NZQA registered unit standard
26849 version 1
Page 1 of 6
Title
Describe and analyse service delivery models or
approaches, and manage service plans in a health-related
organisation
Level
5
Credits
10
Purpose
People credited with this unit standard are able to: describe
and analyse service delivery models or approaches; describe
the application of a service delivery model or approach;
develop service plans for consumers; manage the
implementation of service plans for consumers; and review and
update service plans for consumers; in a health-related
organisation.
Classification
Health, Disability, and Aged Support > Health and Disability
Principles in Practice
Available grade
Achieved
Explanatory notes
1
Legislation and codes relevant to this unit standard include:
Health and Disability Commissioner Act 1994;
Health and Disability Commissioner (Code of Health and Disability Services
Consumers’ Rights) Regulations 1996 (the Code of Rights);
Health and Disability Services (Safety) Act 2001;
Health and Safety in Employment Act 1992;
Human Rights Act 1993;
Privacy Act 1993.
2
New Zealand Standards relevant to this unit standard include:
NZS 8134.0:2008 Health and disability services Standards – Health and disability
services (general) Standard;
NZS 8134.1:2008 Health and disability services Standards – Health and disability
services (core) Standards.
3
Primary references
The following texts and web-based references provide information on the service
delivery models and approaches cited in this unit standard:
 Eden Alternative
http://www.edenalt.org/.
 Palliative Care
Age Concern. (2009). Palliative care. Retrieved 26 April, 2011, from
http://www.ageconcern.org.nz/health/health-help/palliative-care (includes link to the
Ministry of Health Palliative Care strategy).
Community Support Services ITO
SSB Code 101814
 New Zealand Qualifications Authority 2016
NZQA registered unit standard
26849 version 1
Page 2 of 6
bpacnz Ltd (Best Practice Advocacy Centre). (2006). Providing palliative care to
Māori. Retrieved 26 April, 2011, from
http://www.bpac.org.nz/resources/campaign/palliative/palliative_maori.asp.
Canterbury District Health Board. (2009). Palliative care guidelines. Christchurch:
Author, available at http://www.cdhb.govt.nz/documents/palliative-caremanual/palliative-care/Pal_Care_Guidelines.pdf.
World Health Organization. (n.d.). WHO Definition of Palliative Care. Retrieved 26
April, 2011, from http://www.who.int/cancer/palliative/definition/en/.
 Rehabilitation
Hammell, K. W. (2006). Perspectives on disability and rehabilitation: Contesting
assumptions, challenging practice. Edinburgh: Churchill Livingstone, available at
http://ebooksfreedownload.org/ (search for Hammell).
 Restorative Approach
Hegner, B. R., Acello, B., & Caldwell, E. (2008). Nursing assistant: A nursing process
approach (10th ed.). Clifton Park, NY.: Thomson Delmar Learning.
 Strengths-based Approach
McCashen, W. (2005).The strengths approach: A strengths-based resource for
sharing power and creating change. Bendigo, Vic.: St Luke's Innovative Resources.
 Supported Independent Living
MacArthur, J. (June 2003). Support of daily living for adults with an intellectual
disability: Review of the literature prepared for the National Advisory Committee on
Health and Disability to inform its project on services for adults with an intellectual
disability. Wellington: National Advisory Committee on Health and Disability,
available at http://www.donaldbeasley.org.nz/publications.htm.
Ministry of Health; ACC. (2008). Home and community support services:
Implementation guide 2008. Wellington: Author, available at
http://www.acc.co.nz/PRD_EXT_CSMP/groups/external_providers/documents/intern
et/prd_ctrb095280.pdf.
Paradigm. (n.d.). History of supported living. Birkenhead, UK: Author, available at
http://www.paradigm-uk.org/Resources/o/u/0/History of Supported Living.pdf. (Note
that this refers to the United Kingdom history of supported living).
Paradigm. (n.d.). Person centred approaches – A checklist for providers. Birkenhead,
UK: Author, available at http://www.paradigmuk.org/articles/Person_Centred_Approaches_Provider_Checklist/224/86.aspx.
supportoptions.co.nz. (n.d.). Supported independent living. Retrieved 26 April, 2011,
from http://www.supportoptions.co.nz/support/services.aspx.
4
Definitions
Candidate refers to the person seeking credit for this unit standard.
Consumer is defined in the Code of Rights and the Health and Disability
Commissioner Act 1994 in the following ways:
‘Consumer means a health consumer or a disability services consumer; and, for the
purposes of Rights 5, 6, 7(1), 7(7) to 7(10), and 10, includes a person entitled to give
consent on behalf of that consumer’ – Code of Rights, Regulation 4.
'Disability services consumer means any person with a disability that –
(a) Reduces that person's ability to function independently; and
(b) Means that the person is likely to need support for an indefinite period.' – Health
and Disability Commissioner Act 1994, s. 2.
'Health consumer includes any person on or in respect of whom any health care
procedure is carried out' – Health and Disability Commissioner Act 1994, s. 2.
Consumers may also be known as patients, clients, or tūroro, in particular contexts
and settings.
Community Support Services ITO
SSB Code 101814
 New Zealand Qualifications Authority 2016
NZQA registered unit standard
26849 version 1
Page 3 of 6
Health and wellbeing refers to a holistic concept of a consumer’s mental, emotional,
physical, spiritual, and social wellbeing.
Manage service plans refers to all aspects of planning, overseeing, and monitoring
service plans, and of coordinating and directing those people within an organisation
who have a designated role in service plan implementation.
Organisation’s policies and procedures are the policies and procedures of the
employing organisation of the candidate and include ethical codes, standards, and
other organisational requirements.
