Health and Social Care Update - June 2017

Policy and law relevant to those involved in health and social care work.

05/06/2017

Claire Bentley

Claire Bentley

Associate

Bevan Brittan provides high quality, comprehensive advice to the NHS and independent healthcare sector. This update contains brief details of recent Government publications, legislation, cases and other developments relevant to those involved in health and social care work, both in the NHS and independent sector which have been published in the last month.

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Training Events

Information sharing/data

Acute and emergency care

Mental Health

Children

Providers

Clinical Risk/Patient Safety

Public Health

Commissioning

Regulation

Employment/HR

Social care

Finance

General 

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Bevan Brittan Free Training Events

Mental Health Seminars SAVE THE DATE.        

Please register your interest in attending by clicking here         

  • 13 June – Birmingham
  • 20 June – Leeds
  • 21 June – Bristol
  • 22 June - London         

The Mental Health seminars will be from 9:30am (registration) until 13:00pm followed by a networking lunch.

Clinical Risk Webinars

Bevan Brittan Clinical Risk/Medical Law Training - These are internal hour long lunch time training sessions that are attended by our team of solicitors. If you are a client and would like to come along and join our team at these sessions just ask Claire Bentley. You can attend in our London, Bristol or Birmingham office. If you are unable to get to one of our offices you can also sign up to watch the training sessions remotely via our webinar facility. The  lunchtime training session coming up this month is:-

  • Abuse claims and vicarious liability. 20 June. 12.30 - 2pm. Practical guidance on liability, quantum and limitation. How to apply this to cases in a clinical setting. If you would like to attend this free webinar just ask Claire Bentley.

Employment Seminars

The future is now: dealing with modern workforce issues.
This free training session will look at the key legal issues surrounding the growing trend of utilising atypical working arrangements, and employers' obligations towards such workers. The second part of the session will focus on key practical steps to assist with managing employees' misuse of social media and reducing litigation risk.

If you wish to discuss any queries you may have around training or webinars please contact Claire Bentley

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Acute and emergency care

Publications/guidance

Ensuring consistent emergency response to convulsions in children 

If you wish to discuss any queries you may have around acute and emergency care please contact Claire Bentley.

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Children

Publications/guidance

State of Child Health short report: Sustainability & Transformation Partnerships. The RCPCH Sustainability and Transformation Partnership report finds that the majority of Sustainability and Transformation Partnerships are failing to take into account the needs of infants, children and young people. The report says that while most STP set out the case for change well and cover important key themes such as prevention, early intervention, more care delivered in the community, better mental health services and integrated working, there is a lack of detail underpinning the vision. It concludes that the lack of profile given to infants, children and young people (who comprise 25% of the UK population) by the majority of STP, is a major cause for concern. 

Acting in the absence of a children's guardian. A Law Society publication provides guidance to solicitors appointed to represent children where there are delays between the order appointing a children's guardian in specified proceedings and the allocation of a children's guardian. 

Perinatal pathway for babies with palliative care needs. This pathway has been developed by Together for Short Lives with expert input from ethicists and clinicians working across obstetrics, antenatal and neonatal care, and children’s palliative care. It is designed to support health professionals to deliver sensitive and timely support, enabling families to spend time with their baby in a more home-like environment, and with as little technologically dependent care as possible. It encourages professionals to work together across multidisciplinary teams and local services to provide the best response to families. Free registration is required to access this report.

Ensuring consistent emergency response to convulsions in children 

If you wish to discuss any queries you may have around children please contact Deborah Jeremiah

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Clinical Risk/Patient Safety

Publications/Guidance

Ensuring consistent emergency response to convulsions in children

Preventing needlestick injuries leaflet - NHS Resolution.

NHSR Dispute Resolution Guidance

Enabling professionalism in nursing and midwifery practice. Sets out what professionalism looks like in everyday practice through the application of the Code: Professional standards of practice and behaviour for nurses and midwives. This will help nurses and midwives to reflect on their own practice.

Supplementary guidance on consent. The General Optical Council has published guidance on obtaining valid consent to assist registrants in meeting its standards of practice. The guidance reflects patients’ rights to determine what happens to their own bodies and to make informed choices when purchasing optical appliances and services. This additional guidance relates to the professional duty of candour, and gaining valid consent. It is important for all healthcare professionals to obtain valid consent before examining a patient, providing treatment or involving patients in teaching and research activities. It is a general legal and ethical principle that valid consent must be obtained at the point of care and throughout treatment. 

