UKHCA

United Kingdom Homecare Association
The professional association for homecare providers

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Latest News

NICE publishes updated guideline on diagnosing and managing dementiaNICE publishes updated guideline on diagnosing and managing dementia

NICE have published an updated guideline on diagnosing and managing dementia (including Alzheimer's disease), which aims to improve care by making recommendations on training staff and helping them to support people living with dementia. The guideline recommends that people with dementia should be involved in discussions about their care, as part of person-centred support.

Updated guideline: https://www.nice.org.uk/guidance/NG97

Blog on the update by Tracy Wright, member of the Dementia Guideline Committee at NICE, who chaired a sub group looking specifically at the social care aspects of dementia: https://socialcare.blog.gov.uk/2018/06/21/involving-people-living-with-dementia-in-their-care/

The update follows a consultation that took place earlier this year.

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Scheme will enable EU citizens to stay in UK after June 2021Scheme will enable EU citizens to stay in UK after June 2021

The Home Secretary has announced that EU citizens will have to complete three key steps to obtain settled status to stay in the UK after June 2021: prove their identity, show that that they live in the UK, and declare that they have no serious criminal convictions. The settlement scheme will operate online and via a smartphone app, and through libraries and special contact centres. Most decisions will be made within two weeks or sooner.

The scheme will be phased in from later in 2018 and be fully open by 30 March 2019, with the deadline for applications 30 June 2021.

More about the scheme at: www.bbc.co.uk/news/uk-politics-44553225 Home Office announcement

Statement of Intent Settlement scheme

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Online auctioning of social care should be prohibitedOnline auctioning of social care should be prohibited

The Care Provider Alliance, of which UKHCA is a member, has issued a position statement strongly opposing the use of online reverse auctioning of social care. The statement says "People should not be treated like commodities. Commissioning services in this manner fails to take the individual care needs of service users into account and removes any element of choice in the kind of care that they receive."

The CPA recommends that 'providers, local authorities and clinical commissioning groups should seek alternatives to reverse auctions and that such methods of purchasing social care should be prohibited.'

CPA Position Statement on online reverse auctioning of care

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Dismay at delay of social care Green PaperDismay at delay of social care Green Paper

The Health and Social Care Secretary, Jeremy Hunt MP, has confirmed that the social care Green Paper will be delayed. Speaking in Parliament, Jeremy Hunt said the Green Paper will be published in the autumn around the same time as the NHS plan. More than seven months ago, the government committed to publishing the paper before the summer recess this year.

The decision has been met with dismay and disappointment. Colin Angel, UKHCA's Policy Director said,

'It is very disappointing that the Government chose to announce the delay of the Green Paper on the day that we learned the NHS will receive an extra £20.5 billion. While the delay could allow more time to produce a stronger joined-up document, Government cannot continue to ignore the deepening crises in social care services.'

Guardian article quoting UKHCA: 'Delay to green paper caps dismal 48 hours for social care'

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£20.5 million boost for the NHS - nothing for social care£20.5 million boost for the NHS - nothing for social care

In a speech at the Royal Free Hospital today (18/06/18), the Prime Minister, Teresa May, set out the extra funding the government will provide to the NHS from 2019/20 to 2023/24.

NHS funding will grow on average by 3.4 per cent in real terms so that by 2023/24, the NHS England budget will increase by £20.5 billion in real terms.

Despite referring to people staying in hospital longer than they need and wanting to ensure people get the right care in the right place at the right time, there was no funding commitment for social care.

However, the Prime Minister did say the government will set out the budgets for both social care and public health as part of the forthcoming Spending Review.

Teresa May confirmed that extra money for the NHS will go to Scotland, Wales and Northern Ireland under the Barnett formula.

You can find the full text of Prime Minister's speech here.

https://www.gov.uk/government/speeches/pm-speech-on-the-nhs-18-june-2018

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Call for social care to be free at the point of needCall for social care to be free at the point of need

Lord Darzi, Professor of Surgery, chair of the Institute for Global Health Innovation at Imperial College, and former Labour Government minister has published his final report.

The Lord Darzi review, published by the Institute for Public Policy Research has put forward a 10-point plan for long-term funding as well as a 10-point offer to the public which sets out what the health and care system will be able to offer if his plan for investment and reform is adopted. The fourth point reads:

"Make social care free at the point of need. This means extending the NHS's 'need, not ability to pay' principle to social care and fully funding the service as part of a 'new social contract' between the citizen and the state."

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NICE want to hear from providersNICE want to hear from providers

The National Institute for Health and Care Excellence (NICE) worked with a range of partners to develop a Quality improvement resource for adult social care which maps NICE quality statements and medicines recommendations against Care Quality Commission (CQC) key lines of enquiry. The original resource was aimed primarily at social care commissioners, but NICE is keen to develop the resource further, for commissioners but also for providers and wider stakeholders. You can help to shape the way the resource is developed by completing a quick online survey which is open until 14 July 2018.

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APPG on Dementia launch inquiry into dementia and disabilityAPPG on Dementia launch inquiry into dementia and disability

The All Party Parliamentary Group (APPG) on Dementia has announced it will investigate the barriers that people with dementia face in having their rights met and the impact of this on their daily lives.

According to the APPG Co - Chairs, the MPs, Debbie Abrams and Edward Argar say that recognising dementia as a disability has been an important part of campaigning for change for people living with the condition.

A call for evidence is now open and the APPG would like to receive submissions from as wide a range of organisations and respondents as possible, including people affected by dementia, third sector organisations, healthcare professionals and service providers.

The deadline for submitting evidence is Friday 20th July. To submit evidence, visit www.alzheimers.org.uk/appg.

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Top Tips for Sustaining HomecareTop Tips for Sustaining Homecare

A summary of 11 actions which local authorities and homecare providers can consider to create more stable homecare markets and reduce the possibility of local market failure has been published.

'Top Tips for Sustaining Homecare' is a joint publication, agreed between the Association of Directors of Adult Social Services (ADASS), the Local Government Association (LGA) and United Kingdom Homecare Association (UKHCA).

https://www.ukhca.co.uk/downloads.aspx?ID=572#bk1

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Audit finds small pensions and ill health affect many older peopleAudit finds small pensions and ill health affect many older people

The Age Audit has found that, contrary to the image of older people in the UK being considerably better off than their younger counterparts, many are surviving rather than thriving on meagre pensions and with poor health. The audit has been compiled by the National Pensioners Convention to coincide with its annual Pensioners' Parliament gathering in Blackpool. More from: https://www.npcuk.org/

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ADASS Budget Survey 2018ADASS Budget Survey 2018

The ADASS Budget Survey 2018 is now available to read. It shows how adult social care is coping with the multiple challenges of meeting increased expectations and need, whilst managing resources in an environment where Local Government funding is facing cuts.

Within the document, there is recognition that the Government intends to respond to the adult social care crisis by finding a long-term solution and has provided addititional funding through the Improved Better Care Fund, the social care precept and grants, but as councils across the country are having to make cuts and the adult social care sector is in a fragile state, there is as yet no sustainable, long-term solution to the funding of adult social care.

https://www.adass.org.uk/adass-budget-survey-2018

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CPA publishes contingency planning guidanceCPA publishes contingency planning guidance

The Care Provider Alliance has published some practical guidance to help care providers with contingency planning. From exceptionally bad weather, a fuel shortage or a pandemic, to financial or quality problems, there are many circumstances that can disrupt services provided by the adult social care sector. This guide has been written to help independent and voluntary providers ensure continuity of care if a problem occurs. It is a concise, practical document, with links to more detailed information on many different topics.

The guidance can be downloaded from the CPA website.

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Care homes for the elderly - draft consumer law adviceCare homes for the elderly - draft consumer law advice

The Competition and Markets Authority is consulting on draft consumer advice for UK care homes for the elderly. The purpose of the advice is to help care homes understand and comply with their obligations under consumer law. It is likely to have a significant impact on terms and conditions in the sector.

Our preferred solicitors, Anthony Collins, say the consultation may be of interest to homecare providers because, although purchasers face different challenges purchasing residential care, there are themes in the proposals that will translate across to the homecare sector. 

The CMA has also published 'UK care home providers for the elderly - consumer law advice on the charging of fees after death' following an earlier consultation: https://www.gov.uk/cma-cases/care-homes-consumer-protection-case#advice-for-care-homes-on-the-charging-of-fees-after-death

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Joint letter to the Prime Minister on NHS and social care fundingJoint letter to the Prime Minister on NHS and social care funding

The Health Foundation, The King's Fund, and Nuffield Trust have sent an open letter to the Prime Minister calling for a long-term funding settlement for the NHS. The think tanks say, on social care, 'it is essential that the green paper outlines proposals for substantial and wide-ranging reform, including a long-term funding settlement, and that these proposals are fully aligned with the plan for the NHS'.

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Research suggests Brexit could worsen crisis in social careResearch suggests Brexit could worsen crisis in social care

Ending free movement within the EU risks exacerbating the social care crisis, according to a new report by the Institute for Public Policy Research, which warned that the UK's third sector social care organisations were increasingly dependent on hiring EU workers to fill staffing gaps.

IPPR argue that the scale of the impact that Brexit could have on the charity sector workforce will depend on five core considerations:-

  1. The profile of the current EU charity workforce
  2. The future immigration system for EU nationals
  3. The immigration choices of EU nationals
  4. The future demand for EU charity workers
  5. The alternative for charity employers if they are unable to recruit from the EU.

The research found social care charities currently have 90,000 staff vacancies but 87% of all EU charity workers employed in social care would not qualify for work visas under conditions imposed on non-EU nationals. The IPPR suggested charities would be left: 'facing a perfect storm of high employee churn, skills shortages, low pay, and increasing labour demand'.

The charity workforce in post-Brexit Britain: Immigration and skills policy for the third sector: https://www.ippr.org/research/publications/the-charity-workforce-in-post-brexit-britain

Article in the Independent: https://www.independent.co.uk/news/uk/politics/brexit-free-movement-social-care-charities-ippr-report-eu-citizens-rights-immigration-controls-a8384836.html

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Chief Executive of Social Work England announcedChief Executive of Social Work England announced

The Government has appointed Colum Conway to the post of chief executive of the new regulator for social workers in England.

Conway will lead Social Work England which will replace the Health and Care Professions Council, (HCPC) later this year. He qualified as a social worker in 1995 and is currently chief executive of the Northern Ireland Social Care Council, the regulator for social workers in Northern Ireland, where he has worked for five years.

Lord Kamlesh Patel of Bradford will chair Social Work England.

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Investigation reveals 166,000 people are in social care debtInvestigation reveals 166,000 people are in social care debt

GMB, the trade union for carers, has carried out an investigation which has revealed at least 166,000 people are in debt for their social care.

The Freedom of Information (FOI) requests, submitted to every local authority in Great Britain with responsibility for social care, also show that at least 1,178 people have been taken to court by local authorities in the last two years for social care debts.

Of the total of at least 166,835 people who are in arrears on their social care payments, more than 78,000 have debt management procedures started against them by their authority for non-payment of social care charges.

The |GMB say the true figure is likely to be higher as some authorities didn't respond to their FOI request. Read the GMB's press release here.

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Meeting the Accessible Information StandardMeeting the Accessible Information Standard

CQC have reminded NHS or adult social care providers who provide publicly-funded care that they must meet the Accessible Information Standard (AIS).

The AIS applies where people who use a service have information or communication needs because of a disability, impairment or sensory loss. CQC will be looking for evidence of compliance at inspection time, so providers should consider whether they have documents to support their compliance, for example, evidence that they provide large print documents to those who need them, or have access to an interpreter where a service user's first language is British Sign Language.

UKHCA Factsheet on the Accessible Information Standard: https://www.ukhca.co.uk/downloads.aspx?ID=501#bk1

Providers who do not have to comply with the AIS may have similar accessibility obligations under the Equalities Act 2010, or choose to adopt the AIS, as a matter of good practice.

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Carers' Action Plan contains measures for short term supportCarers' Action Plan contains measures for short term support

The Department of Health and Social Care has published a cross-Government 'Carers Action Plan 2018 - 2020 - Supporting carers today', which contains plans for short term measures to support family carers. These include a review of dedicated employment rights for carers, so they can benefit from improved practices and more flexible working, an innovations fund to develop ways to provide earlier information to carers, and training for NHS staff on better supporting family carers.

Carers Action Plan 2018 - 2020 - Supporting carers today': https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/713781/carers-action-plan-2018-2020.pdf

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NHS launches digital opt out campaignNHS launches digital opt out campaign

A new public information campaign promotes the stronger protection that now applies to NHS patient information, including a national opt-out provision. The campaign emphasises that the NHS and social care use citizen's information to improve individual care, reduce unnecessary tests, speed up diagnosis, plan local services and research new treatments.

Following the introduction of the GDPR in the UK, the Government has brought in a national data opt out which offers people a choice on whether their confidential patient information is used for research and planning.

NHS England press release: https://www.england.nhs.uk/2018/05/nhs-launches-public-campaign-to-highlight-new-stronger-protections-around-health-and-care-information/

NHS Digital news article: https://digital.nhs.uk/news-and-events/latest-news/national-data-opt-out-introduced-across-england

NHS Digital national data opt-out: https://digital.nhs.uk/services/national-data-opt-out-programme

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Age UK highlight the battle to get care at homeAge UK highlight the battle to get care at home

A report by Age UK, Behind the Headlines - the battle to get care at home' shows that the provision of homecare services has decreased by 3 million hours since 2015. In some areas, councils were unable to provide basic care and support to older people, with assessed needs, because there was a 'care desert' and no care available for the council to purchase in the local area.

The publication presents the following issues that seem to be coming up time and again from all parts of the country:-

  • Long waits to get an assessment
  • Services that are disjointed or simply unresponsive
  • Social services refusing to get involved
  • Fundamental lack of capacity in the system
  • Poor quality services and support
  • Support and services being cut back
  • Help for families providing care being withdrawn

The charity noted that the average spend per adult on social care has fallen 13%, from £439 to £379, between 2009/10 and 2016/17 and said it was not surprising that over the same period around 400,000 fewer older people received social care.

