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HSC CM1: Equality, Diversity and Rights in Health and Social Care

1.1. Define the terms:

  • Equality
  • Discrimination
  • Diversity
  • Inclusion

Equality means that everyone gets fair and just treatment. Their needs and preferences should be considered and met. No one should be treated better than others.

Discrimination happens when someone gets treated unfairly because of things like disability, religion, beliefs, or sexual orientation. Equality means those things don’t affect how people get treated. Everyone should have the same opportunities and access.

Diversity means seeing each person as unique and valuable. In health and social care, diversity should be respected. Workers should treat patients and clients respectfully, no matter differences in age, gender, culture, language, or beliefs.

Inclusion gives everyone equal participation. It means letting people join in activities and making them feel they belong. Health and care workers should involve patients in decisions and care planning. They should support them to participate.

Discrimination happens when undeserved treatment is based on someone’s appearance, label, or group. An example is if one patient gets preferred treatment due to skin color. That denies equality.

Basically, the key ideas are that equality requires fair treatment, opportunities, and access for all. Diversity means respecting differences. Inclusion makes people feel they belong. Discrimination happens when biases lead to unfair treatment. The goals are to promote equality while valuing both diversity and inclusion.

Inclusion and diversity enrich health and social care. People from different backgrounds offer new insights and innovations that can enhance care. Organizations with diverse staff and an inclusive culture have higher employee and client satisfaction. Respectful language sets the tone – terms like “senior,” “differently abled,” or “non-binary” show sensitivity. Simple adjustments like ramps, translators, gender neutral bathrooms, or diverse imagery make facilities more welcoming. Intake forms should enable self-identification and state accommodation availability.

Equal access, regardless of one’s background or status, is a human right, and exclusion can severely diminish quality of life. An accessible, inclusive culture must start at the highest levels of leadership. Executives should advocate for equality within their organization and the wider community. Annual surveys can assess workplace diversity and satisfaction. Employee Resource Groups give marginalized groups and allies a forum to address issues and support each other. Mentorship initiatives bring people together across differences to reduce bias. Diversity training makes fairness and respect an organizational habit. Health and social care is strongest when ALL people feel welcome to participate without exclusion or marginalization. United in our humanity, we all deserve to have our basic needs met and to feel a sense of belonging.

1.2. Explain how rights are promoted in health and social care services.

Effective communication is critical in healthcare. Service users have the right to understand treatments, procedures, and care plans. Providers must ensure clear communication using tools like Makaton, augmentative and alternative communication (AAC), sign language, braille, or visual aids as needed. For example, caution symbols warn of danger. Clear communication builds trust between providers, users, and caregivers.

Independence promotes well-being but varies by ability and preference. Some enjoy full autonomy while others need some support. Either way, excluding users from activities assumes they are unfit when they may wish to participate. As long as it is safe, users should choose their involvement. Accomplishing tasks independently boosts confidence and life satisfaction. Caregivers should encourage users to be as self-sufficient as possible.

Quality care and support meets users’ medical, social, cultural, and personal needs. For example, an Asian or African service user who prefers eating with her hands should be accommodated. High standards of care apply to all users equally, regardless of background. Care plans should account for users’ values and preferences.

Finally, service users have the right to live free from harm and abuse. Caregivers must act decisively against dangers, whether physical, emotional, or institutional. Providers have an ethical duty to identify risks and protect those in their care. Safeguarding service users from injury or mistreatment should be a top priority across health and social services.

In summary, high-quality care upholds rights to communication, independence, support, and safety. Providers enable service users to direct their care while vigorously protecting from harm. Services must be personalized, empowering, and secure. Focusing on these key rights promotes user health, dignity and satisfaction.

1.3. Discuss ethical dilemmas that may arise when balancing individual rights and duty of care

Providing care while respecting an individual’s rights can be challenging. A dilemma may come up if the person receiving care wants to do something that could cause harm. This could lead to conflict if the caregiver and care receiver disagree.

