Jozsef Gecsei

From: Care England Info Subject: Parliamentary Wrap-up Attachments: Game Changers final 20.4.17.pdf

Parliamentary Wrap-up Parliament has been dissolved until the General Election. MPs cease to be MPs and are now candidates until the results of the General Election

1. General Election As it stands the following MPs, only one from the Care Home Parliamentary Network, will be retiring at the general election on 8 June (in no particular order):

Dame Angela Watkinson MP (Con) Hornchurch & Upminster Alan Johnson MP (Lab) Hull West & Hessle Ian Wright MP (Lab) Hartlepool Pat Glass MP (Lab) NW Durham & Cleveland Simon Burns MP (Con) Chelmsford Ronnie Campbell MP (Lab) Blyth Valley George Osborne MP (Con) Tatton Gisela Stuart MP (Lab) Birmingham Edgbaston Eric Pickles MP (Con) Brentwood & Ongar Andrew Tyrie MP (Con) Chichester MP (Lab) Leigh MP (Lab) West & Penge Rob Marris MP (Lab) Wolverhampton Sir Alan Haselhurst MP (Con) Saffron Walden Fiona McTaggart MP (Lab) Slough Sir Gerald Howarth MP (Con) Aldershot Dave Anderson MP (Lab) Blaydon Steve Rotheram MP (Lab) Liverpool Walton Michael Dugher MP (Lab) Barnsley East Douglas Carswell MP (Ind) Clacton Andrew Turner MP (Con) Isle of Wight

2. Parliamentary Questions Deprivation of Liberty: on 20 April Johnny Mercer MP, (Con) Plymouth Moor View asked about the DH’s review of the Law Commissions review of the Mental Capacity Act and DoLS. In response Nicola Blackwood MP, Parliamentary Under-Secretary of State at DH, said the DH was considering the Law Commission’s report and recommendations and would respond in due course. http://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2017- 04-13/70631/

Health and Social Care Integration: on 20 April Lord Bradley (Lab) asked what action the Government was taking to ensure that there were no legislative barriers to the integration of health and social care services and budgets. In response Lord O’Shaughnessy, Parliamentary Under-Secretary of State for Health said “The Government is committed to supporting further integration of health and social care. This includes giving due consideration to the need for changes to the legislative framework where this is identified as a barrier to effective integration, and when these changes are in the best interests of the wider health and care system”. http://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Lords/2017-04- 05/HL6669/

Care Homes: on 21 April Tulip Siddiq MP (Lab) Hampstead & Kilburn asked how many registered care homes and nursing home places there were in each clinical commissioning group area over the last few years. In response David Mowat MP, Care Minister, gave the following information from CQC.

1 http://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2017- 04-13/70436/

South Tyneside: on 21 April Stephen Hepburn MP (Lab) Jarrow asked how much of the £2 billion fund for councils in England to spend on adult social care would be allocated to South Tyneside local authority. In response David Mowat MP, Care Minister said that South Tyneside local authority would receive £8.2 million additional funding for adult social care over three years. Council by council allocations can be found at https://www.gov.uk/government/publications/the- allocations-of-the-additional-funding-for-adult-social-care

CLG Select Committee: on 24 April MP, (Lab) South East, highlighted the CLG Select Committee’s latest report in particular the fact that nearly half of workers leave within a year of getting a job, half are on zero hours contract and many do not get paid for travelling time in contradiction to the National Wage Legislation and 27% did not get any training in dementia. He argued the case for developing a well paid and well trained workforce utilising Unison’s ethical care charter as a base. https://hansard.parliament.uk/commons/2017-04-24/debates/0F3B0ED0-3107-43BF-A38A- AE0E6277B320/TopicalQuestions

Care Home Ratings: on 26 April Barbara Keeley MP (Lab) Worsley & Eccles South asked how many residential care homes had been rated by CQC as inadequate and required improvement in the last three years. In response David Mowat MP, Care Minister, gave the following information from CQC: Number of Care Homes with an Overall Rating of Inadequate or Requires Improvement Published Between 1 October 2014 and 31 March 2017

Number of Care homes

Nursing Home Nursing Home Residential Home Residential Home

Financial Year Rating Published Requires improvement Inadequate Requires improvement Inadequate

1 October 2014 - 31 March 15 341 97 383 101

2015-16 1,309 271 1,988 309

2016-17 1,241 260 1,927 306

http://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2017-04- 21/71654/

Also on 26 April Ms Keeley asked about the number of care homes beds to which the Minister gave the following information: Number of active care homes and number of care home beds

