Policy News from MHA: March 2018

Welcome to MHA's March policy bulletin

 

This month the NHS pay rise and Jeremy Hunt's seven key princples have been in the headlines with a commitment from both him and the Prime Minister for a longer-term funding strategy for the NHS and social care. Other government news includes an updated guidance document on continuing healthcare and official data regarding the Brexit 'divorce bill'. Delayed Transfers of Care have fallen compared to this time last year and a recruitment and retention campaign has been announced for the nursing profession. 

 

Government: - Brexit  - Finance and Pensions - Health and Social Care - Workforce and Skills

Highlights of emerging research and policy in other areas of interest:

Ageing and wellbeing: - Wellbeing - Loneliness - Planning for an older population

Dementia:- Care, Support and Wellbeing -

Finance and pensions: - Older People's income -

Health and Social Care: Funding and Fees -NHS and Health 

Housing: - Older People 

Third Sector: - Trust and brands - Governance -

Workforce and skills: - Nursing 

Look Ahead: April and beyond: - Events of interest -

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Governmentclipboard image

Brexit

  • Prime Minister Theresa May gave a speech earlier this month, outlining her vision of the UK’s relationship with the European Union post-Brexit. She gave five tests for this future relationship:

      • It must respect the result of the referendum
      • It must be enduring, and allow both the UK and the EU to pursue their independent future paths
      • It must protect the jobs, prosperity and security of British citizens
      • It must be consistent with a the UK’s tradition of being a “modern, open, outward looking” country

    It would “bring the country together”, taking in to account the views of as many as possible from all sides of the debate and all the nations of the UK.

  • During the Lords Committee Stage of the European Union (Withdrawal) Bill, they debated the ways in which the rights afforded by EU family law continue to exist in domestic law. The Government says it is committed to maintaining an effective system for the resolution of cross-border family law disputes once the UK left the EU in 2019. They also debated a GDPR amendment removing the possibility for Ministers to amend or revoke the GDPR, the Data Protection Bill when it comes into force, or subordinate secondary legislation arising from it”. Replying, Government Whip Baroness Goldie stressed that the Government was seeking a “bespoke arrangement [with the EU] to reflect the UK’s exceptionally high standards of data protection”. The Amendment was agreed. The house of Lords will report on this in April. 

  • New official data from the OBR indicates that Britain will be paying its Brexit divorce bill for 45 years after leaving the EU – until 2064. It is the first time the UK’s fiscal watchdog has set out how Britain would pay the bill Brussels is demanding London pay to meet its liabilities. The Treasury argued that ongoing payments are in the UK’s interests because they spread the financial burden, but they will likely anger Brexiteers who want a clean break from the EU.
  • Speaking at a joint press conference recently in Brussels, Brexit Secretary David Davis and the EU's Chief Brexit Negotiator Michel Barnier detailed where conditional agreement had been reached on a Brexit transition period. The transition period will end on 31 December 2020 and the UK will be able to negotiate and sign its own trade deals during this phase. Reacting to the latest update in the ongoing Brexit talks, the Times says the deal has been "broadly welcomed by business". The paper points out that the CBI described the moment as a "breakthrough".

Finance and Pensions

  •  One in ten councils faces running out of money in the next three years after exhausting its reserves to pay the dramatically rising cost of social care, the government's financial watchdog has concluded. The National Audit Office (NAO) warned that many councils were on the verge of insolvency having had their central government funding cut by almost 50 per cent in eight years. It found that authorities’ financial positions had “worsened markedly” since they were last audited in 2014, with two thirds of councils with social care responsibilities dipping into their reserves last year. The NAO has called on ministers to produce a long-term funding plan for local authorities in view of cuts they have faced over recent years. 

  • The Spring Statement made no menton of further support for adult social care. Mr Hammond confirmed he would set an overall path for public spending from 2020 and beyond, with a detailed spending review planned for 2019 to decide how to allocate funding between departments.  The Office for Budget Responsibility’s (OBR) have slightly revised up their forecast for economic growth for 2018 but down for 2012 and 2022 (GDP). The Chancellor stated that business rates were being reduced, as previously laid out at the Budget. He also stated that the next business rates re-evaluation was being brought forward to 2021, and would subsequently take place on a triennial basis.

Health and Social Care

  • The Department of Health and Social Care has released an updated guidance document: National framework for NHS continuing healthcare and NHS-funded nursing care. The NHS-funded nursing care standard weekly rate per patient will increase by 2% from the current rate of £155.05 to £158.16 for 2018 to 2019. This is to reflect overall nursing wage pressures. The higher rate of NHS-funded nursing care will increase by 2% from the current rate of £213.32 to £217.59 per week for 2018 to 2019. This is only relevant for people who were already on the higher rate in 2007 when the single band was introduced. Care England has expressed disappointment that the rate of NHS Funded Nursing Care increase announced for 2018/19 of 2% will not significantly relieve the huge pressure being felt in the nursing home sector. Professor Martin Green, said the increase would not address the current cost pressures for nursing in the sector.
  • Jeremy Hunt, Health and Social Care Secretary, has given a speech outlining the 7 key principles that will guide the Government's thinking ahead of the social care green paper, to be published later in 2018. The 7 principles are:
    • quality -  a focus on providing the highest standards of care – whatever a person’s age or condition
    • whole-person integrated care - users of the social care system should have just one plan covering all their health and social care needs based on a joint assessment by both systems 
    • control - as part of this over the next 2 years in Gloucestershire, Lincolnshire and Nottinghamshire - 3 pilot areas - every single person with a joint care plan will also be offered an integrated health and care personal budget
    • workforce - respect and nurture the social care workforce
    • supporting families and carers - to make the needs of carers central to the new social care strategy
    • a sustainable funding model for social care supported by a diverse, vibrant and stable market - the economics of the publicly funded social care market are highly fragile so the models of care need to transform and evolve 
    • security for all - currently financial wellbeing in old age ends up defined less by a person's industry and service during their working lives, and more by the lottery of which illness they get. 
  • Lord Porter, Chairman of the Local Government Association, has responded to the Health and Social Care Secretary's speech, and said: 'We are pleased to see the Government’s latest detail on how it intends to make adult social care fit for the future, which is one of our most pressing public priorities. The ‘seven pillars’ of the green paper reflect what we have long–called for, however, government should resist the temptation for major system reform. Councils know what good looks like and, in the Care Act, the sector has legislation that enjoys widespread support and sets out a vision we all aspire to. What is missing is the funding to turn that vision into reality. While integration is an essential agenda that local government is committed to in order to achieve better health and wellbeing outcomes for people, appropriate funding must be the overriding priority for the green paper and we hope its broad scope will not detract from this focus. Government should first make a down-payment on the green paper by injecting additional resources into the system to fund immediate funding pressures which are set to exceed £2 billion by 2020. This will enable the system to stay afloat until such time as the green paper reforms bring in new resources'. 
  • Caroline Abrahams, Charity Director at Age UK and co-Chair of the CSA (Care and Support Alliance) said: 'The devil will be in the detail of the Social Care Green Paper but the ‘seven principles’ Jeremy Hunt announced today are encouraging because they suggest the Paper will consider the things that really do matter to older people and disabled people in need of care - like ensuring service quality & a strong & motivated workforce.
  • Margaret Willcox, President of the Association of Directors of Adult Social Services (ADASS), said in respose to the speech: 'Making the planning and management of health and social care easier for the individual is the key test for any new measures. Whilst the moves announced today are key steps in that direction, only adequately resourcing care teams across the country, effective communication and support for both provider and recipients will ensure that they provide the person-centred care that we need'
  • Health service transformation requires proper funding, engagement with frontline staff and legislative change, BMA council chair Chaand Nagpaul told the Parliamentary health select committee on Tuesday. Called to give evidence to the committee’s inquiry into accountable care Dr Nagpaul said doctors were trying to provide care in an ‘unworkable’ NHS stretched by lack of resource – and that efforts to transform were being undermined by the need to make more savings. ‘We have a system now where we don’t have the resources for transformation or redesign,’ Dr Nagpaul said.

