Posts Tagged ‘Social Care’

Really? Social workers have to explain the benefits of being looked after to ‘sofa-surfers’?

Tuesday, June 4th, 2013

Yesterday the Legal Government Ombudsman (LGO) recommended that a County Council pay a 16 year old £3,000 to be used in conjunction with its leaving care team to promote his independent living.

He’d been abandoned by his parents and after refusing a voluntary foster placement or B & B offered by the Council he “sofa-surfed” with friends. The LGO’s criticism was that there was no evidence he had been “counselled” or given appropriate reading material as to the benefits of becoming a looked after child at his age. He would have benefited at the time from the support of a social worker and the associated resources that would bring.

An informal non-permanent arrangement with a friend’s family, subsidised by the Council, was regarded as insufficient.

If this means social workers now have to try to persuade sofa-surfers to become looked after, that’s going to have a heck of an impact on stretched leaving care services.

Posted by Sarah Erwin-Jones, who specialises in social services, the care sector, education and negotiating legal costs; advises on risk management issues including data protection matters.

Sarah Erwin-Jones

Sarah Erwin-Jones
0115 976 6136
sarah.erwin@brownejacobson.com

Child abuse claims for trafficking – social workers can’t be responsible for everything

Wednesday, May 15th, 2013

A Serious Case Review (SCR) is to take place following the conviction of seven members of a paedophile ring yesterday.

It will look at the actions of all the agencies involved. Cases like this often seem to end up with public agencies being held to account, in circumstances where it is difficult for local authorities to defend themselves. They cannot, after all, release confidential information about young people. In this case the council has sensibly released what information it can, and has explained the limits on what they are able to do to help young people and their parents and carers to avoid risk taking behaviour.

We can confidently expect the SCR will identify some lessons that the various agencies can learn. Sadly there is a good chance that some or all of the agencies involved may face claims in reliance on those findings.

Posted by Sarah Erwin-Jones, who specialises in social services, the care sector, education and negotiating legal costs; advises on risk management issues including data protection matters.

Sarah Erwin-Jones

Sarah Erwin-Jones
0115 976 6136
serwin@brownejacobson.com

A pioneering approach to health and social care?

Wednesday, May 15th, 2013

Leading national health and social care partners have launched an ambitious plan to encourage local innovation and integration between health and social care services as part of moves towards “fully integrated” services by 2018.

‘Integrated care and support: our shared commitment’ calls for expressions of interest from integration ‘pioneers’ to take on responsibility for pioneering change in their health economy by 28 June 2013. It’s clear pioneers are expected to demonstrate “rapid progress” and the pressure to evidence results will be high.

The newly created clinical commissioning groups (CCGs) in pioneer areas will play a key role in shaping and developing any proposals. Whilst the links between this initiative and the CCGs authorisation framework (to be finalised this Autumn) is unclear the plan is closely linked to the CCGs commissioning function and so will be a consideration.

This approach is a sign of things to come so the early decisions of these forerunners will no doubt be watched with interest by their peers, particularly CCGs.

Posted by Emily Birkett, who specialises in advice to NHS bodies ; their local authority partners and related organisations in commercial law, contracting, procurement , competition governance and all aspects of primary care.

Emily Birkett

Emily Birkett
0121 237 3934
emily.birkett@brownejacobson.com

Child abuse claims – each case really does depend on its own facts

Friday, May 10th, 2013

Yesterday saw Barrister Barbara Hewson make some pretty controversial remarks. These have been widely quoted, and commented upon – usually with abhorrence.  The response to her article was entirely predictable but also shows that as matters currently stand, this is not an arena in which it is helpful to make sweeping generalisations.

Our own experience is that when handling allegations and claims it really is necessary to descend to the individual facts of every case before forming any views. This will include the relative age of the child and alleged abuser, the nature of the relationship and the power dynamic between them, and the maturity of the young person in question. Making broad unspecific judgements about whether or not old men are being “scapegoated” while an investigation is ongoing is simply not, in my view, appropriate. These really are cases where the specific experience and memories of those involved merit individual attention.

