The Care and Support That We Provide for People Should Enable Them to Make the Most of Their Lives'

Introduction

Firstly I would like to discuss the health and social care system, followed by an introduction to the NICE guidelines.

Using the case study of Anwar Malik, highlighting his journey through the healthcare system and looking at whether his treatment met all of these needs, after analysing the information, conclusions will be drawn including the best positive way forward for him in the healthcare system.

The Health and Social Care are service is a term given for integrated services available for health and social care providers. Healthcare is completely free whereas Social Care is means-tested and chargeable to service users. Healthcare usually falls into two categories Primary Care, all services that can be accessed through doctors surgeries, walk in centres and NHS Direct. Secondary Care is then needed when further investigations or operations are required in General or Specialised Hospitals.

Nice Guidelines stands for National institute for Care Excellence. An independent organisation set up in 1999 to decide which drugs and treatments are available on the NHS in England and Wales. Set up to also try and get rid of the postcode lottery Providing evidence based treatments on how particular conditions should be treated and guidance on how best to support people (Cancer research UK 2013).

Nice guidelines quick summary (just so they know that i know what they do for the outcomes)

Anwar is 54 year old Pakistani, male who is normally fit and healthy but suddenly becomes ill. After considerable persuasion from his optician and family he accepts he is ill, realises he needs to address it and makes an appointment to see his doctor as in the sociologists Talcott Parsons sick role concept (Open University, 2010, page 436-7).

At Anwar's appointment, after brief consultation the doctor indicated Anwar was possibly a diabetic with further tests to confirm. Anwar was to return the following week for his results, some may believe he has now been put on then the potential diabetic conveyor belt and then sent away. The introduction to the healthcare system he has experienced was possibly negative and weak. Anwar may have felt his first visit was impersonal, intimidating, embarrassing, and un-informative other than to be told he may have a chronic life threatening illness and sent on his way. On a more positive note his doctor did recognise that he may be diabetic but wanted more evidence. At his next appointment the doctor confirms Anwar has diabetes but appears dismissive when conveying this diagnosis, giving him a patient information leaflet for diabetes printed in English, a prescription for some tablets and refers him to the diabetic nurse in the practice. Anwar left the surgery with a long list of new things he had to do every day or he would damage his eyesight, heart, kidneys, and limbs and he could