UKHCA

United Kingdom Homecare Association
Raising the standard for homecare for over 25 years

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CQC issue response to second next phase consultationCQC issue response to second next phase consultation

The Care Quality Commission have issued their response to the second consultation on the next phase of regulation, setting out changes to the regulation of adult social care services, registration and the fit and proper persons requirement. The consultation analysis and response are at: http://www.cqc.org.uk/get-involved/consultations/our-next-phase-regulation-consultation-2

CQC have also emailed providers direct with a newsletter summarising the changes.

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Free 'flu vaccinations confirmed for England’s Homecare WorkersFree 'flu vaccinations confirmed for England’s Homecare Workers

The Department of Health and Public Health England have confirmed that paid homecare workers in England’s independent and voluntary sector will be entitled to free ‘flu vaccination this winter 2017-18. See letter from Professor Dame Sally Davies and others to UKHCA CEO Bridget Warr, in her capacity as chair of the Care Provider Alliance, dated 18 October 2017.

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Age UK report 4 million bed days lost since 2011 due to problems securing social careAge UK report 4 million bed days lost since 2011 due to problems securing social care

Age UK's analysis of statistics on delayed transfers of care show that since 2011, almost four million hospital bed days have been lost to the NHS due to problems securing social care.

In 2016/17 alone, nearly one million hospital bed days were lost (954,799) due to an inability to access social care, with an excess cost of £173 million excluding equipment and adaptations.

The Charity reveals that the starkest increase was last year, between 2015/16 and 2016/17, when there was a 27.2 per cent rise in the number of bed days lost through an inability to have social care arrangements in place, from 695,037 days, to 954,799 days.

The latest available figures show that in the period between April and July 2017, there have been 13.2 per cent more days lost to social care than during the same period in 2016.

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Staying active can reduce demand for social careStaying active can reduce demand for social care

Keeping active can help people live more independently and reduce the need for social care, according to an article published in The British Medical Journal.

The authors of the article say that staying healthy in old age is not a matter of luck; genetics are not the major causes of chronic diseases. Rather, the need for social care is determined more by loss of fitness which can often be confused with the effects of ageing. The good news is that at any age, and with any combination of health problems, exercise can improve fitness and keep a person above the threshold for needing more care.

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Additional £40 million for health in Northern Ireland but financial pressures remainAdditional £40 million for health in Northern Ireland but financial pressures remain

An additional £40million is being allocated to the Department of Health to meet short-term financial pressures faced by the health and social care system. Trusts were consulting on savings of £70 million, so the additional £40million will only reduce the amount required to break even.

The Department has warned that in 2018-19 and 2019-20 an estimated £430 million and £670 million respectively will be needed to maintain existing services. The Department's announcement said: "...the best long-term way to counter these pressures is transformation. It is absolutely imperative to pursue the reform of the system to safeguard vital services and ensure it is fit for the future.

"As the Expert Panel, led by Professor Bengoa reported, reform must be addressed in a systematic and sustainable way which is in parallel with improving the quality of services. Transformation plans must continue for our health and social services so that resources are used in the most effective way in the best interests of patients."

https://www.health-ni.gov.uk/news/additional-ps40-million-health

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Sleep-ins, handed back contracts and provider closures feature in ADASS surveySleep-ins, handed back contracts and provider closures feature in ADASS survey

The Autumn Short Survey of Directors of Adult Social Services 2017 published today (11th October 2017) shows:

  • 50 councils experienced handbacks of contracts. 46 (92.0%) of these experienced handbacks in home care, 12 (24%) in residential care and 9 (18%) in nursing care. 6 councils (12%) experienced contract handbacks from all three types of service
  • 64 councils experienced provider closures, 36 of those (56.25%) in home care, 37 (57.8%) in residential care and 33 (51.6%) in nursing care. 13 councils (20%) experienced closures from all three types of service
  • 90 local authorities experienced quality concerns, 74 (82.2%) in home care, 80 (88.9%) in residential care and 77 (85.6%) in nursing care. 61 (68%) had experienced quality issues in all three types of service
  • The number of people affected across 74 councils was 27,815
  • 67 councils were able to provide an estimate of the amount required to cover the six-year back-pay for sleep-ins in council-run services. The average was £131,221 per council, with a total for those 67 councils of £8,791,794
  • 57 councils were able to provide an estimate of the amount required to cover the six-year back-pay for sleep-ins for all services in their area. The average was £1,782,974 per council are, with a total for those 57 council areas of £101,629,500.

In their press release, Margaret Willcox, ADASS President, said:

"Our latest survey findings should act as a fresh wake-up call to government that adult social care is coming perilously close to becoming unsustainable."

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Social Care Wales publish strategy for 2017-2022Social Care Wales publish strategy for 2017-2022

The strategic plan sets out Social Care Wales's vision for the next five years, what it aims to achieve, what its focus will be and how it will work with the social care and early years sectors, the public and the Welsh Government to realise its ambition. Over the next five years, Social Care Wales aims to lead and support improvement in social care, develop the social care and early year's workforce, and provide public confidence.

The full strategy, and a short PDF summary, can be sound on the Social Care Wales website.

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Complete your Self-Assessment of Service Statement (SASS)Complete your Self-Assessment of Service Statement (SASS)

Care and Social Services Inspectorate (CSSIW) have written to all domiciliary care agencies to remind them to fill and submit their SASS via CSSIW Online.

All domiciliary care agencies, even if not currently operating, must submit their response by the 15th November.

If you do not receive a letter from CSSIW or if you are having technical problems with the website or activating your CSSIW Online account, for example if your activation PIN is not working, please email cssiw.online@wales.gsi.gov.uk or CSSIW on 0300 025 6222 (English) or 0300 025 6111 (Welsh).

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Social Care Wales publish new toolkit for working with older peopleSocial Care Wales publish new toolkit for working with older people

Social Care Wales has today published a toolkit to support the sector to help older people remain independent in their communities for longer. The toolkit is aimed at practitioners who work with older people in the community, as well as planners and commissioners of care and support services for older people.

Further details and access to the toolkit can be found on the Social Care Wales website.

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LGA say £1.3bn is required immediately to stabilise the adult social care provider market LGA say £1.3bn is required immediately to stabilise the adult social care provider market 

In their report Adult social care funding - state of the nation 2017 published 11th October 2017, the Local Government Association (LGA) say that a bare minimum of £1.3 billion is required immediately, and in future years, to stabilise the adult social care provider market.

Putting pressure on Philip Hammond ahead of the Autumn Budget, the LGA also estimate that local government faces a funding gap of £5.8 billion by 2020. According to the LGA, £1 billion of this is attributable to adult social care and includes only the unavoidable costs of demography, inflation and the National Living Wage. The figure excludes other significant pressures to adult social care, including the potential costs associated with "sleep-ins", which include both historic liabilities and future costs, as well as any resources to address unmet need.

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Care Minister doesn't recognise Age UK figures in Care Quality Commission reportCare Minister doesn't recognise Age UK figures in Care Quality Commission report

Age UK have estimated that up to 1.2 million people have unmet social care needs, a figure quoted by the Care Quality Commission in their State of Care report published 10th October 2017. On the same day, during Health Questions in parliament, Care Minister, Jackie Doyle-Price said she didn't recognise Age UK's estimates. Referring to the social care consultation, the Care Minister said: "There is a long-term issue to address in the fact that we are all living longer. This is not just going to need a sticking plaster; we will need to take the public with us. So this is not just another consultation; it is a vehicle for making sure that we as a society tackle this issue once and for all."

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"The big questions on (social care) funding have repeatedly been dodged""The big questions on (social care) funding have repeatedly been dodged"

Mark Lever, co-chair of the Care and Support Alliance, of which UKHCA is a member, was speaking in an article in the Guardian newspaper about the absence from the prime minister's ill-fated conference address of any reference to the system reform that had been flagged in the party's general election manifesto, promising "dignity and protection in old age".

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CQC State of Care ReportCQC State of Care Report

The publication of the Care Quality Commission’s annual State of Care Report (10 October 2017) presents a picture of England’s social care and health system at “full stretch”, with many services having coped well, while others are even more fragile than last year. Full UKHCA press release.

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CQC calls for better capacity assessment and decision recordsCQC calls for better capacity assessment and decision records

CQC's new State of Social Care report commented that mental capacity is an area where health and social care providers and staff often lack understanding (page 121). CQC said there was often not enough time spent assessing a person's changing capacity, particularly where this fluctuates daily, and record keeping was not always detailed enough on 'best interests' decisions.

UKHCA would like to draw members' attention to our recently revised free Mental Capacity Factsheet, by Anthony Collins Solicitors LLP, which describes mental capacity assessment and 'best interests' decision making, and includes decision record templates for basic and more complex decisions.

There will be more about CQC's State of Social Care report in November Homecarer.

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Welsh Government publish draft budget for 2017/18Welsh Government publish draft budget for 2017/18

The Government has published 'Taking Wales Forward' the draft budget priorities for 2017/18 which will be confirmed towards the end of October. The draft priorities re-state a commitment to integrated health and social care services, £25m of additional funding for local authorities, and a further £60m for the Intermediate Care Fund.

Further details can be found on the Welsh Government website.

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Social care cost inquiry for ageing population in WalesSocial care cost inquiry for ageing population in Wales

The Welsh Assembly has launched an inquiry into the social care cost of caring for an ageing population. The inquiry will be led by the Finance Committee and will primarily focus on determining the likely cost of social care in Wales.

The Assembly have invited the public and interested parties to submit comments for consideration, with a deadline of 8th December 2017.

Further details of the inquiry and how to respond can be found on the Assembly website.

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New Bill aims to make Public Services Ombudsman more responsive and citizen-focusedNew Bill aims to make Public Services Ombudsman more responsive and citizen-focused

A newly proposed bill aims to change the way that complaints are handled by the Public Services Ombudsman, which also deals with complaints from independent care providers in Wales. The bill seeks to make the complaints process simpler, and easier to understand.

Full details can be found here.

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Government extends suspension of HMRC enforcement relating to sleep-ins - briefing now availableGovernment extends suspension of HMRC enforcement relating to sleep-ins - briefing now available

The Government has extended suspension of HMRC enforcement of back pay owed to staff undertaking sleep-in shifts in the social care sector by one month from the previous deadline of 2 October, announced in July. This is to allow the government time to develop a new enforcement scheme for the sector to encourage and support social care providers to identify back pay owed to their staff.

Anthony Collins Solicitors LLP have issued a briefing on this extension which comments that social care providers have a further month of uncertainty to see what the Government proposes to do about back pay for sleep-ins. They hold out little hope that the Government will put their hands in their pockets to help providers make six years of back payments.

The Government announcement is at: www.gov.uk/government/news/government-extends-suspension-of-minimum-wage-enforcement-in-the-social-care-sector

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Helpful information and guidance on General Data Protection Regulation (GDPR)Helpful information and guidance on General Data Protection Regulation (GDPR)

Following on from a roundtable event in Belfast on GDPR with the Information Commissioner's Office (ICO) the ICO have passed on a number of helpful resources to help organisations navigate their way through changes as a result of GDPR coming into effect in May 2018.

These resources include:

-A GDPR self-assessment toolkit

-Privacy impact assessment guidance and code of practice

-'Bring your own device guidance'

-Security compliance and guidance:

We strongly urge members to review these resources and familiarise themselves with the ICO website.

