NICE are now consulting on the first draft guideline which has been developed by the NICE Collaborating Centre for Social Care (NCCSC).
It focuses on older people receiving home care and their carers. It does not cover younger adults (although many of the recommendations may also be relevant to younger adults).
The guideline is for commissioners of home care in local authorities and CCGs, health and social care practitioners, providers, home care managers and home care workers.
There is currently significant and far-reaching legislative change in social care. The Care Act 2014 comes into effect in April 2015 and requires substantial change in the way local authorities operate. The duties within the Act and its related statutory guidance cover areas also contained within the scope of this guideline.
While the Care Act and other legislation describe what organisations need to do, this guideline is focussed on how they fulfil those duties, and deliver support to older people using home care and their carers. You can now review and comment on this draft guideline.
The consultation will end on 16th April 2015.
Image, Ethan Prater, Flickr
Tuesday, 10 March 2015
Launched today: First vanguard sites to develop replicable new care models
Today saw the announcement of the first vanguard sites to develop replicable new care models. This is part of the vision outlined in the Five Year Forward View that the NHS needs to rapidly develop new ways of delivering care to patients that better meet 21st century patient needs.
Sites have been shortlisted using patient, third sector and local government input. The final sites were selected by voting for each other in a form of peer review. There is a strong emphasis on really understanding their support needs and then providing the bespoke support they want, as opposed to what the NHS system thinks they should have. There is also a real focus on how the learning developed will be shared and replicated, something the NHS hasn’t always done particularly well.
This process has generated lots of enthusiasm from NHS Providers’ members. They have worked with the rest of their local health and social care economy to develop innovative new care models. The vanguards have been chosen for how advanced and replicable their models are. Those who have not been selected must continue to develop and deliver new care models that work for their local service users.
Image: Fletcher Prince
Sites have been shortlisted using patient, third sector and local government input. The final sites were selected by voting for each other in a form of peer review. There is a strong emphasis on really understanding their support needs and then providing the bespoke support they want, as opposed to what the NHS system thinks they should have. There is also a real focus on how the learning developed will be shared and replicated, something the NHS hasn’t always done particularly well.
This process has generated lots of enthusiasm from NHS Providers’ members. They have worked with the rest of their local health and social care economy to develop innovative new care models. The vanguards have been chosen for how advanced and replicable their models are. Those who have not been selected must continue to develop and deliver new care models that work for their local service users.
Image: Fletcher Prince
Friday, 6 March 2015
New Style Dental Inspections for CQC
The CQC have been testing out their new approach of inspecting dental
practices recently. On the 5th march they published their first reports on the quality of
care provided by 12 practices.
In line with CQC's other inspections, the reports focus on whether services provided are safe, effective, caring, responsive and well led. The CQC will use their experiences from these new inspections, along with feedback from a recent consultation, to further develop their approach which will then be fully implemented from 1 April.
Unlike other regulated sectors, primary care dental services will not be given a rating in 2015/16. Over the next year the CQC plans to inspect 10 per cent of England’s 10,000 dental practices.
A press release provided by the CQC: 'CQC inspectors publish new-style reports on 12 dental practices' provides a list of the dental practices inspected.
Story source; cqc.org.uk. Image source; cliparts.co
In line with CQC's other inspections, the reports focus on whether services provided are safe, effective, caring, responsive and well led. The CQC will use their experiences from these new inspections, along with feedback from a recent consultation, to further develop their approach which will then be fully implemented from 1 April.
Unlike other regulated sectors, primary care dental services will not be given a rating in 2015/16. Over the next year the CQC plans to inspect 10 per cent of England’s 10,000 dental practices.
A press release provided by the CQC: 'CQC inspectors publish new-style reports on 12 dental practices' provides a list of the dental practices inspected.
Story source; cqc.org.uk. Image source; cliparts.co
CQC announces new human rights and equality partnership
The Care Quality Commission (CQC) announced on the 5th March 2015 that the British Institute of Human Rights will deliver equality and human rights training to all CQC staff from April 2015.
The learning will focus on the fundamentals of equality and human rights and how staff can improve how they look at equality and human rights issues in their work.
It will include learning on the biases and beliefs that we all have and how these affect our thoughts, behaviours and how we relate with others; particularly those who are different from us, as well how people can develop strategies to tackle these unconscious biases and beliefs.
