Written evidence submitted by Carers UK [SOC 161]

Size: px
Start display at page:

Download "Written evidence submitted by Carers UK [SOC 161]"

Transcription

1 Written evidence submitted by Carers UK [SOC 161] About Carers UK Carers UK is a membership charity of carers we work to represent and support the 6.5 million people in the UK who provide unpaid care for ill, older or disabled family members or friends. The evidence provided by Carers UK comes directly from carers own experiences of the health and care system, including their experience at work and how it is impacted by social care changes. We also look at other external sources of key evidence. Summary Carers play a vital role providing care worth 132bn each year 1, but they cannot increasingly prop up a social care system in crisis as this brings with it significant costs in health, well-being and employment. The new cross-government Carers Strategy, currently in development, is recognition of the need to better support carers and may deliver some solutions for support, but wider support for social care is also needed. Demand for care is rising, yet fewer people are receiving services. Funding for social care remains insufficient, despite the introduction of additional funding mechanisms such as the 2% precept. A shortfall of 1.1bn remains to simply maintain care levels at the 2014/15 level 2. The rationing of social care services due to funding cuts is resulting in extreme and unsustainable pressure being placed on carers, who are providing more care, for more hours than ever before. Since 2001, the growth in the number of carers has outstripped population growth by 16.5% and the number of people providing hours of care a week has increased by 43% 3. Many carers are caring without the support they need or are seeing reductions in the amount of support provided. 1 in 5 carers who are providing 50 hours or more of care each week are receiving no practical support with their caring role 4. The impact of providing care without the right support is vast, affecting carers health, finances and ability to have a life outside caring, as well as their ability to continue caring. 1 Carers UK (2015) Valuing Carers ADASS (2016) Budget Survey 3 Carers UK (2015) Valuing Carers Carers UK (2016) State of Caring 2016

2 The social care crisis is also impacting on the sustainability of the NHS and care services. Several key health professionals have suggested that part of the reason for the rise in older people with complex needs in A&E is due to carer burnout/carers not being able to cope. Employers are increasingly recognising those in their workforce are being put under increasing pressure because of juggling work and care. This has an impact not only on businesses, but our economy as a whole. It is estimated that 5.3bn has been wiped from the economy in lost earnings due to people who ve dropped out of the workforce to take on caring responsibilities for older or disabled loved ones 5, often due to the difficulty of finding high quality care services. Pressure of budgets and costs seems to contribute to this lower quality. Of carers taking part in our research who have given up work or reduced their working hours to care, 46% said that one of the reasons was a problem with care services 6. Implementation of the Care Act 2014 and Children and Families Act 2014 in England is being undermined by a lack of funding for local authority social care departments. Carers UK s own research published in May 2016 looking at over 3,000 carers experiences found carers are waiting a significant amount of time for assessments that were often not fit for purpose: 1 in 3 carers (29%) who have had a carer s assessment had to wait six months or longer for it and a minority (35%) felt that the assessment told them how to get all the information and advice they needed 7. Some local authorities are starting to look at how they care reach carers earlier in their caring journey and provide digital solutions to some key challenges faced by carers providing solutions at scale, that carers say they need. We ve set out examples of how Carers UK is working with local authorities to provide these solutions. Key Recommendations Government must urgently increase overall social care funding, delivering a sustainable and fair settlement for all geographic areas that ensures people with care and support needs and receive the vital services they need. Bring forward the extra funding for the Better Care Fund currently due to be introduced in 2017/18. Prioritise the development of the new cross-government Carers Strategy, ensuring implementation is supported by sufficient funding Carers UK (2014) Quality of care and carers 7 Carers UK (2016) State of Caring 2016

3 Maintain Attendance Allowance as nationally administered universal benefit, recognising it is an efficient, well targeted and reduces pressure on social care services. Deliver extra funding to support the implementation of the new rights for carers secured in the Care Act Alongside this, Government must review the implementation of the Care Act 2014 and the Children and Families Act 2014 in relation to carers assessments and support following assessments. A new duty on the NHS to put in place policies to identify carers and to promote their health and well-being helping to build a carer friendly NHS. Local Authorities must ensure they meet market shaping duties set out in the Care Act, consulting with carers to ensure sufficiency and diversity of high quality care services. Local authorities must ensure that a range of housing products are developed and built in their area, including sufficient provision of specialist homes. Care and support planning and housing planning needs to be done locally in an integrated way. Local government should embed the use of technology including digital information and health and care technologies - in implementation of duties on information and advice, prevention and wellbeing under the Care Act. Carers and the social care system Publicly funded care provided by local authorities comprises a minority of the total care provided in the UK. The majority of care and support is provided, unpaid, by family and friends and is worth a staggering 132 billion a year 8. Yet for carers, getting the right support from the social care system has a profound impact on their ability to continue providing care. The local authority social care system provides the following main functions for carers: Personal care and practical support for the cared for person, such as funding for home care workers or day centres Equipment and home adaptations to make caring easier Residential care, for example providing a period of respite care Information and advisory services Provision of Carer s Assessments Carers receive a variety of support from the social care system, although some is paid for privately. Carers UK s State of Caring 2016 survey is the largest annual survey of carers 8 Carers UK (2015) Valuing Carers 2015

4 experiences in the UK. Almost half of carers (48%) taking part in our State of Caring survey , have practical support in the form of equipment in the home of the person they care for, such as hoists, grab rails or easy grip handles. Nearly a quarter (24%) use technology to help their caring role and 29% have practical support from care workers. Almost 1 in 5 carers (18%) have practical support in the form of a break from caring for themselves. For those caring for someone with a learning disability, day centres continue to be an important source of support with 1 in 5 carers (19%) looking after someone with a learning disability using a day centre. Social Care Funding Increasing demand Carers UK has consistently argued for a sustainable long-term settlement for social care. However successive Governments have failed to fund the system to keep up with demand. With our ageing population and people living longer with long term conditions there is an increasing demand for care and support. Between 2001 and 2015, the number of people aged 85 and over increased by over 366,200 (+38%) and the number of people with a limiting longterm illness increased by 1.4 million 10. Despite rising demand, fewer people are receiving support. Today, 25 per cent fewer older people are receiving social care support than five years ago 11. LSE research shows that 500,000 people who would have had access to social care in 2009 are no longer entitled to it 12. Demand is only set to increase. By 2017, we will have reached a tipping point in care where the demand from older people needing care will outstrip family members able to meet that need. This care gap is expected to increase rapidly over the next two decades 13. This has significant implications for older people and increases the risk that carers will give up employment to provide care a scenario that is incompatible with the Fuller Working Lives strategy. Recent Funding Announcements Whilst we welcomed the Government s announcement of a social care precept and extra investment in the Better Care Fund, it is clear that this is not sufficient to meet the growing demand. Carers UK has the following significant concerns: Sufficiency of investment. The underfunding of social care services is well documented. 5.5 billion has been taken out of social care budgets in the last 6 9 Carers UK( 2016) State of Caring Survey Carers UK (2015) Valuing Carers Kings Fund and Nuffield Trust (2016), 40 Census (Personal Social Services Research Unit (2013) Changes in the patterns of social care provision in England: 2005/6 to 2012/13, London: London School of Economics. Available from 13 Linda Pickard (2013) A growing care gap? The supply of unpaid care for older people by their adult children in England to 2032 is published in Ageing and Society.