  • Funding for health services in Scotland will increase by more than £400 million next year. The approved Scottish Budget means health spending will increase to £13.1 billion in 2018/19, with frontline NHS Boards receiving an additional 3.7% uplift. This includes £175 million specifically for reform, building on the commitment to increase health funding by £2 billion by 2021.  

 

Workforce and Skills

  • Unpaid Trial Work Periods (Prohibition) Bill 2017-19. This had it's second reading in the House of Commons on 19 March. Parliament accepted that the bill is nothing to do with work experience or volunteering, both of which are accepted as very good for individuals and society as a whole. The bill focuses instead on people asked to do unpaid trial periods of work and are seen by some employers as cheap/free labour. The debate was varied and look at a number of ways that unpaid trial work was acceptable. It has been adjourned and no further update is currently available. 
  • Nurses and other NHS staff in England are to be offered an average 6.5% pay rise over three years, with many staff set to receive more than this under proposals recently revealed. Hundreds of thousands of NHS staff are set to receive pay rises of between 9% and 29% over the next three years after ministers abandoned a seven-year health service salary squeeze. All of the more than 1 million personnel working for the NHS in England will receive at least a 6.5% increase, if they back the deal in ballots to be run by the 14 trade unions to which they belong. They include nurses, midwives, paramedics, scientists, porters and cleaners. Automatic pay rises for nurses, midwives and paramedics will be replaced by performance-related increases as part of a £4.2 billion deal announced for NHS staff. Jeremy Hunt has said the pay increase, was “well deserved” but would be a “something for something deal” that brings with it greater productivity and a crackdown on staff sickness. Workforce leaders said the three-year package, which could take effect as early as July, may turn the tide of the “daunting” current staffing crisis. It follows what the Health Secretary and Social Care described in Parliament as “one of the most difficult winters in living memory” for the NHS.
  • Commenting on the new pay deal for Agenda for Change staff in the NHS, Nuffield Trust Chief Executive Nigel Edwards said: “Many NHS staff, especially those on the lowest salaries, will welcome the respite this deal will bring from a prolonged squeeze in their take home pay. “But pay alone isn't going to solve the problem of staff shortages. The same survey by the NMC showed that pressure of work was a top reason for nurses and midwives leaving the profession. With two in five staff members reporting they felt unwell due to stress last year, the Government’s plans to reduce sickness absence must go hand in hand with tackling very high workloads and low morale across the entire health service. 

See the Workforce and Skills section for more policy and research news

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Ageing and wellbeing

Wellbeing

  • As data shows that more people are growing older without the support of family members living nearby, a play was performed in Newcastle which explored questions and issues relating to ageing, inspired by Northumbria University research. A one-off performance of Doorbells focused on the story of Kathleen as she faced decisions about where she will live and how her life will change as she grew older. Findings from the Institute of Public Policy Research show that, in 2012, there were 1.2 million people aged over 65 without adult children, and estimates show that by 2030 this will rise to 2 million people, many of whom will not have support from immediate family. The performance was intended to initiate conversation where audience members can share their thoughts on the topics of living as we age and ageing without children. Cathy Bailey, Associate Professor in Ageing at Northumbria University, who supported the research that directly inspired the content for Doorbells, said: “The recent Housing for Older People report suggests that we need to ‘age proof’ new homes. We also need to ‘age proof’ ourselves and society. There is still much to do, to get us all planning for later life across the life course and to change ageist attitudes broadly. We need a national conversation and consultation with people of all ages and from all backgrounds, to consider how we may plan for our future lives.”

MHA comments: This is an important policy issue, one that we work with the Ageing without Children campaign to highlight

  • Local Government Association (LGA)have produced a guide to healthy ageing: Adding extra years to life and extra life to those years. We know that we have an ageing society and that whilst the greater longevity is to be welcomed, far too many of those later years are being spent in poor health. That is bad for the individual and bad for the state. The longer a person spends in poor health the more health and care they need, so tackling it is a priority for local government aiming to to reduce the impact of long-term conditions, and make sure that those in old age are able to maintain their health, wellbeing and independence for as long as possible. The report offers case studies focusing on different aspects of living well such as social hubs to reduce loneliness, home visit assessments and excercise classes to reduce the risk of falls, and an olympic legacy to improve physical health. 

  • MHA comments: At MHA, we are aware of the importance of activity and social connectness to maintain healthy ageing. Across our Care Homes, Retirement Living and Live at Home Schemes we work with our residents to support physical activity, mental wellbeing and a stimulating environment

Loneliness

  • A Worcestershire care home is helping trial a simple new technology aimed at helping older people combat loneliness. Fernhill House near Worcester has teamed up Hello Daisy – an easy to use low cost alternative to video messaging programmes such as Skype, which will connect the user to friends, family, community organisations and health professionals. The mobile phone sized equipment, which can be voice activated, is plugged into the TV – enabling the viewer to connect to those important to them – making it invaluable for people who find it difficult to get out of their homes.
  • Professor Helen Stokes-Lampard, Chair of the Royal College of GPs, has responded to a study published in the BMJ about the links between loneliness and social isolation and cardiovascular conditions. The study highlighted that those people who were lonely were more likely to have additional long-term issues and were more at risk of incident coronary heart disease (CHD), stroke and early mortality. Professor Stokes-Lampard said: 'Loneliness and social isolation can have a devastating impact on our patients’ long term health and wellbeing......The reality is that loneliness and social isolation, particularly for older people, can increase the likelihood of developing serious conditions, such as heart attacks and strokes. On the frontline, GPs and our teams report seeing patients on a daily basis whose underlying problems are not primarily medical, but who are feeling socially isolated or lonely. As well as being distressing for patients, loneliness can also have a real impact on general practice and the wider NHS, at a time when the whole system is facing intense resource and workload pressures. In response, many practices are referring patients to social prescribing schemes, for example referring patients to local activities, coffee mornings, or signing them up to surgery-run initiatives like walking groups. But .... we need a community-wide approach to address this growing challenge.'
  • MHA comments: We know that loneliness has serious health implications which is why our Live at Homes Schemes are so important and valuable to their community 