It will also be tailored for particular staff groups such as inspectors, policy and analytical staff and volunteers who want to become “Equality and human rights champions” in order to embed equality and human rights in the work of their teams.
Chief Executive of the Care Quality Commission David Behan, said: “Everyone has the basic right to be treated fairly, and with respect and dignity. We want to promote equality, diversity and human rights in everything we do and tackle inequality where we find it – both in how we regulate and as part of our own culture.
“We know from our work there is variation in the quality of care and that not everyone gets the care they need. This imbalance must be addressed and working with our partners the Equality and Human Rights Commission and British Institute of Human Rights will help us to achieve this.
“All of our inspections take into account human rights and equality and we must continue to embed a human rights and equalities approach across all our work.”
Chief Executive of the Equality and Human Rights Commission Mark Hammond, said:
“Equality and Human rights are for everyone, and provide an important safety net for people in the most vulnerable situations.
“This training will help health and care professionals fulfil their human rights responsibilities with confidence, help ensure the needs of patients and service users are put first, and their human rights to dignity, choice, privacy and differing needs are fully respected.”
Sunday, 1 March 2015
Society of Young Publishers Mentor Scheme
Part of the SYP’s mission is to provide tools for young publishing
professionals to advance their careers while also expanding their
network in the creative industries. The SYP currently provides a
wide-ranging series of events and seminars aimed at those who are
entering the publishing world for the first time, including a very
popular talk at London Book Fair – ‘How To Get Into Publishing’. The SYP
also organises a similar event for publishing professionals who are
trying to move forward from their first job: ‘How To Get Ahead In
Publishing’, once again at London Book Fair.
In 2014 we launched a mentor scheme to address the needs of another group of young publishers – those reaching for the next step in their career. The scheme, whose aim was to provide a set of tools to guide career progress, the experience and expertise of a successful publishing professional and the support of peers is now renewed for 2015.
STRUCTURE
Unlike other schemes, instead of being a one-to-one session each SYP mentoring meeting is built around a small group of young publishing professionals (5–10 people per group).
Each group is assigned a mentor, a young, dynamic publishing professional who has already achieved a remarkable level of success in his or her career. The mentees are assigned to a specific group based on their job description and interest, which then allows us to pair them up with a mentor who has experience in that particular field.
The scheme will provide mentoring in the following areas of publishing:
• Editorial
• Digital and Publicity
• Sales and Marketing
• Design and Brand Management
• Author representation
Each group will meet their mentor roughly every two months beginning in March, for a total of five meetings throughout the year. Each mentor will be completely free to organise their mentoring sessions as they see fit. The SYP will provide a rough outline for the scheme.
MENTEES
The scheme will be open to young publishing professionals who are already working in the industry and need advice on how to further advance in their career. To be eligible, prospective mentees will have to meet the following criteria:
• Be an SYP member
• Be under 30 years of age
• Have worked in publishing for at least one year, but no more than five
• Be able to attend meetings in London
Details of how to apply are listed below. All applications will be reviewed by the SYP, who will then select the members of each group.
MENTORS
Confirmed mentors include:
Auriol Bishop, Creative Director at Hodder > Mentor in Design and Brand Management
Sophia Blackwell, Marketing Manager at Kogan Page > Mentor in Marketing and Sales
Tom Chalmers, Founder and Managing Director of Legend Press > Mentor in Marketing and Sales
Laura Summers, Cofounder of BookMachine and Head of Marketing at YUDU > Mentor in Marketing and Sales
Anne Perry, Editor at Hodder & Stoughton > Mentor in Editorial
Hellie Ogden, Agent at Janklow & Nesbit > Mentor in Author representation
Laura Macaulay, Publisher at Daunt Books > Mentor in Editorial
Tom Bonnick, Business Development Manager at Nosy Crow > Mentor in Digital and Publicity
TIMELINE
February:
Mentor scheme announcement (social media & trade press)
March:
Mentees recruiting (deadline for application 9th March)
March– November: 4–5 mentor meetings
December:
Christmas party
SYP members under the age of 30, who have been working in publishing for between one and five years, will be able to apply for the scheme by emailing a CV and a short paragraph, explaining why they would like to take part in the scheme and which stream they would like to be considered for, to mentoring@thesyp.org.uk by 9 March 2015.