For example, a person receiving care may want independence in an activity. However, the caregiver knows this could be risky or unsafe. The caregiver wants the person to participate, but also wants to prevent avoidable harm.

In this case, the caregiver should consult the person to find the best solution together. They need to measure the risk level of independence in that task. Then they can take steps to reduce the risk. This lets the person retain some autonomy, while ensuring their basic safety and well-being.

These dilemmas commonly occur in care settings as well. Healthcare providers have a duty to care for patients. But patients also have a right to accept or refuse treatments for personal or religious reasons.

If a competent adult patient refuses a necessary treatment, the provider may give care anyway to prevent harm. But this could violate the patient’s rights. With a minor patient, parents may refuse care even if it goes against medical advice. This can put providers in a difficult position.

Overall, evaluating risks versus benefits is key when individual choice conflicts with duty of care. Open communication to find ethical common ground can help resolve dilemmas. But sometimes, difficult trade-offs between priorities must be made. Training caregivers to navigate these gray areas is important to uphold both excellent care and personal dignity.

2.1. Explain how to promote equality and support diversity.

An open, cordial dialogue between caregivers and care recipients is vital for encouraging mutual respect and appreciation. All parties should feel comfortable expressing their needs, wants, and concerns in a safe environment. Additionally, recognizing and respecting cultural differences that exist is crucial. Resources that aid both the caregiver and recipient in understanding and navigating these differences prove invaluable. Our diverse population makes the world a richer, more interesting place. By preserving this diversity and promoting equality, we can build a more tolerant world for all.

Promoting equality and diversity also champions cultural competence. Ensuring fair and respectful treatment of staff, residents, and visitors alike is paramount to advocating equality and diversity in a care facility. A clear anti-discrimination and anti-harassment policy must be implemented and understood by employees. Residents should also be informed of this policy and procedures to report incidents of discrimination or harassment.

An emphasis should be placed on furthering inclusivity in all aspects of care, from activities to staff/resident interactions. Every resident deserves to feel valued and that they belong. Celebrating diversity through cultural artwork displays, varied cuisine options, and a diverse caregiving team allow residents to feel represented.

While formal policies promoting equality set the foundation, day-to-day efforts to include and celebrate each individual must persist. Care teams should continuously reflect upon biases and seek to understand perspectives different from their own. Annual diversity training refreshers reinforce an inclusive environment. Care recipients feel most comfortable with caregivers who take genuine interest in their background.

Small daily efforts to make each resident feel special add up to an accepting community. Caregivers might learn key words in a resident’s native language or cook a favorite family recipe from their childhood. Every person has value to contribute if given the opportunity. An open, equitable care environment allows their light to shine through.

2.2. Describe how to challenge those not working inclusively in a way that promotes change

Discrimination is unacceptable, and anyone who engages in it should be challenged immediately. However, it is advised that this should be done without being confrontational or aggressive.

If the person was unaware that their actions were discriminatory, they should be informed and advised not to repeat them. On the other hand, if it was done on purpose, the observation should be discussed with the manager, and the person should be confronted again, with positive changes expected.

When possible, such offenders should be provided training resources that emphasise the importance of equality, diversity, and inclusiveness in the health and social care system.

One can also be discriminatory without noticing it, which is why it is critical to review one’s work and figure out how to continue improving care and support delivery. I usually take a step back to critically examine my conduct at work to see if I’ve discriminated against anyone; I’ll think about it further to see if I could have done something better than what I did or how I handled the situation. I can also discuss it with the manager to get advice on where I might be lacking.

Ensuring that discrimination does not occur in the workplace is one method to promote progress in the delivery of care and support at work. It is encouraged to be brave and address the act as soon as possible, as well as take care of the ones committed unintentionally by oneself.

2.3. Explain how to support others in promoting equality and rights

Equality and rights are essential principles that should be upheld in all workplaces. However, enacting these ideals can be challenging without a thoughtful approach. If you want to champion equality and rights in your workplace, you need not be aggressive. Rather, you can passionately support these values and speak out against prejudice.

