Monthly Archives: March 2013
Are Third Sector organisations and Social Enterprises setting the standard and leading the way in the delivery of Community Equipment Services?
The first community equipment provider in the UK to become CECOPS accredited is Croydon Equipment Solutions – serving 3 London Boroughs (Croydon, Merton and Sutton). Feedback from their assessments by DNV Healthcare was very positive.
Three other Providers (Third Sector and Social Enterprises) have come forward to be CECOPS Accredited. The feedback from DNV Healthcare is that there is real energy and commitment from these organisations to demonstrate that they can deliver the highest quality and standard of service anywhere in the UK.
Is this commitment to demonstrating quality shown by Third Sector organisations and Social Enterprises a challenge to the mainstream Provider Models?
Glenn Bartlett, Head of Operations, Croydon Equipment Solutions and London Chair, National Association of Equipment Providers, commented:
“We have wholeheartedly embraced CECOPS and aim to utilise all its component parts e.g. training, self-regulation software and accreditation. We believe entirely in its merits; it’s a standard we are committed to uphold and which our service users deserve!”
The values of the NHS are precious to all of us, but in future those values will only be reflected in practice if NHS and social care services are “re-imagined” according to a cross-party group of MPs on the Health Committee.
The care provided by the health and social care system will break down if quicker progress is not made to develop more integrated health and social care services which focus on meeting the needs of individual patients, warns the Health Committee.
Launching the report about public expenditure on health and social care services, the Chair of the Health Committee, Stephen Dorrell MP, said: “It’s unlikely that public expenditure on health and social care services will increase significantly in the foreseeable future. This means that the only way to sustain or improve present service levels in the NHS will be to focus on a transformation of care through genuine and sustained service integration.
“Services should be designed to treat people rather than conditions. They need to respond to individuals rather than expecting individuals to find their way round a bewildering range of specialist departments.
“To make this ambition a reality, we need to develop a much more joined up approach to commissioning health and care services; we propose that responsibility for this process in a given area should be vested in the Health and Wellbeing Board.
“Joined up commissioning would ensure that resources are no longer treated as ‘belonging’ to a particular part of the system, but become shared resources to use more efficiently to develop and deliver a more flexible and responsive local health and care services.
“Moving to this approach must not however result in less overall funding for care services. We therefore propose that the Government’s commitment to protect real-terms funding for health care should be extended to cover local authority social care services and that these funds should be ring fenced at current levels in real-terms.
Measures currently being used to respond to the Nicholson Challenge too often represent short-term fixes rather than the sustainable long-term service transformations.
Changes in tariff payments within the NHS do not constitute ‘efficiency savings’ – they are simply internal transfers that only result in efficiency gain for the NHS if the NHS Provider changes the way care is delivered.
Under-spending against budget of money allocated to the NHS has attracted adverse comment. The MPs call for a general review of the operation of Treasury rules; in particular, they recommend that the rules on the use of reserves by NHS Providers should be abolished to encourage investment by Providers in necessary service change.
The NHS will not be able to rely on the present rate of paybill savings once the present restraints on public sector pay are relaxed in April 2013. Furthermore, although pay restraint is undoubtedly key in the short term, the Committee does not accept this can be regarded as a sustainable form of ‘efficiency gain’.
The Committee says that “It is neither prudent nor just to plan for sustainable efficiency on the basis that NHS pay will continue to fall relative to pay elsewhere in the economy”. Report available HERE