invest in. Stakeholders must be considered that is how will their financial decisions affect other people. Budgetary reports, financial statements audits and reports, all must be correct before they can make any financial decisions can be made. REF Annual financial reports rely on market based information such as what demand is there for their Care homes what do the demographics indicate. Also, will the Government offer any grants or financing towards their projects. Have previous similar projects been successful if they have then they are more likely to invest in the project REF. Figures on what percentage of an organizations capital will be spent on these new care homes, what is the financial risk of the project fails and is the organizations current financial state a good one these factors for will influence a financial team’s expenditure decision-making for current employer’s wages and medications etc…
Long term financial expenditure decisions are more involved and looked at more thoroughly as they normally involve a large amount of a Health and Social care organizations spare capital and often take an extended period of time before they can make a profit on their investment REF..

REFERENCES –

REFERENCES

www.driveyoursuccess.com   www.iw-welch.info/iesearch/journalcopy www.yourarticlelibrary.com (capital expenditure decisions nature and purpose)

1.4 EVALUATE SYSTEMS FOR MANAGING FINANCIAL RESOURCES IN A HEALTH OR CARE ORGANISATION

There are financial systems set in place for managing financial resources and we are going to examine some of them now.

A financial controller such as a professional accountant and financial specialists are necessary to have in a Health and safety organization when working out financial decisions that need to be in place. A financial department will have the data available to send any income and expenditure records to the necessary accounts. Information available to a financial controller includes items such as income statements, cash books, and information from the human resources department on employees and their salaries, Agency costs, and patients costs in the example of a Hospital REF.

A financial controller will want to know his Sources of income such as National Health funding, Local Authority funds and any private funding through a private investment user who are well off individually who may contribute to a place in a Care home for example by paying out of their own private funds.  Any private health insurance company schemes are often paid in by a worker’s employers or any charitable contributions from societies such as the National lottery funds. Income may have come in from the Banks in the form of loans or organizations overdrafts. It is important for a financial controller to know where an organizations main source of income is coming from. Through research with various departments you will be able to find out what an organizations main aims and targets are. An income statement will help inform the financial controller how much profit and loss has come in to the organization over a period and how much has been spent and on what. A Balance sheet will graphically show him how much an organization owns in assets and how much is owned by its shareholders.

A financial controller will carry out a cost analysis by checking with its cost centre department what revenue has been spent. A cost centre does not make any money but specializes in organizations’ funds on such things as services such as Salaries.  Another main tool when evaluating financial resources is to check your Budget reports. A budget report will tell a financial controller how much an organization is likely to spend over a fiscal year. A financial controller has diverse types of budgets to evaluate such as a master, training, direct labour, and capital expenditure budgets. The finances involved for these budgets is merged together to try and evaluate the organizations likely financial state at the end of the year. Audit information will help the financial controller evaluate organizations finances.

An Audit  is a strict examination of an organizations financial statements and is carried out by a person who is independent of that organization and will be an examination of that organizations books , statutory records , accounts etc… and they are to work out that all the financial information given is correct , honest  , and a true reflection of an organization’s finances and running.  An example of a medical audit is where junior Doctors in their first two years are required to perform an audit and include things such as nature and structure of the care, resources such as a heart scanner, the process of Care , how long does it take for patients to be seen and the likely results of the care  in this example less heart surgery required as scanner showed  up potential heart problem symptoms early on REF. A financial controller is also accountable to an organization’s shareholder and will have to justify any financial decisions that he or she makes.

All the systems mentioned must be evaluated by a financial controller when managing organizations finances, by careful consideration and examination of all these systems the financial controller will have a clearer idea of which positive direction to take a Health of Social care organization to.

