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Unit 27: Manging Quality in Health in Health and Social Care

Unit 27: Manging Quality in Health in Health and Social Care

 Unit 27: Manging Quality in Health in Health and Social Care

Purpose of this assignment


The aim of this unit is to help learners develop an understanding of different perspectives on health and social care service quality and how it is evaluated in order to empower and involve users of services.


Quality is an essential componentof health and social care services and a concept with many different interpretations and perspectives. It is important to both users of health and social care services and external stakeholders. In this unit learners will gain knowledge of these differing perspectives and consider ways in which health and care service quality may be improved.


Improvement of service quality requires both the empowerment and involvement of users of services, as well as addressing the requirements of external regulatory bodies. Learners will explore the requirements of external regulators and contrast them with the expectations of those who use services. Learners will also gain knowledge of some of the methods that can be used to assess different quality perspectives, and develop the ability to evaluate these methods against service objectives.

Important Note: You are strongly encouraged to use examples from your work placement; the Case Study below can be used as another option. You can also use other Manging Quality case studies of your choice.


Scenario/Case study

The Royal United Hospital Bath NHS Trust provides acute treatment and care for a catchment population of around 500,000 people in Bath, and the surrounding towns and villages in North East Somerset and Western Wiltshire.

Here is a link for full report of Royal united Hospital and below is a short summary.


The trust aims to provide high quality care to people in their local communities.

Following a recent unannounced inspection from the Care Quality Commission (CQC), the trust was issued with a formal warning to make urgent improvements to ensure that it keeps patients’ records in such a way that it protects people from the risks of unsafe or inappropriate care and treatment. The service should have quality checking systems to manage risks and assure the health, welfare and safety of people, who receive care and people's personal records, including medical records, should be accurate and kept safe and confidential. The senior nursing staff told the inspector that the monitoring of fluid balance and hydration records were done informally. There were no records made of these checks.

The Care Quality Commission have asked the provider to send them a report by a due date, setting out the action they will take to meet the standards. The CQC will also monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety.

The trust now want to take a range of actions, including revising their health records and management policy in order  to reflect more accurately where documentation should be recorded / filed. They also want to test a new hydration record chart which would then be “rolled out for use across the trust”. They want to promote “use of the fluid intake and output / fluid balance charts through awareness sessions” in each ward.



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