5 years 14. The most recent ADASS Budget survey outlines the unprecedented pressure on adult social care departments; with an extra 1.1 billion investment needed to simply maintain care provision at the same level as last year 15. Research from the Nuffield Trust, The Health Foundation and the Kings Fund demonstrates even if every council were to utilise the precept, the estimated funding gap, taking into account the impact of the Living Wage, will be between 2.8 billion and 3.5 billion in 2019/ ADASS states that the social care precept this year raises less than two-thirds of the calculated costs of the National Living Wage 17. This significant and sustained underfunding is resulting in a loss of independence and quality of life for older and disabled people, and reductions in carer support, undermining the positive changes for carers introduced in the Care Act Regional variation and delay in funding ADASS have already reported the inequality in funding for local authorities collecting the 2% precept, stating it raises much more in some areas than others and raises least in areas with the greatest need for social care 18. While the Government have said the additional funding from the Better Care Fund will be used to top up funding for local authorities that will raise less from the precept, this extra funding will not be released 2017/18 when it will deliver only 105 million 19. The back loading of this money has the potential to create a postcode lottery of support and is particularly concerning given the immediate investment needed to simply maintain current levels of provision. Overall spending on social care by local authorities In the context of unprecedented reductions in local authority budgets, Carers UK is concerned that, while money raised through the precept is ring-fenced, future local authority funding currently allocated to social care may be reduced in the knowledge that additional funding will be raised through the precept. It is vital that a mechanism is introduced to ensure the precept increases local authority social care budgets. Local Government Finance Settlement: Proposal to devolve Attendance Allowance. Currently administered by the DWP, the potential devolution of Attendance Allowance to local authorities must not be seen as an alternative channel for financing social care. Attendance Allowance is a vital benefit that helps 1.4 million severely disabled people aged 65 or over with the extra costs of long-term 14 King s Fund (2016), 15 ADASS (2016) Budget Survey 16 Nuffield Trust, The Health Foundation and the Kings Fund, The Spending Review: what does it mean for health and social care?, December Available from: pdf 17 ADASS (2016) Budget Survey 18 ADASS (2016) Budget Survey 19

6 illness or disability. It is often used to prevent care needs developing, allowing recipients to purchase practical help around the home. Moving the funding from supporting one set of people (Attendance Allowance recipients) to another set of people (social care recipients) is deeply short-sighted given the preventative nature of the benefit. Any reduction in availability will only serve to increase the pressure on social care services in the future. The Local Government Association has also warned that councils do not want responsibility for administering the Attendance Allowance benefit for older people which would lead to significant cost pressures 13. Government must Maintain Attendance Allowance as nationally administered universal benefit, recognising it is an efficient, well targeted and reduces pressure on social care services. For further information on the possible devolution of attendance Allowance please see our full briefing: Impact of social care underfunding Impact on carers More families caring round the clock Social care services have failed to keep pace with the increasing demands of an ageing population. Analysis by Carers UK demonstrates that between and , less homecare support was provided by local authorities to people with care needs in England, with number of people being supported dropping by 13% 20. The drop in service provision context of increasing need is having a profound impact on families who are stepping in to provide more care than ever before. In the UK, the provision of unpaid care has increased by 16.5% vastly outstripping the growth of the general population during this same period (6.2%). Since 2001, the number of people providing hours of care a week has increased by 43%, with those caring for fifty or more hours per week increasing by a third 21. Evidence from Carers UK State of Caring Survey 2016 demonstrates many carers are caring without the support they need or are seeing reductions in the amount of support 20 Carers UK (2015) Valuing Carers Carers UK (2015) Valuing Carers 2015

7 provided. We are becoming increasingly concerned at this direction and the impact on carers: 1 in 5 carers (20%) who are providing 50 hours or more of care each week are receiving no practical support with their caring role. A third (34%) of respondents to our survey said that they or the person they care for has experienced a change in the amount of care and support services that they receive. More than half of those reporting a change (59%) said the amount of care and support they receive had been reduced because of cost or availability of services. This includes 12% who have cut down on the amount of care and support they get because the cost has increased or their personal budget no longer covers it, and 13% said that the care or support service was closed and no replacement was offered. The social worker who assessed my wife said all direct payments in the borough were being reduced. We discussed the needs and were advised we would be informed of any change. Without warning or notification the budget was cut by 30% immediately. Respondent to State of Caring Survey 2016 This is not an isolated question in our research, but a question repeated year on year, showing year on year increases to the costs of services, and cuts to services or no service being offered despite a clear need. Alongside evidence from carers, there is mounting wider evidence that cuts to social care budgets are the impacting on the ability of councils to meet their statutory care and support duties: The ADASS survey of Directors of Social Services, completed by 100% of councils in England, reports that least 24% of this year s savings will come from cutting services or reducing the personal budgets of people who receive care and support 22. The Health Select Committee analysed the impact of the Comprehensive Spending Review on Health and Social Care. The report concluded, Historical cuts to social care funding have now exhausted the capacity for significant further efficiencies in this area. Increasing numbers of people with genuine social care needs are no longer receiving the care they need because of a lack of resource 23. There is evidence that local authorities are imposing blanket reductions on care provision due to funding pressures. A recent Local Government Ombudsman investigation found that Knowsley Metropolitan Borough Council had applied a 22 ADASS (2016) Budget survey 23 Health Select Committee (2016) Impact of the Spending Review on health and social care

8 blanket restriction of four weeks per year respite care, regardless of the individual needs of carers in its area. The LGO attributed the reduction to budget limitations 24. Impact on carers physical and mental health The increase in the numbers of people providing care and the hours of care provided, is coming at a huge personal cost to those who are not well supported. Insufficient support from health and social care services is leaving carers isolated, burnt-out and unable to look after their own health. As well as physical injury and mental ill-health as a result of intensive caring, carers are also less likely to be able to attend routine public health related appointments or follow-through with key health interventions. According to the 2011 Census, carers are twice as likely as non-carers to be in bad health where they are providing 50 hours or more a week. It is important to consider the changing demographic make-up of carers. There has been a surge in the number of older carers, an increase of 128% in the last 10 years 25. The increasing number of older carers, caring for longer, brings its own health impacts with many having their own health conditions to also manage. A lack of care and support services and the consequent increase in the amount of unpaid care being provided is also having a very damaging impact on the emotional resilience and relationships of carers. Carers who have reached breaking point where they felt unable to continue with their caring role are twice as likely to say that they are socially isolated because they are unable to leave the house and are also more likely to have experienced depression as a result of caring 26. Impact on carers ability to access suitable housing With an increase in the amount of care being provided and a shift from hospital to community care, the availability of suitable and affordable housing is vital to the health and wellbeing of carers and their ability to provide safe and effective care. Yet, a lack of investment in social care provision and the failure of the UK s housing stock to adapt to the changing demands of an ageing population are making it more difficult for carers to manage at home. Currently, 95% of homes lack basic accessibility features 27. The speedy installation of home adaptations, such as stair lifts, grab rails or a downstairs bathroom can make a huge difference to carers and their families. Home adaptations are fundamental to preventing care needs increasing, promoting independence and giving disabled people and their carers the support to live well Carers UK (2015) Caring into Later Life 26 Carers UK (2015) Alone and Caring 27 Age UK (2015) Agenda for Later Life

