School of Humanities, Education and Social

Sciences

HNC/HND Health and Social Care

Module Handbook 2015-16

Level 5

Facilitating Change in Health and Social Care

 Module Title: Facilitating Change in Health and Social Care

Module Code: Unit 26

Module Leader: Helen Earlam

Module Tutor(s): Helen Earlam

Credits: 15

Level: 5

Semester(s): Two

Pre-requisites: none

1. Rationale
This aim of this unit is for learners to gain understanding of the factors of change in health and
social care services, and the practice of evaluating and facilitating change

2. Aims and distinctive features

Health and social care services are continually subjected to many types of change: political,
legal, organisational, demographic, cultural and technological. New ideas about the best ways
to provide care for individuals such as partnership and collaborative working, constraints on
public spending, and advances in technology all impact on organisations, staff and those who
use services. Poorly managed change never works well, as it creates stress and resistance, so
learning how to manage change effectively and help others in this continual process is crucial to
effective service delivery. This unit introduces learners to the range of factors that can influence
change; the effects of change on organisations, staff and users of services and the key
principles of successful change management. Learners are also encouraged to evaluate the
benefits of continuing change in health and care services.

3. Module Learning Criteria

LO1 Understand the factors that drive change in health and social care services.
LO2 Be able to evaluate recent changes in health and social care services
LO3 Understand the principles of change management.

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4. Learning and Teaching Strategy

Contact or guided learning hours =36

Student learning hours = 144*
*includes student preparation time for assessments
Weekly Lectures and Seminars
Online support/discussion from both tutor and peers. Guest speakers

5. Arrangements for revision and private study

Directed and on-line tasks via blackboard with other students will be encouraged. Time will be
made available during taught sessions for students to be supported in gathering information and
data. The module leader will be available throughout the module for email contact to support
student enquiries. Some session time will be set aside for individual support from the module
tutor. Further tutorials can be arranged, by appointment, at any point during the semester.

6. Assessment strategy
An essay

This allows for individuality, creativity and expression, and the development of written
communication skills. An essay also enables learners to develop their ability to construct fluent,
logical arguments and allows them to bring together different strands of their thinking and
learning into synoptic argument

7. Methods of assessment

An essay, which explains how change in health and social care services is managed, planned,
measured, monitored and evaluated. Also, a discussion regarding the impact the
implementation of change may have on everyone involved in the process of change within a
specific health or social care setting (setting to be provided by the tutor)

8. Method of re-assessment (if different to 7)

Resubmission of failed pass criteria

9. Ethical issues relating to teaching and assessment:

All learners have been made aware at induction and during individual module delivery of their
ethical responsibilities and the importance of confidentiality and adhering to professional
standards. In addition, learners are directed to the principles of ethical conduct of educational
practitioner research. Reference points established are the BERA Guidelines on Ethical
Conduct and the University of Hull Ethical Procedures for Research and Teaching in the
Institute for Learning.

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10. Module learning outcomes/assessment mapping

Module Assessment
outcomes method 1
1.1, 1.2
2.1, 2.2, 2.3,
Essay
2.4
3.1, 3.2, 3.3

In order to achieve a pass in this  All learning outcomes and

associated assessment
unit
criteria have been met.
In order to achieve a merit in this  Pass requirements
unit achieved
 All merit grade descriptors
achieved.
In order to achieve a distinction  Pass and merit
in this unit requirements achieved
 All distinction grade
descriptors achieved.

11. Indicative content

1. Understand the factors that drive change in health and social care services

Political and legal: factors for example, modernisation agenda; current legislation for example,
Health Act 1999, NHS and Community Care Act 1990, Health and Social Care Act 2001;
changes of government; funding issues

Demographic and cultural: factors for example, ageing population, minority ethnic community
needs, lifestyle factors, public awareness (perceptions) and news media, human factors

Technological: factors for example, electronic record keeping; electronic communication;

assistive technology

2. Be able to evaluate recent changes in health and social care services

Impact of recent changes on organisations and staff: how services are organised; effect on
front-line staff; effect on service delivery

Impact of recent changes on users of services: direct users; families of those who use services

Benefits of recent changes: for the government; for workers in services; for those who use

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 services

3. Understand the principles of change management

Key principles of change management: Kotter’s eight steps to successful change; Leavitt’s
model of change; people’s reactions to change; dealing with people’s fears and anxieties;
understanding people’s needs; reducing resistance to change; leading change; creating
ownership

