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
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Better co-ordination of work across different improvement organisations.
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Effective sharing of learning across Scotland.
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Intelligence from regulatory work fed back into a cycle of continuous improvement.
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More consistent outcomes for people accessing care and support across Scotland.
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Other – please explain below
Please add any comments in the text box below
Important not to have an umbrella term for health and social care, each unique service must be recognized in improvement framework
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
Not recognizing uniqueness of services. Health and social care is a broad sector.
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: 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: Not 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: 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: Not 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: Not checked Unlikely | Speaking to someone at another public sector organisation, e.g. Social Security Scotland Neither likely nor unlikely Radio button: 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: Not checked Neither likely nor unlikely | Using a website or online form that can be used by anyone in Scotland. Likely Radio button: 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: Not checked Neither likely nor unlikely | Through a national helpline that I can contact 7 days a week. Likely Radio button: 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
Too many methods of contacting involve long waits for feedback/ decisions or passing the buck to someone else
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:
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Strongly Agree
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Agree
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Neither Agree/Disagree
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Disagree
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Strongly Disagree
Please select one item
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Strongly Agree
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Agree
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Neither Agree/Disagree
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Disagree
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Strongly Disagree
Please select one item
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Strongly Agree
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Agree
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Neither Agree/Disagree
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Disagree
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Strongly Disagree
Please select one item
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Strongly Agree
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Agree
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Neither Agree/Disagree
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Disagree
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Strongly Disagree
Please select one item
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Strongly Agree
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Agree
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Neither Agree/Disagree
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Disagree
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Strongly Disagree
Please select one item
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Strongly Agree
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Agree
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Neither Agree/Disagree
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Disagree
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Strongly Disagree
Please select one item
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Strongly Agree
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Agree
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Neither Agree/Disagree
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Disagree
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Strongly Disagree
Please select one item
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Strongly Agree
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Agree
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Neither Agree/Disagree
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Disagree
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Strongly Disagree
Please add any comments in the text box below
Detailed conversations should commence from the start to prevent duplicating information and ensure speed of progress if more care is needed.
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
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Agree
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Disagree
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
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Agree
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Disagree
Please say why in the text box below
Important to get the right information to enable good decision making though. Presently some assessments are better than others.
8. Do you agree or disagree that a National Practice Model for adults would improve outcomes?
Please select one item
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Agree
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Disagree
Please say why in the text box below
The model is only as good as though who use it and the services made available from its use.
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
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Personalised support to meet need
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Standardised levels of support
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No preference
Please select one item
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Universal right for all carers
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Right only for those who meet qualifying thresholds
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No preference
Please select one item
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Certainty about entitlement
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Flexibility and responsiveness
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No preference
Please select one item
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Provides preventative support
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Meeting acute need
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No preference
10. Of the three groups, which would be your preferred approach? (Please select one option.)
Please select one item
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Group A - Standard entitlements
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Group B - Personalised entitlements
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Group C - Hybrid approaches
Please say why in the text box below
Everyone should have the same entitlement but that entitlement must be flexible and must be able to adapt to crisis.
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: Not checked Strongly Agree | There should be a nationally-consistent, integrated and accessible electronic social care and health record. Agree Radio button: 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: Not checked Strongly Agree | Information about your health and care needs should be shared across the services that support you. Agree Radio button: 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
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Yes
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No
Please say why in the text box below
There must be acknowledgement of duplication of data which currently exists and time pressure/ technological pressure on services in providing data.
13. Are there alternative approaches that would address current gaps in social care data and information, and ensure a consistent approach for the flow of data and information across the National Care Service?
Please add any comments in the text box below
Sharing of existing data, fine tuning this to ensure all required data is captured. Eg Care Inspectorate census and annual returns.
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
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Charter of rights and responsibilities, so people know what they can expect
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Single point of access for feedback and complaints about all parts of the system
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Clear information about advocacy services and the right to a voice
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Consistent model for handling complaints for all bodies
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Addressing complaints initially with the body the complaint is about
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Clear information about next steps if a complainant is not happy with the initial response
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Other – please explain
Please add any comments in the text box below
Services must also be protected from malicious complaints and the recording of these as 'complaints' on national data.
