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Key points The Welsh Government set out its long term policy for Social Care in the document ‘Sustainable Social Services: A Framework for Action’ in That policy included a commitment to reform the process of regulation and inspection. In February 2015, the Minister for Health and Social Services introduced into the National Assembly for Wales a bill dealing with these matters. The bill and supporting documents can be accessed at: This presentation relates to the aims and provisions of that bill.
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Corporate slide masterWith guidelines for corporate presentationsRegulation and
Inspection of Social Care in WalesDavid Pritchard
Welsh Government
Key points
• The Welsh Government set out its long term policy for Social Care in the document ‘Sustainable Social Services: A Framework for Action’ in 2011.
• That policy included a commitment to reform the process of regulation and inspection.
• In February 2015, the Minister for Health and Social Services introduced into the National Assembly for Wales a bill dealing with these matters.
• The bill and supporting documents can be accessed at:
• http://senedd.assembly.wales/mgIssueHistoryHome.aspx?IId=12110
• This presentation relates to the aims and provisions of that bill.
Regulating for Success
What is the bill
concerned with?
• Regulation of social care services – residential homes, domiciliary care etc. (CSSIW)
• Inspection of local authorities (CSSIW)• Regulation of the workforce – social
workers etc. (Care Council)• Market stability work • How organisations share information
and work together • Transition to Social Care Wales
Regulating ServicesExample changes:
Corporate accountabilityThe Bill will create a statutory role of Responsible Individual – a member of the Board of the providers who will have certain duties in law such as visiting services, appointing a manager and reporting on performance. Annual Reports for ProvidersAll providers of services in Wales will be required to produce a public report annually, to a prescribed format.
RatingsThe Bill gives the regulator the power to rate service provision.
Service StandardsThrough regulations the Welsh Government will set out the standards expected of service providers, to be inspected by the regulator. Failing to fulfil these standards can result in closure of the service or criminal prosecution.
OUR AIMS:
The Bill moves from a settings approach to regulation, to a service model. It will:• Ensure our regulatory system allows us to understand
the impact that services have on people’s lives. • Provide greater transparency and comparability across
services in Wales. • Rebalance the accountability within the system so that
the appropriate agencies or individuals are held responsible in law.
• Move beyond an approach based on compliance towards one that also reflects the quality of provision.
• Move towards a system of regulation that focuses on services, allowing future flexibility to respond to changes in the sector.
Market stability
Market StabilityThe Bill will require local authorities to produce market stability reports on the future shape of the social care sector, feeding into a national report by the regulator and the new Social Care Wales. The regulator will have the ability to undertake due diligence on important providers to avoid unexpected exits from the market.
OUR AIMS:
Currently, there is no requirement in primary legislation that allows the regulator to establish an effective system of oversight on the social care market in Wales. The approach to market oversight in the Bill seeks to:
• Recognise that social care is a sector that embraces the private, voluntary and public sectors.
• Recognise that the market should not determine priorities in social care and that collectively, we should shape the market, not allow market choices to drive us.
• Provide information to current providers, prospective providers and local authorities to allow all those in the sector to respond to changes in the market.
• Deliver a cost-effective and proportionate approach to intervention in the case of difficult to replace services.
Social Care Wales
Social Care Wales The Care Council for Wales will be re-constituted as Social Care Wales, and given wider functions relating to improvement across the sector. This will create a powerful new agent for change at the heart of the sector in Wales
OUR AIMS:
The approach to Social Care Wales within the bill seeks to:• Build upon the success of the Care Council for Wales,
the current workforce regulator.• Develop opportunities to support a more strategic
approach to improvement across the sector.• Recognise the broad nature of the workforce within the
sector, including those with other professional oversight.
• Take into account the recommendations of the Law Commission (2014) in its recent work on the regulation of health and social care workers.
Regulating the Workforce
Example changes:
Involvement of citizens Both regulators – CSSIW and Social Care Wales – will be duty bound to involve citizens in their work and report on how they have done this annually. Workforce regulation will remain lay-led.
