Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what steps his Department is taking to ensure that carers are able to give each patient an appropriate amount of time on visits.

In most cases, very short visits from care workers are incompatible with high quality care. However, short visits may be appropriate in certain circumstances. For instance, checking medication has been taken.

Local authorities are responsible for the commissioning of services, not the Government but both Government and the Association of Directors of Adult Social Services (ADASS) agree that inappropriately short home care visits are unacceptable.The Care Act sends a clear message that commissioning services without properly considering the impact on people’s wellbeing is unacceptable.

In September 2015, the National Institute for Health and Care Excellence (NICE) published guidelines on homecare which state that homecare visits should not normally be less than 30 minutes long. The Department published statutory guidance to the Care Act which directs local authorities when commissioning to consider national standards including NICE guidelines.

Further, the Department worked with ADASS and the Local Government Association (LGA) to produce a framework of standards, ‘Commissioning for Better Outcomes’ which explicitly states that inappropriate use of short visits is not compatible with best practice. The framework is designed to support local authorities to improve their commissioning practices using self-assessment and peer challenge through the LGA’s programme of sector-led improvement.