15. Should a model of complaints handling be underpinned by a commissioner for community health and care?
Please select one item
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Yes
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No
Please say why in the text box below
But this should only be used when all other avenues are exhausted.
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
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Yes
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No
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 select all that apply
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Rent
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Maintenance
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Furnishings
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Utilities
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Food costs
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Food preparation
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Equipment
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Leisure and entertainment
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Transport
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Laundry
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Cleaning
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Other – what would that be
Please add any comments in the text box below
I don't think anyone expects to live for free but there is a chasm between those who self fund and those who are assisted with funding. Nobody should know the difference. People have a right to care and hard earned money from a lifetime of work should be protected.
18. Free personal and nursing care payments for self-funders are paid directly to the care provider on their behalf. What would be the impact of increasing personal and nursing care payments to National Care Home Contract rates on:
Please add any comments in the text box below
Less money would be paid by the person/ their family.
Please add any comments in the text box below
More money available to improve care by providing more training and staff. More money to provide better facilities which meet the outcomes of individuals.
19. Should we consider revising the current means testing arrangements?
Please select one item
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Yes
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No
Please add any comments in the text box below
Means testing for care is unfair. We do not means test health care so why social care when ageing is inevitable.
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
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Yes
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No, current arrangements should stay in place
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No, another approach should be taken (please give details)
3b Healthcare
27. Do you agree that the National Care Service and at a local level, Community Health and Social Care Boards should commission, procure and manage community health care services which are currently delegated to Integration Joint Boards and provided through Health Boards?
Please select one item
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Yes
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No
Please say why in the text box below
Take away the postcode lottery
28. If the National Care Service and Community Health and Social Care Boards take responsibility for planning, commissioning and procurement of community health services, how could they support better integration with hospital-based care services?
Please say why in the text box below
Share information, share opportunities for staff. This will show respect for each other and reduce inappropriate care decisions.
29. What would be the benefits of Community Health and Social Care Boards managing GPs’ contractual arrangements? (Please tick all that apply)
Please select all that apply
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Better integration of health and social care
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Better outcomes for people using health and care services
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Clearer leadership and accountability arrangements
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Improved multidisciplinary team working
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Improved professional and clinical care governance arrangements
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Other (please explain below)
30. What would be the risks of Community Health and Social Care Boards managing GPs’ contractual arrangements? (Please tick all that apply)
Please select all that apply
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Fragmentation of health services
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Poorer outcomes for people using health and care services
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Unclear leadership and accountability arrangements
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Poorer professional and clinical care governance arrangements
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Other (please explain below)
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
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Better outcomes for service users and their families
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More consistent delivery of services
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Stronger leadership
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More effective use of resources to carry out statutory duties
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More effective use of resources to carry out therapeutic interventions and preventative services
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Access to learning and development and career progression
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Other benefits or opportunities, please explain below
3d Nursing
34. Should Executive Directors of Nursing have a leadership role for assuring that the safety and quality of care provided in social care is consistent and to the appropriate standard? Please select one.
Please select one item
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Yes
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No
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Yes, but only in care homes
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Yes, in adult care homes and care at home
Please say why in the text box below
Executive Directors of Nursing overseeing social care MUST have experience in the sector.
35. Should the National Care Service be responsible for overseeing and ensuring consistency of access to education and professional development of social care nursing staff, standards of care and governance of nursing? Please select one.
Please select one item
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Yes
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No, it should be the responsibility of the NHS
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No, it should be the responsibility of the care provider
Please say why in the text box below
There should be a level of access to education which is open to all and expected of all regardless of who employs someone. Skilled nursing staff assist health care.
36. If Community Health and Social Care Boards are created to include community health care, should Executive Nurse Directors have a role within the Community Health and Social Care Boards with accountability to the National Care Service for health and social care nursing?
Please select one item
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Ticked
Yes
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No
Please add any comments in the text box below
Once again, at all levels, executive nurse directors MUST have experience of social care.
3h Mental Health services
52. What elements of mental health care should be delivered from within a National Care Service? (Tick all that apply)
Please select all that apply
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Primary mental health services,
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Child and Adolescent Mental Health Services,
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Community mental health teams,
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Crisis services,
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Mental health officers
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Mental health link workers
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Other – please explain
Please add any comments in the text box below
All elements of people living in the community requiring access to mental health services should be delivered.