Age UK called for the Government to support the current system with substantial added investment. More from: https://www.ageuk.org.uk/latest-press/articles/may-2018/3-million-hours-of-home-care-lost-due-to-council-cuts/

Report, which contains many examples of the struggle people face to receive homecare: https://www.ageuk.org.uk/globalassets/age-uk/documents/reports-and-publications/reports-and-briefings/care--support/rb_jun18_-the_struggle_to_get_care_at_home.pdf

Age UK has also said within the report that older people are experiencing a lack of continuity among carers. The charity received feedback from older people and families who are sent new careworkers on such a regular basis that they rarely know who is going to show up on any given day.

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CQC change how they inspect adult social care servicesCQC change how they inspect adult social care services

CQC has changed how they will inspect adult social care services.

The changes are included in the new version of CQC's guidance, "How CQC monitors, inspects and regulates adult social care services." (May 2018)

 The changes from the November 2017 version of the guidance are:

  • CQC will no longer carry out questionnaires prior to inspections, see paragraph 'Community services', page 12
  • New paragraph, 'Feedback on the visit', page 12
  • New paragraph, 'Services repeatedly rated requires improvement', page 24.

Members are advised to familarise themselves with latest version of the CQC's guidance. 

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Deprived areas receiving worse social care servicesDeprived areas receiving worse social care services

According to an article in the Guardian newspaper, a quarter (24%) of the social care services in the 10 most deprived areas in England have been deemed to be inadequate or in need of improvement compared with only 15% of those in the 10 richest areas. If accurate, it means the proportion of inferior services on offer in the poorest areas is higher than the national average of 20%.

The article contrasts Wokingham in Berkshire with Manchester. Wokingham, one of the least deprived communities, had just 7% of social care services rated as inadequate or requiring improvement. But in Manchester, a more deprived area, 42% of social care services were rated inadequate or requiring improvement.

The analysis, carried out by the Labour Party concludes that councils in the poorest areas have suffered the most from government cuts, have been hit the hardest and also have fewer people paying all of their care costs, putting further strain on the services offered.

UKHCA has not seen the analysis and is unable to comment on the findings.

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Medicines causing harm to older people discharged from hospitalMedicines causing harm to older people discharged from hospital

A British Journal of Clinical Pharmacology study shows that medication-related harms affects one in three older adults following hospital discharge, of which at least 10% is preventable.

The study recruited 1280 older adults at hospital discharge and followed them up for eight weeks. A total of 74% of medication-related harm events were attributed to medicines prescribed at hospital discharge; four patients died, nine experienced a life threatening event and for a further 323 patients, the medicine-related harm was serious. Medicine-related harm was estimated to cost the NHS £396 million for hospital readmissions.

Amongst the conclusions, the study called for medicines prescribed in the hospital setting to be reconciled with those already listed on the repeat prescription from the GP and any additional medicines the older person might be taking at home.

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Jeremy Hunt breaks a recordJeremy Hunt breaks a record

Jeremy Hunt is now the UK's longest serving health secretary. From today, Monday 4th June 2018, it has been five years and 274 days since he took over from Andrew Lansley.

According to the Independent newspaper, the Rt Hon Jeremy Hunt MP has also surpassed the tenure of health service founder, Labour's Aneurin Bevan, in February. The milestone comes just a month ahead of the NHS' own 70th anniversary.

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Data Security and Protection Toolkit webinar delayedData Security and Protection Toolkit webinar delayed

The joint NHS Digital and Care Provider Alliance webinar on the Data Security and Protection Toolkit (DSPT) that was due to take place on Wednesday 6th of June, will now take place on Thursday 21st of June between 15:00 and 16:00.

Details of other future webinars is available on: https://www.dsptoolkit.nhs.uk/News/10

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Learning disabilities - SCIE and NICE WebinarLearning disabilities - SCIE and NICE Webinar

Children, young people and adults with a learning disability and behaviour that challenges should have the support they need to live within their communities. The NICE guideline on Learning disabilities and behaviour that challenges: service design and delivery makes evidence-based recommendations on prevention and early intervention as well as increasing support for families and carers.

SCIE and Nice are holding a webinar on 25th June at 1pm to 2pm which offers an opportunity to hear more about this guideline and its recommendations. A recording will be available on both the NICE and SCIE websites after the webinar has taken place.

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Heatwave plan for EnglandHeatwave plan for England

Public Health England has published the heatwave plan for England.  It sets out what should happen before and during periods of severe heat in England including what preparations both individuals and organisations can make to reduce health risks and includes specific measures to protect at-risk groups.

The plan is primarily for health and social care services and other public agencies and professionals who interact with those most at risk from excessive heat during heatwaves. At-risk groups include older people, the very young and people with pre-existing medical conditions as well as those whose health, housing or economic circumstances put them at greater risk of harm from very hot weather.

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New General Data Protection Regulations (GDPR) now in effectNew General Data Protection Regulations (GDPR) now in effect

New GDPR requirements come into effect today (25th May) so we would urge all members to review their company's policies and procedures on data protection.

UKHCA has published a number of resources to help:

GDPR Information and Resources

Draft Privacy Notice

We would also recommend a thorough check of the Information Commissioner's Office website for further help and information.

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People not online are missing out on benefitsPeople not online are missing out on benefits

In a mystery shopping exercise, Age UK rang 100 randomly picked local councils in England, to ask what options people have if they want to claim help with their rent and council tax but do not use the internet.

Age UK's report, "Everything is online nowadays" found that in two-fifths of councils (41 per cent), Housing Benefit and Council Tax Reduction could only be claimed using the internet, mainly through an online system, although sometimes by downloading a form from the council website.

When the mystery shopper asked for help with claims, callers were often directed to family or friends for support to claim online. This is fine for some, but such help will not be available or appropriate for everyone. Age UK are calling on local councils and other providers to make sure their services are equally accessible to all and not to consign those who do not use the internet to second class services.

 

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Emergency admissions up by 42%Emergency admissions up by 42%

The Health Foundation has published a briefing giving an overview of trends in emergency admissions over the past decade. Their findings show that the number of emergency admissions in England has grown by 42% over the last twelve years.

In 2015/16, one in three emergency patients admitted for an overnight stay had five or more health conditions, up from one in ten in 2006/07. Emergency admissions have grown particularly rapidly for older patients, increasing by 58.9% since 2006/07 for people aged 85 years or older.

The reduction in publicly funded care social care since 2010 might well have had consequential impacts on the NHS as well as for the individuals concerned say the Health Foundation.

 

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Dress codes and sex discrimination - what you need to knowDress codes and sex discrimination - what you need to know

The Government Equalities Office has issued new guidance for employers, employees and job applicants on dress codes. This makes clear that dress codes can be a legitimate part of an employer's terms and conditions of service, but it is important the code does not discriminate, for example, by allowing both men and women to wear trousers in the workplace. It sets out how the law might apply in cases of sex discrimination where an employer requires female staff to wear, for instance, high heels, make-up, hair of a particular length or style, or revealing clothing.

www.gov.uk/government/publications/dress-codes-and-sex-discrimination-what-you-need-to-know

The guidance cross refers to ACAS guidance on religion and belief at: www.acas.org.uk/index.aspx?articleid=1856 which also considers dress code and appearance.

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CQC publishes local system review for CumbriaCQC publishes local system review for Cumbria

The Care Quality Commission have published their local system review for Cumbria, one of the 20 targeted reviews of local authority areas looking specifically at how people move through the health and social care system, and how health and social care services work together. The review that found that older people in Cumbria had inconsistent experiences of health and social care and while there was a health and wellbeing strategy and a vision for the whole area, there was also inconsistency in interpretation and delivery.

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Up-front fees and deposits need to be proportionateUp-front fees and deposits need to be proportionate

There has been concern about compulsory, non-returnable up-front fees charged in the UK care home sector. The Competition and Markets Authority has obtained more than £2mn compensation for care home residents, and is set to issue guidance on service user contracts which will extend to the homecare sector. To find out more, and what providers should be doing, read a briefing from Anthony Collins Soliciitors LLP.

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Dementia Action Week 21-27 May 2018Dementia Action Week 21-27 May 2018

It is Dementia Action Week from 21 - 27 May 2018. Alzheimer's Society are calling on people to share their actions, large and small, to support people with dementia. More from: https://www.alzheimers.org.uk/get-involved/dementia-action-week

UKHCA is holding a Dementia Care - Train the Trainer workshop in London on 18 October 2018. This train the trainer course has been created specifically for the homecare sector by UKHCA and the Alzheimer's Society, the UK's leading dementia support and research charity. Information and booking details

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After a diagnosis of dementia: what to expect from health and care servicesAfter a diagnosis of dementia: what to expect from health and care services

The Department of Health and Social Care has published a guide to the support people should get from local services in England if they or someone they know have been diagnosed with dementia. The guide is intended to support people and their families, following a diagnosis of dementia.

UKHCA is holding a Dementia Care - Train the Trainer workshop in London on 18 October 2018. This train the trainer course has been created specifically for the homecare sector by UKHCA and the Alzheimer's Society, the UK's leading dementia support and research charity. Information and booking details

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Shift of healthcare from hospitals to community is failing, says reportShift of healthcare from hospitals to community is failing, says report

A new report by NHS Providers examines why Government's ambition to shift healthcare from hospitals into the community has failed, despite recognition that this is better for patient outcomes and the financial sustainability of the NHS. Survey results in the report suggest a lack of priority for community services and rising demand, coupled with under-funding, poor commissioning and workforce issues, have all contributed to the ambition not being realised. Key points of report: http://nhsproviders.org/state-of-the-provider-sector-05-18/key-points

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GDPR action point check-listGDPR action point check-list

Anthony Collins Solicitors has produced an action point check-list to help people to become GDPR ready, including information on privacy notices and internal policies and procedures, and may be especially useful for those who are new to GDPR.

The article can be found on the Anthony Collins website.

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Nominations for Towergate Care Awards 2018Nominations for Towergate Care Awards 2018

Do you know someone who has made a real difference to the lives of the clients in their care? Do you think it's time that their hard work, passion and determination is recognised? You can nominate them for the Outstanding Contribution to Home Care award.

To nominate a deserving colleague or friend, please see: www.towergateinsurance.co.uk/careawards Nominations close on 1 June 2018. The awards are UK-wide.

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Webinars on Data Security and Protection ToolkitWebinars on Data Security and Protection Toolkit

NHS Digital and the Care Providers Alliance are holding two webinars for social care organisations on the Data Security and Protection Toolkit (https://digital.nhs.uk/data-and-information/looking-after-information/data-security-and-information-governance/data-security-and-protection-toolkit). The Toolkit is an online self-assessment tool for social care organisations to find out how to protect their information and demonstrate they have met data security standards, such as GDPR compliance. To join please use either of the links below: 

May 22nd (2pm): https://hscic.webex.com/hscic/j.php?MTID=md32a6ee4f1341cb790f3d04da36139c9

June 6th (12.30pm): https://hscic.webex.com/hscic/j.php?MTID=mb1b2e193965cb6b58eb2b78d26d6bce5

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New CQC guidance on pre-employment checks - Regulation 19(3)(a)New CQC guidance on pre-employment checks - Regulation 19(3)(a)

In our last policy update, we mentioned that CQC have published new guidance and FAQs relating to evidence providers must retain to show CQC they have carried out the necessary pre-employment checks for all staff carrying out personal care.

Since then, we have queried some aspects of this guidance with CQC, which:

  • Asks for hard copies of the DBS check
  • Appears to require all staff to have information which includes DBS checks. We think this should be restricted to people who provide personal care.
  • Sets out the length of time for keeping staff information or records. We think linking this to the length of time that CQC itself keeps records is questionable.

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The Learning Disabilities Mortality Review Annual Report 2017The Learning Disabilities Mortality Review Annual Report 2017

A review into the deaths of people with learning disabilities by NHS England has highlighted significant concerns surrounding their care. Some 1,311 cases were passed for review between July 2016 and November 2017, with only 103 (8%) finished so far.

Of these, the Learning Disability Mortality Review found failings had taken place in one in eight deaths, from abuse to delays in treatment. An example included a person discharged home with a catheter, although the care staff had never received any training about catheter care. The person was later readmitted to hospital with possible urinary sepsis.

In a debate in parliament on the 8th May 2018, the Minister for Care, Caroline Dineage MP said, "We are already taking steps to address the concerns raised, but the early lessons from the programme will continue to feed into our work, and that of our partners, to reduce premature mortality and improve the quality of services for people with learning disabilities."

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Local system reviews published for Liverpool and BirminghamLocal system reviews published for Liverpool and Birmingham

CQC has published the outcome of local system reviews in Liverpool and Birmingham, part of the reviews of health and social care systems being carried out in 20 local areas to find out how services are working together to care for people aged 65 and older. The reviews have focused on the 'pressure points' and the interface of social care, community and acute health services and delayed transfers.

The reviews recommended, among other issues, that both cities should include independent care providers and voluntary organisations in their strategic planning and implementation.

www.cqc.org.uk/localsystemreviews 

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Views sought on NICE quality improvement resourceViews sought on NICE quality improvement resource

The National Institute for Health and Care Excellence (NICE) worked with a range of partners to develop a Quality improvement resource for adult social care www.nice.org.uk/about/nice-communities/social-care/quality-improvement-resource, which published in October 2017. The resource maps NICE quality statements and medicines recommendations against CQC key lines of enquiry.

The original resource was aimed primarily at social care commissioners, but NICE are keen to develop the resource further, for commissioners but also for providers and wider stakeholders.

Please help to shape the way the resource is developed, by taking up to 5 minutes to complete a quick online survey at www.snapsurveys.com/wh/s.asp?k=152395909590 about the resource, which will be open until 1 June 2018.

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Induction Programme Launched for Social Care WorkersInduction Programme Launched for Social Care Workers

NISCC has launched its new Induction Programme for Social Care Workers, which will replace the 2007 Induction Standards. The programme is aligned to the Standards of Conduct and Practice and will help and support new staff better understand their role, help build their confidence and make sure they have the skills and knowledge to succeed in the job.

