Unit 23 Managing Quality in HealthCare Environments Essay

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Essay on Managing Quality in Healthcare Environments 

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Planning And Monitoring Improvements to Quality Service in A Healthcare Setting


The purpose of this essay is to analyse and investigate the significance of quality management in the context of health care. It is critical for every care facility to maintain excellent quality control in order to deliver the finest possible services to its customers. This essay examined the impact of health care policies and regulations on the quality control and dimension of practises in the fields of health care and human services. Furthermore, various legal and regulatory requirements may be compared and contrasted through the use of diverse techniques and assumptions in the monitoring and measuring of high-quality health care services. The significance of developing “sustainability,”“diversity,” and “inclusive methods” in the field of therapy is also addressed in the document.

Legal and Statutory Requirements of Maintaining Quality in Healthcare

A wide range of regulatory and statutory criteria are used in the monitoring and evaluation of health care services that are delivered to people. According to the “Health and Social Care Act 2008,”“the Care Quality Commission (CQC)” is a health care regulatory authority in England. The CQC also contributes to the improvement of the standard of health services offered by a variety of other institutions (Besterfield, 2014). Besides that, it conforms with the criteria of the “Health and Social Care Act 2008” regarding registration. The primary goal of the “Health and Social Care Act of 2008” is to guarantee that health-treatment services employ methods and services that are superior to other standards for “quality control and measurement” in order to provide better care.

A legal licence with the “Care Quality Commission (CQC)” should be obtained by healthcare providers with regulated practises in order to track and assess the quality of care provided in order to ensure that specific regulatory and statutory requirements are met. Obtaining input from serving customers, employees, individuals, and other stakeholders should be a part of the governance process for healthcare providers in order to evaluate the facility on a regular and ongoing basis and to encourage improvement (Besterfield, 2014). In order for a health organisation or service to achieve and maintain a high level of quality, it must follow the standards established by the “National Institute of Health and Care Excellence (NICE).” A contribution to quality measures in health care is made possible by the “Equality Act of 2010” (Rains et al., 2019).

The procedures of measurement, assessment, and quality improvement have a significant impact on the operational methods used in the healthcare setting. Following Proudlove and Boaden(2005), the health services’ standardsare characterised in three separate domains, notably “therapeutic efficacy,”“patient protection” (including the experience of patients), and overall quality of care. A person-centred approach to therapy has emerged as a result of the measurement, assessment, and quality improvement process, which has resulted in increased “patient satisfaction.” In the field of “personal care,”“health care specialists” collaborate with those who come into the institution to provide services. Patients gain trust, expertise, and resources as a result of the process of improving the “quality of medical services” via person-centred care, allowing them to better manage their own wellness and health care and make more well-versed decisions.

According to Fallon, Begun, and Riley (2012), this is tailored and organised to meet the specific needs of each individual, and it ensures that individuals are still seen with empathy, kindness, and integrity throughout the process. The creation and use of better processes for “patient protection” result in the assessment of treatment outcomes, the control of therapy, and the improvement of treatment quality (Gottwald and Lansdown, 2014). “Continuous risk control,”“reinforcement or enhancement of safeguarding procedures,” enhanced diagnosis of originreasons of accidents, and the dissemination of safety learning are all methods of accomplishing this goal.

At Care Homes, the services provided should be frequently reviewed and evaluated. Furthermore, well-developed rules on consumer protection and health ensure that clients receive dependable services. This implies that the firm maintains excellent levels of service efficiency, as determined by the “Care Quality Commission.” As a result, the Care Home will experience an increase in the quality-of-service delivery, as well as changes in the strategies used to provide care services in a variety of ways, as a result of the deployment of these measurement, evaluation, and quality-of-service initiatives.

In the health services sector, several external quality standards have had a significant impact on the services and working practices. They play an essential role in establishing the quality policies and standards that are required for stable and dependable treatment services. As per Gopee and Galloway (2017), External quality guidelines for healthcare facilities and operating measures are currently being developed by organisations such as the “Care Quality Commission (CQC),” the “National Health Service (NHS),” the “National Institute for Health and Care Excellence (NICE),” and various municipal authorities. These guiding principles are both optimistic and adverse in nature, and they apply to both patients and providers (Akachi and Kruk, 2017).