2.4 EVALUATE HOW DECOSIONS ABOUT EXPENDITURE ARE MADE WITHIN A HEALTH OR SOCIAL CARE ORGANISATION.

The finance controller and the directors etc…  will try and work out how much cash flow they have coming in and going out.  They will know this through budgetary information available to them. They will try to work out how long it is to cover the cost of any expenditure before they get their initial cost outlay back. Another decision-making expenditure tool to be used is to know the Net Present Value (nvp NPV) of the organization. If for instance you are planning to build a lot of Care homes then the financial controller will decide what the value of the cash flow will be then and what income they are likely to make in real financial terms compared to the net value of that money now as money brought in a few years’ time will be less in real value than it is now. Any financial team will try to see if the predicted revenue coming back in is more than the initial expenditure of it is they will justify spending money. By cost analysis they can find out how much the whole project will cost in real terms REF. The cost of building Care homes will include fixed costs such as building materials but also variable costs such as salaries to pay for worker’s labour costs, surveyors costs, environmental planning permission costs etc.  On any expenditure decision whether it is long term of short term planning a break-even figure is the minimum an organization is likely to invest in. Stakeholders must be considered, that is how will their financial decisions affect other people. Budgetary reports, financial statements audit and reports, all must be correct before they can make any financial decisions can be made. Annual financial reports rely on market based information such as what demand is there for their Care homes what do the demographics indicate. Also, will the Government offer any grants or financing towards their projects? Have on What percentage of an organizations capital will be spent on these  new care homes , what is the financial risk if the project fails and is the organizations current financial state a good one?  These factors for will influence a financial team’s expenditure decision-making.

Short term financial expenditure decisions are often made out of necessity for instance you have to pay out money for current employer’s wages and medications etc…
Long term financial expenditure decisions are more involved and looked at more thoroughly as they normally involve a large amount of a Health and Social care organizations spare capital and often take an extended period before one can make a profit on the investment.
3.1 EXPLAIN HOW FINANCIAL SHORFALLS CAN BE MANAGED.

To increase an organization’s cash flow the organization could offer any of their debtors a discount of say 2.5% for example on any finances owed in return for the debtors paying the organization the money owed by them very quickly. This will get in some instant available revenue. Requesting a loan from various companies including the organization’s bank is also useful. One could also ask to increase the bank overdraft but the problem with this method of raising cash is you often pay very high interest rates.

A spreadsheet is a piece of paper that shows accounting of other data in many Rows and columns, these items of data within the spreadsheet are known as cells. The good thing about a spreadsheet is that it will graphically show you a chart of all the information data gathered and it will be easier for someone to understand where a financial shortfall started to happen. Monitoring the cash flow of a company is crucial when there is a financial shortfall. The cash flow statement (cfs CFS ) of a statement is part of its annual financial reports and it is a record of how much cash is coming in and leaving an organization. The cash flow statement let’s everyone including shareholders know how an organization is being run and where it is getting its income from and how the income is being spent. A cash flow statement does not take into account any credit that the company has. By looking at the cash flow statement a company can tell exactly where it has spent its revenue. An example of this would be buying medical equipment. An organization may be able to get cash by issuing or selling shares. An organization may be able to control costs by negotiating cheaper insurance deals and reviewing all transportation costs, staff employment levels, and minimizing Agency costs. Government help in the form of a grant might be an available. By regularly reviewing your Budgets on a regular (weekly or monthly) basis will help an organization from overspending and make them aware of any possible financial problems that might be coming up. Cutting out unnecessary spending such as corporate hospitality and directors expenses will all help. Hence the decision to by Mercedes as the official car for managers is not a sound one.   For a limited period, you may have to cut down on your marketing costs. Hiring a financial control specialist may cost you money but their knowledge can save you a company much more than their salary cost and may be worth employing on a long-term basis. Selling some of your organizations assets that may be considered non-essential can also raise significant income. It is crucial you address a financial shortfall deficit as soon as it happened as this way it helps avoid long term bigger problems.

3.2 EXPLAIN THE ACTIONS TO BE TAKEN IN THE EVENT OF SUSPECTED  FRAUD.

Fraud is against the law and can be very damaging to an organization and must be stopped as quickly and effectively as possible.