The new programme can be found on the NISCC website.

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Health and social care transformation funding announcedHealth and social care transformation funding announced

The Department of Health has released details of a series of important initiatives being funded under the £100m Health and Social Care transformation fund, including £15m worth of funding for developing the health and social care workforce.

Further details can be found on the Department of Health website.

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Public Accounts Committee report on the adult social care workforcePublic Accounts Committee report on the adult social care workforce

We submitted evidence at very short notice to the House of Commons Public Accounts Committee on the adult social care workforce and the MPs' subsequent report is interesting reading. The Committee queries the Department of Health and Social Care's understanding of the relationship between commissioning, the price paid for care and the effect on the workforce, and wonders if, in seeing the Green Paper as a cure-all, the Department is under-estimating the scale of the challenge. The MPs' report reflects many of the arguments in our response, evidence that our message is getting through.

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What can England learn from long-term care in Japan?What can England learn from long-term care in Japan?

The Nuffield Trust has produced an interesting research report on the long-term care system in Japan,and whether we can learn from their model of universal care. The report highlights Japan as a country with a rapidly expanding older population, which has managed to achieve fundamental reform by taking radical action, and suggests we can learn from this in Green Paper discussions.

The Guardian summarises the report in an article: https://www.theguardian.com/social-care-network/2018/may/09/england-japan-social-care-reform and the report itself is available from: https://www.nuffieldtrust.org.uk/research/what-can-england-learn-from-the-long-term-care-system-in-japan

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May 2018 Homecarer is now available to downloadMay 2018 Homecarer is now available to download

May 2018 Homecarer is now available to download. In this issue: Colin Angel, Policy Director, UKHCA talks about the potential impact of CQC fee increases on members; Bridget Warr, CEO, UKHCA, discusses the seven principles underpinning the forthcoming social care Green Paper; Anthony Collins Solicitors writes an article about the noticeable increase in CQC letters to providers about the potential commission of criminal offences; the Membership and Marketing team provide a special section about choosing care management software; Towergate Insurance present the things to consider when renewing your insurance; In the National England Report, Veronica Monks, Policy Officer, UKHCA, talks about the select commitees for Health and Social Care and Housing, Communities and Local Government scrutinising social care funding; James Whynacht, Policy Officer, UKHCA ,writes about how co-operation is essential in providing high quality care in Northern Ireland.

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Hot weather advice for health and social care professionalsHot weather advice for health and social care professionals

With further hot spells expected this summer, members may be interested in advice for health and social care staff on caring for people in a heatwave, including leaflets and posters, at:

We are expecting some of the resources above to be updated for this year, and will forward details to members in due course.

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Creative and Cultural Activities and Wellbeing in Later LifeCreative and Cultural Activities and Wellbeing in Later Life

Age UK have produced a report showing that creative and cultural participation is the top-most contributor to wellbeing in older age.

Their report delves further into findings around creative and cultural participation - what it is, who does what, and how it differs depending on people's overall level of wellbeing. They include examples of creative and cultural activities for older people and conclude with recommendations for practitioners and policymakers.

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New survey shows impact of sleep-in liabilities on the care sectorNew survey shows impact of sleep-in liabilities on the care sector

A new survey, by Agenda Consulting and solicitors Trowers & Hamlins LLP, has looked at the impact of sleep-in pay liabilities on the care sector. 

The results suggest the viability of nearly 70% of the care sector is under threat from pay liabilities. Most UK care providers have not budgeted for the back pay bill and only half of commissioners of care services are paying the National Minimum Wage for care workers on sleep-in shifts. The crisis has led to providers deciding not to bid or negotiate for 273 new contracts because of their financial situation. The report is available at: www.vodg.org.uk/wp-content/uploads/20180508-Solve-Sleep-Ins-Alliance-sector-report.pdf

Local Government Association response: https://www.local.gov.uk/about/news/lga-responds-vodg-survey-sleep-costs-paid-carers

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MPs debate Social Care Provision and the NHSMPs debate Social Care Provision and the NHS

Ruth George, MP for High Peak, secured a debate in Westminster Hall on 3rd May 2018 which considered the effect of social care provision on the NHS.

Touching on a wide range of issues, Ruth George referred to many of the difficulties affecting homecare and the consequences for people who might have avoided admission to hospital, or whose discharge has been delayed. Speaking for the Government, Caroline Dineage, Minister of State at the Department of Health and Social Care, cited the achievement of the Better Care Fund which in the previous 12 months had freed up 820 beds. (According to the Office for National Statistics, 228,509 people died in hospital in the year 2017/2018, or 626 a day across the whole of England).

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New homecare company targets the LGBT communityNew homecare company targets the LGBT community

Alternative Care Services has just been launched as Britain's first LGBTQI+ (lesbian, gay, bisexual, transsexual, transgender and queer and intersex +) domiciliary care service. Its owner, Ramses Underhill-Smith, says: "Sadly, discrimination in the care industry exists. We know from recent studies that many older LGBTQI+ people feel unable to disclose their sexual orientation or gender identity to carers."

The British-born LGBTQI+ campaigner thinks that too many LGBT people feel that they need to "go back into the closet" to receive care when they are older. He believes a more practical and humane alternative would be a care system that is more tailored to individuals within the LGBT community, and with this aim he set up Alternative Care Services; delivering non-discriminatory care services throughout the whole of London.

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Commission makes recommendations for intergenerational fairnessCommission makes recommendations for intergenerational fairness

The Intergenerational Commission, convened by the Resolution Foundation, has issued its final report on jobs and pay, the housing market, and pensions. Among the recommendations for intergenerational fairness:

  • Use a new progressive property tax to address gaps in public social care funding.
  • Introduce charges on assets so wealthier individuals contribute towards social care costs in England, but set asset floors and cost caps so no more than 1/4 of assets are depleted.
  • Introduce a two-part NHS levy that charges employee and self-employed NICs on the earnings of workers over State Pension age and places a charge that mirrors employee NICs on private occupational pension income, initially at half the main rate and with a higher starting threshold.

The report is available at: www.resolutionfoundation.org/publications/a-new-generational-contract-the-final-report-of-the-intergenerational-commission/

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Social Care Conference - May 16th, 2018, LondonSocial Care Conference - May 16th, 2018, London

LaingBuisson are holding their flagship social care event on 16 May 2018 in London. Taking place ahead of the publication of the Government's Green Paper on the long-term funding of older people, the event will look to the future and how providers, stakeholders and investors can make the homecare, care home, supported living, specialist care and housing with care markets work for them. UKHCA's Policy and Campaigns Director, Colin Angel, is a speaker.

For rates and to register, please see: https://scc18.laingbuissonevents.com/

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New CQC chief executive appointedNew CQC chief executive appointed

The new chief executive of the Care Quality Commission is Ian Trenholm, current chief of the NHS Blood and Transplant Authority. He takes up the role in July, when David Behan steps down. Mr Trenholm started his career in the police and was also Chief Operating Officer at the Department of Environment Food and Rural Affairs (Defra) and Chief Executive of the Royal Borough of Windsor and Maidenhead. CQC announcement

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Could you host the next generation of leaders in social care?Could you host the next generation of leaders in social care?

Would you be interested in hosting a talented graduate aspiring to be a future leader in social care from October 2018? Developed in partnership between Skills for Care and the NHS Leadership Academy, the one year Graduate Management programme is now open for applications from health and social care organisations. The application process for host organisations is open until 30 May 2018.

Register your interest to host a graduate by emailing graduates@skillsforcare.org.uk. Further information about the programme, benefits and associated costs can be found here.

 

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New insight and advice to help you improve your CQC ratingNew insight and advice to help you improve your CQC rating

Skills for Care asked good and outstanding care providers what they do to achieve this rating, which they are sharing in their updated 'Good and outstanding care guide'.

If you're looking for ways to improve your service and ensure you deliver good and outstanding care, download the free online edition. You can also buy a printed copy of the extended workbook edition, with activities to help you implement change in your organisation.

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£6.9m training funding for nursing care nearer to home£6.9m training funding for nursing care nearer to home

Almost £6.9 million funding is to be invested in nurse training so care can be provided closer to home in Scotland. The funding is part of a new Primary Care Workforce Plan intended to give the existing nurse workforce more skills to better care for people at home, in GP practices and in other community settings.

The Primary Care Workforce Plan commits to expand and strengthen primary care significantly across Scotland, including the recruitment of an additional 800 GPs over the next ten years.

https://news.gov.scot/news/investment-in-nurse-training

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Plans to reform disclosure system in ScotlandPlans to reform disclosure system in Scotland

The Scottish Government is consulting on plans to reform the disclosure regime in Scotland. A pre consultation engagement showed that people think the current system is too complicated, so the plans aim to simplify the current system and prepare it for the next ten years, with increased digitalisation.

The consultation, which is open to 18 July 2018, includes changes to both the PVG scheme and barring service, among other changes.

Consultation paper: https://consult.gov.scot/disclosure-scotland/protection-of-vulnerable/user_uploads/sct0418415086-1_vulnerable_final.pdf

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New Housing, Communities and Local Government Secretary appointedNew Housing, Communities and Local Government Secretary appointed

James Brokenshire MP has returned to the Cabinet and is now Housing Secretary, taking over from the new Home Secretary Sajid Javid, who replaced Amber Judd. Mr Brokenshire said, in response to his appointment, "As the son of a former chief executive of a council local government is in the blood for me. So I look forward to working with councils across the country by supporting them to deliver quality public services and build strong integrated communities."

https://www.gov.uk/government/news/new-housing-secretary-appointed

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All Wales induction framework for health and social care launchedAll Wales induction framework for health and social care launched

Social Care Wales have launched a new tool aimed at helping care workers gain the skills, knowledge and understanding needed to provide high-quality care. The induction framework was launched by the Minister for Children and Social Care, Huw Irranca-Davies, on the 25th of April 2018.

The new induction framework has been developed in partnership between Social Care Wales, the NHS Wales Workforce Education Service, employers and learning providers in Wales.

The framework can be downloaded from the Social Care Wales website.

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Annual Registered social care managers forum 2018Annual Registered social care managers forum 2018

Social Care Wales have announced the dates for their annual registered social care managers forum. Taking place on a number of dates between the 13th and 28th of June across Wales, the event will provide an opportunity for social care managers to discuss current issues, network with peers and share ideas.

The full list of dates and details of how to book on to the event can be found on the Social Care Wales website.

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Social Care Wales National Social Care Conference 2018Social Care Wales National Social Care Conference 2018

Social Care Wales have released further information about their annual national conference taking place on the 12-13th September. Jointly held with ADSS Cymru, the conference will give attendees the opportunity to explore current social care policy and practice, learn about new and future developments, and share examples of innovation and good practice.

More details can be found on the Social Care Wales website.

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Independent Age guide on Home SafetyIndependent Age guide on Home Safety

Independent Age have produced a guide for older people living at home on Home Safety.  This guide can help people identify some of the common hazards in their home and advise on preventive measures. It includes some simple checks people can do for themselves and also advises how people can get help to keep safe and well.

Providers may want to give this very readable guide to service users which has a quick quiz to see how safety-conscious they are.

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Care for people with learning disabilities should be close to home wherever possible, says NICECare for people with learning disabilities should be close to home wherever possible, says NICE

NICE is urging councils and health bodies to make sure that people with learning disabilities can access well-designed services and staff with the right skills so they do not need to move away for care or treatment.

In a new guideline, NICE says children, young people and adults with learning disabilities, who have behaviour that challenges, should have the right support to live their lives in the community like everyone else. The guideline aims to promote a lifelong approach to supporting people and their families and carers, focusing on prevention and early intervention and minimising inpatient admissions.

 

 

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Opposition Day debate on social careOpposition Day debate on social care

Today, 25 April 2018, there will be an Opposition Day debate on social care in the House of Commons. To watch or listen to the debate, see: https://parliamentlive.tv/Event/Index/09fded12-9698-4d15-8c33-3367e149abb1

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Joint inquiry into long term funding gathers more evidenceJoint inquiry into long term funding gathers more evidence

The joint Health and Social Care Committee and Housing, Communities and Local Government Committee has been hearing more evidence in its review into the long-term funding of social care. Leading figures from the care, professional and regulatory sectors told Committee members about the challenges facing social care, including recruitment, funding, maintaining quality, and training.

To hear the evidence given on 24 April 2018, see: https://parliamentlive.tv/Event/Index/10d4edc6-5831-4bc3-86eb-cc2d65cdd9d2?agenda=True

UKHCA's written evidence to MPs is at: https://www.ukhca.co.uk/pdfs/UKHCA_funding_inquiry_2018.pdf

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New CQC guidance on pre-employment checks - Regulation 19(3)(a)New CQC guidance on pre-employment checks - Regulation 19(3)(a)

CQC have published new guidance and FAQs relating to evidence providers must retain to show CQC they have carried out the necessary pre-employment checks for all staff carrying out personal care.

Regulation 19(3)(a) of the Health and Social Care Act (Regulated Activities) Regulations 2014 requires providers to make available to CQC the information set out in Schedule 3. CQC Inspectors may ask for this information at any time in relation to each "person employed for the purposes of carrying on a regulated activity". The guidance lists the type of information providers must keep and an explanatory note.

Members are strongly advised to read the guidance and to review their recruitment polices to ensure they are completing the employment checks required and can provide the evidence CQC set out in the guidance.