Planning for an older population 

  • A recent report from Grosvenor documents the impacts of an ageing population that will over the next 30 years, see an extra 15,000 people reaching retirement age in Organisation of Economic Cooperation and Development (OECD) member countries every single day. 'Silver Cities: Planning for an ageing popluation" is split into four sections:
    • The looming impact of an ageing population;
    • The economics and politics of ageing;
    • Implications for real estate;
    • How an ageing population will change cities.
    It also gives insight from cities across the world from London to Hong Kong 
  • The World Health Organization has recognised Greater Manchester as the UK’s first age-friendly city region. To mark the achievement, the Mayor of Greater Manchester, Andy Burnham, has launched his age-friendly strategy and joined GreaterSport to celebrate the securing of £1m funding from Sport England to encourage older people to be more physically and socially active. Mayor of Greater Manchester, Andy Burnham, said: “To be recognised internationally for the plans we’ve put in place to improve the lives of older people is fantastic, but I want to make sure our policies and strategies translate into real changes for all of us as we age. This means providing ways for us all to stay healthy and active as we get older: ensuring our transport is accessible; making sure our plans for building new homes support age-friendly communities and neighbourhoods; and providing high-quality employment opportunities so that we are all able to stay in work for as long as we want or need. This summer Greater Manchester is holding a Festival of Ageing and I’ll be launching my Mayoral Challenge, asking people to put forward their ideas for making Greater Manchester a great place to grow old. I want people to think about what needs to happen to make sure we’re living – not just longer – but happier and healthier.”

    The funding secured by GreaterSport from Sport England will be used to help people over the age of 55 become more active in their communities, socially and physically – for example by facilitating group walks, social events, confidence building, and training individuals to lead local group activities. 

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Dementia

Care, support and wellbeing

  • The Welsh Government's consultation draft of the dementia strategy for Wales referred to anecdotal evidence that in some communities such as Welsh language communities, people may be less likely to talk about dementia. The National Assembly's Research Service paper sets out evidence that bilingual people with dementia access services between 4.3 and 7.3 years later than their monolingual peers. Unfortunately however, bilingual individuals tend to have more severe dementia symptoms when they do access services. One recommendation from the study is that where a person's preferred language is Welsh, the Welsh assessment tools should be used to give more accurate and apporiate readings. This has not previously been the case. They suggest that there is a stigma regarding mental health within Welsh speaking communities and so it is recommended that 'Welsh voices'  need to be more prominent in discussing dementia. Additionally it is suggested that raising awareness should be in partnership with existing bilingual communities rather than translating an English programme into Welsh, which may not be as culturally acceptable and effective.

    Four dementia scientists have shared this year's 1m Euro Brain prize for pivotal work that has changed our understanding of Alzheimer's disease. Profs John Hardy, Bart De Strooper, Michael Goedert, based in the UK, and Prof Christian Haass, from Germany, unpicked key protein changes that lead to this most common type of dementia. On getting the award, Prof Hardy said he hoped new treatments could be found. Michael Goedert predicted that Alzheimer’s disease will be managed like HIV with several drugs that curb or prevent its symptoms. 

The Business Secretary Greg Clark has announced a £300 million competitive fund to develop innovations and new technologies. This is part of the Industrial Strategy Challenge Fund (ISCF) to bring together the UK’s world-class research expertise with business investment to develop technologies and industries that can help the UK prepare for the challenge of an ageing society. The new funding will develop new products and services which will help people live in their homes longer, tackle loneliness, and increase independence.
The government set out some Grand Challenges in its Industrial Strategy:

             – priority areas and industries the UK is determined to be at the forefront of in the future where we can lead the global technological revolution                       ,

             - creating more skilled jobs to boost the productivity and earning power of people throughout the UK.

More than 10 million people in the UK today can expect to see their 100th birthday, compared to the 15,000 centurions today. Ageing populations are a global phenomenon that are creating new demands for technologies, products and services, including new care technologies, different housing models and innovative savings products for retirement. 

  • A Bideford care home has become one of the first places in the UK to use robotic pets as therapy for its older residents. Live animals have been used in the UK previously but obviously these are not available if a resident gets agitated at 2am. Robtic pets have been used in care homes in America for a couple of years. Kenwith Castle at Abbotsham is enjoying great results with the special pets that respond to touch and speech and are designed to reduce stress, and anxiety in residents. KC the dog and Keno the pony may just be bundles of wires but they make noises when stroked and have been shown to help those with dementia. The robotic animals are also used to combat loneliness and provide comfort to the residents. 

  • Britain is to get its first specialist “dementia village”, which founders claim will transform the way people with the degenerative brain disease are treated. Plans for the £15 million complex near Canterbury have been inspired by the pioneering Dutch village of Hogeweyk, where people with dementia live in a community of specially designed houses with their own shop, cinema, gym and landscape gardens. The 15-acre Kent facility, which should be completed by the end of 2020 if planning permission is granted, is the brainchild of Corinthian, a Kent-based developer, and the care company Avante.

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Finance and pensions 

Older people's income 

  • Caring for those who with dementia is not only exhausting and sometimes distressing, it is also wildly expensive, both for the individuals directly affected and for wider society. In its most recent estimate, Alzheimer’s Disease International (ADI), a UK-based international federation of Alzheimer’s patient groups, put the global cost of dementia at $818bn in 2015. This means that if dementia were a country, it would be the 18th largest economy in the world.

  • The Royal Naval Benevolent Trust (RNBT) can offer support to older members of The RNBT family by making a contribution towards care home fees. They can also make a contribution towards the cost of domiciliary care. If you know someone who is an ex-RN or RM rating, including reservists, or their widows, then ask them to get in touch with SSAFA who will arrange a home visit and make a recommendation for funding to RNBT.