When an organization is faced with a case of suspected fraud they should already have some fraud control measures in place to make it easier to detect if fraud is going on or not. A fraud control program can include such things as teaching employees about fraud and the serious consequences it is for any person involved in it. You must make sure that suspected fraud is investigated straight away, having auditing control measures in place to make it easier to detect any missing items and having regular inventory checks will help in preventing fraud.

By giving literature to all employees to read and sign on Fraud has the benefit of the potential fraudster being more likely to be put off committing fraud as they know the organization is vigilant to the possibility of fraud taking place. Also it is easier to dismiss someone from their job as they have signed a document saying they would not take part in any fraudulent action against the organization. This information should be annually reinforced.  It is crucial to get a fraud expert in to investigate and not to accuse anyone until certain fraud has taken place.  A fraud expert investigator on a regular basis will carry out asset searches , checking computer hard drives , business investigations and most importantly surveillance. Other fraud preventative measure is as an employee fraud hotline. When gathering fraudulent evidence every piece of evidence is logged, dated, and signed. Copies of the documents must be made and the original documents must be put in a safely locked up place so when you go to court you can prove no one else could have tampered with the evidence. You must also get a signed receipt for all the documents handed over. A company appointed fraud person or team should report its findings to senior management, the police, legal council , and where appropriate other legal law enforcement bodies . By using internal auditors, is a comfort to an organization knowing that they are thoroughly and regularly checking all the organizations accounts and are likely to detect any fraudulent signs quickly. When investigating an organization should have neutral third party witnesses who can  collect emails , data records , and camera recordings.

CONCLUSION –

A proactive method of fraud prevention risk management program is vital for an organization to have set up in its working environment where direct and indirect action takes place on suspicion of fraud taking place. Fraud will still take place occasionally but by setting up fraud prevention measures it will stop or minimize it significantly.

3.3 Evaluate budget monitoring arrangements in a health or social care organisations.

A health and social care organization such as a Care home in the information to follow must have processes in place within their departments to monitor their budgets. By carrying out and closely monitoring a Care home’s departments financial actions you will be able to keep the care homes finances under control. By regularly monitoring the entire department’s you can immediately take action to resolve any possible future problems to avoid poor and unnecessary financial decisions being made which can lead to a cash shortfall for the Care home. Each departmental fiscal management team has a duty to know how everything on the budgetary side of their department works. This is  why it is essential that the Care home ensures comprehensive relevant training is given to all  of their staff.  This training is likely to be initially costly and time consuming but the benefits in the long term are that by this continual ongoing training program all the staff will know the latest changes in any particular area of the Care home and will be confident to put together a good budget. When it comes to the expenditure budget of a care home each departmental budget will be different. The use of cost care analysis and spreadsheets , cash flow statements etc … will all help in monitoring the  Care homes budget. In a Care home for instance some individual residents pay for their care themselves as they have been given their own budget to manage. They often get given this money by the local authority after their income and assets have been means tested. Some of the  care homes staff will often have an input  in to recommending if a resident should or should not receive a direct payment and in the cases where they do they help the resident assess their needs and wants and works out a personal budget for them within their financial allocation of money. They will help manage any risky or large financial decisions and sometimes in a case where they feel the resident has not been given funds they will appeal to a council board for more funding to be given to their client.  The Care home staff will monitor the residents spending and will have consultations with their relatives where applicable on the president’s budget so that everyone is kept aware and has an input which is to the benefit of the resident. When allocating budgets in a Care home the people who will be responsible for its control and spending should be involved in the allocation process. All staff who are relevant to a particular budget should be made aware of any budgetary decisions that have taken place. A named individual or group in a Care home should normally have the responsibility of each task of budgetary allocation. As we have mentioned monitoring budget expenditure is crucial and the Care home must on a regular basis have a good knowledge of the following  , they must know how much your Budget is likely to cost for the whole year through careful planning , know how much was spent last year and how much is currently being spent ,what expenditure commitments you may already have in place and any likely future commitments and you must know after taking these factors in to consideration what finances you will have left in the budget. The Care home staff need to have a predicted forecast of how much the Care home is likely to spend in the year compared to the budget and have a plan to deal with any unforeseen expenditures. All these budget monitoring methods are vitally important for the Care home to run efficiently. By carrying out these budgetary cost control measures the Care home is likely to thrive in its Industry

