Table of Content
There are a lot of people and organisations to consult on a re-designed NCHC and JJ has formed a steering group of 12 which met for the first time in October 2021. There is representation from care homes, carers, trade unions, the Care Inspectorate, medical staff, local authorities and Scottish Government. "It risks putting care homes in a financially difficult position, having to maintain the high standards of quality and complex care which residents deserve, at the same time as offering Fair Work terms and conditions to their staff, and maintaining building conditions etc. “Collaboration is not only about providers collaborating with each other, it's about commissioners, providers, the people they support, families and unpaid carers all being around the table for better outcomes. As a result, the standards have been developed from the point of view of people who use the services. They focus on the quality of life that the person using the service actually experiences.
Questions from the MSPs centred on an Audit Scotland report published earlier this year, which outlined the challenges facing the social care workforce in Scotland. Your chosen care home does not, however, accept the council rate as it’s less than the care home’s normal fees. This extra top up must be paid by a third-party, such as a family member, friend, or charity.
The Age Scotland Helpline
Commissioning may include a decision on whether to buy something from someone else or provide it within the organisation, and will not automatically lead to a procurement - that's just one choice. The focus is all about the service users who need support and how best to provide it. The approach is centered on robust human rights for every individual which JJ wants to see ‘resonate’ through the redesigned contract. Crucial to the success of this is closer working relationships between all the organisations involved. There are also increasing fears that a parallel recruitment drive in the health service, offering better pay, is diverting staff from care services.
The market-led approach to commissioning and procurement can foster "competition, not collaboration", which, in turn, can lead to too much focus on costs rather than high quality, person-centred care and support. It can also result in poor conditions for the work force including a lack of fair pay. The Independent Review of Adult Social Care identified we have world leading policies for delivering social care, but they are not effectively implemented throughout Scotland. There is a lack of consistency of services provided, integration of health and social care, and practices within commissioning and procurement to implement the policies. Differences in commissioning and procurement practices is also one of the factors considered to contribute to the lack of consistency and parity of service across Scotland and the ability to have portable packages of support, in addition to availability of services, and accessibility criteria. Access to service and support is addressed in more detail in the section of the consultation on Access to Care and Support.
national care standards: care homes for older people: revised november 2007
It also gives Scottish Ministers the power to make regulations imposing requirements in relation to care services. The NCS will establish a national commissioning and procurement team to deliver this role. This consultation sets out our proposals to improve the way we deliver social care in Scotland, following the recommendations of the Independent Review of Adult Social Care.
Interim measures such as shorter term contracts could be considered, in order to avoid over committing providers and to support market readiness to engage and support the mobilisation of the market to introduce a NCS. Strategic Plans should be reviewed to ensure that there would be nothing which would inhibit a new National Care Service operating in line with ethical commissioning and procurement principles, see Annex A – ethical commissioning and procurement. This definition shall include all waiting rooms, hallways, private rooms, semiprivate rooms, and wards within health care facilities. National Care Home Contractmeans the call-off contract negotiated by CoSLA and the private and voluntary care home sector for the provision of residential and nursing care for older people, as the same may be amended from time to time. The council will sign the contract with the care home for all your accommodation and living costs, and for personal and nursing care.
Vision for the National Care Service
“The Independent Review of Adult Social Care called for a national improvement programme in this area and boy would we like to see that. The watchdog said in January that an overhaul of the sector cannot wait until the nationalisation, calling for huge reforms and urgent action. The calls come as representatives from Scottish charities working in the care sector presented at a Holyrood committee on Tuesday morning. This is when you're eligible for a care home place which is paid for by your council in special situations. For example, you need specialist care or need to go into a care home quickly to keep you safe.
These groups included people who use services, their families and carers, along with staff, professional associations, regulators from health and social care, local authorities, health boards and independent providers. Ethical commissioning, in relation to social care services, has a person-centred care first/human rights approach at its core, ensuring that strategies focus on high quality care. Currently the most commonly used method of procurement for social care services and supports are tendering and call-offs from frameworks agreements. Framework agreements are non-obligatory meaning the local authority does not need to use the framework agreement nor are they committed to a specific value of spend through the framework agreement. Once a local authority establishes a specific requirement, or has a confirmed budget it can call-off from a framework agreement to meet that particular local requirement. For social care services, framework agreements have most commonly been established by local authorities or by Scotland Excel, the Centre of Procurement Expertise for local authorities.
Care home contracts
The purpose of this Scottish Procurement Policy Note is to advise public bodies involved in the commissioning and procurement of social care services, of the action they can take now to prepare for the transition toward a National Care Service for Scotland . A care home sector actively managed by a national care service contract is one of the key recommendations for a new model of social care in Scotland. Integration Joint Boards and public bodies are asked to review their Strategic Commissioning plans, portfolio of social care contracts and pending procurement process and take action now to support a transition to a National Care Service. “The Independent Review recommended a revolution in commissioning, but the National Care Service proposals which came out in the consultation last year didn’t really follow through on that. I would go so far as to say that competitive tendering for social care is, in itself, unethical and no amount of tinkering around the edges is going to change that.
If you have decided that a care home is the right choice for you then the information in this guide should help you decide on the right home. It is also important to visit the care home, meet the staff and residents and get a ‘feel’ for the place. Some care homes may let you try out living there for a fee before you make a final decision. It is your right to choose the care home you want to live in providing it is suitable to meet your needs, the care home is available, and you can pay the weekly fee. These principles are the result of all the contributions made by the NCSC, its working groups and everyone else who responded to the consultations on the standards as they were being written. They recognise that services must be accessible and suitable for everyone who needs them, including people from black and ethnic minority communities.
Personal care services means physical or verbal assistance with activities of daily living and instrumental activities of daily living due to functional limitations. Health care services means services for the diagnosis, prevention, treatment, cure, or relief of a health condition, illness, injury, or disease. Due to the desire to please everyone we've created an industry of well paid managers and interest groups but forgot who are the priorities, namely service users and those who provide the care. Voices from within Scotland’s voluntary sector said while they understood the need for the government to utilise expertise in setting up the service, transparency and active participation should be at the core of its creation. Big private equity firms have led us to the tragically dysfunctional care system we have now.
The principles are dignity, privacy, choice, safety, realising potential, and equality and diversity. The NCS will be responsible for market analysis and will work with partners to develop a thorough understanding of the market and share this information with CHSCBs.
This chapter sets out the role the National Care Service will have in embedding ethical commissioning at a local level, including driving up quality and securing person centred outcomes and fair work practices. It will ensure full engagement with those who access care and support, those who support people to access care and support, families and friends, unpaid carers, the workforce and providers. It also proposes services for which a "once for Scotland" commissioning and procurement approach may benefit individuals.
It means that the staff will be able to cater for your changing needs and you should not have to move if you become ill. "Commissioning" and "procurement" are terms used generally to describe how goods and services are planned and obtained. The last time the NCHC was updated was in 2013 and the ethos of caring for older people has evolved since then, with the emphasis now being to assist people to stay in their own homes for as long as possible. Explaining the recommendations, Feeley says that a National Care Service will achieve the consistency that people deserve, will drive national improvements and strategic integration with the National Health Service, and bring national oversight and accountability.
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