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NISCC publish consultation on Equality and Disability Action Plan 2018-23NISCC publish consultation on Equality and Disability Action Plan 2018-23

NISCC are seeking views and feedback on their Action Plan through a public consultation process that will run from early October until the end of December. The Equality Action Plan looks at actions that could be taken to tackle inequalities across all equality categories. The Disability Action Plan looks at promoting positive attitudes towards disabled people and encouraging their participation in our work areas.

Further details and information on how to respond to the consultation can be found on the NISCC website.

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Nice guidelines on intermediate care including reablementNice guidelines on intermediate care including reablement

Nice has published a new guideline on intermediate care including reablement. It covers referral and assessment for intermediate care and how to deliver the service. Intermediate care is a multidisciplinary service that helps people to be as independent as possible. It provides support and rehabilitation to people at risk of hospital admission or who have been in hospital. It aims to ensure people transfer from hospital to the community in a timely way and to prevent unnecessary admissions to hospitals and residential care.
Download the new guideline here.

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CSSIW open consultation on DBS changesCSSIW open consultation on DBS changes

CSSIW are seeking views on their proposed changes to the DBS application process to bring Wales in line with other UK regulators. CSSIW will no longer directly manage the checks, and applicants will be required to pay the DBS fee (currently £44) and an administration charge for this service.

Full details of the proposed changes and how to respond to the consultation can be found on the CSSIW website.

The deadline for responses is 31 October 2017.

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NISCC publish annual performance reportNISCC publish annual performance report

NISCC have published their annual report which gives an account of their financial management and progress towards their aim 'To protect the public through improving safeguards for vulnerable people, raising the standards of social care practice and strengthening the professionalism of the workforce'.

The highlights and full report can be found the NISCC website.

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Cavendish Coalition calls for migration system that recognises public service valueCavendish Coalition calls for migration system that recognises public service value

The Cavendish Coalition (of which UKHCA is a member), has responded to the joint statement from CBI and TUC on EU nationals' rights, calling for a future immigration system that uses public service value as a key factor in assessing skill levels and setting entry requirements.

The Coalition says this would help to tackle the often misleading assumption that the salary paid to a migrant worker is the main indicator of the value of their work to the health and wealth of the UK.

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Skills for Care guidance on recruitment and retention successSkills for Care guidance on recruitment and retention success

Skills for Care have published a report that gives guidance to employers in England on how to improve recruitment and retention in adult social care services. The advice was put together after consultation with employers to find out what works well.

The full report can be found on the Skills for Care website.

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Labour Party pledges a national care service Labour Party pledges a national care service 

In his address to the 2017 Labour Party conference, Jon Ashworth, the Shadow Health Secretary pledged a Labour Government would allocate an extra £45 billion for the NHS and social care sector. He also pledged Labour would establish a half billion pound emergency winter fund.

Barbara Keeley, Shadow Cabinet member for mental health and social care said Labour will build a National Care Service. She said that in its first years, the National Care Service will receive an extra £3 billion in public funds every year. This would, she said be enough to place a cap on what individuals have to pay towards care and enough to raise the asset threshold. It would also fund free end of life care.

Labour plan to invite an independent, expert panel to advise them on how to move to a sustainable service for the long term.

Read the full speeches here.

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Social care worth £42 billion to the English economy Social care worth £42 billion to the English economy 

Skills for Care has launched their latest report on the state of the adult social care sector and workforce in England with a finding that adult social care contributes £42 billion to the English economy. "The state of the adult social care sector and workforce in England 2017" examines data collected from the National Minimum Data Set for Social Care (NMDS-SC) and also looks at future demand for social care. Based on the current rate of growth between 2012 and 2016, Skills for Care project that by 2030 the sector as a whole may need 350,000 new jobs which represents a 21% growth.

Key findings in the report for the homecare sector show:

  • 505,000 jobs in CQC regulated homecare services
  • 440,000 of those jobs estimated to be providing direct care
  • 48% of the workforce were employed on zero-contracts
  • Turnover rate was 32.5% (27.8% across all services)
  • Vacancy rate was 9.2% equating to an estimated 48,500 vacant positions at any one time (6.6% across all services).

Since the introduction of the mandatory National Living Wage on April 1 2016, care workers pay in the independent sector has increased at a higher rate than previous years. Pay increased by 28p per hour (3.8%) between 2015/16 and 2016/17, before to the introduction of the NLW the pay had increased by an average of 12p per hour between 2011/12 and 2015/16.

 

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New e-learning programme for continence and catheter careNew e-learning programme for continence and catheter care

Health Education England e-Learning for Healthcare (e-LfH) has worked with partners to develop an e-learning programme to promote excellence in continence and catheter care. The e-learning programme comprises two sessions: "Promoting best practice in continence care" and "Promoting best practice in catheter care".

This programme is primarily intended for nursing staff and health care assistants across all settings, but is also available to homecare staff. It aims to improve knowledge and awareness of all aspects of continence and catheter care and includes the different types of incontinence and the therapies and treatments that can be offered. Emphasis is on avoiding catheterisation and on strategies for reducing the risk of catheter acquired urinary tract infection (CAUTI) in situations where catheterisation is unavoidable.

Access to e-LfH content is available to all social care professionals in England whose employers are registered with the Skills for Care National Minimum Data Set for Social Care (NMDS-SC).

To register with the NMDS-SC, members should access www.nmds-sc-online.org.uk or contact the skills for care support service on 0845 8730129.

A link to the e-learning programme is here.

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Cavendish Coalition welcomes comments from Prime Minister on status of EU citizensCavendish Coalition welcomes comments from Prime Minister on status of EU citizens

Responding to the Prime Minister's comments on the status of EU citizens in her speech in Florence on Friday 22 September, Danny Mortimer, co-convenor of the Cavendish Coalition (of which UKHCA is a member), said:
 
'We welcome the Prime Minister's positive message on the issue of guarantees for EU citizens already working in the UK. The Cavendish Coalition will continue to encourage the Government quickly and straightforwardly to enable indefinite leave to remain to the 165,000 EU staff working tirelessly to provide the best possible health and social care across our nations.
 
'We are clear that social care and health care will need to continue to recruit from the EU after Brexit, as well as the rest of the world, to fill vacancies that can't be filled domestically. In the short to medium term it is not feasible to meet current health and social care sector staffing needs through either additional domestic recruitment or training activity alone....".

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The Welsh Government has started the search for Wales' next Older People's CommissionerThe Welsh Government has started the search for Wales' next Older People's Commissioner

The Welsh Government is inviting applications from people interested in becoming Wales' third Older People's Commissioner. The closing date is 13 October 2017.

Following a full public appointments exercise, which will involve representatives of older people, it is expected a new commissioner will be appointed by the First Minister of Wales in spring 2018 for an initial four year term, with the new commissioner starting in the role in June 2018.

The Older People's Commissioner:

  • promotes awareness of the rights and interests of older people in Wales
  • challenges discrimination against older people in Wales
  • encourages best practice in the treatment of older people in Wales
  • reviews the law affecting the interests of older people in Wales.

The Commissioner has a wide range of legal powers to help deliver the change older people want and need to see.

Click here to read more.

 

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Department of Health publishes quarterly carer statisticsDepartment of Health publishes quarterly carer statistics

The Department of Health has published this quarter's statistics for carer assessments and re-assessments. A carer's assessment looks at each carer as an individual with their own personal circumstances, and will identify any particular needs they may have as a result. Both assessments and re-assessments have seen an increase since the last quarter.

Full figures and analysis can be found on the Department of Health website.

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Health and social care trust consultations on financial savings plansHealth and social care trust consultations on financial savings plans

The Health and Social Care Trusts in Northern Ireland have opened the consultation process on their financial savings plans.

The plans are being put in place to achieve savings targets given by the Department of Health and will be looking at making cuts to health and social care services.

The deadline to respond to the consultations is the 5th of October, and links to each Trusts consultation document or questionnaire can be found below.

Belfast Health and Social Care Trust

Northern Health and Social Care Trust

Western Health and Social Care Trust

Southern Health and Social Care Trust

South Eastern Health and Social Care Trust

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Powys County Council eventPowys County Council event

The Social Services and Well-being (Wales) Act 2014 will change the way local authority social services and other care services work together in partnership to help and support people. Powys County Council is entering a new chapter in the history of social services and care, the biggest change in a generation.

In response to this, the Council has considered a range of options for the future commissioning of the domiciliary care service for older people and vulnerable adults. The Council's preferred choice is to develop an approved provider list in the form of a Dynamic Purchasing System to meet the needs of local residents, and future demand.

This is an exciting opportunity for the Council and its providers. We would therefore like to openly invite all providers, potential providers and any organisation who wishes to support us in exploring and understanding this preferred option, to participate and contribute in an engagement event to share their valued knowledge, opinions and views in shaping the future commissioning of the domiciliary care service in Powys.

Providers, potential providers and interested parties are invited to attend an event on the 28th September 2017, from 10am until 1pm at the International Pavilion, Royal Welsh Showground, Llanelwedd, Builth Wells, LD2 3SY. To register your interest in attending the event, please email: shaun.morris@powys.gov.uk or tel. 01597 826803. Please could you also state if you wish to contribute in Welsh.



Bydd Deddf Gwasanaethau Cymdeithasol a Llesiant (Cymru) 2014 yn newid y ffordd y bydd gwasanaethau cymdeithasol awdurdodau lleol a gwasanaethau gofal eraill yn cydweithio mewn partneriaeth i helpu a chefnogi pobl. Mae Cyngor Sir Powys ar drothwy pennod newydd yn hanes gwasanaethau cymdeithasol a gofal, y newid mwyaf mewn cenhedlaeth.

O ganlyniad i hyn, mae'r Cyngor wedi trin a thrafod amryw o opsiynau ar gomisiynu gwasanaethau gofal yn y cartref yn y dyfodol i bobl hyn ac oedolion sy'n agored i niwed. Y dewis a ffefrir gan y Cyngor yw datblygu rhestr o ddarparwyr cymeradwy ar ffurf System Brynu Ddynamig a fydd yn ateb anghenion trigolion lleol, a'r galw yn y dyfodol.

Dyma gyfle cyffrous i'r Cyngor a'i ddarparwyr. Rydym felly'n gwahodd unrhyw ddarparwyr, darparwyr posibl ac unrhyw sefydliad sydd am ein cefnogi ni wrth i ni ystyried a deall y dewis hwn, i gymryd rhan mewn digwyddiad arbennig er mwyn rhannu gwybodaeth, barn a sylwadau ar fynd ati i gomisiynu gwasanaeth gofal yn y cartref ym Mhowys.

Rydym am wahodd darparwyr, darparwyr posibl ac unrhyw un sydd a diddordeb i ddigwyddiad arbennig ar 28 Medi 2017, rhwng 10 am a 1 pm yn y Pafiliwn Rhyngwladol, Maes y Sioe Fawr, Llanelwedd, LD2 3SY. I gofrestru diddordeb, anfonwch e-bost at shaun.morris@powys.gov.uk neu ffoniwch 01597 826803. A wnewch hefyd ddatgan os ydych am gyfrannu'n Gymraeg.

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CQC Equality and human rights: a good practice resourceCQC Equality and human rights: a good practice resource

CQC have produced a new good practice resource on equality and human rights. It has been designed to help providers put equality and human rights at the heart of their improvement work so that the quality of care gets better for everyone.

