Users of health care services can be involved in the process of nursing delivery of healthcare services through: 1. Consultation: the users of social care services like the disables can be consulted through forum, where they discuss issues burdening them and those they would like to see implemented. According to batty (2001), this has increased understanding among social workers of the impact of good and bad packages on disabled people’s lives.
According to Lindow (1999), quoted in Cornwall & Gaventa, (1999), one of the major achievements claimed for the national user involvement project is that the perception of disabled people as passive service users has been shifted. As a result of its activities, there was much more appreciation of disabled people as experts in their own support needs who should be consulted appropriately.
To illustrate this, Barns & Mercer (2003), has it that “Southampton City Council’s Health and Social care Directorate commissioned Southampton CIL’s Disabled Person’s Consultation Forum to consult with disabled people (including older disabled people with learning difficulties) on a whole range of issues. These include access, and consumer audits, designed to inform future commissioning plans and user consultations on social services support for independent living”. 2. Participation and Partnership: this is another way of involving users in social service provision.
In this instance users led association have entered into partnership with other local organisation and government agencies. “Since the 1970s, organisations of and for disabled people have be come an important feature of the service sector landscape. This is especially evident in the provision of information” (Barnes 1995, Moore 1995, quoted in Barnes & Mercer, 2003). User-led organisations have developed partnership with other agencies. A survey of Creating Independent Futures shows that more than half the organisation surveyed have formal link with or are members of, other local organisations.
The majority has links with local organisations controlled and run by disabled people (75%) and with other voluntary organisations (62%). Around a third of groups have links with organisations of people with specific impairment (39%) and local groups for disabled people (31%) smaller numbers have links with organisation for people with specific impairments (21%) and different impairments (15%). Thirty-nine percent are formally attached to, local authority social services departments and twenty-one percent to a healthy authority. (Barnes and Mercer, 2003).
THE IMPACT OF PERSONAL AND PROFESSIONAL VALUES ON PARTNERSHIP WORKING IN NURSING PRACTICE.
There are constant complaints of users of social services that they are not being involved in the process of the services formulation and their delivery. These have been linked to plethora of barriers; either from the servicing organisation or personal problems associated with the users themselves. The following barriers to user involvement are identified by Barnes and Mercer (2003) i. Financial or organisational barrier: On the financial aspect, user-led organisations consistently report that accessing and maintaining core funding is a major problem.
Instead, most funding is short term and, in the most times limited to specific services and projects. In addition, current-funding strategies that encourage competition from non- users- led organisations hampers the continuity and further development of the user- led organisation. This is further exacerbated by the growing emphasis on formal and bureaucratic procedures by funding agencies. The aspect of organisational barrier has dwell on the issue of how management and organisational practices have helped in constituting a barrier to the effective users’ involvement in social service delivery.
A significant barrier emanating from the organisational structure has to do with how user interests have been relegated in importance. The reasons for relegation of users interests “ranges from too little time for meaningful discussion, little access to senior staff, the value of disabled people taking on the preparatory training of service users, and the need for clear guarantees of confidentiality and codes of practice on conducting business and monitoring outcomes.
Concerns are also expressed that user representation is too closely regulated by managers” (Fletcher 1995, Ross 1995, quoted in Barnes and Mercer, 2003). According to Carr (2004), sometimes what a service user wants and what professionals or organisations want are different. Sometimes there is not enough money or staff to carry out the ideas that service users come up with or to change things to the way service users have suggested.