How change is planned: methods for example, consultation; communication; top-down or

bottom-up; management style; use of informal social systems; reconditioning; managing
anxiety; staff development needs

How change is monitored: measuring and monitoring for example, evaluative research surveys;
customer/staff satisfaction; measures of efficiency (cost-benefit, referral rates, case completion,
waiting and response times)

Semester Two: w/b 25 January 2016

Introduction to Unit Unit Handbook

Organizational cultures and Mullins, L. J. (2005) Seventh

structures Edition Management and
1 25 Jan L/S
Organisational Behaviour Harlow:
Prentice Hall
JISC Infonet Good Practice and
Innovation
Organisational change Martin, V. Charlesworth, J.
Aspects of change Henderson, E. (2010) 2nd edt.
Levels of change Managing in Health and Social
Care London: Routledge
Morrison, K. (1998) Management
Theories for Educational Change
London: Sage Publications
Neary, M. (2002) Curriculum
2 1 Feb L/S
Studies in Post Compulsory and
Adult Education London: Nelson
Thornes
Sussex, F. Herne, D. Scourfiled,
P. (2008) Advanced Health and
Social Care for NVQ/SVQ Level 4
and Foundation Degrees Harlow:
Heinemann
Half Term: 8 – 12 Feb
Managing and planning Martin, V. Charlesworth, J.
change Henderson, E. (2010) 2nd edt.
3 15 Feb L/S
Implementation of change Managing in Health and Social
Resistance to change Care London: Routledge

5
 Positive approaches to
conflict
Introduction to task
Factors that drive change in
health and social care
services: political and legal,
current legislation
4 22 Feb L/S
Factors that drive change in
health and social care
services continued:
Demographic, cultural and
technological
5 29 Feb L/S
6
Morrison, K. (1998) Management
Theories for Educational Change
London: Sage Publications
O Sullivan, J. (2009) Leadership
Skills in the Early Years London:
Continuum
Sussex, F. Herne, D. Scourfiled,
P. (2008) Advanced Health and
Social Care for NVQ/SVQ Level 4
and Foundation Degrees Harlow:
Heinemann
Robins, A. Callan, S. (2010)
Managing Early Years Settings
London: Sage
Whalley, M.E. (2008) Leading
Practice in Early Years Exeter:
Learning Matters
Sussex, F. Herne, D. Scourfiled,
P. (2008) Advanced Health and
Social Care for NVQ/SVQ Level 4
and Foundation Degrees Harlow:
Heinemann
Martin, V. Charlesworth, J.
Henderson, E. (2010) 2nd edt.
Managing in Health and Social
Care London: Routledge
NHS Community Care Act 1990
Health Act 1999
Health and Social Care Act 2012
2010-2015 Government policy:
Health and Social Care Integration
Sussex, F. Herne, D. Scourfiled,
P. (2008) Advanced Health and
Social Care for NVQ/SVQ Level 4
and Foundation Degrees Harlow:
Heinemann
Martin, V. Charlesworth, J.
Henderson, E. (2010) 2nd edt.
Managing in Health and Social
Care London: Routledge
Integrated Health and Social care in
England RCN 2014
Widdel, A. Adshead, S. Burgess, E. (2008)
Technology in the NHS Transforming the
patient experience of care The Kings Fund
Ham, C. Dixon, A. Brooke, B. (2012) The
Impact of Demographic Change on Public
Services The Kings Fund
 Formative Assessment
6 7 Mar T
Week One
Easter: 21 Mar – 1 Apr
How change is planned:
consultation, communication,
use of informal social
systems
7 14 Mar L/S
How change is monitored:
measuring and monitoring,
customer/staff satisfaction,
efficiency
8 4 Apr L/S
Be able to evaluate recent
changes in health and social
care services: impact of
recent changes on
organizations and staff, how
services are organised
9 11 Apr L/S
Be able to evaluate recent
changes in health and social
care services continued:
10 18 Apr L/S
Impact of recent change on
users of services, benefits of
recent changes
7
Centre for Workforce Intelligence
The Big Picture: Challenges for
Health and Social Care:
Implications for Workforce
planning, education, training and
development February 2012
www.cfwi.org.uk
Sussex, F. Herne, D. Scourfiled,
P. (2008) Advanced Health and
Social Care for NVQ/SVQ Level 4
and Foundation Degrees Harlow:
Heinemann
Martin, V. Charlesworth, J.
Henderson, E. (2010) 2nd edt.
Managing in Health and Social
Care London: Routledge
Sussex, F. Herne, D. Scourfiled,
P. (2008) Advanced Health and
Social Care for NVQ/SVQ Level 4
and Foundation Degrees Harlow:
Heinemann
Martin, V. Charlesworth, J. Henderson, E.
(2010) 2nd edt. Managing in Health
Sector Insight: Skills and
Performance Challenges in the
Health and Social Care Sector
Evidence Paper 91 May 2015
Sussex, F. Herne, D. Scourfiled,
P. (2008) Advanced Health and
Social Care for NVQ/SVQ Level 4
and Foundation Degrees Harlow:
Heinemann
Martin, V. Charlesworth, J.
Henderson, E. (2010) 2nd edt.
Managing in Health and Social
Care London: Routledge
Sector Insight: Skills and
Performance Challenges in the
Health and Social Care sSector
Evidence Paper 91 May 2015
Sussex, F. Herne, D. Scourfiled,
P. (2008) Advanced Health and
 Social Care for NVQ/SVQ Level 4
and Foundation Degrees Harlow:
Heinemann
Martin, V. Charlesworth, J.
Henderson, E. (2010) 2nd edt.
Managing in Health
Formative Assessment
11 25 Apr T
Week Two
Workshop
12 2 May W
Assessment Week Hand in assignment
13 9 May
Assessment Week
14 16 May