9 Despite this almost 1 in 5 (18%) carers responding to Carers UK State of Caring survey are waiting for adaptations to be made to their home. While home adaptations are funded via a variety of sources, delays in adaptions being carried out are often due to long waiting times for an Occupational Therapist (OT) to undertake an assessment, funded through stretched local authority social care budgets..recommendations: Government must urgently increase overall social care funding, delivering a sustainable and fair settlement for all geographic areas that ensures people with care and support needs and receive the vital services they need. Bring forward the extra funding for the Better Care Fund currently due to be introduced in 2017/18. Prioritise the development of the new cross Government Carers Strategy, ensuring implementation is supported by sufficient funding Local authorities must ensure that a range of housing products are developed and built in their area, including sufficient provision of specialist homes. Care and support planning and housing planning needs to be done locally in an integrated way. Impact on the implementation of the Care Act Under the Care Act 2014, all carers have the right to a timely assessment of their needs. Yet, carers experiences from Carers UK s State of Caring Survey 2016 show that implementation of the Care Act 2014 and Children and Families Act 2014 in England is being undermined by a lack of funding for local authority social care departments. Carers facing long delays in receiving a carer s assessment: 1 in 3 carers (29%) who reported having an assessment in the past year had to wait six months or longer for it. Over a third of carers (39%) looking after someone at the end of their life had to wait six months or more for an assessment which will be too late for many. There are variations in waiting times between different groups of carers with older carers being more likely to receive an assessment within six months than those caring for someone with a mental health condition. Almost one-quarter of carers (22%) had to request an assessment for themselves over the last year instead of having one offered to them. Those who request an assessment rather than being offered one are typically waiting longer

10 This is particularly noticeable for parents of children under 18 who were much more likely to have requested rather than been offered an assessment. Of carers supporting a disabled child who requested an assessment 48% have waited or are waiting for more than six months. Carers assessments are not looking at all aspects of wellbeing: Of carers who received an assessment in the past year: 2 in 3 (68%) felt their need to have regular breaks from caring was either not considered or not thoroughly considered Only 1 in 3 (35%) felt that support to look after their own health was thoroughly considered 3 in 4 working age carers (74%) did not feel that the support needed to juggle care with work was sufficiently considered Carers access to information and advice Under the Care Act local authorities have a duty to provide information and advice services to those with care and support needs and support for carers. Guidance states that local authorities must take an active role in providing this information to affected populations; however our evidence shows that too many carers are not getting the information they need. Of carers who received an assessment in the past year: Only a minority (35%) were told how to get all the information and advice about their caring role they felt they needed. 1 in 5 (21%) of carers said they received little or no helpful information or advice, and felt they didn t know where to go for support with caring 28. Evidence local authorities are struggling to meet their new duties under the Care Act is also provided by ADASS who report only 1 in 3 (36%) Directors of Social Services are fully confident of being able to deliver all of their statutory duties under the Care Act in 2016 this year, falling to just 8% who think they can do so next year 29. Official statistics also show a downward trend in the number of carers receiving support, although data collection changes mean that it is difficult to measure year on year. In the number of carers receiving services from a local authority was 354, In the number of carers receiving direct support from a local authority was 334, Positives from the Care Act 2014 and innovation There are also examples reported by carers where they ve had their needs assessed and this has led to better support and outcomes. Carer, Norman Phillips from Hertfordshire describes 28 Carers UK (2016) State of Caring ADASS (2016) Budget Survey

11 some of the cultural changes where he feels he now has a break which is right for him and his wife. Frieda, a carer for several decades for her adult son with complex disabilities, talks about how her health and well-being were properly considered since the Care Act was implemented. In the run-up to implementation, Carers UK asked local authorities about whether the Care Act was revitalising any new work around technology, focussing on carers and employment and working jointly with health. Most encouragingly, technology featured quite highly with authorities looking to review the advice and information offered locally as well as look at offering a greater range of technological solutions. Further evidence is available here: Recommendation: Government must deliver extra funding to support the implementation of the new rights for carers secured in the Care Act Alongside this, Government must review of the implementation of the Care Act 2014 and the Children and Families Act 2014 in relation to carers assessments and support following assessments. Impact on the sustainability of the NHS NHS Poor coordination between the NHS and social care and chronic underfunding of social care will impact on the sustainability of the NHS and its ability to adapt to the needs of an ageing society with complex long-term conditions. Delays in securing social care services, and the desire to free hospital beds, can mean that extra pressure is put onto families at the point of discharge. Evidence shows that of carers who have recent experience of hospital discharge, a quarter (25%) report that they were not consulted about the process. Significantly, nearly 6 in 10 carers (57%) said that they did not feel that they had a choice about providing care to the person following their discharge from hospital 32. If a carer is unprepared or simply unable to care for their loved one when they are discharged, and no support is put in place, then families can find it difficult to cope. This not only has a huge impact on the individual needing care but cause significant cost the NHS, as re-admission is more likely. Many carers also describe instances where a lack of support from social care and community health services meant the person they cared for had to remain in hospital longer than necessary to wait for support at home to be put in place. Analysis from the Kings Fund shows that nearly a 32 Carers UK (2016) State of Caring 2016

12 third of delayed discharges last year were caused by problems accessing social care services an increase of 21 per cent from the year before 33. The deterioration of carers own health, due to a lack of social care support, also puts pressure on the NHS. Lack of replacement care means carers find it difficult to find time to attend their own medical appointments, meaning health conditions escalate. According to the 2011 Census are twice as likely as non-carers to be in bad health where they are providing 50 hours or more a week. Recommendation: A new duty on the NHS to put in place policies to identify carers and to promote their health and well-being helping to build a carer friendly NHS. Impact on the economy and on carers employment Underfunding of social care services presents risks for the wider economy. 1 in 9 people in the workforce combine caring with paid work. The availability, affordability, reliability and quality of replacement care services has a significant impact on carers ability to juggle work and caring responsibilities. Carers need to know that their parent, child or partner is in good hands when they are at work. Yet evidence shows cuts to social care funding are impacting the quality of services provided. The ADASS Budget survey states 82% of Directors of Social Services report that more providers already face quality challenges as a result of the cost savings being made 34. The CQC report on The State of Health and Adult Social Care in England 35 shows that 41% of care providers were rated as inadequate or requires improvement, noting the reduction in funding for adult social care as a key factor placing adult social care under pressure. In addition, the Local Government Ombudsman has reported a steep increase (29%) in the number of complaints and enquiries received about councils provision of home care. A high number of these complains (67%) were upheld 36. Of those carers we surveyed who had given up work or retired early to care the majority of carers replying to our survey (62%) said it was the stress of juggling everything that meant they gave up work but over a third (35%) said that the care services they needed to continue to work and care were not suitable or were too expensive Kings Fund Quarterly Monitoring update 17, October 2015, Figures for Aug ADASS (2016) Budget Survey Local Government Ombudsman (2016) Review of Local Government Complaints Carers UK (2014) State of Caring Report

