Healthcare: Support Workers

Debate between Baroness Northover and Lord Willis of Knaresborough

Monday 28th January 2013 Lords Chamber

[Lord Willis of Knaresborough]

To ask Her Majesty’s Government what plans they have to train and register health care support workers.

[Baroness Northover]

My Lords, my right honourable friend the Prime Minister has announced a £13 million innovation fund, which will provide opportunities for healthcare assistants to progress to nursing roles, and a review of induction training for care staff by the Care Quality Commission. In addition, new training and conduct standards for care staff will be published shortly. We are considering what further action is required in the light of the findings of the public inquiry into Mid Staffordshire NHS Foundation Trust.

[Lord Willis of Knaresborough]

I thank my noble friend for that very helpful reply. However, does she accept that at the moment there are literally tens of thousands of elderly, frail patients, often with comorbidities, being looked after in domiciliary or care homes by an army of well meaning healthcare support workers who receive virtually no training and who are unregistered, unregulated and often unsupervised? Will my noble friend do three things in the forthcoming legislation: will she ask the NMC, first, to set standards for all healthcare support workers; secondly, to make that training mandatory; and, thirdly, to set out a timetable by which if employers do not use trained staff, it will in fact be an illegal act?

[Baroness Northover]

My noble friend makes some very cogent points; of course, he has recently reviewed this whole area in the Willis report. As I mentioned just now, we are imminently to receive the report on the Mid Staffs situation, which continued over a long period. My understanding is that it will be published on 6 February. The Government will be responding to what its recommendations might be, but I have already mentioned that Skills for Health and Skills for Care are developing standards for the training and conduct of support workers. They should report on that very shortly. The CQC has also been commissioned to review induction training, so we are acutely aware of this and are working on it at the moment.