Number of Active Care Homes Total Number of Active Number of Care Home Beds Total Number of Care Date Nursing Home Residential Home Care Homes Nursing Home Residential Home Beds Home 31 March 4,365 12,567 16,932 203,477 236,197 439,674 2011 31 March 4,654 13,161 17,815 217,266 250,143 467,409 2012 31 March 4,667 12,853 17,520 220,055 245,577 465,632 2013 31 March 4,683 12,667 17,350 222,158 243,547 465,705 2014 31 March 4,698 12,382 17,080 224,751 239,363 464,114 2015 31 March 4,643 12,122 16,765 224,853 237,182 462,035 2016 29 March 4,504 11,890 2017 16,394 221,188 238,765 459,953

Notes: - A care home with both service types of ‘care home with nursing’ and ‘care home without nursing’ is classified as a nursing home. A residential home is a ‘care home service without nursing’.

2 http://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2017-04-21/71599/

National Minimum Wage: on 26 April Barbara Keeley MP (Lab) Worsley & Eccles asked which social care providers had been identified by HMRC as non compliant with the NMW legislation and how much was owed in arrears by each such provider. In response Jane Ellison MP, Financial Secretary to the Treasury, said HMRC did not comment on individual cases. http://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2017- 04-21/71600/

Hospital Admissions: on 26 April Barbara Keeley MP (Lab) Worsley & Eccles South asked how many patients were admitted to hospital from a care home as an emergency admission in the last seven years. Care Minister, David Mowat MP, gave the following information: Counts of finished admission episodes (FAEs) with an emergency admission by source of admission from a care home, from 2009-10 to 2015-16

Year Source of Admission 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 2015-16

National Health Service run care home 3,428 3,396 3,086 3,538 3,541 3,019 2,681 2,399 3,033 2,376 2,099 1,505 1,626 2,225

Local authority part residential 10,965 10,510 11,806 15,158 16,037 17,588 21,941 Non-NHS (other than local authority) run care home 584 600 824 656 537 449 582 Non-NHS (other than local authority) run hospice Emergency admissions from Care 17,376 17,539 18,092 21,451 21,620 22,682 27,429 Homes total

Source: Hospital Episode Statistics, NHS Digital

Notes: 1. Finished admission episodes A FAE is the first period of admitted patient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission episode finishes. Admissions do not represent the number of patients, as a person may have more than one admission within the period. 2. Source of admission Identifies where the patient was immediately prior to admission. 3. It is likely that the figures are low, because some FAEs will be coded under the value ‘usual place of residence’ within the source of admission field. http://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2017-04-21/71597/

Regulated Activity: on 26 April Barbara Keeley MP(Lab) Worsley & Eccles South asked how many care homes did not meet the requirements set out in Regulations 8, 10 nad 12 of the Health and Social Care Act 2008 (Regulated Activities). In response David Mowat MP, Care Minister, gave the following information: Number of Care Homes Found in Breach of HSCA RA Regulations 2014 Reg. 10 or Reg. 12 Regulation 10 Regulation 12 Total Care Homes Found in Breach of HSCA RA Financial Year Dignity and respect Safe care and Regulations 2014 Reg. 10 Total Number of Care Inspection Report treatment or Reg. 12 Homes With a Published Published Inspection4 2015-16 276 1,393 1,462 9,335

2016-17 407 2,068 2,125 9,545

Total3 659 3,140 3,249 15,589

Source: CQC database as at 3 April 2017

Notes: 1Numbers presented are for Nursing Homes and Residential Homes combined. Includes care homes that are no longer active.

2The HSCA RA Regulations 2014 came into force on 1 April 2015.

3Totals are lower than the sum of number of care homes in each category, as some care homes have had more than one breach served against one or both of the regulations.

3 4Some care homes may have had more than one inspection published in the period. http://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2017- 04-21/71650/

Evicting Residents & Relatives: on 27 April Andrew Gwynne MP (Lab) Denton & Reddish asked whether there were plans to propose a Statutory Instrument obliging care homes to notify CQC when banning, restricting or evicting a relative or resident. In response David Mowat MP, Care Minister, said the new Government would set the new policy agenda. http://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2017- 04-25/71864/

4. Debates Adult Social Care: on 24 April Emma Lewell-Buck MP (Lab) South Shields introduced a short debate on tackling regional variations in social care funding. She said that the formula was broken and that South Tyneside Council was the third hardest hit council in the country with a low council tax base and that demand for adult social care was higher than average and hospital services were under threat from the Government’s forced sustainability and transformation plan.