13 There is evidence to show that carers give up work to care. Carers UK research suggests that over 2 million people have given up work at some point to care for loved ones and 3 million have reduced working hours 38. The current impact of staff turnover, absenteeism and stress as a result of juggling work with caring is already having a huge impact on business, estimated to be costing UK businesses over 3.5 billion every year 39. Employers are increasingly recognising the role of adult social care in supporting carers to remain at work. The Employers for Carers forum, in submitting evidence to the Carers Strategy, highlighted social care as one of the conditions to enable people to work in the same way that childcare enables parents to work. The forum raised some concern about current and future provision of social care in this context. Their evidence showed worry about the stress that caring for relatives places on colleagues at work, and for some, who have to give up work as a result affecting productivity for businesses in the UK. The CIPD has also recognised the stress on employees of juggling work and care last year as an increasingly important issues raised by its members 40. Recommendation: Local Authorities must ensure they meet market shaping duties set out in the Care Act, consulting with carers to ensure sufficiency and diversity of high quality care services. Local Authority use of innovation to support carers In the face of rising demand and increased pressure on resources, local authorities are looking for different solutions that can help meet these challenges preventing situations from developing further, increasing resilience, helping people to access other forms of support that might be available in the community and build individuals personal capacity to self-manage conditions. Carers UK has been working with carers to look at solutions that would help to meet some of these challenges and how local authorities might change policy, practice, and their service offers to deliver meet this challenge. Technology has a vital role to play in supporting carers and digital solutions can prove both cost effective and highly beneficial resource for local authorities. Carers UK has a range of evidence 38 Carers UK and YouGov (2013) as part of Caring & Family Finances Inquiry UK Report (2014) 39 Carers UK (2014) Care Leave, Impact on Business 40

14 from carers and the general public about the extent to which technology could help to improve care. Whilst it is not a panacea and cannot replace certain types of care which only individuals can provide, there is more that could be done in this area. Given the challenges facing carers and public authorities Carers UK has developed a Digital Resource including a number of digital products and online resources to help Local Authorities meet their duties to carers under the Care Act as well as seeking to provide the support, information and advice that carers are looking for. These resources from Carers UK include: About Me: an e-learning resource that helps carers identify and build networks of support and promotes their self-care and is aimed at improving their resilience. Jointly: a care co-ordination app for people sharing care built from the concept of carers wanted to be able to co-ordinate care between a number of different people better; reducing time spent organising, reducing stress, improving health. Upfront Guide to Caring: a simple assessment tool to guide people new to caring or seeking support for the first time helping carers to receive a tailored information package after completing a 3 minute self-assessment. Being Heard: a guide for carers, which helps them develop the skills to selfadvocate. Carers UK is working with a number of Local Authorities who are providing the digital resources listed above as a package of support for all carers in their area: Critically, the Digital Resource for Carers will help local authorities meet their Care Act duties on information and advice, prevention and wellbeing John Bangs, Carers Lead, Surrey County Council The Government is also currently funding nine Carers in Employment pilots, are looking at how local authorities can use technology to support working carers. The pilots will run until spring Recommendation: Local government should embed the use of technology including digital information and health and care technologies - in implementation of duties on information and advice, prevention and wellbeing under the Care Act. 41

15 August 2016

Key facts and trends in acute care

Key facts and trends in acute care Factsheet November 2015 Key facts and trends in acute care Introduction Welcome to our factsheet giving an overview of major trends and challenges facing the acute sector. The information has been compiled

More information

Building our Industrial Strategy

Building our Industrial Strategy Building our Industrial Strategy Consultation response from Carers UK About Carers UK Carers UK is a membership charity of carers we work to represent and support the 6.5 million people in the UK who provide

More information

carersuk.org/stateofcaring State of Caring 2018

carersuk.org/stateofcaring State of Caring 2018 carersuk.org/stateofcaring State of Caring 2018 About the research A total of 7,397 carers and former carers responded to Carers UK s annual State of Caring survey between March and May 2018. Only responses

More information

House of Commons Communities and Local Government Committee Executive Summary: Adult Social Care

House of Commons Communities and Local Government Committee Executive Summary: Adult Social Care House of Commons Communities and Local Government Committee Executive Summary: Adult Social Care Key facts Fewer than one in twelve Directors of Adult Social Care are fully confident that their local authority

More information

Bedfordshire, Luton and Milton Keynes Sustainability and Transformation Plan. October 2016 submission to NHS England Public summary

Bedfordshire, Luton and Milton Keynes Sustainability and Transformation Plan. October 2016 submission to NHS England Public summary Bedfordshire, Luton and Milton Keynes Sustainability and Transformation Plan October 2016 submission to NHS England Public summary 15 November 2016 Contents 1 Introduction what is the STP all about?...

More information

NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING CASE FOR CHANGE - CLINICAL SERVICES REVIEW

NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING CASE FOR CHANGE - CLINICAL SERVICES REVIEW NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING CASE FOR CHANGE - CLINICAL SERVICES REVIEW Date of the meeting 19/03/2014 Author Sponsoring Board Member Purpose of Report Recommendation

More information

Health and care services in Herefordshire & Worcestershire are changing

Health and care services in Herefordshire & Worcestershire are changing Health and care services in Herefordshire & Worcestershire are changing An update on a five year plan to provide safe, effective and sustainable care in our area www.yourconversationhw.nhs.uk Your Health

More information

BIRMINGHAM COMMUNITY HEALTHCARE NHS TRUST: HEALTHY VILLAGES AND THE COMPLETE CARE MODEL

BIRMINGHAM COMMUNITY HEALTHCARE NHS TRUST: HEALTHY VILLAGES AND THE COMPLETE CARE MODEL BIRMINGHAM COMMUNITY HEALTHCARE NHS TRUST: HEALTHY VILLAGES AND THE COMPLETE CARE MODEL Summary Healthy Villages is a partnership between Birmingham Community Healthcare (BCH) and other NHS providers and

More information

Meeting the Needs of a 21st Century Society. Care England Manifesto for the Independent Care Sector (ICS)

Meeting the Needs of a 21st Century Society. Care England Manifesto for the Independent Care Sector (ICS) Meeting the Needs of a 21st Century Society Manifesto for the Independent Care Sector (ICS) Introduction Expectations from citizens have risen. They experience social and health care as a continuum and

More information

Understanding NHS financial pressures

Understanding NHS financial pressures SUMMARY Understanding NHS financial pressures How are they affecting patient care? March 2017 Overview Financial pressures on the NHS are severe and show no sign of easing. However, we know relatively

More information

Making every moment count

Making every moment count The state of Fast Track Continuing Healthcare in England What is Continuing Healthcare? Continuing Healthcare (CHC) is a free care package, funded and arranged by the NHS, to enable people to leave hospital

More information

2020 Objectives July 2016

2020 Objectives July 2016 ... 2020 Objectives July 2016 1 About NHS Improvement NHS Improvement is responsible for overseeing NHS foundation trusts, NHS trusts and independent providers. We offer the support these providers need