In 2014 we launched a mentor scheme to address the needs of another group of young publishers – those reaching for the next step in their career. The scheme, whose aim was to provide a set of tools to guide career progress, the experience and expertise of a successful publishing professional and the support of peers is now renewed for 2015.
STRUCTURE
Unlike other schemes, instead of being a one-to-one session each SYP mentoring meeting is built around a small group of young publishing professionals (5–10 people per group).
Each group is assigned a mentor, a young, dynamic publishing professional who has already achieved a remarkable level of success in his or her career. The mentees are assigned to a specific group based on their job description and interest, which then allows us to pair them up with a mentor who has experience in that particular field.
The scheme will provide mentoring in the following areas of publishing:
• Editorial
• Digital and Publicity
• Sales and Marketing
• Design and Brand Management
• Author representation
Each group will meet their mentor roughly every two months beginning in March, for a total of five meetings throughout the year. Each mentor will be completely free to organise their mentoring sessions as they see fit. The SYP will provide a rough outline for the scheme.
MENTEES
The scheme will be open to young publishing professionals who are already working in the industry and need advice on how to further advance in their career. To be eligible, prospective mentees will have to meet the following criteria:
• Be an SYP member
• Be under 30 years of age
• Have worked in publishing for at least one year, but no more than five
• Be able to attend meetings in London
Details of how to apply are listed below. All applications will be reviewed by the SYP, who will then select the members of each group.
MENTORS
Confirmed mentors include:
Auriol Bishop, Creative Director at Hodder > Mentor in Design and Brand Management
Sophia Blackwell, Marketing Manager at Kogan Page > Mentor in Marketing and Sales
Tom Chalmers, Founder and Managing Director of Legend Press > Mentor in Marketing and Sales
Laura Summers, Cofounder of BookMachine and Head of Marketing at YUDU > Mentor in Marketing and Sales
Anne Perry, Editor at Hodder & Stoughton > Mentor in Editorial
Hellie Ogden, Agent at Janklow & Nesbit > Mentor in Author representation
Laura Macaulay, Publisher at Daunt Books > Mentor in Editorial
Tom Bonnick, Business Development Manager at Nosy Crow > Mentor in Digital and Publicity
TIMELINE
February:
Mentor scheme announcement (social media & trade press)
March:
Mentees recruiting (deadline for application 9th March)
March– November: 4–5 mentor meetings
December:
Christmas party
SYP members under the age of 30, who have been working in publishing for between one and five years, will be able to apply for the scheme by emailing a CV and a short paragraph, explaining why they would like to take part in the scheme and which stream they would like to be considered for, to mentoring@thesyp.org.uk by 9 March 2015.
L.A. Times says, 'The Sellout' is a bruising novel that readers will likely never forget
The review by Kiese Laymon on Paul Beatty's latest novel, 'The Sellout' is a worthwhile read in itself. We've provided it here:
"I knew when I read "The White Boy Shuffle" as a junior in college that Paul Beatty had written the book every afflicted black boy wannabe novelist dreamed of creating. Because we lived in the United States, and because we were black boys, and because we were not white boys, and because the publishing industry in the United States was the publishing industry in the United States, we knew there could be only one.
Not one great one. Not one from the West Coast. Not one who got the chance to publish something filled with layers of odd-shaped nihilism, and so many shades of black love, black awkward and black fear. American literature was not hip-hop. We knew that. There could only be room for one youngish black boy novelist who dared to love us and show us that we were way mushier, way weirder and way more brilliant than we thought. White supremacy would have it no other way.
Beatty — who grew up in West Los Angeles, went on to study with Allen Ginsberg and now lives in New York — shifted the expectations of what we could do with secondary characters and literary sound for a generation of young novelists influenced by hip-hop, pull-up jumpers, Toni Morrison and Richard Pryor.
Twenty years later, it's fairly obvious that the United States is a Kara Walker exhibit and a Paul Beatty novel unknowingly masquerading as a crinkled Gettysburg Address. Appropriately, in "The Sellout," Beatty's newest novel, we initially meet our narrator, Bonbon, in the frigid chamber of the U.S. Supreme Court.
Told mostly in flashback, "The Sellout" shows us how a young black boy raised by a single father, who is also a renegade academic, ends up in front of the Supreme Court. As a young man, Bonbon is led to believe that his father's ambitious academic work might lead to a lucrative memoir that will ensure financial security.
