Our strength is your involvement |
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Oxfordshire provider networks
Fortnightly
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OACP Home Care network: Monday 1-2 pm via Zoom. Next meeting: 4 July
Monthly
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OACP Daytime support network: 2nd Friday 1-3 pm via Zoom. Next meeting: 8 July
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OACP Learning Disability network: last Tuesday 10-11 am via Zoom. Next meeting: 19 July
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OACP-OCA Care Home network: 2nd Wednesday 2-3 pm via Zoom. Next meeting: 13 July
Plus
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Oxfordshire Registered Manager Network: Thursday 15 September 1.30 - 3.00 pm
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Improving the Health and Care of Residents in Care Home: Care home Managers needed for a research project
The University of Oxford, with the Oxford Academic Health Science Network (AHSN), is collaborating with the Buckinghamshire, Oxfordshire and Berkshire West Integrated Care System (ICS) to better understand and contribute to improving quality of life and care in care homes.
The project is led by Professor Ray Fitzpatrick, as part of a NIHR long-term programme (https://www.arc-oxtv.nihr.ac.uk/). This research is part of a national initiative to assess the benefits of deterioration tools to care homes and to provide training and support in this area.
This is an opportunity for you to have a voice and share views and experiences to influence policy and planning in this area. We are looking for managers of care homes who would be willing to complete a short questionnaire about:
- their experiences of supporting deteriorating residents
- tools used to identify and care for residents at risk of deterioration (such as RESTORE2)
- the broader context of maintaining health and wellbeing of residents
The survey will take 10 minutes.
The survey will be open until the end of July 2022.
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Do you need anything else to circulate these support opportunities to staff?
Three schemes paid for through WRRF to support the existing workforce and future recruitment.
Find out more below:
Care Friends candidates are 9x more likely to be hired than job board candidates and 50% less likely to leave in the first 6 months.
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Do you have staff in the Didcot area (OX11 postcode)?
Draycott Engineering is offering free MOTs to cars owned by key workers including carers.
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REMINDER
Workforce Roundtable 3 | Oxfordshire County Council
Please hold the date:
- Wednesday 27 July
- 3.00 - 4.30 pm
for the third Workforce Roundtable. Details to follow.
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Gloucestershire County Council is carrying out market engagement for the provision of domiciliary care and extra sites within the County. The is a market engagement event only, not an Invitation to Tender.
Gloucestershire County Council is developing its commissioning options for the provision of Domiciliary Care and Wellbeing service within Extra Care sites in Gloucestershire. It is intended to put new arrangements in place from April 2023 using the following Council policy values:
- Living within our means
- Doing the right thing
- Helping communities help themselves
This is an opportunity for both housing and care providers to contribute to the development of the future of ‘Extra Care’ in Gloucestershire.
Interested parties and experienced organisations are invited to participate in an engagement event on Thursday 14 July 1.30-4pm via Microsoft Teams.
The aim of the event is to discuss what is currently termed ‘Extra Care’ in Gloucestershire and how it can be delivered as we go forward.
This tender will be for delivering domiciliary care and a wellbeing service within the current Extra Care sites in Gloucestershire and will then be used for any future developments in Gloucestershire.
The deadline for booking a place at the event is midday on Friday 8 July.
GCC will confirm your place and send the MS Teams link.
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Get ready with your congratulation cards to the NHS as the birth of Integrated Care Systems happens on Friday, presumably at 00.01 am in the time-honoured DHSC manner.
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Almost all councils fear funding gaps for social care reform
Concerns have grown among councils in recent months that the Government’s adult social care charging reforms are potentially hugely underfunded risking implementation as well as exacerbating existing pressures on the system.
Of the £36 billion the new UK-wide health and social levy will raise over the next three years, only £5.4 billion is ringfenced for social care reforms in England. These include the introduction of a ‘fair rate of care’ that councils will pay providers and tackling the issue of self-funders paying more for their care than those who access support at the council rate.
The survey of senior councillors responsible for adult social care across the country also found three-quarters of responding councils said that they are not confident they will have the required capacity in frontline staff to deliver the reforms.
Significant ongoing financial and workforce pressures have already led to over 500,000 people waiting for an assessment, care or care reviews – up from just under 400,000 in November
Unless action is taken and government rethinks its plans, people who draw on care may experience reductions in quality and availability of care and support services, while at the same time paying more for them through the new health and social care levy and increased council tax.