53. How should we ensure that whatever mental health care elements are in a National Care Service link effectively to other services e.g. NHS services?
Please add any comments in the text box below
Share information. Professionals in either sector should be able to access information from the other.
6a Core principles for regulation and scrutiny
73. Is there anything you would add to these core principles?
Please add any comments in the text box below
Scrutiny and assurance should aim to reduce inequality - stop comparing one service to another. Some services have a lot more money to play with and this is unfair. Look at quality of life for the service users, their experience and that of the staff are most important to identify strengths and weaknesses not how old a sofa is!
6b Strengthening regulation and scrutiny of care services
76. Do you agree with the proposals outlined above for additional powers for the regulator in respect of condition notices, improvement notices and cancellation of social care services?
Please select one item
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Yes
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No
Please say why in the text box below
Where powers are enacted there should be an opportunity for regrading as soon as possible. There should also be independent inspection to ensure accuracy of report. For too long one Care Inspector's opinion can be totally different to another in the same service. This is dangerous practice.
77. Are there any additional enforcement powers that the regulator requires to effectively enforce standards in social care?
Please add any comments in the text box below
Ensure inspectors have knowledge of social care and ideally experience of working in social care. The pandemic has shown that being inspected by parties with only NHS experience leads to consistent downgrading which is unwarranted.
6c Market oversight function
78. Do you agree that the regulator should develop a market oversight function?
Please select one item
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Yes
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No
79. Should a market oversight function apply only to large providers of care, or to all?
Please select all that apply
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Large providers only
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All providers
80. Should social care service providers have a legal duty to provide certain information to the regulator to support the market oversight function?
Please select one item
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Yes
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No
81. If the regulator were to have a market oversight function, should it have formal enforcement powers associated with this?
Please select one item
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Yes
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No
82. Should the regulator be empowered to inspect providers of social care as a whole, as well as specific social care services?
Please select one item
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Yes
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No
Please say why in the text box below
Providers can have a variety of services managed very differently.
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
Employers do this already.
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
86. What other groups of care worker should be considered to register with the regulator to widen the public protection of vulnerable groups?
Please add any comments in the text box below
Day care services, activity staff
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
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Yes
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No
Please say why in the text box below
Many employers cannot improve terms and conditions as they do not have the financial ability to do so.
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
3
Improved terms and conditions, including issues such as improvements to sick pay, annual leave, maternity/paternity pay, pensions, and development/learning time
2
Removal of zero hour contracts where these are not desired
5
More publicity/visibility about the value social care workers add to society
1
Effective voice/collective bargaining
13
Better access to training and development opportunities
4
Increased awareness of, and opportunity to, complete formal accreditation and qualifications
6
Clearer information on options for career progression
8
Consistent job roles and expectations
9
Progression linked to training and development
7
Better access to information about matters that affect the workforce or people who access support
12
Minimum entry level qualifications
11
Registration of the personal assistant workforce
10
Other (please say below what these could be)
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
2
Improved terms and conditions
1
Improving access to training and development opportunities to support people in this role (for example time, to complete these)
3
Increasing awareness of, and opportunity to complete formal accreditation and qualifications to support people in this role
4
Other (please explain)
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
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Yes
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No
Please say why or offer suggestions in the text box below
I do not think this would be beneficial due to the vast differences in services and their ability to change practice. This should be a voluntary and outside view.
7b Workforce planning
91. What would make it easier to plan for workforce across the social care sector? (Please tick all that apply.)
Please select all that apply
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A national approach to workforce planning
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Consistent use of an agreed workforce planning methodology
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An agreed national data set
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National workforce planning tool(s)
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A national workforce planning framework
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Development and introduction of specific workforce planning capacity
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Workforce planning skills development for relevant staff in social care
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Something else (please explain below)
Please add any comments in the text box below
There is no formal recognized tool used to identify the number of staff required in social care. This tool must take into consideration the dependency of service users but also the environment they are being cared for in.
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
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Ticked
Yes
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No
Please say why in the text box below
But there must be equity in access to this training both academically and financially.
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
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Yes
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No
About you
Are you responding as an individual or an organisation?
Please select one item
(Required)
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Individual
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Ticked
Organisation
What is your organisation?
Organisation
Rashielee Care Home