Issue 37 - Winter 2013/2014

Independent Care Matters
the newsletter for independent care providers in York
and North Yorkshire
Payment of the new fee rates in
North Yorkshire at last!
Issue 37
Winter 2013/ 2014
F
ollowing the long process of Judicial Review,
Mediation, an independent Cost of Care exercise,
in-depth negotiations between the ICG and NYCC, and a
County-wide consultation, the agreed uplift to the care
fees, backdated to April 2013, will be paid to care home
providers very soon.
ICG Chair Mike Padgham says ‘The negotiations have at
times been difficult for both sides and it is a testament to
the resolution of both parties that an agreement on fees
was reached and the Cost of Care model created.
‘This successful outcome is down to the hard work,
commitment and dedication of the ICG’s executive, our
members who were Judicial Review Claimants, our
external legal advisors Hempsons and of course
North Yorkshire County Council.
‘Although, inevitably, we were never going to agree on
every issue with the local authority, their spirit of
co-operation and compromise contributed greatly to the
eventual outcome and we are grateful to them.’
Now the ICG will turn it’s attention to other areas
including the hard pressed domiciliary care
providers and non-regulated community services.
Fee negotiations with CYC
Progress has been made in negotiations with City of York Council on
new fee rates from April 2013,
paying ‘due regard’ to the findings
of the Cost of Care report by Genica.
The negotiations have been lengthy
and hard fought and we have not
yet reached agreement but we are
cautiously optimistic that we are
coming closer to reaching a
resolution.
Inside this issue:
Dementia course
2
10 years of the ICG
3
New DNACPR Form
NYCC : Richard
Webb
NYCC Homecare
4
New NHS contract
5
VOY CCG care home
event
HaRD CCG—link GP
6
Payment of CQC fees
6
Your letters
7
This year the ICG is
celebrating 10 years
of service to the
independent care
sector in North
Yorkshire and York.
Our aim is to help
care providers to give the best
possible service to their clients.
See page 3 for news of our planned
Celebration dinner.
4
6
Page 2
Independent Care Matters
!!! LAST CHANCE TO BOOK !!!
University Recognised Course in Person
Centred Dementia Care in York
Don’t miss out on this one-off opportunity
to update your skills and revitalise your
practice.
ICG has been working with David Sheard and
Dementia Care Matters to bring a new One Year
course to York in March 2014.
Called ‘An Emotional Journey’ the course is
designed for managers, nurses and care workers working with people with a dementia who
wish to focus positively on their work. It will
consist of 12 workshops written and facilitated
by David Sheard and the team at Dementia
Care Matters.*
Dementia Care Matters is a well established
national leader in person-centred care. David
is well known to ICG members as an
inspirational speaker at our annual
Conferences and at the latest North Yorkshire
Safeguarding Conference.
David will be among the nationally recognised
trainers who will join students in 12 powerful
training workshop experiences leading them
through vital emotional and practical
issues in dementia care.
Students will learn about the emotional journey
of a person living with a dementia, the meaning
behind emotions and behaviour, and how to
develop person-centred care into practical day
to day support.
Key features
 Certification of 30 credits at Level 6
University recognised
 12 workshops over 12 months
 3 work based assignments
 Learning, action and evaluation
 Invaluable 600 page participation course
manual
Participants can link the learning from this
programme to new qualifications that form part
of the Qualifications & Credit Framework (QCF).
Evidence of how this course is mapped onto
QCF Awards will be provided.
Students will attend in
York 1 day a month.
There will be three work
based assignments.
Courses are being run in
2013 and 2014 in London,
Birmingham, Cardiff and
Dublin.
Some feedback from
participants:
David Sheard
‘This course has been the best training
that I have ever done in my 26 years of
working with older people.’
‘My whole approach, way of thinking and
way of responding has totally changed
thanks to Dementia Care Matters.’
Students receive an invaluable 600 page course
manual. The course is focused on achieving
skills and culture change in care homes.
Participants from other services are welcome
and will need to be able to transfer the course
manual into their own work role.
The course will be held as follows:
Dates: Wed 19 & Thurs 20 March; Thurs 3
April; Thurs 8 May; Thurs 5 June; Thurs 31 July;
Thurs 4 Sept; Thurs 9 Oct; Wed 5 Nov; Wed 3
Dec; Thurs 8 Jan; Thurs 5 Feb
Venue: Priory Street Centre, 15 Priory Street,
York YO1 6ET
Time: all day
Cost: £1,100+VAT for ICG members; and
£1,200+VAT for non ICG members
Don’t miss this chance. To express your
interest please contact the University Learning
Administrator on 01273 242 335 or e-mail:
[email protected]
* David Sheard and Dementia Care Matters
are also working with City of York Council in
a year-long project to transform dementia care
within the Council’s care homes.
Bookings must be made by 20th February 2014
Page 3
What has the ICG done for care providers??
In 2014, as we celebrate 10 years of
the ICG it’s a good time to look back
at what the organisation achieved for
care providers in York and North
Yorkshire.
Our aim is to help care providers to
give the best possible care to their
Clients.