15 23 May Assessment Week

Half term: 30 May – 3 Jun

Bank Holiday: Monday 2nd May

*Mode: L = Lecture; S = Seminar; T = tutorial; W = Workshop

13. Course materials/reading

a) Key texts
Martin, V. Charlesworth, J. Henderson, E. (2010) 2nd edt. Managing in Health
Sussex, F. Herne, D. Scourfiled, P. (2008) Advanced Health and Social Care for
NVQ/SVQ Level 4 and Foundation Degrees Harlow: Heinemann

b) Recommended reading
Widdell, A. Adshead, S. Burgess, E. (2008) Technology in the NHS Transforming the patients
experience of care The Kings Fund
Ham, C. Dixon, A. Brooke, B. (2012) The Impact of Demographic Change on Public Services
The Kings Fund
NHS Community Care Act 1990
Health Act 1999
Health and Social Care Act 2012
2010-2015 Government policy: Health and Social Care Integration

c) Additional reading
Centre for Workforce Intelligence The Big Picture: Challenges for Health and Social
Care: Implications for Workforce planning, education, training and development
February 2012
www.cfwi.org.uk

14. Assignment information

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Regulations
1. Presentation conventions
Unless specified otherwise, written assignments should be word-processed and presented on
white paper with 2.5 cm margins. The font should be Arial 12 and black, the line spacing should
be 1.5, and you should include a footer indicating page numberings and date. You should
observe the presentation conventions for your discipline (details in your Programme Handbook).
Other forms of submitted work should be clear and understandable. Audio and video recordings
must be high quality and always labelled. Work may be returned to students unmarked if
presentation is not of an appropriate standard. It

2. Overlength assessments
Each assignment/task has been given a recommend word count for you to work towards when
writing your assignments. Please note that these are only recommendations and you can write
more, or less, than this recommendation. However please take note that these
recommendations, based on the tutors knowledge and expertise, are in place to support you
and if your word count is significantly above and below we would advise you to revisit it.

3. Turnitin
Assignments should be submitted via Turnitin on Blackboard, unless otherwise stated in the
assignment brief. This will provide a plagiarism report visible to students and tutors. Students
therefore acknowledge that they are aware of the nature and consequences of plagiarism as set
out in the Undergraduate Handbook. If a paper copy only is required, a Turnitin receipt should
be placed at the front of each piece of work as evidence.

4. Late submissions
All coursework assessments have a published, formative and summative, submission deadline
which should be no later than 4pm on the specified deadline date. You must attend both
formative assessment dates and the summative. The late submission penalties which will be
applied to coursework submitted after the published deadline are, where specifically identified in
the grading criteria for a unit:
 Students will be unable to be awarded merit criteria 1 (M1) as this required learners to
“identify and apply strategies to find appropriate solutions” Be not submitting work on
time students have failed to demonstrate this ability.

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  Please note that failure to submit on time and not meet these criteria will stop you
achieving higher than a pass on that module.

