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These were equity in experience and outcomes; partnerships and communities; safe pathways, systems and transitions; governance, management and sustainability, and leadership, improvement and innovation.
The government must fund better pay and training for adult social care staff to tackle a deepening workforce crisis that is undermining the quality of services. The government has also made no provision to increase pay, aside from annual increases in the national living wage, saying this was a matter for employers.
However, staffing problems – in the shape of rising vacancies and falling numbers of filled posts in provider organisations – have been mounting steadily since March 2021, leading the government to plough £462.5m an hour, aided by the so-called ‘health and care visa’, which removes barriers to entry.
. “It is also adding to the endless pressures we see with ambulances and hospitals, and adding to the pressures we see in our communities, [including] more people requesting help with mentalhealth and domestic abuse, [and] 2.2 million hours of home care [that] couldn’t be delivered in the first quarter of this year.
Government plans for the NHS to discharge people from hospitals into care homes may result in “poor or potentially illegal” practice, through people being moving into residential care without their informed consent. Our concern is that with the focus on discharge above everything else,” she added.
A BASW spokesperson said staff shortages in the wider workforce had been exacerbated by Omicron, resulting in a lack of provision “to facilitate hospitaldischarge or to support a preventative approach”. Members have said they have got worries about their mentalhealth and their ability to provide services.
Four in ten people whose discharge from hospital is delayed are awaiting a social care package, according to NHS data. The figure, revealed today in a government plan to reduce hospital pressures, came as council leaders criticised ministers for a narrative of “blaming” social care for delayed discharges.
We must take issue with the claim by a Department of Health and Social Care spokesperson quoted in the report that the government is giving social care “the biggest funding increase in history” of “up to £7.5bn available over the next two years”. In the past, the split has been 50:50.
While the party said it would introduce a fair pay agreement for adult social care workers and indicated it would implement the current government’s adult social care charging reforms, it did not allocate any resources to either, prompting criticism that the policies would trigger cuts elsewhere.
Amongst other papers, I found a CQC special study on hospitaldischarge from 2004, the 2008 End of Life Care strategy (another hot topic as the Assisted Dying Bill progresses) and from 2009, a vision to reform our care and support system to establish a National Care Service.
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