Asked by: Baroness Browning (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what steps they are taking to ensure that Care (Education) and Treatment Reviews are taking place within recommended timeframes, and that recommendations arising from those reviews are being acted on.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
NHS England published updated policy and guidance on both Care (Education) and Treatment Reviews (C(E)TRs) and Dynamic Support Registers (DSRs) on 25 January 2023, for implementation from 1 May 2023, to help ensure people get the support they need to stay well in their communities. This includes guidance on the timescales for C(E)TRs and on ensuring that actions are taken forward.
NHS England produced the updated policy and guidance following a process of reviewing the learning since the inception of C(E)TRs and DSRs, including consultation and engagement with people with lived experience. This process included drawing on the findings of the Norfolk Safeguarding Adults Board’s review of the deaths of Joanna, Jon and Ben at Cawston Park in Norfolk, and the subsequent safe and wellbeing reviews for all people with a learning disability and autistic people in mental health hospitals.
Asked by: Baroness Browning (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government why social service departments are discharging hospital patients to residential care for the first time when they are self-funding, while encouraging those patients (1) to contract with, (2) to be charged by, and (3) to be added to, social services’ admissions to private care, instead of contracting directly with the residential home; what impact this practice has on patients’ contractual rights; and what assessment they have made of the impact of this on the viability of the private care home sector.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
It is our priority to ensure that patients are discharged at the right time and to the right place, and to ensure that people receive appropriate care and support after they have been discharged. We believe it is crucial to ensure that the discharge process remains person-centred and driven by the patient’s fully informed decisions of the available options, including their own home or a residential care setting after they are discharged, with the support of their family or unpaid carers.
Whether or not a person qualifies for any financial support towards their care costs depends on their capital assets. Anyone who has assets above the upper capital limit, £23,250, is expected to meet the full cost of their own care. A person with more in capital than the upper capital limit can nonetheless ask their local authority to arrange their care and support for them.
Where the person’s needs are to be met by care in a care home, the local authority may choose to arrange the care, but is not required to do so. In supporting self-funders to arrange care, the local authority may choose to enter into a contract with the preferred provider or may broker the contract on behalf of the person.