Posts in General News
State of Health Care and Adult Social Care in England 2107 / 18

Here is a summary of the summary of key findings; you can find the whole reports here:

It would be interesting to get feedback from local providers as to how they feel this reflects our local market. Comments are enabled below. Please feel free!

Three Key Findings.

  1. Most people receive a good quality of care: and overall quality has been maintained despite challenges

  2. Quality is not consistent: depends on type of care, where you live and how joined up services are.

  3. Individual providers offering good care is not enough. Good sustainable high quality care is about successful collaboration between services as part of an effective local system.

CQC outline and describe the 5 factors that affect sustainability

  • Access: varies; family and friends bridge the gap; need to travel for in-patient mental health; variable access to GP services; increasingly stretched workforce

  • Quality of care: slight improvement overall. Hallmarks of quality care are Good leadership and governance; strong organisational culture; Good partnership working

  • Workforce: right workforce is crucial but most services struggle to recruit, retain and develop.

  • Capacity: demand continues to rise: services need to plan together to meet predicted needs

  • Funding and commissioning: challenges are well documented. 32% Directors Adult Social care have seen providers closing in the past 6 months. No long term solution in sight for adult social care; geographic variations in council payments

Post Brexit: EU Settlement Scheme

As the Home Office delivers the EU Settlement Scheme (EUSS), it is critical there are clear plans and arrangements in place to accommodate the broad needs of citizens that it expects will need to apply for the EUSS.

The Home Office has put a range of measures in place to ensure that the EUSS is accessible and that all applicants are handled with flexibility and sensitivity. However, ensuring that the most vulnerable EU citizens and at-risk communities are engaged and supported is essential.

The voluntary and community sector plays a vital role in representing people who are unable to advocate for themselves, and engagement has been carried out with a range of Voluntary and Community sector organisations to ensure that the right support and programmes are in place to protect those most in need. The Home Office will soon be launching a full campaign, which will seek to create a network of eligible VCS organisations who can raise awareness of the EUSS amongst vulnerable EU citizens and their family members, and to provide EUSS application assistance to those who need it. Organisations will be provided with a tailored communications toolkit, to help inform vulnerable, at-risk and marginalised individuals around the EUSS. There will also be outreach events and training sessions organised to provide organisations with greater detail and support.

Grant Scheme

To enable organisations to support those most at-risk, a key first step in this campaign is a Grant Scheme. Today, the Home Office is pleased to announce notice of its Grant Scheme, expected to award between £5 and 9million to fund Voluntary and Community Sector (VCS) organisations in delivering practical assistance to vulnerable or at-risk EU citizens and their family members, and to provide them with end-to-end support to apply.

Extensive engagement with VCS organisations has helped to shape the development of this Grant Scheme. However, the Home Office is seeking to refine the approach and assess provision for support services before formally launching the open competition, expected to commence at the end of November 2018.

Interested VCS organisations are invited to take part in an engagement teleconference to find out more information about the EUSS, the Grant Scheme process and the wider campaign, and to give organisations an opportunity to ask the Home Office questions. There will be several repeat teleconferences taking place on 7 and 8 November, to ensure as many organisations as possible have the chance to take part.

To sign up to attend a teleconference, and for more information on the Grant Scheme, please go to the Contract Finder Notice on GOV.UK. If you have any specific questions, you can email: For further information on the EU Settlement Scheme, please see below.

EU Settlement Scheme

EU citizens living in the UK and their family members will need to apply under the EU Settlement Scheme (EUSS). The straightforward system is designed to make it easy for them to obtain their new UK immigration status.

The EU Settlement Scheme is in private beta testing and will be open fully by 30 March 2019. The deadline for applications will be 30 June 2021.

More details on how EU citizens and their families can obtain settled status in the UK is found in the statement of intent, which confirms that:

.     Applications will be via a short online process.

.     Most EU citizens will only need to prove their identity, demonstrate their residence in the UK and declare whether they have any criminal convictions (we will check that they are not a serious or persistent criminal).

.     It will cost £65 for those aged 16 years or more and £32.50 for children under 16.

.     It will be free for those with valid documented permanent residence or valid indefinite leave to remain or enter.

EU citizens can sign up for regular email updates on EU citizens’ rights and the EU Settlement Scheme from the UK Government.

Hilary Bagshaw

EU Exit Immigration Strategy, Home Office

2 Marsham Street, London SW1P 4DF

T: +44 (0)20 7035 3917  M: +44 (0)7770 855368


Attention Nurses: Free Workshop Skin Conditions in Older people

RCN Bath Branch and BMI Bath Clinic are pleased to offer the opportunity to attend a Professional Development workshop on Monday 22nd October at Bath Golf Club, Golf Course Road , Bath, BA2 6JG.      10am til 3pm

'More than Skin Deep'

Speakers and Programme to include

Dr Phillips Consultant Dermatologist: - Treatment of skin conditions in older people & recognition of rashes

Bruna Costa, Centre for Appearance Research at UWE :- Psychological effects of a  change in body image due to skin conditions & scarring

Zach Jones, RCN legal Officer: - Accountability, delegation, documentation and the NMC

Lindsay Cardwell, HCP Southwest Committee -New emerging roles of HCPs – APs and NAs

 RCN Bath Branch will hold their AGM during the lunch break to which all RCN members are cordially invited.

 There is lots of free parking , Lunch is provided and you will receive a RCN certificate for 3 hours of CPD.

Please can you share/circulate the attached poster with your colleagues?

