Response 411234573

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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: Unticked 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

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: 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: Not 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: 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: Not 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: Checked Unlikely Contacting my local authority by email or through their website. Neither likely nor unlikely Radio button: Not 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

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.
3
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.
1

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: Unticked Strongly Agree
Radio button: Unticked Agree
Radio button: Ticked 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

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
individuals should be at the centre of their needs and support requirements and have control on what is happening in their lives

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
too many care plans from different organisations from statutory to third sector cause confusion for the individual their needs to be a coherent plan that all services can work with to deliver a wrap around service to the individual.

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
it would put the individual at the centre of what they desire

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: Ticked Flexibility and responsiveness
Radio button: Unticked No preference
Please select one item
Radio button: Ticked Provides preventative support
Radio button: Unticked Meeting acute need
Radio button: Unticked 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: Ticked Group B - Personalised entitlements
Radio button: Unticked Group C - Hybrid approaches
Please say why in the text box below
it has to centred on the individuals needs

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: Ticked Yes
Radio button: Unticked No
Please say why in the text box below
it would make sense to have standardised data and definitions for collection

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
we have to use alternative methods for local authority, Care Inspectorate, NHS and Scottish Government at the moment which is time consuming, unhelpful and extremely costly for providers, everyone wants the same information but collected differently!

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
Checkbox: Unticked Consistent model for handling complaints for all bodies
Checkbox: Unticked Addressing complaints initially with the body the complaint is about
Checkbox: Unticked Clear information about next steps if a complainant is not happy with the initial response
Checkbox: Unticked Other – please explain
Please add any comments in the text box below
i feel at present that statutory bodies are poor at dealing with complaints, however the Third Sector are well scrutinised.

15. Should a model of complaints handling be underpinned by a commissioner for community health and care?

Please select one item
Radio button: Ticked Yes
Radio button: Unticked No
Please say why in the text box below
it would make sense

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
it has to be designed around the people who receive this service and their carers

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
Checkbox: Ticked Rent
Checkbox: Unticked Maintenance
Checkbox: Unticked Furnishings
Checkbox: Ticked Utilities
Checkbox: Ticked Food costs
Checkbox: Ticked Food preparation
Checkbox: Unticked Equipment
Checkbox: Ticked Leisure and entertainment
Checkbox: Ticked Transport
Checkbox: Ticked Laundry
Checkbox: Ticked Cleaning
Checkbox: Unticked Other – what would that be
Please add any comments in the text box below
yes i think that self funders should pay towards these costs

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
not sure
Please add any comments in the text box below
ease pressures on their finances
Please add any comments in the text box below
as above

19. Should we consider revising the current means testing arrangements?

Please select one item
Radio button: Ticked Yes
Radio button: Unticked No
Please add any comments in the text box below
I think the capital limits could be lowered

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: Unticked Yes
Radio button: Unticked No, current arrangements should stay in place
Radio button: Ticked No, another approach should be taken (please give details)
Please add any comments in the text box below
As we have 32 local authorities the Gov should issue guidance on the National care service with local authorities submitting plans on how they intend to deliver this

3a Children’s services

23. Should the National Care Service include both adults and children’s social work and social care services?

Please select one item
Radio button: Ticked Yes
Radio button: Unticked No

24. Do you think that locating children’s social work and social care services within the National Care Service will reduce complexity for children and their families in accessing services?

Please select one item
Radio button: Ticked Yes
Radio button: Unticked No
Please select one item
Radio button: Ticked Yes
Radio button: Unticked No
Please select one item
Radio button: Ticked Yes
Radio button: Unticked No

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

26. Do you think there are any risks in including children’s services in the National Care Service?

Please select one item
Radio button: Unticked Yes
Radio button: Ticked No

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
Radio button: Unticked Yes
Radio button: Ticked No
Please say why in the text box below
i do not believe that IJB etc. are capable of delivering a national care service as they struggle with their remit as it is now.

