1a Improvement
1. What would be the benefits of the National Care Service taking responsibility for improvement across community health and care services? (Please tick all that apply)
Please select all that apply
Checkbox:
Ticked
Better co-ordination of work across different improvement organisations.
Checkbox:
Unticked
Effective sharing of learning across Scotland.
Checkbox:
Unticked
Intelligence from regulatory work fed back into a cycle of continuous improvement.
Checkbox:
Ticked
More consistent outcomes for people accessing care and support across Scotland.
Checkbox:
Unticked
Other – please explain below
Please add any comments in the text box below
Prevent chaos of different information from care providers, social workers, health.
2. Are there any risks from the National Care Service taking responsibility for improvement across community health and care services?
Please add any comments in the text box below
Yes a national framework needs to be very careful not to become over bureaucratic which has happened in systems in social work and has caused staff to leave.
1b Access to Care and Support
3. If you or someone you know needed to access care and support, how likely would you be to use the following routes if they were available?
| Speaking to my GP or another health professional. Not at all likely Radio button: Not checked Not at all likely | Speaking to my GP or another health professional. Unlikely Radio button: Not checked Unlikely | Speaking to my GP or another health professional. Neither likely nor unlikely Radio button: Not checked Neither likely nor unlikely | Speaking to my GP or another health professional. Likely Radio button: Checked Likely | Speaking to my GP or another health professional. Very likely Radio button: Not checked Very likely |
| Speaking to someone at a voluntary sector organisation, for example my local carer centre, befriending service or another organisation. Not at all likely Radio button: Not checked Not at all likely | Speaking to someone at a voluntary sector organisation, for example my local carer centre, befriending service or another organisation. Unlikely Radio button: Not checked Unlikely | Speaking to someone at a voluntary sector organisation, for example my local carer centre, befriending service or another organisation. Neither likely nor unlikely Radio button: Not checked Neither likely nor unlikely | Speaking to someone at a voluntary sector organisation, for example my local carer centre, befriending service or another organisation. Likely Radio button: Checked Likely | Speaking to someone at a voluntary sector organisation, for example my local carer centre, befriending service or another organisation. Very likely Radio button: Not checked Very likely |
| Speaking to someone at another public sector organisation, e.g. Social Security Scotland Not at all likely Radio button: Not checked Not at all likely | Speaking to someone at another public sector organisation, e.g. Social Security Scotland Unlikely Radio button: Checked Unlikely | Speaking to someone at another public sector organisation, e.g. Social Security Scotland Neither likely nor unlikely Radio button: Not checked Neither likely nor unlikely | Speaking to someone at another public sector organisation, e.g. Social Security Scotland Likely Radio button: Not checked Likely | Speaking to someone at another public sector organisation, e.g. Social Security Scotland Very likely Radio button: Not checked Very likely |
| Going along to a drop in service in a building in my local community, for example a community centre or cafe, either with or without an appointment. Not at all likely Radio button: Not checked Not at all likely | Going along to a drop in service in a building in my local community, for example a community centre or cafe, either with or without an appointment. Unlikely Radio button: Checked Unlikely | Going along to a drop in service in a building in my local community, for example a community centre or cafe, either with or without an appointment. Neither likely nor unlikely Radio button: Not checked Neither likely nor unlikely | Going along to a drop in service in a building in my local community, for example a community centre or cafe, either with or without an appointment. Likely Radio button: Not checked Likely | Going along to a drop in service in a building in my local community, for example a community centre or cafe, either with or without an appointment. Very likely Radio button: Not checked Very likely |
| Through a contact centre run by my local authority, either in person or over the phone. Not at all likely Radio button: Not checked Not at all likely | Through a contact centre run by my local authority, either in person or over the phone. Unlikely Radio button: Not checked Unlikely | Through a contact centre run by my local authority, either in person or over the phone. Neither likely nor unlikely Radio button: Not checked Neither likely nor unlikely | Through a contact centre run by my local authority, either in person or over the phone. Likely Radio button: Checked Likely | Through a contact centre run by my local authority, either in person or over the phone. Very likely Radio button: Not checked Very likely |
| Contacting my local authority by email or through their website. Not at all likely Radio button: Not checked Not at all likely | Contacting my local authority by email or through their website. Unlikely Radio button: Not checked Unlikely | Contacting my local authority by email or through their website. Neither likely nor unlikely Radio button: Checked Neither likely nor unlikely | Contacting my local authority by email or through their website. Likely Radio button: Not checked Likely | Contacting my local authority by email or through their website. Very likely Radio button: Not checked Very likely |
| Using a website or online form that can be used by anyone in Scotland. Not at all likely Radio button: Not checked Not at all likely | Using a website or online form that can be used by anyone in Scotland. Unlikely Radio button: Not checked Unlikely | Using a website or online form that can be used by anyone in Scotland. Neither likely nor unlikely Radio button: Checked Neither likely nor unlikely | Using a website or online form that can be used by anyone in Scotland. Likely Radio button: Not checked Likely | Using a website or online form that can be used by anyone in Scotland. Very likely Radio button: Not checked Very likely |
| Through a national helpline that I can contact 7 days a week. Not at all likely Radio button: Not checked Not at all likely | Through a national helpline that I can contact 7 days a week. Unlikely Radio button: Not checked Unlikely | Through a national helpline that I can contact 7 days a week. Neither likely nor unlikely Radio button: Checked Neither likely nor unlikely | Through a national helpline that I can contact 7 days a week. Likely Radio button: Not checked Likely | Through a national helpline that I can contact 7 days a week. Very likely Radio button: Not checked Very likely |
Please add any comments in the text box below
If a person can afford to pay for care their response to this question will be markedly different to someone who cannotmafford to pay for their care
4. How can we better co-ordinate care and support (indicate order of preference, with 1 being the most preferred option, 2 being second most preferred, and so on)?