More information

Valuing and Supporting Carers. Stockport s Carers Strategy and Action Plan

Valuing and Supporting Carers. Stockport s Carers Strategy and Action Plan Valuing and Supporting Carers Stockport s Carers Strategy and Action Plan 2013 to 2016 1 CONTENTS Page Executive Summary 3 Who Do We Mean by Carers? 4 Profile of Carers in Stockport 5 Our Vision 9 1. Integrated

More information

North West London Sustainability and Transformation Plan Summary

North West London Sustainability and Transformation Plan Summary North West London Sustainability and Transformation Plan Summary Being well, living well: a sustainability and transformation plan for North West London November 2016 Have your say We want to hear your

More information

Norfolk and Suffolk NHS Foundation Trust mental health services in Norfolk

Norfolk and Suffolk NHS Foundation Trust mental health services in Norfolk Norfolk Health Overview and Scrutiny Committee 7 December 2017 Item no 6 Norfolk and Suffolk NHS Foundation Trust mental health services in Norfolk Suggested approach by Maureen Orr, Democratic Support

More information

The Community Crisis House model

The Community Crisis House model An evaluation of Wales first crisis house If it had not been for the Crisis House staff I honestly don t think I would still be here. I can t thank you enough for all your help. I now feel that I actually

More information

Commissioning and statutory funding arrangements for hospice and palliative care providers in England 2017

Commissioning and statutory funding arrangements for hospice and palliative care providers in England 2017 Commissioning and statutory funding arrangements for hospice and palliative care providers in England 2017 Introduction Summary The statutory funding arrangements for adult hospices continue to raise serious

More information

Struggling to cope. Mental health staff and services under pressure. Struggling to cope. Mental health staff and services under pressure

Struggling to cope. Mental health staff and services under pressure. Struggling to cope. Mental health staff and services under pressure Mental health staff and services under pressure UNISON s survey report of mental health staff 2017 Mental health staff and services under pressure UNISON s survey report of mental health staff 2017 Page

More information

Integrated Health and Care in Ipswich and East Suffolk and West Suffolk. Service Model Version 1.0

Integrated Health and Care in Ipswich and East Suffolk and West Suffolk. Service Model Version 1.0 Integrated Health and Care in Ipswich and East Suffolk and West Suffolk Service Model Version 1.0 This document describes an integrated health and care service model and system for Ipswich and East and

More information

Caregivingin the Labor Force:

Caregivingin the Labor Force: Measuring the Impact of Caregivingin the Labor Force: EMPLOYERS PERSPECTIVE JULY 2000 Human Resource Institute Eckerd College, 4200 54th Avenue South, St. Petersburg, FL 33711 USA phone 727.864.8330 fax

More information

Report by the Local Government and Social Care Ombudsman. Investigation into a complaint against North Somerset Council (reference number: )

Report by the Local Government and Social Care Ombudsman. Investigation into a complaint against North Somerset Council (reference number: ) Report by the Local Government and Social Care Ombudsman Investigation into a complaint against North Somerset Council (reference number: 16 018 163) 16 March 2018 Local Government and Social Care Ombudsman

More information

English devolution deals

English devolution deals Report by the Comptroller and Auditor General Department for Communities and Local Government and HM Treasury English devolution deals HC 948 SESSION 2015-16 20 APRIL 2016 4 Key facts English devolution

More information

NHS Bradford Districts CCG Commissioning Intentions 2016/17

NHS Bradford Districts CCG Commissioning Intentions 2016/17 NHS Bradford Districts CCG Commissioning Intentions 2016/17 Introduction This document sets out the high level commissioning intentions of NHS Bradford Districts Clinical Commissioning Group (BDCCG) for

More information

September Workforce pressures in the NHS

September Workforce pressures in the NHS September 2017 Workforce pressures in the NHS 2 Contents Foreword 3 Introduction and methodology 5 What professionals told us 6 The biggest workforce issues 7 The impact on professionals and people with

More information

What do the numbers say about emergency readmissions to hospital? October 2017

What do the numbers say about emergency readmissions to hospital? October 2017 What do the numbers say about emergency readmissions to hospital? October 2017 Admissions to hospital and delayed transfers of care (DTOCs) are wellmonitored and understood, but information about the number

More information

The future of social care funding. Can a green paper solve all the problems?

The future of social care funding. Can a green paper solve all the problems? The future of social care funding Can a green paper solve all the problems? The funding gap As the publication date for a government green paper on the future of social care draws ever nearer, the discussion

More information

Adult Social Care Assessment & care management In-house care services

Adult Social Care Assessment & care management In-house care services Adult Social Care Assessment & care management In-house care services Service Plan 2015/16 Date 19/03/15 Final Directorate: Education Health and Social Care 1. Introduction Policy Context The Adult Social

More information

Effective discharge from hospital: the role of communication of home circumstances February 2017

Effective discharge from hospital: the role of communication of home circumstances February 2017 Effective discharge from hospital: the role of communication of home circumstances February 2017 Page 1 of 10 1. Introduction 1.1 Healthwatch Coventry is the independent champion for health and social

More information

Developing Plans for the Better Care Fund

Developing Plans for the Better Care Fund Annex to the NHS England Planning Guidance Developing Plans for the Better Care Fund (formerly the Integration Transformation Fund) What is the Better Care Fund? 1. The Better Care Fund (previously referred

More information

Improving patient access to general practice

Improving patient access to general practice Report by the Comptroller and Auditor General Department of Health and NHS England Improving patient access to general practice HC 913 SESSION 2016-17 11 JANUARY 2017 4 Key facts Improving patient access

More information

NHS reality check Update 2018

NHS reality check Update 2018 NHS reality check Update 2018 March 2018 In September 2016 the Royal College of Physicians (RCP) made it clear that the NHS was Underfunded, underdoctored, overstretched. 1 We said that patients and NHS

More information

What will the NHS be like in 5 years, 20 years time?

What will the NHS be like in 5 years, 20 years time? What will the NHS be like in 5 years, 20 years time? NHS Castle Point and Rochford Clinical Commissioning Group (CCG) and NHS Southend CCG are groups of local doctors and other health professionals who

More information

End of Life Care. LONDON: The Stationery Office Ordered by the House of Commons to be printed on 24 November 2008

End of Life Care. LONDON: The Stationery Office Ordered by the House of Commons to be printed on 24 November 2008 End of Life Care LONDON: The Stationery Office 14.35 Ordered by the House of Commons to be printed on 24 November 2008 REPORT BY THE COMPTROLLER AND AUDITOR GENERAL HC 1043 Session 2007-2008 26 November

More information

OCCASIONAL PAPERS SERIES: HOW ARE WE DOING? MEASURING SHORT BREAKS

OCCASIONAL PAPERS SERIES: HOW ARE WE DOING? MEASURING SHORT BREAKS About The purpose of our Occasional Papers series is to promote new thinking around how we plan and deliver better outcomes from short break services. Papers will consider different issues affecting people

More information

Your. Carers Guidance. Everything you need to know about the support available to you as a carer.