 To book E-mail your name and contact details to    or

Look forward to seeing you there

Sue Thompson
Infection Prevention and Control Lead
BMI Bath Clinic
Claverton Down Road
Coombe Down
Bath  BA2 7BR        
Tel 01225 835555

MY VOICE MY CHOICE: Giving Disabled People in Weston Super Mare A Voice

Lora Tanner updates us on the progress of the My Voice, My Choice project, supported by the Big Lottery and Leonard Cheshire Homes:

We held our first workshop in Weston-super-Mare on Volunteering Education and Employment on 26th September. It was an incredible day filled with lots of open discussion. We were delighted that Maria Flinders, Voluntary Services Manager from Weston Hospital was able to join us and support the workshop. It was great to have such engagement and enthusiasm from the group, we hope that people enjoyed the workshop as their valuable contributions will be heard and will feed directly into the final showcase event on 23rd January.We worked really hard to ensure the session was accessible for everyone to enjoy.

Our next workshop was on 31st October; Transport, Access and Safety. We had representation from GWR, First Bus, Community Transport, Western Wheels and also the Police and it was a really great session. Contact lora.tanner@leonardcheshire to know more or book places on the December wworkshop, or telephone 01288 359 813.

My Voice, My Choice

Please promote!:

• My Voice, My Choice has been funded by the Big Lottery Fund.

• My Voice, My Choice is being organised by Leonard Cheshire, a registered charity providing services for disabled people.

• The aim of the My Voice, My Choice project is to allow disabled people to speak up about the accessibility of community services in the Weston-super-Mare Area and have their voices heard.

3 workshops will take place between September and December 2018 that will allow disabled adults to share stories, meet new people, provide ideas and suggest new ways of accessing the community.

People who take part in the My Voice, My Choice workshops will be invited to a larger final event in January 2019 that will:

• Show the results of the workshops.

• Provide the opportunity for organisations that have taken part in the workshops to say what services they can provide to make things better for local disabled people.

• Allow senior representatives from organisations and authorities to be told about the results of the My Voice, My Choice project and talk about any changes that can be made.

Workshop 1 - Wednesday, 26th September 2018

Volunteering, Education and Employment

Workshop 2 - Wednesday, 31st October 2018

Transport, Access and Safety

Workshop 3 – Thursday, 22nd November 2018

Activities, Lifestyle and Health

All 3 workshops will take place at:

The Campus, Highlands Lane, Weston-super-Mare, BS24 7DX

10 am until 2:30 pm and a light lunch will be provided.

There are 20 spaces in each workshop and each space will be allocated to the people who register first. REGISTRATION FORMS

Spaces are limited so please book your place early to avoid disappointment.

More information and registration forms are available from 07419 736961

General NewsBarbara Harris
Conference Commentary, Slides and Downloads

The C&SW Conference enjoyed record numbers of delegates and exhibitors this year and for the first time was sponsored by three of our Commercial Partners; Care Planner, Nurseline Healthcare and Nourish Care. The delegate numbers were north of 150 and the exhibitors numbered around 23.

Opening the day: David Smallacombe (CEO Care and Support West) opened the day by inviting the three sponsors to say a few words about why they had decided to become commercial partners with C&SW and why in particular they had agreed to sponsor the event.  He went on to set out the kind of support C&SW members could expect from him, Angela Roberts (Dep CEO), Mik Alban (Development Director) and Barbara Harris (IT support and newsletter writer) and closed his introduction by inviting non-members present to sign up to be a C&SW member via a special conference day deal on cost.  

The keynote speakers were Mei-Ling Huang (Royds Withy King Legal) and Professor Martin Green (Care England) in the morning and Deborah Ivanova (CQC) and Mick Feather (Citation --- also a C&SW commercial partner) in the afternoon. The remaining time in both the morning and afternoon programme was taken up with round table delegate discussions focused on what the keynote speakers had presented. The keynote PPT slides can be accessed via the links in this document; notes from the round table discussions are both on the C&SW web site and can be accessed here: Notes on Innovation

Mei-Ling’s presentation and talk focused on Service User Contracts, CQC and Local Authority Commissioners while Martin's presentation highlighted the importance of Sustainability, Maintenance and Growth. Both were variously critical of Local Authority Commissioners, CQC and Central Government and in particular Martin expressed his dissatisfaction with the latest boost to health funding making a total investment from government of £148b while social care sits at £18b. Mei wondered about local authority processes and highlighted the recent Competition Market Authority’s move to challenge care provider self-funder service users contracts and warned that both the CMA and CQC would be looking to focus on these. One of the highlights of the morning was a challenge to Martin Green from the delegate audience by a local authority commissioner. A couple of sparing rounds between them certainly livened up the audience!! 

The afternoon session saw a focus in Debbie's presentation on CQC and its task to Maintain Quality in Regulated Services while Mick chose to go with Improving Care Ratings and Keeping Quality Visible. Debbie, as you will see from her PPT slides had a great deal to say about the first element of the four CQC strategic priorities i.e. 1. encouraging improvement through innovation and sustainability in care. Mick's presentation took the audience through a number of the new KLOE’s and linked them to how best providers can improve their care ratings at the same time as keeping quality firmly at the centre of their work in order to obtain an Outstanding rating. He reminded people that always aiming for Outstanding is the route to take rather than being happy with Good!!

Some comments from speakers and delegates/Exhibitors

I thought it was a great event.  Thanks very much for allowing us to speak.  The joint session with Martin Green was fun and, I think, useful.

My reflections on the day are that it was great to see such a big and varied group of providers, managers and others come together all with a view to improving care and strengthening the sector.  There are a lot of issues to be managed these days but it’s heartening to know that CSW members have the can-do spirit and determination required not just to “stay alive” but to thrive. 

I thought the conference was an excellent opportunity for the care sector to come together, and to look at the current challenges, but also think about the way in which we can develop a diversify to meet these challenges”

Thanks for organising such a stimulating conference. It was useful to have the opportunity to be both a delegate and an exhibitor which is a helpful feature of C&SW conferences. It was perhaps the smoothest of starts that I have had: very easy to get set up and made to feel welcome. The day was well organised. 

