Working for well run evidence-based public care
IPC visit to China to discuss housing solutions
The Director of IPC and Head of Research have recently returned from a trip to Sichuan Province in China, where they met with representatives of the Chongqing Jinyang Real Estate Development Corporation and Chengdu University of Traditional Chinese Medicine.
Professor Keith Moultrie and Liz Cairncross visited several local housing with care schemes near Chengdu and, following discussions about potential collaboration, IPC has signed a memorandum of understanding focused on developing a shared knowledge base, knowledge and skills exchange, and research on older people.
Chengdu University of Traditional Chinese Medicine (TCM) has around 20,000 students studying health related course in both Western and traditional Chinese medicine. It is one of the top 5 'TCM' universities in China.
The Chongqing Jinyang Real Estate Development Corporation is interested in developing high quality housing with care solutions in response to the considerable growth in the number of older people in China relative to the younger population.
A People's Commission set up by Calderdale MBC and chaired by IPC Associate Director Professor Andrew Kerslake has rejected a series of proposals to reconfigure hospital services in the area.
The Commission was established in 2014 to give residents the chance to help shape social care and health services. The report, published in February 2015, questioned whether proposals from NHS providers in Calderdale and Greater Huddersfield to reconfigure hospital services would produce better health outcomes and deliver value for money for people in the area.
The Commission recommended that no costly changes to hospital services should be made unless it can be demonstrated that 'changes to community health services can provide a better approach to healthcare provision'. The report also called for the Health and Wellbeing Board to help drive improvement in the area.
The report was welcomed by Calderdale Clinical Commissioning Group which undertook to ensure that the views of residents would be taken into account as plans for local health provision are developed.
Professor Kerslake has chaired the People's Commission since it was established in 2014.
IPC has carried out a study into the likely future care needs of former UK seafarers for the Maritime Charities Group. The UK Seafarers’ Demographic Profile report has highlighted how the number of former UK seafarers continues to decline but the need for welfare services among them is expected to rise.
The oldest former seafarers are most likely to be the key drivers of demand for care and support services from the maritime charities which commissioned the report to help understand how to meet future needs. The report forecasts an increase in the number of former seafarers aged 85 and over.
There are currently 358,000 former seafarers across the Royal Navy, Merchant Navy and fishing fleets aged over 65. As well as being vulnerable to specific health problems and conditions associated with their time at sea, many will have limited or no occupational pension provision.
Changes to welfare and social care provision are also likely to create a range of needs for help and support among the adult and child dependants of serving and former seafarers. The number of dependants of ex-seafarers is estimated to be 687,000.
For more information about the report, visit the Maritime Charities Group website.
IPC is working for the Department of Health to develop a toolkit for small- and medium-sized care providers to help them engage with local authorities in developing their local care markets. The Market Shaping toolkit (MaST) project will also seek examples of innovative practice to meet local needs.
The toolkit will consist of a suite of resources including guidance, good practice examples and self-assessment tools aimed at small- and medium-sized care providers, helping them to develop and contribute to improving wellbeing.
The majority of adult social care providers are small- and medium-sized enterprises (SMEs) and effective engagement with local authorities is essential. This is one of a range of projects IPC is engaged with to support the successful implementation of the Care Act in England.
If you are a provider and you would like to contribute to this project, please visit the MaST web page for details of how you can get involved. A survey for local authorities is also available.
‘Implementing the Care Act: the story so far…’
IPC Partnership members attended a conference in November which considered the Care Act. Delegates had a valuable opportunity to share practical examples of how their organisations are implementing the Care Act and dealing with the challenges they face.
The event included guest speakers Stephen Airey, Policy Manager at the Department of Health and David Pearson, president of the Association of Directors of Adult Social Services. Stephen Airey discussed the topic of building and maintaining effective relationships between local authorities and the market, while David Pearson reflected on his personal experience of implementing the Care Act.
The conference also heard from Tristram Gardner and John Woods of Surrey County Council, who shared their learning on the piloting of four models to boost social care assessment capacity under the Care Act.
The event welcomed representatives from 13 Partner organisations working across health and social care, including colleagues from new members Southwark and Haringey.
More information about the highly successful Partnership programme for local authorities and health organisations can be found here.
IPC supported the Social Care Institute for Excellence (SCIE) in developing new materials aimed at commissioners working to implement the Care Act 2015. The Care Act gives commissioners new duties to provide advocacy under the Care Act 2014.
The new resource will help commissioning officers in local authorities think through their new duties and understand what they are required to do to comply with the new requirements of the Act.