We have built the ICG into a
substantial organisation which
represents around 89% of care
homes and the majority of home
care providers in York & North Yorkshire
Every week we keep members up to
date with an e-mail update of news,
best practice guidance, training
opportunities, changes to requirements by the NHS, CQC and local
authorities and more
We have spent many days, weeks &
years negotiating fee uplifts. These
would never have been achieved
without the ICG being able to work
as a representative group which has
people willing to put the effort in

We work hard to keep positive
relationships with all our colleagues
in the statutory sector by being
honest & trustworthy

We have negotiated uplifts to NHS
CHC fees and this work is ongoing

We have helped members with
information. And we have taken up
issues. On average 10 members a
week ask for our help & support

We have interceded on behalf of
members where they have had
problems getting paid

Each year we bring people together
at meetings of various kinds and at
our annual Conference
None of this would be possible without
the active support of our members
Thank you to ICG members for
being part of a collective which
works on everyone’s behalf.
We hope you will join us at our
celebration this year—make a date
(see below).
 Celebrating 10 years of the ICG 
We are planning to hold a celebratory dinner for
members on Monday 6th October—the night before
our annual Conference this year—
ICG Conference 2014
York Racecourse
 Tuesday 7th October 
More news will follow ...
New DNAR form
Version 13 of the DNACPR Form has
been introduced and should be
used from now on.
There will be a crossover period
when both versions 12 and 13 are in
use. It is hoped that by the beginning of July 2014 all areas will have
switched to using version 13 and by
December 2014, version 12 will
have been phased out through the
normal reviewing process.
ICG has sent the new Form to
members—currently it is not
available on any website.
Remember: the guidance says that
either a black border OR a red
border on the form is acceptable to
Yorkshire Ambulance Service (YAS).
Page 4
Independent Care Matters
New Corporate Director for Health and Adult Services at NYCC
The new Corporate Director for Health and Adult Services at NYCC is Richard
Webb. He will take up post at the County Council on 3 March 2014. Richard has
been Executive Director Communities at Sheffield City Council since 2009. He is
looking forward to working with colleagues across the independent and voluntary
sectors, as well as within the council and with the NHS, district councils and other
agencies to develop adult social care and public health services in the county.
Richard was born in Portsmouth but his roots are in North Yorkshire - generations
of his family have come from the Whitby and Pickering areas and Wensleydale
and he spent many of his formative years in the Stokesley area.
A graduate of Durham University, Richard joined the NHS national management
training scheme in Newcastle upon Tyne in 1992 and has subsequently worked
across the NHS and local government (including in a series of joint posts), in
Richard Webb
Gateshead, Stockton on Tees, Telford and Sheffield. He has been a statutory
Director of Adult Social Services since 2005 and is currently national Honorary Secretary for the Association
of Directors of Adult Social Services (ADASS) and previously co-chaired the Association's Mental Health,
Drugs and Alcohol Network.