Closing the day Len Collacott (Chair of C&SW) said:

"Firstly a few thankyous.  I am sure we all agree that this has been, as usual, a great conference. That takes a great amount of work so we need to thank David Smallacombe for his time energy and efforts (and his team). And a great thank you to all our thought provoking speakers. I wanted to do a brief recap of today’s event and mark out some of what I thought were the highlights.

·         Trevor from Nurseline- a great introduction. I have to question him- when he said ‘we will be using this service in 50 years’ time’- not me mate- at my age. We will have to get going a lot quicker than that!

·         Mei Ling- Always our X factor- often the fear factor- and always reminds me of the Gladiators. Contenders, are you ready?!

·         Martin Green- as entertaining as ever. This time he came as a double act with Vince, the commissioner from BANES.  We have to give a 10/10 to Vince for his willingness to stand his corner. It was good to have 3 rounds between Martin and Vince. Many thanks.

·         Debbie- Terrific to get the thoughts direct from the horse’s mouth of CQC. I do have to wonder though about the variance between what Debbie said about CQC looking to give support and guidance and what Martin said about CQC and its culture of being too ready to take enforcement action.

.         Mik Feather- A great opening song. What I took from Mik’s performance was from the same song sheet as Sean Fitzpatrick, the former All Blacks captain who said ‘In order to win, you just have to do the simple things well’ That is very true and his advice to remain calm when the CQC inspector arrives is very valid.

So, we face challenges. The biggest one is the integration of health and social care. That needs to be taken on seriously and speeded up. Martin has just told us the figures. A budget of £148billion for health and £18billion for social care. I want us to get our hands on a good deal of that because I am convinced that we, our industry, can provide much better value for money with it and we will all benefit.

Many thanks for attending today and have a safe journey home."



There was a record number of nominations this year demonstrating the breadth of care delivered by social care providers across the region and beyond. The panel met in June to discuss the nominees and agreed on the finalists in each category. You can see the list here .

Bookings are now being taken for the Awards Gala Dinner at the Ashton Gate Football Stadium on 20th October. You can make your booking here


It is Stop Abuse Week next week. It's important that the care sector get behind this initiative to help stamp out abuse. Here are some materials to help improve awareness.

Here are 10 signs of possible Adult Abuse cited by Bristol Safeguarding team; you can share these with staff.

  1. Look out for unexplained bruises and injuries
  2. Be alert to subtle changes in behaviour – take note if is someone very subdued, has lost their self-esteem or changes how they act in the presence of a particular person
  3. If a person begins to isolate themselves and stops seeing friends and family it may be a sign that something is wrong
  4. Any change in appetite and weight loss or gain can be a cause for concern
  5. Unexplained signs of distress, tearfulness or anger may signal a problem
  6. If someone has possessions go missing, an unexplained lack of money or failure to pay bills this may be a sign of financial abuse
  7. Being unclean, unkempt or hungry may signal neglect or self-neglect
  8. Discouraging visits from relatives or friends on a regular basis should raise alarm bell
  9. Missed appointments – failing to show up at GP appointments or regular meetings could be a cause for concern
  10. If someone shows unusual distress at being close to someone, or at receiving personal care, this could be a sign of physical or sexual abuse

Signs of abuse can often be difficult to detect, so it’s important to trust your gut instinct. If in doubt, speak out.

Registered Managers Network 2018-2019: Book Now for Year 5!

Care and Support West run the well received Registered Manager’s Network sessions in B&NES, Bristol, North Somerset and South Glos in conjunction with Skills for Care. We start our fifth year in July.

See below for details of our new programme. 

Click here to register your interest

Principles of RMN sessions:

  • To share thoughts, ideas and resources to help each other to meet these requirements as clearly and unambiguously as possible. Presentations and resources from the Network sessions will be made available to participants via a special web page on the Care and Support West website.
  • A focus on participants supporting each other to raise our game collectively in line with the importance of complying with CQC’s requirements. 
  • A ‘problem shared is a problem halved’ slot: The opportunity for participants to raise issues that are affecting them; . Whether this is dealing with a particular situation or with difficult individuals, again it will be an opportunity to share experiences and ideas.
  • Pertinent updates. EG: At the first session this will be around the General Data Protection Regulation requirements which will be incoming from the end of May.

The Session Content:

Session 1 Well Lead: a focus on how we best evidence a service is being well led

Session 2 will be the part one of two parts focusing on meeting CQC’s Key Lines of Enquiry requirements as effectively as possible

Session 3 will be the part two of two parts focusing on meeting CQC’s Key Lines of Enquiry requirements as effectively as possible

If you are not a participant already and are interested in joining the Registered Manager’s Network in your area, then please contact Mik Alban on or 07788 498909.


£70 per participant for all 3 sessions (equivalent to £23.33 a session). making this a cost effective networking and Continuous Professional Development opportunity.

Click here to register your interest


CINTRE: Community based activities supporting users

Sound Minds: Music for Mental Health: As we are understanding the positive impacts of music more and more and because it runs so deeply through the veins of Bristol, we have organised a little evening of music to both celebrate and raise awareness of how it can make a great difference, particularly to those most in need. The event is to be held at the Leftbank on 128 Cheltenham Rd, on the 27th of April 2018. There will be great music, excellent drinks and spectacular dancing. All proceeds are going to Cintre to help kick start a music project for service users. This Facebook link has more details and regular updates on bands playing, DJ sets and general important information:

Lunch Club: We have been awarded just under £5,000 to start a Community Lunch Club at Invia!
Thanks to the Big Lottery Fund we will be setting up a Lunch Club for service users to learn to cook, eat together and meet new friends.
Service users will get:
- Free cooking lessons
- Free meals
- A chance to meet new people
- Lessons in nutrition, health and safety in the kitchen and hygiene around food
- Your travel to and from Invia paid for

Dan's Vlog - Work Experience: Meet Dan who is supported by Cintre Reachout, he has recently started volunteering for a local charity shop to gain skills for the workplace. You can watch this 'chatty' video led by Dan to learn more of how his Cintre Support Workers are helping him.