However, after police kill his father, Bonbon realizes that instead of an actual memoir, his father left him a bill for a drive-thru funeral. Inspired by the imagination of Marpessa, his ex-girlfriend and neighborhood bus driver, Bonbon tries to revive the town of Dickens, a "locale" that has literally been removed from the map of Southern California. With the help of Hominy Jenkins, the last surviving Little Rascal, not to mention the most well-known resident of the town and a wannabe slave, Bonbon manages to reinstate a peculiar kind of slavery, segregate the buses and the local high school and get shot. All of this lands him in the Supreme Court.
"The Sellout," like "The White Boy Shuffle," is piloted by black American voices. Long flourishing passages that often feel too thick and too concentrated might be read as the necessary work of unfolding, undoing, unlearning and ultimately understanding confused characters in a clumsy nation committed to lots of death, dumb and destruction.
Nearly every chapter gives us an opportunity to meet wonderfully etched secondary characters like Marpessa, King Cuz and the superbly trifling Foy Cheshire, who actually names the narrator "the sellout." But we're also given a slew of other peripheral characters who often too conveniently exist to drop well-timed one-liners. This repetitive narrative move doesn't slow the pace of the novel as much as it makes a spectacle of the novel's pace. Ultimately though, as the book gets closer and closer to the Supreme Court trial, "The Sellout" makes room for both satirical spectacle and earnest literary whispers. Beatty's reliance on so many textured backstories and secondary characterizations feels both revelatory and absolutely intentional.
Near the end of the book, Bonbon remembers watching a black comedian go off on the only white folks at a comedy show, a white "interloping" couple who kept laughing inappropriately at what the comedian called "our thing." Lamenting his inability to ask the comedian to explain what he meant by "our thing," Bonbon recalls, "No, when my thoughts go back to that evening, I think about my own silence. Silence can be either protest or consent, but most times it's fear. I guess that's why I'm so quiet and such a good whisperer…"
This acceptance of stillness in such a loud, spectacular book, which may also be read as Beatty's brand of narrative whispering, is where this novel is at its most dazzling and ironically its least absurd. "The Sellout," while riding beneath terrifying waves of American racial terror and heteropatriarchy, is among the most important and difficult American novels written in the 21st century.
The novel nudges us to understand and then conveniently forget that while black Americans have always been watched, imitated and uber-disciplined, we've rarely been loved or cared for or fairly treated by those watching. Our communication, like the communication between black characters in "The Sellout," will always be incredibly nuanced, comically basic and ultimately private precisely because we have always been under surveillance by a nation obsessed with watching and listening but wholly unable to see or really hear us.
"The Sellout," in all its spiky satirical absurdity, exists not just in a world created by hip-hop and cradled by the Internet. "The Sellout" firmly situates itself between white supremacy and black love, between thick anti-blackness and communal black innovation. It is a bruising novel that readers will likely never forget, especially those readers with the stomach to imagine and the will to remember the mystery and enduring thump of "our thing.""
"I knew when I read "The White Boy Shuffle" as a junior in college that Paul Beatty had written the book every afflicted black boy wannabe novelist dreamed of creating. Because we lived in the United States, and because we were black boys, and because we were not white boys, and because the publishing industry in the United States was the publishing industry in the United States, we knew there could be only one.
Not one great one. Not one from the West Coast. Not one who got the chance to publish something filled with layers of odd-shaped nihilism, and so many shades of black love, black awkward and black fear. American literature was not hip-hop. We knew that. There could only be room for one youngish black boy novelist who dared to love us and show us that we were way mushier, way weirder and way more brilliant than we thought. White supremacy would have it no other way.
Beatty — who grew up in West Los Angeles, went on to study with Allen Ginsberg and now lives in New York — shifted the expectations of what we could do with secondary characters and literary sound for a generation of young novelists influenced by hip-hop, pull-up jumpers, Toni Morrison and Richard Pryor.
Twenty years later, it's fairly obvious that the United States is a Kara Walker exhibit and a Paul Beatty novel unknowingly masquerading as a crinkled Gettysburg Address. Appropriately, in "The Sellout," Beatty's newest novel, we initially meet our narrator, Bonbon, in the frigid chamber of the U.S. Supreme Court.
Told mostly in flashback, "The Sellout" shows us how a young black boy raised by a single father, who is also a renegade academic, ends up in front of the Supreme Court. As a young man, Bonbon is led to believe that his father's ambitious academic work might lead to a lucrative memoir that will ensure financial security.