Registration of social care workersThe Bill retains the Minister’s power to require registers of particular social care workers.
OUR AIMS:
The approach to workforce regulation within this Bill builds upon the success of regulation over the past 15 years. It seeks to:• Ensure that it remains lay-led, with the citizen at its
heart.• Take on board, where appropriate, the work of the Law
Commission (2014) in its review of the regulation of health and social care professionals.
• Provide flexibility for the regulatory regime to respond to changes in the care and support sector going forward.
• Recognise the broad nature of the social care workforce, and to build a regulatory regime that can respond to that breadth.
What has changed through scrutiny?
• Length of domiciliary care visits
• Registration of workers in domiciliary care and adult residential care
• Fitness of providers and responsible individuals
Going forward
• The National Assembly for Wales will vote on the Bill as amended on 24th November
• If passed it will receive Royal Assent in the New Year.
• An intense period of technical groups and regulation preparation will take place in 2016/17
• Implementation will take place from April 2017.
CSSIW National Review of Domiciliary Care
2015-16Adolygiad Cenedlaethol AGGCC o
Ofal Cartref 2015-2016
Margaret Rooney
• Listening to what people have to tell us about domiciliary care
• Produce overview of domiciliary care provision in Wales
• Understand the key interdependencies/relationships
• Highlight challenges - commissioners /providers
• Share examples of good practice /solutions
• Gwrando ar yr hyn sydd gan bobl i'w ddweud am ofal cartref
• Paratoi trosolwg o ddarpariaeth gofal cartref yng Nghymru
• Deall y cyd-ddibyniaethau/cydberthnasau allweddol
• Nodi heriau – comisiynwyr/darparwyr
• Rhannu enghreifftiau o arferion da/atebion
Why are we doing the review?Pam rydyn ni'n cynnal yr adolygiad?
Commissioners• Understanding of local
needs• Involved in workforce
planning• Strategy developed with
people/stakeholders• Communicate strategy to
providers• Manage capacity • Assessments translating to
requirements for providers• Monitor performance
Comisiynwyr• Deall anghenion lleol• Cymryd rhan mewn
cynllunio'r gweithlu• Datblygu strategaethau ar y
cyd â phobl/rhanddeiliaid• Cyfathrebu strategaethau i
ddarparwyr• Rheoli capasiti • Asesiadau'n nodi anghenion
ar gyfer darparwyr• Monitro perfformiad
What are we interested in?Beth sydd o ddiddordeb inni?
Providers• Starting care packages• Staff pay and conditions• Quality assurance • Call monitoring• Levels and themes of
complaints• Staff turnover, capacity,
sustainability• Impact of charging cap• What works well and why
Darparwyr • Cychwyn pecynnau gofal• Tâl ac amodau staff• Sicrhau ansawdd • Monitro ymweliadau• Lefelau a themâu cwyno• Trosiant staff, capasiti a
chynaliadwyedd• Effaith y cap codi tâl• Yr hyn sy'n gweithio'n dda
a pham
What are we interested in?Beth sydd o ddiddordeb inni?
People using services• Outcomes - their experience• Good quality, reliable• Continuity of care and care
staff• Calls on time, enough time
or shortened• Communication• Quality of relationships• Welsh language needs
Pobl sy'n defnyddio gwasanaethau• Canlyniadau – eu profiad• Ansawdd da a dibynadwy• Dilyniant gofal a staff gofal• Ymweliadau ar amser,
digon o amser, neu wedi’u cwtogi
• Cyfathrebu• Ansawdd cydberthnasau• Anghenion yr iaith Gymraeg
What are we interested in?Beth sydd o ddiddordeb inni?
