Michael Shann

Stark survey results from the CPA on the budget impact on care providers: Key findings from the survey's respondents show that without immediate Government intervention: 73% will have to refuse new care packages from local authorities or the NHS. 57% will hand back existing contracts to local authorities or the NHS. 77% will have to draw on reserves. 64% will have to make staff redundant. 92% who also serve people who pay for their own care will be forced to increase rates for self-funders. Many self-funders will be unable to bear extra costs and may reduce care or rely more on family carers. 22% are planning to close their businesses entirely.

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Great to see announcement of second tranche of Accelerating Reform Fund by DSCS. Over half of all Intergated Care Boards are using the Fund to support growth of Shared Lives. Lovely to see Shared Lives promoted in relation to the Home First agenda: ‘The ARF is also supporting some areas in the country to scale up community-based care models. These enshrine ‘home first’ principles that enable people to live independently for longer, such as through the Shared Lives service, which matches people with care needs with approved carers who share their homes’. https://lnkd.in/eV8CPit4

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' https://lnkd.in/eMQKx44J The impact on familes and young people is lasting and deep. 'Poverty and the effect it has on health and on the NHS is not new, though the recent rise in deep poverty, cost-of-living increases and high pressure on NHS services are all worsening the problem (6 in 10 of people in the most deprived areas report that the cost-of-living squeeze is impacting their health) and adding to the financial cost to the NHS. Poverty is a complex problem that will affect different groups in different ways. For example, child poverty is rising particularly sharply, negatively impacting children’s health now and throughout their lives. NHS staff are also impacted by poverty in different ways. They can experience poverty directly themselves, as well as treating patients who are experiencing the effects of poverty.'

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What role can integrated care systems (ICSs) play in #dementia diagnosis and care? 💭 A new report from the King's Fund, funded by Alzheimer’s Society, draws on experiences of people working in or living with dementia to explore the relationship between high-quality dementia diagnosis and ICSs. Read more here: https://lnkd.in/eUEk8rg2

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Young people leaving the care system face a range of challenges & barriers that peers often don't experience. Deficiencies in transitional and practical support mean that care leavers are often less likely to get the help they need to make a fresh start as a young adult. Gaps in support are have been found when it comes to relationships, education, employment and mental health. As I heard last week at a meeting on this - put simply, as a parent think about the simple things you do for your children even when they are 'grown up'. There's still a home for them if they need it, you pick them up, offer practical advice, help financially, support when things are tough, celebrate their successes & milestones, etc, etc. Some care leavers don't have this. Our new Care Leavers Programme offers £40,000 of funding to organisations supporting young care leavers: https://lnkd.in/gjArfUDw

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Time to think positively about social care…. and shared lives of course! My piece for Care Management Matters (CMM) https://lnkd.in/e-4QhztZ

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At our recent Planet Youth National Learning event I asked people their hold their course. Long term change requires a bit of patience but collecting the right data can indicate if you are on the right path. Sure Start is a case in point and something we should look to resurrect as soon as possible. "So what can the next government learn from Sure Start’s successes, to inform effective social policy decisions? 💡Take a whole-systems approach. 💡Invest in prevention over the long term. 💡Invest in evaluation and learn from the evidence. 💡Support local areas to tailor policies to their places.

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Cambridgeshire County Council are pleased to announce the release of 2025-2026 Care Together Seed Funding application process. Care Together is a place-based, co-produced programme to support older adults to live happily for longer in the community they call home. What is the seed-funding offer? The seed-funding offer is designed to kick-start new initiatives or support expansion of existing activities proven to be effective, into new areas. Ideas and activities that enable older adults to interact with one another through organised groups and social/themed activities in their community. For some people, attending such groups combats loneliness and social isolation. Some examples of previously seed-funded activity include: Community hubs Lunch clubs Community transport Good neighbour schemes Physical activity and exercise Please find out more here: https://buff.ly/3UkFT1E Please send all completed applications to: [email protected] Deadline: Monday 18th November 2024 #Funding

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With the multitude of challenges the UK’s social care system is facing, from an ageing population to resource constraints, we have relaunched a funding opportunity to support organisations and local councils to overcome those challenges. The Proactive Care Fund (PCF) offers up to £1m in matched funding to help deploy transformative technology that improves care delivery. Local authorities utilising the fund have already seen savings of £30,000 per week with benefits to service delivery including accelerated care assessments and hospital discharge. To find out more about the funding, click the link below - application deadline is Dec 5th 2024. https://lnkd.in/dTGjdzXW #remotemonitoring #healthtech #fundingavailable #applynow #applicationsopen #fundingwales #fundingscotland #fundingengland #hralthcare #socialcare