5. Mitigating Circumstances
Students should recognise that there is only one method by which non-submitted or late-
submitted work can be considered, i.e. through ‘mitigating circumstances’. The method by which
non-submitted or late-submitted work can be considered requires evidence that you have
mitigating circumstances according to criteria approved by the mitigating circumstances panel
(details in the undergraduate and postgraduate handbooks).
Applications for Mitigating Circumstances must be submitted no later than 7 working days after
the exam or assessment deadline in question. Forms submitted later than 7 working days
following the exam or assessment deadline may not be considered. If the application is
submitted more than 7 working days after the exam / deadline you should provide reasons for
the delay.

Recommendations:
 Pay attention to the assessment and grading criteria as you compose and check your
work;
 Check that your work fulfils the module learning outcomes;
 Make sure that your work accords with the regulations on word limits;
 Observe the conventions set out in the section on referencing; quotations and
presentation of assessment work in the Programme Handbook. Failure to observe these
conventions will result in loss of marks.

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 UNIVERSITY CENTRE DONCASTER
School of Humanities, Education and Social Sciences
HNC/HND in Health and Social Care
Assignment Brief

Module code Module title Module Leader

Unit 26 Facilitating Change in Health and Social Care Helen Earlam

Assignment Mode Recommended Tariff Weighting Assessment and

(Recommended) Grading Criteria
1.1, 1.2
1 Essay 3,500 NA 2.1, 2.2, 2.3, 2.4
3.1, 3.2, 3.3

Instructions for submission and return of assignment

Online submission through Blackboard and Turnitin. Recording will be kept by the module
Lecturer for internal and external verification.

Assessment Dates
Type Type Date
Assignment Hand-out Assignment Hand out Date 15/02/16
1st Assessment Formative Submission 07/03/2016
2nd Assessment Formative Submission 25/04/2016
Final Submission Final Summative Submission Date 09/06/2016
Return Date Date Feedback is released.

Reminder on Assessment Penalties:

Late Submissions:
All coursework assessments have a published submission deadline dates. The late submission penalties
which will be applied to coursework submitted after the published deadline formative and summative are,
where specifically identified in the grading criteria for a unit:

 Students will be unable to be awarded merit criteria 1 (M1) as this required learners to “identify
and apply strategies to find appropriate solutions” Be not submitting work on time students have
failed to demonstrate this ability.

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Task Number: 1 Criteria Assessed: 1.1, 1.2, 2.1, 2.2, 2.3, 2.4 3.1,3.2
Scenario:

Change in health and social care services is driven by a variety of key factors with relevant
strategies being developed to enable the successful management, planning, implementation,
monitoring and evaluation of change

Task:
An essay, which explains how change in health and social care services is managed,
planned, measured, monitored and evaluated. Also, a discussion regarding the impact the
implementation of change may have on everyone involved in the process of change within a
specific health or social care setting (setting to be provided by the tutor)

Suggested Approach:

Explain the key principles of change management: Kotter’s eight steps to successful change;
Leavitt’s model of change; people’s reactions to change; dealing with people’s fears and
anxieties; understanding people’s needs; reducing resistance to change; leading change;
creating ownership 3.1

Explain the key factors that drive change in health and social care services for example,
political and legal, which will include; the modernisation agenda; current legislation such as
Health Act 1999, NHS and Community Care Act 1990, Health and Social Care Act 2001,
2012, changes of government; funding issues 1.1

Assess the challenges demographic and cultural factors for example, ageing population;
ethnic minority community needs; lifestyle factors; public awareness (perceptions) and news
media; human factors
Technological factors for example, electronic record keeping; electronic communication;
assistive technology 1.2

Devise a strategy and criteria for measuring recent changes in health and social care service.
For example, surveys, customer/staff satisfaction, referral rates, response times and case
completion 2.1

Measure the impact of recent changes on health and social care services against set criteria.
For example, how services are organized and delivered, direct users and families of those
who use services. 2.2

Evaluate the overall impact of recent changes in health and social care. For example, how
services are organised; the effect changes may have on front-line staff; service delivery and
direct users of services and the families of those who use services. Also, the benefits of
recent changes for the government; for workers in services; for those who use services 2.3

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 Propose appropriate service responses to recent changes in health and social care services
using the Responsive Model, which is designed to develop and sustain a dialogue between
those who pay for, design and deliver the service and those who benefit from it 2.4