Staff• Staff find the work
rewarding• Impact of
pay/conditions on staff
• Challenges and pressures
• Management support
Staff• Staff yn cael y
gwaith yn foddhaus
• Effaith tâl/amodau ar staff
• Heriau a phwysau• Cefnogaeth gan
reolwyr
What are we interested in?Beth sydd o ddiddordeb inni?
• Questionnaires to providers, commissioners, domiciliary care agency staff and people receiving services
• Reviews in 6 local authorities• 100 domiciliary care agencies - refocused annual
inspections
Methodology/ Methodoleg
• Holiaduron ar gyfer darparwyr, comisiynwyr, staff asiantaethau gofal cartref a phobl sy'n derbyn gwasanaethau
• Adolygiadau mewn chwe awdurdod lleol• 100 o asiantaethau gofal cartref – arolygiadau blynyddol sydd â ffocws
newydd
• External reference group working with CSSIW to reflect on progress and findings
• Three regional workshops for providers and commissioners (Nov/Dec) to explore challenges and consider solutions
Methodology/ Methodoleg
• Grŵp cyfeirio allanol sy'n gweithio gydag AGGCC i ystyried cynnydd a chanlyniadau
• Bydd tri gweithdy rhanbarthol ar gyfer darparwyr a chomisiynwyr (Tachwedd/Rhagfyr) i archwilio heriau a thrafod atebion
• Publish a national report• Learning event to share
findings• Use the information to
advise ministers and policy - inform new regulations
• New model of regulation and inspection for domiciliary care in 2017 – we want to work with stakeholders on this
• Cyhoeddi adroddiad cenedlaethol
• Digwyddiad dysgu er mwyn rhannu canfyddiadau
• Defnyddio'r wybodaeth i roi cyngor i weinidogion ac i lywio polisi a rheoliadau newydd
• Model newydd ar gyfer rheoleiddio ac arolygu gofal cartref yn 2017 – rydyn ni am weithio gyda rhanddeiliaid
Where do we go from here?Beth yw'r cam nesaf?
Work Of The National Commissioning Board
Dave Street, Vice President ADSS Cymru
Purpose: • To have oversight of commissioning activity across Wales and to support
effective communication between commissioning organisations and providers at national, regional and local levels
• To have oversight of social care procurement activity across Wales to ensure that the procurement of services consistent and streamlined as possible.
• To build and promote clear best practice delivery models for commissioners to promote
• To support the development and collaborative approaches to commissioning across agencies.
• To support the continued development of new and sustainable infrastructure for wide-ranging regional commissioning
• To facilitate meaningful dialogue with commissioners and providers to build a clear picture of current markets and recommend where these need to be reshaped to achieve the best outcomes for service users and carers
• To manage the Memorandum of Understanding or its successor with partners.
Membership
• ADSS Cymru• Health Boards• Providers • Welsh Government • CSSIW• Regional Commissioning Leads• WLGA• Care Council For Wales
Work Priorities
• Market Analysis • Model Terms and Conditions • Concordat • Commissioning Qualification • Skills and Capacity • National Minimum Wage • WLGA update – Re: Commissioning/ Procurement• Domiciliary Care • Leading Disability
Provider Forum Responsibilities
• Provides strategic leadership • Develop and promote alternative, cost
effective delivery models• Identify areas for efficiency and effectiveness• Support a mature and realistic context for
engagement between members• Influence and advice WG• Support commissioning activity in re shaping
support and well being services
Impact /Effect
• The right people around the table• Provider Forum in place and meeting• Initial market analysis completed• National Minimum Wage discussions• Capacity support from WG
Challenges
• Financial climate• Complexity of need• Inflexibility of the market• Poor / outdated commissioning processes• Requirements of SS&WB Act• Workforce• R&I bill• Lack of communication / trust
Questions ?
• What do you think the National Commissioning Boards priorities should be ?
• How will we know if its made a difference ?
