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Health & Social Care Partnership Bulletin South East Edition 4 2 June 2011 |
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Dear Will, The Department of Health has published guidance as a supplement to the NHS Performance Framework, originally issued in 2009.
Transforming social care: sustaining person-centred support A new study has been published by the Joseph Rowntree Foundation, which examines the hopes and frustrations in the every-day practice of person-centred support or personalisation. The study was carried out over four years by the ‘Standards We Expect’ Project Team, made up of service users, researchers and practitioners. The study reports that practitioners and service users were working hard to develop person-centred support, based on shared values and by developing bottom up approaches to tackle barriers. The main barriers to transforming adult social care are seen to be inadequate funding of social care and persistence of a negative culture. The project argues that funding social care from general taxation offers the most effective route to achieve sustainable person-centred support and reducing barriers between health, social care and other services. A summary of the report can be downloaded from the Joseph Rowntree Foundation web pages, along with information on accompanying guides and studies.
Findings and lessons learned from both the Support Planning and Brokerage project, and the South East Regional Initiative for Older People with support needs (SERI) are detailed in two reports available now. The reports focus on how to implement and embed the changes needed to increase choice and control for disabled people. The Support Planning and Brokerage project aimed to increase choice and control for people by demonstrating how resources could be transformed from their use in traditional systems to a user support context. The SERI project aimed to increase the choice and control of older people with support needs who are living in care homes, or those moving in to care. Key findings and messages include the importance of person centered approached for a cost effective way of increasing choice and control, and the importance of allowing people to maintain their independence over their routines, family contact, leisure activities and support. Further findings noted that joining up services and resource pooling will improve service quality. Both reports and accompanying documents can be found on the Office for Disability Issues web pages of the Department of Work and Pensions site.
Skills for Care Workforce Development strategy, which has been developed in partnership with the Department of Health and other partners, has now been launched, and is in place to create a skilled workforce in England to meet the vision of adult social care. The strategy focuses on supporting employers to use their skills in the best places to achieve greater personalisation and offers deliverables to support commissioning, planning and development to meet the vision of adult social care, laid out in the Government’s Capable Communities and Active Citizens. For more information, go to the Skills for Care website.
Improvement and Efficiency South East is leading a national SDS Information Systems Standards project to assist developing IT systems that support personalisation. The project group has representation from local authorities in the South East and is now at the stage of consulting with key stakeholders. The consultation paper includes a high level operating model, begins to develop information items (inputs and outputs) for each stage to begin creating the information architecture, and maps the information items (inputs and outputs) to core processes and activities. The consultation can be found on the Think Local, Act Personal website. Comments on the consultation should be sent to Momtaz Islam, Project Manager, 07894 096235 Momtaz.Islam@southeastiep.gov.uk The King’s Fund has produced an article on the debate surrounding the pro and cons of the Health & Social Care Bill. The article notes how Health and Wellbeing boards can encourage more integrated working across health and social care, which is urgently required in light of rising long term conditions, dementia and frailty. The article details how the Boards can provide a ‘fixed organisational point’ amidst the changing world of the NHS, with a platform for local system leadership to grow. The article highlights importance of shared responsibility and joint working between local authorities and NHS partners, who require support with decisions around service reconfiguration, especially in light of existing and foreseen financial pressures. Please go to the King’s Fund website to read the article.
The final report of the independent review of child protection, undertaken for the Coalition Government by Professor Eileen Munro, has been published. The review sets out an approach for moving away from a child protection system that is seen to have become procedurally driven and focused on compliance, to one that values and develops professional judgement within a broad framework of objectives. The review makes a total of 15 recommendations for Government to consider, which taken together are geared towards creating a better balance between essential rules, principles and professional expertise. Amongst the recommendations are that local authorities should give due to consideration to protecting the discrete roles of Directors of Children’s Services and Lead Member for Children’s Services, before allocating any additional functions to these roles, and the impact of health reorganisation on effective partnership arrangements and ability to provide effective help for children who are suffering, or are likely to suffer, significant harm should be researched. The final report and accompanying documents can be viewed here.
CQC has published a report on evidence around what works and what doesn’t in terms of providing good care and support for people’s food and drink consumption and their dignity while in hospital. Concerns regarding nutrition include people not being given sufficient assistance to eat, not receiving a competent nutritional assessment or monitoring, and not being provided with enough water. Key concerns around dignity are that people were not being involved in their own care enough, people’s privacy and respect was not given to them, with some reports finding that patients were not being spoken to in an appropriate manner. CQC inspectors were joined with a practising nurse for the inspections to help build the most accurate picture of care people are receiving, and chairs of every hospital out of the 100 examined where care was not seen to be acceptable will be receiving a letter from CQC chair, Jo Williams. High levels of care and attention of patients’ nutrition and dignity is in practice in many places, but this report will help identify where unacceptable levels of care are taking place, so that CQC can use enforcement to ensure improvements are made.
SCIE has produced updated resources to support the millions of people whose lives will be affected by dementia, mental health problems and learning disabilities. A range of guidance material has been produced with links to tools to best support people working and caring for other people. This can be accessed from the SCIE website. Free training hosted by SCIE on the MCA to staff registered with CQC is due to take place. The London events are taking place in June and July, and training sessions including the MCA in nursing homes, MCA with people with mental health needs, the MCA and homecare services, sessions on capacity for consent and decision making for people with learning disabilities, and MCA Deprivation of Liberty Safeguards. Click here for the full details, location and dates of training sessions, and to book places.
