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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.
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.
hospitals calls for screening a woman’s urine for drugs before she gives birth, despite the test itself being notoriously unreliable and easily manipulated by other substances. The results of these tests are used as grounds for socialservice investigations that can lead to newborns being unjustly taken from parents.
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.
The Care Quality Commission has issued the first outstanding rating for a council since it resumed assessing local authority adult socialservices at the end of 2023. Note: There is a poll embedded within this post, please visit the site to participate in this post's poll.
Child Welfare Social Worker vs. SocialServices Specialist III) Organization Type: (Government, Non-profit, For-profit, Outside socialservices) Setting: (School, Clinic, Hospital, etc.) We look forward to your contributions and to showcasing social workers’ diverse and impactful work!
In a move that would have been unheard-of just a few years ago, New Jersey Spotlight News reports that the state Attorney General is suing a chain of hospitals to stop them from performing clandestine drug tests on pregnant women and then reporting the results to the family police. Some even are celebrated.
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.
Growing up my mother partnered with a local hospital to develop a therapy program for women and children, and my father received his master’s degree in education, serving as president of his teacher’s union. Community service and development was my family’s culture, and it has informed the decisions I have made in my education and career.
Impact of government cash and priorities While the number of council adult socialservices staff has also increased in each of the past two years, the number of social workers has risen at a faster rate. Alongside the rising numbers of staff, the vacancy rate for adults’ fell markedly, from 10.5% in 2022-23 to 8.8%
Too many people ended up in hospital because of significant underinvestment in community health services, while there had been a slowdown in patient flow through hospitals because of falling productivity. A tomorrow service not just a today service.
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, hospital discharge or reablement following a temporary residential care stay. ADASS May 2022 survey: key findings.
It also includes provisions to reintroduce performance assessments of council adults’ socialservices and remove the system by which councils can be fined for delayed discharges from hospital they are deemed responsible for. The Health and Care Bill will now become law, having been agreed by both Houses of Parliament.
Government plans for the NHS to discharge people from hospitals to care homes risk inappropriate placements and neglect the root causes of the acute pressures on the health service. “Most people want to be discharged from hospital back home. ” ‘Disappointing’ narrative on social care.
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.
Under section 13 of the MHA, councils must engage an AMHP to consider a person’s case if it has reason to believe that an application may need to be made to detain them in hospital. “In these circumstances people are often left at risk, admitted to acute hospital or held for long periods in A&E, police custody or at home.”
Section 117 of the MHA is a duty to provide aftercare services to people who have been detained under sections 3, 37, 45A, 47 or 48 of the MHA and who then cease to be detained and leave hospital. A local socialservices authority can also request a review of a determination by the secretary of state.
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 hospital discharge 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.
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.
The next government should take forward reform of the Mental Health Act 1983 (MHA) and implementation of the Liberty Protection Safeguards (LPS) in its first 100 days in office, the incoming Association of Directors of Adult SocialServices (ADASS) president has said. Labour’s position on the reform is unclear. .
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.
In 2001, the government tasked the former chief inspector of socialservices with chairing a statutory inquiry into the murder of the eight-year-old Ivorian girl by her great aunt, Marie-Therese Kouao, and Kouao’s boyfriend, Carl Manning the previous year. “It But, the crossbench peer says, some of that outstanding work has been lost.
OHS has a community veterinary hospital and an animal shelter and is the largest facility of its kind in the state. But she also resolves a host of other pet-related problems for the humane society’s clients: landlord disputes; referrals to community socialservices; and the like.
The NHS will be given the majority of a £500m fund for adult social care, designed to speed up hospital discharge 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.
“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.
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%
Despite receiving what the previous government described as the “biggest funding increase in history” for 2023-25, councils overspent their adult care budgets by £586m (2.9%) in 2023-24, found the Association of Directors of Adult SocialServices’ (ADASS) annual spring survey.
And in Seattle, Fox 13 reports , a judge ruled that a rush to judgment by a doctor at Seattle Children’s Hospital was "based on conscious and unconscious bias towards people from minority communities. Particularly black and brown communities." It wasn’t the first time this doctor had traumatized a family with a misdiagnosis.
.” She added that, “without proper change we will not be able to meet the growing demand for care, take pressure off the NHS and reduce costs for the health and social care system.”
New DoLS prioritisation tool Against this backdrop, the Association of Directors of Adult SocialServices (ADASS) has adopted a new tool to help councils prioritise DoLS applications that was developed by West Midlands ADASS. In the original, tool acute and psychiatric hospitals were automatically given high priority.
The issue in this case was which of two local authorities was responsible for providing and paying for “aftercare services” under section 117 of the Mental Health Act 1983 (“MHA”) for a particular individual. This sets out that the section 117 duty is triggered when a person ceases to be detained and leaves hospital.
Dealing with shortages of social workers by hiring social work assistants or trainees – for example, those undertaking apprenticeships – who may be easier to recruit. Digital technology can contribute to this, as can people other than social workers.
By Mithran Samuel and Dan Parton Adults’ services teams have cut care and assessment waiting lists by 60,000 since last summer and are arranging more home care, but continue to struggle with mounting need. However, the association warned that the increases in care being delivered were not keeping pace with rising levels of need.
There were 5,666 full-time equivalent (FTE) practitioners working for Scottish authorities as of the end of 2021, a rise of 200 (3.7%) on the previous year, according to the Scottish SocialServices Council’s (SSSC) annual workforce data report published this week.
As such, no matter their specialty, clinicians need to know how to identify when a client is experiencing an illness, mental health condition, or injury, and who to recommend their client to if they are unable to provide services. In this way, organizations can ensure their clients’ holistic healthcare needs are being met.
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. And the number of people awaiting discharge from hospital has remained stubbornly around the 13,000 mark, shows NHS England data.
In a snapshot survey of members in November, the Association of Directors of Adult SocialServices found mounting waiting lists for assessments and personal budgets and a 164% increase in commissioned home care hours left undelivered between May-July and August-September. Other data shows the shortages leading to mounting unmet need.
Care Quality Commission (CQC) assessments of local authority adult socialservices are still due to start in a matter of weeks despite the process for doing so not having been agreed. The Department of Health and Social Care (DHSC) confirmed that the adults’ assessments were still on course to commence at the start of April.
The lack of an appointed care minister comes with significant decisions needing to be made about the sector including: Whether there will be a delay to the government’s adult social care charging reforms, in the light of the economic situation.
300m for adult social care to support hospital discharge. Also, authorities will be able to raise council tax by 3% (up from 2%) and the adult social care council tax precept by 2% (up from 1%), without a referendum of citizens. .” as of March, below over 80% of all job roles in the economy.
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.
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’ – .
Priorities for adult social care In its first message to the new government, the Association of Directors of Adult SocialServices set out three priorities for adult social care. This is the strong case we’ll be making to the new government over the days, weeks and months ahead.”
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