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
they need involve the third sector as a partner in managing current services

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
Checkbox: Ticked Better integration of health and social care
Checkbox: Ticked Better outcomes for people using health and care services
Checkbox: Ticked Clearer leadership and accountability arrangements
Checkbox: Ticked Improved multidisciplinary team working
Checkbox: Ticked Improved professional and clinical care governance arrangements
Checkbox: Unticked Other (please explain below)
Please add any comments in the text box below
we need to work as multi disciplinary teams and not in silos

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
Checkbox: Ticked Fragmentation of health services
Checkbox: Ticked Poorer outcomes for people using health and care services
Checkbox: Ticked Unclear leadership and accountability arrangements
Checkbox: Ticked Poorer professional and clinical care governance arrangements
Checkbox: Unticked Other (please explain below)
Please add any comments in the text box below
this is exactly what is happening now

31. Are there any other ways of managing community health services that would provide better integration with social care?

Please add any comments in the text box below
involve the Third sector with decision making powers

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: Ticked Better outcomes for service users and their families
Checkbox: Ticked More consistent delivery of services
Checkbox: Ticked Stronger leadership
Checkbox: Ticked More effective use of resources to carry out statutory duties
Checkbox: Ticked More effective use of resources to carry out therapeutic interventions and preventative services
Checkbox: Ticked Access to learning and development and career progression
Checkbox: Unticked Other benefits or opportunities, please explain below
Please add any comments in the text box below
its fragmented at the moment service users and their carers are at the bottom of a list at the moment

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
i think it may improve services

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
Radio button: Unticked Yes
Radio button: Unticked No
Radio button: Unticked Yes, but only in care homes
Radio button: Ticked Yes, in adult care homes and care at home

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
Radio button: Ticked Yes
Radio button: Unticked No, it should be the responsibility of the NHS
Radio button: Unticked No, it should be the responsibility of the care provider
Please say why in the text box below
it is difficult and costly to access training currently

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
Radio button: Ticked Yes
Radio button: Unticked No

3e Justice Social Work

37. Do you think justice social work services should become part of the National Care Service (along with social work more broadly)?

Please select one item
Radio button: Ticked Yes
Radio button: Unticked No
Please say why in the text box below
having worked in the CJ system it would be beneficial to become part of the national care service as many offenders have care needs that are not being met especaily those in prison

38. If yes, should this happen at the same time as all other social work services or should justice social work be incorporated into the National Care Service at a later stage?

Please select one item
Radio button: Unticked At the same time
Radio button: Ticked At a later stage
Please say why in the text box below
it would need careful consideration as this would need to involve the judiciary and police

39. What opportunities and benefits do you think could come from justice social work being part of the National Care Service? (Tick all that apply)

Please select all that apply
Checkbox: Ticked More consistent delivery of justice social work services
Checkbox: Unticked Stronger leadership of justice social work
Checkbox: Ticked Better outcomes for service users
Checkbox: Ticked More efficient use of resources
Checkbox: Ticked Other opportunities or benefits - please explain
Please add any comments in the text box below
it would certainly support prisoners who have care needs

40. What risks or challenges do you think could come from justice social work being part of the National Care Service? (Tick all that apply)

Please add any comments in the text box below
i only see positive outcomes for all

41. Do you think any of the following alternative reforms should be explored to improve the delivery of community justice services in Scotland? (Tick all that apply)

Please select all that apply
Checkbox: Unticked Maintaining the current structure (with local authorities having responsibility for delivery of community justice services) but improving the availability and consistency of services across
Checkbox: Unticked Scotland
Checkbox: Unticked Establishing a national justice social work service/agency with responsibility for delivery of community justice services
Checkbox: Unticked Adopting a hybrid model comprising a national justice social work service with regional/local offices having some delegated responsibility for delivery
Checkbox: Unticked Retaining local authority responsibility for the delivery of community justice services, but establishing a body under local authority control to ensure consistency of approach and availability across Scotland
Checkbox: Ticked Establishing a national body that focuses on prevention of offending (including through exploring the adoption of a public health approach)
Checkbox: Unticked No reforms at all
Checkbox: Unticked Another reform – please explain

42. Should community justice partnerships be aligned under Community Health and Social Care Boards (as reformed by the National Care Service) on a consistent basis?

Please select one item
Radio button: Unticked Yes
Radio button: Ticked No
Please say why in the text box below
i would worry that health and social care boards would concentrate on health matters and the justice services would lose out

3f Prisons

43. Do you think that giving the National Care Service responsibility for social care services in prisons would improve outcomes for people in custody and those being released?

Please select one item
Radio button: Ticked Yes
Radio button: Unticked No

44. Do you think that access to care and support in prisons should focus on an outcomes-based model as we propose for people in the community, while taking account of the complexities of providing support in prison?

