3.1.11 General Social Care
Council 2002. Codes of
126.96.36.199 Apply GSCC guidelines: Marie
O'Brien - Accountable as
contract states she should ask
for training in any area she
feels she requires. Manager
accountable as didn't arrange
suitable induction as stated in
their job role.
3.2 Informal accountability
3.2.2 General talking
3.2.3 Even the question "What
have you been doing?
classes as informal
accountability if you feel the
need to justify the answer.
3.3 Protocols and guidelines
3.3.1 Standardise care
3.3.2 Protect management
3.3.3 Assist in training
3.3.4 Please insurers
3.3.5 Provide a formal
set of instructions
3.3.6 Define correct/best practice
3.3.7 Allow unskilled staff to be used to support skilled workers.
3.3.8 Service users not involved in planning
188.8.131.52 Can focus on what is convenient for the organisation.
3.3.9 Maybe considered to deskill the workforce.
3.3.10 Do not allow for an individual approach.
3.3.11 Help get "older" workers up to scratch.
3.4 Evidenced based
care. Based on
at that time. Problems.
3.4.1 What is best in general may not suit everyone.
3.4.2 Must be acceptable
3.4.3 Undervalues the skills and experience of the worker.
3.4.4 Missing evidence - if not tested for exactly that group etc.
3.4.5 Rarely empowers the service user.
184.108.40.206 Could hinder case as may not have
clear evidence a treatment will work.
3.4.6 If not evidence based care.
220.127.116.11 Waste of resources.
18.104.22.168.1 Glasziou et al 2003 - antibiotics
in ear infections... can clear up
22.214.171.124 Unnecessary interventions. i.e enema
in labour to reduce risk of infection...
now proven no benefit.
126.96.36.199 Harm. i.e. belief that
bed rest after
proven causes DVT if
inactive for too long.
3.5 Knowledge based care
3.5.1 Research knowledge.
3.5.3 User knowledge/ first
3.5.4 Community knowledge.
3.5.5 Good research
evidence and a
3.6.1 Accountability - more info available on web - performance. i.e. Ofsted/ Hospital league tables.
3.6.2 Can change relationships between care recip and care giver.
188.8.131.52 Empowered +
more likely to
stand up for
3.6.3 More likely to be younger patient searching web.
3.6.4 Disadvantaged groups more likely to search web.
184.108.40.206 Poss due to disjointed relationships with care professionals.