The Dnp Essay - 724 Words

Statement of Purpose Doctor of Nursing Practice Essay Luisa Walsh 2/18/2013 In today’s healthcare system, nursing is a challenging field as a result of rapid technological advances and changes in healthcare policies. As a dedicated nursing professional, with a great passion for learning, I strive to stay on top of these changes. I am determined to increase my knowledge to be an instrumental part of providing quality healthcare. The demands of nursing are high; however the rewards are even higher. Nursing requires both a supreme understanding of the science of health, and a caring bedside manner befitting only those who seek a position of such a personal involvement in the well-being of a patient. Academically, I will put forth all of†¦show more content†¦In addition, a DNP degree will help me better serve my community by advocating for quality and safety healthcare system. Once attained, I would seek employment at either a school or university with the mission of educating nursing students to practice the highest quality of patient care. One of the major issues facing the nursing profession today is the lack of advance nursing practices. The medical field is in crisis. Doctors are stretched to the limits, and patients are demanding more advanced care. To alleviate some of the concerns facing medicine in the 21st century, advance nursing practices is a vital area in the contribution of understanding and working within the bounds of a team structure, and the promotion of communication between the interdisciplinary health team. The mission of the advance nursing practice is to help individual patients, and their families, determine and achieve optimum physical, mental and social potential, and to do so within the challenging context of the environment in which they live and work Nurses are among the largest professional care group within the healthcare service industry. We are responsible for providing quality care and assisting patients towards independent and healthy living. Considering the changing working environment, health care practitioners like nurses areShow MoreRelatedThe Argument For The Dnp1975 Words   |  8 PagesThe Argument for the DNP Nurses have been an integral part of health care for years. Many of the nurses people see regularly are Registered nurses or BSN, aka Bachelor of Science nurses that more or less are similar in work load, only separated by amount of education. 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The Size Of Connecticut, El Salvador - 1227 Words

The size of Connecticut, El Salvador is one of Central America’s most densely populated countries and has the highest mortality rate in the world. First conquered by the Spaniards in the early 1500s, El Salvador’s history is filled with tension, violence, and exclusion; the settlers robbed the indigenous people of their land and forced them to slave in the coffee plant fields. Not only were the indigenous people deprived of their land, it was kept in the hands of the elite, creating little to no social mobility and further subjugating native Salvadorans. As discontent and tension increased between the elite and the poor, a massacre occurred on January 22, 1932 that was carried out by the National Guard, killing between 10,000 and 40,000 peasants—most of whom were indigenous people. The slaughter ignited a fire among the Salvadoran people that was fueled by unfulfilled promises of socio-economic parity and agrarian reform. 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Strategy Formulation & Business Decision - Business Plan

Question: Discuss about the Strategy Formulation Business Decision of Business Plan . Answer: 1. Strategic objectives The strategic objectives of the Cambridge collage focuses on the establishment of the high quality education for the students of the Kosovo with the creation of affordable prices. The objectives also determine the strengthening of the services as it becomes the engine for development of the company Cambridge collage. The most important objective of this company is to identify the core competencies of the English Literature and the German Literature. It also helps in the identification of the process thereby it also helps in the differentiating the customers in order to understand the categories of the customers (Fung, n.d.). The implementation of the objectives is also very much crucial for emphasizing results and thereby the company Cambridge collage can be able to differentiate the business with the provision of the clear and the viable alternatives. It also helps in the creation of relationship with the establishment of the relationship oriented business which provides the value t o understand the long-term relationship. The second strategic objective is to provide unique value proposition to the clients with the creation of the international channels. The identification of the channels also helps in the establishment of the customer segments with providing the different forms of the marketing (Galliers and Leidner, 2003). 