Challenging local authorities on
procurement, rates and contract clauses
19 November 2015
Introduction: the commissioning landscape
• Sector at “crisis” point(i) continued austerity measures(ii) demographics and increase in demand(iii) National Living Wage
• Greater regulatory oversight and interventions(i) business failure
The commissioning landscape: The Legislative Framework
• The new light touch regime• The Social Services and Well-being (Wales) Act
2014• The Care Act 2014:
Temporary duties on LAs on account of business failure
• The Regulation and Inspection of Social Care (Wales) Bill
Commissioning challenges
• The National Living Wage and rates• The new Light Touch Regime that the sector needs to get
to grips with• The steps that tenderers (and commissioners) can take
when the process goes awry
Tactics for dealing with the National Living Wage
• Negotiation and positioning• Private lawo contractual termso restitutionary remedies
• Public lawo Traditional public law principles
Negotiation and contractual remedies
• Pre-emptive dialogue• Term and termination• Contractual terms
o Price review mechanismso Change of lawo Force majeure or frustration
Public law
• The Social Services and Well-Being (Wales) Act 2014 provides an array of duties which commissioners may breach
• Traditional grounds for judicial review; for example:o failure to take into account relevant considerations;o failure to consult;o fettering discretion.
• Rights of the individual
Tactics for dealing with NLW: Concerted Action
• Competition law considerations• Use of trade / sector fee setting tools• Gathering evidence; engaging independent experts• Collective challenges at tender stage; judicial review• Active engagement through umbrella bodies
Acting outside the traditional framework
• Innovative solutionso Understanding the Commissioner’s agenda
• Disengagement with public sectoro Importance of regulatory compliance and qualityo Unsustainable contractso Spot purchasingo Waiting for the market to “correct” itself
The new light touch regime• Aim of the regime is to introduce a new set of rules which
have the potential to be:o more flexible;o less administratively burdensome.
• Applies to a variety of goods and services including:o health, social and related services and supply services of
domestic help and nursing personnel;o administrative social, educational, healthcare and cultural
services.
The new light touch regime: What has changed?
• Removal of Part A/Part B distinction• New notification and reporting obligations• Broader range of award criteria
What are the obligations on commissioners?• To advertise contracts above threshold €750,000 (£625,050)
in OEJU - contract notice or PIN (prior information notice)o conditions for participation;o time limit(s) for contacting the Commissioner in order to bid;o brief description of the main features of award procedure.
• To prepare a written report on every contract awarded in accordance with Regulation 84
Award criteria
• Must be transparent and treat bidders equally• May take into account:
o the need to ensure quality, continuity, accessibility, affordability, availability, comprehensiveness of services;
o the specific needs of different categories of users including disadvantaged and vulnerable groups;
o the involvement and empowerment of users; ando Innovation.
• Potential for far greater flexibility and more innovative tenders
Grounds for challenge
• Failure to follow process as set out in the tender – with greater flexibility comes increased risks
• Breach of UK Regulations; note the new requirements re OJEU and reports
• Mixing up selection and award criteria:
Grounds for challenge
• Evaluation methodology – how the answers are scored and weighted
• Breach of overarching General EU Treaty Principles limited to:o transparency;o equal treatment and non-discrimination;
• Some recent examples