     

  • See the Government Finance and Pensions section for more policy news

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Health and Social Care  

Public Satisfaction with NHS and Social Carehealth staff graphic

  • Staff shortages, along with long waiting times, lack of funding and government reforms, have pushed dissatisfaction levels with the health service to a 10-year high, according to latest survey findings. There has been a ‘sharp drop’ in satisfaction with social care and the NHS in recent years due to a lack of funding and Government reforms, new research reveals. The four main reasons people gave for being satisfied with the NHS overall were: the quality of care, the fact that the NHS is free at the point of use, the attitudes and behaviour of NHS staff, and the range of services and treatments available. A new report from the Nuffield Trust and The King’s Fund think tanks has revealed that just one in four people are satisfied with social care services (23% in 2017) and dissatisfaction increased by 6 percentage points to 41%. The analysis, which is based on the National Centre for Social Research’s (NatCen) British Social Attitudes (BSA) survey, also found the proportion of people who said they were ‘very’ or ‘quite’ satisfied with the NHS fell from 63% in 2016 to 57% the following year. Cllr Linda Thomas, vice chair of the Local Government Association’s (LGA) community wellbeing board, told local government news website LocalGov: “Councils, providers and hardworking care workers are doing all they can against a backdrop of reduced budgets to provide high quality and dignified care to those who need it, at a time and location that suits them.
  • According to the Guardian and Observers Healthcare Network survey of more than 1,000 NHS staff, a majority of them say they are worried about staffing levels. Four-fifths (80%) of respondents – which included nurses, doctors and managers – have raised concerns about there not being enough staff on duty to give patients safe and high-quality care. More than half of those (59%) said no action was taken, despite their unease being voiced.

  • The NHS Standard Contract was updated in January 2018 to update the Contract in line with legislative and policy changes. With the General Data Protection Regulation (GDPR) coming into force on 25 May 2018, a further National Variation is now required. 

  • The government has finally responded to the Competition and Markets Authority’s (CMA) care home market study, accepting that consumers needed better protection from ‘unfair practices’ by care homes. It has promised ‘immediate action’ to improve consumer protections in the sector and to seek changes in the law if improvements don’t happen. It has also accepted that there is ‘unacceptable variation’ in care home availability locally, and that planning is needed to ensure there will be enough places for the future. This could include changes to the law. Council chiefs have criticised the Government’s response describing it as a ‘serious over-simplification’ of the adult social care crisis. In their response to the Competition and Markets Authority’s (CMA) final report into the care home market, Whitehall criticised local authorities for not paying care providers enough. They said Government had given local authorities ‘access’ to up to £9.4bn more dedicated funding for social care over three years. People entering care should be ‘empowered’ to make informed decisions to protect them from unfair practices, says the Government, which stresses residents should also be 'aware of bodies outside care homes' that can assist with feedback and complaints. Promising to ‘take action to improve signposting’ to the Local Government and Social Care Ombudsman, the Department said it will work with a new Government-led forum called the ‘Complaints Improvement Partnership for health and social care’ to improve the handling of care home feedback across the adult social care sector.

    Your Care Rating

    Results from the country’s largest and most authoritative survey of Care Home residents were released this week, with over 16,500 care home residents giving their views. Conducted by independent market research organisation Ipsos MORI, the Your Care Rating surveys produce an Overall Performance Rating (OPR) out of 1000, and across all participating homes. For 2017/18, the overall result was an average score of 878 for the Residents’ Survey and 836 for the Family and Friends’ Survey. Your Care Rating founding director Mel Knight said the care home sector was all too often perceived negatively, but the annual survey had shown that there were very high levels of satisfaction in care homes across Britain.  MHA’s homes generally scored highly, with Mayfields achieving a perfect Overall Performance Rating of 1000 out of 1000. The full results can be viewed at www.yourcarerating.org

MHA comments: Sam Monaghan, Chief Executive of MHA, said, 'It’s great that our residents value the care they receive at our Homes. Most of our scores across the four themes are really positive, which reassures us that our residents feel happy and fulfilled. While we’re really pleased with our scores, we obviously want to get even better and the survey helps us do that by giving us direct resident feedback. Families can also see at a glance that our Care Homes are committed to raising standards and being transparent as they take part in the survey. Every Care Home resident should be able to speak up about their care and this is what the Your Care Rating survey does – it gives them a voice.'

  • The Care Quality Commission has published its findings following a review of health and social care services in Coventry. This report is one of 20 targeted local system reviews looking specifically at how older people move through the health and social care system, with a focus on how services work together. Professor Steve Field, Chief Inspector of Primary Medical Services and Integrated Care, said:'The review found that in general terms the health and social care system, led by Coventry City Council and NHS Coventry and Rugby Clinical Commissioning Group, is working well to ensure it meets people’s needs.'

  • A cross-party group of 98 MPs, including 21 select committee chairs, have written to the prime minister urging her to establish a parliamentary commission to examine ways to increase resources for the under-pressure health and social care system. In the letter sent on Friday and published today, the MPs said they are “seriously worried” the government’s planned green paper will focus just on the funding of social care for older people when there is an “urgent need” for a whole system approach

    How is the NHS performing – March 2018 quarterly monitoring report

  • The Kings Fund have found that more patients are facing long waits for hospital treatment, with those experiencing the longest waits often most in need of treatment. With demand for services continuing to rise it's very unlikely that meeting waiting time targets will become more achievable, with implications for how the NHS protects patients waiting the longest. 

  • NHS England has announced plans to recruit and deploy hundreds of pharmacists into care homes to help reduce overmedication and cut unnecessary hospital stays. Around 180,000 people living in nursing or residential homes will have their prescriptions and medicines reviewed by the new pharmacists and pharmacy technicians. Older care home residents often have one or more long-term health conditions, such as dementia, hypertension, diabetes or heart disease, and on average are being prescribed seven medicines daily, but it can be more, with around 10% of people aged 75 and over currently being prescribed 10 or more medicines. This is significant as studies suggest up to one in 12 of all hospital admissions are medicines-related and two thirds of these are preventable. NHS trials show pharmacists reviewing medicines improved patients’ quality of life by reducing unnecessary use and bringing down emergency admissions, with less time spent in hospitals. Results from the six NHS England care homes vanguard sites piloting this approach show:

    • Reduced reported emergency hospital admissions by 21 per cent
    • Reduced oral nutritional support usage by 7 per cent
    • Reduced ambulance call out by up to 30 per cent
    • Made drug cost savings of £125-305 per resident.

    Sandra Gidley, the Royal Pharmaceutical Society's England Board Chair said: “Our overstretched NHS is crying out for solutions and this one is bang on target. Concerns about the fact that too many care home residents take too many medicines which do them more harm than good were the driving force behind our care homes campaign which began in 2016..... This will drive up standards of patient safety and cut the estimated annual £24 million of medicines wasted in care homes every year". Simon Stevens, chief executive of NHS England, said: 'There’s increasing evidence that our parents and their friends – a whole generation of people in their 70s, 80s and 90s – are being overmedicated in care homes, with bad results. Let’s face it- the policy of ‘a pill for every ill’ is often causing frail older people more health problems than it’s solving. So expert pharmacists are now going to offer practical NHS support and medicines reviews in care homes across England.'