Your. Carers Guidance. Everything you need to know about the support available to you as a carer. Your Carers Guidance Everything you need to know about the support available to you as a carer. You may have been caring for some time, or you may have been thrown into caring through an unexpected event

More information

ANSWERS TO QUESTIONS YOU MAY HAVE

ANSWERS TO QUESTIONS YOU MAY HAVE ANSWERS TO QUESTIONS YOU MAY HAVE What is Better Care Together really all about? Better Care Together is about ensuring that health and social care services in Leicester, Leicestershire and Rutland are

More information

A fresh start for registration. Improving how we register providers of all health and adult social care services

A fresh start for registration. Improving how we register providers of all health and adult social care services A fresh start for registration Improving how we register providers of all health and adult social care services The Care Quality Commission is the independent regulator of health and adult social care

More information

Your guide to gifts in Wills. Every family that needs one should have an Admiral Nurse

Your guide to gifts in Wills. Every family that needs one should have an Admiral Nurse Your guide to gifts in Wills Every family that needs one should have an Admiral Nurse We can help carers find solutions to the challenges they face. Sarah Hiscocks, Admiral Nurse A gift in your Will could

More information

Jersey Carers Strategy

Jersey Carers Strategy Jersey Carers Strategy Getting things right so Carers thrive not just survive Jersey Association of Carers Incorporated and the Carers Partnership Group Contents 1.0 Preface 2.0 Introduction 3.0 Strategy

More information

Reducing emergency admissions

Reducing emergency admissions A picture of the National Audit Office logo Report by the Comptroller and Auditor General Department of Health & Social Care NHS England Reducing emergency admissions HC 833 SESSION 2017 2019 2 MARCH 2018

More information

Healthy London Partnership. Transforming London s health and care together

Healthy London Partnership. Transforming London s health and care together Healthy London Partnership Transforming London s health and care together London-wide transformation In 2014, two publications set out London s transformation priorities NHS Five Year Forward View Better

More information

Transition to District Nursing Service

Transition to District Nursing Service Transition to District Nursing Service Contents Section A - Thinking about working in the community Chapter 1 - What is community nursing Chapter 2 - Making the transition Section B - Working in the community

More information

Suffering in silence Listening to consumer experiences of the health and social care complaints system EXECUTIVE SUMMARY

Suffering in silence Listening to consumer experiences of the health and social care complaints system EXECUTIVE SUMMARY Suffering in silence Listening to consumer experiences of the health and social care complaints system EXECUTIVE SUMMARY In order to use complaints to drive improvements, we must first have a system that

More information

Inclement Weather Plan. Controlled Document Number: Version Number: 004. Controlled Document Sponsor: Controlled Document Lead: On: October 2017

Inclement Weather Plan. Controlled Document Number: Version Number: 004. Controlled Document Sponsor: Controlled Document Lead: On: October 2017 Inclement Weather Plan CATEGORY: CLASSIFICATION: Plan Emergency planning CONTROLLED DOCUMENT PURPOSE Controlled Document Number: This plan is designed to provide actions for the Trust to undertake to ensure

More information

Identification of carers in GP practices a good practice document

Identification of carers in GP practices a good practice document Identification of carers in GP practices a good practice document There are an estimated 7 million unpaid carers in the UK, however not enough carers are likely to be receiving the support they need or

More information

SUPPORT FOR VULNERABLE GP PRACTICES: PILOT PROGRAMME

SUPPORT FOR VULNERABLE GP PRACTICES: PILOT PROGRAMME Publications Gateway Reference 04476 For the attention of: NHS England Directors of Commissioning Operations Clinical Leaders and Accountable Officers, NHS Clinical Commissioning Groups Copy: NHS England

More information

Delivering the Five Year Forward View. through Business Intelligence

Delivering the Five Year Forward View. through Business Intelligence Delivering the Five Year Forward View through Business Intelligence Introduction The market for analytics has matured significantly in the past five years and, although the health sector in the UK has

More information

Care Act first-phase reforms local experience of implementation

Care Act first-phase reforms local experience of implementation Local government report by the Comptroller and Auditor General Local government Care Act first-phase reforms local experience of implementation AUGUST 2015 Our vision is to help the nation spend wisely.

More information

Tackling barriers to integration in Health and Social Care

Tackling barriers to integration in Health and Social Care Viewpoint 69 Tackling barriers to integration in Health and Social Care The drivers for greater integration of health and social care are wellknown: an increasing elderly population, higher demand for

More information

InVent Health Limited

InVent Health Limited InVent Health Limited InVent Health Limited Inspection report Unit 47 Basepoint High Wycombe, Cressex Enterprise Centre Lincoln Road, Cressex Business Park High Wycombe Buckinghamshire HP12 3RL Date of

More information

Mental Health Services - Delayed Discharges: Update

Mental Health Services - Delayed Discharges: Update NHS Greater Glasgow & Clyde NHS Board Meeting Chief Officer, Glasgow City HSCP and Nurse Director October 20 Paper No: /56 Mental Health Services - Delayed Discharges: Update Recommendation:- The NHS Board

More information

Market Position Statement

Market Position Statement Market Position Statement Title Market Position Statement- Adult C&S Purpose/scope To provide update and direction Subject key words Priority High Care Act 2014 Lead author & contact details Family, Cohesion

More information

Healthwatch Kent - September 2017 Discharge from Hospital in West Kent

Healthwatch Kent - September 2017 Discharge from Hospital in West Kent Healthwatch Kent - September 2017 Discharge from Hospital in West Kent Foreword We hear from people about their experience of being discharged from hospital all over Kent. We ve recently done a large project

More information

Solent. NHS Trust. Patient Experience Strategy Ensuring patients are at the forefront of all we do

Solent. NHS Trust. Patient Experience Strategy Ensuring patients are at the forefront of all we do Solent NHS Trust Patient Experience Strategy 2015-2018 Ensuring patients are at the forefront of all we do Executive Summary Your experience of our services matters to us. This strategy provides national

More information

Northamptonshire County Council

Northamptonshire County Council The Local Government Ombudsman s Annual Review Northamptonshire County Council for the year ended 3 March 2 Local Government Ombudsmen (LGOs) provide a free, independent and impartial service. We consider

More information

EXECUTIVE SUMMARY... 1 HEALTH AND WELLBEING STRATEGY VISION... 2 ULTIMATE AIM... 3 DELIVERING THE VISION AND THE PRIORITIES... 4 FOCUS...