Please select one item
Radio button: Ticked Yes
Radio button: Unticked No

3g Alcohol and Drugs Services

45. What are the benefits of planning services through Alcohol and Drug Partnerships? (Tick all that apply)

Please select all that apply
Checkbox: Unticked Better co-ordination of Alcohol and Drug services
Checkbox: Unticked Stronger leadership of Alcohol and Drug services
Checkbox: Ticked Better outcomes for service users
Checkbox: Ticked More efficient use of resources
Checkbox: Unticked Other opportunities or benefits - please explain

46. What are the drawbacks of Alcohol and Drug Partnerships? (Tick all that apply)

Please select all that apply
Checkbox: Ticked Confused leadership and accountability
Checkbox: Unticked Poor outcomes for service users
Checkbox: Unticked Less efficient use of resources
Checkbox: Unticked Other drawbacks - please explain

47. Should the responsibilities of Alcohol and Drug Partnerships be integrated into the work of Community Health and Social Care Boards?

Please select one item
Radio button: Unticked Yes
Radio button: Ticked No
Please say why in the text box below
not sure whether this would be beneficial

48. Are there other ways that Alcohol and Drug services could be managed to provide better outcomes for people?

Please add any comments in the text box below
legalise the use of drugs and educate children on the use of drugs and their effects

49. Could residential rehabilitation services be better delivered through national commissioning?

Please select one item
Radio button: Ticked Yes
Radio button: Unticked No

51. Are there other ways that alcohol and drug services could be planned and delivered to ensure that the rights of people with problematic substance use (alcohol or drugs) to access treatment, care and support are effectively implemented in services?

Please add any comments in the text box below
i think more work could be done in prisons and as part of sentencing offenders are offered reduced sentences if they agree to rehabilitation in custody which needs to be effectively monitored

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
Checkbox: Ticked Primary mental health services,
Checkbox: Ticked Child and Adolescent Mental Health Services,
Checkbox: Ticked Community mental health teams,
Checkbox: Ticked Crisis services,
Checkbox: Unticked Mental health officers
Checkbox: Ticked Mental health link workers
Checkbox: Unticked Other – please explain

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
this needs to be included in their strategic plans and agreed by ministers

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: Ticked Raising the status of social work
Checkbox: Ticked Improving training and continuous professional development
Checkbox: Ticked Supporting workforce planning
Checkbox: Unticked Other – please explain

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
local accountability

56. Do you think a National Social Work Agency should be part of the National Care Service?

Please select one item
Radio button: Ticked Yes
Radio button: Unticked No

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: Ticked Social work education, including practice learning
Checkbox: Ticked National framework for learning and professional development, including advanced practice
Checkbox: Ticked Setting a national approach to terms and conditions, including pay
Checkbox: Ticked Workforce planning
Checkbox: Ticked Social work improvement
Checkbox: Ticked A centre of excellence for applied research for social work
Checkbox: Unticked Other – please explain

Chapter 4: Reformed Integration Joint Boards: Community Health and Social Care Boards

58. “One model of integration… should be used throughout the country.” (Independent Review of Adult Social Care, p43). Do you agree that the Community Health and Social Care Boards should be the sole model for local delivery of community health and social care in Scotland?

Please select one item
Radio button: Ticked Yes
Radio button: Unticked No
Please say why in the text box below
at the moment our IJB struggle to communicate with service users and their carers

59. Do you agree that the Community Health and Social Care Boards should be aligned with local authority boundaries unless agreed otherwise at local level?

Please select one item
Radio button: Unticked Yes
Radio button: Ticked No

60. What (if any) alternative alignments could improve things for service users?

Please add any comments in the text box below
could aline with the 8 NHS boards

63. “Every member of the Integration Joint Board should have a vote” (Independent Review of Adult Social Care, p52). Should all Community Health and Social Care Boards members have voting rights?

Please select one item
Radio button: Ticked Yes
Radio button: Unticked No

65. “[Integration Joint Boards] should employ Chief Officers and relevant other staff.” (Independent Review of Adult Social Care, p53). Currently, the Integration Joint Boards’ chief officers, and the staff who plan and commission services, are all employed either by the local authority or Health Board. The Independent Review of Adult Social Care proposes that these staff should be employed by the Community Health and Social Care Boards, and the chief executive should report directly to the chief executive of the National Care Service. Should Community Health and Social Care Boards employ Chief Officers and their strategic planning staff directly?