Robert Neill MP (Con) Bromley & Chislehurst said that there was a variation in the willingness of the health sector to work jointly with local authorities to maximise the integration of the funds available. He went on to say that local authorities were well used to joint working and democratic accountability, but clinical commissioning and other health groups were not.

Paul Blomfield MP (Lab) Sheffield Central asked whether the Minister recognised that the social care precept meant that funding available for social care was increasingly dependent on a local authority’s tax base. He gave the example in 2017-18 the precept would generate £9 million in additional funding in Sheffield, compared with more than £31 million for Surrey.

Finally Teresa Pearce MP (Lab) Erith & Thamesmead said that many care homes up and down the country were reliant on care workers from the EU. She asked the Minister to meet with the care sector and ensure that care homes would be adequately staffed with appropriately trained care workers.

https://hansard.parliament.uk/commons/2017-04-24/debates/6967A482-DC20-465C-8523- C111DB295868/AdultSocialCareFunding

Shortages of Nurses: on 27 April Lord Clark of Windermere (Lab) mentioned the nursing shortage during a debate on education. He said: “Let us take just nursing. Currently, we are about 24,000 nurses short—I think there is no disagreement with that. That affects not only our National Health Service but another big issue at the moment, the after- care service. A number of care providers, nursing providers and Care England have contacted me to say that they have had to close beds because they cannot get nurses to staff them. We tend to neglect that, and I mention it only in passing today because I want to concentrate on the health service. https://hansard.parliament.uk/Lords/2017-04-27/debates/2E807FC8-5FE9-4349-B08A- D12E241AA55B/Education(StudentFeesAwardsAndSupport)(Amendment)Regulations2017#contribution-157BCE39- CCDC-4AE8-9859-04622D179E26

5. Select Committees Health Select Committee: on 28 April the Health Select Committee published its report into .

Public Accounts Committee: on 27 April the PAC published its report on emergency admissions and delayed transfers of care. The Report states that the Better Care Fund was nothing more than a ruse to paper over the cracks in social care. http://www.parliament.uk/business/committees/committees-a-z/commons-select/public-accounts-committee/news- parliament-2015/integrating-health-social-care-report-published-16-17/

Public Accounts Committee: on 26 April the PAC published its report on local support for people with learning disabilities. https://www.publications.parliament.uk/pa/cm201617/cmselect/cmpubacc/1038/103802.htm

6. Care Home Parliamentary Reception On 25 April Baroness Greengross hosted the Care Home Parliamentary Reception. The event was well attended by members of the Care Home Parliamentary Network and members of Care England and sponsored by Towergate. A

4 number of Teaching Care Home Reports were launched as well as Care England’s Game Changers for Social Care in the 21st Century. http://www.careengland.org.uk/teaching-care-home-pilot

Game Changers in 21st Century Social Care, a booklet of pithy quotes from leaders in the sector on the future of social care was launched at the Care Home Parliamentary Reception on 25 April. It incorporates succinct ideas from the following thought leaders: Professor Martin Green OBE, Chief Executive of Care England Sir David Behan, Chief Executive of CQC David Brindle, Public Services Editor at the Guardian Harry Cayton CBE, Chief Executive of the Professional Standards Authority Rt Hon Stephen Dorrell, Chair of NHS Confederation Baroness Greengross of Notting Hill OBE, Chief Executive of the International Longevity Centre Jeremy Hughes CBE, Chief Executive of Alzheimer’s Society Rt Hon Norman Lamb MP, Liberal Democrat Health Secretary Rt Hon Alan Milburn, Chair of the Social Mobility and Child Poverty Commission Janet Morrison, Chief Executive of Independent Age Angela Rippon CBE Carolyn Baker-Mellor, Head of Care at Towergate Insurance. http://www.careengland.org.uk/sites/careengland/files/Game%20Changers%20final.pdf

Photos of the event can be found at http://www.careengland.org.uk/teaching-care-home-event

7. Key Dates General Election – 8 June Care Home Open Day - 16 June Parliamentary Recess – 20 July Shaping Tomorrow: Care England Conference – 16 November

Louisa Collyer-Hamlin External Affairs Advisor

2nd Floor, 40 Artillery Lane, E1 7LS 07939526042 / 0207492 4840 www.careengland.org.uk

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