CQC say that services rated outstanding have developed practices that deliver equality and safeguard human rights for both the public and staff. They feel that improving the rights of people is a mainstream part of the delivery of health and social care, rather than a separate activity.

One of the case studies featured in the resource is a home care service for people with learning disabilities and autism.

You can download the good practice resource here.

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Analysis of London STPs by the Kings Fund and the Nuffield TrustAnalysis of London STPs by the Kings Fund and the Nuffield Trust

The King's Fund and the Nuffield Trust have published their analysis of the five London Sustainability and Transformation Plans (STPs). Commissioned by London's Mayor, Sadiq Khan, the STPs were reviewed to identify their key themes and analyse the proposals being made.

STPs represent a major shift in the approach taken to NHS reform in England. Previously there was an emphasis on competition; now the focus is on working together to bring about improvements in services and manage resources better.

A key theme of all the STPs is to deliver more coordinated services in the community. The analysis suggests that NHS and local government leaders are not being realistic about what can be achieved by 2020/21. As the report says, "Designing and implementing new care models will require both time and investment, including for double-running costs while new services are being established. The expected benefits to hospital demand and activity, as well as costs of care, should not be overstated. Current pressures on services in the community, including adult social care, will have a direct impact on the ability of STPs to deliver ambitions to provide more care in the community. Even if additional investment can be found for services in the community, current workforce pressures suggest that it may not be possible to recruit staff needed to deliver them."

Click here to read more.

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Draft Health Service Safety Investigations BillDraft Health Service Safety Investigations Bill

The Government has published a draft bill which proposes to set up a Health Service Safety Investigations Body. According to the government, this new organisation will bring about a whole-system change to how the NHS investigates and learns from healthcare error.

The Health Service Safety Investigations Body (HSSIB) will be independent of the NHS and at arm's length from Government. It will be able to require any organisation which provides NHS-commissioned care in England to provide information, documents, equipment or other items relevant to an investigation. Investigators will have powers of entry and inspection in order to access premises and material relevant to an investigation, unless these premises are a private home. These powers are similar to investigatory bodies in other safety critical industries, such as the Air Accident Investigations Branch.

More information is available here:

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Guidance on flu jabs for social care staffGuidance on flu jabs for social care staff

Members may already have seen the flu plan for 2017/18. Public Health England has now published guidance specifically for social care providers on flu immunisation of social care staff.

It gives details on the benefits of providing staff with flu vaccinations and points out that vaccination of staff has been shown to be effective in reducing disease spread and patient mortality in a care setting. It can also help to ensure people continue to receive care at home by reducing staff flu related illness and absences.

The guidance also refers to funding of the vaccine, suggesting that social care providers should offer vaccination to all staff directly involved in delievering care. Some staff may be eligible for free vaccination from their GP if they are already in an existing "at risk" clinical group. The guidance advises on the importance of these staff having their vaccinations early to protect themselves from serious illness associated with influenza infection.

Click here for information on who should have a flu jab.

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September Homecarer 2017 now available to downloadSeptember Homecarer 2017 now available to download

September Homecarer 2017 is now available for members to download. In this issue UKHCA provides an update on the Minimum Price for Homecare; Bridget Warr, UKHCA CEO discusses keeping social care as a government priority; Towergate Insurance responds to the CQC's 'state of care' report; Anthony Collins Solicitors says there are signs of hope for care providers waiting for increased funding; Mike Padgham, outgoing UKHCA Chairman writes his final Chairman's letter, Professor Justine Schneider, University of Nottingham explores what 'good' homecare looks like for people with dementia;UKHCA Senior Policy Officer, Duncan White explains how Scottish providers are receiving well below Minimum Price for Care; Dan Jones, UKHCA Policy Officer reports on what the Welsh Government and Social Care Wales has in store for the sector, James Whynacht, UKHCA Policy Officer writes on how Northern Ireland is thinking long-term for care and provides a question and answer page on compliance with National Minimum Wage regulations.

September Homecarer 2017

 

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NICE seeks homecare RM for Quality Standard Advisory Committee for managing medicines in the communityNICE seeks homecare RM for Quality Standard Advisory Committee for managing medicines in the community

NICE are looking for topic experts on managing medicines in the community to join their Quality Standards Advisory Committee (QSAC), in particular a Homecare Registered Manager.

Information on the posts is available here The deadline for applications is 4 October at 17.00.

As members will be aware, NICE quality standards are a concise set of prioritised statements designed to drive measurable quality improvements within a particular area of health or care, developed to help professionals, providers and people who use services. More from: www.nice.org.uk/standards-and-indicators

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Mental capacity factsheet and decision record templates for membersMental capacity factsheet and decision record templates for members

The Mental Capacity Act 2005 introduced new rights in England and Wales from 2007 for people who may have problems making decisions (“mental capacity”) as well as responsibilities for people who look after someone who may have mental capacity issues.

This guidance, recent revised by UKHCA and our recommended solicitors Anthony Collins LLP, complements government guidance and other official materials on the Mental Capacity Act 2005, and provides an overview of the Act and the systems and organisations that support it. The guidance makes practical suggestions on how to adopt mental capacity assessments into homecare practice and, importantly, record 'best interests' decisions (with accompanying templates). There is also a new section on deprivation of liberty. See: www.ukhca.co.uk/downloads.aspx?ID=155#bk1

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House of Commons Health Committee members confirmedHouse of Commons Health Committee members confirmed

Members of the influential Commons Health Committee have been confirmed. Led by Chair Dr Sarah Wollaston, the Committee will comprise Luciana Berger, Ben Bradshaw, Dr Lisa Cameron, Rosie Cooper, Dr Caroline Johnson, Diana Johnson, Johnny Mercer, Andrew Selous, Maggie Throup and Dr Paul Williams. More news here

Membership of the Communities and Local Government Committee is here and Exiting the EU Committee here

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Updated Standards for Employers of Social Workers and Social Care Workers publishedUpdated Standards for Employers of Social Workers and Social Care Workers published

The Northern Ireland Social Care Council (NISCC) in partnership with RQIA, have published their updated standards for social care employers. The standards have been developed jointly, and describe the responsibilities of employers in supporting and enabling their registered workforce to meet the Standards of Conduct and Practice for employees.

Further details, and a PDF download of the standards, can be found on the NISCC website.

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Care workers conference: Leading Change, Adding ValueCare workers conference: Leading Change, Adding Value

Leading Change, Adding Value are hosting a free to attend event aimed at care workers, which will be on the 17 October. This event, taking place in Leeds, is being held in being led by NHS England in collaboration with Health Education England, NHS Improvement, Public Health England, National Care Forum, Care England, Royal College of Midwives, Royal College of Nursing and Unison.

A link to the registration page can be found here.

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New guide on moving between hospital and homeNew guide on moving between hospital and home

There is a new quick guide for registered managers of homecare and care homes on moving between hospital and home, which acknowledges their important role in supporting patients transferring in and out of hospital. The guide, by SCIE and NICE, considers how managers can work in partnership with hospitals and other services to help people make a smooth transition to and from care.

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Views sought from those registered with SSSCViews sought from those registered with SSSC

The Scottish Social Services Council is seeking views from registrants so they can use registration 'in positive ways as well as identifying issues that need addressed'. Registered staff are invited to respond to a short anonymous online survey by 15 September 2017. This should take around 5-10 minutes: Registration Research Project Survey

The research is a long term project and the SSSC will use a variety of ways to communicate with registrants.

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Leaked EU migration policy will create 'a perfect storm'Leaked EU migration policy will create 'a perfect storm'

The ability of the homecare sector to recruit and retain sufficient careworkers will be significantly challenged if proposals contained in a leaked Home Office paper on EU migration policy are implemented, says the United Kingdom Homecare Association, the professional body for domiciliary care providers. Full UKHCA media release

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#OSHtober - Free manual handling resources for your business#OSHtober - Free manual handling resources for your business

The Royal Society for the Prevention of Accidents (RoSPA) has launched its annual occupational safety and health campaign #OSHtober to highlight the effects of poor manual handing on workers and businesses.

The campaign provides free resources to assist businesses with good manual handling processes as well as tips, facts and statistics through their website and social media.

For further information, go to RoSPA's campaign website, or follow @RoSPAWorkplace on Twitter.

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Court of Protection considers best interest and religious practiceCourt of Protection considers best interest and religious practice

In a recent consideration between best interests and religious practices, the Court of Protection concluded it would not be in the best interests for a Muslim man with profound learning disabilities to observe fasting and the trimming or removal of pubic or axillary hair.

The Court was advised that 'the legally incompetent person (along with the terminally ill, the disabled and minors) is perpetually in a heightened state of spirituality, hence he or she is exempt from practising the major rituals of Islam including adherence to the Five Pillars.'

However, it was noted that the distinction between the legally competent and legally incompetent person is a "progressive" Islamic belief and other schools of belief within Islam may exist.

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Social Care Wales prepares sector for new qualificationsSocial Care Wales prepares sector for new qualifications

Today (5 September) Social Care Wales, a new organisation in Wales created to regulate and develop the social care workforce, has announced a suite of 20 new qualifications to be taught from September 2019.

City & Guilds and WJEC have been awarded the contracts and will work with Qualifications Wales, Social Care Wales, NHS Wales and trainers to design and deliver the new suite.

Further information about the development of the qualifications can be found on the Qualifications Wales website. Don't forget to respond to the Social Care Wales consultation, which deals with fees and qualifications for domiciliary care workers by 16 October.

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Thousands more people could be offered drugs to prevent bone fractures because of osteoporosisThousands more people could be offered drugs to prevent bone fractures because of osteoporosis

Nice (The National Institute for Health and Care Excellence), has published new guidance on the use of drugs called bisphosphonates for preventing bone fractures in people at increased risk.

It recommends treatment with oral bisphosphonate drugs for people who have at least a 1% risk of a bone fracture within the next 10 years.

Risk factors for bone fractures because of osteoporosis include: increasing age; a history of falls; a previous bone fracture because of osteoporosis; smoking; current use or frequent recent use of steroids; and an alcohol intake of more than 14 units per week for women and more than 21 units per week for men. Women are at greater risk because after they have gone through the menopause their bone loss accelerates.

Each year in the UK more than 300,000 people are seen in hospital because of fractures as a result of osteoporosis.

A link to the news report and guidance is here.

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Age UK research shows 1.9m pensioners are living below the poverty lineAge UK research shows 1.9m pensioners are living below the poverty line

New research from Age UK shows that nearly 3 million over 65s are struggling financially and 1.9m are living below the poverty line. Government figures have also shown that more than half a million over 65s are unable to keep their homes adequately warm.

According to Age UK's research, the older a person is, the more likely they are to be in financial difficulty. 19% of 80 to 84 year olds and 21% of those aged 85+ are in poverty compared to only 13% of 65-69 year olds.

Couples were more likely to be financially secure, with 13% in poverty, compared to 20% of single pensioners. Lastly, renters are particularly at risk, especially those renting privately, of which 33% are in poverty.

A link to the Age UK press release is available here.

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NHS England launches guidance on acid attacksNHS England launches guidance on acid attacks

NHS England has launched new guidance and information for the public on acid attacks.

A new page has been created on the NHS Choices website www.nhs.uk/acidburns - containing information on what to do as a victim or a bystander immediately following an attack with a corrosive substance, as well as how the NHS treats injuries caused as a result.

