Factors Driving Changes in Health and Social Care in Relation to Enteral Feeding in the Community
There are several diving factors that have brought about the changes in the health and social care and hence the introduction and the existence of enteral feeding in the communities. The rise in inflation, rising patient demand, cost of patient treatment and the need for improvement and advancement in service delivery, has about huge pressure on health and social care. According (Department of Health, 2012). There is a growing medicine cost by over £600 million per year in the UK. Therefore, the enteral feeding in the communities has come to ease the pressures on the hospitals. The number of people that require the use of enteral feeding is increasing significantly and this is because of the increasing health complication issues for example cardiovascular conditions, long-term health conditions for example cancer and diabetes (Campbell, 2010). This is because individuals that have the complications cannot feed themselves at some point and require enteral feeding to prolong their lives and to improve their diets. Enteral feeding enables them to take food-containing nutrition that the body requires to operate effectively. There is the need for the health and social care, to continuously improve service delivery and it requires the health care providers to improve service delivery and ensure that patients are provided with quality health care services that meet their needs. This is because individuals that have, health complications cannot feed themselves at some point and therefore require enteral feeding to prolong their lives and to improve their diets. Enteral feeding enables them to take food-containing nutrition that the body requires to operate effectively. The coalition government in 2015 came up with an outlined plan that includes the need for deficit reduction and spending review so that it can achieve up to 20 billion savings and envisage that a review of the health system is required. There are several approaches that came into effect and that is, the innovation in health and social care, reducing the number of workers in NHS and improving the employee’s quality by ensuring that, staffs have skills and
knowledge required to provide patients with the high-quality services. The other main change in enteral feeding includes improved medical advances and treatment of diseases that affect people. Changes in information technology improved discharge planning and patients have knowledge of their health condition and demand for choices that meet their needs. The other drivers of change in enteral feeding also include the changing of demographics and the increasing number of different diseases that affect the health and lives of the population. It is estimated that by the year 2031, the number of people in the UK with over 75 years will increase by 74.5% from 4.7 to 8.2 million people. (Office National Statistics, 2011) The old people requires a huge amount of NHS resources to cater for their needs. The choices that people make each day, for example, poor nutrition, lack of physical activities, smoking and excessive intake of alcohol are the risk factors that cause a wide range of diseases for example cancer, diabetes, and cardiovascular diseases. Some individuals that have these diseases for example cancer and stroke requires enteral feeding (Day, 2013). The other factor that led to changes in health and social care is the fact that, the numbers of residential care homes with nurses were less than those without nurses. This shows that the number of patients that require enteral feeding in care homes without nurses that require special interventions from nutrition nurses compared to those that do not requires nurses. The other factor, which has led to the change, is that social requirements are also changing and increasing demand for enteral feeding providing an opportunity for people to live longer from their homes. The changes have created an opportunity for patients to make a choice of whether to get the services at their homes or at the hospital. Over the last number of years, NHS bed capacity for individuals that have learning disabilities has now been replaced by the option of voluntary and private care homes (Ogden, 2012). The other factor that has led to changes in enteral feeding is the fact that patients are now knowledgeable and they understand their rights. Patients also require services that are of high quality and that can improve their medical conditions. The government has a
responsibility of ensuring that the population can access health care services and the response of the government to the changes in healthcare has initiated the changes in health and social care. Healthcare professionals are becoming more knowledgeable and this has initiated the changes in health care (Fish, 2010). They can work as a team and collaboration has led to the sharing of ideas that have improved health care services. The increasing number of people that require enteral feeding in communities has initiated the change. The other factor is the global recession that has increased the costs of goods and services. It has increased the cost of healthcare services and this has initiated the changes. Enteral at the community is cost effective and provides an opportunity for the sector to improvise ways of meeting the demand of people that require enteral feeding. Therefore, there have been changes in the services can be provided at homes. There are bed shortages due to the high demand of patient that needs immediate medical attention. Over the years, Healthcare bed capacity for patient with learning difficulties has been inherited by the voluntary and residential care homes or people accommodations that is supported by the healthcare. (Care Quality Commission, 2012).


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