The impact of Brexit on key employment legislation
The impact of a conservative victory and the UK’s imminent exit from the EU could have major implications for health and social care industry. Care organisations are diverse employers. The care industry in the UK employs around 1.35 million people, and 7% of those are from EU countries. While only 1% of UK nationals employed in care have university degrees, 15% of EU care workers are degree qualified.
Continue reading “With a conservative victory in the 2019 General Election, what impact will Brexit have on the UK’s care industry and its diverse workforce?”
One of the key issues to arise in campaigning for this month’s UK General Election is the future of the NHS and the role that private companies, in particular US-based healthcare companies, might play in that future following Brexit. Last week, the Labour leader Jeremy Corybn claimed papers he had obtained showed that the NHS was “up for sale”. This has been denied by the Conservatives.
Figures show that private businesses already have a significant interest in NHS healthcare and services and were awarded almost £15 billion in NHS contracts in the last five years. Additionally, NHS mental health services are dominated by private equity firms which are now estimated to provide nearly 25% of NHS mental health residential places. The Independent today highlights this issue and in particular the huge financial interests of three private equity firms Acadia, Cygnet and Elysium that have invested significantly in British public healthcare services, in particular in the psychiatric/mental health residential areas.
Continue reading “NHS up for sale… or already sold?”
The charity, Independent Age, which provides advice and support for persons in older age, has produced a report calling for changes in the way adults can challenge decisions about their care. The report highlights the fact there is no statutory process of appeals, and it is for councils to put in place separate appeals processes on a local basis, if they chose to do so. Presently, there is a statutory complaints process via a complaint to the council, which can be followed by a complaint to the Local Government and Social Care Ombudsman in the event of an unsatisfactory result, but this process is slow and with strict criteria.
The government consulted on a statutory appeals process in 2015, but since then has taken no further action. The Independent Age report calls on the government to revisit this issue, and sets out how it assumes such a process could work in practice.
With the care sector generally being seen as fragile and under pressure, it seems inevitable that bodies such as Independent Age are calling for a clearer way for service users to make changes in their social care provision. If there is a clearer and easier way for service users to appeal against the care provided, then it does seem foreseeable that this could be done in conjunction with claims for personal injury.
A copy of the full report can be found here.
Written by Jennifer Johnston at BLM
Recent reports in the media suggest severe financial difficulties being suffered by the UK’s care home sector.
The Advinia Group is apparently under scrutiny from the CQC in terms of its cash flow and financial management. Advinia operates 38 homes in England and Scotland including 22 homes that it took over from BUPA in 2018, and is the UK’s 10th largest care home operator. It has been asked to submit to an independent audit of its finances under the CQC’s market oversight scheme. The Guardian newspaper reported on 6 October that leaked papers it had seen showed Advinia was not generating enough cash to meet capital and interest repayments, and had refused to submit to the independent audit. The CQC notified local authorities at the end of August of its concerns regarding the Advinia Group.
Continue reading “Care home operators under financial pressure”
The Guardian has today highlighted the tricky issues regarding dementia patients and sex.
With the onset of dementia, residents of care homes are likely to lose legal capacity and with that the ability to consent to sexual activity. However the onset of old age and dementia does not mean the desire for sexual activity and physical relationships disappears. It is also recognised that positive physical relationships are beneficial to an elderly person’s mental health and well-being.
In addition, this is of course a delicate subject for the families of residents to deal with. The article in the Guardian today highlights a case study of an elderly couple who had moved into a care home together. The couple’s adult children became disturbed by their physical relationship and a decision was made for them to live on separate floors within the home. This resulted in a lot of upset for the couple with them displaying more challenging behaviours.
Continue reading “Highlighting issues regarding sex and dementia”
The CQC has today released a review of oral health and dental care provided to those in care homes. The report concludes that this is poorly implemented in care homes. The review is based on 100 visits to different care homes by dental inspectors and oral health specialists.
There are specific NICE (National Institute for Health and Care Excellence) guidelines to cover dental care for persons living in residential care but in the majority of cases these were not being followed. Residents generally had their oral health assessed upon admission, but often care home staff were not aware of the NICE guidelines and had not had specific training on oral health. More worryingly, over half of the care homes surveyed had no policy to promote oral health, and nearly three quarters of the care plans reviews did not cover oral health or only partly covered it.
The CQC comment in the foreword to the report highlights the fact that the elderly of today generally are more likely to retain their teeth than earlier generations. Good oral care is essential for those in care homes to reduce pain and reduce the risk of malnutrition. Oral care was also often not joined up meaning that when emergency dental treatment was required, the homes would call a GP, or 111, or send the person to A&E – thereby placing a strain on already overworked services.
The care sector should carefully consider this report with a view to future policies and management of residents’ oral health otherwise this may be an area that residents and families focus upon in terms of claiming for damages.
The CQC’s report can be found here: https://www.cqc.org.uk/publications/major-report/smiling-matters-oral-health-care-care-homes
Written by Jennifer Johnston at BLM
A very enjoyable evening yesterday at the National Care Association Summer Reception hosted by Howdens Insurance brokers. We hear a lot of negativity around care services, so it was lovely to spend an evening celebrating all the incredible work that is performed in the care sector.
We heard an interesting address by Caroline Dineage, Minister of State for Health, including a mention of the long-delayed Green Paper on social care – which isn’t going to be published any time soon. The Green Paper is intended to explore the issue of how social care is funded by recipients and consider a range of proposals including a more generous means test, a cap on lifetime care charges and tac-free withdrawals from pension pots. When it is finally published, it will simply set out a range of recommendations for further consultation so any reforms to the current system will be even further down the line. During her address, the Minister also repeated her previous words of caution that, when published, the Green Paper will not solve all the challenges of social care.
Continue reading “Celebrating work in the care sector as minister reports on delayed Green Paper”