Download the guidance : http://www.cqc.org.uk/sites/default/files/20180412_9001403_FAQ-CQCs_employment_requirements%20_Regulation_19_v1.pdf

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Ten principles for long-term funding of NHS and social careTen principles for long-term funding of NHS and social care

Nick Boles MP, Liz Kendall MP and Norman Lamb MP have joined forces to issue ten principles for long-term funding of the NHS and social care, in a cross-party initiative ahead of tomorrow's Opposition Day debate on social care. This move comes as Health and Social Care Secretary Jeremy Hunt MP is reported to have written to Tory MPs promising that solutions for the NHS and proposals on social care will be settled by the summer. More from:

www.facebook.com/notes/nick-boles-mp/ten-principles-of-long-term-funding-for-nhs-and-social-care/1522885904504144/

http://www.bbc.co.uk/news/uk-politics-43875246

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Court challenge to Accountable Care OrganisationsCourt challenge to Accountable Care Organisations

A court challenge has begun to the Government's plans to bring in Accountable Care Organisations (ACOs) as part of the reform of the NHS, and move to more integrated care between hospitals, mental health and community services. Campaigners claim the plans will lead to more privatisation in the health service, and cuts to services.

https://news.sky.com/story/nhs-reorganisation-could-threaten-patient-safety-11344619

There is more about ACOs, now known as integrated care systems, and what they mean for health and social care, at: www.kingsfund.org.uk/topics/accountable-care

 

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Men still receive larger pensions than womenMen still receive larger pensions than women

Research by the Consumers' Association has shown that men in the UK are still receiving a better state pension than women, an average of £153.86 a week, which is £27.88 more than the average woman, who receives £125.98 a week. The difference amounts to almost £29,000 over the course of a typical 20-year retirement, but the disparities have lessened slightly since the last analysis of Department for Work and Pensions data in 2015. More from: https://press.which.co.uk/whichpressreleases/mind-the-state-pension-gap-latest-data-shows-men-still-get-a-better-deal-than-women/

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Citizens' Assembly to tackle social care fundingCitizens' Assembly to tackle social care funding

A Citizens' Assembly of up to 50 people will consider how care should be paid for in the future in England, as part of the inquiry into the long-term funding of adult social care by the Housing, Communities and Local Government Committee and the Health and Social Care Committee. Assembly members will hear presentations from experts, before considering the arguments and devising recommendations for the inquiry. More from: https://www.parliament.uk/business/committees/committees-a-z/commons-select/housing-communities-and-local-government-committee/news/citizens-assembly-faq-17-19/

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Free information sharing workshop on 8 June 2018 in LeedsFree information sharing workshop on 8 June 2018 in Leeds

The UK Caldicott Guardian Council (NW and NE regional network) is holding a free one-day workshop on information sharing with relatives and others in Leeds on 8 June 2018. The event is for small-scale settings like as domiciliary care agencies, care homes, and hospices, with the presentations from professional trainers. The organisers say this is part of a drive to introduce Caldicott principles (confidentiality of patient data). Workshop details and how to register: https://www.eventbrite.co.uk/e/northern-caldicott-guardian-event-information-sharing-in-small-scale-orgs-tickets-43880537870

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Allied Healthcare bids to restructure its financesAllied Healthcare bids to restructure its finances

UKHCA understands that Allied Healthcare has submitted a proposal for a Company Voluntary Arrangement (CVA) in order for it to restructure its financial arrangements without impacting on the day-to-day operations of its business.

Partner organisations will be working to ensure that people's care and support needs continue to be met. UKHCA are in contact with the Local Government Association (LGA), the Association of Directors of Adult Social Services (ADASS) and the Department of Health and Social Care while Allied Healthcare are in negotiation with their creditors.

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New code of practice for inspection in WalesNew code of practice for inspection in Wales

Care Inspectorate Wales have published a new code of practice to inform their inspection of social care services in Wales. The frameworks are outcomes focused and help to inform what good care looks like.

The full document can be downloaded from the Care Inspectorate guidance page.

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New requirements for zero-hours contractsNew requirements for zero-hours contracts

As of 2nd April 2018, providers are required to give domiciliary care workers a choice between remaining on a zero-hours contract and a guaranteed hours contract after a three month period of employment.

Further details can be found on the Welsh Government website.

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New legislation now in force in WalesNew legislation now in force in Wales

A number of changes in domiciliary care in Wales are now in force, having come into effect on the 2nd April. Registered managers will no longer be required to register with Care Inspectorate Wales, however, providers will still need to appoint registered managers and they must be appropriately qualified and registered with Social Care Wales.

All domiciliary care providers will need to re-register with Care Inspectorate Wales, and should have received written instructions from CIW on how to do this. Once registration is complete, providers will be able to give notifications to CIW via a new online service.

Full details can be found on the Care Inspectorate Wales website.

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Local authority chief calls for social care to be recognisedLocal authority chief calls for social care to be recognised

The new president of the Association of Directors of Adult Social Services, Glen Garrod, has called for social care to have parity of esteem with the NHS. In a recent interview with the Daily Telegraph he said 'the health service was "mythologised" and had become "totemic" in many people's minds, which meant social care was underfunded and found it harder to recruit': https://www.telegraph.co.uk/news/2018/04/12/social-care-loses-mythologised-nhs-says-head-adass/?WT.mc_id=tmg_share_tw

In his inaugural speech, Glen Garrod, who is Executive Director of Adult Care and Community Wellbeing of Lincolnshire County Council, said helping the public recognise the importance of social care will be the most essential task for the social care sector.

https://www.adass.org.uk/public-debate-on-social-care-most-essential-task-new-adass-president-outlines-in-inaugural-speech

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NICE Guideline on care and support of people growing older with learning disabilitiesNICE Guideline on care and support of people growing older with learning disabilities

NICE has produced new guidelines on how organisations, including social care providers, can provide for the care and support needs of people growing older with learning disabilities and their families and carers. As they grow older, people with learning disabilities have many of the same age-related health and social care needs as other people but they also face specific challenges associated with their learning disability. The new guidance covers identifying changing needs, planning for the future, and delivering services including health, social care and housing.

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MPs condemn NHS Digital for sharing confidential informationMPs condemn NHS Digital for sharing confidential information

The Health and Social Care Committee looked into the Memorandum of understanding on data-sharing between NHS Digital and the Home Office, and have raised serious concerns about NHS Digital's ability to protect patient data.

The report examined the arrangements agreed between the Home Office, the Department of Health and Social Care and NHS Digital regarding tracing immigration offenders using patient information. MPs were alarmed by the increases in sharing non-clinical data such as addresses and were worried that passing on information to immigration authorities could deter people from seeking treatment. The committee has called for the arrangements to be suspended while a review is carried out which would look at the implications for public health and the expectation that health and social care data, including addresses will be regarded as confidential.

https://www.parliament.uk/business/committees/committees-a-z/commons-select/health-and-social-care-committee/news/mou-data-sharing-report-publication-17-19/

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'500 miles' film teaches people to do CPR'500 miles' film teaches people to do CPR

A new online film teaches people to do CPR to the tune of the Proclaimer's hit '˜I'm Gonna Be (500 Miles)'. The film, which features Carole Smillie and is funded by the Scottish Government, is part of Scotland's Strategy for Out of Hospital Cardiac Arrest - a five-year plan to equip 500,000 people with CPR skills and save an additional 1,000 lives by 2020.

More from: https://news.gov.scot/news/getting-scotland-cpr-ready-1

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New NHS Digital resources for GDPR complianceNew NHS Digital resources for GDPR compliance

Data Security and Protection Toolkit - This replaces the Department of Health and Social Care Information Governance Toolkit. Care providers operating under a NHS Standard Contract have to complete the new Data Security and Protection Toolkit by 31st March 2019. It is also recommended other social care providers use the Toolkit to assist their compliance.

To register to use the Toolkit, providers need an organisation code assigned by ODS. NHS Digital say the process is:

  • Go to https://digital.nhs.uk/organisation-data-service/our-services/download-forms
  • Download and complete the Organisation code request form - tick DSP Toolkit in section 6.
  • Submit the completed form to exeter.helpdesk@nhs.net
  • Once you have been allocated a unique organisation code by ODS, the DSP support team can register your organisation on the DSP Toolkit. This may take a few days as NHS Digital are just completing development work.
  • Organisations that have NHS contracts, or have tendered for one, may have an organisation code already.

Guidance for health and social care providers - written by the Care Provider Alliance with the Social Care Programme in NHS Digital: www.careprovideralliance.org.uk/information-governance.html

Department of Health and Social Care guidance on information sharing at: https://www.gov.uk/government/publications/data-security-and-protection-for-health-and-care-organisations

The above guidance applies in England, but may be of interest to providers in other parts of the UK.

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Carers (Scotland) Act 2016 comes into effectCarers (Scotland) Act 2016 comes into effect

The Carers (Scotland) Act 2016 came into effect from 1 April 2018 to strengthen support for family carers, and give them a new right to be offered or request an Adult Carer Support Plan (ACSP) or Young Carer Statement (YCS).

The Act imposes a duty on local authorities to provide support to carers, based on the carer's needs which meet the local eligibility criteria and there is also a power to provide support to meet carers' needs which don't meet these criteria. The responsible local authority will be required to consider support in the form of a break from caring, and whether there should be planned breaks.

For a list of provisions in the Act, and useful links, see: http://www.careinspectorate.com/index.php/news/4333-carers-scotland-act

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New posters and leaflets to promote SSSC Codes of PracticeNew posters and leaflets to promote SSSC Codes of Practice

The Scottish Social Services Council is sending out a resource pack to providers this month which includes posters and leaflets about the Code of Practice. The pack features photographs of social service workers from a range of services, and is intended to help services promote the Codes widely.

More information or extra copies of the pack from communications@sssc.uk.com

SSSC news item: http://www.sssc.uk.com/about-the-sssc/multimedia-library/publications/press-releases/new-resources-to-support-the-sssc-codes-of-practice

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Minister hints at funding boost for social careMinister hints at funding boost for social care

Social Care Minister Caroline Dinenage MP is reported as hinting there is a possibility of more funding for councils to make the current social care system sustainable, before the Government looks into reform for the future.

Innovation appears to be being contemplated. The Minister is quoted as saying to directors of adult social services - even with all the money in the world, we may not necessarily choose to keep things the way we are doing them'.

https://www.lgcplus.com/services/health-and-care/minister-raises-possibility-of-social-care-funding-boost/7024048.article (registration required to view).

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Comments on CQC's new fee scheme - deadline extended to 18 April 2018Comments on CQC's new fee scheme - deadline extended to 18 April 2018

We've had a really good response to our request for comments from members on CQC's new fee scheme, but still have time for more replies. The extended deadline is now close of business on Wednesday, 18 April 2018.

To have a compelling argument to present to CQC, we need as many responses as possible to show just how widespread the impact of the fee scheme could be.

Please see our email alerts of 6 and 11 April for the information we would like members to send us. If you would like a copy, please email policy@ukhca.co.uk

Thank you to those who have responded. We will be sharing our analysis with CQC on a no-names basis, so they understand the effect of the change of fee calculation on our members.

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FAQs describe how Trusted Assessment affects providersFAQs describe how Trusted Assessment affects providers

New FAQs are available on Trusted Assessment, following webinars on the topic, developed by NHS Improvement with the assistance of the Care Provider Alliance (including UKHCA).

Hospitals and councils are under considerable pressure to develop Trusted Assessment, particularly where there are high numbers of DTOCs.

There is also guidance which describes how local systems can implement such schemes to reduce the number and wait of people awaiting discharge from hospital.

A trusted assessment is where a trusted assessor - someone acting on behalf of and with the permission of multiple organisations - carries out an assessment in a health or social care setting. The aim is to speed up the process so the person being assessed can move to the next stage of their care (for example, from acute hospital to support at home with homecare).

The guidance, 'Developing trusted assessment schemes: essential elements' is available at: https://nhsicorporatesite.blob.core.windows.net/blue/uploads/documents/Trusted_assessment__FINAL_2.pdf

The questions and answers about the scheme, and how it affects providers, are at: https://nhsicorporatesite.blob.core.windows.net/blue/uploads/documents/Trusted_assessment__FAQs_FINAL.pdf

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Messages on the future of domiciliary care servicesMessages on the future of domiciliary care services

The Institute of Public Care have published a discussion document looking at the future of domiciliary care services. Written by Professor John Bolton and Vice Chair of UKHCA, Dr Jane Townson writing in a personal capacity, the paper explores the main messages to be heeded by commissioners and providers if homecare is going to be sustainable. UKHCA contributed to the document by reflecting on the realities of the true costs of homecare, while other sections look at how to take forward innovation and move towards outcome-based commissioning.

Colin Angel, UKHCA Policy Director said;

"Jane Townson and Prof John Bolton have combined their different perspectives on the homecare sector to provide a thoughtful reflection on the issues facing providers and commissioners. The document highlights live issues for the sector, and thoughts about changes needed for the future."

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Consultation on personal health budgetsConsultation on personal health budgets

The Department of Health and Social Care together with NHS England have launched a consultation which contains proposals to extend legal rights to personal health budgets and to combine personal health budgets with personal social care budgets. At the moment, only those with a specific right to personal health budgets are those in receipt of continuing healthcare. The consultation closes on 8th June 2018

 

Announcement posted on:

New digital 'right of work' serviceNew digital 'right of work' service

The Home Office has launched a 'beta' trial of a new digital service to help individuals and employers to check work eligibility. The service will help holders of a Biometric Resident Permit (BRP) to prove their right to work, and will help employers to demonstrate compliance with eligibility checks.

This service is an optional additional step and does not replace the existing requirements on checking worker eligibility. More details will be announced after the conclusion of the 'beta-phase'.

Announcement posted on:

Consultation about regulation of nursing associatesConsultation about regulation of nursing associates

The Nursing and Midwifery Council are consulting on their approach to the regulation of nursing associates in England. The Council say this is an exciting step on the road to regulation for this new profession and they would like to hear from those with an interest in the role, before approving final standards in September 2018.

NMC will be holding consultative workshops for registered nurses, healthcare professionals, employers, patients and the public, with regular Twitter chats and webinars. There are further details on NMC's website. The consultation runs until 2 July 2018.

Announcement posted on:

Low Pay Commission consultation and visitsLow Pay Commission consultation and visits

The Low Pay Commission (LPC) are consulting on the idea of a higher minimum wage for non-guaranteed hours (at the Government's request) and a review of youth rates, as well as NLW and NMW rates. They are planning a programme of visits and are keen to speak to homecare providers, particularly on the premium idea, as they expect homecare to be one of the sectors most affected.

