"uri","answering body","answer > is ministerial correction","answer > date of answer","answer > answer text","answer > answering member constituency","answer > answering member printed","answer > grouped question UIN","answer > question first answered","answer > question first ministerially corrected","answer > uri","answer > answering member > label","answer > uri","answer > attachment > file name","answer > attachment > title","answer > uri","answer > previous answer version > answering member constituency","answer > previous answer version > answering member printed","answer > previous answer version > uri","answer > previous answer version > answering member > label","answer > previous answer version > uri","answer > previous answer version > attachment > file name","answer > previous answer version > attachment > title","answering dept id","answering dept short name","answering dept sort name","date","hansard heading","house id","legislature > pref label","question text","registered interest","tabling member > label","tabling member constituency","tabling member printed","uin" "http://data.parliament.uk/resources/436274","Department of Health","false","2015-12-16","
In 2013, Government carried out a public consultation (‘Oversight in Adult Social Care’) on a detailed set of proposals for market oversight and provider failure.
The feedback from stakeholders including individual local authorities, local authority membership organisations, individual care providers, provider representative organisations and commercial experts formed the basis of a number of reforms in the Care Act 2014 that ensures people do not go without the care they need when their providers’ business fails. This includes:
https://www.gov.uk/government/publications/care-act-2014-statutory-guidance-for-implementation
The Department also worked with the Association of Directors of Adult Social Services, the Local Government Association, and the Local Government Information Unit (LGiU) to produce a guide to support local authorities to develop contingency plans for provider failure in the social care market. Numerous stakeholders, including local authorities, providers and insolvency practitioners were involved in the development of the guide and participated in the LGiU consultation exercises.
The guidance can be found at:
http://www.lgiu.org.uk/report/care-and-continuity-guide/
The Department commissioned the consultancy Cordis Bright to produce guidance to support local authorities with market oversight at the local level to enable them to meet their new responsibilities under the Care Act for ensuring continuity of care in the event of a provider business failure. The materials were produced following extensive input from both councils and providers.
The CQC oversight function will provide early warning to relevant local authorities in the event that one of these providers is likely to fail and their services cease. This will allow local authorities time to implement contingency plans.
Funding decisions for 2016/17 onwards, including on adult social care, are subject to the forthcoming Spending Review.
The Department will continue to work closely with local government and the National Health Service to understand future funding requirements, including continuing scope and opportunities to make savings, to support decisions relating to the upcoming Spending Review.
","North East Bedfordshire","Alistair Burt",,"2015-06-23T10:41:00.48Z",,"http://data.parliament.uk/resources/381125/answer","Biography information for Alistair Burt","http://data.parliament.uk/resources/381125/answer",,,"http://data.parliament.uk/resources/381125/answer",,,,,,,,"17","Health","Health","2015-06-15","Social Services","1","House of Commons","To ask the Secretary of State for Health, with reference to page 11 of the Association of Directors of Adult Social Services annual budget survey, published on 4 June 2015, if he will make an assessment of the implications for his policy of the findings that seven per cent of directors who responded to that survey are fully confident that planned savings can be met in 2016-17 and that a smaller proportion of directors is so confident in respect of 2017-18.","false","Biography information for Neil Coyle","Bermondsey and Old Southwark","Neil Coyle","2452" "http://data.parliament.uk/resources/99860","Department of Health","false","2014-10-23","
A consultation on the draft regulations and guidance to support implementation of part one of the Care Act 2014 opened on 5 June 2014 and ran for 10 weeks to 15 August 2014.
The Government will publish a response to the consultation shortly. The statutory guidance to support implementation of part one of the Care Act will be published at the same time.
","North Norfolk","Norman Lamb",,"2014-10-23T11:36:29.5537621Z",,"http://data.parliament.uk/resources/99860/answer","Biography information for Norman Lamb","http://data.parliament.uk/resources/99860/answer",,,"http://data.parliament.uk/resources/99860/answer",,,,,,,,"17","Health","Health","2014-10-20","Social Services","1","House of Commons","To ask the Secretary of State for Health, when his Department will publish a response to the consultation Updating our care and support system: draft regulations and guidance, published on 6 June 2014.","false","Biography information for Mrs Emma Lewell-Buck","South Shields","Mrs Emma Lewell-Buck","211058" "http://data.parliament.uk/resources/57741","Department of Health","false","2014-06-10","
Access to State financial support for adult social care in England is means-tested and is not generally provided free of charge. In this way, individuals are expected to pay towards the cost of their care and support based on what they can afford.
Adults with less than £23,250 in capital can seek help with the cost of social care from their local authority. Local authorities carry out a financial assessment to decide what an individual can afford to pay. Local authorities must take account of an individual's capital assets and income, including income from Benefits and the State Pension.
Information on the cost to local authorities of carrying out financial assessments is not collected centrally.