To campaign effectively for improved rights and equality in healthcare, teamwork is crucial. First, build strong working relationships with decision-makers who can enact policy changes. Next, rally your community to raise awareness of your cause. Additionally, utilize media platforms to broadcast your message widely. Remember, meaningful progress requires sustained effort over long periods. Still, by collaborating with a shared purpose, you can drive positive change and enhance healthcare access.

Here are some recommendations for supporting workplace equality and rights:

  • Provide educational materials on relevant topics to improve understanding.
  • Connect people with expert organizations offering specialized advice and assistance.
  • Advocate for legal and policy reforms to strengthen protections.
  • Partner with allies to conduct training programs and outreach around equality and rights.

Diversity and inclusion shape whether healthcare environments feel welcoming. Expanding on these subjects helps ensure all understand and respect others’ rights. This cultivates an open-minded, compassionate workplace where everyone can feel safe, valued, and free to be themselves.

3.1. Summarise legislation and codes of practice relating to equality, diversity, inclusion and discrimination.

The Health and Care Act 2012

The Health And Social Care Act 2012 includes a number of provisions relating to equality and diversity. In particular, the act requires that health and social care providers take steps to ensure that people with protected characteristics are not discriminated against and that they promote equality of opportunity. Furthermore, the act establishes a new equality and human rights commission, which has a role in promoting and enforcing equality and diversity in the health and social care sector.

United Nations Convention on the Rights of the Child 1989

The United Nations Convention on the Rights of the Child 1989 is an important agreement that sets out the basic human rights that every child is entitled to. The Convention recognises that every child is entitled to equality and diversity and that every child has a right to live without discrimination. The Convention also recognises the need for special measures to be taken in order to ensure that all children have the opportunity to enjoy their rights, regardless of their background or circumstances.

The Data Protection Act

The Data Protection Act 1998 sets out rules for how personal data must be collected, handled and stored in order to protect people’s privacy. It also gives individuals the right to know what personal data is held about them and how it is used.

Organisations subject to the Data Protection Act must comply with the Act’s requirements in relation to equal treatment and diversity. This means, for example, that they must ensure that personal data is collected and used in a way that does not discriminate against people on the basis of any of the protected characteristics.

The Equality Act 2010 prohibits discrimination, harassment and victimisation on the basis of a range of protected characteristics, including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex, and sexual orientation.

European Convention on Human Rights 1950

The European Convention on Human Rights 1950 (ECHR) is an international treaty that protects the human rights of individuals in Europe. The ECHR guarantees the right to life, liberty, and security of persons; freedom from torture and inhuman or degrading treatment; the right to a fair trial; and freedom of expression, among other rights.

The ECHR also prohibits discrimination on the basis of race, religion, or national origin. The treaty, therefore, protects individuals from discrimination in the enjoyment of their rights under the Convention. The ECHR is overseen by the European Court of Human Rights (ECtHR), which is based in Strasbourg, France. The ECtHR receives applications from individuals who believe that their rights under the ECHR have been violated.

Code of Conduct for Health care Support Workers and Adult Social Care Workers

The code of ethics for social care workers exists to promote and protect the interests of service users and carers. This includes ensuring that communication is appropriate and effective and that workers operate within the agreed limits of their knowledge and skills.
• Health care support workers (HCSWs) and adult social care workers (ASCWs) must behave in a professional and caring manner towards patients, service users and carers.

• HCSWs and ASCWs must treat patients, service users and carers with dignity and respect.

• HCSWs and ASCWs must work collaboratively with other health care and social care professionals to deliver care that meets the needs of patients, service users and carers.

• HCSWs and ASCWs must comply with their employer’s policies and procedures, and applicable legislation and regulations.

• HCSWs and ASCWs must maintain confidentiality in accordance with the Data Protection Act 1998 and other applicable legislation.