  • CQC have launched a campaign to raise public awareness about how their inspection findings can help support people who are choosing adult social care for themselves or a loved one. A survey of 1,000 people has found that choosing care for themselves or a loved one in England is one of the biggest sources of stress compared to other key life events. 70% of respondents found it more stressful than choosing their child’s nursery or school, or a venue for their wedding or civil partnership.The CQC recommend that people use their inspection reports and ratings to help make an informed decision. 

Funding and fees

  • Councils are not paying enough to fund care home places and residents are plugging the gap, new figures from care market analysis firm LaingBuisson have revealed. According to the firm’s recently updated care cost benchmarks toolkit, care homes for older people in England need to charge between £623 and £726 a week, depending on the standard of accommodation and whether the home provides care for people with dementia. On average, however, councils pay just £555 per week, leaving a shortfall of between £68 and £171.

  • Adult social care spending could account for half of local council tax revenue by 2035, the Institute for Fiscal Studies (IFS) has warned. The IFS made its forecast in a new report, on the basis that council tax revenues rise by 4.5% a year, or more than double the rate of inflation. The report argues that “ongoing reforms to local government finance risk a growing funding gap for adult social care and conflict with efforts to provide consistent and high-quality care services across the country”.

  • Health and Social Care Secretary Jeremy Hunt has said that the NHS needs a new 10-year funding settlement in order to allow for future planning and cope with the challenges of an ageing population. Jeremy Hunt has called for a 10-year funding deal for the NHS amid speculation the Government could back a ring-fenced tax rise to provide a cash boost. The Health and Social Care Secretary said a long-term deal would allow proper planning to train the staff needed to cope with the challenges of Britain's ageing population. Mr Hunt explained that in the next 10 years there will be one million more people aged over 75 in the UK, adding to pressures on the NHS and social care system. The health secretary said that GPs and hospitals had been subjected to “feast or famine” in the past two decades.

  • Theresa May has promised a "multi-year" funding plan for the NHS in England to address its long-terms financial needs. The PM said she wanted to get away from annual "cash top-ups" and would come up with a blueprint later this year to allow the NHS "to plan for the future". She said she hoped to build a political consensus on improving productivity and efficiency and reducing cost pressures. Labour said it welcomed any promise of extra funding from a government which had "starved" the NHS of resources. Simon Stevens, chief executive of NHS England, said the health service needed to capitalise on advances in medical care while ensuring the "great pressure" on front-line staff was alleviated. Ms May had remarked that there were "serious cost and demand pressures" on the health service, adding that "we can't afford to wait until next Easter" for a solution. She stated that proposals would be drawn up “in conjunction with leaders of the NHS, with clinicians and health experts”. Her comments come after Health Secretary Jeremy Hunt called over the weekend for a ten year funding deal for the NHS, and 100 MPs wrote to the Prime Minister calling for a cross-party Parliamentary Commission to address the health service's long-term financial needs

  • iMPOWER, (a consultancy working towards to the reform of the public sector) has called for better handling of the additional £2bn social care funding announced by the Chancellor in March last year. The iMPOWER report called for the additional funding to be used for managing demand and not just crisis management. The report states: “Whilst the funding has helped to meet demand within the system through reduced delayed transfers of care (DTOC), sustainable change is only possible if more of the £2bn is used to manage demand, not just meet it.”
  • Getting social care is "like being in a shop with no prices", according to the author of a major review of social care which concluded costs should be capped. Sir Andrew Dilnot said that although people know how much they will pay each week or month, they have no idea how long they will be paying for. The former head of the UK Statistics Authority, who was chairman of the commission on long-term care which reported in 2011, told a group of MPs that as a consequence most people seek the cheapest possible care which "means the market doesn't work". Sir Andrew's review found there should be a cap on social care costs.
  • The Equality and Human Rights Commission argue that cost-capping continuing healthcare policies breach human rights, equality laws and continuing care framework and risk forcing people into care homes. The Commission has threatened legal action against 13 clinical commissioning groups on these grounds. The watchdog wrote to the CCGs earlier this month to initiate judicial review proceedings, giving them 14 days to respond and saying that they would be taken to court unless they provided evidence demonstrating that their policies were lawful or took steps to review them.The dispute concerns the legality of blanket policies that limit the amount that the CCG will spend on people’s continuing healthcare in their own homes, resulting in some people having to be supported in a care home against their wishes. The ECHR says that effectively requiring someone to leave their own home interferes with their right to private and family life under Article 8 of the European Convention on Human Rights, which is incorporated into UK law by the Human Rights Act 1998.  The Department of Health and Social Care’s new framework, developed in partnership with NHS England, does not explicitly ban cost caps as long as commissioners take into account an individual’s needs when they do so rather than adopting blanket policies. CHC pays for ongoing care for adults, described by the DHSC as ”some of the most vulnerable in our society” and who are assessed as having a primary medical care need in a community setting. It is arranged and funded solely by the NHS and in 2015-16 cost the service approximately £3.1bn.

     

