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Adult social care – workforce web forum

Levelling Up, Housing and Communities Committee

  • What works and what doesn’t work about the current system?
  • Are you able to provide the services people need?
  • Is there sufficient funding available for adult social care?
  • Have you come across any successful alternative approaches for financing and providing care?
  • What has been the impact of recent policies, like the 'social care precept' on council tax and the new national living wage?

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23 Contributions (since 11 August 2016)
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Total results 23 (page 3 of 3)

Chris Owen

14 August 2016 at 12:45

Some smaller charities assuming the work previously carried out by local authority staff are merely intent on winning contracts and increasing managers' salaries while reducing the pay of frontline staff, and in some cases, keeping vulnerable adults in accommodation inappropriate for their needs so as to avoid losing that income. There should be an independent governing body for these charities.

Joni Flynn

12 August 2016 at 17:46

As a provider of care for adults with autism the current uncertainty of social housing benefit is making it impossible to support these vulnerable adults in their own homes. Whilst you have spent millions in writing policy after policy you are failing to meet the targets set out since winterbourne scandle there are genuinely caring organisations that are not being commissioned yet big services are and they are failing. I suggest we stop writing policies and actually start providing services for the 3000 people still locked away in institutions that shouldn't even exist. People's children are being detained In Private care facilities to line the pockets of large care companies. It needs to change and we need to ensure that people are discharged fairly and not because of money hungry organisations that don't want an empty bed.

Ruth Marriott

12 August 2016 at 09:37

As a social enterprise with over 25 years experience and track record of delivering day care and domiciliary services to older people, those with learning difficulties and mental health issues, it is increasingly difficult to continue to deliver local authority contracts. There is insufficient funding and continued increased cost (National Living Wage) without any uplift to accompany this. As a not-for-profit organisation we are not looking for profits but sustainability in order to deliver a quality service. There is an increase in Private funding work but for those organisations who exist to support those most in need this is a difficult issue. We deliver it knowing it will subsidise statutory service delivery.we strongly have to consider what the margin is, if any.If there isn't we will not do the work as we cannot deliver on that unsustainable basis; it would not be fair to those who need services, staff or commissioners. It is increasingly harder to attract care staff. We are looking to recruit two kinds of workforce; traditional carers, and more experienced, qualified workers to carry out reablement work and higher end needs. There needs to be a national campaign valuing the role carers do. With Brexit we do not know what effect this will have on recruitment in the future. We could loose staff and have an even smaller pool to recruit from. The 'social care precept' has made no difference what-so-ever but the National Living Wage has increased our costs without any additional income from the statutory sector, in fact some are still trying to reduce the level of funding. The only flexibility we have is to increase charges to Private customers. Increasingly we have a two tier system; those who can afford their own care and those who rely on the state to ensure they are cared for. The move to more self care as an expectation to cut health costs through integrated care packages could lead to some individuals not receiving care at the time they need it and result in more people returning to hospital if it is not sufficiently funded or well managed. It is too early to say yet. As a company, we continually review our ability to stay in the care market, and we are not alone in this. The lack of block contracts and move to spot purchasing makes it difficult to take on local authority business as there is no guaranteed base level. The constant delay of expected tenders where work is being delivered is also difficult as we cannot plan workforce, improvements or ensure continuity with those we work with. Daycare is a cost effective way to reduce domiciliary care but increasingly this is also being squeezed. We could provide more day care which could reduce the some of the need for domiciliary care after reablement packages but there is a lack of will from local authorities to do this. Another key issue is transport. We also provide a Community Transport service which provides the transport for those with significant needs , including wheelchair access, to get to day care provision. Our drivers are more than drivers; they ensure older people are respected, valued, handled correctly and carefully, when returned home drivers carry out informal checks which help support individuals, for example, check they have milk, the heat is on, etc. We believe it is likely that local authorities in a bid to save money on daycare will seek to cut this facility. Some individuals may be able to pay for their transport but many will not. This will mean they do not attend day care; it will increase their isolation and loneliness and may lead to them ending up as care or health care cases quicker as they deteriorate faster. Increasingly, England particularly, is becoming a country where it will be fearful to grow old. Not only is this likely to be the first generation where people do not earn as much as their parents did, we may also see a decrease in the numbers of people's life expectancy. This is likely to affect the least advantaged in society first. [Edited by moderator to remove abbreviations]

Total results 23 (page 3 of 3)