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Hospitalsocial workers should be reinstated onto wards to support people to achieve better outcomes on discharge, amid the current severe pressures on the NHS and social care. That was the message today from the Adult Principal Social Worker Network in an open letter to health and social care secretary Steve Barclay.
The figure, dating from the end of February, is six times that recorded in September last year, and comes with most directors reporting they have had to prioritise assessments for cases of suspected abuse or neglect, hospitaldischarge or reablement following a temporary residential care stay. ADASS May 2022 survey: key findings.
Adult social care staff are carrying out tasks previously undertaken by the NHS in most areas, without compensatory funding, council heads have reported. Seventy per cent of directors said this was the case, in response to an Association of Directors of Adult SocialServices (ADASS) survey carried out in September and October of this year.
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.
The findings come from a snaphot survey from the Association of Directors of Adult SocialServices (ADASS) released today, in the context of what the association described as a “national emergency” Relaxing Care Act duties mooted.
“Things have never been so bad,” for people needing care, carers and staff, the president of the Association of Directors of Adult SocialServices has warned. million hours of home care [that] couldn’t be delivered in the first quarter of this year.
Councils will be able to bid from a pot of £40m – up from £30m – for cash to help prevent hospital admissions and speed up discharges from wards. This can be spent on meeting adult social care needs, supporting the provider market, speeding up hospitaldischarge and otherwise reducing NHS pressures.
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.
Funding shortfall However, this does not cover the extra costs facing authorities from the impact of the employer NICs rise on the providers that they commission, notably in adults’ services. The MSIF is designed to help councils increase fees to providers, boost workforce capacity and cut waiting times for assessments and services.
This was evidenced in the fact that, according to the NHS Confederation, two in five people are not able to leave hospital when ready, in large part because of a lack of social care. Extra £500m for social care a ‘sticking plaster’, warn sector leaders. per hour per social care employee. Related articles.
The NHS will be given the majority of a £500m fund for adult social care, designed to speed up hospitaldischarge and bolster the care workforce. 13,000 people stuck in hospitals. Currently, more than 13,000 people who are medically fit for discharge are stuck in hospital every day.
However, this falls far short of the estimated £1.8bn in extra costs facing councils , chiefly driven by rises in employers’ national insurance contributions (NICs) and the national living wage(NLW), the Association of Directors of Adult SocialServices has warned.
Practitioners are having to step in to carry out welfare checks on adults going without the care they need due to mounting staff shortages in residential and home care, said the British Association of Social Workers (BASW). Vacancies across adult social care rose from 9.2% to 9.4% , from November to December 2021, up from 6.1%
Ninety four per cent of directors disagreed that they had sufficient money to fund care over the coming months, while the same proportion disagreed that there were enough social care staff locally to meet needs this winter, in response to an Association of Directors of Adult SocialServices (ADASS) survey.
At the same time, 94% of directors reported that they did not have sufficient care staff in their areas to deliver services this winter, in response to an Association of Directors of Adult SocialServices survey carried out in October and November. Pay care staff ‘much more than national living wage’ – .
A £475m rise in the market sustainability and fair cost of care fund, designed to help councils increase fees to adult social care providers, cut waiting lists for services and tackle recruitment and retention issues. 307m through a new adult social care discharge fund, designed to help speed up hospitaldischarges.
Consequently, we rely heavily on the expertise of IMPACTAgewell to support our service users. They truly make a difference in our service users’ lives to promote independence and confidence at home.”
While authorities strove to protect adult social care from these cuts, their spending on the service was only marginally higher 2019-20 than 2010-11, after taking account of inflation. This led to many people with asymptomatic Covid being discharged into residential care.
300m for adult social care to support hospitaldischarge. This will need to be pooled, within the Better Care Fund, with a further £300m to support discharge, likely channelled through the NHS. This is in part due to a lack of adult social care, though also reflects inadequate capacity in the NHS.
Beverley Tarka this week became the first black president of the Association of Directors of Adult SocialServices (ADASS) since its establishment in 2007. At the same time, much of the resource it has provided is directed towards clearing hospital beds, rather than the vision of social care as a vehicle for better lives.
The government’s £500m injection of cash into adult social care this winter is a mere “sticking plaster” for the sector’s underlying problems, leaders have warned. However, they said it was insufficient to tackle staff shortages, unmet needs for care and the impact of the cost of living crisis on the sector.
Data showed that 86% of people who received a short-term service in the borough did not require ongoing support, while 84% of older people were still at home 91 days after discharge from hospital to a reablement service, exceeding the England average in both cases.
Sarah McClinton , Les Bright and Jeremy Seymour on the pressures facing the care home sector Heads of adult socialservices share concern at the poor quality of some care and support for people living with dementia ( Dementia patients in England facing ‘national crisis’ in care safety, 28 December ).
Labour will develop local partnership working between the NHS and social care on hospitaldischarge. “We will enhance partnership working across employers, workers, trade unions and government and establish a fair pay agreement in adult social care.
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