Posted by Sarah Erwin-Jones, who specialises in social services, the care sector, education and negotiating legal costs; advises on risk management issues including data protection matters.

Sarah Erwin-Jones

Sarah Erwin-Jones
0115 976 6136
serwin@brownejacobson.com

Child abuse investigations – the pendulum swings again

Wednesday, March 6th, 2013

When I first started dealing with child abuse group litigation in the late 1990s our perception was that police investigations were inefficient. They seemed to interview hundreds of people, charge tens of people, get eight or nine to trial, and secure convictions or guilty pleas in three of four cases. This ‘trawl’ style of investigation always run the risk of picking up false or exaggerated allegations.

That process also cost a huge amount of money. Since then we’ve seen police adopt a more cautious approach, which is usually less demanding of resources, and focussed on gathering well tested evidence that is likely to secure a conviction.

The DPP now thinks they have been “overcautious” in the Jimmy Savile investigation. New guidelines for police and prosecutors will be drawn up. The draft policy is expected for consultation in May. Since it will have implications for all organisations that work with children, we will be urging our clients to consider contributing to the consultation.

Posted by Sarah Erwin-Jones, who specialises in social services, the care sector, education and negotiating legal costs; advises on risk management issues including data protection matters.

Sarah Erwin-Jones

Sarah Erwin-Jones
0115 976 6136
serwin@brownejacobson.com

Funding social care – no one said it would be easy

Wednesday, February 13th, 2013

The Government has announced outline plans for how we will pay for the care we might need when we get old. This is a long overdue grasping of a very prominent nettle so any progress is welcome.

Inevitably the new system will be very complicated. The £75,000 cap only covers “eligible needs”, and that needs to be defined. There will also be a national minimal eligibility threshold (to lessen the current postcode lottery); financial assessments to see if you qualify for state support; and if you are paying yourself, the system will carry out its own valuation of the care you need, and then use that valuation to monitor your progression towards the cap. Quite a challenge for a vulnerable group of people.

In all probability very few people will actually reach the cap. The hope is that greater cost certainty will encourage new financial products which, if taken up widely, will provide security and peace of mind at a reasonable cost for many.

Posted by Chris Webb-Jenkins, who specialises in defending claims against education and care providers and their insurers; risk management, stress, information management and child protection issues.

Chris Webb-Jenkins

Chris Webb-Jenkins
0115 976 6175
cwebbjenkins@brownejacobson.com

Tailoring the law of vicarious liability for the benefit of Looked After Children

Wednesday, November 21st, 2012

Today we have another Supreme Court Judgment on vicarious liabilityThis Appeal concerned whether a Catholic Institute could be vicariously liable for the abusive actions of its lay brothers, employed at a school by a third party.

The Court held that there were two stages to consider: first whether the relationship between the abuser and the defendant was capable of giving rise to vicarious liability; and secondly the connection that linked the relationship between them and the wrongful conduct.

In a refreshingly straightforward judgment it found that the Institute was vicariously liable for the alleged acts of abuse committed by its brothers. The effect was that both the managers of the school and the institute were BOTH vicariously liable for the alleged abuse.

Much has been made in the past about the possibility of this extending the principal of vicarious liability to cover foster placements. My view is that this judgment will do nothing to dampen those fires. Fostering and Adoption Agencies beware!

Posted by Sarah Erwin-Jones, who specialises in social services, the care sector, education and negotiating legal costs; advises on risk management issues including data protection matters.

Sarah Erwin-Jones

Sarah Erwin-Jones
0115 976 6136
serwin@brownejacobson.com

Jimmy Savile – Co-ordinating the response

Monday, October 15th, 2012

Over the weekend further allegations have come to light that Jimmy Savile manipulated a position of power and trust to sexually assault patients. It is reported that he was a volunteer at Broadmoor Hospital for over four decades.