Time is “of the essence”
• A standstill period should apply – Regulation 87• Proceedings must be started at court within 30 days
“beginning with the date when the [bidder] first knew or ought to have known that grounds for starting proceedings had arisen” Regulation 92
• If contract has been awarded then only remedy will be for damages
• Ineffectiveness proceedings can also be considered under Regulation 93
Timing – other issues• Clock may “restart” on provision of further information
leading to multiple claims• Standstill period between notification and award is10
calendar days – a very short window• Costs will escalate as soon as proceedings initiated – note
the Court fee!• Easier for Commissioners to reconsider before contract
award
Challenging commissioning practice• Read and understand the tender terms and conditions and
understand what you can and can’t do• Always raise clarification requests if anything is unclear• If you are not getting the answers you need, consider
“gently” suggesting that the process may be unfair and take advice on time limits
• Consider writing to the Monitoring Officer • Issue of proceedings will halt the award of contract
Judicial Review: Grounds• Acting outside the scope of powers (ultra vires);• Delegating a decision to another body or fettering of discretion;• Taking into account irrelevant matters or not taking into account
relevant considerations;• Not complying with relevant statutory or other guidance;• Making an unreasonable or irrational decision;• Not following the correct procedure, for example not consulting
the relevant individuals;• Breaching equality law duties or the human rights of the
individual
Judicial Review: Practicalities• Timing: within 30 days if procurement related or within 3
months of decision• Obtaining evidence and expert analysis• Permission and other procedural points• Remedies• Costs• Collective actions and cost sharing
Questions
If you have any queries or comments in regards to this document please contact Andrew Lancaster of Anthony Collins Solicitors LLP on 0121 212 721 or [email protected]
Anthony Collins Solicitors LLP134 Edmund StreetBirmingham B3 2ES
MDX 13055 Birmingham 1Tel: 0121 200 3242
www.anthonycollins.com
Disclaimer: Whilst every effort has been made to ensure the accuracy of these materials, advice should be taken before action is implemented or refrained from in specific cases. No responsibility can be accepted for action taken or refrained from solely by reference to the contents of these materials. © Anthony Collins Solicitors LLP 2015
Datblygu gweithlu gofal yn y cartref proffesiynol
Developing a professional domiciliary care workforce
Roberta Hayes
Medrus Diogel a digonolGweithlu sy'n denu ac yn cadw ymgeiswyr o safon uchel sy'n gallu gweithio gyda
phobl i ddarparu'r gofal a'r cymorth sydd eu hangen arnynt mewn ffordd sy'n adeiladu ar gryfderau pobl ac yn helpu i gyflawni canlyniadau cadarnhaol
Safe Skilled and SufficientA workforce that attracts and retains high calibre applicants able to work
with people to provide the care and support they need in a way that builds on people’s strengths and helps achieve positive outcomes
Cynllunio’r GweithluWorkforce Planning
Safonau Galwedigaethol
Cenedlaethol/CYP National
Occupational Standards/COPP
Fframwaith cymwysterau
Qualification framework
Cyflenwad dysgu drwy waith ac addysg bellach
Work based and FE Learning supply
Ansawdd Cyflwyno Cymwysterau
Cymru/SAUDGO Quality of Delivery
Qualifications Wales/SHELL
Arweiniad ar gyfer
Cyflogwyr a Rheolwyr
Guidance for Employers and
Managers
Ymgysylltu gyda’r sector
Engagement with the sector
Monitro tueddiadau Monitoring trends
Gall pobl Cymru ddibynnu ar wasanaethau cymdeithasol sy’n cael eu
darparu gan weithlu proffesiynol, medrus a chymwys
People of Wales can count on social services being provided by a professional,
skilled and competent workforce
