Working for well run evidence-based public care
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’s Graeme McLaren will present a workshop on market facilitation and the Care Act at the adults’ services National Commissioning and Contracting Training Conference on 11 September. At the session, Graeme will share the learning from the Developing Care Markets for Quality and Choice programme, funded by the Deprtment of Health, in which IPC worked with 152 English authorities and 9 ADASS regions to support the development of Market Position Statements.
Participants at the conference will have an opportunity to consider the market shaping implications of the Care Act and reflect on the challenges that lie ahead for local authorities. Click here for more details of the event.
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. It is expected to make recommendations about the future of health and social care services to Calderdale Council and the CCG in Autumn 2014.
Andrew Kerslake is an Associate Director of the Institute of Public Care and an Emeritus Professor at Oxford Brookes University.
New courses offering support and training in commissioning for adults' and children's services in England have been been announced. The popular courses will begin in October, November and February in Birmingham, London and Bath. The commissioning courses are run regularly around the country and offer a focused introduction to this topic. Full details of all the new courses can be found here.
A further course for commissioners in Scotland will be announced shortly.
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.