    NHS and Health
  • The company developing a controversial “Airbnb for social care” model allowing homeowners to rent spare rooms to recuperating hospital patients is bidding to launch a new trial in Cambridge. Private start up CareRooms was forced to abort its first pilot, with the NHS in Essex in November, after patient groups and social care directors raised safeguarding concerns about care being provided by non-care professionals. But it is now establishing a “working group” with Cambridgeshire County Council and has begun advertising for “host” households in the county, which includes the East Cambridgeshire constituency of junior health minister Stephen Barclay.
  • NHS England Chief Executive Simon Stevens launched new research by The Kings Fund showing improved staff engagement is linked to lower staff sickness absence and reduced agency staffing costs. Speaking at the Chief Nursing Officer’s summit in Liverpool, on the day after the annual NHS staff survey was published, Simon Stevens said: “This research shows that there is indeed a ‘virtuous circle’ – where hospitals and community services involve and engage their frontline staff, sickness absence is low and expensive temporary agency costs are lower. That’s a win for nurses, who are the largest group of health professionals. But it also benefits patients and taxpayers.” The new analysis concludes that: “There is clear evidence that trusts with higher engagement levels have lower levels of sickness absence among staff, and also have lower spend on agency and bank staff.
  • Marie Curie says that the NHS is struggling to cope with A&E admissions of people who are in the last year of their lives. New data collected by Marie Curie has revealed there were over 1.6 million emergency admissions for people in the last year of their life in Britain in 2016, costing the NHS £2.5 billion and amounting to around 11 million days in hospital. Emergency admissions to hospital for people in the last year of life can often be avoided if adequate care in the community is provided. The charity warns that the significant rise in the number of deaths over the next 20 years means the cost of emergency admissions for people in the last year of life could almost double - costing the NHS an extra £2 billion, and up to 8,000 extra hospital beds could be needed by 2038 – the equivalent of an extra ward in every hospital with a major A&E unit. Marie Curie’s analysis of the data paints a particularly bleak picture in England compared to Scotland and Wales. The average number of emergency admissions in the last year of life in England is nearly twice as many as in Scotland and Wales, meaning that dying people are being rushed to hospital much more often.
  • Delayed transfers of care (DTOC) fell by more than a fifth in January, according to NHS England. There were 152,300 DTOC in the month, of which 99,800 were in acute care, compared with 197,500 and 130,500, respectively, in the year earlier month. The total delayed days in January 2018 was equivalent to 4,913 daily DTOC beds, compared with 4,688 in December 2017 and 6,371 in January 2017. Cllr Linda Thomas, Vice Chair of the Local Government Association’s Community Wellbeing Board, said: 'This reflects the continuous hard work by councils to get people out of hospital in a timely and safe manner so they can return to live in the comfort of their own homes and communities close to their loved ones and families.' Margaret Willcox, President of the Association of Directors of Adult Social Services, (ADASS),responded to the figures and said: 'Councils are doing all they can to reduce the number of delayed transfers of care due to social care. If we are to ease the winter pressures on the health service, it’s essential we get people out of hospital and make sure they get the appropriate social care they need. Social care is about helping people live well and independently in their homes, and to keep them out of hospital in the first place. Sadly the funding pressures facing services means this is under real threat.'
  • The proportion of care homes rated ‘inadequate’ or ‘requires improvement’ increased in one in five local authority areas in 2017. An analysis of CQC inspections of care homes by older people’s charity Independent Age has found that a dramatic variation in the quality of care homes at a regional and local authority level across England continues to exist. In some areas such as Tameside or Portsmouth, older people and their families continue to face little choice of quality care, with around 1 in 2 homes rated not good enough by the Care Quality Commission.  The North West is the worst performing region, while London and the East of England are the best performing regions. The data also found however that the number of homes rated Good or Outstanding has increased as of January 2018. 

MHA comments: Whilst we appreciate that there are variants across the country, we are very proud of the quality that we provide at MHA especially at Willersley House where we have recently achieved outstanding in all five QC inspection areas

  • Care England has renewed its calls for structured plans to integrate health and social care. They say that the recent BBC Programme, Hospital, depicted an NHS hospital in crisis and that patients were left on trolleys and routine operations cancelled. They argue that what seemed to be lacking was any cross sector planning that could have averted, or reduced this crisis. Care England believe that many of the people who were occupying beds in the acute hospital, could have been discharged into care homes in the local area, and there was capacity available to do this. They say 'despite all the talk of integrated systems, the documentary clearly showed, that the NHS is unable to plan across the system and is then going into a crisis which could have been averted'.

  • Health and social care staff across Scotland feel able to speak up and share concerns with their employers, according to new staff surveys. The results show 65 per cent believe it is safe to speak up and raise concerns, an increase of almost 10 percentage points since the last staff survey. Almost three quarters would recommend their organisation as a good place to work and 82 per cent reported they are treated with dignity and respect. A record number of staff participated in the surveys, which for the first time included the views of both health and social care staff.

In brief:

  • Nursing Older People at a Glance is a new book from academics at Manchester Metropolitan University which offers guidance to nurses who care for older people in a range of care settings. For nurses working with older people, the complexity of care can be challenging. This will equip nurses in care settings including hospital, community, residential and other health or social care settings with the knowledge and skills required to care for older people in a competent and compassionate manner. Divided into six sections, the book explores a range of themes such as person-centred care, health and wellbeing, health promotion, and the complexity of older people's care, encompassing mental wellbeing, diverse communities and learning disability. 
  • NICE has launched a new guideline on people’s experience in adult social care services: improving the experience of care and support for people using adult social care services. The guideline covers good practice in the care and support of all adults who use services and aims to improve their experience of services.

  • The Committee of Public Accounts has reported on the Care Quality Commission twice since 2012 and on this third time, it has improved significantly. The report flags up that CQC’s workload will increase if services deteriorate; it is important that CQC ensures that it has the staff in place to deal with such consequences and currently 20% of re - inspections are in response to receiving information of concern by the public or others. Another important recommendation is that inspection reports need to be produced quicker; people value fast turn arounds and certainty.
  • Jeremy Hunt, the Secretary of State for Health and Social Care has taken up the World Health Organisation's Global Patient Safety Challenge, Medication Without Harm, with the ambitious goal of reducing avoidable medication-related harm by 50% worldwide over the next five years. He highlighted that an estimated 237 million drug errors occur each year in England, and set out new proposals to tackle what he described as ‘appalling levels of harm and death that are totally avoidable’. The government’s new proposals include accelerating the rollout of electronic prescribing systems in hospitals, decriminalising errors by pharmacists to encourage learning and transparency, and expanding the use of PINCER, an IT tool recently supported by the Health Foundation that identifies patients at risk of hazardous prescribing. 
  • Care home trials of a new smart mug hydration solution have increased residents’ daily fluid intake by almost two-thirds. Trials of The Droplet® smart mug and tumbler saw the levels of people not drinking enough to remain hydrated fall from 67% to 8%. The smart mug’s design features flashing lights and friendly recorded messages to support and encourage people to independently hydrate, lessening the risk of dehydration in hospitals, care homes and at home. The design features a sophisticated base that identifies when the user has not drunk for some time and activates lights/messaging to remind them to take a drink. As well as benefiting the user, it also alerts the carer so they can monitor hydration levels and patterns in patients, whilst spotting the signs of potential dehydration early on.

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Housing

Older People

  •  Sector showcase: housing and independent living, is a new briefing from the Housing Learning and Improvement Network (LIN) and Chartered Institute of Housing (CIH). It aims to share lessons from successful schemes which are helping older and disabled people live with greater independence for as long as possible, stay connected to their local communities and enjoy better levels of wellbeing and care.

  • Research released recently by Sheffield Hallam University and the University of Sheffield is providing new insights into the issue of older people's housing. The researchers suggest there will be major shortages in specialist housing in many local authorities in coming years. The research, led by Sheffield Hallam's Centre for Regional and Economic Social Research (CRESR), uses national data about the majority of older people's housing schemes in England. Looking specifically at the local authorities with the highest level of supply, the research explored some of the factors associated with this, and how future social and demographic trends will affect demand for such housing in local areas. The research has led to the creation of a new tool called the Housing for Older People Supply Recommendations (HOPSR). This provides each local authority with recommendations about the number of units of age-exclusive housing, specialist housing and care beds that will be needed in future years, and enables users to test different future scenarios. These recommendations are intended to stimulate discussion at a local level about how best to meet the needs of an ageing population. The research revealed that the supply of specialist housing in Greater Cambridge will need to be 80 per cent higher by 2035, compared to current levels, and with significant increases also required in age-exclusive housing and care beds. Across England there is a recommendation for an additional 783,500 units of specialist housing, with 88 per cent of local authorities likely to require at least 1,000 additional units.