Please rank these from 1 to 3
Have a lead professional to coordinate care and support for each individual. The lead professional would co-ordinate all the professionals involved in the adult’s care and support.
1
Have a professional as a clear single point of contact for adults accessing care and support services. The single point of contact would be responsible for communicating with the adult receiving care and support on behalf of all the professionals involved in their care, but would not have as significant a role in coordinating their care and support.
2
Have community or voluntary sector organisations, based locally, which act as a single point of contact. These organisations would advocate on behalf of the adult accessing care and support and communicate with the professionals involved in their care on their behalf when needed.
3
5. How should support planning take place in the National Care Service? For each of the elements below, please select to what extent you agree or disagree with each option:
Please select one item
Radio button:
Ticked
Strongly Agree
Radio button:
Unticked
Agree
Radio button:
Unticked
Neither Agree/Disagree
Radio button:
Unticked
Disagree
Radio button:
Unticked
Strongly Disagree
Please select one item
Radio button:
Ticked
Strongly Agree
Radio button:
Unticked
Agree
Radio button:
Unticked
Neither Agree/Disagree
Radio button:
Unticked
Disagree
Radio button:
Unticked
Strongly Disagree
Please select one item
Radio button:
Ticked
Strongly Agree
Radio button:
Unticked
Agree
Radio button:
Unticked
Neither Agree/Disagree
Radio button:
Unticked
Disagree
Radio button:
Unticked
Strongly Disagree
Please select one item
Radio button:
Ticked
Strongly Agree
Radio button:
Unticked
Agree
Radio button:
Unticked
Neither Agree/Disagree
Radio button:
Unticked
Disagree
Radio button:
Unticked
Strongly Disagree
Please select one item
Radio button:
Ticked
Strongly Agree
Radio button:
Unticked
Agree
Radio button:
Unticked
Neither Agree/Disagree
Radio button:
Unticked
Disagree
Radio button:
Unticked
Strongly Disagree
Please select one item
Radio button:
Ticked
Strongly Agree
Radio button:
Unticked
Agree
Radio button:
Unticked
Neither Agree/Disagree
Radio button:
Unticked
Disagree
Radio button:
Unticked
Strongly Disagree
Please select one item
Radio button:
Ticked
Strongly Agree
Radio button:
Unticked
Agree
Radio button:
Unticked
Neither Agree/Disagree
Radio button:
Unticked
Disagree
Radio button:
Unticked
Strongly Disagree
Please select one item
Radio button:
Ticked
Strongly Agree
Radio button:
Unticked
Agree
Radio button:
Unticked
Neither Agree/Disagree
Radio button:
Unticked
Disagree
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Unticked
Strongly Disagree
Please add any comments in the text box below
Whoever listens to the person needs to be a skilled listener and communicator and able to share accurate information to avoid the individual and their family having to keep repeating their situation.
6. The Getting It Right For Everyone National Practice model would use the same language across all services and professionals to describe and assess your strengths and needs. Do you agree or disagree with this approach?
Please select one item
Radio button:
Ticked
Agree
Radio button:
Unticked
Disagree
Please say why in the text box below
A uniform approach that everyone can understand.
7. The Getting It Right for Everyone National Practice model would be a single planning process involving everyone who is involved with your care and support, with a single plan that involves me in agreeing the support I require. This would be supported by an integrated social care and health record, so that my information moves through care and support services with me. Do you agree or disagree with this approach?