Please select one item
Radio button: Ticked Yes
Radio button: Unticked No

Chapter 5: Commissioning of services

67. Do you agree that the National Care Service should be responsible for the development of a Structure of Standards and Processes?

Please select one item
Radio button: Ticked Yes
Radio button: Unticked No

68. Do you think this Structure of Standards and Processes will help to provide services that support people to meet their individual outcomes?

Please select one item
Radio button: Ticked Yes
Radio button: Unticked No

69. Do you think this Structure of Standards and Processes will contribute to better outcomes for social care staff?

Please select one item
Radio button: Ticked Yes
Radio button: Unticked No

71. Do you agree that the National Care Service should be responsible for market research and analysis?

Please select one item
Radio button: Ticked Yes
Radio button: Unticked No

72. Do you agree that there will be direct benefits for people in moving the complex and specialist services as set out to national contracts managed by the National Care Service?

Please select one item
Radio button: Ticked Yes
Radio button: Unticked No

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
Radio button: Ticked Yes
Radio button: Unticked No

6c Market oversight function

78. Do you agree that the regulator should develop a market oversight function?

Please select one item
Radio button: Ticked Yes
Radio button: Unticked No

79. Should a market oversight function apply only to large providers of care, or to all?

Please select all that apply
Checkbox: Unticked Large providers only
Checkbox: Ticked 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
Radio button: Ticked Yes
Radio button: Unticked 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
Radio button: Ticked Yes
Radio button: Unticked 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
Radio button: Ticked Yes
Radio button: Unticked No

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

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
4
Improved terms and conditions, including issues such as improvements to sick pay, annual leave, maternity/paternity pay, pensions, and development/learning time
1
Removal of zero hour contracts where these are not desired
2
More publicity/visibility about the value social care workers add to society
14
Effective voice/collective bargaining
9
Better access to training and development opportunities
3
Increased awareness of, and opportunity to, complete formal accreditation and qualifications
5
Clearer information on options for career progression
6
Consistent job roles and expectations
7
Progression linked to training and development
8
Better access to information about matters that affect the workforce or people who access support
13
Minimum entry level qualifications
12
Registration of the personal assistant workforce
11
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
3
Improved terms and conditions
4
Improving access to training and development opportunities to support people in this role (for example time, to complete these)
1
Increasing awareness of, and opportunity to complete formal accreditation and qualifications to support people in this role
2
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
Radio button: Ticked Yes
Radio button: Unticked No

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
Checkbox: Ticked A national approach to workforce planning
Checkbox: Ticked Consistent use of an agreed workforce planning methodology
Checkbox: Ticked An agreed national data set
Checkbox: Ticked National workforce planning tool(s)
Checkbox: Ticked A national workforce planning framework
Checkbox: Ticked Development and introduction of specific workforce planning capacity
Checkbox: Ticked Workforce planning skills development for relevant staff in social care
Checkbox: Unticked Something else (please explain below)

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

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

7d Personal Assistants

94. Do you agree that all personal assistants should be required to register centrally moving forward?

Please select one item
Radio button: Ticked Yes
Radio button: Unticked No

95. What types of additional support might be helpful to personal assistants and people considering employing personal assistants? (Please tick all that apply)

Please select all that apply
Checkbox: Ticked National minimum employment standards for the personal assistant employer
Checkbox: Ticked Promotion of the profession of social care personal assistants
Checkbox: Ticked Regional networks of banks matching personal assistants and available work.
Checkbox: Ticked Career progression pathway for personal assistants
Checkbox: Ticked Recognition of the personal assistant profession as part of the social care workforce and for their voice to be part of any eventual national forum to advise the National Care Service on workforce priorities
Checkbox: Ticked A free national self-directed support advice helpline
Checkbox: Ticked The provision of resilient payroll services to support the personal assistant’s employer as part of their Self-directed Support Option 1 package.
Checkbox: Unticked Other (please explain)

96. Should personal assistants be able to access a range of training and development opportunities of which a minimum level would be mandatory ?

Please select one item
Radio button: Ticked Yes
Radio button: Unticked No

About you

What is your name?

Name
Michael Turner

Are you responding as an individual or an organisation?

Please select one item
(Required)
Radio button: Ticked Individual
Radio button: Unticked Organisation

What is your organisation?

Organisation
Crossroads Annandale & Eskdale