Understanding Social Care Policy and Law for NVQ and SVQ Candidates and Assessors | laws and issues

When staff are just starting out on their NVQ and SVQ in Health and Social Care, or when new staff who have qualified from abroad start working in the UK they can be uncertain and confused by the different terms, such as policy, regulations, legislation, etc. NVQ and SVQ Assessors can also be uncertain of the differences.In many ways the starting point to understanding the differences is actually Government policy.The Government decides it wants certain things to happen in health or social care. Examples could include:** more older people to be cared for at home, rather than in residential care** more children, who are looked after by local authorities, to be cared for in foster care or adopted** more adults with learning disabilities or mental health problems to be assisted into employmentWhatever the intention the Government’s aim becomes a policy. Sometimes this policy is a Green Paper or a White Paper.The Government then has a choice as to how it pursues its policy. From the Government’s perspective it will rely on other organisations to actually apply the policy on a day to day basis. If the policy relates to health it is an NHS organisation. If the policy relates to social care it is likely to be local authorities that have to apply it or the local authority will have to make clear to organisations it contracts work to that various expectations need to be met.The Government can get local authorities or NHS organisations to apply the policy in one of several ways. These include:** by publishing the policy as ‘statutory guidance’. Local authorities have to follow statutory guidance issued by the Government. In England one example of this is the policy on protecting vulnerable adults titled “No Secrets”** by offering lots of money! The Government says it will give local authorities lots of new money to be spent on certain policy initiatives. One example of this is the Sure Start and Children’s Centres initiative. When it started the policy was driven by money** by introducing legislation that gives the local authority the power to do something or making it a duty to do something. A power means the local authority can do it if it wants to. A duty means the local authority must do it. An example of this is direct payments. The Government originally introduced direct payments as a power. But then the Government made it a duty so that local authorities must offer direct payments (since so few direct payments were offered when it was only a ‘power’)Acts of ParliamentThe Government may therefore decide to introduce legislation. This is the classic Act of Parliament.In recent years legislation has got increasingly detailed and specific. Even with this detail, legislation can be quite cumbersome. It is also quite an involved process to introduce it. Therefore the Act of Parliament usually gives the Secretary of State (in England) or the Scottish Minister the power to make regulations and/or a code of practice.Regulations (Also Known as Statutory Instruments)Regulations are also called Statutory Instruments. Regulations are laid before Parliament but are not debated. They are considered law although not quite as strong as the original Act.Regulations can be altered more quickly and are now extensively used (for example health and safety regulations).Statutory GuidanceIn addition the Secretary of State or Scottish Minister has the power to issue statutory guidance to local authorities. Local authorities are under a legal duty to follow this guidance. In other words the local authority social services or social work department must follow this ‘statutory guidance’.Code of PracticeThe Secretary of State (or Scottish Minister) could also issue a code of practice relating to an Act of Parliament. These codes do not have the full weight of law but they explain and clarify the law and offer guidance on good practice. They are often realistic and applied and can be very useful.Good Practice GuidanceThe Government department (either in England, Wales or Scotland) could also issue good practice guidance. This is not the same as statutory guidance. It is often meant to be read by social workers, first line managers (and others) since the guidance commonly gives case scenarios explaining how service users should benefit from any recent changes in the law.One complicating factor in understanding the present legal framework in social care and children’s services is that often one Act of Parliament does not fully replace a previous Act. Commonly an Act of Parliament amends or alters an existing Act. Keeping track of this can be very difficult.Therefore for social care staff (including staff working with children) who are NVQ or SVQ Assessors or are starting out on their Health and Social Care NVQ or SVQ some of the best resources are the law handbooks from Kirwin Maclean Associates.

Work From Home Careers in Healthcare | healthcare

According to the Department of Labor (DOL), healthcare was one of the largest industries in the year 2008, providing 14.3 million jobs.*1 Furthermore, the sector is projected to add another 3.2 million new jobs until 2018. *2If you are planning to start a work at home career, then healthcare is one field worth considering. Not only is the vertical brimming with jobs that offer the flexibility to telecommute, but also most of these opportunities don’t require extensive schooling. In fact, it’s possible to start a lot of healthcare home-based jobs with a vocational training program at a career school or college.Here are some potential healthcare careers for stay at home moms, retired folk, working professionals looking for a side career, or just about anyone keen to spend less time on road traveling to work and more time with their family.Medical Transcription: Those familiar with the healthcare industry would know that medical transcription has been around for a while. However, the profession has evolved a great deal over the years from the time manual typewriters were used by medical transcriptionists (MTs) to transcribe doctor dictations to now when most of them use top of the line, cutting-edge laptop computers to do the job.Post-secondary training programs in medical transcription may provide candidates the skillset for this job. Such medical transcriptionist courses are available at career schools and colleges and many of them are self-paced online programs.Voluntary certifications are offered to MTs by the Association for Healthcare Documentation Integrity(AHDI) upon meeting certain requirements.Medical Billing & Coding: It’s one of the allied healthcare professions projected to grow at a much faster than average rate over the next few years, according to the DOL. To become a medical billing and coding specialist, one needs to be good with numbers as the job involves assigning standardized codes to various clinical procedures and using these codified documents for the billing process.Medical coders and billers can perform their job independently from home and require only limited interaction with healthcare providers and health insurance companies.Aspirants can gain the skills for this job through a vocational training program in medical billing and coding. Alternatively, Associate degrees in fields like Allied Health or Medical Specialties may also provide the required proficiencies to those keen to have some college experience.Medical Writing: If you have decent writing skills and some clinical experience, freelance healthcare writing can prove to be an extremely lucrative work-at-home career. It will allow you to let your creative juices flow and provide an outlet to the writer in you. At the same time, you will be able to make more than decent money for it. According to payscale.com, freelance writers in the healthcare industry can earn up to $50 in hourly wages.3There are plenty of avenues that medical writers or communicators can write for including textbooks, journals, white papers, websites, marketing collateral, etc. Joining organizations like the American Medical Writers Association (AMWA) may help healthcare writers find freelance assignments.Telephone Triage: This is a popular work at home profession amongst registered nurses (RNs). It involves RNs offering clinical advice to patients over the telephone. They listen to the symptoms that patients describe and use their clinical knowledge to provide a medical assessment.Since telephone triage services are mostly offered by RNs, the training requirements for the job are the same as that of a registered nurse – a two-year or four-year college degree or a hospital-administered nursing diploma. Experience in nursing practice may also be necessary to become a telephone triage nurse.Virtual Medical Assistant: The job of a medical assistant involves performing administrative tasks at a healthcare center. This includes scheduling appointments, maintaining patient records, following up on insurance claims, and a range of other paperwork. A lot of these tasks can be handled virtually from a remote location and may prove more cost-effective, especially for small employers. That’s why many independent physicians are trending towards hiring virtual assistants. It helps them trim their office staff and tighten their budgets.Skills for this job can be acquired through a medical assistant training program from a career school or a two-year college degree.Sources:*http://bls.gov/oco/cg/cgs035.htm
*Ibid
*http://payscale.com/research/US/Job=Freelance_Writer%2c_Technical/Hourly_Rate/by_Industry


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