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The first results from Census 2021 are out.
Most areas of the UK saw a percentage rise in population over the ten years from 2011-2021 with the average rise across England being 6.6%.
For all of our local areas there were percentage rises in population:
- Milton Keynes +15.3% (the second largest increase in the south east)
- Wokingham +15.0%
- Vale of White Horse +14.8%
- Cherwell +13.5%
- Slough +13.0%
- Reading +11.9%
- South Oxfordshire +11.1%
- Bracknell Forest +10.1%
- Buckinghamshire +9.5%
- West Oxfordshire +9.0%
- South east average +7.5%
- Oxford +6.7%
- Windsor and Maidenhead +6.2%
- West Berkshire +4.9%
Maybe of more interest, but no surprise, is that our population has continued to age. Across England in 2021, more than one in six people were aged 65 years and over on Census Day, 2021. This is the highest ever recorded percentage, although the most populous age group now is 50-54.
There has been a 20% increase in people aged 65 years and over, but only a 3.6% increase in people aged 15-64. In 32 local authority areas, there has been an increase of more than 30% in those aged 65 years and over. These 32 areas include Milton Keynes with a huge 43.6% increase.
If you're looking for future staff try recruiting in Dartford and Peterborough. These areas saw rises of under 15-year-olds of 31.8% and 23.8% respectively. Bit of a commute though.
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Petrol up another 3 pence per litre on average this week.
REMINDER
Petrol Map finds you the cheapest petrol (and diesel) near your postcode
- Updated daily
- Free but account sign-in needed
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Academic Research into Testing
Care homes have become used to regular testing for COVID-19 during the pandemic. In the future it is likely that care home testing will be 'switched off' and 'switched on' at different times in the year depending on rates of infection in the community. However, there is currently very little evidence to help policymakers decide when testing should be switched on or off.
University College London would like to do a clinical trial in care homes to answer this question. The trial would test out different approaches to testing for COVID-19 in care homes, with and without provision of staff sickness payments, and compare this to 'standard care' (what was happening in care homes before the trial). They would measure how testing impacted on health (number of hospital admissions, infections and outbreaks), provision of care (e.g. staff sickness, costs of testing, care home closures due to outbreaks) and quality of life by interviewing staff, families and residents. Finally, we would put this information together to get a holistic assessment of whether regular testing for COVID-19 is beneficial and under which scenarios. We would start by testing for COVID-19 in the trial, but ideally we would also test for other respiratory infections like flu.
It is estimated that around 300 homes are needed to do the study to start this Autumn to inform winter planning.
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Back to weekly updates on the growth of covid-19...
The weekly Monday hospital statistics show continued strong growth, with admissions up 35% over those days. That takes the 7-day average well over 1,000 to 1,083, up 39% from a week ago.
Beds occupied (+37%), and more significantly ventilated beds (+28%) are rising fast too.
The current rate of NHS admissions-due-to-covid-19 growth is now around 40% per week, having stepped up from the 30% growth seen about a week ago. That means covid cases are doubling around every 14 days if maintained at that rate.
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Public Health update: UKHSA
- Surveillance indicators suggest that, at a national level, COVID-19 activity has increased in several indicators in week 24 of 2022.
- The number of acute respiratory infection incidents (suspected outbreaks) increased in England to 261 in week 24, compared to 170 in the previous week.
- Positivity for pillar one laboratory-confirmed cases for week 24 was 4.2 per 100,000 population, a slight increase from 3.9 in the previous week.
- The hospital admission rate for week 24 was 8.20 per 100,000 population, an increase from 6.11 in the previous week.
Nationally, we continue to see increases in COVID-19 outbreaks within care homes and hospitalisations among those aged 75 years and over. National data also shows that 17.5% of people aged 75 years and over have not had a vaccine within the past 6 months, putting them more at risk of severe disease.
Key Public Health messages:
- To ensure those living in a care home or who are clinically vulnerable, get their spring booster for protection against serious illness.
- COVID-19 has not gone away and we should all remember to keep up good hand and respiratory hygiene. It is also sensible to wear a face-covering in crowded, enclosed spaces.
- If you have any symptoms of a respiratory infection, and a high temperature or feel unwell, try to stay at home or away from others – especially elderly or vulnerable people.