NHS England has also endorsed an infographic produced by burns specialists giving three clear and memorable actions to take - Report, Remove, Rinse - which is being shared via social media.

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Information Commissioners Office launches GDPR blogInformation Commissioners Office launches GDPR blog

The ICO has recently launched a series of blog posts discussing forthcoming changes to information regulation as part of the GDPR changes coming in May 2018. The blog posts aim to bust some of the myths surrounding GDPR, as well as offering some advice on compliance.

The articles can currently be found on the ICO's website.

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Healthwatch report adds to evidence of a fragile homecare systemHealthwatch report adds to evidence of a fragile homecare system

Read our response to today's publication of the Healthwatch report which provides an analysis of the views of older and disabled people and supports our view of an underfunded care system.

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Draft guideline on people's experience in adult social care servicesDraft guideline on people's experience in adult social care services

NICE is consulting on a draft guideline on people's experience in adult social care services: improving the experience of care for people using adult social care services. NICE say this is a valuable opportunity to ensure that the guideline considers issues important to UKHCA members.

The consultation document and supporting evidence are available at consultation page and the closing date is 3 October 2017. NICE expect the final guideline to be published in February 2018. Those who took part in the above consultation will have the chance to comment on the final guideline, just before publication. 

UKHCA is considering a response on behalf of members - please send us your comments to policy@ukhca.co.uk by 22 September 2017.

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A Minimum Price for Homecare - Version 4 now availableA Minimum Price for Homecare - Version 4 now available

UKHCA have revised the minimum price for homecare services from £16.70 to £17.19 per hour, to allow compliance with the prevailing National Minimum Wage and delivery of sustainable homecare services to local authorities and the NHS. The latest report also provides equivalent calculations of costs for the (voluntary) Scottish and UK Living Wages and the London Living Wage.

UKHCA Policy Director, Colin Angel, said: "It is essential that a viable regulated homecare sector is available to support the care of older and disabled people who choose to remain at home. The prices councils pay for care must cover the costs of the workforce, including - as a minimum - full compliance with statutory minimum wage levels and the costs of running a regulated care service. UKHCA's Minimum Price for Homecare provides a thorough rationale for the costs of state-funded care and is highlighted in Government's Care and Support Statutory Guidance (for England) as an approach which can be adopted by councils."

In response to feedback from stakeholders, this updated version provides a breakdown of the typical costs of running a homecare business, shown as a percentage mark-up of the direct costs. Our assumptions for the costs of Employers' National Insurance Contributions have also been revised.

UKHCA Minimum Price for Homecare - Version 4 is available to all, so you can share the report with your commissioners.

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Minister urged to boost funding at NHS Shetland annual meetingMinister urged to boost funding at NHS Shetland annual meeting

The Scottish Government was urged to provide more funding to stop "draconian cuts" facing health and social care in the Shetland Isles, the Shetland Times has reported.

Integration Joint Board (IJB) vice-chairman Allison Duncan argued the case with Minister for Public Health and Sport Aileen Campbell at an NHS Shetland annual meeting. Mr Duncan warned the minister that IJBs are grappling with deficits of between three and 14 per cent. Ms Campbell said the public sector was facing challenges around finances and the Scottish government had protected the health budget "as best we can", noting an increase of £2 billion on the health budget by the end of the parliament.

Mr Duncan warned the minister that unless more money is given to the Shetland Islands Council the cuts in the island community are going to be draconian. The minister's response suggested they were prepared to listen to a case for more funding but also she expected people to be able to work together to deliver what they've been charged to do.

Read the report from the Shetland Times here.

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Married couple separated for 10 months due to lack of available homecareMarried couple separated for 10 months due to lack of available homecare

The Local Government and Social Care Ombudsman has asked Lincolnshire County Council to review other families' cases after a man was separated from his wife for 10 months because there was no homecare available in his area.

The man's wife, who has mobility problems, should have returned home with the help of a care package following a hip operation. But she was placed in a residential home some 15 miles away because the council's contracted providers did not have capacity to care for her.

Lincolnshire agreed contracts with a smaller number of preferred care providers, each solely responsible for delivering all homecare services in their zone, in an effort to improve stability in the local market. The newly contracted provider in the woman's area didn't have enough capacity to provide care to meet her needs.

The Local Government and Social Care Ombudsman's role is to remedy injustice and share learning from investigations to improve local public, and adult social care services. In this case, the council has agreed to pay the husband £750 and the wife £1,000 to reflect their distress. It will also refund the man's travel expenses for the 10 month period. Read the Ombudsman report here

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NHS told to speed up Continuing Health Care AssessmentsNHS told to speed up Continuing Health Care Assessments

Continuing healthcare (CHC) is the name given to a package of care that is arranged and funded solely by the NHS for individuals who are not in hospital and have been assessed as having a primary health need.

Clinical Commissioning Groups (CCGs) have been told by NHS England to speed up the processes for carrying out CHC assessments of people in hospital. Delayed Transfers of Care (hospital discharges) are a key priority for the NHS who have been told they must be reduced from approximately 6,428 per day to 4,080 per day in order to release the needed bed capacity. NHS England estimate that sorting out the delays in discharges due to hold-ups in the CHC assessment process could help vacate up to a quarter of the total number of beds the NHS is required to release.

Some CCGs have been asked for plans to reduce the number of CHC assessments undertaken in hospital, while others have been asked to conduct an audit to understand the reasons for the lengthy delays in NHS CHC eligibility decision-making processes. CCGs are to report to the Director of Nursing by 11th September 2017.

Read the letter from NHS England to CCGs here.

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Blind and partially sighted will have more help to voteBlind and partially sighted will have more help to vote

Following recent changes by Government, English local authorities will be able support those with visual impairments to take part in elections. When a person's sight loss reaches certain levels they can agree to be certified as severely sight impaired or sight impaired by a Consultant Ophthalmologist. This allows them to receive certification and provides an opportunity to access support and services.

A new Certificate of Vision Impairment (CVI) form and accompanying Explanatory Notes for Ophthalmologists will make the CVI process more effective and ensure that people who are newly certified as sight impaired or severely sight impaired receive the support they need promptly. The reform of the CVI will also mean that local authorities in England will be able to contact those who hold a CVI and ask whether they need any extra help or support when registering to vote, or voting in elections.

Read the Department of Health press release here.

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Brexit could simplify process for councils buying homecareBrexit could simplify process for councils buying homecare

The Local Government Association (LGA) have called for the Government to introduce a more efficient system for regulating how councils buy goods and services when the UK leaves the European Union.

At the moment, councils have to follow EU-wide advertising and award procedures which can take twice as long as typical private sector procurements. The LGA is calling for a "lighter touch" system which will allow councils more flexibility and reduce administration costs for businesses, especially small and medium-sized enterprises.

Cllr Kevin Bentley, Chair of the LGA's Brexit Task and Finish Group, said:

" ... introducing more local flexibility and easier procurement rules after Brexit would provide more community benefits and more growth opportunities for SMEs. It would also allow councils to promote local suppliers and local labour and ensure workers earn a decent wage."

Read the full LGA news report here.



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16% of UK care homes at risk of failure16% of UK care homes at risk of failure

According to the accountancy and advisory network, Moore Stephens, 16% of care home companies in the UK are exhibiting warning signs that they are at risk of failure; a year ago they found that 12% of care homes in the UK were at financial risk.

Moore Stephens attribute the difficulties to a number of areas which will be very familiar to UKHCA members. They cite the increase in the National Living Wage and difficulties recruiting and retaining staff, possibly made worse by fewer staff from the EU wanting to relocate to the UK post-Brexit. Calling for more funding for care home companies, Moore Stephens also point out that councils are still having to make savings. English councils have to find £824m from their 2017/18 budgets.

The analysis was derived from Moore Stephens' 'Moore Data' service and shows 1,210 financially stressed companies from a total of 7,497 care home companies as per Companies House- year end 27 July 2017.

Read the full news report from Moore Stephens here.

 

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Nominations for Care Accolades 2018 now openNominations for Care Accolades 2018 now open

As members may know, Skills for Care are currently taking nominations for the 2018 Care Accolades, which recognise the great work of the care sector. The Accolades are open to adult social care organisations of all sizes and individual employers in England and the closing date for entries is 21 September 2017. Winners will be announced at Skills for Care's awards ceremony in London in March 2018. To find out more and enter, see: http://www.skillsforcare.org.uk/Getting-involved/Accolades-awards/Accolades-awards.aspx

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Department of Health publish figures on direct payments in Northern IrelandDepartment of Health publish figures on direct payments in Northern Ireland

The Department of Health has published the latest quarterly information collected from Health and Social Care Trusts on the number of, and the amount paid by direct payments, broken down by Trust and client group. The report shows that 2906 direct payments were made in the quarter ending 30 June 2017, totalling £4.91m. (The statistics omitted Southern Trust who were unable to provide figures at the time of publication.)

The full figures can be found on the Department of Health website.

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Home Office updates employers' guide to Right to Work checksHome Office updates employers' guide to Right to Work checks

The Home Office has updated its employer guidance on Right to Work checks, applying to checks required on or after 16 May 2014.

Changes include advice in respect of those who claim to have a right to work as a non European Economic Area (EEA) family member of an EEA national, of voluntary work and the employment of international students.

You can download the guidance from the Home Office website.

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Check your compliance with data protection lawCheck your compliance with data protection law

The Information Commissioner's Office (ICO) has created a data protection self-assessment toolkit for businesses to assess their compliance with the Data Protection Act and ensure they are ready for the forthcoming EU legislation, GDPR, in May 2018.

'Good information handling makes good business sense, and provides a range of benefits,' ICO states, 'You'll enhance your business's reputation, increase customer and employee confidence, and by ensuring that personal information is accurate, relevant and safe, save both time and money.'

If you would like more information, come along to UKHCA's conference on 8 September to be part of a workshop on current data protection legislation and the GDPR. Go to our website to book your ticket.

There is also a UKHCA roundtable event, led by the Information Commissioners Office Northern Ireland on the GDPR. This is free for UKHCA members and will be held at Hilton Hotel Belfast, Tuesday on 19 September 2017

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Powys pioneers integrated IT systemPowys pioneers integrated IT system

Health and social care services in Powys are the first to implement an IT system that, it is hoped, will one day be implemented across Wales and used to store important patient information securely.

The Welsh Community Care Information System (WCCIS) makes it more efficient for health and social care professionals to work together and bring care closer to home.

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Extra funding for health services in Northern Ireland likely to be used for reducing the health service deficitExtra funding for health services in Northern Ireland likely to be used for reducing the health service deficit

A recent BBC news report has made the claim that an extra £60m that has been allocated to health services in Northern Ireland is likely to be used in reducing Health and Social Care Trust funding deficits rather than reaching front-line services. The report further claims that the Department of Health was unable to provide a breakdown of where the funding will be spent in a week when Trusts have been informed that they face cuts of almost £80m.

The full news report can be found here.

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Dentists warn an estimated 1.8 million or more over-65s have an urgent dental problemDentists warn an estimated 1.8 million or more over-65s have an urgent dental problem

The Faculty of Dental Surgery at the Royal College of Surgeons of England is concerned about the significant impact that poor oral health is having on older people's general health and quality of life. As well as causing pain and making it difficult to speak, eat and take medication, poor oral health is linked to conditions such as malnutrition and aspiration pneumonia. Across England, Wales and Northern Ireland at least 1.8 million people aged 65 and over could have an urgent dental condition such as dental pain, oral sepsis or extensive decay in untreated teeth. By 2040, this number could increase by more than 50%. Read the full report here.

