Commissioning for Wellbeing 3 May 2023
Skills for Care, is the strategic workforce and development body for adult social care in England, with a central focus on ensuring that people have the right skills to work in social care. Skills for Care and partners developed a Level 5 qualification in Principles of Commissioning for Wellbeing that has been accessed by hundreds of commissioners in health and social care, including a version of the qualification contextualised to autism and learning disability.
I was commissioned by Skills for Care to evaluate the impact of the qualification and engaged with many of the past and current learners to explore their experience and insights. The evaluation highlights the positive impact of the qualification in increasing confidence; improving knowledge and understanding of commissioning; increasing commmissioners' commitment to co-production, and commissioning in innovative person-centred ways. The report (full document and a summary version) are published on the Skills for Care website.
Supporting People Living with Dementia 21 April 2023
With 1 in 13 people aged 80-84, and 1 in 5 of those aged 90+ living with dementia, understanding what good support should look like is a vital question for care commissioners and providers. In this review undertaken at IPC, Oxford Brookes I have distilled the key evidence around:
Timely diagnosis and prevention.
Dementia care and support.
Support for carers of people living with dementia.
The review highlights the factors to consider to ensure that quality of life is maximised, and the best outcomes and value for money can be delivered.
Winter Pressures on the NHS & Social Care 2 February 2023
Every year there are grim stories of ambulances queueing outside hospitals; long delays in responding to emergency 999 calls; patients enduring hours on trolleys in corridors because of the lack of bed capacity on wards., and delays in discharging patients home from hospital. These are are all too familiar. This winter has seen such events intensify and reach record levels, but every winter bears witness to similar challenges.
Solutions are also familiar: improved patient flow; increased capacity; better streamlined discharge processes; more joined up working between health and social care, and greater focus on hospital admission avoidance and health prevention. But these are not magic bullets. In this blog for IPC at Oxford Brookes I explore the issues and challenges.
First Responder Trauma from Major Incidents 28 June 2022
Barely a day passes without national or international news of some natural disaster, major accident or terrorist incident causing fatalities and life changing consequences for survivors. From the recurrent mass shootings and murder of multiple school children in the US, to a car being deliberately driven into a crowd in Berlin, or earthquakes, tsunami, and famine devastating communities, particularly in the developing world.
Long-term care and short-term thinking 22 November 2017
The announcement on 16th November 2017 that a green paper on social care for older people will be published by next summer is a familiar tale. We have been around this issue multiple times over the past two decades. The case for an equitable, transparent and sustainable solution is self-evident and demands cross-party support.
In this blog for LSE British Politics and Policy I examine the underlying issues that are proving so intractable, and argue that it is time for resolution not Groundhog Day.
Organ Donation: Opting in or out? 27 October 2017
Organ (and blood) donation is of vital importance, but should it remain voluntary, rather than on the basis of presumed consent?
The Government is to consult on a change of law on organ donation, but what are the arguments for opting-out and would they increase donation levels? The issues are complex, but I offer a personal perspective for the Huffington Post.
NHS Continuing healthcare funding 11 July 2017
Funding for NHS continuing care is anomalous, irregular and often baffling for those trying to get support from the system, why are these issues still recurring over many years?
The National Audit Office investigation into continuing healthcare funding highlights major anomalies and inconsistencies in this area of long term care. I explore the implications in this blog for British Politics and Policy.
Grenfell Tower Tragedy 21 June 2017
The response to the Grenfell Tower fire in the days that followed appeared chaotic, and a contrast with other major emergency response. What went wrong?
Response to the fire at Grenfell Tower revealed major shortcomings on the part of both local and national government.
Election manifestos and social care 24 May 2017
A dementia tax or a National Care Service? Political positioning on adult social care during the 2017 election campaign.
Social care emerged as a key issue in the surprise 2017 General Election campaign; see what the three main parties had to say about it.
Conservative Manifesto and social care 22 May 2017
The unravelling of the Tory proposals for adult social care raise some fundamental questions.