The services provided by Care Homesshould have a significant impact on the externally established criteria for systems and operational procedures. For example, the care home has been able to deliver a high-quality service because of the quality-of-care criteria established by the CQC and NICE. Nevertheless, if they achieve the high standards of treatment set forth by the “Care Quality Commission” and the “National Institute for Health and Care Excellence,” the quality of care at Care Homes may be improved as well.

The concept of creating a difference, diversity, and inclusive practice has been identified as being crucial in the provision of high-quality care services in the healthcare setting. Fisher (2015) defines diversity as the amount of different activities and events that are involved in a single activity or event. Diversity also refers to the ability to accept and agree that all persons are identical and special, as well as the ability to recognise distinctions between individuals, such as a person’s handicap or cultural differences. For its part, inclusion is defined as the act of including something or someone into a list, party, organisation, or other similar structure (Gopee and Galloway, 2017). The right to use and access any facility, as well as the concept of inclusion, is the same for every person on the planet. But in the healthcare industry, inclusive practice is seen as the principle that healthcare professionals should follow in order to meet the needs of service customers and to encourage a broad range of activities in this field (Akachi and Kruk, 2017).

Care Homes should employ a diverse group of experts from a variety of nations, ethnicities, and cultural backgrounds, all of whom are committed to providing high-quality care to its residents. The organisation has been able to do so because it has valued distinctiveness, uniqueness, and participation in inclusive activities over time. Another suggestion is that Care Homes should encourage difference, individuality and inclusivity in order to enhance the availability of care services.

As per World Health Organization (2020), various service consumers must be safeguarded in order for the health care system to be improved in the health sector. There are a variety of methods in which people from various cultures may be “protected” and their rights can be “safeguarded.” According to the “Human Rights Act 1998,” each person has certain fundamental rights and liberties to which they are entitled by legislation (World Health Organization, 2017). These rights include the “right to life,” the “right to a fair trial,” the “right to education,” the “right to free expression,” the “right to be unpunished under the law,”“religious freedom, faith, and thinking, the right to security and freedom of thought,” the “right to marriage and the establishment of a family,”“respect for individual privacy and family life,” as well as “for homes and correspondence.”

The extent of treatment distribution at Care Homes has been raised in order to safeguard a wider range of service users. As per Rains et al. (2019),in line with the “Human Rights Act 1998,” care homes have protected individual rights and ensured that “no beneficiary of the services has been violated or discriminated against in accordance with the Equality Act 2010.” These procedural approaches have ensured that the Care Homes continues to enhance the level of care provided to its residents.

For health and social care settings, there are 10 quality management principles that are comprehensive and basic.

  • Customer-Oriented
  • Leadership
  • Involvement of Stakeholders
  • Vision for People and Care
  • Information as a means of guiding
  • Orientation toward the process
  • Creating Quality Management Partnerships in the Health Care Sector
  • Suppliers and customers have a mutual benefit relationship
  • Care that is based on demand
  • Improvement on a continuous basis

(Source: Liebler and McConnell, 2020)

Health care services must provide access to high-quality treatment and medical practices that are safe. As a result, the International Organization for Standardization (ISO) has created additional 1200 standards in recent years covering health and social care services. Some of these are:

  • “SRPS ISO 9007:2015”
  • “SRPS EN ISO 13485:2017”
  • “SRPS EN 15224:2017”
  • “IWA 1: 2005”
  • “SRPS EN ISO 15189:2014”

(Source: Schulz, Stegwee and Chronaki, 2019)

There are significant consequences for the care environment when various stakeholder interests must be satisfied while working together to improve the quality of care. A health practitioner, according to Ransom,Joshi and Nash (2018), is someone who is accountable for the delivery of health care and who works in the healthcare industry. Doctors, government authorities, insurers, and employers are just a few of the people that are involved in healthcare delivery. In terms of meeting the demands of these health partners, it has significant implications for the efficiency of the healthcare facilities available (Ziaee and Bologna, 2014). In order to meet the needs of all healthcare professionals and practitioners involved, it is necessary to exceed their expectations. Meeting these needs enhances the efficiency of the services provided. It is frequently necessary to have a considerable deal of knowledge and skill in order to represent customers' interests since the design and implementation of good health policies are essential in order to meet their requirements. At Care Homes, “Total Quality Management (TQM)” and “Technical Quality Theory” have been used to ensure that first-rate care facilities are provided to meet the needs of service providers and residents.