MHA comments: This chimes with research carried out for MHA recently, which predicted a need for 900,000 additional units of specialist older people’s housing across England, Wales and Scotland by 2032, a third of which would need to be housing with care

  • Improved Health and Care Through the Home - a renewed Memorandum of Understanding (MoU), sets out why organisations urgently need to work better together. Over 25 government bodies and organisations in the health, social care and housing sector have come together to recognise the key role of housing and reaffirm their commitment to work together. The Department of Health and Social Care and Ministry of Housing, Communities and Local Government join the LGA, ADASS, NHS England and more than 20 other national housing, health and care organisations and policy makers in urging organisations to work together to ensure homes that work for all are part of the solution to the challenges facing our health and care system The 2018 MoU 'sets out the nature of the partnership between the various agencies and provides a framework within which all parties can address strategic issues of mutual interest'.
  • The voluntary Right to Buy (VRTB) pilots carried out in five housing associations are now complete and a report on the findings has been published. A large regional pilot scheme will begin in the Midlands in 2018 which will last for one year. The National Housing Federation said that this pilot would test two aspects of the voluntary agreement that the original pilots did not cover, namely one-for-one replacement and portability of discounts.

 In brief:

  • The 3rd edition of Habinteg Wheelchair Housing Design Guide has been published. This guide explains how to design and detail a home that is fully manageable by wheelchair users and maximises their independence. It aims to encourage professionals to consider the holistic impacts of accessible housing during all stages of the design process

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Third Sector 

Trust and brands

  • Sir Stuart Etherington, chief executive of the National Council for Voluntary Organisations, has called on the new chair of the Charity Commission to set a fresh tone for its regulatory work, saying "regulation by red top simply does not work". Etherington said Baroness Stowell, who took up the role of chair of the commission from William Shawcross this month, should "establish her own agenda, a different one to that of the Shawcross years". Etherington said: 'Some of the change that the new chair needs to make is about tone and messaging.Regulation by red top simply does not work. I would like to see some recognition that responding primarily based on the 24-hour news agenda or the obsessions of a few social media provocateurs is not the same as plotting a strategic course and sticking to it'.

  • Research published by the Charities Aid Foundation show that the proportion of people who agree that charities are trustworthy has remained fairly constant. Recent bad publicity about Oxfam and other aid agencies has barely dented public trust in charities, according to research published recently by the Charities Aid Foundation. In a survey of 1,083 adults carried out between 13 and 19 February, the week after the first articles about Oxfam staff paying for sex in Haiti appeared, 49 per cent agreed with the statement that most charities were trustworthy. Twenty-one per cent disagreed. 'This is consistent with levels of trust in charities recorded since CAF began researching trust in May 2016,' CAF said in a statement. 

MHA comments:  MHA takes this issue very seriously, and it chimes with our organisational values of openness and fairness. We have recently received data from Third Sector’s Charity Brand Index showing that 68% of people questioned in Nov 2017-Jan 2018 thought MHA was very or completely trustworthy. We will continue working to ensure the public can trust MHA

  • A survey commissioned by Third Sector found that 69 per cent of respondents were neither more nor less likely to donate to a charity if a celebrity backed it. More than two-thirds of people say that celebrity endorsement of a charity campaign does not affect their willingness to donate to that appeal, research for Third Sector has found. A representative survey of 1,830 people, carried out in December and January found that 69 per cent of respondents said the involvement of a celebrity in a campaign made them neither more nor less likely to make a donation. 18 per cent of respondents said they were more likely or much more likely to donate, while the remaining 13 per cent said celebrity endorsement made them less likely to give to that campaign. The survey found that younger people were much more likely to be swayed by celebrity endorsement of a campaign than their senior peers, with 32 per cent of 18 to 34-year-olds surveyed saying it would make them more likely to donate, compared with just 9 per cent of those aged 45 and over. But the proportion that said celebrity endorsement would make them less likely to donate remained fairly constant across all age groups, typically around 12 or 13 per cent.

Governance

  • NCVO  has released updated guidance on volunteers and the law. The purpose of the guidance is to help organisations understand their legal rights and obligations when managing volunteers. It covers a range of important issues that are asked regularly such as employment rights, DBS checks, and data protection

  • Financial reporting is a key ingredient of how the public, donors, volunteers, staff, and the sector as a whole find out about charities and their performance, NfpSynergy say. They argue that the public care deeply about how much a charity spends on the cause, fundraising and admin. For this reason, reporting that information is critical to help the public have confidence that their donations are being well spent. Good financial reporting is a vital ingredient of how we help the giving public (whether they give time or money) know that their contributions are well spent. NfpSynergy have produced a free report (SORPed out - Statements of Recommended Practice) which addresses the current issues with the system and proposes changes.

  • The Charity Commission is consulting on draft guidance for charities on their relationships with connected non-charitable organisations. It includes detailed guidance, at a glance summary and a checklist that charities can use. Charities can work with other charitable and non-charitable organisations to further their purposes and make a difference for their beneficiaries. Setting up or maintaining a close relationship with a connected non-charitable organisation can provide benefits to charities, but it can also expose charities to additional and sometimes significant risks. The Commission has prepared this draft guidance to help trustees understand the risks and challenges that such relationships can bring and by setting out what we expect trustees to do to deal with them. This consultation closes on 15 May 2018.
  • The Institute of Fundraising has published a guide to major donor fundraising. This is partly a response to the imminent introduction of the General Data Protection Regulation and will help charities understand how they can lawfully undertake major donor fundraising. Connecting People to Causes: A Practical Guide to Fundraising Research was produced in partnership with the law firm Bates Wells Braithwaite and the fundraising consultancy More Partnership. Daniel Fluskey, head of policy and research at the institute, said major donor fundraising and prospect research had become "hot topics" over the past year.
  • The Fundraising Regulator has appointed Gerald Oppenheim as its new chief executive. Oppenheim has been head of policy and communications at the regulator since its creation in 2016 and will take up the post in July after Stephen Dunmore steps down. Dunmore announced in December that he would move on this summer. The regulator said that Oppenheim was appointed after an "exhaustive, competitive and public process". Oppenheim has worked in the charity sector for more than 35 years, which included a period as director of policy and partnerships at the Big Lottery Fund.
  • In Brief: 
  • A recent survey of charities was carried out by Nfpsynergy in October and November 2017. Some of their findings are as follows:

    • Charities valued unrestricted funds twice as much as restricted funds for a £100k grant.
    • The larger the grant and the smaller the organisation, the more that charities would trade the grant size down for unrestricted funding.
    • Charities are trading down much more than they were in 2012.
    • Charities want some restrictions in grant criteria and some flexibility from grant-makers.
    • Better feedback and unrestricted funding are the two biggest gripes about grant-makers.
    • Charities don’t like being asked for information that is already on their charity regulator’s website.
    • Charities with fewer applications seem to get a higher success rate over those who ‘spray and pray’.
    • Success rates for applications are pretty equal by size of charity.
    • Garfield Weston and Big Lottery Fund come out very strongly as model grant-makers.
    • Charities would like shorter periods between applications, easier reporting, and to be able to submit multiple applications.

