3000 word case study


Case Study

Community Hospital Foundation Trust (CHFT)

The Context and Situation Analysis

Community Hospital Foundation Trust (CHFT) operates within a local health economy. The

demands upon its services well exceed CHFT ability and capacity to meet such demands in

terms of existing staff support and other financial resources.

A consequence of this has been reports in the local media of ambulances waiting for long

periods outside the hospital unable to receive patients, and patients waiting on trolleys in the

hospitals corridors.

As part of an ongoing audit of their service users (past, present and likely future), the report

confirmed that an increasing number of attendees were frail elderly people with multiple

health conditions who in many cases had also experienced falls within their home. It was

also found that there was an increasing number of incidents of young people attending the

hospital on Friday nights and weekends. These were arriving with injuries from fights

induced by alcohol and drugs, and had diverted staff time and resources away from other



Challenges and Opportunities

The above challenges to this hospital provide sound reasons for greater collaboration

between health and social care professionals from partner public services, and also

community-based workers from voluntary organisations. Seeking better integration of health

and care services is an opportunity to also provide new ways of helping elderly service users

with complex needs to live independently in the community, and where young people feel

they can access appropriate support services when needed.

Legislation has been put in place to help remove some of the obstacles in order to improve

collaboration and joint working, such as:

 Allowing pooled budgets

 Allowing trusts to jointly commission services

 Providing the legal underpinning for further integration (e.g. piloting integrated health

and care teams supported by single budgets to improve service user experience of

their care).

In view of the above opportunities there are other challenges that relate to cultural and skills

development for CHFT. These are around health and care professionals working with each

other to improve the current and future situation for users, their families and communities.

You need to address for Part 1: Q1 and Q2 in relation to the above case study:

For each question please focus on EITHER elderly service users OR young service users.

Part 1

Q1 State some of the reasons why CHFT will want to find out more about the situation behind

service users attending their hospital. Include in your answer a discussion of the assessment of

care needs, the formulation of agreed goals with them, and the use of systems and structures to

help with this.

(Learning outcome 1) 500 words maximum.

Q2 Briefly describe how you might go about using relevant theories (as well as drawing on your

own skills or the skills of others) in producing an assessment of their needs.

(Learning outcome 2) : 500 words maximum.

Total of 1000 words – 


Part 2

Q3 In the light of limited resources and time, reflect upon options around how you could carry out

your own work in the implementation of any care plan for service users, in ways that can best

meet their needs in the short, medium and longer term.

(Learning outcome 3) 30% of marks: 1000 words maximum

Q4 How might you evaluate what has worked and what has not worked, with service users and

managers of the hospital trust? How can professionals and their own or partner organisations

work to deliver good practices around addressing the needs of service users better in the future.

(Learning outcome 4) : 1000 words maximum

Total of 2000 words – 


You MUST underpin your analysis and evaluation of the key issues with appropriate and

wide ranging academic research and ensure this is correctly referenced using the AU

Harvard system both in-text and end of text list. The My Study Skills Area contains the

following useful resources:

Guide to Harvard Referencing


Guide to Harvard Citation


You must use the AU Harvard Referencing method in your assignment.

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