That brings us allegations in social care, at the BBC, in hospitals and in a secure psychiatric hospital. Unsurprisingly, compensation claims are threatened, although it is open to complainants to make a claim to the Criminal Injuries Compensation Authority ( CICA).

As an organisation, compensation claims should be expected. We’ve already seen two eminent claimant lawyers talking about it and we can expect more to join in. Careful strategic planning will be needed to ensure that victims’ claims are considered with care and compassion, whilst at the same time not losing sight of the issues and wasting public money.

A fuller briefing appears on our website.

Posted by Sarah Erwin-Jones, who specialises in social services, the care sector, education and negotiating legal costs; advises on risk management issues including data protection matters.

Sarah Erwin-Jones

Sarah Erwin-Jones
0115 976 6136
serwin@brownejacobson.com

“Listening to Troubled Families”

Wednesday, July 18th, 2012

A report by Louise Casey, an adviser to this government and the last on social issues, has been published today. It discusses the problems facing “troubled” families and proposes how to turn these families’ lives around.

Louise interviewed 16 families. It will surprise no one that she found unemployment, domestic violence, juvenile delinquency and educational failure, and that these problems had not begun recently, but had continued on from past generations. More interesting is her firm conviction that the way forward is not for new guidance, or structural reform. Progress is made on the front-line of service delivery. She wants skilled intervention workers to be dedicated to these families, to provide intensive support.

This recommendation has been criticised for being expensive. However, these 120,000 “troubled” families cost taxpayers £9bn every year. When you add the social and human cost to these purely financial figures, isn’t the truth more that we cannot afford the consequences of a failure to act?

Posted by Chris Webb-Jenkins, who specialises in defending claims against education and care providers and their insurers; risk management, stress, information management and child protection issues.

Chris Webb-Jenkins

Chris Webb-Jenkins
0115 976 6175
cwebbjenkins@brownejacobson.com

Are your social workers sufficiently proficient?

Thursday, June 28th, 2012

It has been reported that from 1 August the Health and Care Professions Council will be expecting social workers to meet standards relevant to their area of practice.  The standards can be found here . It’s a 20 page document, setting out the 15 key  expectations of social workers from being able to “practise safely within their scope of practice”, to “be able to establish and maintain a safe practice environment”. 

You can bet your bottom dollar that it’ll be used as a benchmark in negligence claims to challenge the quality of social work practice. 

In practice, although we often find that claims might succeed where information is not shared or properly looked at in the round, as often as not the issue is not the quality of social work practice, but the lack of social workers to whom cases can be allocated.

Posted by Sarah Erwin-Jones, who specialises in social services, the care sector, education and negotiating legal costs; advises on risk management issues including data protection matters.

Sarah Erwin-Jones

Sarah Erwin-Jones
0115 976 6136
serwin@brownejacobson.com

 

Legal changes key to delivering dignity in care of older people

Monday, June 18th, 2012

Delivering Dignity is the latest in a line of reports highlighting deficiencies in adult care. While these reports are important, what everyone really wants to see is resulting improvements on the front line of service delivery.

Greater clarity in the legal obligations on service providers would help, and there is perhaps reason to be more optimistic than usual for this. Change truly is in the air. The government has just launched a consultation on a radical simplification of safeguarding guidance relating to children, and in July we should see the long-awaited White Paper on adult care, which hopefully will follow the Law Commission’s call for a radical simplification of adult social care law.

If government simply sets out clear legal obligations, leaving the service providers with the responsibility of working out how to meet them, this could play a large part in achieving the “major cultural shift” which Delivering Dignity calls for.

Posted by Chris Webb-Jenkins, who specialises in defending claims against education and care providers and their insurers; risk management, stress, information management and child protection issues.

Chris Webb-Jenkins

Chris Webb-Jenkins
0115 976 6175
cwebbjenkins@brownejacobson.com

Passing on the PCT baton

Wednesday, March 28th, 2012

After much debate and 2,000 amendments, the Health and Social Care Bill finally received Royal Assent yesterday.