EXECUTIVE SUMMARY... 1 HEALTH AND WELLBEING STRATEGY VISION... 2 ULTIMATE AIM... 3 DELIVERING THE VISION AND THE PRIORITIES... 4 FOCUS... CONTENTS EXECUTIVE SUMMARY... 1 HEALTH AND WELLBEING STRATEGY VISION... 2 ULTIMATE AIM... 3 DELIVERING THE VISION AND THE PRIORITIES... 4 FOCUS... 6 WHAT WE WILL CONTINUE TO ACHIEVE THROUGH THE HEALTH

More information

RCGP Summary The Francis Report, February 2013

RCGP Summary The Francis Report, February 2013 RCGP Summary The Francis Report, February 2013 Overview Published on Wednesday 6 th February 2013, the final report of the Francis Inquiry into failures of care at Mid Staffordshire NHS Foundation Trust

More information

Improving UK health care. Nuffield Trust strategy

Improving UK health care. Nuffield Trust strategy Improving UK health care Nuffield Trust strategy 2015 2020 Our approach The Nuffield Trust is an independent health charity. We want to help achieve a high-quality health and social care system that improves

More information

Kestrel House. A S Care Limited. Overall rating for this service. Inspection report. Ratings. Good

Kestrel House. A S Care Limited. Overall rating for this service. Inspection report. Ratings. Good A S Care Limited Kestrel House Inspection report Kestrel House 14-16 Lower Brunswick Street Leeds West Yorkshire LS2 7PU Tel: 01132428822 Website: www.carewatch.co.uk Date of inspection visit: 31 May 2016

More information

New foundations: the future of NHS trust providers

New foundations: the future of NHS trust providers RCN Policy Unit Policy Briefing 05/2010 New foundations: the future of NHS trust providers April 2010 Royal College of Nursing 20 Cavendish Square London W1G 0RN Telephone 020 7647 3754 Fax 020 7647 3498

More information

Emergency admissions to hospital: managing the demand

Emergency admissions to hospital: managing the demand Report by the Comptroller and Auditor General Department of Health Emergency admissions to hospital: managing the demand HC 739 SESSION 2013-14 31 OCTOBER 2013 4 Key facts Emergency admissions to hospital:

More information

Coordinated cancer care: better for patients, more efficient. Background

Coordinated cancer care: better for patients, more efficient. Background the voice of NHS leadership briefing June 2010 Issue 203 Coordinated cancer care: Key points There are two million people with cancer in the UK. It is suggested that by 2030 there will be over four million

More information

Joint framework: Commissioning and regulating together

Joint framework: Commissioning and regulating together With support from NHS Clinical Commissioners Regulation of General Practice Programme Board Joint framework: Commissioning and regulating together A practical guide for staff January 2018 Publications

More information

we provide statistics on your local social care workforce

we provide statistics on your local social care workforce Yorkshire and the Humber report, 2013 From the National Minimum Data Set for Social Care (NMDS-SC) October 2013 we provide statistics on your local social care workforce nmds-sc national minimum data set

More information

Health Select Committee Care Quality Commission accountability inquiry

Health Select Committee Care Quality Commission accountability inquiry Health Select Committee Care Quality Commission accountability inquiry NHS Confederation response, November 2016 About the NHS Confederation The NHS Confederation is the only body to bring together the

More information

The adult social care sector and workforce in. Yorkshire and The Humber

The adult social care sector and workforce in. Yorkshire and The Humber The adult social care sector and workforce in Yorkshire and The Humber 2015 Published by Skills for Care, West Gate, 6 Grace Street, Leeds LS1 2RP www.skillsforcare.org.uk Skills for Care 2016 Copies of

More information

Future of Respite (Short Breaks) Services for Children with Disabilities

Future of Respite (Short Breaks) Services for Children with Disabilities Future of Respite (Short Breaks) Services for Children with Disabilities Consultation Feedback Report 2014 Foreword from the Director of Children s Services Within the Northern Trust area we know that

More information

Improving Health Services for Carers

Improving Health Services for Carers Improving Health Services for Carers A carer is someone who, without payment, looks after or provides help and support to somebody who could not manage otherwise due to age, physical or mental illness,

More information

A Managed Change Briefing Paper : An Agenda for Creating a. Sustainable Basis for Domiciliary Care in Northern Ireland

A Managed Change Briefing Paper : An Agenda for Creating a. Sustainable Basis for Domiciliary Care in Northern Ireland A Managed Change Briefing Paper : An Agenda for Creating a Sustainable Basis for Domiciliary Care in Northern Ireland November 2015 Contact You can contact us in the following ways: Telephone: 0300 555

More information

Stop the DLA Takeaway: fairness for families when their child is in hospital

Stop the DLA Takeaway: fairness for families when their child is in hospital Stop the DLA Takeaway: fairness for families when their child is in hospital Contact a Family and The Children s Trust, Tadworth are calling for the scrapping of the rules whereby: a child under the age

More information

Quality Assurance Framework Adults Services. Framework. Version: 1.2 Effective from: August 2016 Review date: June 2017

Quality Assurance Framework Adults Services. Framework. Version: 1.2 Effective from: August 2016 Review date: June 2017 Quality Assurance Framework Adults Services Framework Version: 1.2 Effective from: August 2016 Review date: June 2017 Signed off by: Sharon Gogan Title: Head of Adult Social Care Date: 20 th May 2014 Quality

More information

Northamptonshire County Council

Northamptonshire County Council The Local Government Ombudsman s Annual Review Northamptonshire County Council for the year ended 3 March 2009 The Local Government Ombudsman (LGO) provides a free, independent and impartial service. We

More information

Welsh Government Response to the Report of the National Assembly for Wales Public Accounts Committee Report on Unscheduled Care: Committee Report

Welsh Government Response to the Report of the National Assembly for Wales Public Accounts Committee Report on Unscheduled Care: Committee Report Welsh Government Response to the Report of the National Assembly for Wales Public Accounts Committee Report on Unscheduled Care: Committee Report We welcome the findings of the report and offer the following

More information

Health and gender. Briefing from the UK Women s Budget Group on the impact of changes in health policy on women. Key points

Health and gender. Briefing from the UK Women s Budget Group on the impact of changes in health policy on women. Key points Health and gender Briefing from the UK Women s Budget Group on the impact of changes in health policy on women Key points Over the last decade health services have seen some of the lowest spending increases

More information

The views of public health teams working in local authorities Year 1. February 2014

The views of public health teams working in local authorities Year 1. February 2014 The views of public health teams working in local authorities Year 1 February 2014 Foreword One of the Royal Society for Public Health s key priorities is to support the public health workforce in its

More information

Annual Review and Evaluation of Performance 2012/2013. Torfaen County Borough Council

Annual Review and Evaluation of Performance 2012/2013. Torfaen County Borough Council Annual Review and Evaluation of Performance 2012/2013 Local Authority Name: Torfaen County Borough Council This report sets out the key areas of progress in Torfaen Social Services Department for the year

More information

Annual Complaints Report 2014/15

Annual Complaints Report 2014/15 Annual Complaints Report 2014/15 1.0 Introduction This report provides information in regard to complaints and concerns received by The Rotherham NHS Foundation Trust between 01/04/2014 and 31/03/2015.

More information

CASE STUDY: THE ADULT MENTAL HEALTH (AMH) MODEL-REDESIGN OF INTEGRATED SERVICES FOR WORKING AGE ADULTS WITH SEVERE MENTAL ILLNESS.