In its 2011 report, the independent Palliative Care Funding Review recommended the provision of free social care at the end of life. A series of palliative care funding pilots were established to test the review's recommendations, and these completed their work in March 2014. NHS England is currently analysing the financial data collected from the pilots. Once this analysis has been completed, a decision will be made on the issue of free social care at the end of life, taking into account this analysis and wider policy and financial considerations.
","North Norfolk","Norman Lamb","198597 ; 198599","2014-06-10T14:38:10.0283748Z",,"http://data.parliament.uk/resources/57741/answer","Biography information for Norman Lamb","http://data.parliament.uk/resources/57741/answer",,,"http://data.parliament.uk/resources/57741/answer",,,,,,,,"17","Health","Health","2014-06-04","Social Services","1","House of Commons","To ask the Secretary of State for Health, what the annual cost to the public purse is of processing applications for free social care in England.","false","Biography information for Sarah Newton","Truro and Falmouth","Sarah Newton","198598" "http://data.parliament.uk/resources/171266","Department of Health","true","2015-01-05","
Data on expenditure per head of population aged 65 and over on adult social care services is not held centrally and could only be obtained at disproportionate cost. The attached table provides the net current expenditure per head of population who receive adult social care aged 65 and over, broken down by local authority and year. The last column shows the percentage change between 2009-10 and 2013-14.
Local authorities in England spent £6.7 billion on social care for people aged over 65 and over in 2013-14, compared with £7.4 billion in 2009-10. In 2013-14 the National Health Service transferred £859 million to social care but we are unable to include this investment in the overall spending figure as we do not hold information on how much of it was spent on people aged 65 and over.
The attached table provides a breakdown of expenditure on social care per head of population aged 65 and over broken down by local authority in 2009-10 and 2013-14. The table also details the percentage change and actual change between those two financial years. The figures do not include NHS transfer funding.
","North Norfolk","Norman Lamb",,"2015-01-05T16:21:02.717Z","2015-01-13T14:57:52.833Z","http://data.parliament.uk/resources/171266/answer","Biography information for Norman Lamb","http://data.parliament.uk/resources/171266/answer","Revised table PQ 219191.docx","Social care spend per head of population 2009-14","http://data.parliament.uk/resources/171266/answer","North Norfolk","Norman Lamb","http://data.parliament.uk/resources/171266/answer/previousversion/36913","Biography information for Norman Lamb","http://data.parliament.uk/resources/171266/answer/previousversion/36913","2014-12-22 PQ219191 Karen Buck Table on over 65 LA Expenditure.docx","Over 65 LA expenditure","17","Health","Health","2014-12-17","Social Services","1","House of Commons","To ask the Secretary of State for Health, what the (a) actual and (b) percentage change was in expenditure per head of population aged 65 and over on adult social care services in each English local authority in 2009-10 and 2013-14.","false","Biography information for Ms Karen Buck","Westminster North","Ms Karen Buck","219191" "http://data.parliament.uk/resources/105974","Department of Health","false","2014-11-10","
Each local authority is responsible for the quality of social care services it commissions. There is no national register or oversight of complaints in social care. However, local authorities are required, pursuant to the Local Authority Social Services and National Health Service (England) Regulations 2009, to keep a record of each complaint received, the subject matter and outcome and timescales for responding.
They are also obliged to make a summary of this information available to the public via an annual report. The Government believes that we should be committed to ensuring the system for resolving complaints about care is compassionate, personal, responsive, timely and ensures lessons are learned.
The Department established a national complaints programme board in December 2013. A comprehensive programme has been developed with national partners, including the Care Quality Commission (CQC), NHS England, Healthwatch England, the Parliamentary and Health Service Ombudsman, the Local Government Ombudsman, the Local Government Association, Monitor and the NHS Trust Development Association, to bring about important changes to the way complainants are supported and complaints are handled across the health and social care systems.
We are informed by the CQC that it is committed to strengthening its approach to assessing complaints and concerns during inspections. During an inspection, CQC inspectors will use key lines of enquiry to ascertain the standard of care. A mandatory key line of enquiry used during inspections of adult social care is whether the service routinely listens and learns from people’s experiences, concerns and complaints.
Under the Care Act, local authorities will have a new market shaping duty, meaning that they should work with local people and communities and engage with their local care providers to facilitate a diverse supply of high quality services.
The Care Act reforms should increase transparency and support more effective competition in local care markets. This will help providers of high quality care to attract more people, and to grow and diversify their share in the market.
We have just issued statutory guidance to local authorities about their new market shaping duties. Together with Association of Directors of Adult Social Services and the Local Government Association, we are developing a series of commissioning standards to improve local authority commissioning practices and encourage more flexibility, allowing providers to engage with them in new ways. We are keen to move commissioning from a “time and task” based to an outcomes-driven activity.