Developing extra care housing (ECH) is a key element of government policy in terms of its aims to promote choice, independence and well-being for older people. Two EHC publications, prepared by the IPC for the Housing Learning and Improvement Network (LIN) are available to download: South East Dementia Leads Network THE NETWORK: The South East Dementia Leads Network has been established since 2009 and the dementia workstream leads for the Health and Social Care Partnership, Yve White-Smith and Richard Hayes, are keen to develop it further to become a robust and self-sufficient network. This will be achieved through clear aims and objectives. OUR ROLE: The role of the HSCP dementia workstream is: - To support leads in dementia related activities and encourage sharing best practice; - To help dementia leads to be ready and fully prepared for the NAO and PAC; - To be utilised as a vehicle to share dementia related information via the HSCP newsletter and website; and - To support development of the dementia lead role. YOU ARE INVITED: If there is anyone working in or for learning disability, general mental health, housing, research or is a carer who have an interest in becoming a dementia lead and/or joining the network, then we would like to invite you to become part of the network. CONTACT: If you would like to join the SE Dementia Leads network or for any further information about the dementia workstream, please contact: Katie Barnes (Partnership Support) katie.barnes@hscpartnership.org.uk
GP consortia now cover most of South East Following the 4th wave of GP consortia, 776 practices covering 80% (over 6 million people) of the south-east’s population are now formal GP consortia. Despite the pause in the Health and Social Care Bill, only Brighton, Medway and Windsor and Maidenhead GPs are yet to become part of the consortia. Some consortia groups cover a whole local authority area, such as Bracknell Forest, whereas in other areas the distribution is broken up; Newbury consortium covers most of West Berkshire with North and West Reading Consortium covering the rest of the area. Oxfordshire is currently the biggest consortium in England containing all 83 practices, whilst practices in Whitstable and Ramsgate are single practice consortia. For more information please see the Guardian Healthcare Network webpage.
An innovative cluster model of residential children’s homes centred round a newly established specialist school is revolutionising care provision for 12 to 18 year olds with complex needs in southern England. The first of its kind in the country, the facility has been made possible by six local authorities partnering together to make the project commercial viable for an outsourced supplier, and much better suited to the welfare of the children and their families. Bu substituting local provision for placements outside the partners’ respective area, the project is also on course to deliver large savings in the region of £500,000 a year over the contract term. For more information go to the iESE website.
A range of template documents are available here to help authorities wishing to carry out a similar joint tender. Surrey County Council has set up a shadow Health and Wellbeing Board, which is made up of councillors, GPs, health and care officials with representatives of patients and the public. The Board is one of the first of its kind among local authorities and has been set up to take on the responsibility given to GPs and councils for public health. For more information go to Surrey County Council’s website.
Voluntary organisations supporting people with learning disabilities, and other hospices and charities in Hampshire, have been awarded funding from a grant that totals £500,000 from the council. The grants are one off sums of money to help worthy organisations to continue with their valuable work and provide volunteers with the resources needed to carry on providing positive outcomes through services offered in communities. Work includes helping people with learning disabilities make choices about the care they receive, HIV support services, and end of life care. An annual programme is also run to award grant funding to voluntary organisations providing support and services to vulnerable people across Hampshire, as well as this one off amount that has been shared among organisations. For more information and a list of organisations benefiting from the grant please go Hampshire County Council’s website.
The Charities Aid Foundation has responded to the Government’s White Paper on Giving. John Low, Chief Executive of CAF has commented on the progress the Government has made towards creating a coherent plan to encourage giving in the UK, including providing more ways for people to donate. The White Paper announces a range of measures to encourage giving of both time and money to charities, which include Social Action Fund and Challenge prizes around volunteering, a Giving Summit later in the year, £30 million for a Local Infrastructure Fund to encourage more effective support for frontline organisations and a year long national payroll giving campaign. Read the White Paper on Giving from the Cabinet Office website.
New resources for carers and local groups have been developed following a partnership between Carers UK and Nutricia, who joined forces to embark on a mission for good nutrition among the sick and elderly. The resources and information provided by the partnership is a product of the research carried out by Carers UK, which found almost of quarter of its members are providing round the clock care for an elderly relative, the majority of which are worried about their loved ones not getting the right nutrition. The information will be provided to support Carers and their loved ones, and friends and family around them, and will centre around new research on carers and nutrition. The resources will help people offer better advice on nutrition, provide information on local support groups, provide advice on engaging with the council and GPs on policy, and demonstrate what other groups have achieved through raising awareness on nutrition issues. For more information and to receive the first resource, please go to the Carers UK website.
The Princess Royal Trust for Carers (PRTC) and Crossroads Care, have launched a new campaign called ‘Give Carers a Break’, which calls for PCTs to use some of their allocated government funds for carers breaks. The aim of the campaign is to ensure that all of the £400 million funding allocated to carers is used to support and achieve best outcomes for them, so they can continue providing the care they do in good health, acknowledging that this is not a luxury, but essential for carers in order for them to maintain their well being and continue in these roles. PRTC and Crossroads Care are asking carers and carers’ organisations to highlight these issues as much as possible, and work positively with PCTs and local authorities to ensure best outcomes are met, as well as this, a call for support to MPs has been issued. For more information please see the Carers UK website.
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