Policy making 'on the hoof' for social care appears to have been a major error by the Conservative Party. I explore the issues in this British Politics and Policy blog
Abuse in home care 02 March 2017
Inadequate investment and a continued failure to regular care workers will ensure a downward spiral of falling standards, low expectations and a culture of complacency that is unsustainable.
Without regulation and better funding homecare is open to abusive practice. I explore the issues in the Guardian social care network
Hospital Discharge: Not rocket science 16 May 2016
System-wide leadership and shared ownership still lacking
Unsafe discharges from hospital have been highlighted by the Parliamentary and health services Ombudsman - a depressingly familiar tale. My blog for the Social care network.
Robbing Peter to pay Paul? 06 April 2016
Welfare reform is increasingly divisive and putting the interests of different cohorts in tension with one another.
Social justice and benefit cuts; are we all in this together? I explore some of the challenges in this Policy and Politics blog.
Transforming learning disability support 05 November 2015
A new national plan to transform learning disability services is right, but have we heard it all before?
The publication of national plan for learning disability services will require fundamental change to succeed. Blog for the Guardian Professional Social Care Network.
Refugee Crisis in Europe 04 September 2015
Britain must not stand by as a spectator to the unfolding refugee crisis.
As the refugee crisis in Europe intensifies, I explore some of the moral and ethical issues in this British Politics and Policy blog.
Long term care policy back in the long grass? 31 July 2015
The Government's announcement that it will delay by four years a cap on people's liability for the costs of social care is the latest in a long line of failures by successive administrations to resolve the challenge of paying for long term care.
Following the confirmation that implementation of the 'capped cost' model of paying for long term care is to be postponed for four years, all bets are off on the future of this policy. I explore the issues in this blog for Policy & Politics at the LSE.
Carers movement turns 50 08 July 2015
50 years after carers became a public issue thanks to Mary Webster, it is time to reflect on achievements and to look to the future.
As the Carers movement turns 50, carers are perhaps no longer the welfare state's 'forgotten army', but there are still challenges ahead and no room for complacency, as I explore in Guardian Society.
Dementia Friendly Communities & Skills for Care 21 May 2015
A number of pilot projects were funded by Skills for Care through 2013/14 to develop Dementia Friendly Communities.
Skills for Care funded a programme of 12 pilot projects supporting the development of Dementia Friendly Communities. An evaluation of the work was carried out by me and can be downloaded below.
The Dementia Challenge 07 February 2015
NHS South of England established a Dementia Challenge Fund in 2012/13 allocating £9 million across around 70 projects to drive local improvements and identify and implement practical solutions to the problems faced by people living with dementia. An independent evaluation of the programme was commissioned from Henwood Associates and the University of the West of England.
The Prime Minister's Challenge on Dementia was launched in 2012, aiming to deliver major improvements in dementia care and research by 2015. A Dementia Challenge Fund was established by NHS South of England to support local developments, and an independent evaluation was commissioned from Henwood Associates, Terry Butler and colleagues at the University of the West of England.
The projects addressed a number of themes including:
Dementia friendly communities.
Living well at home.
Better care in hospitals.
End of life care.
Reducing anti-psychotic prescribing.
Better support for carers.
Living well in care homes.
The evaluation report (Slaying the Demon) concludes that much has been achieved, but that this is work in progress. It is vital for cultural change and new ways of working to be embedded in organisations. The dementia challenge is not a strategic task that can be achieved within a year or two, and this work will need continued attention and refreshing if it is to achieve maximum potential.
Standing Commission on Carers 31 December 2014
In December 2014 Melanie was co-opted as a member of the Standing Commission on Carers. This is an independent advisory group providing expert advice to Ministers on carers' issues, and progress in delivering the National Carers Strategy.
Beyond Eligibility - Age UK 30 September 2012
This study for Age UK examines local councils' approaches to universal and open access services for people who do not meet eligibility criteria for adult social care.
Age UK commissioned this study to explore councils' approaches to developing universal and open access services for older people whose needs do not meet the eligibility criteria for publicly financed social care. The report explores the importance of such support in terms of prevention, the barriers to developing universal support and levers that can encourage improvement.
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