Ein Strategaeth Our Strategy
Data Rhaglen Datblygu Gweithlu Gofal Cymdeithasol
• 336 Darparwyr Gofal Cartref a gomisiynwyd gan Awdurdodau Lleol
• 17,500 o staff• Amser cythryblus gyd 32%
yn gadael mewn blwyddyn• 51% o’r rhai hynny yn mynd
i weithio i Ddarparwr arall• 4,921 staff Awdurdod lleol
Social Care Workforce Development Programme Data
• 336 Domiciliary Care Providers commissioned by Local Authorities
• 17,500 staff • Turbulent time with 32%
leaving in year • 51% of those went to
work for another Provider• 4,921 Local Authority staff
Gweithlu Gofal Cymdeithasol
• Côd Ymarfer Proffesiynol• Dyfarniad Sefydlu• Cymwysterau• Dyfarniadau DPP• Cymwysterau Sector a
Strategaethau Dysgu• Canllawiau ar gyfer
rheolwyr• Adnoddau Dysgu
Social Care Workforce
• Code of Professional Practice
• Induction Award • Qualifications • CPD awards• Sector Qualification and
Learning Strategy• Guides for managers• Learning Resources
Fframwaith Sefydlu
• Fframwaith Sefydlu Gofal Cymdeithasol yng Nghymru
• Gwobr Sefydlu - 6 credyd ar Lefel 2
• GIG Cymru – Sefydlu Gweithwyr Cymorth Gofal Iechyd Clinigol Lefel 6 credyd Lefel 2
• Tystysgrif Gofal yn Lloegr
Induction Framework
• SCIF in Wales • Induction Award 6 credits
at Level 2• NHS Wales Induction
Clinical Healthcare Support Workers level 6 credits at Level 2
• Care Certificate in England
Unedau Cyffredin / safonau• Rôl• Cyfathrebu• Iechyd a Diogelwch• Datblygiad personol• Arfer Canolbwyntio ar y
Person• Diogelu• Egwyddorion a
gwerthoedd gofal
Common Units/standards• Role• Communication• Health and Safety• Personal development• Person Centred Practice• Safeguarding • Principles and values of
care
Rheolwyr Gwasanaethau Gofal
• Adran 7 o’r Côd Ymarfer• Canllawiau ar gyfer Rheolwyr
Gofal Cymdeithasol• Llwybr Gyrfa ar gyfer Rheolwyr• Fframwaith cymwysterau ar
gyfer rheolwyr:- Camu i Reolaeth- Cymhwyster Rheoli- Fframwaith DPP• Cymunedau Ymarfer
Managers of Care Services
• Section 7 Code of Practice• Guidance for Social Care
Managers• Career Pathway for Managers• Qualification Framework for
managers: – Step into Management– Manager Qualification – CPD Framework
• Communities of Practice
Her ac effaith• Paratoi’r gweithlu:
– i ddarparu’r system gofal cymdeithasol newydd
– i ddarparu cymorth yn unol ag egwyddorion, diwylliant a gwerthoedd y Ddeddf
• Cyfrannu at weddnewid y gwasanaeth
Challenge and impact• Workforce equipped:
– to deliver the new social care system
– to deliver support in keeping with the principles, culture and values in the Act
• Contribute to service transformation
Ebrill 2016 - disgwyliadau
• Hyfforddiant Cyflwyno ac Ymwybyddiaeth yn cael ei gyflwyno
• Rheolwyr ac arweinwyr wedi’u cefnogi i arwain newid mewn diwylliant
• Cohort 1af o hyfforddiant ar gyfer rolau yr effeithir arnynt fwyaf
• Rhestr genedlaethol o hyfforddwyr
• Cynlluniau cyflawni hyfforddiant
April 2016 - what we expect
• Introduction and Awareness training rolled out
• Managers and leaders supported to lead culture change
• 1st cohort of training for roles most affected
• National list of trainers• Training delivery plans
Ebrill 2016 - disgwyliadau
• Adnodd hyfforddi ar gyfer gweithlu gofal uniongyrchol
• Adnoddau dysgu: gofalwyr, pobl fyddar a dall, eiriolaeth, cydweithfeydd dan arweiniad defnyddwyr
• Adnoddau dysgu – gweithio gyda charcharorion
• Archwiliad o ddeunyddiau dysgu eraill
April 2016 – what we expect
• Training resource for direct care workforce
• Learning resources: carers, deafblind people, advocacy, user led cooperatives
• Learning resources – working with prisoners
• Audit of other learning materials
Gweithlu Gofal Cymdeithasol
Camau Nesaf – • Gweithredu’r Ddeddf• Ymgyrch recriwtio• Adolygu cymwysterau• Rheoleiddio’r Hyfforddiant• Rheoleiddio’r gweithlu
Social Care Workforce
Next Steps –• Implementing the Act• Recruitment campaign• Qualifications review• Regulation of Training• Regulation of the
workforce