Cases

Re G (A Child) (Unreported, 25 May 2017) (CA). A declaration that artificial ventilation should be withdrawn from a terminally ill nine-month-old baby was upheld where the alternative treatment his parents wished him to receive in the US was not a viable alternative, would not make any difference to his condition, and was not in his best interests.

ABC v St George's Healthcare NHS Trust [2017] EWCA Civ 336, [2017] MHLO 19. It was arguably fair, just and reasonable to impose on clinicians treating a patient with Huntington's disease a duty of care to disclose his diagnosis to his daughter, given that the condition was inherited.

Correia v University Hospital Staffordshire NHS Trust [2017] EWCA Civ 356. A claimant failed to show a breach of the defendant's duty in relation to her consent to a surgical operation, within the principles of Chester v Afshar [2004] UKHL 41 where the last stage of a three-stage operation had negligently been omitted.

FB (Suing by her mother & litigation friend WAC) v Princess Alexandra Hospital NHS Trust [2017] EWCA Civ 334. There was no difference in the standard of care required of an A&E senior house officer as compared to a more senior doctor in the context of taking a patient history in A&E. History-taking was a basic skill that all hospital doctors were expected to possess. A senior house officer had breached her duty of care when she failed to ask a child's parents what symptoms had precipitated their bringing the child to A&E at 4am. 

Consultations

Response of the Law Society of England and Wales to the Department of Health consultation on a Rapid Resolution and Redress Scheme for Severe Avoidable Birth Injury. A response from the Law Society to the Department of Health's consultation on the introduction of a rapid resolution and redress scheme for severe avoidable birth injury. The Law Society welcomes a voluntary scheme that allows families to obtain compensation, but maintains that a formal litigation path must also be available for families to pursue if they wish and that any voluntary scheme must be capable of adequately compensating families

Response to Department of Health Consultation "A Rapid Response and Redress Scheme for Severe Avoidable Birth Injury". An Action Against Medical Accidents (AAMA) response to the Department of Health's proposals for a rapid resolution and redress scheme for severe avoidable birth injuries agrees with the policy objectives of the consultation but suggests that it is not detailed enough. It highlights concerns with respect to: the level of compensation paid to the parents of brain-damaged children; and the fact that the scheme would be run by NHS Resolution, the body responsible for defending claims against the NHS.

Response to Department of Health Consultation - Introducing fixed recoverable costs in lower value clinical negligence claims. A Civil Justice Council response to the Department of Health consultation on proposals for a mandatory fixed recoverable costs (FRC) scheme for clinical negligence cases worth between £1,000 and £25,000 in England and Wales: sets out concerns that they may impede access to justice; highlights the disproportionate relationship between costs in lower value cases and the sum involved in the claim; and suggests that caution is exercised when focusing solely on relationship between award values and costs.

Ministry of Justice: The personal injury discount rate: how it should be set in future: The Law Society's response. In its response the Ministry of Justice's March 2017 consultation on the future of the personal injury discount rate, the Law Society suggests that: the longstanding legal principle of 100 per cent compensation should not be undermined by any change to the methodology for setting the discount rate; the lord chancellor should no longer have a role in the setting of the discount rate; and regular review of the discount rate will be of benefit to both claimants and defendants.

News

Insurer loses bid to appeal indemnity costs issue in unusual case where expert agreed to cover its costs Jackson wary of fixed costs for clin neg cases over £25k. Jackson LJ, who is reviewing recoverable fixed costs policy across all civil claims and previously appeared to support a blanket threshold, has told the Association of Personal Injury Lawyers conference that there are "considerable difficulties" in applying a fixed costs regime to multi-track claims valued at more than £25,000, particularly as regards medical negligence. A Department of Health consultation on the issue ended on 1 May 2017.

Judges warn fixed costs will drive expert witnesses away. Current plans for fixed costs in clinical negligence cases may have a negative impact on victims access to justice, according to top judges and academics. The Civil Justice Council has warned against relying too heavily on the value of possible damages awards when contemplating costs, but has pledged its support for the general principle of fixed recoverable fees to reduce litigation costs.

Bevan Brittan Training

Webinars

Bevan Brittan Clinical Risk/Medical Law Training - These are internal hour long lunch time training sessions that are attended by our team of solicitors. If you are a client and would like to come along and join our team at these sessions just ask Claire Bentley. You can attend in our London, Bristol or Birmingham office. If you are unable to get to one of our offices you can also sign up to watch the training sessions remotely via our webinar facility. The  lunchtime training session coming up this month is:-

  • Abuse claims and vicarious liability. 20 June. 12.30 - 2pm Practical guidance on liability, quantum and limitation. How to apply this to cases in a clinical setting. If you would like to attend this free webinar just ask Claire Bentley.