Please select one item
Radio button:
Ticked
Agree
Radio button:
Unticked
Disagree
Please say why in the text box below
Please avoid the massive increase in bureaucracy for professionals and families that was introduced by the Getting It Right For Every Child Framework. Social Work ended up having to fill in almost 30 pages of bureaucracy when 4 would have been adequate.
8. Do you agree or disagree that a National Practice Model for adults would improve outcomes?
Please select one item
Radio button:
Ticked
Agree
Radio button:
Unticked
Disagree
Please say why in the text box below
Because it is so inconsistent across areas and depending on an individual's financial situation
1c Rights to breaks from caring
9. For each of the options below, please choose which factor you consider is more important in establishing a right to breaks from caring. (Please select one option from each part. Where you see both factors as equally important, please select ‘no preference’.)
Please select one item
Radio button:
Ticked
Personalised support to meet need
Radio button:
Unticked
Standardised levels of support
Radio button:
Unticked
No preference
Please select one item
Radio button:
Ticked
Universal right for all carers
Radio button:
Unticked
Right only for those who meet qualifying thresholds
Radio button:
Unticked
No preference
Please select one item
Radio button:
Unticked
Certainty about entitlement
Radio button:
Unticked
Flexibility and responsiveness
Radio button:
Ticked
No preference
Please select one item
Radio button:
Unticked
Provides preventative support
Radio button:
Unticked
Meeting acute need
Radio button:
Ticked
No preference
10. Of the three groups, which would be your preferred approach? (Please select one option.)
Please select one item
Radio button:
Unticked
Group A - Standard entitlements
Radio button:
Unticked
Group B - Personalised entitlements
Radio button:
Ticked
Group C - Hybrid approaches
Please say why in the text box below
Because individual needs are so variable
1d Using data to support care
11. To what extent do you agree or disagree with the following statements?
| There should be a nationally-consistent, integrated and accessible electronic social care and health record. Strongly Agree Radio button: Checked Strongly Agree | There should be a nationally-consistent, integrated and accessible electronic social care and health record. Agree Radio button: Not checked Agree | There should be a nationally-consistent, integrated and accessible electronic social care and health record. Neither Agree/Disagree Radio button: Not checked Neither Agree/Disagree | There should be a nationally-consistent, integrated and accessible electronic social care and health record. Disagree Radio button: Not checked Disagree | There should be a nationally-consistent, integrated and accessible electronic social care and health record. Strongly Disagree Radio button: Not checked Strongly Disagree |
| Information about your health and care needs should be shared across the services that support you. Strongly Agree Radio button: Checked Strongly Agree | Information about your health and care needs should be shared across the services that support you. Agree Radio button: Not checked Agree | Information about your health and care needs should be shared across the services that support you. Neither Agree/Disagree Radio button: Not checked Neither Agree/Disagree | Information about your health and care needs should be shared across the services that support you. Disagree Radio button: Not checked Disagree | Information about your health and care needs should be shared across the services that support you. Strongly Disagree Radio button: Not checked Strongly Disagree |
12. Should legislation be used to require all care services and other relevant parties to provide data as specified by a National Care Service, and include the requirement to meet common data standards and definitions for that data collection?
Please select one item
Radio button:
Unticked
Yes
Radio button:
Ticked
No
Please say why in the text box below
If the individual / their guardian agrees
1e Complaints and putting things right
14. What elements would be most important in a new system for complaints about social care services? (Please select 3 options)
Please select all that apply
Checkbox:
Ticked
Charter of rights and responsibilities, so people know what they can expect
Checkbox:
Ticked
Single point of access for feedback and complaints about all parts of the system
Checkbox:
Ticked
Clear information about advocacy services and the right to a voice
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Ticked
Consistent model for handling complaints for all bodies
Checkbox:
Ticked
Addressing complaints initially with the body the complaint is about
Checkbox:
Ticked
Clear information about next steps if a complainant is not happy with the initial response
Checkbox:
Ticked
Other – please explain
Please add any comments in the text box below
Timeframe within which a person knows their complaint will be acknowledged/dealt with
15. Should a model of complaints handling be underpinned by a commissioner for community health and care?
Please select one item
Radio button:
Unticked
Yes
Radio button:
Ticked
No
Please say why in the text box below
If you have the right people in post a commissioner would not be needed.
16. Should a National Care Service use a measure of experience of those receiving care and support, their families and carers as a key outcome measure?