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We're aware of a letter circulating regarding mask-wearing in adult social care settings.
The letter was issued by Southend-on-Sea Council and is only relevant to their services.
Guidance for adult social care has not changed and still stipulates mask-wearing in clinical/ client/resident-facing services
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Strengthening palliative and end-of-life care: an action plan to meet current and future needs
This short report includes 10 recommendations from the CovPall Care Homes study across five areas:
- Valuing the role of care homes and care home staff
- Support for care home managers
- Workforce development, training, and support in delivering palliative and end-of-life care
- Spirit of partnership’: Integration with primary and specialist palliative care
- Digital inclusivity
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Nursing and Midwifery Council English Language Consultation
The consultation closes on 12 August 2022.
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Reminder - One day to go.
All registered care providers need to have an up-to-date Data Security Protection Toolkit (DSPT) in place and for it to be updated by 30 June.
Your local care association provide is a Local Support Organisation in the Better Security Better Care (BSBC) programme delivering giving you bespoke support to ensure you are up-to-date and compliant. BSBC offers advice to care homes, home care agencies, supported living and other care services for adults on how to check their current data protection policies.
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In advance of tomorrow's deadline, our support team is very busy supporting and guiding you.
BSBC supports providers to use DSPT to assess their current policies, procedures and practices on data management and cyber security, and to share the level they reach on the Toolkit with others.
Having an up-to-date DSPT is required under NHS contracts, and is increasingly being added to local authority contracts, reports Digital Social Care. The DSPT also opens up access to secure email with the health service via NHSmail, and it is a pre-requisite for accessing NHS shared records systems such as GP Connect or proxy medication ordering.
OACP, BCA and MKB Care are working together on this.
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The Government has published a draft Mental Health Bill to reform the Mental Health Act and improve the way that people with a learning disability and autistic people are treated in law.
This draft legislation is intended to give effect to the policy approaches outlined in the Wessely review in 2018. This review was set up to look at how the legislation in the Mental Health Act 1983 is used and how practice can improve. In particular to understand the reasons for:
- rising rates of detention under the Act
- the disproportionate number of people from black and minority ethnic groups detained under the Act
- processes that are out of step with a modern mental health care system
These were subsequently taken forward in the Government’s white paper Reforming the Mental Health Act in 2021.
Government has said that these are 'once-in-a-generation reforms', aimed to give people greater control over their treatment and help ensure they receive the dignity and respect they deserve.
A key proposal is that a diagnosis of a learning disability and autism should no longer be accepted as the sole basis for detaining a person in hospital. With continued concerns about the detention of people with those conditions and delays about decommissioning their services, this would be a major step forward to ensuring we provide appropriate services.
Other proposals are that:
- people’s choice and autonomy are improved and respected
- services provide therapeutic benefit
- the least levels of restriction are used, and
- people accessing mental health services are treated as individuals
- In which there are more alternatives to detention including options proposed and developed with service users; it is an indication of the current system that entry into hospital by people with learning disabilities and autism, actually means a failure in another part of the system.
- Where, if people are admitted to hospital, admission is truly informal wherever possible. Where it is not informal, the default will be that treatment is on the person’s own terms, any other course of action being deliberately difficult for the relevant professionals to take, and subject to an effective right of challenges
- Stays in hospital are short, targeted, and purposive; any other course of action will be difficult and painful for those seeking to justify it. Where the justification is a system failure, there will be a tribunal able to take appropriate action to unlock it.
- Where society is in the position to make an informed decision as to whether we should move beyond separate mental health legislation.
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Positive Behaviour Support Training - Scoping Project - South East England
Funded by Health Education England in association with NHS Frimley CCG.
- Do you commission positive behaviour support training for services or teams?
- Have you been on PBS Training?
HEE (in association with NHS Frimley CCG) has funded a scoping project across the South East of England which seeks to understand what Positive Behaviour Support Training is being delivered across different organisations and geographical regions, as well the perceived impact of this training. We are hoping to identify both areas of need and of good practice so as to support organisations better in the future. We will be looking to identify a number of partner organisations moving forward to help us develop some recommendations around best practice in this area, and (hopefully) shape the delivery of superb PBS Training and outcomes.
