Category Archives: General News
Greater focus on prevention and integration essential to improve Care & Support Bill, warn Peers and MPs
A cross party group of MPs and Peers warns today that the Government has not fully thought through the implications of its social care reforms and may leave local authorities open to a deluge of disputes and legal challenges. In a unanimous report, MPs and Peers also warn that without greater integration with health and housing, and a focus on prevention and early intervention, the care and support system will be unsustainable.
The Committee also calls for a nationwide campaign to educate people about the need to pay for their own care, saying that adult care and support are poorly understood.
Among its key recommendations the Committee calls for:
- A national campaign to raises awareness of what the national care and support offer is, how people can plan and prepare for their own care needs, and what rights they have to care and support.
- Information and advice for all (including self funders) about support, care planning and housing options.
- Provision of independent financial advice about the different options available to pay for care, including deferred payment arrangements.
- A new power to mandate joint budgets and commissioning across health, care and housing, such as support for the frail elderly, making it simpler for NHS and local Councils to pool budgets.
- A greater emphasis on assisting people to prevent and postpone the need for care and support.
- Fast-tracking of care and support assessments for terminally-ill people
- An end to ‘contracting by the minute’ whereby care workers sometimes spend just fifteen minutes with the person being cared for.
- New legal rights for young carers to protect them from inappropriate caring responsibilities and ensure they get the support they need.
- An obligation on the Secretary of State to take into account the draft Bill’s well-being principle when designing and setting a national eligibility threshold.
- Stronger measures on safeguarding, including explicit responsibilities for local authorities to prevent the abuse and neglect.
- Independent resolution of disputes over decisions about care and support – and costs that count towards the cap – through a Care and Support Tribunal.
In addition, the Committee makes a number of recommendations to improve health research and the education and training of NHS workers, including:
- Strengthening the Health Research Authority responsibilities by ensuring full disclosure of research data
- Supporting greater integration of health and social care by ensuring more common training of care staff who often switch between the two sectors
- Strengthening the duties of Health Education England to give clinical experience to managers.
The Committee also warns that restricting support and care to those with the highest levels of need will become entirely self-defeating, because it shunts costs into acute NHS care and undermines interventions to prevent and postpone the need for formal care and support.
See details HERE
CECOPS is set to host a panel session at the forthcoming Health+Care event 12th June. The panel will be hosted by Sir Bert Massie CBE and will include leading experts in the field.
Panel Session title: Integrating Care: Effective commissioning and provision of disability equipment/assistive technologies for improved outcomes
Panel session content: This highly topical panel session will discuss the importance of disability equipment/assistive technology in supporting care related services and strategies, and the potential it has to avoid huge costs elsewhere in the health and social care system, if properly commissioned, funded and managed.
The panel will also consider the pressures faced by equipment services through rising levels of need and the drive to provide care closer to home, how this increases the risk of quality and safety failings, and how these can be prevented.
The discussion will include an overview of the role of CECOPS’ Code of Practice and Accreditation Scheme in promoting safe, good quality and efficient services.
Sir Bert Massie CBE, Chairman, CECOPS CIC: Sir Bert has spent most of his adult life promoting equality and human rights of disabled people. From 2000-2007 he was Chairman of the Disability Rights Commission, and was the Commissioner for the Compact from 2008-2011. Prior to that he was the chief executive of The Royal Association for Disability and Rehabilitation. Sir Bert is a trustee of a number of charities. Sir Bert was appointed a CBE in 2000 and knighted in 2007. Sir Bert has used disability equipment for most of his life and understands first-hand the benefits it can bring. He has been the Chairman of CECOPS since it was founded.
Alan Rosenbach, Special Policy Lead, Care Quality Commission: Alan has responsibility for a range of projects and programmes. Alan has worked in CQC since its inception in April 2009, initially as the Head of Strategy and Innovation. He came into CQC from the Commission for Social Care Inspection where he had worked since 2004 as a policy lead for regulation of providers of adult care and assessment of council’s annual performance. Alan has had professional roles working in both local government and the NHS from front line practitioner working with people who use services, to commissioner of care services, and as a senior manager in local government.
James Lawrence, Directorof Healthcare UK, Det Norske Veritas: James has worked in the Risk Management field for the past twenty years. He began his career in the NHS, training as a RGN. He worked in hospital general management before becoming one of the first NHS Risk Managers for a Community and Mental Health Trust. James commenced work with Willis as one of the original NHS Litigation Authority assessors on the Risk Pooling Schemes. In his current role at DNV he has overall responsibility for the department which holds key contracts for the NHSLA assessment programmes and standards development, the assessment of the Macmillan Quality Environment Mark and accreditation against CECOPS’ Code of Practice.
