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<p>In most cases, very short visits from care workers are incompatible with high quality
care. However, short visits may be appropriate in certain circumstances. For instance,
checking medication has been taken.</p><br /><p>Local authorities are responsible
for the commissioning of services, not the Government but both Government and the
Association of Directors of Adult Social Services (ADASS) agree that inappropriately
short home care visits are unacceptable.The Care Act sends a clear message that commissioning
services without properly considering the impact on people’s wellbeing is unacceptable.</p><br
/><p>In September 2015, the National Institute for Health and Care Excellence (NICE)
published guidelines on homecare which state that homecare visits should not normally
be less than 30 minutes long. The Department published statutory guidance to the Care
Act which directs local authorities when commissioning to consider national standards
including NICE guidelines.</p><br /><p>Further, the Department worked with ADASS and
the Local Government Association (LGA) to produce a framework of standards, ‘Commissioning
for Better Outcomes’ which explicitly states that inappropriate use of short visits
is not compatible with best practice. The framework is designed to support local authorities
to improve their commissioning practices using self-assessment and peer challenge
through the LGA’s programme of sector-led improvement.</p><br /> <br /> <br /> <br
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