2. Growth and generic strategies, means of implementation Growth and the generic strategies help in the creation of the competitive advantage with the enhancement of the sustaining superior performance. It generally defines the Porters strategies with the creation of the categories that are the cost leadership, differentiation, cost focus and the differentiation focus. The first two cost leadership and the differentiation helps in the creation of unique desirable products and the services with offering the specialized services to the customers in order to capture the market (Gramlich, 2007). The terms cost focus and the differentiation focus identifies the interpreted meaning in the creation of differentiation. It generally emphasizes the cost-minimization and the interpretation of the strategic differentiation on the focused market. The cost leadership strategies help in identifying the gain and the competitive advantages in order to develop the edge and thereby the sales of the process help in the creation of the cost leadership strategies. The increment of the profits helps in reduction of the costs with charging the average prices. The increment of the market share also helps in lowering the prices with making reasonable profits. The cost leadership helps in minimizing the profits with the cost and thereby delivering products and services appropriately (Kapferer, 2012). The cost leadership strategy involves the leaders in the terms of the cost and henceforth the lowest cost producers undercut the prices. The differentiation strategy helps in the involvement of the product with creation of attractiveness for the competitors. The exact nature of the products and the services depends on the features, functionality, durability, support and the image created by customer value. In order to create success differentiation strategy, appropriate research, development and the innovation are requisite for delivering high quality products and services (Kendrick, 2010). The focus strategy also helps in the creation of concentration on the particular product that the company consists of. It enables to create attention on the unique needs of the customers with producing low cost with the creation of brand loyalty. This helps in the creation of the market segments less attractive for the enhancement of cost leadership qualities. The focus strategy also helps in the creation of the segment with focusing on the broader market for the creation of extra costs in order to make the market available for the increment of differentiation (Morrissey, 2016). The means of implementationimplies the implementation of right generic strategies which underpins the enhancement of the strategic decisions. It provides the ways for the appropriate creation of decision for the implementation of generic strategies with the creation of warning against the decision with the implementation of the advices. These helps in the creation of focus on the people and thereby the requirement of the special approach helps in the creation of demands and thereby the approach seems to be high creative approach (Polo and Weber, 2010). The generic strategies help in the creation of the strengths and the competencies to face the market and thereby the organization seemed to be in the path of the development. The reduction and the appropriate management of the supplier power helps in the creation of the management of the buyer and the customer power. Henceforth it makes the organization in the creation of customer care with offering the unique features and henceforth t he value helps in the involvement of the cost differentiation ways that benefits the organization Cambridge collage. It also helps in the appropriate creation of customer experience mapping for the organization Cambridge collage. Henceforth this strategy helps in the up liftmen of the organization Cambridge collage (Proctor, 2014). 3. Production/Operations - Explain how you intend to run your business. The main aim of Cambridge College is to increase revenues and efficiency by developing its education quality and services. Teachers and other staff should be provided with appropriate training, knowledge and skills. The students should be provided with adequate facilities and education. The development of infrastructure and financial plans will also help to develop the college. 4. Human resources Human resource is considered to be one of the major aspects in the business plan model. Human resource is considered to play vital role as it help to recruit or select the right candidate for the right job at the right time at the right place. The human resource is considered to be one of the major role player in the new business with core competencies which include providing service related to the educational sector. Recruiting right professor with high skilled expertise will uplift the morale of the new business and provide positive enthusiasm for the company to get the institute at the top (Neil, 2012). Human resource in the educational sector is considered to be playing a major role in the overall administration. Administration is considered to be playing a major role in determining and analyzing the company overall perspective related to analyzing and determining the key role in overall management of