James Lampert, Commissioning Manager – Community Support, Kent County Council: James has a professional background in rehabilitation and a passion for improving health and social care services. His current portfolio includes long term conditions, end of life care, advanced assistive and digital technologies, falls prevention and personalisation. James graduated with a BSc (Hons) in Occupational Therapy in 1996 and gained a Masters level diploma in Strategic Management and Leadership in 2011. Between 2010-12, James initiated and led a programme to re-model services for adults with long term conditions through the creation of new integrated community health and social care neighbourhood teams.
Pauline French, Managing Director, Croydon Care Solutions: Pauline’s focus is on understanding what matters to people and delivering solutions that make a difference and are sustainable in the world of ever decreasing public funding. Pauline has significant experience in creating and delivering strategies in Adult Social Care recognised when she won the LGC award for Transformational Government, delivering efficiency and effectiveness. Pauline has worked in the public and voluntary sectors and now is the Managing Director of Croydon Care Solutions – a Local Authority Trading company. Keen to ensure quality and value for money Pauline was delighted when Croydon Equipment Solutions became the first in the country to be awarded CECOPS Accredited User status. This at the same time as being a finalist in the National GO awards, recognising Croydon Equipment Solutions for collaborative and creative procurement solutions in relation to equipment delivering across
several Local Authority areas.
Brian Donnelly, Founder and CEO, CECOPS CIC: Brian has for a long time campaigned for the introduction of standards for community disability equipment services. He wrote National Minimum Standards for Community Equipment for the Welsh Assembly Government, and subsequently authored the officially recognised Code of Practice for Community Equipment for the rest of the UK. He founded CECOPS as a not-for-profit organisation to manage adoption of the Code.
Brian has worked for the public sector in the community disability equipment field for 14 years, latterly as an advisor within the Welsh Assembly Government. He is now recognised nationally as an expert in equipment related matters. Brian holds a Master’s degree (with distinction) in health & social care management.
Health+Care 2013, 12th & 13th June 2013 – London EXCEL
Conference Stream: Integrated Care Insight
Day: Weds 12th June
Time: 16:00 – 16:35
**Note CECOPS will also be exhibiting at the event. Come and visit us: Stand P17
Swift action following Francis report and epic changes to care laws.
People will be treated more compassionately in hospital, see their care better joined up and be reassured that they will not have to pay astronomical care costs if they need to go into a care home in their old age, thanks to measures set out in the Care Bill, published today in Parliament.
The Care Bill will help drive up quality of care following the findings of the Francis Inquiry into events at Mid-Staffordshire NHS Foundation Trust. It will also include improvements to the care system following an extensive consultation with people and organisations right across the health and care system – from users of services to providers of care. The Bill will create a single modern law that replaces more than a dozen pieces of legislation dating back to the post-war period.
Through the Care Bill, the Government is introducing laws that will:
- Help people get compassionate care in hospital, in a care home or in the community, by introducing Ofsted-style ratings for hospitals and care homes, making quality as important as finance and strengthening training for staff.
- Join up care by enshrining in law that everyone should have a personal care plan, access to a personal budget and that carers, for the first time, will have a right to get support themselves if they are found to have eligible needs. There will also be a national minimum eligibility threshold across the country.
- Reform the funding of care so no one will have to sell their home in their lifetime, or lose everything they’ve worked for, to pay for the costs of living in a care home. And a cap on care costs and financial support for more people will protect people from catastrophic costs and provide important peace of mind.
Details in full HERE
New online information profiles that will help people to choose, compare and comment on care homes and other care services is launched today.
New online information profiles that will help people to choose, compare and comment on care homes and other care services is being launched today by the Care and Support Minister Norman Lamb.
The new profiles, part of the NHS Choices website, will create the most definitive online source of information on care services, including:
- essential information from every registered care provider, including detail on services provided
- official reports from Care Quality Commission inspections
- comments from the public on their experience of care and services, including links to existing comment sites
- from next month the ability for the public to give services star ratings
- Ofsted-style ratings for care services as they are developed.
Thousands of organisations who provide care services have started adding information to the website, such as details of what specialised services they provide, staff details, photos of their care homes or menu information; and many more are expected to do so over the coming months.