To enhance the quality of healthcare in the healthcare context, a variety of healthcare providers are engaged in the framework for providing treatment services. According to Moullin (2012), the health partners play an essential role in maintaining the quality of the health services that they provide. Consumers of services, their families, employees, and the government all play an essential role. As per Akachi and Kruk (2017), the service customer has an important role to play in the care design process. They can provide important comments or offer service statements that can be used to help healthcare professionals improve the quality of their services. Customer-identified strengths and weaknesses in the delivery of care services are reported by McSherry (2018) as recommendations for healthcare professionals in their upcoming practices in order to improve similar care services. Service recipient communities, on the other hand, must have a significant role in making decisions about service user access since people with mental health issues are unable to do so.

Care homes rely on a number of different partners to ensure that high-quality care is provided to their residents. For example, the “Care Quality Commission” and the “National Institute for Health and Care Excellence (NICE)” are promoting the extension of quality standards to ensure first-classemployment of services, as well as the progress and passage of numerous health laws by “Healthcare Executives” and “Governments.”


According to the findings of this study, there is a significant role for quality management in the healthcare system. When it comes to providing patient providers with the finest care service possible, effective quality control is critical in every care environment. A preliminary evaluation was carried out to determine the impact of health care policies and regulations on the process of tracking and assessing the quality of practice in the field. Furthermore, when it came to monitoring and assessing coherence in health care services, distinct legal and regulatory criteria were compared to diverse methodologies and theories. An emphasis was placed on the impact of enhancing treatment quality on the many people who work in the healthcare industry in the following discussion. This article also discussed how important it is to promote individuality and difference while simultaneously promoting equal care practices.


Akachi, Y. and Kruk, M.E., 2017. Quality of care: measuring a neglected driver of improved health. Bulletin of the World Health Organization95(6), p.465.

Besterfield, H.D., 2014. Quality Control, 7th ed. Pearson Education, India

Fallon, L.F. Jr., Begun, J.W. and Riley, W.J., 2012. Managing Health Organisations for Quality and Performance. Massachusetts: Jones & Bartlett Publishers.

Fisher, A., 2015. Health and Social Care. Heinemann.

Gopee, N. and Galloway, J., 2017. Leadership and management in healthcare. Sage.

Gottwald, M. and Lansdown, G., 2014. Clinical Governance: Improving the Quality of Healthcare for Patients and Service Users. London: Open University Press.

Liebler, J.G. and McConnell, C.R., 2020. Management principles for health professionals. Jones & Bartlett Publishers.

McSherry, R., 2018. An Introduction to Excellence in Practice Development in Health and Social Care. London: Open University Press

Moullin, M., 2012. Delivering Excellence in Health and Social Care: Quality, Excellence and Performance Measurement. London: Open University Press.

Proudlove, C.N. and Boaden, R., 2005. Using operational information and information systems to improve in-patient flow in hospitals. Journal of Health Organization and Management, 19(6), pp.466-477.

Rains, L.S., Zenina, T., Dias, M.C., Jones, R., Jeffreys, S., Branthonne-Foster, S., Lloyd-Evans, B. and Johnson, S., 2019. Variations in patterns of involuntary hospitalisation and in legal frameworks: an international comparative study. The Lancet Psychiatry6(5), pp.403-417.

Ransom, E.R., Joshi, M.S. and Nash, D.B., (eds.), 2018. The Healthcare Quality Book: Vision, Strategy, and Tools, 2nd Edition. Illinois: Health Administration Press.

Schulz, S., Stegwee, R. and Chronaki, C., 2019. Standards in healthcare data. In Fundamentals of Clinical Data Science (pp. 19-36). Springer, Cham.

World Health Organization, 2017. Quality of care in contraceptive information and services, based on human rights standards: A checklist for health care providers.

World Health Organization, 2020. Achieving quality health services for all, through better water, sanitation and hygiene: lessons from three African countries.

Ziaee, R. and Bologna, J.S., 2014. Preparing for Continuous Quality Improvement for Healthcare: Sustainability Through Functional Tree Structures. CRC Press.

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