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:
Ticked
Effective sharing of learning across Scotland.
Checkbox:
Ticked
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
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
That it becomes another massive cost to the taxpayer.
The ability to implement improvements and reputational impact at non delivery
The ability to implement improvements and reputational impact at non delivery
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: Not checked Likely | Speaking to my GP or another health professional. Very likely Radio button: 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: 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: Not checked Likely | Through a contact centre run by my local authority, either in person or over the phone. Very likely Radio button: 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: 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: 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: Not checked Likely | Using a website or online form that can be used by anyone in Scotland. Very likely Radio button: 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: Not checked Likely | Through a national helpline that I can contact 7 days a week. Very likely Radio button: 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:
Unticked
Strongly Agree
Radio button:
Ticked
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:
Ticked
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
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
Cuts out ambiguity and makes the message clear for all to read and 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
This would provide consistency of support and be very clear to everyone involved.
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 sounds as if there would be more accountability and that can only help the 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:
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
Care and support is very complex and no 2 people are the same. A standard entitlement may not meet the needs of some.
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
For consistency in support and a full understanding of an individuals needs and circumstances
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:
Unticked
Clear information about advocacy services and the right to a voice
Checkbox:
Ticked
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
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
Should be handled by an independent body
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:
Ticked
Maintenance
Checkbox:
Ticked
Furnishings
Checkbox:
Ticked
Utilities
Checkbox:
Ticked
Food costs
Checkbox:
Ticked
Food preparation
Checkbox:
Unticked
Equipment
Checkbox:
Unticked
Leisure and entertainment
Checkbox:
Unticked
Transport
Checkbox:
Ticked
Laundry
Checkbox:
Ticked
Cleaning
Checkbox:
Unticked
Other – what would that be
Please add any comments in the text box below
There could be a menu of costs depending on usage by residents.
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
A reduction in savings/inheritance for families.
Having a two tiered system with charges levied against some and not others.
Having a two tiered system with charges levied against some and not others.
Please add any comments in the text box below
Would ultimately result in an increase in costs for residents.
Please add any comments in the text box below
Where would the money come from? What other service would miss out?
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
Scrap the means testing altogether. Everyone should be entitled to care as they get older and life savings should not be touched.
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)
21. Are there any other services or functions the National Care Service should be responsible for, in addition to those set out in the chapter?
Please add any comments in the text box below
Introducing a zero tolerance for abusive and violent behaviour towards carers by supported people and their families.
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
Please say why in the text box below
There could be preventative work done with children that will save work and money being used as an adult
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 say why in the text box below
If done properly, access to all services will be made available
Please select one item
Radio button:
Ticked
Yes
Radio button:
Unticked
No
Please say why in the text box below
Consistency of service and information sharing
Please select one item
Radio button:
Ticked
Yes
Radio button:
Unticked
No
Please say why in the text box below
Consistency of service and information sharing
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
A big ask but should provide consistency and sharing of information
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:
Ticked
Yes
Radio button:
Unticked
No
Please say why in the text box below
Fairness across Scotland and organisations
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
Improved communication and decent systems that talk to each other
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)
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:
Unticked
Fragmentation of health services
Checkbox:
Unticked
Poorer outcomes for people using health and care services
Checkbox:
Ticked
Unclear leadership and accountability arrangements
Checkbox:
Unticked
Poorer professional and clinical care governance arrangements
Checkbox:
Unticked
Other (please explain below)
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
Aligning wages with peers in National Health Service.
e.g. A support worker in NHS earns £3 more per hour and has better terms and conditions.
e.g. A support worker in NHS earns £3 more per hour and has better terms and conditions.
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:
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:
Unticked
Other benefits or opportunities, please explain below
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
None
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:
Ticked
Yes
Radio button:
Unticked
No
Radio button:
Unticked
Yes, but only in care homes
Radio button:
Unticked
Yes, in adult care homes and care at home
Please say why in the text box below
A lot of service users in their own homes have complex health conditions and a lot of medication involved. There should be some medical leadership for this.