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Training commissioners: individuals within organisations who purchase/arrange/ commission Positive Behaviour Support
- Use this link
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Training recipients: individuals who receive the training with a view to using it in their role
- Use this link
Please click on the link that best fits your description.
Each link will direct you to a very quick survey that will take no more than 5 minutes to complete.
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NIHR: Algorithm could diagnose Alzheimer’s disease from a single brain scan
A single MRI scan of the brain could be enough to diagnose Alzheimer’s disease, according to new research supported by NIHR.
Researchers developed an algorithm to analyse structural features shown on brain MRI scans, including in regions not previously associated with Alzheimer’s. This machine learning technology was able to accurately predict the existence of Alzheimer’s disease and identify the disease at an early stage, when it can be very difficult to diagnose.
Alzheimer’s disease is the most common form of dementia, affecting over half a million people in the UK. Although most people with Alzheimer’s disease develop it after the age of 65, people under this age can develop it too. The most frequent symptoms of dementia are memory loss and difficulties with thinking, problem solving and language.
Currently, lots of tests are used to diagnose Alzheimer’s disease, including memory and cognitive tests and brain scans. The scans are used to check for protein deposits in the brain and shrinkage of the hippocampus, the area of the brain linked to memory. All of these tests can take several weeks, both to arrange and to process.
Getting a diagnosis quickly at an early stage helps patients access help and support, get treatment to manage their symptoms, and plan for the future. Being able to accurately identify patients at an early stage of the disease will also help researchers to understand the brain changes that trigger Alzheimer’s disease, and support development and trials of new treatments.
The researchers, supported by Imperial Biomedical Research Centre, studied just one of the tests currently used to diagnose Alzheimer’s disease - an MRI scan. They adapted an algorithm developed for use in classifying cancer tumours and applied it to MRI scans of the brain.
The researchers divided the brain into 115 regions and allocated 660 different features, such as size, shape and texture. They then trained the algorithm to identify where changes to these features could accurately predict the existence of Alzheimer’s disease.
Using data from the Alzheimer’s Disease Neuroimaging Initiative, the team tested their approach on brain scans from over 400 patients with early and later stage Alzheimer’s, healthy controls and patients with other neurological conditions, including frontotemporal dementia and Parkinson’s disease. They also tested it with data from more than 80 patients undergoing diagnostic tests for Alzheimer’s at Imperial College Healthcare NHS Trust.
Read more
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Alzheimer’s Society has released a new report on post-diagnostic support: Left to Cope Alone: The unmet support needs after a dementia diagnosis.
This report has sought the views and experience of over 2,000 people affected by dementia to understand the gaps in the support offered to them after diagnosis. It found that people’s needs are holistic and wide-ranging, encompassing support for their medical, emotional and social wellbeing, and yet people are often missing out on consistent, timely post-diagnostic care.
The report found people are being left to cope alone with a complex, degenerative and incurable condition without the knowledge, tools or professional support to cope.
For example:
- 16% of people affected by dementia told us they have received enough support from statutory and voluntary health and care organisations in the previous 12 months to help them manage their or their loved one’s dementia.
- Around one-third of people are not receiving sufficient information about dementia.
- Around 60% of people aren’t receiving sufficient emotional and mental health support; just 0.2% of all referrals to IAPT services in 2018 were for people with dementia.
- Over half of carers said they lack the support needed to help them manage their or their loved one’s dementia.
- One-quarter of memory services (25%) are unable to provide, or refer onto, cognitive stimulation therapy that helps people with dementia maintain their cognitive skills.
This report shows that when needs go unmet, people deteriorate quicker and are more likely to experience a crisis. Not only can these crises result in adverse outcomes for people but are unnecessarily costly for local health and care systems. For example, over one-third of all hospital admissions (32%) in 2020/21 were between zero and one day, suggesting the need for better community care to reduce unnecessary, adverse admission. If these short stays were eliminated the NHS could have saved around £326m between 2015 and 2020.
With the right support in the community, people can live well with dementia. The recommendations in the report set out a practical and achievable set of commissioning goals that will give people affected by dementia the care and support they deserve and need
You can read the report here.
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A safety alert from the NHS Central Alerting system:
Pseudomonas aeruginosa has been detected in hygiene products manufactured by Vernacare. Vernacare have issued a voluntary recall of all `in-date? cosmetic products which include wet wipes, wash mitts, barrier cloths, bed bath washcloths and shampoo caps produced at its Lancashire
facility.