If you wish to discuss any clinical risk or patient safety issues please contact Joanna Lloyd, Catherine Radford or Penelope Radcliffe.

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Commissioning

Publications/Guidance 

Supporting strategic commissioning: collaborative working between CCGs and AHSNs. This report aims to show how collaboration between CCGs and academic health science networks (AHSNs) can bring positive benefits to local patients and populations. It recommends that the most successful collaborations between CCGs and AHSNs will be ones that focus on a specific issue rather than on providing more general support. It also states that projects that focus on delivery at scale will be the most impactful making AHSNs natural partners for commissioners working as a part of an STP.

Healthy commissioning: how the Social Value Act is being used by clinical commissioning groups. This report, produced by National Voices in partnership with Social Enterprise UK, finds that only 13 per cent of CCGs can clearly show that they are actively committed to pursuing social value in their procurement and commissioning decisions. It warns that improved commitment to social value is key to achieving the aims of the Five Year Forward View in creating a new relationship with people and communities and to move towards place-based accountable care systems.

If you wish to discuss the issue of commissioning please contact David Owens.

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Employment/HR

Publications/Guidance

The benefits of ID scanning. King's College Hospital NHS Foundation Trust has been using identity scanning equipment and software for years to check the high numbers of staff who join the organisation each month.

Enabling professionalism in nursing and midwifery practice. This guide is aimed at all nurses and midwives and sets out what professionalism can look like in everyday practice. It demonstrates how applying the values of the code of conduct should be at the centre of all nursing and midwifery practice. For employers, it identifies key principles that will help them to provide practice environments that support and encourage professionalism among nurses and midwives.

Leading across the health and care system. This King's Fund paper offers those who are leading new systems of care some guidance on how to address the challenges they face. It draws on the Fund’s work on the development of new care models, sustainability and transformation plans, and accountable care organisations. It is also informed by the experience of people who have occupied system leadership roles and draws on case studies from our research and organisational development work.

Caring to change: How compassionate leadership can stimulate innovation in health care. This King's Fund paper looks at compassion as a core cultural value of the NHS and how compassionate leadership results in a working environment that encourages people to find new and improved ways of doing things.

Election briefing: A sustainable workforce. This is the third in a series of Health Foundation briefings ahead of the June 2017 general election. It focuses on the fundamental challenges facing the NHS and social care workforce in England, pointing to a combination of issues around recruitment, retention and morale. It highlights that the future workforce for the NHS and social care sector is at risk without urgent action from the incoming government to establish a sustainable and joined up workforce strategy.

Reward in the NHS: good practice and innovation taking place across the NHS on reward. This report captures the themes, good practice, and innovation that have emerged from NHS Employers' Total Reward Engagement Network over the last year. It focuses on key elements of reward and how organisations are changing their approach to reward.  

Bevan Brittan Updates

Employment Eye - May 2017

Bevan Brittan Events

The future is now: dealing with modern workforce issues.
This free training session will look at the key legal issues surrounding the growing trend of utilising atypical working arrangements, and employers' obligations towards such workers. The second part of the session will focus on key practical steps to assist with managing employees' misuse of social media and reducing litigation risk.

Bevan Brittan training packages

In addition to our free training programme, we also provide bespoke knowledge transfer sessions on a range of employment law topics – recent popular sessions have included immigration training, 'changing and terms and conditions' and 'practical sickness absence management'. Please contact Ashley Norman for details of our immigration training and contact me for further information about training on other employment law topics.

If you wish to discuss any employment issues please contact Julian Hoskins or James Gutteridge

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Finance 

Publications and Guidance

NHS pressures. This briefing warns that the NHS in England is unlikely to recover from the pressure it faces during the winter, with trends suggesting that the health system is entering a state of year-round crisis. The analysis of NHS performance data shows that bed occupancy, delayed transfers of care and A&E waiting times are all increasing and that key performance targets are consistently not being met across the health system.

Reward in the NHS: good practice and innovation taking place across the NHS on reward. This report captures the themes, good practice, and innovation that have emerged from NHS Employers' Total Reward Engagement Network over the last year. It focuses on key elements of reward and how organisations are changing their approach to reward.