4.2 ANALYSE THE RELATIONSHP BEWEEN A HEALTH AND SOCIAL CARE SERVICE DELIVERED, COST AND EXPENDITURE.

A Health and Care service is financed by the way good Health and Care Organizations are effectively managed and financed

To be successful a Health and Care Organization must manage its finances well in  order to make money. This money helps pay for a good Health and Care service and the better service allows higher fees to be charged for  a Residents  in a care home for example and the resident receiving a better standard of service.  Hence it is envisaged that the higher the health and social care cost and expenditure, the better is the service provided. Health and Care services may include things such as Agency staff, medical and equipment supplies, technological and financial experts are but a few relevant ones. A Health and Care brainstorming process needs to be carried out to work out all the cost of the services you are going to be use delivered. For example, if you are going to hire new computers, the costs of any upgrades for them and how much will it it will cost to maintain them and train the staff to use them should all be taken into consideration. When training on these computers is undertaken you have to know if you will need to pay for extra staff to cover the training staff jobs. You should make a list of all the costs each service will amount to and then list all the benefits by using such a service you will think you will gain. You also need to consider whether this is is this a long term substantial service or just a short-term trend service. Some services due to the nature of your business are essential to it whatever the costs are. Working out the monetary benefits of a service when first used is not easy , it is not easy to predict the obvious revenue you are going to get back some services are intangible to accurately predict a cash return on,  for example the staff that may have been trained on the latest technological computers may well result in less outsourcing in the future to technology services which are currently costing the organization money. It is difficult to predict revenue in obvious terms in this instance. Another consideration to costs is how much time it will take before you see any cash flow benefits. By working out the various cash flow costs for different services you may realise what services are better to use for net value profit and what not to for your organizations current financial state REF. A major factor to take in to consideration is what budgetary plans and capital expenditure has already been committed to by an organization. If there is only a small percentage of free capital left an organization financial controller may decide it is wiser to abandon certain services and commitments until a later future date when the organizations finances are stronger REF.  The National service performance committee states that nine areas of a care service must be met they must be, appropriate, safe, efficient, approachable, responsive, substantial, continuous, capable, and approvable. The costs of these services are directly linked to a Health and Care Organizations costs and expenditures REF.

Health and Social Care services are necessary for a Health and Social Care Organization to use they to help safeguard social users from abuse , infections , mental health issues , and nutritional and cleanliness issues, these services must be closely monitored and budgeted for buy a Health and Care Organization to avoid an organization getting in to financial trouble. The less we pay for health care services, when public funding for the sector is reduced, the less will be the quality of services we receive unless managers are equipped with excellent financial management systems. Individuals who are wealthy are able to afford expensive private health care and for this reason they are able to receive the level of care they require.

4.3 EVALUATE HOW FINANCIAL CONSIDERATIONS IMPACT UPON AN INDIVIDUAL USING THE HEALTH AND SOCIAL CARE SERVICE.

Financial considerations impact on individuals using the health and care service and the quality of care they receive.