All the resources are available on the SCIE website.
IPC has developed the suite of learning materials published by Skills for Care today, which will help you implement the Care Act. The Act is set to transform care provision, and introduces a number of new duties for local authorities in particular, from April 2015.
The learning materials summarise and explain the statutory guidance and how it will impact on local authorities, care providers and service users. They include presentations, videos, case studies and workbooks to help facilitators design a learning programme for local audiences. The materials are free to download from the Skills for Care website.
How IPC can help you
We can help you analyse your staff’s learning needs in relation to the Care Act as well as design and/or deliver learning programmes tailored to the needs of your organisation. We can also help you to get the best out of the new materials by training your trainers.
In addition to providing learning and development support, we are currently working with a number of authorities and regions, helping them to redesign their systems and processes in preparation for April 2015.
We continue to support local authorities and providers to respond to the market shaping requirements of the Act. You can download the materials from the Department of Health funded DCMQC programme from our website.
IPC has been approved by the Department for Education as an evaluation partner for Innovation Programme Sites across England. The sites will explore new ways to deliver social work-led packages of support to children, young people and families with support from Government.
IPC's role will be to support the sites to undertake successful evaluation of the innovations they introduce, such as those looking to safely prevent young people needing to come into care or developing new ways of working with younger children and families.
The online social care magazine Community Care has published an article on the report prepared by IPC for the Care Quality Commission which discusses the older people’s care home market in England. The report considers the fragility of the market and notes that another collapse of a major provider cannot be ruled out. It identifies a number of conditions which could lead to another major provider failure similar to Southern Cross in 2011.
The report was commissioned to inform the CQC’s preparation for its new role of market oversight over the social care sector in England, from April 2015. This is intended to help prevent a market destabilising failure by enabling the CQC to monitor the financial position of large or specialist providers.
IPC works with national and local government, charities, third sector agencies and care organisations including CQC across Britain, helping to inform, advise and set the agenda for improving care planning and delivery.
In the wake of the collapse of Southern Cross and following the development of the Market Oversight regime in the Care Act, CQC has published a significant report, produced by IPC in the spring of 2014, reviewing the state of the Care Market in England. IPC found that:
- The older persons' care market continues to be fragile.
- The more internationally diverse the ownership model of care providers, the more difficult it is to gain clarity about their overarching financial position.
- Debt, and the management of debt, is a critical issue for some providers.
- Recruiting a trained and well paid workforce is likely to be a major issue for the future.
- A series of factors in the next few years may persuade some smaller care home providers to cash in their assets and leave the market.
Overall, the greatest risk of failure is likely to be amongst larger care home provider who do not own the properties in which they operate, and where they have a concentration of homes in a limited number of authorities in less affluent areas.
The report contains a number of recommendations and suggestions for how CQC implements its market oversight role. A full copy of the report is available here.
IPC has supported the Welsh Government in developing new national eligibility criteria for social care. IPC helped to draft the new guidance and offered group facilitation during the development process.
The new eligibility criteria will ensure that people receive social care when they cannot meet their own well-being needs without a care and support plan. This replaces the current system which only supports those who cross a specific threshold based on definitions of need, from low to critical. The new model will base decisions on a discussion about 'what matters', what the person wants to be able to achieve in life and whether they need managed care and support to achieve this. There will be a focus on prevention, transparency, and building on people’s strengths to enable them to exercise control over their lives, while recognising that some people will need care and support managed for them.
Calderdale Council has appointed Professor Andrew Kerslake as the Independent Chair of the People’s Commission on Health and Social Care. The new commission will give residents of Calderdale the chance to comment on and help shape health and social care services for the area.
The People’s Commission will have an evidence gathering panel which will include representatives from the Council’s three main political parties, as well as Calderdale Healthwatch. The Commission will hold meetings across Calderdale to listen to the views of Calderdale residents and is expected to make recommendations about the future of health and social care services to Calderdale Council and the CCG..
Andrew Kerslake is an Associate Director of the Institute of Public Care and an Emeritus Professor at Oxford Brookes University.
IPC has published a new book on commissioning in health and social care, offering a clear, straightforward guide for those involved across the public sector. The new guide uses the popular IPC commissioning cycle, considering the four stages - analyse, plan, do, review - with a mix of theory and practical tools. The book, written by a number of IPC consultants, covers a range of areas and reflects the evidence-based approach to commissioning adopted by IPC in its consultancy and research work. The guide draws on legislation, research and regulation to support the analysis and will prove invaluable to commissioners working across all sectors of health and social care.
More details about the new guide can be found here.