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Very excited at Children's Cancer and Leukaemia Group (CCLG) today to launch, along with our amazing charity partners Ellen MacArthur Cancer Trust, Young Lives vs Cancer, and Teenage Cancer Trust, our North Star Vision for the sector and the system. Our organisations work with children and young people with cancer every day. We see the huge and lasting emotional, physical and financial devastation cancer often has. Supporting them through this experience is a societal challenge that demands a collective approach, which puts children and young people with cancer and their wellbeing at the centre and shines a spotlight on the complex systems of care, information and support that operate around them. Our innovative research, with Dartington Service Design Lab, has created a shared, evidence-based understanding of what is needed to build a better future for children and young people with cancer and their families, and enabled us to create our North Star Vision. A big and ambitious vision where: Every child and young person facing cancer receives care that’s tailored to them. They feel informed and in control, and along with their families can make knowledgeable decisions about their care and future. They feel empowered every step of the way, facing no gaps in support or barriers to access. They have everything they need from the beginning of their cancer journey, during treatment and for as long as they need it afterwards. Read the research report at https://lnkd.in/ezPFm4a4 and more about our North Star Vision at https://lnkd.in/edX_sUiy. Change is needed, and the time to get started is now. Impactful and lasting change will take time, but together we'll make it happen.

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The NHS, social care & health in Scotland are in need of review & reform just as much as in England. Our #NHS2048 continues to hear from different voices outlining how reform is possible & necessary. Prevention & community-based care are recurring themes⬇️ https://lnkd.in/ewae8NtM

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Great to be in Westminster today representing Together for Short Lives and joining with partners Hospice UK Marie Curie UK Sue Ryder and National Bereavement Alliance to celebrate #DyingMatters week. It is absolutely crucial, in what is likely to be an election year, that all parties commit to making palliative and end of life care a priority for the next Parliament. For children and young people, this means addressing the £290K funding gap including committing long term to the #ChildrensHospiceGrant. It means strengthening local accountability for delivering to national requirements so we end the postcode lottery in the availability of palliative care for children. And it means developing a workforce with the capacity and skills to care for this increasingly medically complex children. Policy makers must move beyond warm words and take practical action. Because #shortlivescantwait

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Great to hear Starmer talk about the importance of preventing ill-health from happening in the first place, to protect our NHS. https://lnkd.in/ebcZviNC 🍃 Improving air quality across our towns and cities would be a huge step in the right direction. Air pollution is the single greatest environmental risk to health. Read more about how air pollution affects health here:  https://lnkd.in/eZftYYdE 💷 If we want to prevent ill-health, we support people living on lower incomes to become financially secure and build foundations for a healthier life: https://lnkd.in/eFBP2bDS 🧒 Improving children's access to healthy, affordable food is a key way to protect their health and that of future generations. The Government could act today by: 🍔 Removing unhealthy options from the spotlight through increased restrictions on junk food advertising. 🎒 Immediately expanding #freeschoolmeals to those in receipt of Universal Credit with a path to universal provision. ✨ Encouraging healthier innovation in the food and drink sector by providing support to healthy challenger brands. 🥛 Incentivising the food and drink sector to reformulate products high in fat, salt, and sugar. Read more here: https://lnkd.in/e8WRxYTM

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A MacIntyre contribution to the #HomesNotHospitals efforts. I led the network in Wales which played a very small part in driving a much bigger and ongoing journey of change. Please have a read and keep in touch with MacIntyre and the Homes not Hospitals hashtag to help us share glimpses of more positive alternatives when people are distressed. There is so much more to do but if we keep showing what's possible we are so much more likely to achieve positive outcomes than if we just focus on what's wrong. #CompassionFirstPBS #BuildOnThePositives Improving Adult Care Together (IMPACT) Improvement Cymru Heather Henry Carly Morrissey Sarah Kilby Bild In Control Partnerships

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Further to my posting today's article in the Sunday Times highlighting the challenges to hospice charities in matching NHS pay awards, this was the Government's November 2023 announcement of £1.5bn to help non-NHS organisations, including charities, meet the cost of earlier 23/24 pay awards. While the then Health Minister is quoted as saying that the creation of this pot "will ensure hardworking healthcare staff and the organisations they work for are not financially disadvantaged as a result of the NHS pay deal", literally only a tiny handful of charitable hospices were eligible to apply, because of the requirement to show that "their staff are employed on dynamically linked Agenda for Change contracts". In layman's terms, this means mirroring not just NHS pay levels, but all of the Terms and Conditions. In part because of the precariousness of our funding model, almost every hospice Board in the UK has decided it would be too risky to offer "dynamically linked" contracts to their hospice employees. But they do nevertheless match the salary increase. Mature Government policy and decision-making should be about learning lessons, often incrementally. It is clear that the intent of this November 23 announcement was highly positive and supportive. I would also be pretty sure that the DHSC / NHS would have assumed at the time that they would be helping hospices, unaware of how few could tick the "dynamically linked box". But unfortunately almost no hospice was able to access any of this funding. Hence, surely a fairly obvious solution identifies itself? A second and very much smaller funding pot, this time only open only to hospices, to allow those that missed out on the 2023 pot to receive the kind of support that the Government hoped at the time. Eligibility should begin and end with the hospice being able to demonstrate how much extra the pay awards to its care staff have cost over the past two years. https://lnkd.in/epeZjr_A

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