Vegetarian Week: Between the 14th and the 20th of May it is Vegetarian Week, where lots of people celebrate vegetarian food and how it helps with health and the environment.
We have been awarded over £100 to spend on a Vegetarian Taster Session at Invia.
We will be cooking a three course meal for over 30 people where you are all invited to come along and enjoy some vegetarian tasters for free!
Don’t worry if you don’t like vegetables, we will be coming up with some delicious recipes for you to experience vegetarian food in a positive way.


Care Home Open Day 21st April

Care Home Open Day is upon us yet again!

With CQC emphasis on community links, Care Home Open Day is a really important initiative that can help you shine at the next assessment. You can find out more about it from their website

In 2018, the official day is 21st April but you can choose a date that suits you. Member Able Care have chosen 5th April because it works better for them for their open day at HENGROVE LODGE CARE HOME:  in Petherton Road. The idea behind the day is to encourage local people to visit care homes in their community and to work together to develop better relationships.

This important connection is something that Hengrove Lodge has nurtured and the home is already acting as a community hub, including regular visits from the Stay and Play Group from Southern Links Children’s Centre.

As part of the Care Home Open Day 2018 and working with LinkAge, Hengrove Lodge is hosting an afternoon with tea and cakes and the opportunity to get involved in flower arranging with Don Gay’s Florist who are based nearby.  Members of Christ Church Coffee Group have been invited to join in along with residents and their families.  You can see the full programme for the day under our page on the website by visiting

Sam Hawker, AbleCare Homes Director said: "This is a great way to show the excellent services on offer and the fantastic work that goes on at Hengrove Lodge.  Some people still have misconceptions about care homes so we are keen to dispel any myths and for people to come and have a look around, meet the staff and our residents."

GDPR Are You Ready

Care & Support West will also be affected by GDPR ; watch out for or communications with you to make sure we are compliant.

In the mean time with new rules coming on stream on 25th May, it is important to be prepared.

You will also be affected with regards to business information and also staff information. However there is a lot of help and advice available, here is a round up of the best we have come across.

  1. GDPR: Impact on business
  2. Get ready for GDPR day
  3. Dispelling Myths about Data Protection and GDPR
  4. GDPR: Fine or Fined?
  5. GDPR and Consent
  • Guides from Citation
  1. GDPR Readiness Assessment
  2. Free Guide to GDPR
Sleep In Payments Crisis

Below is the letter we have sent to our members. Whoever you are, member or not, if you are in the care sector, this is really important and we need to support t his campaign!

The Care Alliance Association has asked us to put out this message about the real crisis facing social care because of the recent sleep in payments ruling. It is really important; please read it and if you haven't already done so and you are affected, please complete the survey and look at what else you can do to support the campaign.

Below you will find

  • a notice saying that the deadline has been extended until 9th March 
  • the link to the campaign
  • the original e-mail outlining what people can do to support the campaign, this includes lobbying including social media and a day of action

Thank you,
David Smallacombe, CEO                                       Angela Roberts, Deputy CEO
07860 439 809                                                         07535 820 552


  • Sleep In Crisis campaign. 

A quick note that the survey deadline has been extended to close of business Friday 9th March. 
We appreciate the survey does take time and resources to complete however this is an essential building block in providing new data to inform the collective public affairs campaign.  Without a robust dataset we are left in a poorer influencing position.
We have been encouraged by organisations who have told us that by completing the survey has been a useful exercise, as well as providing a useful basis for briefing local parliamentarians. 
Every good wish - and I look forward to catching up with you and members in the future. 
Rhidian Hughes
Chief Executive | VODG (Voluntary Organisations Disability Group) | 0793 113 1724 | | @rhidianhughes


  • Sleep In Crisis e-mail

We are now at the point where it is easy for Government to continue to do nothing to support providers affected by the sleep in payments crisis. A working group/alliance has come together - #SolveSleepIns Alliance  - for a time-limited basis, to ensure a full consolidated and coordinated effort on all matters about the payments crisis. Through this email I am summarising some key developments in the hope that you could share with CAA members in order that we can now extend our reach CEOs and owners. (The public affairs briefings are restricted to CAA and your members, the template letter is not.)
Sector-led survey to identify current and future impacts
The Laing Buisson and Frontier Economics research seeks to calculate (again) the back pay liabilities in the sector there is a very urgent need for an independent assessment about the impact that the sleep in payments is having on service arrangements, workforce and sector stability.
We are very grateful to Agenda Consulting and Trowers & Hamlins LLP who have stepped forward to undertake independent research.