Outside of work, Richard is married to Stephanie, and enjoys spending time walking, reading, listening to
music, and has a taste for good food and drink. He has also been known to keep an occasional eye on the
fortunes (if that's the right word!) of Middlesbrough and Portsmouth football clubs.
NYCC Review and Re-commission of Domiciliary Care Update
F
ollowing extensive consultation, including
events for providers, North Yorkshire County
Council is currently considering the feedback on
the delivery model and responses to the question
on ceiling rates. It is also looking carefully at the
ADASS guidance to Directors on commissioning
homecare which was published at the end of
December.
rationalisation of prices across the three areas
and this will involve the implementation of a
ceiling rate.
It is understood that times are hard financially for
all organisations including the County Council and
it is the intention of this process to emerge with
strong, stable providers with a sound financial
base. To this end NYCC will continue to work with
providers and the ICG to reach a mutually agreeable price ceiling which can achieve value for
money for the council and financial stability for
providers.
As mentioned at the provider events it is the
council’s intention to reduce the number of
providers used to deliver commissioned care in
these areas with the stated aim of improving
strategic work between the council and the
selected providers in order to deliver a high quality, The proposed dates for the next phase of the reprocurement (Harrogate—Stray, Selby—Abbey &
personalised, and ultimately outcome based
Scarborough– Coast Districts) are outlined below,
service to our service users.
please note that these are subject to change.
Therefore, it has been decided that NYCC will be
looking to appoint three providers for each of the Publication of Pre Qualification Questionnaire (PQQ):
01/05/2014 – To be accompanied by a full briefing event
three areas via a two stage procurement process
Closure of PQQ:
31/05/2014
which will begin in May 2014.
The fees NYCC currently pays for domiciliary care
vary widely across the county as the result of the
current commissioning model and historical
inconsistencies in pricing.
An important part of this project will be the
Publication of Invitation to Tender (ITT): 08/07/2014
Closure of ITT:
29/08/2014
Contract award:
03/11/2014
Start of new contracts:
01/01/2015
If you have any questions or comments please contact
[email protected]
Page 5
NHS Partnership Commissioning Unit
& the new NHS contract
The NHS Partnership Commissioning Unit (PCU) held meetings for care providers in
York, Harrogate and Scarborough recently to
explain changes which would help resolve the
problems with outstanding invoices.
At the meetings, providers were encouraged
to sign the new NHS Contract which is being
brought in for all providers who have
Continuing Healthcare (CHC) clients (or may
have in the future). It is a standard NHS
contract. It will not apply to Funded Nursing
Care (FNC).
Janice Riseley, Bonnie Atkinson & Debbie King
In the first instance the provider must be registered on the NHS Any Qualified Provider
(AQP) list. The contract will be valid for a 3 year period and will act as an ‘umbrella’
for a changing client base.
The contract will begin by using an agreed list of existing clients. It will have an
agreed financial schedule which will show the payments over 12 months.
A reconciliation will be done every three months to
take account of any changes.
The benefits were explained:






