The use of large up-front fees and disproportionate deposits has already resulted in significant cost consequences for one care provider.
What George Osborne has delivered is the prospect of some new money being raised in particular by local authorities and a £1.5 billion increase in the Better Care Fund. Whilst this is welcome, it does not feel like a permanent solution. Our concern is that the areas most in need of investment will not be able to raise the extra funding needed, accentuating the regional disparities in services. Will any new money that is raised really be sufficient to deliver the National Living Wage over the longer term? For some providers, any increase in income will be lost to the new apprenticeship levy. So how should providers respond?
Enhanced local engagement
Social care providers have already been taking a long hard look at their services, area by area, to work out where they should focus and where it may not be viable to continue. The potential for further funding for social care to be raised locally will increase the need for providers to have effective ways for working with and influencing local authorities’ commissioners and CCGs locally, recognising that a “one size fits all” approach across the country is unworkable. This may need team members with new skills at a local level. Have you invested time in understanding the local market and building the necessary relationships? Have you identified who you should be collaborating with? Do you have the people who can do those things? Can they come up with creative solutions? Are they empowered to do so?
However adept providers become at influencing commissioning arrangements locally, the stark reality is that all providers are going to have to deliver greater efficiencies even if they already feel they are doing so. We will be producing a checklist of efficiencies to consider but the reality is that it will be more than marginal changes that will be needed. Providers will have to look at their whole service model and consider how it needs to adapt for the longer term.
Unleashing the innovators
The Care Act and the light touch procurement regime open the door to greater innovation in commissioning. Providers who can unleash the innovators in their organisations to find creative solutions will be the most likely to be facing the future with confidence.
The government announced on 16 May that it will provide a fund of £400m to cover the costs of removal and replacement of cladding to high rise residential blocks which have failed tests.
Whilst some people are under the impression that preparing a Lasting Power of Attorney (LPA) is simply a case of completing a form and ticking a few boxes, it is about far more than this.
A big fear for some people facing divorce and the inevitable carving up of the matrimonial assets. They seek assurances that such assets will be “ring-fenced” and retained for them.
Thinking about the legal status of being a cohabitant probably isn’t at the top of the ‘to do’ list.
When an individual is thinking about making a gift to another individual, consideration needs to be given to the Potentially Exempt Transfer (PET) trap.
We are now only a few weeks away from the biggest change to data protection laws in over 20 years. Are you compliant?
The tragedy, in this case, is that there were options readily available to the midwives that they could have used. This was not a case of having to go above and beyond.
Arising from the recent Family Division announcement, people who think they are legally divorced may in fact still be married.
The SCCS has issued providers in the scheme a series of updated and new documents in order to assist with their National Minimum Wage review.
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