It is crucial to ensure relevant products are removed, especially from health and care settings. There is need to raise awareness among health and care professionals who might encounter potentially associated cases to inform clinical care, surveillance and public health action.
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Final request
Please complete the South East Provider Survey on Regional Market Sustainability:
Through SESCA – the South East arm of the Care Association Alliance –and the wider regional network, we are really keen to ensure we can give a realistic and honest picture of the Adult Social Care market in the South East. This survey is an opportunity to gather together insights and share them in the region to inform and influence discussion with colleagues regionally and nationally.
For those who have not managed to complete the return, we really would appreciate your time and contribution. Getting a good sample size from the region will further strengthen our influence and insights. As mentioned previously all responses are completely anonymous and SESCA will publish the results – and we will forward these on to you once we have them.
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Webinars | Podcasts | Events |
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A series of training opportunities for care home staff from Immedicare over June, July and August including:
- top to toe assessment
- end of life care
- virtual verification of expected death
- leg and foot ulcers
- urinary infections
- and much more
All sessions begin at 2 pm and last up to one hour.
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Two drop-in sessions for the Home Care Fair Cost of Care tool with the tool developers.
This is an opportunity to see the tool, go through its population of data and ask any questions you might have. Please click the link below and book a place:
These sessions are aimed at supporting care providers to complete the Home Care Cost of Care Toolkit and addressing queries and issues providers may have. There are also helpful videos here and guidance here to answer any questions you may have. Please note the updated guidance now includes an error checking section which all providers should review prior to submitting their response.
The tool developer, ARCC, will talk through some of the key issues and questions received regarding the Home Care Tool and enable providers to ask questions. Recordings of these sessions will be made available. The topics addressed will include:
- Accounting for Agency pay & enhancements
- Adapting the model for different service types
- Understanding the impact of rurality / geography on cost
- Understanding the impact of varying visit times on cost
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The LGA has been running a series of webinars/ Q&A’s sessions on the LPS consultation.
Remaining session below - if you want to sign up please email chip@local.gov.uk with any questions.
- Thursday 30 June
- 2.30 - 4.30 pm
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Advance Care Planning: a regional patient-centred learning event
This event will bring together clinicians from multiple and varied disciplines, who support patients and their families to make Advance Care Planning decisions. The programme includes patient stories, national and regional updates, and interactive workshops to improve Advanced Care Planning, information and support for people in our region. We also welcome attendance from the public with experience or interest in this area, such as patients or their family members.
The event is hosted by Oxford AHSN Patient Safety Collaborative Deterioration and Sepsis Network.
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Living standards, poverty and inequality in the UK: 2022
- Thursday 14 July 2022
- 10.00 - 11.15 am
- Book here
With rising inflation, the material standard of living experienced by British households is especially high on the political agenda, with particular interest in how low and middle income households are faring. In that context, at this event, IFS researchers will present the key changes in household incomes that were experienced in the UK over the course of the first year of the pandemic (2020-21) and look forward to the changing situation as the economy started to recover and as inflation has taken off in 2022. In addition, we will also highlight other longer-run issues that are important for those interest in living standards and poverty. First, the changes in child poverty and deprivation that occurred before the pandemic - with the incomes of poor families with children falling behind the rest of the population, but also falling rates of material deprivation. Second, the challenges presented by rising rates of disability, which have led to rising spending on disability benefits. We will therefore also present new research from our deep-dive into the living standards of people on disability benefits.
After the presentations, there will be time for questions with the IFS researchers
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HMRC: Paying the National Minimum Wage
- Tuesday 19 July 2022
- 10.30 - 11.45 am
- Book here
Processing your payroll correctly and protecting your workers' rights are vital parts of being an employer.
It isn’t always straightforward, especially with complex rotas and mistakes get made.
HMRC’s National Minimum Wage team, the Gangmasters and Labour Abuse Authority and the Employment Agency Standards Inspectorate, all work to support employers in avoiding those mistakes and get things right first time.
A live webinar to talk about some of the more common issues concerning payment of the minimum wage and the protection of workers rights. Experts will also be on hand to answer your questions and offer further help and support in getting things right.