Explain how changes in health and social care area planned: for example, consultation;
communication; top-down or bottom-up; management style; use of informal social systems;
reconditioning; managing anxiety; staff development needs 3.2

Assess recent changes in health and social care services are monitored: for example,
evaluative research surveys; customer/staff satisfaction; measures of efficiency, cost-benefit,
referral rates, case completion, waiting and response times 3.3

Below are the assessment criteria for a pass criterion for this task: (you must meet all pass
criteria to achieve an overall pass)

1.1 Explain the key factors that drive change in health and social care services
1.2 Assess the challenges that key factors of change brings to health and social care
services
2.1 Devise a strategy and criteria for measuring recent changes in health and social care
2.2 Measure the impact of recent changes on health and social care services against set
criteria
2.3 Evaluate the overall impact of recent changes in health and social care
2.4 Propose appropriate service responses to recent changes in health and social care
services
3.1 Explain the key principles of change management

3.2 Explain how changes in health and social care are planned
3.3 Assess how to monitor recent changes in health and social care services.

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Below are the merit and distinction criteria for this task: (You must demonstrate evidence to meet all pass criteria and all three merit
criteria to get an overall merit. In addition to these you must demonstrate evidence of all three distinction criteria to achieve an overall
distinction)
Grade Descriptors
M1 identify and apply
strategies to find
appropriate solutions.
M2 select/design and
apply appropriate
methods/techniques
M3 present and
communicate appropriate
findings
D1 Use critical reflection to
evaluate own work and
justify valid conclusions.
Exemplar indicative characteristics
• An effective approach to study and research
has been applied
• A range of methods and techniques have
been applied
• A range of source information has been used
• The selection of methods and
techniques/sources has been justified
• Communication has taken place in familiar
and unfamiliar contexts
• The communication is appropriate for familiar
and unfamiliar audiences and appropriate
media have been used
• Conclusions have been arrived at through
synthesis of ideas and have been justified
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Contextualisation
To meet this criterion you need to make sure you meet the deadlines,
for all tasks, of this assignment. This includes all formative and
summative deadlines. Failure to miss any will result in not being
awarded this criterion.
As specified on the first page of the assignment brief and the
submission deadlines section of the module handbook:
Students will be unable to be awarded merit criteria 1 (M1) as this
required learners to “identify and apply strategies to find appropriate
solutions” Be not submitting work on time students have failed to
demonstrate this ability.
There are opportunities to be awarded this criterion in tasks 1, 2 and 3.
However to gain this criteria you must complete the following in
every task. This can be achieved by making sure you follow the
University Centre Doncaster’s referencing policy. You need to follow
the guidelines available in the LRC or LRC website to use and format
in text and end referencing correctly. To accompany this you must
make sure you are using valid and academic sources of information
and a range of them. For example using books and journals and not
fully website references.
To gain M3 you must complete the following on the task. You must
make sure that your essay and report are correctly formatted to the
standards identified in the guidelines the handbook. You must make
sure that your points are clearly explained with logical elaboration. You
must make sure you cover all the relevant points and structure the
tasks in chronological order.
Task 1 must include the following to gain D1. Consistent critical
reflection when undertaking the task. This requires more than just a
conclusion paragraph at the end of the task. A D1 learner will reflect on
the points throughout the task, which are evidenced with underpinning
theory, the D1 learner will then reflect on these points and provide
appropriate critical concluding discussion throughout.

D2 Take responsibility for
managing and organising
activities.
D3 Demonstrate
convergent/lateral/creative
thinking
• Autonomy/independence has been
demonstrated
• Substantial activities, projects or
investigations have been planned, managed
and organized.
• Ideas have been generated and decisions
taken
• Convergent and lateral thinking has been
applied
• Innovation and creative through throughout
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To meet these criteria you will have completed all the
requirements for both tasks. This includes submitting via Turnitin
on time, fully referencing to the LRC’s acceptable standards and
completing the presentation activity at the allocated slot and to
the listed criteria addressed in the assignment brief.
To achieve this criterion evidence presented in both tasks 1 and 2
should show critical thinking, innovation, creative ideas and thoughts
that go beyond established theories. There will be considerable
attempts to develop new and additional ideas. These should be
supported by academic sources of information, knowledge and
experiences within identified settings. Remember that to gain D3 you
are expected to go above and beyond on this work, bring in some
interesting points, use evidence and critically discuss all of the above
and any observable impact and provide original discussion based on
referenced material.