  • The Government is to reform the rules for charities in multi-employer pension schemes, it announced recently. The amendments are designed to reduce the financial impact on charities that leave such schemes. Last month, the government issued a response to the findings of the consultation on the Occupational Pension Schemes (Employer Debt and Miscellaneous Amendments) Regulations 2018, and the proposed changes are due to come into force on 6 April. The regulations will create deferred debt arrangements that will allow charities to plan how to pay off their debts when leaving a multi-employer pension scheme and stop accruing further liabilities.

  • A Cardiff shop window has turned into a contactless donation point to help homeless people and the interactive screen allows donations to be made 24 hours a day. It follows local businesses' feedback that fewer shoppers are carrying cash. People in Cardiff can now help the city's homeless by donating via a contactless point on a shopping centre window. The new scheme from Give DIFFerently, funded through FOR Cardiff, includes an interactive screen featuring the Welsh international rugby player Sam Warburton and has been installed on The Hayes, one of the city's busiest shopping streets. The screen and technology behind it enables members of the public to donate by tapping their cards on the window at any time of the day or night.

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Workforce and Skills

Nursing

  • The NHS is losing nurses and GPs while senior managers are the fastest-growing group of staff, official figures show. Demoralised frontline workers are quitting and there are not enough trained doctors and nurses to replace them, unions have warned. Data from NHS Digital shows the equivalent of 283,853 full-time nurses in hospitals at the end of September last year, down 435 from 12 months earlier. There is mounting concern about higher numbers of nurses quitting the NHS because of rising workloads and stagnant pay. 

MHA comments: The country is facing a serious nursing crisis and this is impacting beyond the NHS into social care. We are working hard to attract and retain our nursing workforce but the Government's plans to respond to this crisis must incorporate nursing in social care as well as in the NHS if we are to care for our vulnerable older people as well as possible

  • Former newspaper chief executive Philip Graf has been appointed as the next chair of the Nursing and Midwifery Council. Mr Graf will take up the role on 1 May 2018 when current incumbent Dame Janet Finch’s term of office comes to an end.
  • The chief nursing officer for England has announced a “major” new recruitment and retention campaign for the profession today along with ambitions to legally protect the job title nurse, as part of plans to mark the health service’s landmark 70th year. The new campaign will spotlight the enormous contribution of nurses and midwives in the NHS now and over the last seven decades, and look at the wide ranging career opportunities in the 21st century NHS in a drive to recruit and retain more nurses and midwives into the profession. The new campaign, to be run in conjunction with national organisations, is part of a package of measures announced by Professor Jane Cummings, these include:
    • 165 ‘nursing and midwifery ambassadors’ to boost the image and perception of nursing and midwifery – they will spearhead a campaign to promote nursing as a career choice including visiting schools
    • Taking steps to protect the title “nurse” in law – to remove confusion and provide added reassurance to the public and patients, the CNO will work with the CNOs from across the UK to review options for a legal change to ensure only those registered as a nurse can use this professional title
    • Launching a 70-Day nationwide campaign to end ‘pyjamas paralysis’ – giving patients back one million days of their precious time that would otherwise be wasted in bed in a hospital or care home.

In Brief:

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Look Ahead: April and beyond

MHA will be taking an interest in the following events and milestones

  • Early 2018: Information Commissioner's Office - consultation on GDPR sanctions expected

  • Early 2018: Department of Digital, Culture, Media and Sport - consultation on Voluntary Sector Strategy

  • Early 2018: Update to NHS Continuing Healthcare National Framework

  • Early 2018: New Housing Ombudsman consultation

    Early 2018: Consultation on Charity Commission fees

Events

Listed below are details of relevant seminars, workshops and conferences that may be of interest to readers:

  • Dementia Quality of Care Conference, 12 April 2018, Manchester

    Open Forum Events are offering a discounted fee of 20% off the ticket price for all Care England members to attend this event.  

    If there is anyone who would be interested in attending this event at the discounted rate please contact Jonathan Smith, jonathan.smith@openforumevents.co.uk or alternatively  can register using the link below. On booking please enter in the promotional code pastattendee to gain the discounted rate.  Register your place(s) here: https://openforumevents.co.uk/events/2018/dementia-quality-of-care-personal-accessible-original/#book 

  • Dementia Care and Nursing Home Expo, 25-26 April, NEC, Birmingham. Our Chief Executive, Sam Monaghan is one of the speakers for Thursday 26 April. Other speakers include: Professor Martin Green OBE from Care England; Andrea Sutcliffe, Chief Inspector of Adult Social Care, CQC; Caroline Baker, Director of Dementia Care, Barchester Healthcare and Sharon Allen OBE, CEO, Skills for Care
  • Housing & Dementia Research Consortium (HDRC) conference, 26 April, Worcester. The theme of this year's Housing & Dementia Research Consortium (HDRC) conference is green dementia care. In discussion will be learning, knowledge and innovative solutions relating to enabling people living with dementia to maintain a connection to the natural environment and the outdoors. MHA are members of the HDRC and will be represented at the conference
  • The Future of People Powered Health 2018, 2nd May, London 9:00am - 5:30pm Join professionals, campaigners, commissioners and policymakers to explore how we can create a more people powered approach to health and wellbeing. 

  • Working together to improve improve patient flow, Tuesday 15 May 2018 Kings Fund, London
    Delayed transfers of care often makes headlines in the media but what’s really happening on the ground? Join us on 15 May to see what the data is really telling us and to hear practical whole-system approaches to improving patient flow. Issues that will be covered:

    • how integrated teams are reducing hospital admissions
    • the importance of nurturing relationships between NHS and social care
    • how better communication can reduce delayed transfers
    • the role of housing in dealing with patient flow issues
    • how to harness assets from the voluntary sector and the important role the sector plays in keeping patients at home and out of hospital.

  • Care England 2018 Conference & Exhibition 14 November, London.  The speaker presentations will focus on the effective use of data & technology in the social care sector. Please click here to book your delegate place

  • International Longevity Centre Future of Ageing Conference Thursday 29th November 2018, Copthorne Tara Hotel London, W8 5SY. 10 ‘Get-in-there-quick’ tickets available at the very reduced rate of £120.00 + vat. Early bird tickets are also now available.

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Some information sourced from DeHavilland

 
 

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