(8 years, 5 months ago)
Lords ChamberMy Lords, I declare my interest as chair of Hft, a learning disability charity delivering such services across England. It is really very difficult to plan at the moment. We anticipate an element of growth, but we are not sure where or when that will come. The Minister outlined issues such as that. Could the NHS learn from some local authorities that are charged with managing their markets so that when they are ready to discharge such patients they have already established settings for them?
All the transforming care partnerships will comprise both CCGs and local authorities, so all the experiences learned by local authorities should be paid into the process.
(9 years, 1 month ago)
Lords ChamberWhat the noble Baroness says is absolutely right—the two are linked closely, although it is interesting that the main concern coming from the CQC report is around safety, which is not directly related to the point that she raised. The better care fund is a start on this road. The devolution in Manchester is another point along the journey. Increasingly, over the next five or 10 years, we will see a coming together of the health and social care system.
My Lords, I am sure we all welcome a living wage being paid to care workers, but when this was announced, did either the Treasury or the department do an impact assessment of this new expenditure on the sector?
The impact on the sector is very clear: it will push up costs in the sector. How those costs are funded will be part of the spending round discussions that are going forward at the moment.