  • Survey

Their survey is now live and can be accessed via:

It would be of great help if you could also share news of this story…

…and the survey link above with your members and encourage further action locally.
Public affairs
There has been a great deal of public affairs work in recent months, and with some successes. Despite our recent campaign wins – getting Labour front bench support and having the Prime Minister questioned directly on sleep-ins at PMQs amongst many others - getting the Government to act won’t be easy. So now is the time for the sector to come together to ramp up approaches to all parliamentarians.
Attached to this email is a letter which, if CAA members could cascade down to chief executives and owners, would help the sector wide campaign. Finding email contact details and changing the letter should take less than five minutes for each constituency – and make a big impact.
If possible it would be helpful to have any responses sent to ensure sector coordination.
Single day of action
We need a single day of action in April/May as a pre-planned campaign tool to push the Government to act on sleep-ins before it’s too late.
Options could include a mass lobby of Parliament, where a number of people come to Westminster on the same day to meet with their Parliamentarians, a regional/local lobby where providers assist visits to their Parliamentarians in their local offices and a virtual lobby where the networks of all providers (including families, staff and others) are engaged to call and email their Parliamentarians on a specific day with a message about this issue. We believe that the most effective campaign activity may be a strategic combination of all three of the options mentioned.
To plan this, we need to get an idea of what everyone might be able to do.  Can you please respond to the three questions below by the end of February please?
1.       Can you commit to urging people you support / their families / carers to attend a day at Westminster to lobby Parliamentarians? If yes, how many? What constituencies would they be from?
2.       Can you commit to participating locally by urging people you support / their families / carers to their MP’s local office or surgery? If yes, how many in which constituencies?
3.       Can you commit to participating by promoting to your staff, volunteers and other relevant contacts that they make a phone call in support of our campaign including any mailing lists and social media outlets you currently use? Approximately how many people would this be to and in which constituencies are they likely to be based?
Please email with your responses by 28 February 2018. Alternatively if CAA or individual associations wish to collate regional responses that would be helpful too. 
Your response will allow us to know what we are working with to strategically plan the most effective campaign action. And we need to start planning now.   
Social media
For those individuals and organisations that are in a position to comment and share publicly please use these hashtags in the weeks ahead:

The Great Social Care Pass the Parcel Game

It seems that the music paused for a moment and the Social Care parcel has been left in another pair of hands! When Damien Green announced the Green Paper on how to fund and manage social care in the context of rapidly growing demand there was a kerfuffle. 

Care Industry News focused on the ADASS response; namely that the sector is already at tipping point with a funding gap. Secondly, where the Green Paper has a focus on the ageing population, Leonard Cheshire  point out that the Disabilities (Physical and Learning) Sector is just as big and the crisis is a "blight on the daily lives of disabled people up and down the country". The Guardian called the announcement a missed opportunity, it failed not just to take into account younger people in need of care and the disabled but failed to roll into it the long promised 'Carers Strategy' and failed to incorporate carer representation. The Local Government Association called for councils to have a key role in defining and shaping local care and again calling for immediate action to address immediate short term pressures.

However there was a broad welcome to the direction of travel albeit with a call for greater urgency and the need to build upon the inter-dependency of Health and Social Care.

At the time Jeremy Hunt said “We are committed to reforming social care to ensure we can guarantee everyone dignity and security in old age. It is important we consider a wide variety of views on the future of the social care system – as our ageing population continues to grow it is absolutely vital that we get this right.” So, is it surprising that Hunt's remit has been extended to Social Care and he has picked up responsibility for the Green Paper? Possibly it was the only and inevitable solution since Green's departure from the government.

But, is this extended role a substantive change?  The Financial Times tells us there is a sceptical response. A spokesman at Health says 'yes it is'; that where there were three organisations involved before, now there are only two. Plus, Hunt's role as Secretary of State for Health and Social Care and the appointment of Caroline Dinenage as a minister of Health and Social Care, re-positions Social care at Ministerial level. On the other hand, according to Norman Lamb, ex Minister for Health, while funding still remains with Communities and Local Government, there is no real change at all. And funding is the crux of the matter; in the words of ADASS, "...more needs to be done now to secure extra recurring money to address funding gaps, address continuing service pressures and the stability of the care market".

Rachel Sylvester at the TIMES* says that the funding must follow the ministerial remit that it's absurd that it remains with councils. "If local authorities are funding social care they have a perverse incentive to transfer the cost to hospitals". And this debate doesn't consider the iniquitous situation where some conditions are funded and others are not (viz cancer v alzheimers) and where private funders are subsidising those paid for by the public purse. Hunt's new 'Social Care Parcel' appears to contain a ticking time bomb and needs to be handled with care! "..Mr Hunt is willing to be brave. The only question is whether the Prime Minister has the authority to back him up"

But with all that said... at C&SW we welcome the debate and are pleased to see the integration of Health and Social Care at a Ministerial level even in semantics! We are particularly pleased to see the role requested of Skills For Care in handling the Care Sector Workforce Consultation. We understand that a further consultation questionnaire , with more focus on care needs will be available from Skills for Care shortly. We would urge our members, indeed the whole local care community to respond in your droves to the consultation, and to continue to lobby politicians wherever possible. 

Sources: Care industry News: Guardian article; Local Government Association; Leonard Cheshire; *Times article: you will need to register to see the full article.

"The Issues We Face": a new report from Care and Support West

Care & support West have published this comprehensive report on the the state of care in 2017, seen from the care providers' perspective. The author, Mik Alban, Development Director at Care & Support West said that he felt that it was important that care providers had a voice too.

"..this is a very accurate and true picture of the current market. Well done to whoever produced and created the report. We need to make sure it gets circulated as far as possible!! " Sam Notaro from Notaro Care

"I think this is a very good document and reflects what providers have been saying well.  Good Job!" Deian Glynn from Manor Communities

You can read the Executive Summary below and download the full report here.



1.  Care and Support West engaged with a broad selection of members, all providers of adult social care services, over a one-year period to mid-2016. The key issues that arose were the challenges of staff recruitment and retention which were descried as ‘dire’ and ‘as bad as it has ever been’. This is consistent with the national picture where Skills for Care estimate that there are around 84,000 staff vacancies in adult social care in England at any one time. Managers reported having to dedicate far more time and effort to staff recruitment and yet they were still struggling to attract both the numbers and the calibre of staff they require.