Last year the National Institute for Health and Care Excellence (NICE) released new guidance on Oral health for adults in care homes (a new NICE Quality Standard has also recently been published on this issue). While this guidance specifically concerns oral health for those in residential care, it can be used as a benchmark for all types of care provision. The Nice Quality Standard is here .

 

 

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Welsh Government calls for views on health and social care issuesWelsh Government calls for views on health and social care issues

Welsh Government has launched a consultation on proposals covering a number of health and social care issues which may lead to future legislation.

In particular, they want to hear views on proposals that include to design a clearer process for service change plans and establish a new independent body for patient voice and regulation and inspection.

UKHCA will prepare a response on behalf of members. Please email your comments to us by 12 September. The consultation closes on 29 September.

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Health Secretary announces additional £1m for End of Life CareHealth Secretary announces additional £1m for End of Life Care

Welsh Government health secretary, Vaughan Gething, has announced funds to support moving forward with the End of Life Care Delivery Plan 2017-2020, that was launched in March.

The funding will be used to train health professionals to 'initiate difficult conversions' with patients and their families about End of Life Care.

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Post Registration Training and Learning (PRTL) audit of social care managersPost Registration Training and Learning (PRTL) audit of social care managers

Some social care managers may be part of the sample selected in August 2017 to submit your PRTL for audit. Letters for those selected in this audit sample are being sent out during August and submissions must be returned by 1 December 2017.

Full details of requirements, exemption criteria and submission details can be found on the Northern Ireland Social Care Council website.

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Care and Support Providers Survey on Self-directed SupportCare and Support Providers Survey on Self-directed Support

The Scottish Government's Self-directed Support (SDS) and Care Inspectorate sponsorship team is carrying out a survey of care and support providers in Scotland in relation to self-directed support, inspection, registration of services, measuring personal outcomes and implementation of SDS by local authorities, so it can plan future policy.

Responses are confidential and the researcher may wish to contact respondents to discuss answers further, if you agree. Complete the Survey Deadline for completion 17 August 2017.

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Trusted assessment schemes - guidance and webinarsTrusted assessment schemes - guidance and webinars

Implementing trusted assessment schemes is one of the key changes being made to improve delayed discharges. With local schemes under development across England, new guidance is available on the NHS Improvement website, produced with input from The Care Provider Alliance, including UKHCA. NHS Improvement are also running webinars on trusted assessment schemes.

The aim of the initiative, which is a condition of Better Care Fund funding, is that through the use of a trusted assessor, it will be possible to streamline systems and reduce the number and wait of people awaiting discharge from hospital and help them move home. The guidance highlights what local systems should consider when developing their scheme, including involving local providers in the design and implementation.

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Paul Burstow appointed new chair of SCIEPaul Burstow appointed new chair of SCIE

Former care minister Paul Burstow is the new chair of the Social Care Institute for Excellence, taking over from Lord Michael Bichard who has stepped down after four years. Paul is a widely acknowledged expert in social care policy and we wish him well in his new post. SCIE press release Paul's blog Biography

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Government launches major investigation into EU migrationGovernment launches major investigation into EU migration

The Home Secretary Amber Rudd has asked the Migration Advisory Committee (MAC) for advice and evidence on the impact of the UK's exit from the European Union on the labour market and how to align the UK's immigration system with a modern industrial strategy. The MAC is expected to call for evidence in coming weeks and report by September 2018. The UK Government is due to issue a White Paper on Brexit and migration this autumn.

UKHCA is an active member of the Cavendish Coalition group of health and social care organisations which work together on post-EU referendum matters, including those relating to workforce issues.

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Skills for Care - new workforce reportSkills for Care - new workforce report

Skills for Care latest version of their 2017 report on the size and structure of the adult social care workforce is now available. All findings are as at 2016 and include:

  • the number of adult social care jobs in England was estimated at 1.58 million
  • an increase of 1.5% and 20,000 jobs since 2015
  • 665,000 of the jobs are in domiciliary care
  • 510,000 in regulated care
  • 45,000 for direct payment recipients
  • 15,000 in non-regulated care such as domestic services

Noting recent trends, the report shows there was large increase in the number of domiciliary care jobs between 2009 and 2014 (up by 180,000 or 37%). This increase included 140,000 new jobs in independent sector CQC regulated non-residential services and 40,000 new jobs for direct payment recipients.

However, this trend did not continue between 2014 and 2016 with the number of domiciliary jobs increasing by around 5,000 jobs over the period. This was a major contributory factor to the lower than average growth in jobs overall and in the independent sector between 2014 and 2016.

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Secretary of State for Northern Ireland announces funding breakdownSecretary of State for Northern Ireland announces funding breakdown

The Secretary of State for Northern Ireland, James Brokenshire, has made an announcement regarding allocations to government Departments in Northern Ireland. Initial figures suggest that the Department of Health will be receiving additional funding. It is to be hoped that some of this additional funding will be allocated to front-line social care services.

The full written statement can be found here.

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Mencap raise concerns about costs of back pay for sleep-insMencap raise concerns about costs of back pay for sleep-ins

There has been media coverage about learning disability services provider Mencap's concerns that HMRC enforcement measures may result in a £400m bill for back pay for the charity and about 200 other organisations, who have been found to be non-compliant with National Minimum Wage rules on sleep-ins.

There is background information for members in briefings by Anthony Collins Solicitors, issued in April 2017 and June 2017.

UKHCA members should consult the revised UKHCA NMW Toolkit, which explains that there appear now to be differences in how HMRC treat sleep-ins (Mencap above) and live-in care on an unmeasured basis.

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Social care funding 'could well affect .. life expectancy' in EnglandSocial care funding 'could well affect .. life expectancy' in England

Sir Michael Marmot, director of the Institute of Health Equity at University College, London, has suggested that a flattening off of rises in life expectancy in England could be caused by austerity and an increase in the number of those with dementia. Sir Michael said part of the problem could be '"miserly" funding settlements for the NHS and social care, which meant the quality of life for older people would have deteriorated and could well affect their life expectancy.'

More about Sir Michael's analysis of Office for National Statistics data: www.bbc.co.uk/news/health-40608256

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Dr Sarah Wollaston elected chair of Health CommitteeDr Sarah Wollaston elected chair of Health Committee

Dr Sarah Wollaston has been elected Chair of the Commons Health Committee for the 2017 Parliament. Members of the Committee now have to be elected by their parties and approved by the House, before the Committee can begin work. Dr Wollaston was chair in the previous parliament.

More from: www.parliament.uk/business/committees/committees-a-z/commons-select/health-committee/news-parliament-2017/chair-election/

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Getting ready to register - care at home and housing support servicesGetting ready to register - care at home and housing support services

The Scottish Social Services Council's new monthly newsletter aims to assist care at home providers in Scotland as they prepare for staff registration from 2 October this year.

The first newsletter covers how to explain to your staff who SSSC are and what registration means, with a Powerpoint presentation and video you can use for staff training purposes. There is also a section on which employees to put forward first for registration, and a spreadsheet to help employers work out the most effective time for registration, with a description of rules which oblige new employees, who start after 2 October 2017, to register withiin six months of starting employment.

An important part of registration for employers is having the right countersignatories and enough countersignatories to endorse applications. The newsletter has guidance on preparing for this aspect of registration.

There are also tools on SSSC's website at: www.sssc.uk.com/registration/employers-responsibilities/care-at-home-and-housing-support-getting-ready-to-register? and a section on the qualifications staff need to hold, or be working towards, to register at: www.sssc.uk.com/registration/what-qualifications-do-i-need/find-out-about-qualifications

To sign up for the newsletter, go to: www.sssc.uk.com/news-and-events/the-latest-from-sssc/newsletter

 

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Health and social care pose risks to fiscal sustainabilityHealth and social care pose risks to fiscal sustainability

The Office for Budget Responsibility's first Fiscal risks report, which prompts Government to review the risks to tax receipts and public spending posed by unexpected shocks and uncertainties, including demographic changes and Brexit, has identified health as the biggest risk to fiscal sustainability in the long term.

The report notes that health and adult social care spending are subject to significant medium and long term financial pressures, which if not addressed or offset, will become very large indeed. See paragraphs 6.47 to 6.85 for a detailed analysis. The report comments on the position in the four UK nations, including where responsibilities are devolved.

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New campaign on loneliness and disabilityNew campaign on loneliness and disability

From 10 July to 13 August there is a campaign on disability and loneliness, which aims to start a debate involving both the public and politicians on this important topic. To coincide with the campaign, charity Sense have produced a report 'Someone cares if I'm not there' for the Jo Cox Commission on Loneliness, which looks at why disabled people experience loneliness and includes suggested solutions, like better awareness of disability and accessibility, in order to promote inclusion in society.

The report has sections on the effect of particular conditions, such as sensory impairments, learning disability and autism which would be useful for training purposes, or to stimulate discussion about loneliness.

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Call for dynamic, entrepreneurial and ambitious businesses in WalesCall for dynamic, entrepreneurial and ambitious businesses in Wales

Tomorrow (14 July) is the deadline for nominations for the Social Business Wales Awards. The awards exist to 'celebrate the success and achievements of social businesses in Wales.'

One of the award categories is "Health and Social Care Enterprise" for businesses that provide care and support.

You have until tomorrow to make an expression of interest to enter via the Wales Co-operative Centre website.

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Welsh Parliament Review publishes interim reportWelsh Parliament Review publishes interim report

On Tuesday (11 July), the Parliamentary Review of Health and Social Care published their interim report.

The review panel, created to assess and make recommendations on the improvement of Wales' health and social care systems, lays out their case for change and initial findings.

The final report will be submitted to the Cabinet Secretary by the end of 2017.

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New report on domiciliary care managers in WalesNew report on domiciliary care managers in Wales

Yesterday (12 July), Social Care Wales published a report on domiciliary care managers, one of four annual reports that provide an overview of those on the Register.

The report found there has been a rise in registered managers, but a decline in the number of managers working in the private sector.

Further information can be found on the Social Care Wales website.

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Wales develops guidance for homecare workersWales develops guidance for homecare workers

Social Care Wales is inviting managers with one of their domiciliary care workers to assist them in developing guidance.

This is in preparation for the registration of care workers from 2018, with it becoming mandatory in 2020.

Workshops will take place on:

  • 16 August – Cardiff and Vale College, Cardiff
  • 17 August – Optic Centre, St Asaph/

Places are still available to book on the Social Care Wales website.

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Nearly 1 in 5 older people are likely to be experiencing financial abuseNearly 1 in 5 older people are likely to be experiencing financial abuse

The Commissioner for Older People in Northern Ireland, Eddie Lynch, spoke at a Southern Health and Social Care Trust Adult Safeguarding event in June to highlight the worrying prevalence of financial abuse of the elderly.

The Commissioner also called for a single piece of adult safeguarding legislation so that older people who may be at risk of abuse are better protected and afforded the same legal protection which exists for their counterparts in England, Scotland and Wales.

Further details can be found on the COPNI website.