Please select one item
Radio button:
Ticked
Yes
Radio button:
Unticked
No
Please say why in the text box below
Always listen to individuals and their families
1f Residential Care Charges
17. Most people have to pay for the costs of where they live such as mortgage payments or rent, property maintenance, food and utility bills. To ensure fairness between those who live in residential care and those who do not, should self-funding care home residents have to contribute towards accommodation-based costs such as (please tick all that apply):
Please add any comments in the text box below
I think we need a clearer system of means testing adults requring social care/ residential care, one that is set out clearly so everyone knows what is likely to be available when they need it.
Also we need a nationalmsavings system for people to pay into to provide care for all, a bit like we pay into pensions.
There is too much difference dependent on what care is available in different areas and receiving different advice about their rights etc
Also we need a nationalmsavings system for people to pay into to provide care for all, a bit like we pay into pensions.
There is too much difference dependent on what care is available in different areas and receiving different advice about their rights etc
Chapter 2: National Care Service
20. Do you agree that Scottish Ministers should be accountable for the delivery of social care, through a National Care Service?
Please select one item
Radio button:
Ticked
Yes
Radio button:
Unticked
No, current arrangements should stay in place
Radio button:
Unticked
No, another approach should be taken (please give details)
Please add any comments in the text box below
They have to know what is going on and, therefore, be accountable
3a Children’s services
25. Do you think that locating children’s social work services within the National Care Service will improve alignment with community child health services including primary care, and paediatric health services?
Please select one item
Radio button:
Ticked
Yes
Radio button:
Unticked
No
Please say why in the text box below
It has to, it's so needed.
26. Do you think there are any risks in including children’s services in the National Care Service?
Please select one item
Radio button:
Ticked
Yes
Radio button:
Unticked
No
Please add any comments in the text box below
Even more bureaucracy preventing face to face work with children and families
3c Social Work and Social Care
32. What do you see as the main benefits in having social work planning, assessment, commissioning and accountability located within the National Care Service? (Please tick all that apply)
Please select all that apply
Checkbox:
Unticked
Better outcomes for service users and their families
Checkbox:
Unticked
More consistent delivery of services
Checkbox:
Unticked
Stronger leadership
Checkbox:
Unticked
More effective use of resources to carry out statutory duties
Checkbox:
Unticked
More effective use of resources to carry out therapeutic interventions and preventative services
Checkbox:
Unticked
Access to learning and development and career progression
Checkbox:
Ticked
Other benefits or opportunities, please explain below
Please add any comments in the text box below
I hope it brings out all these addvvaaantages. My experence of social work uu is that the leadership is very poor and there is a lack of consistency in practice.
33. Do you see any risks in having social work planning, assessment, commissioning and accountability located within the National Care Service?
Please add any comments in the text box below
Increase in bureaucracy.
Too man bosses and not enoough social workers in face to face relationships with children and their families.
Too man bosses and not enoough social workers in face to face relationships with children and their families.
3i National Social Work Agency
54. What benefits do you think there would be in establishing a National Social Work Agency? (Tick all that apply)
Please select all that apply
Checkbox:
Unticked
Raising the status of social work
Checkbox:
Unticked
Improving training and continuous professional development
Checkbox:
Ticked
Supporting workforce planning
Checkbox:
Ticked
Other – please explain
Please add any comments in the text box below
The mostimportant tasks are:
to have more social workers practising consistently, not left to make decisions on their own
Good leadership, which is currently lacking
Partnership working with healthand education etc, for example for children and families multi agency hubs are needed
to have more social workers practising consistently, not left to make decisions on their own
Good leadership, which is currently lacking
Partnership working with healthand education etc, for example for children and families multi agency hubs are needed
55. Do you think there would be any risks in establishing a National Social Work Agency?
Please add any comments in the text box below
Risk of more bureaucracy.there is a social work phrase ' feeding the machine' because every phone call and home visit requires longer to write the paperwork than it did to see the families.
Risk of managersgetting away with not being accountable.
Risk of managers getting leadership qualifications but still not being good leaders.
Iwould really like to see a lot more social workers posts. There is so much burn out in the profession.
Risk of managersgetting away with not being accountable.
Risk of managers getting leadership qualifications but still not being good leaders.
Iwould really like to see a lot more social workers posts. There is so much burn out in the profession.
57. Which of the following do you think that a National Social Work Agency should have a role in leading on? (Tick all that apply)
Please select all that apply
Checkbox:
Unticked
Social work education, including practice learning
Checkbox:
Unticked
National framework for learning and professional development, including advanced practice
Checkbox:
Unticked
Setting a national approach to terms and conditions, including pay
Checkbox:
Unticked
Workforce planning
Checkbox:
Unticked
Social work improvement
Checkbox:
Unticked
A centre of excellence for applied research for social work
Checkbox:
Ticked
Other – please explain
Please add any comments in the text box below
I initially started ticking these boxes because i want improvement in these areas. Then I thought is the National SW Agencygoing to be another organisation like SSSC that has become too big and irrelevant.