the work procedure and analysis. Understanding HR Human Resource is about overseeing representatives and their prosperity. Making arrangements for HR hence requires that team or personnel, as the little entrepreneur, match representatives with the occupation capacities that best meet their aptitudes and interests. As your business develops and transforms, you will find that you will need a supply of worker hopefuls lined up to fill essential positions in the association (Mamoria and Gankar, 2009). Effective associations can oversee HR as a feature of the business' general methodology arrangement. At the end of the day, you can enroll representatives that help you meet the business' objectives. Determining Demand An imperative piece of getting ready for HR is anticipating request. This arrives in various structures: to begin with, it will need to have some thought of where the business is going with its deals and income. Do you hope to offer 25 percent more this coming quarter than last. Provided that this is true, you will likely need to go up against new staff to take care of this demand. The fact of the matter is that the monetary accomplishment of your business is personally fixing to its HR arranging (Liao, 2009). In the event that you don't have enough representatives, you can't take care of demand, and not taking care of demand means you dismiss generally upbeat clients. Being Proactive Each little entrepreneur wells to receive a straightforward mantra: "I am proactive!" While this may sound a bit excessively exclusive for you, the thought is basic: in the event that you keep a heads-up of what's happening in your business, you can all the more adequately make a pipeline of representatives prepared, willing and ready to help your association develop and meet its objectives (Joshi, Liao and Martocchio, 2011). Your eagerness will be infective. As your representatives see you amped up for the eventual fate of the business and about bringing crisp ability on-board, they too will get to be amped up for helping you meet the business' objectives, in this way expanding your money related primary concern. Discovering Balance The way to compelling HR arranging is finding a harmony between successful workers and productive administration. All organizations rhythmic movement, you'll have minutes where business is blasting and workers will be to a great degree caught up with adapting to deals, client request, or advertising matters. At different times, it will discover the business is somewhat moderate and maybe workers aren't as occupied as they once were. Keen entrepreneurs can deal with this by keeping side-ventures for their representatives to take part in when the primary business is moderate. Approach workers for their info. Do they have thoughts for new items or administrations? The downtime in the business cycle is a flawless time for these new thoughts to be investigated. It keeps your representatives drew in and permits the business to in any case be gainful without relinquishing administration (Ivanovic and Collin, 2006). On the basis of the HR and recruit managing by human resource manager helps to grow the company more and prosper effectively. 5. Risks - Describe the risks and develop your risk management ideas The risks that are analyzed helps in the summarization of the risks that are involved with the mapping. The risks are categorized into various types that are the financial, human resources, information technology, risks and the safety and the academic affairs. The involvement of these risks signifies various threats that an organization faces in the environment of the organization (Silva, 2015). These risks provide the barriers to the organization in the way of the enhancement and the development. The risks can also be categorized into the following that are the accounting, auditing matters, fraudulency, conflict of the interest, unsafe working conditions, data privacy and the confidentiality, environmental safety, public safety and the improper supplier with the malicious usage of the technology. The risk assessment programs are created for the appropriate assessment of the problems and thereby the risks can be mitigated by the risk management with ensuring the participation program. The risk management also helps in the creation of safeguard assets with the preservation of the academic programs. The role of the risk management reducing the cost of mitigation of the risks with the association of the accidental losses and henceforth the financing of the losses are seemed to be expected with the appropriate mitigation of the risks with the liability of the claims and the litigations (The Applicability of Porter?s Generic Strategies in the Digital Age: Assumptions, Conjectures, and Suggestions, 2004) . The employment related injuries helps in the creation of the theft and the other causes helps in administering the employment programs and henceforth the analysis helps in the appropriate mitigation of the programs for the expectation of the future process for the organisation in a secure manner. The performance of the risk assessment and the analysis helps in the creation of the procedures with the ensuring the agreement for the claiming of the insurances (Silva, 2015). Thus the training programs also help in the creation of the programs and the procedures for the insurance programs. 