But what does this mean for Primary Care Trusts (PCTs), apart from confirming their eventual dissolution? After all, much work has already been done: PCTs are merged into clusters and are delegating their responsibilities to newly formed shadow clinical commissioning groups.

Although most PCTs have plans in place to manage the transition, following Royal Assent they and their clinical commissioning groups (CCGs) must be careful not to force the pace of change and risk confusion as to which organisation is responsible for which functions. PCTs remain accountable for their statutory functions until 31 March next year and that includes anything delegated to the shadow CCGs. They must ensure they have mechanisms in place to review, adapt and stress test their governance structures to provide assurance that they have sufficient oversight and control of their functions, both retained and delegated, to manage the busiest part of the transition period.

Posted by Emily Birkett, who specialises in advice to NHS bodies ; their local authority partners and related organisations in commercial law, contracting, procurement , competition governance and all aspects of primary care.

Emily Birkett

Emily Birkett
0121 237 3934
ebirkett@brownejacobson.com

Adoption scorecards v stable adoption

Friday, March 16th, 2012

Local authorities will need to ensure that quality is not compromised as the new adoption scorecards are introduced, the first of which is due out in the next few weeks. Under the scheme local authorities will be scored on how long it takes to find adoptive parents for children in care. In principle this is a good idea, but in reality, will speed of adoption now trump the suitability of the placement?

Scorecards should be a step in the right direction, but they would be a more complete and useful tool if they also acted as an indicator of performance by taking account of adoption breakdowns. This would serve as encouragement to place children, not just promptly, but also appropriately and measure what is important – the success of the placement. A delay in placing a child for adoption can be damaging, an adoption break down can be devastating.

Kate Bear

Kate Bear
0115 976 6104
kbear@brownejacobson.com

Have some compassion for carers too

Wednesday, February 29th, 2012

Today sees the publication of a report by the Commission on Improving Dignity in Care for Older People. The media coverage is misleading. It says this report is another jeremiad on elderly care in this country. Actually it is nothing of the sort. It looks to the future, and suggests ways to improve care. Rather than being stentorian, the report asks for feedback.

Such skewed coverage by the media is unhelpful. While it backs the report’s suggestion that staff need to be more talented at caring, and better skilled, its portrayal of the caring profession as an unattractive, thankless blame game will surely turn good people away.

Caring is a difficult job. Few people can do it really well. Those at the front-line of service delivery need our encouragement and support to make the improvements which we would all like to see.

Kate Bear

Kate Bear
0115 976 6104
kbear@brownejacobson.com

Adoption reform – lets not apportion blame for the “bloat”

Friday, February 24th, 2012

Government plans to launch a national adoption plan reform in the current system has met with mixed views. Last month it was announced that a record number of care applications had been issued in the family courts. If Michael Gove’s proposals that:-

  • social workers should intervene “early and energetically” more readily, and
  • adoption support is beefed up

are to be effected then that has an impact on resources. I wonder whether it is sensible to be imposing new performance indicators at the same time. Precious resources might better be applied to implementing the new adoption system rather than demonstrating how regional variation makes improvement in social care difficult to measure.

Remember the courts have to be convinced that a child should be the subject of a Care Order. Parents who successfully resist such applications may simply refuse to work with social workers into the future, feeling themselves exonerated by the court, and thereby exposing their children to avoidable risk.

  
 

Posted by Sarah Erwin-Jones, who specialises in social services, the care sector, education and negotiating legal costs; advises on risk management issues including data protection matters.

Sarah Erwin-Jones

Sarah Erwin-Jones
0115 976 6136
serwin@brownejacobson.com

PCT’s community services plans “CIC’d” into touch

Friday, February 10th, 2012

NHS Gloucestershire’s plans to transfer its community services to a newly formed community interest company (CIC) have been shelved following a judicial review challenge.

The challenge was brought by a local resident who claimed that the primary care trust (PCT) had not followed a proper process before deciding to award the community services contract (reportedly worth about £80 million a year) to the CIC.