2.  The post-Brexit uncertainty for non-British workers has had a further adverse impact on sector recruitment and retention, deepening the crisis of Registered Nurse recruitment. This, together with the ageing workforce and regular negative press only worsen the recruitment challenge. The recruitment pressures in turn place additional burdens on those who are dedicated to delivering quality support; sadly, it is still seen as an industry not a profession and, being so heavily regulated, is often subsumed under the weight of paperwork.

3.  For the adult social care sector to remain viable, pay rates for front line staff are going to need to remain ahead of increases in the National Minimum Wage (NMW). This seems to be an intellectual leap too far for central government and local authorities and yet until recently many providers were paying more than the NMW. If that pay advantage is not re-established the sector will increasingly haemorrhage staff to other areas of the economy.

4.  A significant proportion of the current social care workforce in the UK are non UK nationals and the need for social care staff is growing. The reality for the social care sector is clear; we need significant numbers of workers from overseas to keep the sector operating. These routes need to remain open for overseas nurses and care staff otherwise the social care system will collapse.

5.  To place the status of social care on a similar footing to social work, nursing or other healthcare professions, there should be a recognised social care degree. Like social work and nursing there should be bursaries available to encourage people to achieve this qualification. Given the fact that the cost of getting a degree is becoming increasingly prohibitive for many, offering a highly subsidised  route would help attract people into the sector and offer higher status career progression to those working within it. This would both acknowledge the increasing professionalisation of the sector and serve to develop the leadership of tomorrow.

6.  Oversight by CQC and other stakeholders is an essential part of the work of social care; it is however performed by too many bodies all of whom seek similar information but often in different formats. All of this unnecessary duplication adds to the workload and provides no benefits to the service. In addition, inspections need to be more consistent, fair and accurate, not least owing to their potential impact on lives and business. We would recommend a more supportive and integrated regulatory approach involving the key stakeholders.

7.  The relationship between providers and commissioners is often an uneasy one. Much is said about working in partnership, but the two parties are working to very different financial agendas. Providers understand that local authorities have been placed in an impossible position by central government but they currently do not feel they are being treated fairly by commissioners and social workers.

8.  We make a series of recommendations within this report, the majority of which are designed to recognise the actual issues faced by providers and to address these head on. There are costs associated with some of these, but the reality is that it is the dramatic underfunding of social care which is resulting in the looming crisis.  The issues facing the sector will not go away or be addressed by being ignored. In fact, the longer they are ignored, the worse the situation will become.

9.  The sector needs to see the additional funding that is being made available both via increases to council tax and the £2billion over three years announced in the Spring 2017 budget making its way through to providers as enhanced rates payable for existing services rather than being used to fill holes in Social Service’s budgets or to pay for more services at the same inadequate rates.

10. Our recommendations are designed to support the continuation of a viable social care sector in line with society’s increasing requirements. They are deliberately designed to take a longer-term view of care and support delivery and move away from the dominant short-termism implicit in current cost-saving measures.

11. We explore the ideological slant towards Supported Living as a means of acquiring care and support and consider that there needs to be more objective  view of what residential care can provide in the round for people. We concluded that too many commissioners look to Supported Living as a cost-saving opportunity rather than a genuine option for specific individuals. The separation of housing and support is not the strong argument it is purported to be and has proved damaging in many cases and we would argue is serving as a barrier to the development of more individualised housing and support options that people could really benefit from.

12. Overall we have shown that the relationship between commissioners and providers would benefit from an element of truth and reconciliation with a mutual recognition of the drivers for each element of the partnership. In many areas an impasse exists, from which the future of social care will not flourish if it is not urgently addressed.

13. There is a significant degree of frustration amongst providers with the Care Quality Commission (CQC). CQC know the extent and nature of the problems and yet all they have really said publicly is that the sector is at a ‘tipping point’ or it is ‘straining at the seams’. Providers feel that CQC are not sufficiently vocal in relation to the problems facing the sector and are actually adding to these with their ever increasing regulatory expectations.

14. Those in power must step up to this challenge or the sector is going to go beyond the tipping point highlighted by CQC and it will increasingly collapse in upon itself and the country will find itself in a position where there is less and less available provision required by more and more people. It is difficult to see quite how it will recover from there. As a strategy, starving the sector of money until such time that central government has to provide some money for it is a dangerous game to play. There is a very real risk that intervention will come too late or that the cost of resurrecting the sector will be far greater than if the sector was simply being adequately funded.

Care Provider Alliance Report.
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Encouraging engagement between Sustainability and Transformation Partnerships and the adult social care sector

Download the full report here

Read the Key Recommendations below:

Our recommendations to support this aim are as follows:

1.    For the leaders of all sectors to recognise and promote the interdependence and equal status of the health and adult social sectors, and for adult social care to be at the table as an equal partner.

2.    For STPs that don’t have established arrangements for engagement with the adult social care sector to:

Ø  Complete or commission a quick overview of the adult social care sector in their area, looking at the scale of provision and identifying any provider forums or associations.

Ø  Consider the options for engagement suggested in this report.

3.    For STPs that do have established arrangements for engagement with the adult social care sector, to review them in discussion with their partners in the light of the points raised by this report.

4.    For all STPs, to hold a discussion at an STP Board meeting about engagement with the adult social care sector; and, by March 2018, to share information on their website or otherwise about how they are taking engagement with the sector forward.

5.    For adult social care providers and organisations:

Ø  If not already aware of and informed about STPs, to start by visiting

Ø  To take time to understand how the way the NHS works is changing and, in particular, the role of STPs.

Ø  To have a look the STP plan for their area, and at who leads it.

Ø  To be willing to engage positively, constructively and openly on behalf of the sector.


General NewsBarbara Harris
Further Evidence of Crisis with Sleep In Arrangements

Government sleepwalked into sleep-in crisis. 