Regular monthly payments to improve cash flow
Reduction in admin
Reduction in queries
Reduction in time lags
Reconciled regularly
Provides an audit trail for both parties
PCU meeting at Scarborough
If you have not already done so, and want to sign up to the new NHS contract, which
is applicable for CHC only, (NOT Fast-track), then please contact the PCU at
[email protected]
The new contract would mean that you would be paid monthly for your CHC clients.
Significant changes would be
made as a variation to the
contract. There would be regular
reconciliations.
PCU meeting at York
The PCU has a new telephone
number 01904 694 838
ICG Chair Mike Padgham, spoke recently at the 5th European
Conference on personal and household services in Brussels on the
subject of care in people’s own homes. ‘It is clear that the challenges
facing home care providers are the same throughout Europe,’ he said.
‘The standing social care has in society, the funding it is given and the
levels of pay and recognition given to workers—it must be improved.’
Page 6
Independent Care Matters
Vale of York CCG—meet the commissioners event for care homes
The Vale of York Clinical Commissioning Group has held its first ‘meet
the commissioners’ event for care homes.
Dr Andrew Phillips, Clinical Lead for Care Homes at the CCG gave a
presentation on the make up of the CCG . He highlighted why the NHS
is focusing on care homes and the £4m cost of non-elective admissions
to hospital from care homes.
Dr Phillips gave details of what the CCG is putting in place to improve
Dr Andrew
primary care services for care homes and to develop joint working
Phillips
approaches which would avoid unnecessary hospital admissions for
clients. Delegates took part in workshops to gather information on the current
challenges, and highlighting positive examples of care homes working with the NHS.
Payment of CQC fees
ICG has thrown its weight
behind Care England’s call to
allow providers to be able to
spread the cost of their Care
Quality Commission (CQC) fees.
Care England (formerly ECCA) is
urging providers lobby their local MP
to persuade the CQC to make it possible for providers to pay their fees via
monthly direct debit payments.
ICG Chair Mike Padgham said: ‘It
is sensible to allow care providers to
spread the payment rather than have
to face a large, one-off bill, often for
thousands of pounds.
‘This is an excellent initiative by Care
England and I very much hope that
providers will get behind it. The ICG
is happy to support it and hope all our
members will write to their MP.
‘It is unfortunate that at a time when
people can spread the bills that they
pay to virtually every business and
organisation, they cannot spread the
payment to a Government-backed
body, and with a 2.5% increase in the
CQC fee on the horizon this is going to
be another large bill for hard-pressed
providers to face.’
HaRD CCG—GP links
Harrogate & Rural District CCG
wants to work more closely with
care homes and increase the
support being given.
Care homes in the Harrogate area
have been sent a letter detailing
planned improvements, that
include a proposal to link single
GP practices with care homes.
This would enable GPs to build a
more collaborative way of working with each care home, to take
responsibility for the health of all
the residents, and to increase
efficiency to the benefit of the
home and the clients.
Currently one GP practice could
pay visits to 12 homes.
Care homes have been sent a
Preference Form to identify their
choice of practice.
Well done Hayley!
Hayley Jackson, has been
named as the Best Dementia
Trainee at the prestigious
National Dementia Care
Awards.
Hayley was nominated by her
colleagues at Stamford
Bridge Beaumont care home
(Barchester) for her focus on
supporting those experiencing dementia and providing
them with the opportunity to
lead enriching and fulfilling
lives.
Page 7
Your letters ...
Dear ICG
Safeguarding
for Safeguarding
ention to the time taken
att
aw
dr
to
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itin
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am
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uses to
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ide and we
quality of care we prov
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Let me begin by saying
y kind of abuse.
an
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have zero tolera
which is always
carer accusing another
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take 5 months?
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ation—but should that
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the morning.
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ide
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In July last year we had
that the other had slapp
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ent for two days. No
Two carers on du
ser did not report the ev
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the
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mark was visible and the
stigation was carried ou
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ult was inconclusive as
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but cancelled on the
manager with profession
disciplinary was planned
A
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oth
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instruction of the Safeg
with the
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t it
cuse
told by a police officer tha
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daughter of the resident
set.
attend. She was very up
to
r
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for
te
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op
pr
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was not
the following week the
should investigate and
y
the
t
tha
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lic
po
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d to go to the
It was decided by
er the accused was aske
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we
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n
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estioned
accuser was questioned.
aphed, swabbed and qu
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came ill.
police station where sh
bsequently, this carer be
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which she found extre
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rb
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e. The accused has put
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s
be taken as there wa
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against the accuser wh
CC questioned
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In November another
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:
Cost
lusion
d on full pay 5 months.
each carer again. Conc
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could be proved. Total
r way of doing things.
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What do others think?
tes, details of the
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believe that
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Safeguarding alert. We
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lied
Name and address supp
ICG is a care association which represents
independent care providers in York and North
Yorkshire including care home providers for all
client groups, domiciliary care agencies,
supported living and extra care housing
providers, and day centres in the private and
voluntary parts of the independent sector.
Issue 37
The voice of independent care
providers in York and N Yorkshire
ICG contact details:
Keren Wilson
Chief Executive
Independent Care Group
5 Beechwood Grove
HARROGATE
HG2 8QP.
Independent Care Matters is sent currently to
all care providers in York and North Yorkshire;
all City Councillors; all County Councillors; senior
managers at the CCGs, Borough and District
Councils & NHS Trusts; to all local MPs and MEPs
and to senior managers at NYCC & CYC.
Tel: 01423 816 582
Mobile: 07766 714 157
E-mail: [email protected]
Website: www.independentcaregroup.co.uk
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