Reducing agency spend: Leeds Teaching Hospital NHS Trust case study. This case study shares the experience of Leeds Teaching Hospital NHS Trust on how they reduced levels of medical agency spending.

NHS efficiency map. The HFMA and NHS Improvement have updated and revised the NHS efficiency map, which contains links to a range of tools and guidance to help NHS bodies improve their efficiency. The national focus on improving efficiency and productivity will mean taking local action to deliver savings remains a priority for all NHS organisations. Aimed at NHS finance directors and their teams and other NHS staff with an interest in the delivery of CIPs, the purpose of the NHS efficiency map is to highlight existing resources on eliminating waste, increasing efficiency and at the same time improving quality and safety. It is split into three sections: enablers for efficiency, provider efficiency and system efficiency.

Safe and effective staffing: the real picture. This report from the RCN provides an important contribution to the conversation on nurse staffing levels and to patient safety in health care. The RCN is calling for the rest of the UK to follow the example of Wales and enshrine safe staffing in law.

If you wish to discuss any issues raised in this section please contact Claire Bentley.

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Information sharing/data

Publications and Guidance

Findings from ICO work relating to Community Pharmacies. The Information Commissioner’s Office has published the findings from its work relating to community pharmacies. These findings are intended to promote good practices and make recommendations about how to further improve data protection within community pharmacies.

NHS trust rebuked for passing patient details to Google. Dame Fiona Caldicott, the data guardian, has found that the transfer of 1.6m patient records from the Royal Free NHS trust in north London to Google's artificial intelligence subsidiary, Deep Mind, was legally inappropriate. Google and the NHS trust agreed two years ago to collaborate in developing an app to diagnose acute kidney injuries in NHS patients, where the trust made available to Google patient data going back five years.

Bevan Brittan Updates

GDPR Update: Data Protection Officers. The first in our series of articles focusing on different aspects of the General Data Protection Regulation ('GDPR'). These are practical guides designed to assist your organisation with its preparations in the run up to the implementation of the new legislation. This month's article focuses on the role of the Data Protection Officer ('DPO').

NHS Cyber Attack – Legal Considerations. On Friday 12th May, a large-scale cyber attack hit thousands of computers around the globe, including NHS IT systems, causing havoc in health services across the UK. The attack used ransomware which encrypts a user's files and demands payment to restore access. This cyber attack raises a range of questions for affected organisations, not just around the technical security of IT systems but the legal implications too.

If you wish to discuss any issues raised in this section please contact Jane Bennett

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Mental Health

Publications/Guidance

Mental health and new models of care: lessons from the vanguards. This report draws on recent research with vanguard sites in England, conducted in partnership with the Royal College of Psychiatrists. It finds that where new models of care have been used to remove the barriers between mental health and other parts of the health system, local professionals saw this as being highly valuable in improving care for patients and service users. It concludes that there remains much to be done to fully embed mental health into integrated care teams, primary care, urgent and emergency care pathways, and in work on population health.

Social care and the mental health forward view: ending out of area placements. This is the first briefing in Centre for Mental Health's 'We need to talk about social care' series. Mark Trewin looks at the human and operational costs of out of area placements. Sharing his perspective and experience, Mark highlights the way Bradford MDC has managed to reduce out of area placements and use of local private sector hospitals down to zero over the past two years.

Management of epilepsy in adults with intellectual disability. This Royal College of Psychiatrists long-awaited report offers an important step towards clarifying the role of the psychiatrist in ID in the management of epilepsy. The proposed tiered system of professional competency gives psychiatrists the option to identify their role in care provision and ensures a framework for training. It provides a structure from which a competency evaluation can be developed. The vision should be for all psychiatrists working with people with ID to have training and certification to one of the three levels of competency (Bronze, Silver and Gold).

Improving integrated care management in mental health

Cases

R (Scarfe) HMP Woodhill [2017] EWHC 1194 (Admin). The court held that the claimants, who were relatives of prisoners who had committed suicide, were not entitled to a declaration that the prison governor and the Secretary of State for Justice had breached their public law, common law and ECHR art.2 duties to protect prisoners from suicide. The claimants had to establish that the suicides were the result of a systemic failure, but they had failed to do that.

