L3 Diploma in Residential Childcare (RQF) Unit: Support children and young people in residential childcare to manage their health Answers

NVQ Level 3 residential Childcare Units Answers PDF

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LO1. Understand health service provision in relation to children and young people in residential childcare

AC 1.1 Describe the range and function of health agencies and services available locally

Answer

Local health agencies and services generally consist of a variety of public and private groups that collaborate to advance, protect and enhance the health of populations and communities. Services include primary, secondary, tertiary and public health interventions.

1. Primary Care Services: These are the first place to which individuals seek healthcare services. These are community doctors, family doctors, practice-based community health centres, and local doctors. Primary care providers deliver a variety of services, including preventive care, health education, chronic disease management and referrals for additional services or care.
2. Secondary Care Services: If greater specialised care is required, the primary care health workers will refer the patients to the secondary care services. These services are generally offered by a hospital or dedicated clinics, and involve access to specialists, diagnosis and treatment that requires hospitalisation or specialised equipment.
3. Tertiary Care Services: Tertiary care services are available for complex conditions and/or advanced treatments. These services may be provided by large hospitals or by a special centre, and may involve highly specialised surgery, advanced cancer treatment, neurosurgery and plastic surgery, etc.
4. Public Health Agencies: These agencies are concerned with the general health of the community, in contrast to care for individual health needs. They are involved in health promotion, disease prevention and health protection policies and programmes. They can include a local health department, which might provide services like immunisation programs, health screening and control of infectious diseases.
5. Mental Health Services: Mental health services exist locally too, such as counselling centres, psychiatric hospitals and community mental health teams that offer support to various mental health problems. 

AC 1.2 Explain the impact on a child or young person if they are not able to register with primary health services.

Answer

Failure to register with Primary Health Care – including a GP doctor – can have a significant impact on the health, well-being, and development of a child or young person. Primary health services are the first line of health services that can be used and are usually the first contact with health services, offering vital support, treatment and guidance.

A significant effect is that the child may not be able to get regular health checks, vaccinations or early treatment for illnesses. This can lead to minor health problems becoming more serious over time. Access to medical professionals may be missing, and this could be the case for developmental delays, mental health issues, infections or asthma.

It can also present difficulties if the child is unable to register with a GP, and specialist services may be referred via primary care. This can cause a lag in support from the speech therapist, mental health team or hospital services. The child's physical, emotional and educational development could be impacted if the treatment is delayed.

There can also be emotional and social impacts. The child or young person might feel excluded, anxious or unsupported, particularly when he or she is aware that other children may be able to get better healthcare more easily. Parents/carers can be stressed and concerned about how to access medical care when required.

If there is a lack of registration, in emergencies, this can cause an increase in the use of accident and emergency services rather than preventive services. This can cause extra strain on emergency health care systems and might not afford the child the continuing attention he or she needs.

AC 1.3 Describe factors that may jeopardise access to health services for children and young people.

Answer

The health access of children and young people can be threatened by several factors. These barriers can prevent them from getting the care, support and early intervention they need.

A common denominator is poverty or low income. Limited financial resources can make it difficult for families to get to appointments, access online services and services, and leave work for health services. Not living in good housing or being homeless can also hinder GP registration.
Families who do not speak English as their first language may have language and communication barriers. Medical information may be hard for parents/carers to understand, forms may be difficult to fill out, and it may be difficult for parents/carers to communicate their child's needs. Children with disabilities or speech or learning difficulties may also have difficulties communicating and accessing services.

Lack of awareness/ understanding of health services is another. Not all families will understand how to register with a GP, how to access mental health services or how to access specialist services. Cultural factors and experiences of fear, mistrust or a bad experience with health care providers can also prevent families from seeking assistance.

Residential challenges can be encountered, particularly in rural or remote settings, where access to health services can be lacking or distant from others. Treatment delays are also possible due to long waiting periods and a lack of healthcare workers.
Some children and young people may not receive services because of a lack of discrimination and social stigma. This may impact people of minority ethnic backgrounds or migrant families, young carers or people with mental health issues.

AC 1.4 Describe ways to help children and young people overcome barriers to accessing health service provision.

Answer

• Clear Information and Guidance: Health services for children, young people and families should be explained and made known to them, along with information on registering with a GP and accessing specialist support.
• Offering Communication Support: Families and children with language or communication barriers can benefit from the use of an interpreter, translator, sign language and/or visual aids.
• Giving Practical Support: Health care services can be made more accessible with support, such as flexible time for appointments, appointment reminders and transport assistance.
• Building Trusting Relationships: Professionals need to work in a respectful, inclusive and non-judgemental way and for children and families to feel safe and supported.
• Multi-Agency Working: Barriers can be identified early, and support can be provided co-ordinated across schools, healthcare providers, social workers and community organisations.
• Advocating for equal access to health care: When barriers are reduced, all children and young people have access to services and can get support in their healthy development.

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