Table of Contents
1.2 Priority issue.
1.3 Legislation and policy.
2.1 Decision made.
2.2 Evaluate the outcome of the decision.
3.1 Reflection on the research strategy used.
3.1.2 Interpretation of feeling.
In England, the rate of Rough Sleeping is increasing day by day. The main authority of England suggested to the health and social care professionals for reducing the rate of rough sleeping in the local area (Gray, 2019). From the case study, it has been found that William Burns is a 47-year-old male of Scottish heritage without any known family members. It has been found that William had been rough sleeping for the past ten years in several places and recently in the Westminster area. It increases the pressure on his mental health. He was initially referred to the local Community Mental Health Team (CMHT) for an assessment.
The team also found that William Burns drank alcohol and had many Accident and Emergency Department attendances for abdominal pain, potentially pancreatitis. Lastly, William was referred to a specialist. However, he did not engage with the team and absconded before treatment was completed. The team is very worried about the life of William due to his continuous rough sleep. The teams have reported a deterioration of his mental and physical health. But he refuses treatment and housing that creates many problems. Task 1 contains priority issues, legislation and policy on the case study. Task 2 contains the decision and evaluates the outcomes of the decision.
1.2 Priority issues
The priority issues indicate factors for ensuing health services on the basis of basic problems. The inequality priority issues in health indicate the unfair as well as systematic discrimination health between different groups of people (Vawda, 2019). In the case of health inequality, health services are unequally distributed to the people. Health inequalities create differences in people’s health on the basis of status. Pillay (2017) stated that Health inequalities are also occurred due to differences in health status, access to care, quality and experience of care, behavioral risks and wider determinants of health.
On the basis of people’s status, the difference in health status occurs (Singh, 2017). In the case of England, health inequalities are identified by the analysis of four issues including socio-economic factors, geography, specific characteristics and socially excluded groups. The socio-economic factors include the income, status and other financial position of people whereas geography indicates the region likes from urban or rural (Williams and Babalola, 2018). The characteristics indicate gender, ethnicity or disability whereas excluded groups indicate the homelessness group.
Fonn and Padarath (2017) stated that the health inequalities affect the service users significantly because they don’t get enough health services from the health care due to their status. From the case study, it has been notified that William Burns has no known family members and housing facility. The person has a mental and physical problem because he is addicted to alcohol and rough sleep. Due to the health inequalities, this person does not get enough facilities and health services from the national health care. Last ten years, he did not get any quality health treatment from the health care due to the inequality priority issues.
1.3 Legislation and policy
The regulation and policy in the health sector are needed for managing and ensuring better and quality care to the patients. Recently, the clinical staff is not giving enough care to patients due to the lack of legislation and effective policy in health care. Clarke (2018) stated that the rough sleeping strategy is an important strategy to prepare a good way of sleeping rough by which people can’t fall into health problems due to rough sleeping. In the case study, William Burns was addicted to alcohol and rough sleep. Last 10 years, he got rough sleep and refused to leave from the rough sleep though he is getting physical and mental health problems. At this time, the team has to implement the rough sleeping strategy for this man by which William can’t fall into health problems due to rough sleeping.
The Mental Capacity Act was created in 2005 and was firstly implemented in 2007. On the basis o this Act, people get the help of the other person to make decisions when they have no capacity or limited capacity for making decisions. This Act is also called the action for substitute decision making. When a person takes a decision in respect of another person, the person must be considered in the best interest of the person who needs to make a decision. A person has the lack of ability to make decisions for several reasons including the lack of understanding relevant information, lack of retaining the information, lack of knowledge of using information for making decisions and inability to communicate the decision.
In the case of the health sector, people can face a lack of capacity to make an accurate decisions. For this reason, this act helps them to take health care decisions by another person on behalf of the ultimate person. A key premise of the Act is that any decision was taken on behalf of a person who lacks the capacity to make the relevant decision must be made in the best interests of the person. The best interests of the ultimate person must be fulfilled by the decision. In the case of the case study, William Burns was addicted to alcohol and rough sleep. Last 10 years, he got rough sleep and refused to leave from the rough sleep though he is getting physical and mental health problems. This person has no ability to take accurate health care decisions. For this reason, the health care team can make decisions on behalf of this person to secure his physical and mental health from rough sleep and alcohol drinking.
The Vagrancy Act 1824 is an Act of UK Parliament for generating an offense for sleeping rough or begging. In England and Wales, there is a regulation to arrest anyone who sleeps in a public place, street or beg for money in the public place and street (Johnston and Liddle, 2018). Every city in London and other contemporary cities is condemned by this Act for arresting this kind of offense. Vawda (2019) stated that This Vagrancy Act is also has used for punishing people of a deserted or unoccupied building or open-air or tent. The vagrancy laws acted as a crime for a person to wander from place to place without visible means of support. Basically, these laws criminalized being homeless and jobless. The majority of the original Vagrancy Act 1824 remains in force in England and Wales (Pillay, 2017). In the case of case study, William Burns was addicted to alcohol and rough sleep. Last 10 years, he got rough sleep and he has no known family members and permanent home. For this reason, The Vagrancy Act can be applied on him……………………………………………