Barriers.

  • Created by: Sinead
  • Created on: 28-11-18 15:00
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  • BARRIERS.
    • Barriers.
      • Limited public transport.
      • Services not distributed evenly around the country.
      • Childrens services are usually Private- Thus located in more affluent areas.
      • Innsuficient outreach provision.
      • Post Code Lottery
      • Rural people have problems.
      • Elderly have mobility issues.
      • Full time workers- Appointments in working hours.
      • People with small children- Childcare.
      • Pre- arranged appointments not always at convient times.
    • Geographical location.
      • To Improve-
        • Campaigns to raise awareness- Local Bus service.
        • Awareness of voluntary organisation-'Dial a Ride'
        • Additional sources of funding.
        • Practical appointment times.
        • Provide Outreach Service.
        • Minor issues treated in a GP.
    • Physical.
      • Barriers
        • Exsisting premises and facilities have been designed on the assumption that all services users are able bodied.
        • Mobility Problems- Cannot use public tramsport.
        • Hospitals- Old Workhouses- Not designed with soecial needs in mind.
        • Sensory Difficulties.
        • Health cantres and GP's- Unaccesible.
        • Some small outlying clinics are still housed in unsuitable premises.
        • Volutary Organisations- Little money for alteration.
        • Voluntary and Charitable Organisations may be housed in older buildings- difficult to make accesible.
      • To Improve.
        • Many health Centres now in purpose built buildings.
        • Most Hospitals mobility accessible.
        • Hospital Care services- Volunterrs.
        • Moterised scooters available for elderly.
        • Walking sticks
        • Adaption of exsisting premises.
        • Under the Disability Discrimination Act 1995, all services should be accesible.
    • Psychological
      • Barriers.
        • Service users are frightened of a diagnosis.
        • Frightened of the stigma attached.
        • Service Users with metal health problems may not recognise until a crisis.
        • Men are less likely to see a doctor.
        • Doctors less likley to diagnose men with mental health issues that woman.
        • Gender Socialisation-  Sick men are weak.
        • Woman may fee their concerns are minimises by a patronising attitude- undermines self esteem.
        • Some feel health is matter of willpower and determination.
        • Some think illness is fate.
        • Some have more pressing problem- Financial.
      • To Improve-
        • Use of campaigns and awareness to raise attitudes.
        • Promotion of self-advocacy
        • See our body as a machine that is liable to break down.
        • Make disclosures in an environment which they are comfortable in.
        • Provide reassurance that abuse is not their fault.
        • Provide clear information about ehat will happen and how they will be protected if disclosures involve neglect or abuse.
        • Reading and reacting to information given in leaflets an posters, which are freely available in places that people go regularly.
        • seeing leaflets which advertise Helplines- BT Phonebook.
        • Using the internet- NHS Online
        • NHS Direct Information Points if the person doesn't have access to the internet at home.
        • Asking for advice at a pharmacist- Less daunting than a hospital.
        • Finding someone go with him or her to the health service.
        • Walk in Centres.
        • Asking for an adovocate.
    • Cultural/ Language
      • Barriers.
        • First language not being English.
          • Cannot fill out forms in a second language.
          • Written information not in the persons own language.
          • If several languages are spoken in an area it can be difficult for service users to target the appropriate language.
          • On premises signs often only in English.
          • Receptionists may only speak English.
          • Medical terms difficult to translate.
        • Illiterate people will not be able to read- Embarrassing.
        • Culturally, some people are only allowed to be treated by the opposite sex.
        • Service provider not aware of cultural and dietry requirements.
        • Religious Beliefs on Sex and Sexuality.
          • Family Planning.
          • Sexual Health.
      • To Improve.
        • Information in more that one language.
        • Picture Boards
        • Translation Services arranged in advance.
        • Family mebers can translate for someone.
        • Provide culturally sensitive services.
    • Lack of Knowledge.
      • Barriers.
        • Few people know of the range of services available.
      • To Improve.
        • Provision of Information in a user friendly format.
        • Advertising Services.
        • Education in School.
    • Financial Contraints.
      • Barriers.
        • Not enough Funding- Not enough Resource- Delays.
        • Staff Shortages.
        • Shortages of Beds
        • Low Income Individuals
        • Unaware of Benefit entitlement.
        • Cost of Travelling.
        • Private organisation charge.
        • Adult Services are means tested.
        • Eligibility Criteria
      • To Improve.
        • Identification of additional sources of funding.
        • Easy accessible Information about the type of help.
        • Some conditions exempt from prescription charges.
        • Financial Assistance available.
        • 'Free Phone Number'
        • Ensuring Child Protection Polices are implemented.
        • Fundraising for the NSPCC.

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