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<p>It is not clear what ‘bureaucracy’ is being referred to. Some bureaucracy or form-filling
is required for legitimate purposes e.g. care records and forms related to employment
(for example timesheets to enable staff to be paid, record of training and development
for regulation by the Care Quality Commission).</p><p> </p><p> </p><p> </p><p>The
Care and Support statutory guidance issued under the Care Act 2014 clearly articulates
that local authorities should ensure that commissioned services result in effective
provision of care. It states:</p><p> </p><p> </p><p> </p><p>4.31 When commissioning
services, local authorities should assure themselves and have evidence that contract
terms, conditions and fee levels for care and support services are appropriate to
provide the delivery of the agreed care packages with agreed quality of care. This
should support and promote the wellbeing of people who receive care and support, and
allow for the service provider ability to meet statutory obligations to pay at least
minimum wage and provide effective training and development of staff.</p><p> </p><p>
</p><p> </p><p>This applies whether staff are directly employed or are agency staff.</p><p>
</p><p> </p><p> </p><p>The Care Act guidance can be found at:</p><p> </p><p> </p><p>
</p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/315993/Care-Act-Guidance.pdf"
target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/315993/Care-Act-Guidance.pdf</a></p><p>
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