Announcement posted on:

Good work - the Taylor review of modern working practices publishedGood work - the Taylor review of modern working practices published

'Good work: the Taylor review of modern working practices' has now been published. The report looks at the implications of new forms of work, like the gig economy, on workers' rights and responsibilities, as well as on employers' freedoms and obligations in the UK.

UKHCA is studying the report, and its recommendations, from the point of view of the homecare sector.

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July 2017 Homecarer now available for members to downloadJuly 2017 Homecarer now available for members to download

July 2017 Homecarer is now available for members to download. In this issue UKHCA urges the Government to keep social care at the forefront; UKHCA Chair Mike Padgham says we need unity and purpose to achieve social care reform; we explore how apprenticeship funding has changed and how this could affect homecare providers; Anthony Collins Solicitors LLP looks at law and governance; UKHCA celebrates the achievements of CQC 'Outstanding' members; Towergate Insurance tells members how to keep insurance premiums down; UKHCA CEO Bridget Warr discusses the priorities of social care following the General Election and we explore homecare from the LGBT perspective.

July Homecarer 2017

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CQC regional analysis shows considerable variation in ratings across EnglandCQC regional analysis shows considerable variation in ratings across England

The Care Quality Commission's new report has found that 77% of adult social care services in England are currently rated 'Good' and 2%, 'Outstanding'. Domiciliary care performed better than average with 80% of services rated 'Good', and 2% 'Outstanding'. CQC ascribe the success of organisations to strong leaders - both at provider and registered manager levels, a positive culture and a focus on person-centred care.

Importantly, the report looked at adult social care ratings by local authority area, an analysis that revealed considerable regional differences in provider performance, results that CQC is continuing to analyse in discussion with partner organisations to try and explain the variations. 

The results came at the end of CQC's initial comprehensive programme of more than 33,000 inspections, which followed the regulator's overhaul of regulation in 2014.

More from www.cqc.org.uk/publications/state-adult-social-care-services-2014-2017

 

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CQC to review health and social care in 12 local authority areasCQC to review health and social care in 12 local authority areas

The Health Secretary has confirmed that CQC will be undertaking local system reviews of health and social care in 12 local authority areas in England, as part of its strategy to address delayed transfers of care, with a further 8 reviews to be commissioned on the basis of returns due this month.

The reviews will look at commissioning across the interface of health and social care, governance in place for managing resources and how people move between health and social care, including delayed transfers, with a focus on people over 65.

UKHCA Policy and Campaigns Director Colin Angel said: "The Secretary of State's announcement is a step in the right direction. There is a strong link between areas with high delayed transfers of care and local authorities who are failing to shape their local care markets effectively. This also shows a willingness, resisted by previous administrations, to intervene in any appreciable way in fragile local care markets.

"UKHCA and others have consistently argued for effective oversight of local care markets by a statutory regulator, such as the Care Quality Commission. It was an issue which we raised in our recent open letter to the Prime Minister, and we will continue to argue strongly for an organised system which holds local authorities to account for their market shaping duties under the Care Act 2014."

CQC news item: www.cqc.org.uk/news/stories/cqc-conduct-12-local-system-reviews-health-social-care

 

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New minister for care is Jackie Doyle-Price MPNew minister for care is Jackie Doyle-Price MP

Jackie Doyle-Price MP, who is MP for Thurrock, is the new Parliamentary Under Secretary of State (Care and Mental Health). She served as Assistant Government Whip from 2015 to 2017, and was elected as an MP in 2010 after a career in public service.

The new minister has experience of government spending issues, as a previous member of the Public Accounts Committee from 2010-2014. She will lead on care for the most vulnerable, mental health, adult social care, community care, injustices and vulnerable groups, women and children's health, health and work and blood and transplants. Her biography is available at: www.gov.uk/government/people/jackie-doyle-price

We wish her well in her new post and will be taking steps to brief her on the serious issues affecting homecare, including the commitments we would like to see taken by the new government, set out in our Manifesto.

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Launch of £1 million scheme to support older people in the community in NILaunch of £1 million scheme to support older people in the community in NI

A new partnership programme to provide community-based care for frail older people in the Mid and East Antrim area, was officially launched on 1 June. The funding awarded to Mid and East Antrim Agewell Partnership (MEAAP), will support the development of six health and wellbeing hubs, partnering with 6 GP practices, community pharmacists and staff from the health and social care sectors to deliver 1,100 older people with a variety of alternative care prescriptions.

Further details can be found here.

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ADASS publishes Budget Survey results for 2017/18ADASS publishes Budget Survey results for 2017/18

The Association for Directors of Adult Social Services have published their annual survey of local authorities in England, looking at social care budgets, expenditure and additional pressures on social care services. Some key findings are as follows:

Only 31% of respondents were fully confident that planned savings for 2017/18 will be met;

74% of respondents believe that providers are facing quality challenges;

Unit price of care was identified as the greatest concern in terms of financial pressure;

79% of respondents agreed that providers are facing financial difficulty.

The full report and figures can be found on the ADASS website.

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Northern Ireland set to receive extra funding as part of Government negotiationsNorthern Ireland set to receive extra funding as part of Government negotiations

Northern Ireland is on course to receive at least £1bn of extra funding as a result of negotiations between the Westminster Conservative Party and the DUP. This funding will be allocated outside of the Barnett formula, and details of how the funding will be spent will be confirmed after power sharing negotiations have concluded.

Announcement posted on:

We want your views on CQC's Next Phase of Regulation ConsultationWe want your views on CQC's Next Phase of Regulation Consultation

UKHCA and Anthony Collins solicitors are jointly holding a free workshop in Birmingham to hear your views on CQC's next phase of regulation consultation.

Date: Monday 10th July 2017

Time: 10.00am to 1.00pm

Place: Anthony Collins Solicitors, 134 Edmund Street, Birmingham, B3 2ES.

This is an important consultation for members as there are a number of issues you will have views on including CQCs proposals to:

  • Register parent companies, carry out inspections at headquarter level and report on the quality of care across a company
  • Set the limits within which a provider can operate which might mean the registration process limits the geographical area a homecare agency can cover
  • Monitor and inspect complex providers that deliver services across hospitals, primary care and adult social care sectors
  • Assess and/or rate an organisation at the highest level at which an organisation delivers a service
  • Encourage improvement in the quality of care across a local area by focusing on leadership, governance and collaboration between providers and commissioners
  • Increase the period between comprehensive inspections for services rated as good or outstanding 
  • Share provider information with key stakeholders as a single shared view of quality
  • Introduce a more flexible approach to inspection of homecare services to be supported by a more extensive toolkit for evidence gathering
  • Take action at provider level (including head office) when an overall rating of requires improvement is given more than once
  • Address concerns relating to the fit and proper persons requirement
  • Use new guidance for interpreting serious misconduct and serious mismanagement.

For a successful event, a minimum of 10 delegates are needed. We will allocate up to 30 places from a mix of members from smaller and larger companies.

For a free place, send an email to policy@ukhca.co.uk no later than noon on Tuesday 4th July 2017.

Click here for a map and directions

N.B. Members can still send their views to UKHCA at policy@ukhca.co.uk by Tuesday 25th July 2017. The consultation itself closes on Tuesday 8th August 2017 and members may wish to respond directly. You can read the consultation document and how to respond here.

 

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Proposals to safeguard rights of EU citizens living in the UK and UK Nationals living in the EU publishedProposals to safeguard rights of EU citizens living in the UK and UK Nationals living in the EU published

Proposals to safeguard the position of EU citizens living in the UK and UK Nationals living in the Eu have been published by the Government. The 15-page document consists of a summary and detailed proposals, setting out a plan which will see all EU Nationals living in the UK lawfully for at least five years at a date yet to be determined, between 29 March 2017 and the date of the UK's withdrawal from the EU, being granted "settled status" and able to bring their spouses and children into the UK. BBC news coverage. The proposals will form the starting point of the Government's negotiations with the EU.

The paper says the Government are considering a range of options as to how EU migration will work for new arrival post-exit, after free movement ends, and will publish proposals as soon as possible.

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Welsh Government praises social care workers positive statisticsWelsh Government praises social care workers positive statistics

On Thursday (22 June) Health Secretary, Vaughan Gethin, thanked health and social care workers in Wales for "the tireless work they do to deliver first class services across the country."

Latest statistics show that delayed transfers of care, a consistent problem for NHS England, "remained close to record lows, despite increase in service demand. Mr Gethin continued, "Together, we will continue to do everything we can to drive up performance so that every patient receives timely, quality care."

You can read the full article on the Welsh Government's website.

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WLGA appoints new leaderWLGA appoints new leader

Today (23 June), the Welsh Local Government Association has appointed Cllr Debbie Wilcox as its Leader.

The Labour councillor is currently Leader of Newport City Council and in January this year called social care cuts 'disgraceful' saying it was 'absolutely appalling that the level of wealth in this country is not distributed evenly.'

You can read Mark Drakeford's announcement on the Welsh Government website.

Announcement posted on:

Welsh Government launches older people safeguarding guidanceWelsh Government launches older people safeguarding guidance

Yesterday (23 June), Cabinet Secretary Carl Sargeant launched information and guidance on domestic abuse and safeguarding for professionals working with older people in Welsh public services, including domiciliary careworkers.

The document, created in partnership with the Older People's Commissioner for Wales, assists careworkers to work more effectively with older people experiencing, or have experienced, domestic abuse.

The Guidance is available on the Welsh Government website.

Announcement posted on:

Coalition welcomes PM's offer of settled status for EU workers in the UKCoalition welcomes PM's offer of settled status for EU workers in the UK

The Cavendish Coalition has issued a statement welcoming the Prime Minister's offer of 'settled status' guarantees for EU citizens on remaining in the UK. The Coalition did, however, echo concerns of other sectors that if the cut-off date for entitlement to remain was set prior to the actual date of Brexit, this would disadvantage workers who have come to the UK more recently. The government is expected to release more details of the offer shortly.

The Cavendish Coalition is a group of 35 health and social care organisations, of which UKHCA is a member, working to ensure the migration system continues to meet the sectors' workforce needs after the UK leaves the EU.

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UKHCA responds to the Queen's SpeechUKHCA responds to the Queen's Speech

Read our response to the social care proposals outlined in today's Queen's Speech where we urge the Government to address the crisis in care.

Announcement posted on:

Open letter to the Prime Minister from the Homecare sectorOpen letter to the Prime Minister from the Homecare sector

The recent election campaign showed the importance of social care to the electorate. However, with the risk of a long-term solution to social care funding becoming a political issue that is too hot to handle for a minority Government, United Kingdom Homecare Association and its members have written an open letter to the Prime Minister. UKHCA media release

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Accountable care systems announcedAccountable care systems announced

At a conference in Liverpool, Simon Stevens, the head of NHS England, announced nine areas in England will be the forefront of nationwide action to provide joined up, better coordinated care. The aim is to break down the barriers between GPs and hospitals, physical and mental healthcare, social care and the NHS [i].

Eight accountable care systems' (ACSs) will bring together local NHS organisations, often in partnership with social care services and the voluntary sector.

The King's Fund describe ACSs as a body that can involve a provider or, more usually, an alliance of providers that collaborate to meet the needs of a defined population. Second, these providers take responsibility for a budget allocated by a commissioner or alliance of commissioners to deliver a range of services to that population. And third, ACSs work under a contract that specifies the outcomes and other objectives they are required to achieve within the given budget, often extending over a number of years.[ii]

The most ambitious plans for ACSs in England extend well beyond health and social care services to encompass public health and other services. In Greater Manchester, for example, the aim is to use all public resources to improve health care while also tackling the wider determinants of health.