25-26 April - Kendal and South Lakeland
23-24 May - Barnstaple and North Devon
13-14 June - Newry, Northern Ireland
13-14 June - Perth, Scotland
4-5 July - Anglesey, Wales
8-9 August - Birmingham

If UKHCA members would like to meet the LPC at any of the locations above, please contact Joe Cooper, LPC Policy Adviser and Communications Lead on 020 7211 8772 or email joseph.cooper@lowpay.gov.uk

Announcement posted on:

Deadline for reporting gender pay gap data arrivesDeadline for reporting gender pay gap data arrives

Employers in Britain with 250 or more employees in the private or voluntary sector have until today, 4 April 2018, to publish their gender pay gap figures on the Government online reporting service. ACAS have guidance on reporting and dealing with a gender pay gap.

Announcement posted on:

Minimum wage increased from 1 April 2018Minimum wage increased from 1 April 2018

From 1 April 2018, the National Living Wage rate for those aged 25 and over increased from £7.50 per hour to £7.83 per hour.

The National Minimum Wage for those aged 21 to 24, increased from £7.05 per hour to £7.38 per hour, and the rate for those aged 18 to 20 rose from £5.60 per hour to £5.90 per hour. The rate for those from school leaving age to 17 increased from £4.05 to £4.20 per hour and the apprentice rate rose from £3.50 per hour to £3.70 per hour. Current and future rates: www.gov.uk/national-minimum-wage-rates

For how a rate increase applies in a pay reference period, see: www.gov.uk/government/publications/national-living-wage-nlw/national-living-wage-nlw#rates

Announcement posted on:

Improving equality in social care to provide better care - free workshops for social care leaders and managersImproving equality in social care to provide better care - free workshops for social care leaders and managers

Skills for Care and the Care Provider Alliance are carrying out a project to explore challenges for employers when drawing on the talent of black, Asian and minority ethnic (BAME) staff. The project includes free workshops aimed at leaders and managers from social care including social workers, registered managers, and those involved in workforce planning and recruitment, to explore good practice and produce practical proposals to overcome obstacles. There are two remaining workshops for social care:

16 April 2018 - Chelmsford - Booking details https://events.skillsforcare.org.uk/skillsforcare/frontend/reg/thome.csp?pageID=93278&eventID=320

30 April 2018 - Wakefield - Booking details https://events.skillsforcare.org.uk/skillsforcare/frontend/reg/thome.csp?pageID=99617&eventID=341

Announcement posted on:

Prime Minister promises 'multi-year' funding plan for NHSPrime Minister promises 'multi-year' funding plan for NHS

Speaking to the Commons Select Committee chairs on 27 March 2018, the Prime Minister promised to outline the details of a long-term funding plan for the NHS before Easter 2019. This follows an earlier call by the Health and Social Care Secretary Jeremy Hunt MP for a 10-year funding deal for the NHS.

Colin Angel, UKHCA's Policy Director, said: "Any long-term funding plans for the NHS must be developed alongside those for social care, as the two systems are highly dependent on each other. Government has been using the forthcoming social care Green Paper as its method to address the long-term funding solution for the sector. However, the Green Paper by itself will not deliver Mrs May's plan within the timescale she proposes, and if the NHS plan doesn't include social care, it will not be successful."

You can listen to the Prime Minister being questioned by the Select Committee here.

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Tax rises could fund health and social care say MPsTax rises could fund health and social care say MPs

The Prime Minister is being urged to set up a Parliamentary Commission to examine the long-term demand for health and social care across the UK, and to consider a broad range of funding options, including a hypothecated tax or contribution. In a letter to Teresa May signed by over 90 MPs from the main political parties, Sarah Wollaston, Chair of the Health and Social Care Select Committee suggests the Commission should take into account the emerging proposals from the Social Care Green Paper and report before Easter 2019. Calling for a whole system approach to funding the NHS, social care and public health, the letter urges the Prime Minister to set up the Commission to mark the 70th anniversary of the NHS.

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Public Accounts Committee finds NHS finances in a perilous statePublic Accounts Committee finds NHS finances in a perilous state

"The National Health Service continues to scrape by on emergency hand-outs and funds that were intended for essential investment", said Meg Hillier MP, Chair of the Public Accounts Committee (PAC), in her statement on the Committee's latest report. Examining the Sustainability and Transformation of the NHS, the report found that The Department of Health and Social Care, NHS England and NHS Improvement are too focused on propping up the system and balancing the books in the short term and have not paid enough attention on transforming and improving patient services in the long term.

Read the report from the Public Accounts Committee here.

Announcement posted on:

NHS facing court action over continuing healthcare policiesNHS facing court action over continuing healthcare policies

The Equality and Human Rights Commission has taken its first steps in legal proceedings against 13 Clinical Commissioning Groups (CCGs). If the CCGs fail to provide evidence to demonstrate that their continuing healthcare (CHC) policies are lawful, or do not take steps to review them, they will be taken to court.

The dispute concerns the legality of blanket policies that limit the amount that the CCGs spend on people's continuing healthcare in their own homes, resulting in some people having to be supported in a care home against their wishes.

The Commission consider the actions by the CCGs to be a serious breach of the Human Rights Act, the Public Sector Equality Duty and the Department of Health and Social Care's own NHS CHC framework.

Announcement posted on:

Local authority funding panels refusing and delaying care packagesLocal authority funding panels refusing and delaying care packages

Community Care has carried out research about how funding panels are being used by local authority adult social care services. Their findings suggest that the majority of panels are used to review funding decisions made by social workers on new and existing cases on all types of social care support. The most common reason given to social workers for a care package being refused or delayed was that it cost too much money. 

 

Announcement posted on:

Brexit negotiation update for EU citizensBrexit negotiation update for EU citizens

The UK and the EU have reached an agreement on what happens during the period immediately after Brexit, known as the implementation period, but also referred to in the media as the transition period. The agreement means that EU citizens living in the UK before 29 March 2019 will be able to continue to live and work in the UK. The Government has provided more information here: Status of EU citizens in the UK: what you need to know.

The agreement also covers EU citizens and their families arriving in the UK during the implentation period which is from 30 March 2019 to 31 December 2020. More information is available at UK leaving the EU: what you need to know.

Announcement posted on:

Pay rises expected for NHS StaffPay rises expected for NHS Staff

BBC news is reporting today that over a million NHS staff, which includes nurses, porters and paramedics, can expect pay rises of over 6% over three years.

Although the deal has yet to be agreed by unions and ministers, it is likely to go through and could cost as much as £4bn. The lowest paid are expected to receive the highest rises, and, if approved, workers in England could see their pay increase almost immediately.

The agreement will cover all staff on the Agenda for Change contract - about 1.3m across the UK, which is the entire workforce with the exception of doctors, dentists and senior leaders.

Colin Angel, UKHCA Policy Director said:

"I am sure that the pay rises announced for NHS will be welcomed by staff, especially those who are in lower paid jobs. However, I am deeply concerned about the impact this will have on recruitment and retention of staff in social care, particularly those in the independent sector. The promise of a social care Green Paper is not going to attract new staff to homecare when local authorities are not reflecting the real costs of care in their contracts with homecare providers."

Read the BBC report here.

 

Announcement posted on:

Brexit threats to health and social care in ScotlandBrexit threats to health and social care in Scotland

Scotland's Health Minister, Shona Robinson MSP, has stated that Scotland can protect its health and care services from the effects of Brexit. Speaking ahead of giving evidence to the Health and Sport Committee inquiry she commented:

"I am clear that the only way to protect patients, our health and social care services, and our research and pharmaceutical industries is to retain our membership of the Single Market and Customs Union.

This would ensure we continue to benefit from recognition of qualifications and free movement of staff within the EU, the rights of Scottish patients to have treatment in the EU, and access for Scotland to pan-European research, medicines and clinical trials."

More information can be found on the Scottish Government website.

Announcement posted on:

Jeremy Hunt sets out principles for the social care Green PaperJeremy Hunt sets out principles for the social care Green Paper

Jeremy Hunt, Secretary of State for Health and Social care set out the seven key principles that will guide the development of the social care green paper due to be published in summer 2018. These are:

  • Quality
  • Whole-person integrated care
  • Control
  • Workforce
  • Supporting families and carers
  • A sustainable funding model for social care supported by a diverse, vibrant and stable market
  • Security for all.

Amongst the highlights of the speech were references to the possibility of independent Ofsted-style ratings for commissioners, a consultation on Personal Health Budgets and the announcement of an NHS 10-year workforce strategy with the needs of the NHS and social care sectors considered together and fully aligned.

On sustainable funding, Jeremy Hunt said that the Green Paper will 'jump start' the debate about funding for the future and stated that the Government is clear that there has to be a partnership between the state and individuals, and also the system needed to include an element of risk-pooling.

Read the full speech here.

Announcement posted on:

Scottish Government publishes summary of health and social care experiencesScottish Government publishes summary of health and social care experiences

The Scottish Government has published a summary of the free text responses that were given by the public about health and social care services, as part of a survey in 2016. Comments highlighted the need for continuity of care, with regular workers at consistent times, to suit individual need rather than resource priorities.

The summary can be accessed via the Scottish Government's publications page.

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Does homecare need more support from pharmacists?Does homecare need more support from pharmacists?

NHS England has announced a plan to recruit and deploy hundreds of pharmacists and pharmacy technicians to carry out reviews for residents in care homes to ensure people are prescribed the right medicines, at the right time, in the right way to improve their health and overall quality of life.

UKHCA welcomes initiatives which ensure optimum management of long-term conditions for people living in care homes. However, we would like to hear the views of members on whether a similar plan is needed to support people receiving care in their own homes.

Please write and tell us about your experiences of dealing with community pharmacists by emailing us at policy@ukhca.co.uk.

Read the pharmacist announcement from NHS England here.

Announcement posted on:

CQC looks to hire 100 more inspectors after £10m underspendCQC looks to hire 100 more inspectors after £10m underspend

The National Health Executive, an independent management magazine for the health sector, has reported that CQC is planning to hire an additional 100 inspectors to decrease the current workload on its staff, specifically for those investigating the adult social care sector. The report goes on to say that a recent staff survey pointed to workload pressures as one of the key issues faced by the organisation, which - coupled with a reported £10.2m underspend largely down to pay - has prompted CQC to push for greater recruitment. It is expected that there will be increased pressure on the inspectorate's finances in the future, with a warning that continued reduction of expenditure will be necessary as the budget drops from £223m to £217m.

Read the National Health Executive article here.

Announcement posted on:

DOLS system will be replacedDOLS system will be replaced

Caroline Dinenage, Minister of State at the Department of Health and Social Care, announced in Parliament the Government's final response to the Law Commission's report on mental capacity and Deprivation of Liberty Safeguards (DoLS). The government has accepted (or accepted in principle) 42 of 47 recommendations, with only one rejected “ the proposed statutory codification of the law in relation to mental capacity and children" and four others deferred for consideration as part of the separate independent review of the Mental Health Act. However, legislation to replace DoLS will only happen when parliamentary time allows.

Read the Minister's announcement here.

Announcement posted on:

Manchester City Council increase to homecare businesses will not cover costs of careManchester City Council increase to homecare businesses will not cover costs of care

Manchester City Council announced via their website, that from April 2018, homecare workers would receive a pound an hour increase in their pay. Acknowledging that careworkers are often the lowest paid people in the city, the council's announcement said that careworkers will receive £8.75 an hour, which is Manchester's Living Wage.

UKHCA's Policy Director, Colin Angel, responding to the announcement on Twitter said that the aspiration from Manchester City Council that careworkers should receive UK Living Wage should be applauded, but the rhetoric isn't supported by the £15.20 per hour rate the council intends to pay, which doesn't come close to covering providers' costs. UKHCA's minimum price for homecare services from April 2018 is £20.03 per hour where the employer is paying the (voluntary) UK Living Wage of £8.75.

Cllr Bev Craig, Manchester City Council Executive Member for Adult Services, replied that the announcement on the increase was made after proper conversation with homecare providers and providers had agreed to the rate of £15.20 an hour, which is an increase from £13.20 an hour.

UKHCA would be interested to hear the views of members who supply homecare services to Manchester City Council, particularly about the level of engagement that they experienced. Please write to us at policy@ukhca.co.uk.

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Social care and health could benefit from a £14bn boostSocial care and health could benefit from a £14bn boost

CIPFA, the Chartered Institute of Public Finance and Accountancy has called for the proportion of centrally collected taxes going to social care and health to increase from 22% to 24%. "Public funding has not kept pace with the demographic demands", and "the right long-term investments are not being made to the extent required", CIPFA wrote to the health and communities and local government inquiry into the long-term funding of adult social care.

"For example, setting the tax take dedicated to social care and health at 24% rather than the current 22% would enable an extra £14bn to be invested, which is in line with CIPFA's assessment of what the system is likely to need," the submission stated.

Read more from CIPFA here

Announcement posted on:

Additional funding for health and social care in Northern IrelandAdditional funding for health and social care in Northern Ireland

As part of a new budget for Northern Ireland, the Department of Health is set to receive an additional 2.6% in funding in real terms for this year. There has also been £100m allocated from the budget to implement the recommendations of the 'Bengoa Report' on changes to health and social care services. However, the Department is facing a reported shortfall of £160m so it is unclear how much of this funding will be used on adult social care directly.

The report on the budget can be found on the BBC website, and the Bengoa recommendations can be found here.

Announcement posted on:

Social Care Wales online services temporarily unavailableSocial Care Wales online services temporarily unavailable

All of Social Care Wales' online functions will be offline from 16th March as planned maintenance and improvements to the system are carried out. All of the online features will be up and running from the 9th of April. People wishing to register with SCW for the first time are being encouraged to wait until after this date to do so.

Further information can be accessed via the Social Care Wales news page.

