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The Care Quality Commission is the independent regulator of health care and adult social care services in England. This report describes the state of health care and adult social care services in England in 2011/12. The report has two main sections, dealing with the shape of care provision and the quality and safety of services. Each section looks at the different care sectors in turn: NHS healthcare, independent healthcare, dental care and adult social care. Overall the Care Quality Commission found that the increasing complexity of conditions and greater co-morbidities experienced by people are impacting on the ability of care providers to deliver person-centred care that meets individuals needs. It is also seeing increasing pressures on staff, both in terms of the skills required to care for people with more complex conditions and in terms of staff numbers.
This is the second annual report on the state of care in England. New laws governing the regulation of health care and adult social care came into force in 2010 and introduced a common set of essential standards of quality and safety that all care providers must now meet. The report covers all of the services that CQC regulated and assessed under the previous legislation: adult social care services (Care homes, nursing homes and home care agencies); the NHS and independent health care services; Councils and primary care trusts (PCTs) who provide and purchase (commission) adult social care and health care services for their communities. There are four main sections - safe care, choice and control, person-centred services and standards of care.
This is the Care Quality Commission's first yearly report to Parliament on the state of health care and adult social care in England. It covers the services that the Commission regulates which include: adult social care services (care homes and home care agencies); NHS and independent health care services; and primary care trusts (PCTs) and councils, which provide and purchase health care and adult social care services for their community. Whilst great improvements have been made over recent years there remains unacceptable variation, and a small number of services or organisations do not meet minimum standards of safety and quality. The future presents a major challenge. The Government expects that, in 20 years' time, 1.7 million more adults in England will have a care and support need. At the same time, we are entering a period when public finances will be stretched and expectations of choice and control are increasing. To help meet these challenges, there needs to be real acceleration in joining up health and social care and centring it on people's needs
Adult social care was the first major social policy domain in England to be transferred from the state to the market. There is now a forty-year period to look back at to consider the thinking behind the strategy, the impacts on commissioners and providers of care, on the care workforce and on those who use care and support services. In this book, Bob Hudson meticulously charts these shifts. He challenges the dominant market paradigm, explores alternative models for a post-Covid-19 future and locates the debate within the wider literature on political thinking and policy change.
This book reflects on theoretical developments in the political theory of care and new applications of care ethics in different contexts. The chapters provide original and fresh perspectives on the seminal notions and topics of a politically formulated ethics of care. It covers concepts such as democratic citizenship, social and political participation, moral and political deliberation, solidarity and situated attentive knowledge. It engages with current debates on marketizing and privatizing care, and deals with issues of state care provision and democratic caring institutions. It speaks to the current political and societal challenges, including the crisis of Western democracy related to the rise of populism and identity politics worldwide. The book brings together perspectives of care theorists from three different continents and ten different countries and gives voice to their unique local insights from various socio-political and cultural contexts. Chapter 11 is available open access under a Creative Commons Attribution 4.0 International License via link.springer.com.
Between April 2012-March 2013, the Commission carried out 35,000 inspections of health and social care services in England. The State of Care report brings together their findings about the quality of these services and also takes a special look at the pressures on accident and emergency. It covers quality of the NHS; independent healthcare; adult social care and primary dental care. Some key findings included that 1 in 5 nursing home inspections revealed safety concerns; 47% of problems uncovered in the NHS were judged to have 'major' or 'moderate' impact on patients; 1 in 10 independent healthcare inspections were not meeting standards of safeguarding and safety; and 7% of dental care inspections raised concerns relating to safeguarding and safety
Print and web pdfs are available at https://www.gov.uk/government/publications Web ISBN=9781474137560