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
NHS and Care Providers should be held accountable for ensuring education and professional development is taking place with NCS responsibility for auditing
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
A lot of people who go through the justice system have a learning disability and should have access to the same services as everyone else
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:
Ticked
At the same time
Radio button:
Unticked
At a later stage
Please say why in the text box below
To be fair and consistent with everybody
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:
Ticked
Stronger leadership of justice social work
Checkbox:
Ticked
Better outcomes for service users
Checkbox:
Unticked
More efficient use of resources
Checkbox:
Unticked
Other opportunities or benefits - please explain
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 select all that apply
Checkbox:
Unticked
Poorer delivery of justice social work services
Checkbox:
Unticked
Weaker leadership of justice social work
Checkbox:
Unticked
Worse outcomes for service users
Checkbox:
Unticked
Less efficient use of resources
Checkbox:
Ticked
Other risks or challenges - please explain
Please add any comments in the text box below
lack of engagement from service users which could be inaccurately recorded as poor delivery
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
Please say why in the text box below
A lot of people in prisons have a learning disability or mental health illness and need support whilst in prison and once out so re-offending is reduced
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
Please say why in the text box below
Outcomes can be wide ranging, there is no reason why someone in prison shouldn't have an outcome. e.g. doing a qualification
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:
Unticked
Primary mental health services,
Checkbox:
Ticked
Child and Adolescent Mental Health Services,
Checkbox:
Ticked
Community mental health teams,
Checkbox:
Unticked
Crisis services,
Checkbox:
Unticked
Mental health officers
Checkbox:
Unticked
Mental health link workers
Checkbox:
Unticked
Other – please explain
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
Perhaps more reporting and office time required
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:
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:
Ticked
Social work improvement
Checkbox:
Unticked
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
Ensures consistency and avoids conflicting priorities from different people
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:
Ticked
Yes
Radio button:
Unticked
No
62. The Community Health and Social Care Boards will have members that will represent the local population, including people with lived and living experience and carers, and will include professional group representatives as well as local elected members. Who else should be represented on the Community Health and Social Care Boards?
Please add any comments in the text box below
Representatives form third sector organisations/charities
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:
Unticked
Yes
Radio button:
Ticked
No
Please say why in the text box below
There needs to be more consistency within the Care Inspectorate. This body is already viewed in a negative way and giving them more powers will strain relationships even further
6c Market oversight function
78. Do you agree that the regulator should develop a market oversight function?
Please select one item
Radio button:
Unticked
Yes
Radio button:
Ticked
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:
Unticked
Yes
Radio button:
Ticked
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
Please say why in the text box below
A lot of service users in the community receive care and support using option 1 of SDS. There is no inspection of the carers or PAs and leaves a massive gap in ensuring care is delivered well
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
Only if consideration was given to current market conditions.
For example, there is a staff resource crisis at the moment and employers are having to be inventive in ensuring care is delivered. This kind of thing would need to be taken into account.
For example, there is a staff resource crisis at the moment and employers are having to be inventive in ensuring care is delivered. This kind of thing would need to be taken into account.
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
They need a better understanding of the challenges faced by stakeholders.
Spending more time with organisations and building sound relationships needs to be improved upon.
Spending more time with organisations and building sound relationships needs to be improved upon.
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
Personal Assistants.
Tutors/enablers in day centres.
Tutors/enablers in day centres.
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
So many people leave their job as a carer so that they can have better terms and conditions.
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
2
Removal of zero hour contracts where these are not desired
3
More publicity/visibility about the value social care workers add to society
Effective voice/collective bargaining
9
Better access to training and development opportunities
7
Increased awareness of, and opportunity to, complete formal accreditation and qualifications
8
Clearer information on options for career progression
Consistent job roles and expectations
4
Progression linked to training and development
6
Better access to information about matters that affect the workforce or people who access support
5
Minimum entry level qualifications
10
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
1
Improved terms and conditions
2
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
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:
Unticked
A national approach to workforce planning
Checkbox:
Ticked
Consistent use of an agreed workforce planning methodology
Checkbox:
Unticked
An agreed national data set
Checkbox:
Ticked
National workforce planning tool(s)
Checkbox:
Unticked
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:
Unticked
Regional networks of banks matching personal assistants and available work.
Checkbox:
Unticked
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
hazel Clark
Are you responding as an individual or an organisation?
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(Required)
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Individual
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Organisation
What is your organisation?
Organisation
Cantraybridge