Announcement posted on:

Social Care Wales seek views on draft equality planSocial Care Wales seek views on draft equality plan

Social Care Wales has launched a consultation over its draft equality plan and objectives. The four year plan is based on a principle of promoting equality and valuing diversity. It sets out:

-The six equality objectives;

-How SCW will identify and collect equality information;

-How SCW will publish equality information;

-How SCW will carry out impact assessments; and

-How SCW will promote knowledge, and understanding, of the equality duties to their staff.

The consultation period will run until 27th April. The draft equality plan and the short survey can be accessed on the Social Care Wales website.

Announcement posted on:

Advice for social care staff in raising work concerns available in Northern IrelandAdvice for social care staff in raising work concerns available in Northern Ireland

NISCC has published a short guide which aims to help social care staff to raise concerns in the workplace about putting service users or the public at risk, or affecting the quality or safety of care provided.

The full guide can be downloaded from the NISCC website.

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New Dementia strategy launched in WalesNew Dementia strategy launched in Wales

The Welsh Government announced a new dementia strategy in February 2018. The new document 'The Dementia Action Plan for Wales 2018-22' seeks to improve on many aspects of dementia care, including living as well as possible with dementia for as long as possible. The overall aim is to make Wales a dementia-friendly nation.

The full strategy and action plan can be accessed on the Welsh Government website.

Announcement posted on:

Local Government Association responds to Spring StatementLocal Government Association responds to Spring Statement

The Local Government Association has responded to the Spring Statement to urge the Government to pass on any extra funding to local authorities. They argue that this funding should be used to address the growing gaps in local authority funding.

The full statement can be found on the LGA website.

Announcement posted on:

Nothing for Social Care in Chancellor's Spring Statement Nothing for Social Care in Chancellor's Spring Statement

Although the Chancellor of the Exchequer, the Rt Hon Philip Hammond MP, recognised the pressures facing the NHS and local authorities, he didn't make any new spending commitments for social care in his Spring Statement to Parliament. Despite forecasting a small current surplus for 2018/19, the Chancellor said public spending and investment will be increased in the years ahead, but only if public finances continue on the improved path and borrowing continues to fall.

Although no new spending was announced, Philip Hammond confirmed that £80m is being released to support small businesses in engaging an apprentice. He also said that business rates revaluation would be brought forward 12 months to 2021. There was a call for evidence to eliminate late payments to small businesses, and he made the first allocations of the £190 million local full-fibre challenge fund announced at the Autumn Budget while also confirming £25 million for the first 5G testbeds.

No doubt pressures for more spending on public spending will increase as we head towards the 2018 Autumn Budget. However, given that in his Spring Statement, the Chancellor announced a multiyear Whitehall spending review, the real battles over public spending will come in 2019.

You can read the full Spring Statement here.

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Councils raiding reserves to fund adult social careCouncils raiding reserves to fund adult social care

The report from the National Audit Office (NAO) on the Financial Sustainability of Local Authorities 2018 confirms what the social care sector already knew about funding vital adult social care services. With two thirds of local authorities with social care responsibilities drawing on their financial reserves in 2016-17 it's not surprising that the NAO finds current trends are financially unsustainable over the medium term.

The NAO reports on increasing demand for services together with increased costs and says that one in 10 councils with social care responsibilities will have exhausted their reserves within the next three years if the current rate of expenditure continues. Given that local authorities have been delivering savings since 2010, the NAO concludes they are nearing the end of their ability to make further service savings without impacting on front-line services.

Announcement posted on:

CQC should speed up publication of inspection reportsCQC should speed up publication of inspection reports

The Care Quality Commission (CQC) has improved significantly since 2012 said the Public Account Committee (PAC) which is responsible for scrutinising the value for money of public expenditure. However, the PAC considers CQC needs to improve its current performance. It does not make inspection reports available to the public quickly enough and it needs to improve how it interacts with and regulates GP practices. With health and care providers under severe financial pressure, CQC's workload is likely to increase if services deteriorate. CQC needs to monitor this closely and understand the impact on its staff requirements. CQC must improve its information systems and has more work to do to ensure it has the wide range of intelligence it needs to identify early warning signs of poor care.

Read the PAC report here.

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Cuts to trading standards putting older people at risk of fraud, warns Age UKCuts to trading standards putting older people at risk of fraud, warns Age UK

Age UK have warned that budget reductions of up to 60% over the last seven years have undermined the ability of local authorities to tackle scams among older people. It is calling on the Government to ensure that all local authorities have the resources needed to meet their safeguarding duties under the Care Act 2014.

In their new report, Applying the Brakes, Age UK says trading standards services have a key role to play in tackling fraud yet severe budget cuts are damaging their ability to act.

While this report is focused primarily on England, it will be of interest to members in Scotland, Wales and Northern Ireland.

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Staff crisis in Scotland could worsen post-BrexitStaff crisis in Scotland could worsen post-Brexit

Members of the Scottish Parliament are currently looking at the potential impact of Brexit on the care sector in Scotland. An evidence gathering session will take place with the Health Committee on 20 March 2018.

Further details can be found on the Health Committee page.

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New Care Standards currently on trackNew Care Standards currently on track

The Care Inspectorate has announced that they are on track to roll out the new care standards from April 2018 across Scotland. The standards will be implemented incrementally throughout 2018, starting with care homes for older people, before expanding into other care settings through 2018/19.

Further information can be found on the Care Inspectorate website.

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IRISS hold 'portrait of care' eventIRISS hold 'portrait of care' event

Coinciding with World Social Work Day, the exhibition aims to celebrate the great work of the sector, understand practitioners' views, as well as provide an opportunity to share key insights from the public.

Dates and venues can be found on the IRISS website.

Announcement posted on:

Joint inquiry launched into long-term funding and provision of adult social careJoint inquiry launched into long-term funding and provision of adult social care

The Commons Communities and Local Government and Health Committees have launched a joint inquiry on the long-term funding and provision of adult social care in England, which will contribute to the Green Paper. The deadline for written submissions, which should be no more than 3000 words and submitted online, is 7 March 2018. The inquiry will examine:

  • How to fund social care sustainably for the long term (beyond 2020), bearing in mind in particular the interdependence of the health and social care systems; and
  • The mechanism for reaching political and public consensus on a solution.

How to send a written submission to the long-term funding of adult social care inquiry

UKHCA members are invited to send us their views by 23 February 2018, for consideration in our response. Please email policy@ukhca.co.uk

 

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New Data Protection Bill introduced in ParliamentNew Data Protection Bill introduced in Parliament

The UK's third generation of data protection law has entered Parliament. The Data Protection Bill updates data protection laws in the UK, supplementing the General Data Protection Regulation (EU) 2016/679 (GDPR), as well as extending data protection laws to areas which are not covered by the GDPR. It is intended to provide a comprehensive package to protect personal data.

The Information Commissioners Office has published a document, 'An Introduction to the Data Protection Bill'. It is intended as an introduction to the content and structure of the Data Protection Bill for organisations and individuals who are already familiar with data protection law and the GDPR.

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Skills for Care launch National Careers and Apprenticeship WeekSkills for Care launch National Careers and Apprenticeship Week

Skills for Care have launched National Careers Week and National Apprenticeship Week - a week of celebrating high quality careers education, information, advice and guidance.

Skills for Care say this is an excellent opportunity for adult social care organisations across England to work closely with young people and students, to break down some of the negative stereotypes about working in care and inspire them to consider a career in the sector.

To mark this occasion, Skills for Care have launched new online guidance about how providers can support people who are new to the sector, to start work in your organisation.

Find out more from their website.

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Government responds to CMA study of care homes marketGovernment responds to CMA study of care homes market

The Government has published its response to the Competition and Markets Authority (CMA) study of the care homes market in England. The CMA has asked each of the Devolved Administrations to respond to their recommendations.

All of the recommendations made by the CMA have either been accepted or accepted in principle by the Government in Westminster and will feed into the social care Green Paper expected in summer 2018. The Government said, "The Green Paper will consider the fundamental issues facing the care system, including future sustainability of the market, capacity planning and market shaping responsibilities."

UKHCA members will wish to note that in their response, the Government has signalled it would welcome a CMA study into the homecare market. Read the Government's response to the CMA study here.

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CQC need volunteers to test digital registration toolCQC need volunteers to test digital registration tool

CQC is transforming its approach to registration with the aim of streamlining and improving processes to reduce some of the burden and time costs for providers. They are looking for providers to help develop their approach.

CQC are asking for expressions of interest to be involved from aspiring or new registered managers of existing personal care providers, this includes registered managers of domiciliary care services, extra care housing, shared lives and supported living services.

Please email providerengagement@cqc.org.uk if you are interested in getting involved.

 

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Social Care Wales host qualifications engagement sessionsSocial Care Wales host qualifications engagement sessions

Social Care Wales are hosting a number of events across Wales to engage with providers and other over the new qualifications requirements.

A full list of dates and locations can be found on the Social Care Wales website.

Announcement posted on:

UKHCA Workshop - end of life care: train the trainerUKHCA Workshop - end of life care: train the trainer

UKHCA will be holding a workshop on end of life care in Cardiff in September 2018. UKHCA's end of life - train the trainer workshop has been designed to ensure you can train your care staff to a high standard, giving them the skills and confidence to care for people at the end of their life.

Delegates attending this workshop will receive a copy of UKHCA's end of life care training pack. The pack includes a resource guide, trainer's handbook, a PowerPoint presentation and a CD containing the entire course.

More information can be found on the UKHCA events page.

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Department of Health publish annual inequalities reportDepartment of Health publish annual inequalities report

The Department of Health has published a report into health inequalities in Northern Ireland, Published annually, this report presents a comprehensive analysis of regional health inequality gaps between the most and least deprived areas of NI, and sub-regional gaps within Health & Social Care (HSC) Trust and Local Government District (LGD) areas across a range of health indicators.

The full report can be access on the Department website.

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UKHCA Workshop - Medication: train the trainerUKHCA Workshop - Medication: train the trainer

UKHCA will be hosting a medication training event in Belfast in October 2018. UKHCA's Medication - Train the Trainer workshop is designed to enable homecare providers to train staff flexibly and cost-effectively, in-house.

Further information can be found on the UKHCA events page.

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Minister thanks care providers for dedicated serviceMinister thanks care providers for dedicated service

The Minister for Social Care in Wales, Huw Irranca-Davies, has written a letter thanking care providers for their hard work and dedication over the winter period.

The letter can be accessed here.

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March 2018 Homecarer is now available to downloadMarch 2018 Homecarer is now available to download

March Homecarer is now available to download. In this issue: UKHCA looks at ringfencing health and social care; Bridget Warr, UKHCA CEO, discusses how the green paper is an opportunity to put homecare on a firm footing; Anthony Collins Solicitors provides homecarers with 12 top tips for GDPR; Karen Reid, Chief Executive of the Care Inspectorate tells members how recruitment and retention is vital for high quality care in Scotland;James Whynacht, UKHCA Policy Officer provides written commentary on planning for the future of social care in Wales and Lesley Megarity, UKHCA Board Member for Northern Ireland writes about the priorities in health and social care for any incoming Minister. 

Announcement posted on:

Public satisfaction with the NHS and social care in 2017Public satisfaction with the NHS and social care in 2017

Since 1983, NatCen Social Research's British Social Attitudes survey has asked members of the public about their views on the NHS and health and care issues generally. The latest survey was carried out between July and October 2017.

  • Satisfaction with GP services fell to 65% in 2017 - a 7 percentage point drop from the previous year.
  • Satisfaction with outpatient services was also 65% in 2017. The change from the previous year was not statistically significant.
  • Satisfaction with inpatient services was 55% in 2017, down by 5 percentage points from 2016.
  • Satisfaction with accident and emergency (A&E) services was 52% in 2017. The change in satisfaction from 2016 was not statistically significant.
  • Satisfaction with NHS dentistry services was 57% in 2017. The change from the previous year was not statistically significant.
  • Satisfaction with social care services was 23% in 2017. The change from the previous year was not statistically significant. At the same time, dissatisfaction with social care services increased by 6 percentage points in 2017 to 41%.

You can download a copy of the results of the survey here.

Announcement posted on:

Social workers should have done more to ensure man received appropriate careSocial workers should have done more to ensure man received appropriate care

Social workers in Northamptonshire did not do enough to ensure a care home implemented a vulnerable man's care plan, a Local Government and Social Care Ombudsman investigation has found. Despite a protection plan having been drawn up for the man, the council failed to check that the home was implementing the man's plan or that it was communicating the plan effectively with staff.


Additionally the investigation found the council did not do enough to ensure his care bills were going to the correct address, which meant by the time he received them, a large invoice had built up.

In a ruling that has read-across for homecare provision, Local Government and Social Care Ombudsman, Michael King, said:

Councils cannot contract out responsibility for care when they contract out the provision: poor quality care by a council-funded provider is poor quality care by the council itself.

Although the questionable care this man received from his care home was not provided by the council, Northamptonshire County Council is directly responsible for ensuring the quality of care delivered by providers acting on its behalf.

I'm pleased that by the end of the investigation, the council had agreed to improve its policies and procedures and provide the remedy I have recommended.

https://www.lgo.org.uk/information-centre/news/2018/feb/social-workers-should-have-done-more-to-ensure-man-received-appropriate-care

Announcement posted on:

New guidance on information sharing and data protectionNew guidance on information sharing and data protection

New guidance is available for health and social care providers on information governance written by the Care Provider Alliance with the Social Care Programme in NHS Digital. The guidance, and Data Security and Protection Toolkit due to be launched in April 2018, will help providers comply with CQC KLOEs and the General Data Protection Regulation coming into effect on 25 May 2018. 

The Department of Health and Social Care have also issued guidance on information sharing for social care providers, including contractual requirements: https://www.gov.uk/government/publications/data-security-and-protection-for-health-and-care-organisations. (Providers operating under a NHS Standard Contract will have to complete the Toolkit by 31st March 2019; this is recommended for other providers.)

More from: www.careprovideralliance.org.uk/information-governance.html The guidance applies to England, but may be of interest to other UK providers.