CASE STUDY: THE ADULT MENTAL HEALTH (AMH) MODEL-REDESIGN OF INTEGRATED SERVICES FOR WORKING AGE ADULTS WITH SEVERE MENTAL ILLNESS. CASE STUDY: THE ADULT MENTAL HEALTH (AMH) MODEL-REDESIGN OF INTEGRATED SERVICES FOR WORKING AGE ADULTS WITH SEVERE MENTAL ILLNESS. Summary The Adult Mental Health (AMH) model is a new initiative which

More information

Mental Health and Wellbeing in the Workplace. White Paper

Mental Health and Wellbeing in the Workplace. White Paper Mental Health and Wellbeing in the Workplace White Paper Mental Health is of increasing concern It seems as though everywhere we turn the headlines are about mental health and the challenges we are currently

More information

NHS and independent ambulance services

NHS and independent ambulance services How CQC regulates: NHS and independent ambulance services Provider handbook March 2015 The Care Quality Commission is the independent regulator of health and adult social care in England. Our purpose We

More information

DIABETES SPECIALIST NURSING 2016 WORKFORCE SURVEY. A workforce in crisis

DIABETES SPECIALIST NURSING 2016 WORKFORCE SURVEY. A workforce in crisis DIABETES SPECIALIST NURSING 2016 WORKFORCE SURVEY A workforce in crisis My diabetes nurse is fantastic, supportive, encouraging and just lovely. She has been a life saver. Comment on Diabetes UK Facebook

More information

The state of health care and adult social care in England 2016/17 Summary

The state of health care and adult social care in England 2016/17 Summary The state of health care and adult social care in England 2016/17 Summary Foreword Peter Wyman Chair Sir David Behan Chief Executive This year s State of Care shows that the quality of health and social

More information

The adult social care sector and workforce in. North East

The adult social care sector and workforce in. North East The adult social care sector and workforce in 2015 Published by Skills for Care, West Gate, 6 Grace Street, Leeds LS1 2RP www.skillsforcare.org.uk Skills for Care 2016 Copies of this work may be made for

More information

The state of health care and adult social care in England 2015/16 Care Quality Commission 13 October 2016

The state of health care and adult social care in England 2015/16 Care Quality Commission 13 October 2016 The state of health care and adult social care in England 2015/16 Care Quality Commission 13 October 2016 The annual State of Care report, out today (Thursday 13 October) reports excellent examples of

More information

Agenda for the next Government

Agenda for the next Government Agenda for the next Government General election 2017 The Richmond Group of Charities We are the Richmond Group of Charities and we help people of all ages who have serious long term physical and mental

More information

Item No. 15. Meeting Date Wednesday 14 th June Glasgow City Integration Joint Board Finance and Audit Committee

Item No. 15. Meeting Date Wednesday 14 th June Glasgow City Integration Joint Board Finance and Audit Committee Item No. 15 Meeting Date Wednesday 14 th June 2017 Glasgow City Integration Joint Board Finance and Audit Committee Report By: Contact: David Williams, Chief Officer Jim Charlton, Principal Officer Rights

More information

In this edition we will showcase the work of the development of a model for GP- Paediatric Hubs

In this edition we will showcase the work of the development of a model for GP- Paediatric Hubs Focusing on the principle of home first and designing the Perfect Locality from the lens of the community Issue 7 June 2017 Welcome to the seventh issue of Our Future Wellbeing, a regular update on the

More information

Richmond Clinical Commissioning Group

Richmond Clinical Commissioning Group Richmond Clinical Commissioning Group South west London five year forward plan Kathryn Magson, Chief Officer, Richmond CCG 7 December 2016 South West London Five Year Forward Plan Start well, live well,

More information

A consultation on the Government's mandate to NHS England to 2020

A consultation on the Government's mandate to NHS England to 2020 A consultation on the Government's mandate to NHS England to 2020 October 2015 You may re-use the text of this document (not including logos) free of charge in any format or medium, under the terms of

More information

MEETING European Parliament Interest Group on Carers

MEETING European Parliament Interest Group on Carers MEETING European Parliament Interest Group on Carers Date: 9 April, 12.30 14.30 Venue: European Parliament Room ASP-5G1 Topic: Carers and work/life balance Marian Harkin MEP welcomed participants and thanked

More information

Short Break (Respite ) Care Practice and Procedure Guidance

Short Break (Respite ) Care Practice and Procedure Guidance Short Break (Respite ) Care Practice and Procedure Guidance 1 Contents 1. Introduction 2. Definition 2.1 Definition of a Carer 3. Legislation 3.1 Fair Access to care Services and the Duty to Provide 4.

More information

Strategic Plan for Fife ( )

Strategic Plan for Fife ( ) www.fifehealthandsocialcare.org Strategic Plan for Fife (2016-2019) Summary Document Supporting the people of Fife together Foreword NHS Fife and Fife Council are working together in a new Integrated Health

More information

Summary annual report 2014/15

Summary annual report 2014/15 1 Summary annual report 2014/15 2 Annual Report Summary 2014/15 3 St Thomas Hospital Guy s Hospital CATHEDRAL CHAUCER GRANGE RIVERSIDE ROTHERHITHE SURREY DOCKS Key facts about Southwark GP practices in

More information

Direct Commissioning Assurance Framework. England

Direct Commissioning Assurance Framework. England Direct Commissioning Assurance Framework England NHS England INFORMATION READER BOX Directorate Medical Operations Patients and Information Nursing Policy Commissioning Development Finance Human Resources

More information

Report by the Local Government Ombudsman

Report by the Local Government Ombudsman Report by the Local Government Ombudsman Investigation into a complaint against London Borough of Bromley (reference number: 16 000 780) Local Government Ombudsman I PO Box 4771 I Coventry

More information

ACCIDENT WAITING TO HAPPEN

ACCIDENT WAITING TO HAPPEN ACCIDENT WAITING TO HAPPEN Not safe in his hands: A&E under David Cameron REVEALED: WORST WINTER IN THE NHS FOR ALMOST A DECADE AS CUTS, UNDER-STAFFING AND REORGANISATION LEAVE A&E SERVICES ON THE BRINK

More information

Destined to sink or swim together. NHS, social care and public health

Destined to sink or swim together. NHS, social care and public health Destined to sink or swim together NHS, social care and public health June 2018 The Richmond Group of Charities We are the Richmond Group of Charities and we help people of all ages who have serious long-term

More information

Monitoring the Mental Health Act 2015/16 SUMMARY

Monitoring the Mental Health Act 2015/16 SUMMARY Monitoring the Mental Health Act 2015/16 SUMMARY Foreword The work of monitoring the Mental Health Act 1983 (MHA) is a distinct but supportive role to CQC s wider regulatory task. It is distinct, in part,

More information

CAMBRIDGESHIRE COUNTY COUNCIL ADULT SOCIAL CARE MARKET POSITION STATEMENT

CAMBRIDGESHIRE COUNTY COUNCIL ADULT SOCIAL CARE MARKET POSITION STATEMENT CAMBRIDGESHIRE COUNTY COUNCIL ADULT SOCIAL CARE MARKET POSITION STATEMENT 2013-18 Draft 1.1 October 2013 1 KEY MESSAGES KEY MESSAGE 1.1 The County Council is focused on providing services that promote

More information

Admiral Nurse Standards

Admiral Nurse Standards Admiral Nurse Standards Foreword The last few years have seen many new government directives and policy initiatives. Plans for enhancing the quality of care in the NHS have been built around national standards

More information