","North Norfolk","Norman Lamb","212937 ; 212939 ; 212941 ; 212944 ; 212945","2014-11-10T16:42:56.6359808Z",,"http://data.parliament.uk/resources/105974/answer","Biography information for Norman Lamb","http://data.parliament.uk/resources/105974/answer",,,"http://data.parliament.uk/resources/105974/answer",,,,,,,,"17","Health","Health","2014-11-03","Social Services","1","House of Commons","To ask the Secretary of State for Health, what steps his Department takes to ensure that local authorities are aware of their obligations to investigate complaints about poor-quality social care; and what assistance the Government provides to help them meet those obligations.","false","Biography information for Ms Nadine Dorries","Mid Bedfordshire","Nadine Dorries","212938" "http://data.parliament.uk/resources/227159","Department of Health","false","2015-03-17","
Under the duty to promote well-being in the Care Act, which applies to all care and support functions in the Act, people’s well-being, including emotional well-being and the outcomes that matter to them, must be taken into consideration by local authorities when undertaking an assessment of their needs. This may incorporate an individual’s feelings and wishes about keeping a companion animal, where relevant.
","North Norfolk","Norman Lamb",,"2015-03-17T17:18:39.047Z",,"http://data.parliament.uk/resources/227159/answer","Biography information for Norman Lamb","http://data.parliament.uk/resources/227159/answer",,,"http://data.parliament.uk/resources/227159/answer",,,,,,,,"17","Health","Health","2015-03-12","Social Services","1","House of Commons","To ask the Secretary of State for Health, what steps his Department plans to take to monitor whether care assessments carried out under the Care Act 2014 include consideration of any companion animals.","false","Biography information for Tracey Crouch","Chatham and Aylesford","Tracey Crouch","227484" "http://data.parliament.uk/resources/105963","Department of Health","false","2014-11-10","
Each local authority is responsible for the quality of social care services it commissions. There is no national register or oversight of complaints in social care. However, local authorities are required, pursuant to the Local Authority Social Services and National Health Service (England) Regulations 2009, to keep a record of each complaint received, the subject matter and outcome and timescales for responding.
They are also obliged to make a summary of this information available to the public via an annual report. The Government believes that we should be committed to ensuring the system for resolving complaints about care is compassionate, personal, responsive, timely and ensures lessons are learned.
The Department established a national complaints programme board in December 2013. A comprehensive programme has been developed with national partners, including the Care Quality Commission (CQC), NHS England, Healthwatch England, the Parliamentary and Health Service Ombudsman, the Local Government Ombudsman, the Local Government Association, Monitor and the NHS Trust Development Association, to bring about important changes to the way complainants are supported and complaints are handled across the health and social care systems.
We are informed by the CQC that it is committed to strengthening its approach to assessing complaints and concerns during inspections. During an inspection, CQC inspectors will use key lines of enquiry to ascertain the standard of care. A mandatory key line of enquiry used during inspections of adult social care is whether the service routinely listens and learns from people’s experiences, concerns and complaints.
Under the Care Act, local authorities will have a new market shaping duty, meaning that they should work with local people and communities and engage with their local care providers to facilitate a diverse supply of high quality services.
The Care Act reforms should increase transparency and support more effective competition in local care markets. This will help providers of high quality care to attract more people, and to grow and diversify their share in the market.
We have just issued statutory guidance to local authorities about their new market shaping duties. Together with Association of Directors of Adult Social Services and the Local Government Association, we are developing a series of commissioning standards to improve local authority commissioning practices and encourage more flexibility, allowing providers to engage with them in new ways. We are keen to move commissioning from a “time and task” based to an outcomes-driven activity.
","North Norfolk","Norman Lamb","212937 ; 212938 ; 212939 ; 212944 ; 212945","2014-11-10T16:42:56.9533878Z",,"http://data.parliament.uk/resources/105963/answer","Biography information for Norman Lamb","http://data.parliament.uk/resources/105963/answer",,,"http://data.parliament.uk/resources/105963/answer",,,,,,,,"17","Health","Health","2014-11-03","Social Services","1","House of Commons","To ask the Secretary of State for Health, what steps his Department has taken to work with local councils to improve their recording and reporting of complaints against providers of social care.","false","Biography information for Ms Nadine Dorries","Mid Bedfordshire","Nadine Dorries","212941" "http://data.parliament.uk/resources/57743","Department of Health","false","2014-06-10","
Access to State financial support for adult social care in England is means-tested and is not generally provided free of charge. In this way, individuals are expected to pay towards the cost of their care and support based on what they can afford.
Adults with less than £23,250 in capital can seek help with the cost of social care from their local authority. Local authorities carry out a financial assessment to decide what an individual can afford to pay. Local authorities must take account of an individual's capital assets and income, including income from Benefits and the State Pension.
