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Currently, 340,000 people, or 30 % of eligible care users, have a personal budget, which enables the individual to choose their care provider. The Government wants all eligible users to be offered a personal budget by April 2013. Personal budgets currently cost the taxpayer £1.5 billion each year. The total annual expenditure on care is around £23 billion. Effective oversight of the care market is essential to protect the interests of both social care users and of taxpayers. There is growing consolidation in the social care market at a regional level. Yet the Department did not have a view on what level of market share represents a risk of provider dominance, or arrangements to protect users should a large-scale provider fail. This is worrying given the recent experience of Southern Cross and the high levels of debt that some providers are carrying. There are risks to the future functioning of the social care market from local authority budget reductions. The report notes some difficult areas with personal budgets: provision of advice, ease of changing support, redress. The Department has to rely on local authorities to implement its policy of universal provision of personal budgets but it cannot compel local authorities to act. The Department will shortly issue a White Paper on reforming social care delivery. The changes the Department makes must address concerns about giving users a real choice, overseeing the market to ensure competition and stability, and putting in place arrangements and contingencies to deal with major provider failure.
The reports published as HC 1398 (ISBN 9780215561848), HC1469 (ISBN 9780215561862), HC 1468 (ISBN 9780215038548), HC 1502 ((9780215038585), HC 1530 (ISBN 9780215038913, HC 1565 (ISBN 9780215039910), HC 1444 (ISBN 9780215038968), HC 1566 (9780215039941), HC 1531 (9780215040077)
This unique book brings together, for the first time, advocates and critics of the personalisation agenda in English social care services to debate key issues relating to personalisation. Perspectives from practitioners, service users and academics come together to give an account of the practicalities and controversies associated with the implementation of personalised approaches. The conclusion examines how to make sense of the divergent accounts presented, asking if there is a value-based approach to person-centred care that all sides share. Written in a lively and accessible way, practitioners and academics in health and social care, social work, public policy and social policy will appreciate the interplay of rival arguments and the way that ambiguities in the care debate play out as policy ideas take programmatic form.
Additional written evidence is contained in Volume 3, available on the Committee website at www.parliament.uk/healthcom
This report is a follow-up to the Committee's report on Accountability for Public Money (HC 740, session 2010-11 (ISBN 9780215559029)) an issue at the core of the relationship between Parliament and government. Accounting Officers remain accountable to Parliament for funds voted to their departments but the policy intention is that local bodies will have significant discretion over the services they deliver. In the Government's response, 'Accountability: Adapting to Decentralisation', Sir Bob Kerslake drew a distinction between those services that government delivers directly and those that it may fund but are delivered in more decentralised arrangements. He proposed that Accounting Officers set out, in Accountability System Statements, the arrangements they have in place to provide assurance about the probity and value for money of funds spent through devolved systems. All departments are expected to produce Statements by summer 2012. Departments have made a genuine effort to develop arrangements which reconcile accountability and localism but the Statements so far are unwieldy and considerably more needs to be done to improve their clarity, consistency and completeness. There is concern that accountability frameworks must drive value for money and, critically, are sufficiently robust to address the operational or financial failure of service providers. Departments are placing increasing reliance on market mechanisms such as user choice to drive up performance and value for money, but there are limits to what these mechanisms can achieve. The Treasury needs to take ownership of the system and ensure that the Comptroller and Auditor General has the necessary powers and rights of access to examine the value for money of funds spent through devolved systems
The 2008 Act falls into five main parts, whose main objectives were: to establish the Care Quality Commission; to change arrangements for regulation of health professionals and of the health and social care workforce; to update the Public Health (Control of Disease) Act 1984; to create the Health in Pregnancy Grant; and to make miscellaneous other changes in relation to health and social care. Most of the provisions of the Act are now in force (in some cases with amendments made by later legislation). The main exceptions include part 2 sections 124-126, which dealt with various matters in the remit of the General Social Care Council, and were not commenced. Instead, the Council was abolished, and its functions were transferred to the Health and Care Professions Council, in 2012. Part 3 provisions relating to port health have not yet been commenced, but the intention is that they will come into force at the same time as new port health regulations. The Act achieved its objectives (or in the case of port health, is in the process of doing so), with the exception of the creation of the Office of the Health Professions Adjudicator. The rest of the memorandum considers each Part of the Act in more detail, with information about: secondary legislation made under the powers created by the Act, and key guidance issued in relation to it; any legal issues that have arisen in relation to the Act, and other reviews of the Act, that the Department of Health is aware of
This book offers an approach to care and support policy prioritizing gender equality, disability human rights and dignity for all.
‘I expect that’s common sense, isn’t it?' This innocent comment on my job as a social care teacher always makes me smile. 'Training and supporting the care force’ is not common sense – it’s not rocket science either. Social carers generally are undervalued by society, so often undervalue themselves. So this book is about helping carers to recognise and value the skills they already possess, and develop these - from this comes an unbelievable amount of support, as well as making all kinds of everyday experiences more interesting and enjoyable. This book therefore helps carers to - recognise and value the skills they already possess - develop these skills through applying theory to everyday situations - understand the complex social welfare background of today, since knowledge is power - be equipped to work with people who have very different backgrounds and experience from their own - deal with jargon! A relevant anecdote: A woman who had had a high powered job was once applying for employment after having had children. She felt de-skilled and lacking in confidence. Then she sat down and made a list, rather like the one above, of the skills she had used in running a home and caring for children. She spoke of these in the interview. She got the job! Not common sense, not rocket science…training and support! Book reviews online: PublishedBestsellers website.
Social service agencies in the United Kingdom are increasingly under pressure to provide personalized care, even as the larger climate of austerity puts pressure on their resources. Increasingly, this means that community-based organizations of five or fewer staff members--known as microenterprises--are being asked to handle work that was formerly the province of much larger providers. In part, this is rooted in the assumption that small organizations can be more innovative and responsive. This book tests that assumption, analyzing the work of care organizations with a specific focus on size and how it affects personalization and the quality of care.
An international survey of different approaches to the provision and regulation of long-term care for the elderly.