When fully populated with information from providers and comments from the public, this powerful online resource will give people the ability to search for good quality care that best meets their specific needs and preferences, by letting them compare each provider.
NHS Choices will also feature revamped information that explains the ‘essentials’ of care, such as what people’s entitlements are, how to organise an assessment for care needs, where to go for independent advice, how to go about getting and planning care, and how to pay for it.
CECOPS CEO, Brian Donnelly, says,
This is an excellent idea as it allows users and families to have all the necessary information in one place. We have been asked if organisations can use their CECOPS Registered and Accredited User status to display on this website; we agree this would be good, as it assures users that their provider complies with all their equipment related obligations.
Details in full HERE
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
CECOPS CEO, Brian Donnelly, welcomed the announcement by Care and Support Minister, Norman Lamb, that an extra £40m will be added to the Disabled Facilities Grant to help people remain independent in their own homes for longer.
Speaking today at the Housing Learning and Improvement Network Conference 2012, Care and Support Minister Norman Lamb said:
“For people with disabilities and older people, even the simplest things such as walking, getting up the stairs and climbing in and out of the bathtub can become difficult.
“We know that most people want to remain independent and be supported in their own home as far as possible. This funding will help people make the necessary practical changes to help them remain in their own home and prevent or even postpone the development of health and care needs.
“An adaptation can make a huge difference to the life of an older person by helping them access all facilities and all parts of their home safely and independently. Research shows that for every £1,000 spent through the Disabled Facilities Grant, the quality of life gains are estimated at £1,723 per year.”
This extra funding will enable more older people and adults with disabilities to have better quality of life and also help them remain independent and in their own home for longer.
PRESS RELEASE: The National Council for Child Health and Well-being officially endorses CECOPS’ Code of Practice for Community Equipment
The National Council for Child Health and Well-being has added its name to the long list of organisations supporting and endorsing CECOPS’ Code of Practice, joining other high profile supporters such as the Health & Safety Executive, Care Quality Commission and the Association of Directors of Adults Social Services, for example.
The National Council for Child Health and Wellbeing brings together in excess of 50 professional groups concerned with the health and welfare of children and young people across the UK. The Council shares information for lobbying and putting forward initiatives for the health and well-being of children and young people.
Dame Marion Roe DBE, Chairman, National Council Child Health and Well-being commented:
“Disability equipment is immensely important where child health and wellbeing is concerned. Some of the structures and processes in care services do not always allow for the right equipment to be provided in a timely way; this can have long term damaging effects to child health and development as well as being more costly. The National Council for Child Health and Well-being is delighted to give its endorsement to the Code of Practice for community disability equipment, and encourage its adoption across all organisations. We believe the Code will go a long way in improving the delivery of services for disabled children and their families.”
Brian Donnelly, CECOPS CEO, has welcomed the Council’s endorsement and says,
“Disability equipment is just as important for children as it is for adults. It is key for child development. Disability equipment for children is used extensively across the range of care and education agencies. For many years there have been difficulties with children’s disability equipment, often with long delays. I am very glad therefore The National Council for Child Health and Well-being has given it endorsement and full support to the Code. This latest endorsement shows the relevance, scope and application of CECOPS and the Code of Practice. It is an honour to have our work endorsed by such a prestigious Council, whose members include, for example, RCN, Council for Disabled Children, LGA, RCGPs, RNIB. This recent endorsement will help us immensely in promoting the Code in the UK.”
For images, interviews with spokespeople or more information please contact firstname.lastname@example.org or call 01494 863398
Brian Donnelly, Chief Executive, CECOPS CIC
07511 667 330
Notes to editors
About The National Council for Child Health and Well-being:
The purpose of The National Council for Child Health and Well-being is to bring together professional and lay groups concerned with the health and welfare of children and young people across the UK, and to share information, provide a discussion forum and to be a lobbying and pressure group to take forward initiative for the welfare of children and young people.
Chairman: Dame Marion Roe, DBE
Honorary Secretary: Fiona Smith, Adviser in Children’s and Young People’s Nursing, RCN
The Community Equipment Code of Practice Scheme, known as CECOPS, is a not for profit community interest company which has been set up to manage registration, training and accreditation of users of the Code of Practice for community equipment.
The Code of Practice is a recently written handbook. It is essentially a quality framework for the procurement and provision of services. It is primarily aimed at services in England, but also applies to other parts of the UK, and beyond.