6. Financials - Provide information about the funding requirements. Make projections of the Income Statement for at least 3 years Financial projection helps to provide financial position of the company in the market. Financial projection help to determine the cash inflow and cash outflow and thus helps to determine and analyze the budget and other key financial facts and figure related to the overall growth of the company. Financial projection includes the income statement and balance sheet along with that cash flow statement of the company is also considered to determine the overall growth and key figure from the company overall success and growth in the new business model (Armstrong and Armstrong, 2009). Determining and formulating a new business model financial part plays a vital role. Financial projection helps to provide a clear and precise idea about the company key facts related to the financial aspect. Financial indicator Break even analysis Break even analysis helps to calculate and examine the margin of safety of an organization on the basis of revenues and costs associated with the operations. It is used to determine the revenues of an organization. The breakeven analysis of Cambridge College shows monthly revenue, average percent variable cost and estimated monthly fixed cost. General assumptions have also been taken to calculate the breakeven analysis (Barrow, Barrow and Brown, 2012). BREAK-EVEN ANALYSIS Monthly Revenue Break-even $133,362 Assumptions: Average Percent Variable Cost 56% Estimated Monthly Fixed Cost $58,648 GENERAL ASSUMPTIONS YEAR 1 YEAR 2 YEAR 3 Plan Month 1 2 3 Current Interest Rate 9.00% 9.00% 9.00% Long-term Interest Rate 5.00% 5.00% 5.00% Tax Rate 27.00% 27.00% 27.00% Other 0 0 0 Start up funding The required start up funding is calculated of Cambridge College which shows assets, capital, liabilities and required cash amount. It will help to determine and evaluate the amount of capital required for investment in the initial period of the college (Ciccone and Papaioannou, 2006). START-UP FUNDING Start-up Expenses to Fund $57,685 Start-up Assets to Fund $157,315 TOTAL FUNDING REQUIRED $215,000 Assets Non-cash Assets from Start-up $155,000 Cash Requirements from Start-up $2,315 Additional Cash Raised $0 Cash Balance on Starting Date $2,315 TOTAL ASSETS $157,315 Liabilities and Capital Liabilities Current Borrowing $5,000 Long-term Liabilities $0 Accounts Payable (Outstanding Bills) $0 Other Current Liabilities (interest-free) $0 TOTAL LIABILITIES $5,000 Capital Planned Investment Gerald Owens $50,000 Andrea Powers $5,000 Kelley Mitchell $2,500 Allison Elliott $2,500 Additional Investment Requested $150,000 Additional Investment Requirement $0 TOTAL PLANNED INVESTMENT $210,000 Loss at Start-up (Start-up Expenses) ($57,685) TOTAL CAPITAL $152,315 TOTAL CAPITAL AND LIABILITIES $157,315 Total Funding $215,000 Sales forecasting is considered as one of the most important marketing tool that helps to sales and developing sales plans on the basis of forecasting. It will help to avoid unforeseen flow of cash and managing financing and staff needs effectively. It will help to examine the profit ability as well as efficiency of an organization (Creating a business plan, 2007). The forecasting of sales is important for Cambridge college to track the revenues earned by the college. SALES FORECAST YEAR 1 YEAR 2 YEAR 3 Sales Textbook Exchange $741,000 $963,300 $1,252,290 Bachelor course $596,000 $774,800 $1,007,240 Masters Course $291,000 $378,300 $491,790 Administration $206,000 $267,800 $348,140 Advertisement $278,500 $362,050 $470,665 TOTAL SALES $2,112,500 $2,746,250 $3,570,125 Direct Cost of Sales Year 1 Year 2 Year 3 Textbook Exchange $391,000 $430,100 $473,110 Classifieds $258,000 $283,800 $312,180 Auction $170,500 $187,550 $206,305 Retail $193,500 $212,850 $234,135 Advertisement $170,500 $187,550 $206,305 Subtotal Direct Cost of Sales $1,183,500 $1,301,850 $1,432,035 Graphical Representation Project profit and loss The projection of profit or loss will help to determine and evaluate the profitability of an organization. The projection of profit or loss will help to determine the profitability of Cambridge College. The gross margin shows the difference between the cost of sold goods and revenues. The profit margin has been forecasted for each months and three years (Elliott and Elliott, 2008). Gross margin Profit monthly Profit Yearly Gross margin monthly Income statement Income statement shows the expenses, revenues, profit or loss of a company. It helps to determine and evaluate the ability of a company to generate revenues and profitability for their stakeholders. The expenses, net profit, revenues and cost can be determined with the help of income statement. Net profit for three years has been determined and examined in order to evaluate the future development of Cambridge College. Income statement helps to determine the financial performance of an organization (Holton, 2012). YEAR 1 YEAR 2 YEAR 3 Sales $,112,50 $,746,20 $3,70,125 Direct Cost of Sales $,183,50 $,301,80 $1,32,035 Other Costs of Goods $0 $0 $0 TOTAL COST OF SALES $1,183,500 $1,301,850 $1,432,035 Gross Margin $929,000 $1,444,400 $2,138,090 Gross Margin % 43.98% 52.60% 59.89% Expenses Payroll $411,000 $445,000 $510,000 Sales and Marketing and Other Expenses $0 $0 $0 Depreciation $0 $0 $0 Web Hosting $720 $1,000 $1,250 Utilities $1,200 $1,500 $2,000 Website Enhancement Projects $225,000 $200,000 $200,000 Insurance $1,200 $15,000 $17,500 Payroll Taxes $59,850 $64,650 $74,250 Other General and Administrative Expenses $4,800 $7,500 $10,000 Total Operating Expenses $703,770 $734,650 $815,000 Profit Before Interest and Taxes $225,230 $709,750 $1,323,090 EBITDA $225,230 $709,750 $1,323,090 Interest Expense $275 $63 $0 Taxes Incurred $60,738 $191,615 $357,234 Net Profit $164,218 $518,072 $965,856 Net Profit/Sales 7.77% 18.86% 27.05% Graphical Representation Project cash flow The cash flow projection will help to examine the inflow and outflow of cash for three years. It will help to project the flow of cash of Cambridge College for three years. The net cash flow has been shown in the cash flow statement. Cash flow statement helps to determine the financial performance of an organization (Kieso, Weygandt and Warfield, 2007). YEAR 1 YEAR 2 YEAR 3 Cash Received Cash from Operations Cash Sales $2,112,500 $2,746,250 $3,570,125 SUBTOTAL CASH FROM OPERATIONS $2,112,500 $2,746,250 $3,570,125 Additional Cash Received Sales Tax, VAT, HST/GST Received $0 $0 $0 New Current Borrowing $0 $0 $0 New Other Liabilities (interest-free) $0 $0 $0 New Long-term Liabilities $0 $0 $0 Sales of Other Current Assets $0 $0 $0 Sales of Long-term Assets $0 $0 $0 New Investment Received $150,000 $0 $0 SUBTOTAL CASH RECEIVED $2,262,500 $2,746,250 $3,570,125 Expenditures Year 1 Year 2 Year 3 Expenditures from Operations Cash Spending $411,000 $445,000 $510,000 Bill Payments $1,290,342 $1,883,557 $2,068,700 SUBTOTAL SPENT ON OPERATIONS $1,701,342 $2,328,557 $2,578,700 Additional Cash Spent Sales Tax, VAT, HST/GST Paid Out $0 $0 $0 Principal Repayment of Current Borrowing $3,600 $1,400 $0 Other Liabilities Principal Repayment $0 $0 $0 Long-term Liabilities Principal Repayment $0 $0 $0 Purchase Other Current Assets $0 $0 $0 Purchase Long-term Assets $0 $0 $0 Dividends $0 $0 $0 SUBTOTAL CASH SPENT $1,704,942 $2,329,957 $2,578,700 Net Cash Flow $557,558 $416,293 $991,425 Cash Balance $559,873 $976,167 $1,967,591 Pro Balance Sheet Balance sheet shows assets and liabilities of an organization. Balance sheet shows the financial position of Cambridge College. Assets, current assets, liabilities and current liabilities have been shown in the balance sheet for three years. It shows the financial position of the college (Spiceland, Sepe and Nelson, 2011). PRO FORMA BALANCE SHEET YEAR 1 YEAR 2 YEAR 3 Assets Current Assets Cash $559,873 $976,167 $1,967,591 Other Current Assets $5,000 $5,000 $5,000 TOTAL CURRENT ASSETS $564,873 $981,167 $1,972,591 Long-term Assets Long-term Assets $150,000 $150,000 $150,000 Accumulated Depreciation $0 $0 $0 TOTAL LONG-TERM ASSETS $150,000 $150,000 $150,000 TOTAL ASSETS $714,873 $1,131,167 $2,122,591 Liabilities and Capital Year 1 Year 2 Year 3 Current Liabilities Accounts Payable $246,941 $146,563 $172,132 Current Borrowing $1,400 $0 $0 Other Current Liabilities $0 $0 $0 SUBTOTAL CURRENT LIABILITIES $248,341 $146,563 $172,132 Long-term Liabilities $0 $0 $0 TOTAL LIABILITIES $248,341 $146,563 $172,132 Paid-in Capital $360,000 $360,000 $360,000 Retained Earnings ($57,685) $106,533 $624,604 Earnings $164,218 $518,072 $965,856 TOTAL CAPITAL $466,533 $984,604 $1,950,460 TOTAL LIABILITIES AND CAPITAL $714,873 $1,131,167 $2,122,591 Net Worth $466,533 $984,604 $1,950,460 Graphical Interpretation Exit Strategies - Describe exit strategies for prospective investors. The projection of financial plans indicates that the Cambridge College will be able to generate enough cash and profits in next three years to allow the exit of outside investors and shareholders. However, it is the choice of the founder to continue with the profitable operations of the organization till the Cambridge College is presented with viable offers for the acquisition (Pinson, 2008). References Armstrong, M. and Armstrong, M. (2009).Armstrong's handbook of human resource management practice. London: Kogan Page. Armstrong, M. and Armstrong, M. (2011).Armstrong's handbook of strategic human resource management. London: Kogan Page. Barrow, C., Barrow, P. and Brown, R. (2012).The business plan workbook. London: Kogan Page. Ciccone, A. and Papaioannou, E. (2006).Adjustment to target capital, fiance and growth. London: Centre for Economic Policy Research. Creating a business plan. (2007). Boston, Mass.: Harvard Business School Pub. Elliott, B. and Elliott, J. 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Explain Factors Influencing Ageing free essay sample

