Care providers urged to ensure they are ready for Brexit

The Government and other bodies such as the Care Providers Alliance are urging health and social care providers to ensure they have done everything they can to prepare for a potential No Deal Brexit on 31 October.

The National Audit Office published a report at the end of September noting that whilst the Department of Health and Social Care had undertaken a lot of work since June 2016 to prepare the sector for leaving the EU, there was still a lot of work to be done before 31 October in respect of the social care sector. For example the report notes that whilst the NHS has taken steps to stockpile medication for immediate use across the healthcare sector,  care homes often rely upon non NHS suppliers for supplies of items such as rubber gloves. The Department did not originally advise the social care sector to stockpile such items, but rather advised that care providers should be simply “ready to deal with any disruption”.

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CQC report highlights failings in dental care across the care sector

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

NHS launches digital capacity tracker for care home places to cut ‘bed blocking’

The NHS has this week launched an online portal to assist NHS hospitals in identifying care home places for patients upon discharge. 

Elderly and infirm patients are often delayed in being discharged from hospital due to the lack of availability of a suitable care home for them to be discharged to.  Often, their care needs will have changed since their admission to hospital.  The fact that patients remain in hospital after they are medically fit for discharge – but cannot return to their previous home – places a strain on the NHS.  In 2018, the NHS estimated around 250,000 hospital beds days were taken up by patients well enough to be discharged but with no care home to go to. 

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