6d Enhanced powers for regulating care workers and professional standards
83. Would the regulator’s role be improved by strengthening the codes of practice to compel employers to adhere to the codes of practice, and to implement sanctions resulting from fitness to practise hearings?
Please add any comments in the text box below
Probablynot. We have codes of practice and procedures for discipline via the SSSC. Sadly we know of a few workers who have been able to resign and work elsewhere due to managers and organisations not following procedures. Managers need to be much better at managing, if that doesnt sound obvious.
84. Do you agree that stakeholders should legally be required to provide information to the regulator to support their fitness to practise investigations?
Please add any comments in the text box below
Yes
85. How could regulatory bodies work better together to share information and work jointly to raise standards in services and the workforce?
Please add any comments in the text box below
Don't have so many regulatory bodies.
There is a growing trend in social care to leaveadults with a learning dusability on their own through the night to save money. Workers report it to the Care Inspectorate, the media report it, we as workers advocate for individuals.
But theyare still left on their own at night.
So make sure any regulatory body is actually doing their job.
There is a growing trend in social care to leaveadults with a learning dusability on their own through the night to save money. Workers report it to the Care Inspectorate, the media report it, we as workers advocate for individuals.
But theyare still left on their own at night.
So make sure any regulatory body is actually doing their job.
7a Fair Work
87. Do you think a ‘Fair Work Accreditation Scheme” would encourage providers to improve social care workforce terms and conditions?
Please select one item
Radio button:
Ticked
Yes
Radio button:
Unticked
No
Please say why in the text box below
There is too much difference between organisations,from rotas being done , pay rates, contracted hours, how safe it is to work 2 to 3 days without a break, workers feeling they have to workextra shifts just to make a living, etc.
88. What do you think would make social care workers feel more valued in their role? (Please rank as many as you want of the following in order of importance, e.g. 1, 2, 3…)
Please rank these from 1 to 14
Improved pay
1
Improved terms and conditions, including issues such as improvements to sick pay, annual leave, maternity/paternity pay, pensions, and development/learning time
Removal of zero hour contracts where these are not desired
More publicity/visibility about the value social care workers add to society
Effective voice/collective bargaining
Better access to training and development opportunities
Increased awareness of, and opportunity to, complete formal accreditation and qualifications
Clearer information on options for career progression
Consistent job roles and expectations
Progression linked to training and development
Better access to information about matters that affect the workforce or people who access support
Minimum entry level qualifications
Registration of the personal assistant workforce
Other (please say below what these could be)
2
Please explain suggestions for the "Other" option in the text box below
Rotas planned ahead so workers can plan for a healthy work life balance.
Organisationsnot to agree to support individuals when they know they have a staff shortage.
Organisationsnot to agree to support individuals when they know they have a staff shortage.
89. How could additional responsibility at senior/managerial levels be better recognised? (Please rank the following in order of importance, e.g. 1, 2, 3…):
Please rank these from 1 to 5
Improved pay
Improved terms and conditions
Improving access to training and development opportunities to support people in this role (for example time, to complete these)
Increasing awareness of, and opportunity to complete formal accreditation and qualifications to support people in this role
Other (please explain)
1
Please explain suggestions for the "Other" option in the text box below
Quality assure their posts as they are often unsupervised
90. Should the National Care Service establish a national forum with workforce representation, employers, Community Health and Social Care Boards to advise it on workforce priorities, terms and conditions and collective bargaining?
Please select one item
Radio button:
Ticked
Yes
Radio button:
Unticked
No
Please say why or offer suggestions in the text box below
To give workers a united voicesnd try to increase their pay which might attract more people to the job
7b Workforce planning
91. What would make it easier to plan for workforce across the social care sector? (Please tick all that apply.)
Please add any comments in the text box below
Better pay and conditions
7c Training and development
92. Do you agree that the National Care Service should set training and development requirements for the social care workforce?
Please select one item
Radio button:
Ticked
Yes
Radio button:
Unticked
No
Please say why in the text box below
Yes but you have to be mindfulof staff who are excellent at their job and do not have good literacy skills so further training can be intimidating for them
93. Do you agree that the National Care Service should be able to provide and/or secure the provision of training and development for the social care workforce?
Please select one item
Radio button:
Ticked
Yes
Radio button:
Unticked
No
About you
What is your name?
Name
Clare Arron
Are you responding as an individual or an organisation?
Please select one item
(Required)
Radio button:
Ticked
Individual
Radio button:
Unticked
Organisation