CECOPS’ objectives are to assist all public and private sector providers and commissioners in bringing a high quality service to disabled children and adults, including elderly people, by promoting, encouraging adoption of, and providing training on, the Code of Practice for Community Equipment.
In terms of how the Scheme works: organisations, either commissioners or providers (including clinical teams), can register as working to the Code of Practice, as a Full or Associate Registrant, depending on their level of involvement with community equipment. Organisations can self-regulate/monitor their own compliance with the Code either manually or with CECOPS recommended software.
In addition, for reasons of credibility ‘Accreditation’ can be sought. Accreditation is optional, and involves external assessment of a registered user’s compliance with the Code of Practice. Assessments for accreditation are undertaken by DNV Healthcare, global leaders in Quality, Safety and Risk Management – DNV are the current assessors for the NHS Litigation Authority and the Macmillan Quality Environment Mark®
About Community Equipment
Examples of equipment types:
• home nursing, e.g. pressure relieving mattresses, ventilators
• aids for daily living, e.g. shower chairs, kettle tippers
• children’s equipment, e.g. postural support chairs
• sensory impairment equipment, e.g. flashing doorbells
• minor adaptations, e.g. ramps, grab rails
• wheelchairs (short term)
• communication aids
• telecare/telehealth, e.g. environmental aids.
CECOPS activities cover all public and private sector provision and all areas where equipment is used, e.g. health and social care equipment services, continuing healthcare providers, care homes, special schools, domiciliary care providers and hospices.
Croydon Equipment Solutions (CES), part of the London DASS and DH sponsored Integrated Procurement Hub, is aiming to be the first service in the UK to become CECOPS accredited.
CES has already registered all of its service areas with CECOPS and has recently had a pre-assessment visit from CECOPS’ assessing body, DNV healthcare.
Following the recent pre-assessment visit Senior assessor, Karol Edge, said, “…we were very impressed with the overall commitment of staff to ensure quality, safety and performance issues are addressed.”
To maintain compliance with CECOPS’ Code of Practice and to continuously improve quality and performance CES has also agreed to pilot the CECOPS recognised self-regulation software, iCOPS™.
Glenn Bartlett, Head of Operations and also London Chair of NAEP, said: “We believe that attaining full accreditation will demonstrate that all aspects of our service, from decontamination through to procurement, meet the national standards and our aim is to reach and excel these standards if we have not done so currently. As the delivery arm of the DH led Integrated Procurement Hub, we aim to be at the leading edge of the service and we see the full CECOPS accreditation as part of this measure…”
CECOPS CEO, Brian Donnelly, said, “If every community equipment provider in the UK embraced CECOPS the way in which Croydon Equipment Solutions has I believe there would be immediate and visible improvements in service provision across the country. I think one of the most striking things about Croydon’s approach to working with CECOPS was the fact that they have dedicated a manager specifically to deal with the Code of Practice.”
Three senior members of staff from Hereward College, a general FE College in Coventry with specialist facilities and services for students with physical and learning disabilities, have recently undergone training and were successful in becoming CECOPS Approved Trainers for the use of Community Disability Equipment.
Hereward College has about 400 students with physical and learning disabilities, many of whom use community equipment for therapeutic, mobility, communication, educational, environmental, independence and rehabilitation needs. The college makes extensive use of community equipment including electronic communicators, environmental controls, telecare and access control equipment.
The accreditation was awarded to Hereward College by CECOPS. Notably the Chair of CECOPS, Sir Bert Massie CBE, was once a student of Hereward College.
CECOPS’ CEO, Brian Donnelly, said, “It was a privilege to have been asked by Hereward College to train some members of its staff. CECOPS seeks to build its reputation on delivering an all-round good quality service and by having a reputable and established organisation such as Hereward College on-board as one of its Approved Trainers will undoubtedly help us in realising this aim.”
With this achievement, the College will be able to provide a formally recognized and credible training programme covering all aspects of commissioning, providing and the clinical and professional responsibilities of assistive technology. Additionally, the accreditation will allow the college to improve the quality of service of assessing students’ assistive technology needs and providing the most appropriate assistive technology solutions.
Paul Doyle, Access, Research and Development Manager at Hereward College, and now a CECOPS Approved Trainer, said: Having worked in Assistive Technology service provision for nearly twenty years I find it particularly reassuring to be involved with a code of practice that protects both the user and the provider in equal measure and is based on an inclusive, person centred approach.