Therefore this could lead Andy to feel lonely and not wanted in society itself. Cumming and Henry argued that this was a consequence of people learning their limitations with age and making way for new generations of people to fill their roles. However, the study of aging and society, disengagement theory is controversial, and many people do not agree with it. Critics point out that often this disengagement is enforced, rather than voluntary; if the older adult needed to move to a care home, for example, they needs social circle, as their friends may not be able to visit, and may start to die, leaving them with fewer connections. However, if they didn’t need to move to a care home they may retire their job and then they may feel as though they can’t spend time with their ‘work friends’ because they has left and then they may start to feel lonely and loose their self-confidence which will cause their social circles to shrink as they start to pull away and be less actively involved, leaving the older adult to grow more and more fragile as their ages. We will write a custom essay sample on Explain Factors Influencing Ageing or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page * Activity theory In 1963 Having Hurst argues that older people need to stay active and integrated in society so that the whole society functions well, he also argues that in order that older people have a positive attitude and well-being that they should refuse limitations place upon them for example, retirement. So basically, Having Hurst is suggesting that when Andy is to get older he should stay active and still go out with his friends and amily, so he has a healthy lifestyle and doesn’t feel alone, if they were main to retire they could feel as though that they doesn’t have any friends anymore and they may stay in the care home at all the time so that they won’t be doing hardly any physical activity throughout the day. However, others argue that society prevents other people for maintaining major activity in older age which keeps them independent. For example, if the older person was to go to a care home when he or she is incapable to look after themselves in the health care settings encourage the activity theory by ensuring the services user(s) have activities to keep them motivated and interested in others around them throughout the day. * Genetically programmed theory The Program Theory has a theme of a biological clock or life pacemaker for each person. In order to affect this process of aging throughout the organism, the pacemaker tissue or organ must have a widespread interaction with all organ systems. In 1992 Kola demonstrated that genetic programming can evolve an agent that that took in to account multiple sub-goals. Aging, though it is usually defined as a biological process, it is also the gathered development of change with time. Aging is a continuous, complex and dynamic process that begins even before birth and ends with death. Unless death occurs at an early age, all humans grow old and experience the effects of the aging process. The process of aging does not proceed at a uniform rate. Before a person is born, aging has already begun. As humans age their bodies change in many ways that affect them physically, mentally; which is usually referred to as psychological aging and their environments which is referred to as social aging. These changes occur little by little and progress inevitably over time. It is impossible to escape aging even though it can be forestalled in many different ways, whether they are good or bad. Some ways to forestall aging are: frequent medical check-ups to ensure one is living healthy which is good, and some people have plastic surgery to help keep them looking youthful which usually has a bad outcome in the long run. Makeup, steroids and other chemical are also age forestallers. Most changes when aging are not fully apparent until fifty (50) years of age, as they are not obvious. The outcome of aging can vary from person to person or society to society. Aging also depends heavily on genetic and environmental factors. The AGS for Health in Aging. The Aging Process 28 February 2005: 17 pars. 29 February 2012 lt; http://www. healthinaging. org/agingintheknow/chapters_ch_trial. asp? ch=1gt; http://faculty. hampshire. edu/lspector/robinson-div3. d In conclusion, Aging is unavoidable! It is a process that everyone goes through from the time of conception. Although there is more interest on the physical aspects of aging, remember the psychological and social features. Remember that the ability to learn and adjust continues throughout life and is strongly influenced by both past and future activities, interest and motivation for life itself. With years of rich experience and reflection, everyone can rise above all circumstances. â€Å"Old age† is just a phrase. Despite the physical limitation and challenges, it can be a time of variety, creativity and fulfilment. P2 explain factors influencing ageing P3 explain ways in which health and social care workers support the independence and wellbeing of older people. M1 compare two theories of ageing M2 assess ways in which health and social care workers support the independence and wellbeing of older people. D1 evaluate ways in which the sectors work together to support the independence and wellbeing of older people.