The announcement also included a new devolution agreement in Surrey Heartlands, similar to the existing one in Greater Manchester. This agreement will bring together the NHS locally with Surrey County Council to integrate health and social care services and give local leaders and clinicians more control over services and funding.

The eight accountable care systems are:

  • Frimley Health including Slough, Surrey Heath and Aldershot
  • South Yorkshire & Bassetlaw, covering Barnsley, Bassetlew, Doncaster, Rotherham, and Sheffield
  • Nottinghamshire, with an early focus on Greater Nottingham and Rushcliffe
  • Blackpool & Fylde Coast with the potential to spread to other parts of the Lancashire and South Cumbria at a later stage
  • Dorset
  • Luton, with Milton Keynes and Bedfordshire
  • Berkshire West, covering Reading, Newbury and Wokingham
  • Buckinghamshire


 


[i] http://tinyurl.com/ybndk7d8

[ii] http://tinyurl.com/yadjp7to

 

 

Announcement posted on:

Changes to KLOEs Changes to KLOEs 

CQC's inspection teams will use an updated framework to assess adult social care services, using the key lines of enquiry (KLOEs) and prompts where they are appropriate from November 2017.

This replaces the previous separate versions for different types of service, published in 2015, which, according to CQC, duplicated many of the KLOEs and prompts. CQC say they have designed this to simplify the process for organisations that provide more than one type of service.

The changes to KLOEs and prompts are the result of feedback following CQCs Next Phase consultation. They have merged the two previous versions for residential and community care, added new content to strengthen specific areas and reflect current practice, and made some changes to the wording to improve and simplify the language to aid understanding.

CQC have also aligned, as much as possible, the wording of KLOEs and prompts between the two assessment frameworks for healthcare services and adult social care services.

To help providers update their own internal assessment and training materials, CQC have mapped the changes against the current frameworks and highlighted them.

See the new KLOE framework here

 

Announcement posted on:

Advice on supporting people in a heatwaveAdvice on supporting people in a heatwave

With temperatures reaching 30C in some parts of the UK, there are resources on staying cool in hot weather and advice for health and social care staff on caring for people in a heatwave, including leaflets and posters, at:

Announcement posted on:

Welsh Government announces plans to curb zero-hour contracts and tackle call-clippingWelsh Government announces plans to curb zero-hour contracts and tackle call-clipping

On Monday (12 June), Welsh Government announced proposals to curb zero-hour contracts and tackle 'call-clipping' in homecare.

Minister for Social Services and Public Health, Rebecca Evans, said that while she realised some prefer zero-hour contracts, their uncertainty and insecurity "can have a hugely detrimental impact on [careworkers'] lives."

The Minister proposes that after three months' employment on zero-hours, care workers would be able to choose "alternative contractual arrangements."

Announcement posted on:

Free Social Care Wales workshops across WalesFree Social Care Wales workshops across Wales

Social Care Wales will run workshops across Wales to hear employers and careworkers thoughts on domiciliary care, careers, recruitment and retention.

The workshops will run from 19 June (Bangor) to 6 July (Swansea) across eight locations.

Further information can be found on the Social Care Wales website.

Announcement posted on:

Wales registration of domiciliary careworkers FAQsWales registration of domiciliary careworkers FAQs

Social Care Wales have published a list of frequently asked questions to assist in the registration of domiciliary care workers in Wales from 2018.

Questions include,

  • What responsibility do employers have?
  • Can workers register if they don’t have qualifications?
  • When will domiciliary care workers need to register?

A full list of questions can be found on the Social Care Wales website and more will be added over time.

Announcement posted on:

New Health and Social Care Standards for ScotlandNew Health and Social Care Standards for Scotland

Scotland's new Health and Social Care Standards: My support, my life have been published, following a lengthy consultation process. They apply to the NHS as well as Care Inspectorate and Health Improvement Scotland regulated services and focus on improving people's experience of care, to achieve five outcomes:

  • I experience high quality care and support that is right for me.
  • I am fully involved in all decisions about my care and support.
  • I have confidence in the people who support and care for me.
  • I have confidence in the organisation providing my care and support.
  • I experience a high quality environment if the organisation provides the premises.

The new Standards will be taken into account by the Care Inspectorate, Healthcare Improvement Scotland and other scrutiny bodies from 1 April 2018 in the inspection and scrutiny of services. The aim is that non-registered services also use the Standards as a guideline for how to achieve high quality care. The standards are underpinned by the five principles of dignity and respect; compassion; be included; responsive care and support and wellbeing; which reflect the way that everyone should expect to be treated. They are available from: http://www.gov.scot/Publications/2017/06/1327

Announcement posted on:

CQC next phase of regulation: consultation 2CQC next phase of regulation: consultation 2

The Care Quality Commission's second consultation on its next phase of regulation contained proposals that apply to all regulated sectors, including how CQC registers, monitors, inspects and rates new models of care and large or complex providers. There were also proposals on how CQC use their knowledge and capability to encourage improvements in the quality of care in local areas; and how they carry out their role in relation to the fit and proper person's requirement.

Other proposals focus on changes to the regulation and inspection of social care services.

We would like to thank members for their help with preparing this response and in particular to those who attended the workshop in Birmingham on the 10th July 2017. Our thanks also go to Anthony Collins Solicitors who graciously hosted the workshop.

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EU nurse applicants drop by 96% since Brexit voteEU nurse applicants drop by 96% since Brexit vote

Figures suggest there has been a sharp drop in nurses registering to work in the UK since the EU referendum.

According to figures published on the BBC News website, last July, 1,304 nurses from the EU joined the Nursing and Midwifery Council register. In April this year, 46 nurses applied to join the register - a fall of 96%. The NMC said the introduction of English language testing for EU nurses is also likely to have played a role.

In May, research by the Royal College of Nursing found one in nine posts in England was vacant. The union said it meant the NHS was 40,000 nurses short of what was needed.

Anita Charlesworth, director of research and economics at the Health Foundation, said the drop since the Brexit vote could not be more "stark".

"Without EU nurses, it will be even harder for the NHS and other employers to find the staff they need to provide safe patient care.

"The findings should be a wake-up call to politicians and health service leaders."

 The BBC report is here

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Registration opens 2 October 2017 for care at home and housing support workers in ScotlandRegistration opens 2 October 2017 for care at home and housing support workers in Scotland

The Scottish Parliament has approved Regulations to open the register maintained by the Scottish Social Services Council to social service workers in care at home services and housing support services from 2 October 2017. Workers in either role as at 2 October 2017 have until 30 September 2020 to register, the mandatory registration date. Workers new in their role after 2 October 2017 should achieve registration within six months of taking up employment in this role. There is information about qualifications at: http://bit.ly/2rdi5gA. SSSC anticipate the fee to apply will be £25 per worker. 

Around 45,000 workers are expected to register. SSSC are developing tools to help employers including a monthly e-newsletter, leaflets and posters, a new registration app, a Powerpoint presentation, and a spreadsheet to plan when workers should apply for registration.

SSSC will be emailing housing support and care at home services and countersignatories or you can sign up for their e-newsletter at: www.sssc.uk.com/news-and-events/the-latest-from-sssc/newsletter There are also questions and answers about SSSC's work at: www.sssc.uk.com/about-the-sssc/what-do-we-do-for-you/did-you-know

Announcement posted on:

Department of Health publishes quarterly carer's statistics for Northern IrelandDepartment of Health publishes quarterly carer's statistics for Northern Ireland

The Department of Health has released this quarter's carers statistics that report on figures relating to assessments and re-assessments of carer needs.

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

Announcement posted on:

Welsh Government launches consultation and information events on workforce issuesWelsh Government launches consultation and information events on workforce issues

The Welsh Government has announced plans to require providers of domiciliary support services to distinguish between travel time and care time in careworkers' schedules, and offer domiciliary care staff on zero hours contracts the choice to move to a minimum hours contract after three months of continued employment, if there is continued demand for the work. The consultation also asks for views on opening the register of social care workers to those employed in regulated domiciliary support services from 2018 and how the Welsh Government can address current challenges in the recruitment and retention of trained social care managers.

The Welsh Government is holding information events on Cardiff - 21 June 2017 and Wrexham - 13 July 2017. To attend please contact RISCAct2016@wales.gsi.gov.uk by 19 June (Cardiff event) or 30 June (Wrexham event). Spaces are limited and subject to availability. 

The deadline to respond to the consultation is 7 August 2017. UKHCA members are invited to send their views to policy@ukhca.co.uk so we can take these into account when preparing a response on behalf of members.

More on "Welsh Government launches consultation and information events on workforce issues" Opens in new window

Announcement posted on:

Jeremy Hunt remains Health SecretaryJeremy Hunt remains Health Secretary

Jeremy Hunt has retained his role as Health Secretary in Theresa May's post-election Cabinet reshuffle. Junior ministerial positions have yet to be announced. A number lost their seats in the election, for example, Parliamentary Undersecretary of State for Care and Support David Mowat. The sector will be hoping for a full ministerial post this time, to reflect the Prime Minister's wish to concentrate on the social issues facing the nation, as well as leaving the EU. www.bbc.co.uk/news/election-2017-40243023 List of Cabinet and ministerial appointments (will be added to as names are announced.)

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Election result and homecare servicesElection result and homecare services

A rapid resolution of the political leadership of the UK is urgent, so that a new Government can build a consensus to secure proper funding of care services and to ensure there is a sufficient social care workforce following exit from the European Union, according to the United Kingdom Homecare Association, as the result of the UK's 2017 general election was announced. UKHCA full media release.

Announcement posted on:

The King's Fund say NHS Performance has deterioratedThe King's Fund say NHS Performance has deteriorated

The King's Fund publish quarterly reports on the NHS performance. Their June 2017 report says that across 2016/2017 as a whole, NHS performance has deteriorated in a number of key areas:

  • 2.5 million patients spent longer than four hours in A&E, an increase of 685,000 on the year before
  • 362,000 patients waited longer than 18 weeks for hospital treatment in March 2017, an increase of almost 64,000 on the previous year
  • 24% increase in bed days lost as a result of delayed transfers of care, compared to the previous year.

The King's Fund report assesses the underlying financial position as gloomy with many trusts having relied on one-off actions such as land sales and Sustainability and Transformation Funds to improve their position. NHS Finance Directors are said to be very concerned about finance and subsequent performance, particularly in A&E, mental health or general practice.

The King's Fund note there are some grounds for optimism; the final quarter of 2016/17 saw a sharp improvement in A&E performance and the expected impact of the additional social care funding could free up resources which could then be redirected towards more 'profitable' elected work.

Read the report here

Announcement posted on:

Main manifestos fall short on addressing social care funding crisisMain manifestos fall short on addressing social care funding crisis

A pre-election briefing published by the Centre for Health and the Public Interest (CHPI) suggests that the main political parties have fallen well short in addressing the crisis in adult social care in their manifestos. The think tank says 'the share of GDP which goes into public funding of social care for older people each year in England is less than 0.5%', in contrast to the 0.7% spent on foreign aid and 2% spent on armaments and defence, and warns there could be serious consequences if the funding crisis is not properly tackled by politicians.