News

Mother seeks permission to end to life-support for daughter. A woman has asked a Court of Protection judge to give doctors permission to stop providing life-support treatment to her severely ill daughter, a woman in her 50s who has suffered from Huntington's disease for over 20 years. The woman says medical evidence shows her daughter is in the end stages of life, and relatives and doctors agree that treatment should stop. In a rare move allowing a relative to be a "litigation friend", Justice Peter Jackson agreed that the mother can instruct lawyers representing her daughter. He is scheduled to hear the case on 22 June 2017. 

Bevan Brittan Events

Mental Health Seminars SAVE THE DATE.        

Please register your interest in attending by clicking here         

  • 13 June – Birmingham
  • 20 June – Leeds
  • 21 June – Bristol
  • 22 June - London         

The Mental Health seminars will be from 9:30am (registration) until 13:00pm followed by a networking lunch.

Bevan Brittan Updates

  • My best interests or your best interests: How does the Court decide? This case will be of interest to clients when considering an individual's best interests (which is contrary to the wishes and feelings of P), in circumstances where there is a clear tension between protection and allowing an incapacitated individual to be exposed to their own choices, even where there are risks in doing so.

Bevan Brittan Mental Health Extranet

Would you like to access the Bevan Brittan Mental Health Extranet? - It is a secure online resource containing a discussion forum, knowledge bank and information about training events. If you would like access please contact Claire Bentley.

Issues that are currently being discussed on our forum are:-

If you wish to discuss any mental health issues please contact Simon Lindsay or Stuart Marchant

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Providers

Publications/Guidance

Investing in success: NHS priorities for the new government. This briefing outlines the priorities for the incoming government that NHS Providers have identified as key to tackling the challenges that the NHS faces over the next parliament. It argues that politicians must address growing concerns over the NHS workforce and that the next government will need to work with NHS national bodies on a new long-term approach to workforce planning and pay.

Private Healthcare Information Network publishes first hospital performance measures. PHIN has published the first of a series of performance measures intended to improve the availability of information to patients considering private healthcare services and start to bring standards of data quality and transparency in line with the NHS. For the first time, patients will be able to find independent and credible information on hospitals when considering their private care options. This information is particularly useful when discussing options with their GP or specialist. The three performance measures cover 149 common procedures at over 200 hospitals and show the number of patient admissions, average lengths of stay for each procedure, and the same patient satisfaction measure for hospitals as used by the NHS (the "Friends and Family Test"). These new measures will be added to existing information including up-to-date inspection ratings from the CQC.

If you wish to discuss any queries you may have around providers please contact Vincent Buscemi.

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Public Health

Publications/Guidance

State of Child Health short report: Sustainability & Transformation Partnerships. The RCPCH Sustainability and Transformation Partnership report finds that the majority of Sustainability and Transformation Partnerships are failing to take into account the needs of infants, children and young people. The report says that while most STP set out the case for change well and cover important key themes such as prevention, early intervention, more care delivered in the community, better mental health services and integrated working, there is a lack of detail underpinning the vision. It concludes that the lack of profile given to infants, children and young people (who comprise 25% of the UK population) by the majority of STP, is a major cause for concern.

If you wish to discuss any queries you may have around public health please contact Claire Bentley.  

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Regulation

Publications/Guidance

Findings from ICO work relating to Community Pharmacies. The Information Commissioner’s Office has published the findings from its work relating to community pharmacies. These findings are intended to promote good practices and make recommendations about how to further improve data protection within community pharmacies.

News

GMC extends contract for Doctor Support Service. Announces that the contract for a free service offering confidential emotional support for doctors involved in fitness to practise cases has been extended for another 12 months by the General Medical Council. The service is run by the BMA Doctors for Doctors Unit on behalf of the GMC; however, it is totally separate from the regulator, which does not get informed if a doctor uses the service, and users don’t have to be BMA members to access it. As well as fitness to practise, it can also support doctors going through a GMC licence to practise withdrawal process. 

If you wish to discuss any queries you may have around regulation please contact Stuart Marchant.

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Social Care

Publications/Guidance

Social care – A step forwards or a step backwards? The IFS discusses the Conservative Party's proposed changes to the rules governing who is eligible for government funding for social care, and its backing away from a lifetime cap on care costs, along with their potential effects.

Social care, the NHS and other services. Adult social care is part of a complex system of services and support – including the NHS. How well the various components of a person’s care are integrated can impact on their personal experience of care. This video explains the importance of different services working together to provide care. This is the fourth and final video in our 'Bite-sized social care' series intended to help explain social care in England: what it is, how it’s provided and paid for, and how it works with the NHS and other services.