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Know your ACO from your STP, ICS and ICPKnow your ACO from your STP, ICS and ICP

Keen observers of the NHS will have seen that NHS England has recently changed the name of accountable care systems to integrated care systems. The King's Fund have helpfully provided a briefing which examines the reasons for the changes and explains some of the new organisations and revised names emerging as the NHS transforms following the Five Year Forward View first published in 2014 and updated as the Next Steps on the Five Year Forward View in 2017.

Read The King's Fund briefing here.

 

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Council tax increases will not stop cutbacks in servicesCouncil tax increases will not stop cutbacks in services

The Local Government Association (LGA) has warned that council tax rises will not prevent the need for continued cutbacks to all local services this year. With an overall funding gap that will exceed £5 billion by 2020, LGA Chairman Lord Porter, said that the extra income from the social care precept, "will be wiped out by the significant costs pressures of paying for the Government's National Living Wage and extra general council tax income will only replace a third of the central government funding they will lose this year".

Read the full statement from the LGA here.

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Duty of Candour implementationDuty of Candour implementation

From 1 April 2018, the requirements for Duty of Candour will come into effect in Scotland. The requirements are contained within The Health and Care (Scotland) Act 2016, which received Royal Assent on 1 April 2016.

The details of this procedure will be set out in regulations which will be published prior to 1st April 2018. Organisations will have a new requirement to publish an annual report on when the duty has been applied. This will include the number of incidents, how the organisation has complied with the duty and what learning and improvements have been put in place.

More information can be found on the .gov.scot website.

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Lord Darzi Review of Health and Social CareLord Darzi Review of Health and Social Care

The independent Lord Darzi Review, for the Institute for Public Policy Research, aims to examine the state of quality in health and care services on the NHS's 70th birthday in 2018 and make recommendations for future funding and reform of the system.

The Lord Darzi Review is aiming to:

  • examine the quality - meaning safety, effectiveness, timeliness, efficiency and equitability - of care in the NHS and social care service today
  • establish the funding settlement and reforms needed to drive improvements in the quality of care in the coming decade.

As part of the research programme, Lord Darzi and his advisory panel are particularly keen to hear from organisations or individuals who are working on the frontline of health and care.

The deadline for responses is 19 March 2018. Read more about the review here.

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NICE Guideline: Improving the experience of care and support for people using adult social care servicesNICE Guideline: Improving the experience of care and support for people using adult social care services

NICE has published a new guideline covering the care and support of adults receiving social care in their own homes, residential care and community settings. It aims to help people understand what care they can expect and to improve their experience by supporting them to make decisions about their care. The Guideline is for:

  • Practitioners working in adult social care services in all settings
  • Service managers and providers of adult social care services
  • Commissioners of adult social care services
  • People using services (including those who fund their own care) and their families, carers and advocates.

For more information about the new NICE Guideline, click here.

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NICE Quick guidesNICE Quick guides

NICE, the National Institute for Health and Care Excellence have co-produced a number of quick guides with The Social Care Institute for Excellence. The guides provide key information for social care topics in a simple format. 

They are designed for people who don't have the time to read large guidelines and quality standards. They may prove useful to homecare providers across the UK as training aids and for people who are receiving or looking for a homecare service.

Topics include:

  • Helping to prevent infection
  • Discussing and planning medicines support
  • Understanding intermediate care, including reablement
  • Moving between hospital and home, including care homes
  • Recognising and preventing delirium
  • Building independence through planning for transition
  • Improving oral health for adults in care homes (useful also to homecare workers)
  • Better home care for older people
  • Building independence through planning for transition

The NICE quick guides are available to down load from their website.

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Learning points from the prosecution of a care homeLearning points from the prosecution of a care home

Anthony Collins LLP, our preferred solicitors, have published a briefing following the Care Quality Commission's prosecution of a care home in Essex. The care home failed to act on concerns raised about the deterioration in a service user's posture and as a result the service user suffered a life changing injury while being showered in a commode shower chair.

The Medicines and Healthcare Products Regulatory Agency (MHRA) states that it continues to receive reports of injuries and fatalities because posture/safety belts on assistive technology devices aren't used, fitted or adjusted properly or they haven't been maintained correctly. See the alert issued by MHRA on posture or safety belts fitted to supportive seating, wheelchairs, hoists and bathroom equipment. MDA/2015/018.

Read the full briefing from Anthony Collins here.

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King's Fund Publish report into social care fundingKing's Fund Publish report into social care funding

The King's Fund has published a full length report into social care funding. The report outlines the current financial system for social care as well as evaluating the positives and negatives of other potential means for funding care.

The full report can be downloaded from the Kings Fund website.

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New strategy for social care research launchesNew strategy for social care research launches

Social Care Wales have launched a new initiative aiming to improve research into matters of importance for social care in Wales. The new 5 year plan seeks to develop research in developing the social care workforce, improving the collection and use of data, and involving the public in social care research.

The full report can be accessed via the Social Care Wales website.

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New domiciliary care worker registration guide for employersNew domiciliary care worker registration guide for employers

Social Care Wales has published a short guide for employers on the new domiciliary care worker registration requirements. The guide explains who needs to be registered, when they need to be registered by and what this will mean for you as an employer.

The full guide can be accessed via the Social Care Wales website.

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Apologies - UKHCA emails blocked by third-party softwareApologies - UKHCA emails blocked by third-party software

Some of UKHCA's out-going e-mails are being blocked by third-party software. This has affected a number of other organisations since 12 February 2018 and we are working with the provider to get this resolved. If you have been expecting e-mail correspondence from UKHCA on an urgent matter and have not received the information you expected, please accept our apologies and contact us on 020 8661 8188.

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Online registration now available with Care Inspectorate WalesOnline registration now available with Care Inspectorate Wales

Care Inspectorate Wales (formerly CSSIW) are now offering online registration and re-registration as required under the Regulation and Inspection of Social Care (Wales) Act 2016. Domiciliary care agencies will be required to re-register with CIW by the 2nd April. CIW will be sending out information to providers directly in phases throughout the next few months.

More information on registration and re-registration can be found on the CIW website.

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BEIS launch consultation on enforcement of employment rightsBEIS launch consultation on enforcement of employment rights

The Department of Business, Energy and Industrial Strategy (BEIS) has launched a consultation looking at implementing recommendations on enforcing employment rights as highlighted in the Taylor Review into modern working practices. BEIS are seeking views on a number of recommendations including simplifying the enforcement process, who should be responsible for enforcement whether the burden of proof should be reversed.

The consultation document can be found on the BEIS website. The deadline for responses will be 16th of May 2018.

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Government criticised for inaction on England's social care workforceGovernment criticised for inaction on England's social care workforce

UKHCA welcomes today's NAO report which criticises Government inaction on England's social care workforce. Colin Angel, Policy Director at the UKHCA, commented:

'The National Audit Office rightly calls time on the Department of Health and Social Care's consistently 'hands-off' approach to the social care market and its workforce. The absence of a published strategy for the social care workforce highlighted by NAO should be an embarrassment to Government, but a strategy is only useful if it leads to decisive action.'

The NAO report adds weighty evidence to repeated calls for Government to establish how much funding the social care sector needs and to produce a robust and properly funded national workforce strategy that will support the growth in careworker numbers required to meet increasing demand. Full UKHCA press release.

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Government launches consultation on workforce transparency and zero-hours contractsGovernment launches consultation on workforce transparency and zero-hours contracts

In response to last year's 'Taylor Review' of modern work practices, the Government has launched a consultation on the workforce, including zero-hour contracts. The consultation seeks views on whether employees on flexible, or zero-hours, contracts should have the right to request a more stable contract of employment from their employer.

Full details of how to respond to the consultation, and the consultation document, can be found on then Department for Business, Energy and Industrial Strategy (BEIS) website.

The deadline for responses is 23rd May 2018.

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BEIS launch consultation on agency worker recommendationsBEIS launch consultation on agency worker recommendations

The Department of Business, Energy and Industrial Strategy (BEIS) has launched a consultation looking at implementing recommendations on agency workers as highlighted in the Taylor Review into modern working practices. Areas for consideration include clarity on rates of pay and any deductions made to worker pay, and clarity on who is responsible for paying temporary workers for the work they have done.

The consultation document can be found on the BEIS website.

The consultation has now closed.

 

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Government set to improve rights of flexible workersGovernment set to improve rights of flexible workers

The Government is to adopt most of the recommendations of the Taylor review of employment practices, according to its response issued today on improving the rights of flexible workers. The Government is to ask the Low Pay Commission to look into setting a higher National Minimum Wage for workers on zero hours contracts. UKHCA will give evidence on behalf of members to the LPC, in the usual manner.

More about the proposals, and associated four consultations, which will need to be studied carefully, from: https://www.gov.uk/government/publications/government-response-to-the-taylor-review-of-modern-working-practices BBC news article

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Additional £150 million for adult social careAdditional £150 million for adult social care

In a written ministerial statement issued 6th February 2018, Sajid Javid (Secretary of State for Housing, Communities and Local Government) announced further funding for adult social care.

He said there would be an additional £150 million in 2018-19 in the Adult Social Care Support Grant - money from the anticipated underspend in existing departmental budgets. He added that this will not affect existing revenue commitments made to local government.

The funding will be allocated according to relative needs and the Government expects councils use it to build on their progress so far in supporting sustainable local care markets.

Read the full statement here

 

 

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New care standards coming into effect from April 2018New care standards coming into effect from April 2018

The Care Inspectorate has announced that they are on track to roll out the new care standards from April 2018 across Scotland. The standards will be implemented incrementally throughout 2018, starting with care homes for older people, before expanding into other care settings through 2018/19. UKHCA will pass on more details on the care standards in relation to care at home when they become available.

Further information can be found on the Care Inspectorate website.

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Update on CQC registration requirementsUpdate on CQC registration requirements

Members will be aware that as part of their Next Phase of Regulation consultation held in 2017, CQC proposed to revise the criteria for defining a provider that will need to be registered with CQC.

As a result of the consultation, as well as registering services at location level, CQC will begin to register entities are that are 'accountable' for care.

CQC have defined accountable entities as those that are accountable (either directly or through other legal entities or contractual arrangements) for the carrying on of regulated activities, where that direction or control has the effect of rendering the organisation accountable for the quality and safety of those activities, even where responsibility for delivering care sits with others.

CQC plan to implement the new registration requirements starting with homecare providers in 2018/2019.

CQC have confirmed the new requirements will not apply to franchisors.

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MPs launch inquiries into small businessesMPs launch inquiries into small businesses

Two new inquiries have been launched on small businesses. The House of Commons Business, Energy and Industrial Strategy (BEIS) Committee are investigating whether there is enough government support for small businesses to boost productivity. MPs want to know if there is sufficient access to good quality management training and protection from unfair treatment by large companies, like late payment. The deadline for responses is 8 March 2018.

Separately, the Treasury Committee is looking at SME finance - competition in the market, funding sources, including crowdfunding and peer-to-peer lending, and current regulatory protection.

More from: www.parliament.uk/business/committees/committees-a-z/commons-select/business-energy-industrial-strategy/news-parliament-2017/small-business-inquiry-17-19/ 

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Social Care Wales publish response to major consultationSocial Care Wales publish response to major consultation

Social Care Wales has published a summary of responses to their recent consultation, 'Transforming Care in the 21st Century', as well as providing information on next steps for registration fees and care worker qualifications. Social Care Wales will be increasing their fees as set out in the consultation, but will be increasing the registration fee for care workers at a lower rate than was initially proposed. The proposals for care worker qualifications will be going ahead as outlined in the document.

The response by Social Care Wales can be found on their website.

UKHCA's response to the consultation can be accessed via our consultations page.

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CQC update medication FAQ'sCQC update medication FAQ's

The CQC have updated their bank of resources on medication administration and training. There are a number of individual documents dealing with the most frequently asked questions with regards to medication issues, including administration, disposal, storage, controlled drugs and training.

All of the medication FAQs can be accessed via the CQC website.

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CQC - New guidance on assessing financial viability of providersCQC - New guidance on assessing financial viability of providers

CQC is changing how it will assess the financial viability of providers. From 12 February 2018 they will ask all providers to submit a statement of financial viability in the form of a statement letter from a financial specialist. This could be an accountancy, bank or financial services firm. CQC say this has been introduced to provide high level consistency and transparency in the way they assure themselves that providers are meeting Regulation 13 of the CQC (Registration) Regulations 2009. They also say it will support their proportionate risk based approach to registration.

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Ban on credit card charges now in forceBan on credit card charges now in force

Businesses in the UK are no longer allowed to surcharge customers for paying with credit and debit cards as of the 13th of January. This ruling also applies to paying for items with companies like PayPal.

Further information can be found on the gov.uk website.

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Issues facing providers of social care at home to older residents in rural EnglandIssues facing providers of social care at home to older residents in rural England

Rural England has published a research paper looking at the issues facing providers of homecare. The paper covers the following areas:

  • Analysis of the current and future homecare needs of older people in Rural England in the context of demographic and health trends;
  • Summarising some of the key elements of The Care Act and other selected legislation relating to Social Care;
  • Exploring the perspectives of Local Authorities and other care providers in the context of case studies of three contrasting rural areas (Cornwall, Shropshire and North Yorkshire).

A link to the paper from Rural England can be found here.

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Social care leaders highlight risks from lack of funding for sleep-in liabilitiesSocial care leaders highlight risks from lack of funding for sleep-in liabilities

UKHCA has joined with other social care leaders to highlight the significant financial risk posed by the absence of funding to meet back pay liabilities, resulting from a change in the law concerning sleep-ins. A joint letter published in the Observer says the situation is causing widespread anxiety for carers and those who use care services. Letter to Observer published 29 January 2018.

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Care Workers Charity is making an impactCare Workers Charity is making an impact

The Care Workers Charity (CWC) supports the basic welfare of current, former and retired care workers. That's anyone who works in a registered care service in the UK. The charity has a vision that no care worker will ever face financial hardship alone. Support is offered in the form of hardship grants, and online information and advice.