Briefing: https://chpi.org.uk/wp/wp-content/uploads/2017/05/CHPI-Election-Briefing-Note-May-2017.pdf

Announcement posted on:

Taylor review into modern employment practices has now concludedTaylor review into modern employment practices has now concluded

The Government commissioned review into the modern economy and working practices has now ended following a lengthy consultation phase. The review looked at how employment practices should change to keep pace with modern business models like those operating from digital platforms, the growth of zero hours contracts and the rise in self-employment.

You can see UKHCA's response to this consultation on the consultation page.

Announcement posted on:

Information events to be held on Phase 2 of regulation consultation in WalesInformation events to be held on Phase 2 of regulation consultation in Wales

The Welsh Government are holding two information events as part of the public consultation on Phase 2 of implementation of the Regulation and Inspection of Social Care (Wales) Act 2016. The Welsh Government are currently consulting on improvements to the regulation of social care and draft statutory guidance developed under section 29 of the Act on compliance with requirements. The information events are at:

  • Cardiff 21 June 2017
  • Wrexham 13 July 2017

To attend contact RISCAct2016@wales.gsi.gov.uk by Friday 2 June. The Welsh Govenrment says spaces are limited and subject to availability.

The consultation is at: https://consultations.gov.wales/consultations/phase-2-implementation-regulation-and-inspection-social-care-wales-act-2016 Deadline for response 25 July 2017.

Announcement posted on:

Skills for Care launch new career pathway toolkitSkills for Care launch new career pathway toolkit

Skills for Care have launched a new toolkit, 'Social Care: a Rewarding Career' to tackle some of the misconceptions on working in adult social care.

The toolkit can be used by employers, training providers and employment professionals to promote the wide range of careers available and help more people understand how they can develop and progress in social care.

Access to the toolkit and further information can be found on the Skills for Care website.

Announcement posted on:

UKHCA calls for debate on what people pay for care and on incentives to support themUKHCA calls for debate on what people pay for care and on incentives to support them

Prime Minister Theresa May has announced that Conservative Party manifesto plans for social care will now include a cap on how much people will pay for care, as well as a £100,000 threshold below which people's assets would be preserved. The level of the cap will appear in the adult social care green paper due out after the election, if the Conservatives win. www.bbc.co.uk/news/election-2017-40005257

UKHCA Policy and Campaigns Director Colin Angel commented:

"Since the Conservative Party manifesto set out proposals for a threshold for state-funded assistance for homecare services at £100,000, including housing equity, Theresa May has said there will be an absolute limit on the amount people will pay for their care. This clarification appears to amount to a proposed cap on the costs of care.

"Discussion about proposals contained in the Conservative Party manifesto and the announcement of a cap shows that social care, and the overall costs to individuals is an important issue for the public.

"There needs to be a genuine consultation with stakeholders and experts on a policy for England which aims to combine a £100,000 asset protection scheme and a cap on total spend to protect some individuals from 'catastrophic' costs of care, where they have extremely complex or long-lasting needs.

"In UKHCA's Manifesto 2017 we called for people to be encouraged to make financial plans for their future care costs by incentives through the tax system. This should be included in a consultation by the next government, of whichever party, when planning reform of social care funding".

Announcement posted on:

Green Party promises 'major investment in social care'Green Party promises 'major investment in social care'

The Green Party has launched a Green Guarantee in its manifesto with policies that include major investment in social care for the elderly and all those who need it. The party wants to roll back privatisation of the NHS and scrap Sustainability and Transformation Plans, while bringing mental health care into line with physical health care. Proposals include increasing funding for local authorities and forming a single budget for health and social care. The Green Party 2017 for a Confident and Caring Britain.

Announcement posted on:

£100,000 threshold for homecare services£100,000 threshold for homecare services

The Conservative Party election manifesto has been distributed today and UKHCA has published its news release (which contains several comments) in response to proposals to set the threshold for state-funded assistance for homecare services to £100,000, including housing equity.

Announcement posted on:

Welsh Minister announces further investment in social careWelsh Minister announces further investment in social care

Today (17 May), Minister for Social Services and Public Health, Rebecca Evans, announced further investment in social care saying, 'The domiciliary...care workforce [plays] a crucial role in society, and the Welsh Government is playing its part in addressing current challenges.'

Of the £20m made available by the UK Government's March budget, £9 million will be made available to manage workforce costs, and promote the stability of the social care market.

Further information can be found on the Welsh Government website.

Announcement posted on:

Liberal Democrats would put a penny on income tax for health and social careLiberal Democrats would put a penny on income tax for health and social care

The Liberal Democrats are expected to say, in their imminent manifesto, that they are 'the only party with a fully costed plan to deliver £6bn more per year for the NHS and social care by putting a penny on income tax'. Their manifesto will contain a raft of measures to benefit young people and children, and call for the government to give people a vote on the final deal negotiated with Europe on Brexit. More from: www.libdems.org.uk/liberal-democrats-manifesto-2017-general-election-launch

Announcement posted on:

Labour Party commits to an additional £8 billion for social care over five yearsLabour Party commits to an additional £8 billion for social care over five years

The Labour Party Manifesto has been issued, with an associated paper on funding. The manifesto includes a return to the idea of a National Care Service, an extra £8bn for social care, with £1 billion in the first year, an Ethical Care Charter, and a cap on the fees people will spend on their social care. More from: www.labour.org.uk/index.php/manifesto2017 BBC News summary

We will be examining the manifestos of other political parties as they are published.

Announcement posted on:

Guidance following cyber-attack on NHSGuidance following cyber-attack on NHS

NHS England has issued guidance for NHS organisations on protecting against cyber-attack. Although aimed at NHS organisations, the guidance contains advice which is of general interest, and links to further specialist advice. Businesses will want to take advice from their own IT specialists on how best to protect their organisations from cyber-attack. The National Cyber Security Centre has also issued a statement and guidance, including how organisations and individuals can protect themselves from ransomware, at: www.ncsc.gov.uk/news/latest-statement-international-ransomware-cyber-attack-0

There is advice for people about accessing NHS services in the coming days for planned treatment, outpatient appointments and in an emergency (with alternatives) at: www.nhs.uk/alerts/Pages/reported-NHS-cyber-attack.aspx

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Bringing Home Care in ScotlandBringing Home Care in Scotland

A new report, 'Bringing Home Care', looks at the Scottish homecare sector's preventative role, its recent development (including the effect of Free Personal Care), and vision for the future. The report suggests that care at home and housing support are a sustainable, high quality form of care provision which needs to be recognised as an essential part of the whole system.

The report is by Scottish Care and was launched at the Care at Home & Housing Support Conference in Glasgow on 12 May 2017.

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A voice for social care clients at election 2017A voice for social care clients at election 2017

UKHCA members Jewish Care have issued a guide 'General electon 2017 - A voice for social care clients' which contains top tips for social care staff on supporting people to register to vote and vote. It also looks at people living with dementia and their right to vote, decisions about capacity to vote and whether having power of attorney covers voting.

The guide was originally for Jewish Care staff and the charity has now kindly shared it across the sector. The focus is on residential care, but the guide is also relevant to other settings, like homecare.

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UKHCA's general election call for social care changeUKHCA's general election call for social care change

Read the news release on the recent publication of our Manifesto 2017 for political parties and candidates standing for election, to commit to ensuring that older and disabled people can continue to live independently in their own homes.

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May 2017 Homecarer now available for members to downloadMay 2017 Homecarer now available for members to download

May 2017 Homecarer is now available for members to download. In this issue UKHCA strongly urges the political parties to take action on social care; UKHCA Chief Executive Bridget Warr discusses how high quality sustainable homecare needs the energy and commitment of us all; Veronica Monks, UKHCA Policy Officer explores how older workers could be a key resource for homecare; Jane Burns of Anthony Collins Solicitors LLP announces how new data protection law is coming soon; UKHCA's Dan Jones explores whether it is the end of Deprivation of Liberty Safeguards (DoLS); Towerage Insurance advises on using personal vehicles for work; Duncan White, UKHCA Senior Campaigns Officer comments on an ever-changing agenda as Scotland moves forward with social care; The Young Dementia Network discusses how a new tool will help GPs diagnose dementia in younger people; UKHCA's James Whynacht looks at how stability and long-term vision is urgently needed for adult social care in Northern Ireland. This edition also contains a directory of consultants and suppliers to the homecare sector. The UKHCA Manifesto 2017 referred to in Homecarer is available from: www.ukhca.co.uk/manifesto

May 2017 Homecarer edition

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CQC publish report - Celebrating good care, championing outstanding care.CQC publish report - Celebrating good care, championing outstanding care.

The Care Quality Commission (CQC) have produced a report which aims to share good practice and to celebrate services that are getting it right. The report says that, "Some of the best care we have found is in services that acknowledge there is always room for improvement - they are proactive about seeking feedback and they learn from concerns and complaints. We want to celebrate outstanding care where we have found it and share good practice for others to learn and improve from it." Featuring a homecare provider, the report is a collection of case studies chosen to illustrate some of the qualities that have led to an overall rating of outstanding.

 

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Cardiff University to be UK dementia centreCardiff University to be UK dementia centre

By 2022, up to 60 scientific researchers will be employed by Cardiff University to find new ways of diagnosing and treating dementia, according to a recent BBC article.

The university will be given £13m as part of a £250m initiative, the biggest investment Wales has been given to study the disease.

You can find further information about the project on the BBC website.

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Welsh councils' social care issues are getting worseWelsh councils' social care issues are getting worse

Drawing from a recent report by Wales Public Services (WPS), the BBC believe social care will be an issue newly-elected councillors 'will have to quickly get to grips with.'

The projected cost pressures of adult social care in Wales will almost double by 2030, reaching £2.3bn.

The WPS believe a long-term approach is needed to prepare for an impending "crisis...in a couple of years' time."

You can read the full article on the BBC website.

 

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Better Care Fund 'little more than a complicated ruse' says Select CommitteeBetter Care Fund 'little more than a complicated ruse' says Select Committee

Last week (27 April), the Public Accounts Select Committee published a report on the integration of health and social care services.

It concluded the Better Care Fund had failed to achieve any of its objectives and was 'little more than a complicated ruse' to transfer money and so funding pressures from health to local government.

It recommended that integration should would best be delivered via sustainable and transformation planning processes, or STPs.

Further information about this report can be found at Parliament.uk.

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MPs recommend providers should be able to recruit the best from across the world, post BrexitMPs recommend providers should be able to recruit the best from across the world, post Brexit

MPs on the Health Committee have reported on the effect of Brexit on health and social care recommending the Department of Health list all issues that need contingency planning and make sure they are included in the UK's EU negotiating team when health issues are discussed.

The Committee made clear the value they place on the health and social care workforce from EU nations and called for the Government's post-Brexit plan to give them security regarding their right to remain and ensure that providers can recruit and retain the best and the brightest from across the world. An audit of the extent of the NHS's and adult social care workforce's dependence on overseas workers should be carried out and the Government should recognise the need for a streamlined migration system post-Brexit and set out how this should be managed. The Committee hoped their successor committee, appointed after the General Election, would carry on with this work.

Report conclusions and recommendation

Full report Brexit and health and social care - people & process

UKHCA contributed to the Inquiry through the Cavendish Coalition and by submitting independent evidence.

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