A Health and Care Organization whilst trying to care for individual service users has to always try and function within their financial limits.  They have to have and closely monitor their budgets, how much their staff training costs, and keep in mind the finances of the organization currently and look in to the financial costs to keep individual service users and their family happy. With a good staff training policy implemented through workshops, computer technology training, and researching the latest innovative things on the market all will help an individual service user but a Health and Social care organization has to carry out these processes within their budget. If a service user has little personal income they cannot supplement any financial assistance that may be given to them and as a result may not be given the best available service package. A wealthy social care  user for example may be able to privately pay for a number of professional specialists in the health and social care industry and will receive a superior care package to an individual who has to rely on a government run service. Individual direct support of an individual by direct government funding for social care is increasingly becoming more popular as it is recognized to give an individual more choices and control over their needs and wants. This is particularly the case currently in Scotland where they are increasingly focusing on an individual’s health and service care needs through direct support. The amount of money  an individual receives in direct support funding will depend on their actual needs but research has indicated that the more a Health and Care Organization spends on things like staff training,  advanced medication , physical fitness facilities, therapist specialists, comfortable living conditions , nutritional meals , the better service an individual user gets. The advantages of a Health and Care Organization spending more of their available income than they previously have on individual health and social care has been found to result in a number of positive factors such  as the individual social user becomes more independent and has an increased say in what happens in their life,  they become more active and healthier ,  they through better services have more social and interpersonal contact and have  a higher esteem as a result  and by being more involved in their environment they are more likely to care and help other social users they come in to contact with also all these services when implemented have been seen to reduce individual drug and physical abuse.

Good available communication services such as the internet and television helps an individual have a better understanding of the world. Another factor that affects an individual’s health and care service is the Financial state of the country in a time where the economy of a country is booming the individual via local authority may receive more money than in times when the economy is not doing so well.

Financial considerations such as available capital, budgetary processes, cost analysis, economic state of the country will impact upon an individual’s health and service care. Research has indicated that the more money spent on care services the better-quality life the individual care user will have.

4.4 SUGGET WAYS TO IMPROVE THE HEALTH AND SOCIAL CARE SERVICE THROUGH CHANGES TO FINANCIAL SYSTEMS AND PROCESS.

There are a number of ways I would try and change and improve Health and Care services through changes to financial systems and processes.

To begin with I would encourage more funding for social care user’s participation in their health and service care treatment. This extra funding i would use to carry out more social user surveys, by means of interviewing them and their families to try and find out what they really need, what they want, and what impact will certain action have on their lives. Higher Government funding could be used to help these surveys and improve the general standard of Health and Social care for the care user. The government could finance this extra funding by raising taxation and national insurance contributions. I would try and make people in society more aware of Health and Social issues, I would implement more marketing in the media by direct advertising on television, the internet, and radio, also I would organize fund raising events where the general public participate and hopefully enjoy themselves whilst meeting real social users in person who are living with social care needs and benefiting from them.  This would help in making people be aware and relate to what the money raised is going to be used on. Drug companies could put more finances in to researching more innovative medical ideas to help improve patient care in the future. I would encourage technological research and advances in data based systems for everyone. Currently a good example of this is the National Information Board where their members have made progress in advanced technology helping all health and social users. Since 2014 members of the National Insurance Board have made a lot of good progress in gathering all kinds of Health and Social care together helping provide more accessible information for the Health and Social care providers and users. As a result of this data based improvement currently 6.5 million people are able in the UK to make appointments online with a Doctor, therapist or Hospital. Organizations such as the Camden child and Adolescent Mental Health services and the Anna Freud centre, carried out research on helping young people and Adolescents with health and care needs. In the research young participants and their families were encouraged by clinicians to share information and wishes on their treatment programmes and as a result the research was found by clinicians to significantly indicate that young people felt more encouraged and higher esteem and were happier as people because they and their relatives had been involved in their treatment decision making program from the beginning. I think it would be a good idea to encourage some of these participants to go in to Schools and Colleges at all age levels and speak to the pupils and students about health and mental care problem and the benefits of having funded programs to help. I would encourage Schools and Colleges across the country to try and raise funds for this crucial health and care area.

All the suggestions i have made are to encourage and create a better Health and Care Service for everyone in society.

REFERENCES

www.gov.uk ( using technology to improve health and care services)
www.helth.org.uk.    My own knowledge and ideas

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www.sheffield.ac.uk–   whatis.techtarget.com

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