Yesterday MENCAP announced that they may have to withdraw from providing support for more than 2000 adults with learning disabilities unless the row over back pay is settled.  The debate around funding the future of social care often focuses on older adults and their associated medical needs, especially when we face a growing ageing population, but a large chunk of the social care spend – estimated at £8bn by the National Audit Office - goes on supporting adults with learning disabilities to live independently. This could be in the form of 24-hour care with large staff team in their own homes or it could be several hours a day with shared support at night for adults living in shared accommodation or flats. Either way, this support usually includes a night time element and this is where MENCAP - and many other smaller providers - are having a problem.

Centre for Policy Studies

General NewsBarbara Harris
Social care crisis: series of newspaper comments

David Smallacombe recently shared the articles below, compiled by Care England, all highlighting the plight of the social care sector. David's message to members is:

"The only way you can be sure your voice will be heard is to constantly push, cajole and persuade your local Councillors and Members of Parliament (MP’s) to make significant changes in the care sector. Go to the Town Hall to lobby elected members during the public meetings of the Scrutiny Committee, get a meeting with your local Director of Adult Social Services, attend the MP’s regular surgery’s, write to Theresa May, Jeremy Corbin and other party leaders. Tell them what trying to run a care business is like on a day to day basis, explain to them (you know they don’t know) that unless they act urgently to fill the funding gap (put up income or other taxes for e.g.) local and central government will find itself having to provide and/or develop care settings for vulnerable people to live in because they have lost their homes as a result of the Care Business they once lived in has collapsed. Make yourself a “nice” and reasoned nuisance --- educate those who have influence to do what they know they will have to ---- but get them to do it sooner!!"

Why won’t ministers acknowledge social care's growing emergency?
How close to the brink is the social care system? In the severest warning yet that it is fast becoming unsustainable, council leaders will on Wednesday warn that their ability to support older and disabled people is “veering steadily towards the impossible”. The picture in children’s services is no better. The body representing directors of those services reports that their ability to make any impact at all on the lives of 4 million children living below the poverty line is increasingly constrained by relentless funding cuts. As leaders of both children’s and adult services in England meet this week in Bournemouth for their annual joint conference, they will reflect ruefully on the deafening silence from last week’s Conservative party gathering in terms of any relevant policy or funding initiative. Most alarming for the adult sector was the complete 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”.
The Guardian
Social care crisis consultation postponed by government
The government is rumoured to have put on hold its consultation on social care funding until next summer, and the previous Tory government’s pledge to introduce a cap on care home fees by 2020 has been abandoned.  A social care funding crisis looms large as the population of the UK is ageing: By 2040, nearly one in four people in the UK will be aged over 65, according to a recent Age UK report. But the country has little money set aside for elderly care, at either the state or the individual level.  While the next 18 months may be full of Brexit-related matters, retirement experts say that the government should not delay consulting on the crucially important matter of social care funding, which will impact families for decades to come.  Steven Cameron, pensions director at Aegon, says: ‘Social care for the elderly and how it should be paid for will touch every family across the UK. The government promised in its manifesto to consult on social care funding, including introducing an overall cap on how much any individual would be expected to pay. 
Money Observer
ADASS president: ‘Adult social care reform must be a national priority’
With an eventful – but ultimately disappointing – Conservative Party conference out of the way, all eyes now rest on the chancellor’s autumn budget and the consultation on the future of adult social care that the government has promised. We hoped that Theresa May would use her key speech at the conference to announce further measures to help alleviate the significant and continuing pressures on adult social care, building on the welcome but short-term £2 billion of extra money announced in the spring. However, with apparently no new plans forthcoming, the sector will continue to highlight existing and emerging challenges it faces at the National Children and Adult Services Conference (NCASC) in Bournemouth this week (11-13 October). While councils continue to wait for – and call to bring forward – the government’s promised consultation on the future funding of adult social care, important issues based on efficiency, best practice and innovation will be discussed at NCASC as local authorities lead the way in self-improvement to help older and disabled people and their families in need of good quality, reliable and personal care. These include: creating carer-friendly communities; managing the impact of children’s services pressures on adult care services; the employment of people with care and support needs; tackling mental health, loneliness and modern slavery; prevention and safeguarding work; integrated commissioning to support the sustainability of the care market; transforming care through technology; and housing, health and care integration.
Community Care

Additional evidence from Care England can be found below:

Elderly care is 'close to crisis point' say council

The head of one of the North West’s biggest social services departments says he struggles to sleep at night because of cuts he's had to make to care for elderly people. Liverpool city council say they've had their adult social care budget cut by £50 million in the past 3 years. They say services are close to crisis point. Local authorities across the region now have an average of just £2.75 an hour to spend on care.

Councils ‘leveling down’ care packages after ILF closure

Report reveals more than half of local authorities in London have cut care packages since the closure of the Independent Living Fund in June last year. More than half of local authorities in London have cut service users’ care packages following the closure of the Independent Living Fund (ILF), according to a report by Inclusion London. Four councils have reduced support for more than half of former ILF recipients, a finding the charity described as “suggestive of a systematic approach to ‘levelling down’ packages”. The findings come from a Freedom of Information request, which received responses from all 33 councils in London. The charity said the cuts affected 185 former ILF recipients across the capital – around one in six.
General NewsBarbara Harris
Skills for Care pilot for new registered managers

 Skills for Care want to work with new registered managers as part of an exciting 12 month pilot starting in April 2018.

The value of specific support for individuals new to roles with a significant level of complexity and responsibility is recognised across a number of sectors and professions. The pilot will test a model of support for new registered managers based on a combination of Skills for Care’s resources and guidance; we see this model becoming part of our future offer to registered managers.

New managers participating in the pilot will be supported to develop their confidence, knowledge and skills over 12 months; every manager participating will also have the opportunity to engage with and learn from peers.

What does the pilot offer?