For more information about CWC and how to get involved, see: www.thecareworkerscharity.org.uk/ or read their first impact report

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Caroline Dinenage MP confirmed Care Minister, as social care role is upgradedCaroline Dinenage MP confirmed Care Minister, as social care role is upgraded

Caroline Dinenage MP is Minister of State for Care, with a brief that includes overseeing all aspects of adult social care, including dementia, loneliness and disabilities, hospital care quality and patient safety, community health services and health and social care integration. This represents a welcome upgrading of the care brief, formerly held by a junior minister. We understand the new Care Minister will take forward the green paper on adult social care, with a team that has transferred to DHSC from the Cabinet Office.

Jackie Doyle-Price MP becomes Parliamentary Under Secretary of State for Mental Health and Inequalities. Stephen Barclay MP is Minister of State for Health, and Steve Brine MP, Parliamentary Under Secretary of State for Public Health and Primary Care.

Department for Health and Social Care ministerial responsibilities: https://www.gov.uk/government/organisations/department-of-health-and-social-care

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Councils must meet all assessed care needs of service usersCouncils must meet all assessed care needs of service users

In a recent decision, the Local Government and Social Care Ombudsman in England has said councils should not ask people which of their needs should be met. An investigation by the Ombudsman found a man was placed in this situation, incurring him more than £17,000 in costs, by Northamptonshire County Council.

The Ombudsman is now asking the council to accept its faults and put things right, while reminding all councils in England of their duty to meet all service users' eligible needs. Read more about the Ombudsman's decision here.

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NISCC launch easy-read standards of conductNISCC launch easy-read standards of conduct

NISCC have published an easy- read version of the Standards of Conduct and Practice for Social Workers and Social Care Workers. The easy read standards have been specifically developed for service users, to enable them to understand the level of care they can expect to receive from their social care worker and what to do if they are not happy with their standard of care.

The new documents can be downloaded from the NISCC website.

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Department of Health warns of intense pressure on health and social careDepartment of Health warns of intense pressure on health and social care

Senior Department of Health officials have given a briefing to MLAs on the intense pressures and challenges facing the health and social care sector in Northern Ireland. The officials stressed the need for transformation in the sector, although this seemed to be primarily focused on health services.

Further details can be found on the Department of Health website.

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Report finds transformation funds used for day-to-day pressuresReport finds transformation funds used for day-to-day pressures

The National Audit Office has issued a report on NHS sustainability and transformation which concludes that £1.8bn additional funding for financial stability has been spent on current pressures instead. The NAO suggested that "Repeated short-term funding-boosts could turn into the new normal, when the public purse may be better served by a long-term funding settlement that provides a stable platform for sustained improvements". More from: Sustainability and transformation in the NHS (pdf - 1248KB) and Sustainability and transformation in the NHS Summary (pdf - 141KB) NAO Press Release Comment in Guardian

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January 2018 Homecarer is now available to downloadJanuary 2018 Homecarer is now available to download

In this issue: UKHCA writes about a recent webinar for council commissioners; Trevor Brocklebank, UKHCA's new Chair formerly introduces himself; Bridget Warr, UKHCA's CEO, discusses how homecare issues are being moved forward to shape the future of care; a special sensory impairment section featuring articles written by RNIB, British Society of Hearing Aid Audiologists and Sense offering advice to carers on how they can help service-users; UKHCA's Policy Director, Colin Angel talks about recruitment and retention: Towergate Insurance writes about reducing risk and the costs of your insurance; Anthony Collins Solicitors explains what procurement is and what it could mean for homecarer providers and we present a round-up in the national reports of announcements and developments related to homecare.

January 2018 Homecarer edition

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CQC prepared to postpone routine inspections where services have winter pressuresCQC prepared to postpone routine inspections where services have winter pressures

CQC have said they will pause some routine inspections where hospital staff are busy coping with respiratory illness and influenza. Inspections responding to concerns about quality or safety will go ahead as planned. CQC say 'the majority of Adult Social Care inspections are carried out on an unannounced basis in response to risk and to follow up concerns. As such, the planned inspection schedule will not change but will be kept under constant review and if CQC receive a notification of a flu or norovirus outbreak at a location it will be amended accordingly.'

Normal service is expected in February, subject to system review. More from: http://www.cqc.org.uk/news/stories/cqc-responds-increased-pressure-health-social-care-pausing-some-routine-inspections

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Ministerial lead for loneliness appointedMinisterial lead for loneliness appointed

Minister for Sport and Civil Society Tracey Crouch MP has been appointed ministerial lead on loneliness. The Prime Minister said the new minister would work with the Jo Cox Commission, businesses and charities and lead a cross-government group which would develop a first strategy on preventing loneliness. The initiative will include a dedicated fund for government to work with charitable trusts, foundations, and others to stimulate innovative solutions. Up to 9 million people in Britain say loneliness affects them, including older people, family carers and those who have been bereaved.

More from: www.gov.uk/government/news/pm-commits-to-government-wide-drive-to-tackle-loneliness

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MPs call for improvements in NHS continuing care application process and fund oversightMPs call for improvements in NHS continuing care application process and fund oversight

MPs on the Public Accounts Committee say Government should improve the process for qualifying for, and oversight of, NHS continuing care. The PAC's report said 'too often people's care is compromised because no one makes them aware of the funding available, or helps them to navigate the hugely complicated process for accessing funding.' There is unacceptable variation between areas in the number of people assessed as eligible for funding, caused partly by clinical commissioning groups interpreting assessment criteria inconsistently. Oversight of funding has been poor and NHS England's call for large efficiency savings add to the financial pressure. Report

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Major review recommends a "revolution" in the way health and social care is delivered in WalesMajor review recommends a "revolution" in the way health and social care is delivered in Wales

Nine leading international experts, chaired by the former chief medical officer for Wales Dr Ruth Hussey, have published a report recommending ways to try to put the Welsh health and social care system on a stronger footing and advocating a new national transformation programme to drive forward changes.

Key recommendations include:

  • Shifting resources away from big hospitals, investing in new technology and giving patients more choice about how and where they want to be cared for.
  • Urgent action to address "critical" staff shortages.
  • More to be done to protect the wellbeing of those working in health and care.
  • More sophisticated methods" of listening to patients and those being cared for and more shared decision making with those it affects.
  • Building on the many great examples of quality improvements at local level with "many driven by heroic individuals in isolation due to lack of support and coordination".

Ministers have said that a new plan will take into account the review's recommendations.

You can read the full report here:

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Caroline Dinenage MP reported to be social care ministerCaroline Dinenage MP reported to be social care minister

The BBC News website is reporting that Caroline Dinenage MP has been appointed social care minister in Health and Social Care Secretary Jeremy Hunt's team, a move that reinforces the importance of the adult social care green paper, due in summer 2017: http://www.bbc.co.uk/news/health-42663223

The precise split of ministerial responsibilties has not yet been confirmed on the DHSC website after the Cabinet reshuffle, but should appear here shortly: www.gov.uk/government/organisations/department-of-health-and-social-care 

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Staffing and funding pressures in the NHS over the past decade must be addressedStaffing and funding pressures in the NHS over the past decade must be addressed

A blog by Siva Anandaciva, Chief Analyst at the King's Fund, examines what the latest national data says about how A&E departments are coping compared with previous winters.

In December 2017, A&E attendances were 3.7 per cent higher than in December 2016, and emergency admissions to hospital 4.5 per cent higher. Christmas Eve was the only day when the NHS met the target of the bed occupancy rate of below 85%.

Siva argues that the cumulative staffing and funding pressures in the NHS over the past decade should be addressed if A&E departments are to be given a fighting chance of maintaining performance over winter and throughout the year.

Read the King's Fund blog here

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CQC chief executive to step down in the summerCQC chief executive to step down in the summer

Care Quality Commission Chief Executive Sir David Behan has announced his intention to step down in summer 2018. He has spent six years at the helm of the regulator and now wishes to move on and make a contribution in a different way. CQC will be taking steps to recruit a replacement shortly, to oversee the organisation in the next stage of its development.

More from: www.cqc.org.uk/news/stories/sir-david-behan-announces-intention-step-down-summer

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Views sought on document naming standard for NHS digital recordsViews sought on document naming standard for NHS digital records

The Professional Record Standards Body (PRSB and the Royal College of Physicians Health Informatics Unit have published a survey seeking views from patients, carers, health and care professionals and industry representatives on a proposed model for document naming in the NHS.

The aim is to develop a standard for naming digital healthcare documents, so they can easily be found by clinicians and patients when accessing health records.

Care providers are asked to comment on the draft model in a survey that takes 10 minutes to complete and closes on 2 February 2018, before the PRSB seek endorsement of the final version.

Any questions to Lindsay Dytham, project manager, at informatics@rcplondon.ac.uk or email info@theprsb.org.

 The survey URL is: https://www.surveymonkey.co.uk/r/PRSBdocumentnaming

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Health and Social Care Secretary defends record on NHS winter planningHealth and Social Care Secretary defends record on NHS winter planning

In a debate on the NHS winter crisis on 10 January, Health and Social Care Secretary Jeremy Hunt defended the Government's record on preparation for winter. On planning funding he said: "..as we come to the end of the five year forward view, we need to seek a consensus on the next stage for the NHS. We will need significantly more funding in the years ahead, and we need to build a national consensus on how to find that funding. My view is that we should try to do that for a 10-year period, not a five-year period". On social care, he said: ... "Monday's decision [on including social care explicitly in his job title and brief] means that policy leadership will come back to the Department of Health, which will help us to make even faster progress." Hansard

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Jeremy Hunt MP becomes Secretary of State for Health and Social CareJeremy Hunt MP becomes Secretary of State for Health and Social Care

As part of a Cabinet re-shuffle in Westminster, Jeremy Hunt MP now has explicit responsibility for both health and social care services, a change that probably signals his Department will take forward the green paper on adult social care, rather than the Cabinet Office.

Caroline Dinenage MP and Stephen Barclay MP were both appointed Minister of State at the Department of Health and Social Care, ministerial duties to be confirmed. Jackie Doyle-Price MP, Steve Brine MP and Lord O'Shaughnessy keep the role of Parliamentary Under Secretary of State at the Department of Health and Social Care, as it is now named. Philip Dunne is no longer a health minister.

See Our Ministers at: www.gov.uk/government/organisations/department-of-health-and-social-care

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Care Inspectorate open annual return processCare Inspectorate open annual return process

The Care Inspectorate has asked all providers to return an annual form to help them plan and carry out their inspections. They will be accepting submissions between 5th of January and 16th February 2018.

Further details, and the online form, can be accessed via the Care Inspectorate website.

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Scottish Government publish annual domiciliary care figuresScottish Government publish annual domiciliary care figures

The Scottish Government has published annual statistics relating to domiciliary care services in Scotland. The figures for 2016/17 include the number of people receiving homecare, total hours of care purchased by local authorities, and the number of, and expenditure on, direct payments.

The report can be accessed via the publications page.

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Welsh Government confirms domiciliary care worker registrationWelsh Government confirms domiciliary care worker registration

The Minister for Children and Social Care, Huw Irranca-Davies, has confirmed that the Register of Social Care Workers will open to domiciliary care workers in April 2018.

All domiciliary care workers will be required to be registered with Social Care Wales by April 2020. UKHCA will send out further details once they become available.

The Social Care Wales press release can be accessed via their website.

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Social Care Wales launch report on national care needsSocial Care Wales launch report on national care needs

Social Care Wales have published a report that aims to identify common care needs across Wales. The regional reports were jointly produced by the local authorities and local health boards with the support of communities, and the third and independent sectors.

The reports look at a wide range of age groups and seek to identify what is being done to meet care needs and how they can be further improved.

The full report can be downloaded from the Social Care Wales publications page.

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CSSIW will be changing its name to Care Inspectorate WalesCSSIW will be changing its name to Care Inspectorate Wales

From 15th January, CSSIW will be going by the name of Care Inspectorate Wales. Registration will not be affected by the change in name. The website and online resources will be updated over the coming months.

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Department of Health release domiciliary care figures for 2017Department of Health release domiciliary care figures for 2017

The Department of Health has published their annual report looking into domiciliary care in Northern Ireland. The bulletin presents information on the numbers of clients receiving domiciliary care, contact hours, domiciliary care visits and intensive domiciliary care provision.

Key facts and figures include:

-An estimated 261,652 contact hours of domiciliary care were provided by HSC Trusts in Northern Ireland, a decrease of 3% (7,231) from the survey week in 2016 (268,883).

-493,700 domiciliary care visits were provided to clients, 28% from the statutory sector and 72% from the independent sector.

-Over half (51%) of all domiciliary care visits provided to clients were between 16 and 30 minutes long. Over three in ten (31%) visits were 15 minutes or less and under one in five (18%) were more than 30 minutes long.

The full report can be accessed via the Department of Health website.

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Draft guideline on dementia assessment, management and support for people living with dementia and carersDraft guideline on dementia assessment, management and support for people living with dementia and carers

NICE is consulting on a draft guideline which looks at dementia assessment, management and support for people living with dementia and carers. Aimed at healthcare and social care professionals, commissioners, providers and people with dementia and their families, the draft guideline covers diagnosing and managing dementia, medication, palliative care and staff training. Short version of the guideline (33 pages)

The consultation page has the full version, plus information and supporting documents. The consultation closes on 13 February 2018. There is more information including an economic model which accompanies the guideline. NICE intends to produce resources to help implementation once the consultation is over.

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NHS England consulting on ending prescriptions for some OTC medicinesNHS England consulting on ending prescriptions for some OTC medicines

NHS England is consulting on ending prescriptions for some 'over the counter' remedies, such as dandruff, indigestion, mouth ulcer and travel sickness treatment. The consultation, which runs until 14 March 2018, lists 33 minor illnesses which have been identified as self-limiting or more suitable for self-care. There will also be four national engagements events for patients and the public plus webinars for representatives of patient groups and charities (details will be published in January at website).

NHS England says it is likely to publish guidance on OTC medicines, after the consultation. 

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