Care homes and personalisation. Delivering truly personalised care in a residential setting can be a challenge – but it is possible. Explore these updated personalisation resources from the SCIE to help care home providers and managers deliver good person-centred care.

A teaching care home pilot. The International Longevity Centre has published an evaluation of a DH funded pilot which aimed to champion, empower and inspire the workforce in the care home sector and create a legacy of learning for future care homes and nursing. The pilot created five centres of excellence across England which would share learning and best practice and help to strengthen leadership and care culture in care homes.

What is social care and how does it work? These resources on the King's Fund website help to explain social care in England, including a series of short videos on what social care is, how it’s provided and how it's paid for.

Provision of community care: who, what, how much? This briefing analyses information on the community care contracts held by 78 per cent of CCGs in England to enable better understanding of the provision of these services. It finds that NHS providers hold more than half of the total annual value of contracts in the sample, while private providers held 5 per cent of the total annual value, but 39 per cent of the total number of contracts issued.

Turning up the volume: unheard voices of people with dementia. This report reveals that nearly half of the UK adults surveyed had not started saving for the care and support they might need in the future, and a third agreed that before being asked, they had not considered the cost of dementia care and support. It also reveals that there is ongoing stigma around dementia and calls for greater support and access to information so that people with dementia can live fulfilled lives.

Election briefing: A sustainable workforce – The lifeblood of the NHS and social care. This is the third in a series of Health Foundation briefings ahead of the June 2017 General Election. It focuses on the fundamental challenges facing the NHS and social care workforce in England, pointing to a combination of issues around recruitment, retention and morale. It highlights that the future workforce for the NHS and social care sector is at risk without urgent action from the incoming government to establish a sustainable and joined up workforce strategy.

Election briefing: NHS and social care funding – Three unavoidable challenges. This is the first in a series of briefings ahead of the 2017 General Election and it aims to clarify the debate on three of the main challenges facing the funding of health and care services. It calls for increased investment in the NHS to halt planned reductions in spending per person over the next two years. It highlights social care funding and sustainability as an urgent priority for the next incoming government.

Public spending on adult social care in England. This briefing note from the Institute for Fiscal Studies describes how local authority spending on adult social care has evolved since 2000 to 2001, what could happen to spending under current plans, and the challenges faced by social care in the long run. 

Consultations

Draft supporting people programme guidance and outcomes framework. The Supporting People Programme helps vulnerable people to live independently in their own home or supported housing. In 2012 the current programme was rolled out following the merger of two separate grants into the Supporting People Programme Grant. The Welsh Government is now seeking views on draft new guidance that has been revised to include substantial legislative changes over the past five years. The consultation closes on 4 August 2017.

News

New funding for innovation projects in inclusion health. The Queen’s Nursing Institute has launched a new programme to fund nurse-led projects focused on improving homeless and inclusion healthcare. it is inviting nurses working in primary and community care in England, Wales and Northern Ireland to apply for funding of up to £5000, to develop projects which improve healthcare for people who have poor health outcomes because they are more likely to be marginalised by wider society. The deadline for nurses to submit their funding applications is 29 September 2017.

£20m extra every year for social services. The Welsh Government has announced an additional £20m p.a. that will be invested in three priority areas: workforce costs; children in care; and respite for carers. The funding has been made available as a result of consequential funding from the UK Government’s March budget, will help ensure the system is sustainable for the future and responds to the pressures facing local government. 

If you wish to discuss any queries you may have around social care please contact Stuart Marchant.

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General

Publications/Guidance

Cyber attack security guidance. This suite of guidance provides technical support on patching to protect against cyber attacks and on reconnecting to networks following precautionary disconnection. It is accompanied by an FAQ on the recent cyber attack which affected the NHS.

Protecting your organisation from ransomware. This guidance outlines how to prevent a ransomware incident and what to do if your organisation is infected. It suggests simple steps to help organisations prevent a cyber attack. In response to the recent ransomware campaign, the NCSC has also published guidance for IT systems administrators which outlines responses to this specific cyber attack.

Latest guidance for NHS on protecting against cyber attack. Information and guidance from NHS Digital's Data Security Centre on the cyber attack on the NHS on 12 May 2017. See also our Alert: NHS cyber attack – Legal considerations

Modern Slavery Pocket Guide. Over 45 million people are trapped in modern slavery across the globe. This guide has been developed to help nurses and midwives identify victims of slavery and help people find the assistance and support they need.

If you wish to discuss any issues raised in this section please contact Claire Bentley.

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