Information on the cost to local authorities of carrying out financial assessments is not collected centrally.
In its 2011 report, the independent Palliative Care Funding Review recommended the provision of free social care at the end of life. A series of palliative care funding pilots were established to test the review's recommendations, and these completed their work in March 2014. NHS England is currently analysing the financial data collected from the pilots. Once this analysis has been completed, a decision will be made on the issue of free social care at the end of life, taking into account this analysis and wider policy and financial considerations.
","North Norfolk","Norman Lamb","198598 ; 198599","2014-06-10T14:38:09.9502884Z",,"http://data.parliament.uk/resources/57743/answer","Biography information for Norman Lamb","http://data.parliament.uk/resources/57743/answer",,,"http://data.parliament.uk/resources/57743/answer",,,,,,,,"17","Health","Health","2014-06-04","Social Services","1","House of Commons","To ask the Secretary of State for Health, what recent estimate his Department has made of the cost of administering the social care means test in England.","false","Biography information for Sarah Newton","Truro and Falmouth","Sarah Newton","198597" "http://data.parliament.uk/resources/105967","Department of Health","false","2014-11-10","
In July 2012, the Government set out its vision of the development of high quality care services in the White Paper, Caring for our future: Reforming care and support. This was reinforced in the Care Act. It set out clearly the care and support system we want to achieve – with the support of care and support organisations, charities, carers, volunteers and the public. The Adult Social Care Workforce programme supports delivery of this vision, through increasing capacity, improving capability and developing leadership.
On the recommendation of the Cavendish report into the failings at Mid-Staffordshire NHS Foundation Trust, we are introducing the new Care Certificate, to help ensure that healthcare assistants, social care support workers and their employers can deliver a consistently high quality standard of care.
Health Education England, Skills for Care and Skills for Health launched the pilot for the Care Certificate on 28 April 2014. The pilot is taking place across a range of health and social care settings, and, subject to evaluation, the national introduction of the Care Certificate is planned for March 2015.
In order to make sure that people are held to account for the quality of care they provide, we are introducing measures to ensure that company directors who consent or turn a blind eye to poor care will be liable for prosecution. In the future, they and provider organisations could face unlimited fines if found guilty.
To ensure that social care providers and services employ and are run by people with the right values and skills, we are introducing a ‘fit and proper person’ test for Directors. Where the Care Quality Commission (CQC) considers a Director not to be fit to run a provider organisation, it will be able to insist on his or her removal.
The Government realised that the regulation and inspection of social care provision needed to improve. As a result, the CQC has introduced a new system of inspection of social care providers, backed by new fundamental standards of care. This new system of inspection is based on five important questions that matter most to people: whether services are safe, caring, effective, well-led and responsive to their needs. CQC inspections now result in a provider being rated on a four-point scale - ‘outstanding’, ‘good’, ‘requires improvement’ and ‘inadequate’, for each of the five domains that it inspects. This results in clear, straightforward information that commissioners of services and the public can understand.
The new inspections are carried out by expert inspection teams, which include people who have personal experience of care. The CQC piloted the new approach from April 2014 and began to inspect and rate all providers against the new standards in October.
Under the Care Act, local authorities will have a new market shaping duty, meaning that they should work with local people and communities and engage with their local care providers to facilitate a diverse supply of high quality services.
The Care Act reforms should increase transparency and support more effective competition in local care markets. This will help providers of high quality care to attract more people and to grow and diversify their share in the market.
We have just issued statutory guidance to local authorities about their new market shaping duties. Together with Association of Directors of Adult Social Services and the Local Government Association, we are developing a series of commissioning standards to improve local authority commissioning practices and encourage more flexibility, allowing providers to engage with them in new ways. We are keen to move commissioning from a “time and task” based to an outcomes-driven activity.
Employers are responsible for ensuring that any potential employee has the required level of communication skills for their role. It is essential that a workers’ command of English should be considered as part of the recruitment process. Under CQC’s current approach to inspection and regulation, it is stipulated that workers in adult social care should be able to communicate effectively with people who use services and other staff and to ensure that care, treatment and support of service users is not compromised. This applies to all workers, whatever their background or nationality.
","North Norfolk","Norman Lamb",,"2014-11-10T18:10:54.9357335Z",,"http://data.parliament.uk/resources/105967/answer","Biography information for Norman Lamb","http://data.parliament.uk/resources/105967/answer",,,"http://data.parliament.uk/resources/105967/answer",,,,,,,,"17","Health","Health","2014-11-03","Social Services","1","House of Commons","To ask the Secretary of State for Health, what plans his Department has put in place to improve the level of English language proficiency required for providers of social care.","false","Biography information for Ms Nadine Dorries","Mid Bedfordshire","Nadine Dorries","212943"