Participants will join a local cohort of new registered managers, who will follow a 12 month approach to developing their skills, improving their confidence and engaging with peers. Participants will:

§  Be paired with a mentor (who will be a more experienced registered manager); they will support you to explore issues, challenges or opportunities that you encounter at work

§  Become registered manager members of Skills for Care, for two years, with access to exclusive resources, monthly newsletters and discounts on products and services.

§  Attend three face-to-face events with other new managers and Skills for Care; tailored around their needs and interests.

§  Have access to a scheduled series of seven webinars on specific topics, relevant to their role; participants must join a minimum of four webinars.

§  Have opportunities to develop their reflective practice.

§  Complete a gap analysis against the Manager Induction Standards (MIS) and produce a personal development plan (PDP).

At the end of the pilot participants will have received structured support, increased their knowledge and established a solid base for their continued professional development (CPD).

Who can participate?

We are looking for people new to the registered manager role, who have been in post for 12 months or less at the point of applying to join the pilot.

Places on this pilot are being offered at no cost, however participants will be expected to commit to the full pilot and to take-part in scheduled evaluation activity.


   What else do I need to know?

§  We anticipate that participation in the pilot will involve managers being away from the office for a total of seven days over 12 months. Additionally, managers will be expected to join a minimum of four, 45 minute, desk-based webinars.

 §  We are asking senior managers / leaders or owners, with registered managers participating in the pilot, to take-part in scheduled evaluation activity to help us measure the impact and effectiveness of the pilot. We will ensure that you are given advance notice of this and that your involvement will not be time consuming or onerous.

What if I don’t have any new registered managers; can existing managers get involved in any way?

Yes – Skills for Care are looking for existing registered managers to mentor a new manager, participating in the pilot, and we are offering a free training day to managers who do this. 

How could my manager(s) benefit from agreeing to mentor a new manager?

§  Skills for Care are offering every manager who agrees to become a mentor the opportunity to complete a free one-day mentoring training course; this will help them develop the understanding and skills they need to be a mentor

§  at the end of the course they will be given copies of materials which they can use in your service

§  the skills they learn can be used in your organisation; and the process of mentoring can help them reflect on their own practice

§  as part of the inspection process the Care Quality Commission (CQC) look at how managers and providers engage with other services and the wider sector; mentoring another manager is one way to demonstrate this.

What does a manager need to do to get involved?

We are asking that every registered manager who wants to get involved, commits to:

§  attending the one-day mentoring training; this will be delivered in February / March 2018 and a date will be confirmed by December 2017

§  being paired with a new registered manager in April 2018, who they will mentor.

§  A short application form will be available from December 2017.

      What is mentoring?

 §  mentors use their knowledge, insight, perspective, wisdom or space to help their mentee to develop in their role

§  a mentor does not give their mentee the solution to an issue; they help that person explore, understand and resolve an issue, challenge or opportunity – the key to mentoring is helping the mentee learn from their experiences

§  mentoring is based on a professional and confidential relationship; built on trust and clear boundaries between the mentor and mentee

§  a mentoring relationship is temporary, not on-going; at the start of a mentoring relationship it is important to set an end-date and be clear how often the mentor and mentee will meet or speak

§  mentoring can be a face-to-face or telephone based activity.

 How to get involved?

If you have a manager or managers who wish to be involved in the pilot, either as a new manager or a mentor email for more information

Healthwatch Report into Care Homes 2017

Healthwatch's 'Enter and View' programme has produced reports on many care homes across the nation and has resulted in the recent "What it's like to live in a care home" report. Download here

Whilst one can speculate on the need for Healthwatch to provide a shadow service to CQC, the report does make for interesting reading and reinforces many of the CQC messages. It also points out that such is the national interest in social care, that it has become Healthwatch's number 2 priority nationally.

The report also serves to pull together a number of initiatives currently in place to support integration, such as the Sustainability and Transformation programmes, 5 year forward view and the 50 'vanguards', Accountable Care Systems, CQC's 12 local area reviews. It also highlights the demographic and resource pressures in the market as well as discussing the CMA study.

Key Themes are:

  • Quality of care
  • The need to solicit and act on feedback read more
  • Integration: All needs, health care and social care should be provided in a joined up way
  • Personalisation: the best services are those that recognise they offer a home not just a place to stay and be looked after, where residents are seen as individuals
  • Technology: Use of technology to drive improvement



We wanted to let you know about an exciting new funding opportunity at Comic Relief, which aims to help improve the quality of relationships between care home staff and residents and provide funding for activities that engage and mobilise people to get to know each other better by spending fun and active time together.

Round 2 of the Care Home Challenge Fund builds on learning from our pilot round.

 Full details of the Care Home Challenge Fund: Round Two are available via the link below:

Funding available

Comic Relief expect to make 20 grants of between £10,000-£20,000 to care home providers from across the UK. The deadline for applications is midday on 4th August 2017 and applications must be made via online system accessible through Grants will last for between 18-24 months including time for planning, partnership building and delivery. Each grant will reach a maximum of 4-5 care homes, focussing on quality of delivery led by residents and care home staff rather than volume of people.

Based on learning from Round One, Comic Relief prioritise applications which:

  • Involve residents and staff taking part in meaningful activities together, and protect staff members’ time to ensure their full participation.
  • Partner with a third-party activity provider which has a good understanding of the care home context and residents’ needs.
  • Are ‘person-centred’, planning the work in response to residents’ needs and interests, involving residents in co-designing activities, and respecting people’s choice to participate.
  • Demonstrate a clear commitment to the proposed activity from the care homes involved, particularly from the managers and activity coordinators.
  • Support staff to build skills and confidence so they can facilitate or deliver activities, enabling sustainability beyond the life of the project.
  • Show how they are building on the findings from Round One.