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Grey Matter Learning
8 programmes of Lead to Succeed and Well Led across 2022.
If you are registered on ASWDC (Adult Social Care Workforce Data Set) and compliant by 31 March you can claim back up to £500 per person that completes a programme before the end of May.
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If you live or work in Oxfordshire or Buckinghamshire
You Matter: 0800 145 6568
8 am – 4 pm, Mon to Fri (except bank hols)
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If you live or work in Berkshire
Wellbeing Matters Line: 0300 365 8880,
9 am – 4 pm, Mon to Fri (except bank hols)
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Free DSPT support for Berks, Bucks, and Oxon
Digital solutions are here to stay!
Contact the DSPT team now to access this free support.
DSPT contact details for Berks, Bucks and Oxon
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COVID-19 infection rates dashboard usually updated weekly:
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Trusted Assessor services
The Oxfordshire Trusted Assessor service is closed and awaiting a decision by commissioners for recommissioning.
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A service provision for Berkshire is under discussion. |
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For Milton Keynes and Buckinghamshire, the Trusted Assessor Service is run for care homes only by Lincolnshire Care Association.
Contact: Michelle Yusuf -
The project runs also for Hinchingbrooke and Addenbrookes hospitals.
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BCA, MKB Care and OACP working together for you |
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Care Association Alliance | our big family
As well as a constant stream of questions and answers by email from around the country, we are also part of the CAA fortnightly teleconference on Wednesdays. This informs us of current concerns and potential solutions and helps inform our local communications.
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Consistent, quality information
We are mailing out once a week on a Wednesday, so you know when to look out for it. These updates will provide summary advice on emerging issues and signpost providers to government and other statutory agency advice as needed.
Reminder
We are always keen to hear from providers, if you have anything you would like to share with provider colleagues, please send to the usual address. |
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OACP Member offers | OACP works with the following suppliers to bring you market insight, quality products and expert advice. Contact them today...quote 'OACP' |
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Help yourself to help us
Now available to all Oxfordshire care providers.
Spectrum is a well-established buying consortium with an emphasis on the Care Sector including care homes, domiciliary care and supported living. They have been sourcing discounts with major suppliers for their members since 1992.
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Expertly crafted award-winning dishes. We’re the leading producer of delicious and nutritious food.
Prepared by specialist chefs
Frozen to lock in nutrition
Cooked and served with ease
Supported from day one
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Whatever your goals, Citation will help your business to succeed with unrivalled HR and Health & Safety support and expertise for small and medium-sized business.
10% off your first contract as an OACP Member.
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As seen at CMM Tri-County Conference 2021
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Training that Creates and Sustains Emotional Resilience
Brilliant training! It was easily the best and most relevant training that I have ever had since I started work. It has had a massively positive effect on myself and the team - without it we would have suffered badly during the pandemic! | Amy Price - Cancer Nurse Specialist
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The platform for outstanding care management.
Our platform gathers insights to help you allocate resources and speed up your day-to-day tasks, so you can focus more on those in need.
Easy and intuitive, it can be used in any setting, without the need for extensive training. Designed alongside support workers and service users, it's the platform of choice for enriching the lives of everyone in care.
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Log My Care is accredited by NHSX as an ‘Assured Supplier’ for Digital Social Care Records.
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Person Centred Software’s Mobile Care Monitoring is the most widely-used digital care management system in the UK, and the most widely referred software provider within social care.
Over 3,000 care providers using Mobile Care Monitoring.
Get your membership paid for with your first contract.
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RWK Goodman LLP is the new brand for Royds Withy King and is the preferred legal supplier for the care sector in Oxfordshire.
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We provide high-quality workwear, interview training and employment advice to women who need it – all free of charge.
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SY has been actively working with small businesses for 20 years.
We build stable, secure IT environments and deliver high-quality IT services to our clients.
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With annually rising charges and continual changes in government legislation, we believe there’s a better, brighter way of managing your utilities over and above the habit of annual renewal.
Zenergi takes the complexity out of procuring your utilities.
We can help cut through the confusion; free you from the stresses of managing bills, chasing payments and validating invoices.
We can help you establish low-carbon, energy-efficient plans, delivering profound cost savings and helping to safeguard the environment for future generations.
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Happy with what you are reading?
Please tell colleagues and pass on this newsletter.
Let's grow OACP
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