A settlement was reached yesterday at the High Court under which the PCT agreed, without accepting that there was any merit in the claim, that it would not implement its decision to award a contract to the CIC at this time. The PCT will now start a new process to explore the best option for providing community services in Gloucestershire, which will include advertising for expressions of interest.

The case (and the costs and delays resulting from it) highlights the importance of ensuring, particularly in the current climate, that procurement processes are as watertight as possible.

Posted by Jonathan Hayden, specialising in: advising health and social care clients including clinical commissioning groups, primary and secondary care contracting, commercial contracts, joint ventures, statutory powers/duties and governance.

Jonathan  Hayden

Jonathan Hayden
0121 237 4551
jhayden@brownejacobson.com

Ignore the risk of grooming at your peril

Thursday, February 9th, 2012

The debate on the safeguarding proposals in the Protection of Freedoms Bill continued today. And, regardless of expert views to the contrary, the government refuses to accept the risk of grooming posed by people who will be able to work with children unchecked.

As the Bill stands a ‘supervised volunteer’ in a school would not be undertaking ‘Regulated Activity’ and therefore no checks would be required. This means that an individual who is barred from working with children could still volunteer with children as long as he is supervised. That cannot be right.

This ignores the fact that children see all adults in schools (and other settings) as appropriate and trustworthy. It allows an adult to build a trusting relationship during schools hours and to exploit it out of hours. In other words, to groom and then abuse a child.

Even Lord Bichard has pleaded for a change, but thus far such pleas have fallen on deaf ears.

Posted by Dai Durbridge, who specialises safeguarding of children and vulnerable adults in education, social care and health settings; defending claims against education, social care and health providers.

Dai Durbridge

Dai Durbridge
0115 976 6578
ddurbridge@brownejacobson.com

Over 900 care applications in a single month – for the first time ever

Thursday, February 9th, 2012

Cafcass received 903 referrals in January 2012. This record breaking figure constitutes a 100 increase from December 2011. It’s not a blip, but a continuing trend. Between April and December 2011, Cafcass saw new applications up 10.5% on the previous year.

This has clear implications for services. Both Cafcass and those making the applications will have to factor these higher numbers into their planning systems and resource allocations, and many are concerned about this in the teeth of challenging spending reviews.

I know from experience that many councils struggle to find the resources to support the cases that are in care proceedings – what are the prospects that those children who are in need rather than at risk become neglected by professionals, only to be the subject of avoidable care proceedings themselves at a later date?

Posted by Sarah Erwin-Jones, who specialises in social services, the care sector, education and negotiating legal costs; advises on risk management issues including data protection matters.

Sarah Erwin-Jones

Sarah Erwin-Jones
0115 976 6136
serwin@brownejacobson.com

NHS Commissioning Board structure up for approval

Monday, January 30th, 2012

The future structure and operation of the NHS Commissioning Board is set to be discussed at its board meeting this week.

Its board will consider a 63-page document outlining the NHS Commissioning Board’s future structure. It will have an “hour glass” shape – an 800-strong central office, four commissioning sectors (based on SHA cluster locations) and, at least initially, 50 local offices (covering PCT cluster areas). Each commissioning sector and local office is expected to have about 50 staff.

Whilst there is logic behind the structure, some might question how lean this structure really is. However, it seems that the NHS Commissioning Board’s budget represents a reduction of about 50% compared to the running costs of the functions transferring to it.

The board will also be asked to approve and adopt Clinical Commissioning Group guidance that has been in circulation (some in draft form) for a few months. Don’t ignore the board papers accompanying each item either, as they also contain some useful information.

Posted by Jonathan Hayden, specialising in: advising health and social care clients including clinical commissioning groups, primary and secondary care contracting, commercial contracts, joint ventures, statutory powers/duties and governance.

Jonathan  Hayden

Jonathan Hayden
0121 237 4551
jhayden@brownejacobson.com