Integration is an integral part of how different agencies, including the national health service (NHS), provide the highest quality of care for patients. Integration of health and social care can be described as finding new ways to organise care which will stop the duplication of care given and help to provide more preventative care (National Evaluation of the Department of Health’s Integrated Care Pilots 2012). A big part of integration is interagency working, also known as multi-professional …show more content…
Betty’s son is her main carer and her power of attorney which means that he makes decisions regarding medical treatment and finances, she was assessed as unable to make her own decisions due to her vascular dementia (Carroll, 2010). The Adults with Incapacity Act (Scotland) was brought in during 2002 and outlines the roles of the power of attorney (Scottish Government, 2000). Because Betty is unable to make her own decisions, the level of integration received will be analysed by her son, who wishes to be kept anonymous. From his perspective, the integration of health and social care surrounding his mother’s care had both good and bad aspects. One of the main things he picked up on was the lack of a package of care, he believes that Betty should have carers coming to visit her at least once a day as she struggles with keeping on top of her medication and getting herself dressed in the morning (Low, Fletcher, Gresham, & Broadly, 2014). Another concern is that Betty does not receive any …show more content…
Looking at the twelve integration planning principles (Scottish Government, 2014), Betty seems to be lacking in social care involvement outside of the hospital, she is not currently under the remit of the social workers because they believed she is getting all the care required from her son, but this is not the best quality of care she could receive due to her son’s busy work life. The main point that I picked up on from working with Betty was that she has had many acute exasperations of her COPD in the past 6 months, during her stay in hospital she required regular nebulisers to keep her breathing under control. Her community general practitioner advised the district nursing team to visit Betty once every two weeks to provide a nebuliser, in this sense these services are integrated as the different teams, both hospital and community, have been in contact and made changed beneficial to Betty 's health, however I believe that this involvement is not enough and she would need social care involvement to ensure high quality care is being given. From a professional perspective, Betty’s experience of integration has a lot of room for improvement, accurate documentation is essential to make sure all services involved in the care of a patient