Others refers to any people who have relationships or interactions with a consumer,
including but not limited to support workers, clinicians, family/whānau, friends,
members of specialist agencies, community volunteers.
Providers means disability services providers and health care providers, as defined
by the Health and Disability Commissioner Act 1994, ss.2 and 3.
Service delivery models or approaches refers to philosophies of consumer care that
may be applied within an aged care, health, or disability setting. A service delivery
model or approach provides an over-arching set of underlying principles, aims and
objectives, operational parameters, and reviewable outcomes which direct the nature
of consumer care and the manner in which it is provided.
Service plan is a generic term that covers individual or group plans (which may also
be referred to by other names such as care plans) that are developed by service
providers for people receiving support (and may include their family/whānau as
appropriate).
Service provision in the context of this unit standard refers to the type and standard
of service offered by a provider, including but not limited to – clinical, social or cultural
service, rehabilitation, therapeutic interventions, counselling, crisis management.
5
This unit standard cannot be assessed against in a simulated environment. For
assessment, candidates must demonstrate competence in the workplace through
paid or unpaid employment, or in placements in a service provider workplace
negotiated by an education provider.
Outcomes and evidence requirements
Outcome 1
Describe and analyse service delivery models or approaches in a health-related
organisation.
Range
service delivery models or approaches include – Eden Alternative, palliative
care, rehabilitation, restorative approach, strengths-based approach, supported
independent living;
evidence is required of three of the above service delivery models or
approaches.
Evidence requirements
1.1
Service delivery models or approaches are described in terms of their
underlying philosophy and application to consumer care in accordance with the
primary references.
1.2
The key features of each service delivery model or approach are analysed in
terms of how they shape service provision in a health-related organisation.
Community Support Services ITO
SSB Code 101814
 New Zealand Qualifications Authority 2016
NZQA registered unit standard
1.3
26849 version 1
Page 4 of 6
The key features of each service delivery model or approach are compared and
contrasted in terms of their strengths and limitations.
Range
evidence is required of a minimum of three key features for each
service delivery model or approach.
Outcome 2
Describe the application of a service delivery model or approach in a health-related
organisation.
Range
service delivery models or approaches include – Eden Alternative, palliative
care, rehabilitation, restorative approach, strengths-based approach, supported
independent living;
evidence is required of one of the above service delivery models or approaches.
Evidence requirements
2.1
The service delivery model or approach is described in terms of its capacity to
align with the organisation's vision, mission, and philosophy.
2.2
The service delivery model or approach is described in terms of its capacity to
meet the requirements of government strategies, contracts for services, or
service specifications relating to aged care, health, or disability.
Range
evidence is required of a minimum of any two government
strategies, contracts for services, or service specifications.
Outcome 3
Develop service plans for consumers in a health-related organisation.
Range
evidence is required of two service plans for two different consumers.
Evidence requirements
3.1
Development of service plans for consumers is in collaboration with the
consumer and others who support the consumer, and in accordance with the
organisation’s policies and procedures.
3.2
Service plans for consumers meet the specifications of the organisation’s
contracts for services, and align with service delivery models or approaches.
3.3
Service plans promote consumers’ health and wellbeing in accordance with the
organisation's policies and procedures.
3.4
Service plans for consumers are within the budgetary and resource allocations
of the health-related organisation.
3.5
Service plans for consumers include goals developed in collaboration with the
consumer that are specific, measureable, achievable, and realistic.
Community Support Services ITO
SSB Code 101814
 New Zealand Qualifications Authority 2016
NZQA registered unit standard
26849 version 1
Page 5 of 6
Outcome 4
Manage the implementation of service plans for consumers in a health-related
organisation.
Range
evidence is required of two service plans for two different consumers.
Evidence requirements
4.1
Management of the implementation of service plans is in accordance with the
organisation's policies and procedures.
Outcome 5
Review and update service plans for consumers in a health-related organisation.
Range
evidence is required of two service plans for two different consumers.
Evidence requirements
5.1
Review of service plans is in terms of analysis of the level of achievement
towards specified goals.
5.2
Review of service plans incorporates feedback from consumers and others, in
accordance with the organisation’s policies and procedures.
5.3
Updating of service plans is in accordance with the outcomes of service plan
reviews and the organisation’s policies and procedures.
Planned review date
31 December 2016
Status information and last date for assessment for superseded versions
Process
Version Date
Last Date for Assessment
Registration
1
17 June 2011
N/A
Consent and Moderation Requirements (CMR) reference
0024
This CMR can be accessed at http://www.nzqa.govt.nz/framework/search/index.do.
Please note
Providers must be granted consent to assess against standards (accredited) by NZQA,
before they can report credits from assessment against unit standards or deliver courses
of study leading to that assessment.
Industry Training Organisations must be granted consent to assess against standards by
NZQA before they can register credits from assessment against unit standards.
Community Support Services ITO
SSB Code 101814
 New Zealand Qualifications Authority 2016
NZQA registered unit standard
26849 version 1
Page 6 of 6
Providers and Industry Training Organisations, which have been granted consent and
which are assessing against unit standards must engage with the moderation system that
applies to those standards.
Requirements for consent to assess and an outline of the moderation system that applies
to this standard are outlined in the Consent and Moderation Requirements (CMRs). The
CMR also includes useful information about special requirements for organisations wishing
to develop education and training programmes, such as minimum qualifications for tutors
and assessors, and special resource requirements.
Comments on this unit standard
Please contact the Community Support Services Industry Training Organisation Limited
info@careerforce.org.nz if you wish to suggest changes to the content of this unit
standard.
Community Support Services ITO
SSB Code 101814
 New Zealand Qualifications Authority 2016