Tag Archives: local government

Improving dementia services will take time

When the National Dementia Strategy was launched amid much fanfare last February, the government said that dementia would become a priority and services would be improved. But nearly a year on, the rhetoric hasn’t been backed up by enough action, according to the National Audit Office.

In its interim report on improving dementia services in England the NAO was heavily critical of the implementation of the strategy – or lack of it.

Amyas Morse, head of the NAO, said; “At the moment this strategy lacks the mechanisms needed to bring about large scale improvements and without these mechanisms it is unlikely that the intended and much needed transformation of services will be delivered within the strategy’s 5-year timeframe.”

However, some feel that the NAO has jumped the gun with its criticism. For instance, Martin Green, chief executive of the English Community Care Association, called the report “somewhat premature”. He believes that while there is a lot more to be done to improve services, “the development of the strategy and the achievements so far represent a significant improvement in raising the profile of dementia services and giving some clear direction for the future of care and support.”

Green does have a point; it needs to be recognised that it takes time – especially in local authorities and the NHS – for change to happen. For instance, one of the main aims of the strategy is to give basic training in dementia to every health professional that comes into contact with someone with the condition. It takes time to set a project like that up and then complete it.

It is a 5-year strategy and shouldn’t be judged too harshly yet. But nevertheless the NAO’s report should serve as a kick up the behind for government, local authorities and the NHS to ensure that they do implement measures to improve dementia services or at least start putting the mechanisms in place to do so.

This agenda is evidently not going to be forgotten about, and organisations such as the NAO won’t be afraid to criticise if they see things aren’t going as well as they should be. This should ensure that the Dementia Strategy isn’t quietly swept under the carpet by the bodies involved – possibly tempting given the swingeing public sector funding cuts coming – and do, in time, deliver the standards of services required.

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Pre-budget report pleases few in social care

If ever there was a pre-budget report that was going to be unpopular, it was this one. Chancellor Alastair Darling knew it and has pretty much admitted it too. Unfortunately for him, it seems he was right; finding anyone with much positive to say about it is tricky at best.

From a social care point of view, the PBR seems to have been attacked from all sides. While it is generally accepted that cuts to the public sector are necessary if the country is to dig itself out of the financial hole it is in, the size of these cuts is causing consernation.

For example, the drive to keep older people in their own homes and out of residential care by using preventative measures continues. While the government thinks £250 million can be saved this way, ADASS’ John Jackson has slammed these proposals as “naïve”. He says that most councils are already planning cuts of 4% in this area and to make more, without new initiatives designed to help local government or promote closer working and better resource utilisation between the NHS and local government, is unrealistic.

Elsewhere, the announcement of a cap of 1% on pay increases for public sector workers from 2011-13 has been met with dismay. With National Insurance set to go up by 1% in 2011 too, add in inflation – expected to rise to 3% next year – and that’s a pay cut for millions. However, many councils would have struggled to find money for pay increases in any case.

But as BASW’s chief executive Hilton Dawson has pointed out, this seems to fly in the face of the Social Work Task Force report’s recent recommendations on career structure and pay grades for social workers. He called it a “slap in the face for the profession”.

Public sector unions have also been critical of the plans to cap state contributions to local government employee pensions by 2012.

So, while the public sector is unhappy, is the private sector more welcoming? Err, no. The English Community Care Association, the representative body for the independent care sector, has also slammed the PBR. Chief executive Martin Green said that the; “report signals that the government is intent on protecting the statutory services at the expense of independent provision and putting dogma before need”.

But this criticism has come without anyone really knowing what the alternative is; the Conservatives have focused mainly on criticising Labour’s plans, rather than promoting their own. Ditto the Liberals.

Certain details have previously emerged – such as the Tories’ plans to make deep cuts quickly and freeze social work pay for a year – but nothing in the same detail as Labour.

Only when the other parties outline their plans in the same detail will everyone get a true sense of what may be to come for the social care sector and the country more widely on the other side of the general election.

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