• HCSWs and ASCWs must report any concerns about the safety or welfare of patients, service users or carers to their employer or the relevant authorities.

• HCSWs and ASCWs must not abuse their position of trust or power and must not engage in any form of unlawful discrimination.

• HCSWs and ASCWs must take reasonable care of their own health and safety, and that of other people who may be affected by their actions.

Code of conduct Mental Capacity Code of Practise

Mental capacity refers to an individual’s ability to make decisions for themselves. The Mental Capacity Act 2005 sets out when and how people who lack mental capacity can have decisions made on their behalf. The Code of Practice for Mental Capacity in England (the Code) provides detailed guidance on the Mental Capacity Act 2005. It explains what the Act means, how it applies in practice and sets out good practice for those working with and caring for people who lack mental capacity

4.1. Evaluate the role of the health and social care practitioner in meeting individuals’ needs through inclusive practice

Inclusive practice means promoting and supporting the input of every individual irrespective of their differences. Everyone participating has the opportunity to explore without the fear of discrimination. It is the responsibility of all health and social care workers to ensure that individuals are supported to live the lives they want to and are in control. This includes following legislations and codes of practice that promote inclusive practices. Care workers must always act in the best interests of the individual they are caring for.

Effective communication is critical in inclusive practice; delivering a message to a service user during treatment or care in a way that best suits their current situation provides them a good sense of belonging. For example, if a service user is hard of hearing and in a very weak state at the time care is being administered, the service provider can get closer to them to ensure there is no barrier between them, talk slowly, and if all of that fails, the service provider can use written means to convey the message. By doing so, the service user will not feel awful about the issue; rather, they will be happy with how the matter was handled.

All service providers owe a responsibility of confidentiality to service users; no personal information about them should be disclosed unless it is shared with those who need to know. On the other hand, if they consent, it can be shared. Confidentiality can also be violated if the information given can cause harm to the service user, in which case the information can be released to the appropriate authorities to determine what steps to take. Service providers must not share information with other members of staff based on side conversations or gossip.

Service providers must respect the culture and beliefs of their service users, they must not be discriminated against based on where they come from, their accent, what they believe in or what they stand for. Irrespective of all those, the service provider owes them a duty of care.

In the course of inclusive practice, service providers face numerous challenges. The ability of service users to make decisions may lead to them making decisions that harm their health or endanger themselves or others. When one is overly cautious, it can lead to being careless; when delivering inclusive care, some errors may occur, which should be accepted in good faith and should be corrected immediately. Service delivery methods must be consistent with the operationally agreed-upon ways of working and with the code of practice.

References

  • Skelt, Alan, and Beryl Stretch. Health and Social Care. Hodder Education, 2000.
  • Nolan, Yvonne, et al. NVQ/SVQ Level 3 Health and Social Care Candidate Book, Revised Edition. Heinemann, 2008.
  • Bartle, Caroline. “Level 3 Health and Social Care.” Training Resource Pack, Heinemann Educational Publishers, 2011.
  • McPherson, Blair. “Equality and Diversity as a Way of Delivering the Wider Health and Social Care Agenda.” Ethnicity and Inequalities in Health and Social Care, vol. 1, no. 2, Emerald, Dec. 2008, pp. 4–7. Crossref, https://doi.org/10.1108/17570980200800014.
  • Hudson, Nicky. “Equality and Human Rights Commission – Is Britain Fairer?” Diversity & Equality in Health and Care, vol. 13, no. 1, Scitechnol Biosoft Pvt. Ltd., 2016. Crossref, https://doi.org/10.21767/2049-5471.100045.
  • Braye, Suzy, and Michael Preston-Shoot. “The Care Act 2014.” Wellbeing in Practice, 2019.
  • Express, Training, and 0Aabcx. “Diversity in Health and Social Care: Learn How to Promote.” Training Express, 29 Jan. 2021, www.trainingexpress.org.uk/diversity-in-health-social-care.

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