Understanding Social Care Policy and Law for NVQ and SVQ Candidates and Assessors | laws and issues

When staff are just starting out on their NVQ and SVQ in Health and Social Care, or when new staff who have qualified from abroad start working in the UK they can be uncertain and confused by the different terms, such as policy, regulations, legislation, etc. NVQ and SVQ Assessors can also be uncertain of the differences.In many ways the starting point to understanding the differences is actually Government policy.The Government decides it wants certain things to happen in health or social care. Examples could include:** more older people to be cared for at home, rather than in residential care** more children, who are looked after by local authorities, to be cared for in foster care or adopted** more adults with learning disabilities or mental health problems to be assisted into employmentWhatever the intention the Government’s aim becomes a policy. Sometimes this policy is a Green Paper or a White Paper.The Government then has a choice as to how it pursues its policy. From the Government’s perspective it will rely on other organisations to actually apply the policy on a day to day basis. If the policy relates to health it is an NHS organisation. If the policy relates to social care it is likely to be local authorities that have to apply it or the local authority will have to make clear to organisations it contracts work to that various expectations need to be met.The Government can get local authorities or NHS organisations to apply the policy in one of several ways. These include:** by publishing the policy as ‘statutory guidance’. Local authorities have to follow statutory guidance issued by the Government. In England one example of this is the policy on protecting vulnerable adults titled “No Secrets”** by offering lots of money! The Government says it will give local authorities lots of new money to be spent on certain policy initiatives. One example of this is the Sure Start and Children’s Centres initiative. When it started the policy was driven by money** by introducing legislation that gives the local authority the power to do something or making it a duty to do something. A power means the local authority can do it if it wants to. A duty means the local authority must do it. An example of this is direct payments. The Government originally introduced direct payments as a power. But then the Government made it a duty so that local authorities must offer direct payments (since so few direct payments were offered when it was only a ‘power’)Acts of ParliamentThe Government may therefore decide to introduce legislation. This is the classic Act of Parliament.In recent years legislation has got increasingly detailed and specific. Even with this detail, legislation can be quite cumbersome. It is also quite an involved process to introduce it. Therefore the Act of Parliament usually gives the Secretary of State (in England) or the Scottish Minister the power to make regulations and/or a code of practice.Regulations (Also Known as Statutory Instruments)Regulations are also called Statutory Instruments. Regulations are laid before Parliament but are not debated. They are considered law although not quite as strong as the original Act.Regulations can be altered more quickly and are now extensively used (for example health and safety regulations).Statutory GuidanceIn addition the Secretary of State or Scottish Minister has the power to issue statutory guidance to local authorities. Local authorities are under a legal duty to follow this guidance. In other words the local authority social services or social work department must follow this ‘statutory guidance’.Code of PracticeThe Secretary of State (or Scottish Minister) could also issue a code of practice relating to an Act of Parliament. These codes do not have the full weight of law but they explain and clarify the law and offer guidance on good practice. They are often realistic and applied and can be very useful.Good Practice GuidanceThe Government department (either in England, Wales or Scotland) could also issue good practice guidance. This is not the same as statutory guidance. It is often meant to be read by social workers, first line managers (and others) since the guidance commonly gives case scenarios explaining how service users should benefit from any recent changes in the law.One complicating factor in understanding the present legal framework in social care and children’s services is that often one Act of Parliament does not fully replace a previous Act. Commonly an Act of Parliament amends or alters an existing Act. Keeping track of this can be very difficult.Therefore for social care staff (including staff working with children) who are NVQ or SVQ Assessors or are starting out on their Health and Social Care NVQ or SVQ some of the best resources are the law handbooks from Kirwin Maclean Associates.

Know More About Holistic Dentistry | Dentistry

When we hear the term ‘holistic’ is being used in the field of dentistry, we know that it deals with the wellness of the whole body and not just the oral cavity itself. Obviously, the health of your teeth and gums are closely related to the rest of your body. This is one of the basic principles of holistic dentistry and practicing experts will explain this view to all patients because it’s important that they believe it too.You may have heard of instances where people have been fatally ill after an infection that occurred in their mouth – this is because disease-causing germs often gain entry to the body through your mouth. An infection can easily spread to the entire system through the blood vessels connected to the oral cavity.Past and ongoing research supports the connection between gum disease and heart disease, diabetes and even pregnancy. Every dentist knows and understands this link but some of them are not trained to address the long-term effects of oral health on the whole body. This gap is what holistic dentistry hopes to fill.So what are the basic differences between traditional dentistry that most of us are accustomed to, and holistic dentistry? Some of the so-called traditional dentists may incorporate holistic methods, such as those involving the face and neck, to provide better care for his patients and vice versa. The true holistic dentists will perform all their work acutely conscious to the fact that what they are doing should be beneficial to the whole body and not just correcting problems of the teeth and the gums. This is where the differences can be seen and some of them are outlined below.Mercury fillings – In traditional dentistry, mercury fillings are used because they are long-lasting and certified by the American Dental Association (ADA) and the national Food and Drug Association (FDA) as safe and stable (negligible amounts are assumed to leak into the body). Dentists also prefer them because they are usually easy to position when compared to composite fillings. But holistic dentistry does not authorize the use of mercury, considering that even tiny amounts can be toxic to the body and risky to overall health. Holistic dentists will also be extremely cautious when removing mercury fillings due to this reason.Root canalsIf a tooth cannot be saved by a normal filling, more often than not, a traditional dentist will suggest a root canal treatment (also known as a root filling). In this process, an infected, badly decayed tooth which is dying or already dead can be kept intact for many years, without any problems. It is a treatment that has a long history and a high success rate. Most patients consider it the best option because they can keep their natural teeth.However, holistic dentists are not in favor of this procedure because it cannot be a success unless the bacteria are completely removed (100%, and not 99.9%). Research has shown that such sterilization is impossible leading to the assumption that over a long period, patients who have been treated this way are at risk of developing health complications such as breast cancer and heart disease. Further, chemicals such as formaldehyde used for this sterilization process can also be toxic to the body.Another differing issue is fluoride, which reduces cavities when applied to teeth regularly in the form of toothpaste or, less frequently, as gel. Based on the view of holistic dentists, ingested fluoride can lead to cancers and bone problems.So next time you opt for teeth whitening in NC, consider your options and choose a dental practitioner whose principles are similar to your overall health considerations.


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