However, after police kill his father, Bonbon realizes that instead of an actual memoir, his father left him a bill for a drive-thru funeral. Inspired by the imagination of Marpessa, his ex-girlfriend and neighborhood bus driver, Bonbon tries to revive the town of Dickens, a "locale" that has literally been removed from the map of Southern California. With the help of Hominy Jenkins, the last surviving Little Rascal, not to mention the most well-known resident of the town and a wannabe slave, Bonbon manages to reinstate a peculiar kind of slavery, segregate the buses and the local high school and get shot. All of this lands him in the Supreme Court.
"The Sellout," like "The White Boy Shuffle," is piloted by black American voices. Long flourishing passages that often feel too thick and too concentrated might be read as the necessary work of unfolding, undoing, unlearning and ultimately understanding confused characters in a clumsy nation committed to lots of death, dumb and destruction.
Nearly every chapter gives us an opportunity to meet wonderfully etched secondary characters like Marpessa, King Cuz and the superbly trifling Foy Cheshire, who actually names the narrator "the sellout." But we're also given a slew of other peripheral characters who often too conveniently exist to drop well-timed one-liners. This repetitive narrative move doesn't slow the pace of the novel as much as it makes a spectacle of the novel's pace. Ultimately though, as the book gets closer and closer to the Supreme Court trial, "The Sellout" makes room for both satirical spectacle and earnest literary whispers. Beatty's reliance on so many textured backstories and secondary characterizations feels both revelatory and absolutely intentional.
Near the end of the book, Bonbon remembers watching a black comedian go off on the only white folks at a comedy show, a white "interloping" couple who kept laughing inappropriately at what the comedian called "our thing." Lamenting his inability to ask the comedian to explain what he meant by "our thing," Bonbon recalls, "No, when my thoughts go back to that evening, I think about my own silence. Silence can be either protest or consent, but most times it's fear. I guess that's why I'm so quiet and such a good whisperer…"
This acceptance of stillness in such a loud, spectacular book, which may also be read as Beatty's brand of narrative whispering, is where this novel is at its most dazzling and ironically its least absurd. "The Sellout," while riding beneath terrifying waves of American racial terror and heteropatriarchy, is among the most important and difficult American novels written in the 21st century.
The novel nudges us to understand and then conveniently forget that while black Americans have always been watched, imitated and uber-disciplined, we've rarely been loved or cared for or fairly treated by those watching. Our communication, like the communication between black characters in "The Sellout," will always be incredibly nuanced, comically basic and ultimately private precisely because we have always been under surveillance by a nation obsessed with watching and listening but wholly unable to see or really hear us.
"The Sellout," in all its spiky satirical absurdity, exists not just in a world created by hip-hop and cradled by the Internet. "The Sellout" firmly situates itself between white supremacy and black love, between thick anti-blackness and communal black innovation. It is a bruising novel that readers will likely never forget, especially those readers with the stomach to imagine and the will to remember the mystery and enduring thump of "our thing.""
Has the government put mental health on an equal footing with physical health? The Kings Fund pose the question!
The King's Fund verdict
is their take on the big questions ahead of the general election in May
2015. In this posting we have provided the report that the Kings Fund wrote on what progress has been made following the
government's pledge to put mental health on a par with physical health.
This is there report:
"What's the issue?
A longstanding criticism of health and social care in England is that people with mental health problems often fail to receive the same access to services or quality of care as people with other forms of illness. For example, three in four people with a mental health problem in England receive little or no treatment for their condition, and there are large gaps in terms of health outcomes – people with the most severe mental illnesses die on average 15 to 20 years earlier than the general population.
Responding to these concerns, the Health and Social Care Act 2012 created a new legal responsibility for the NHS to deliver ‘parity of esteem’ between mental and physical health, and the government has pledged to achieve this by 2020. Parity of esteem involves ensuring that there is as much focus on improving mental as physical health, and that people with mental health problems receive an equal standard of care.
The Crisis Care Concordat, launched by the Department of Health in February 2014, has triggered joint agreements at the local level between the police, social care, mental health and ambulance services to improve how professionals work together. Some achievements have already been made, including a significant drop in the number of people being detained in police cells during mental health crises. The government also announced a national initiative aiming to reduce deaths from suicide, with three mental health providers in England already pursuing a ‘zero suicide’ ambition and others being urged to do the same.
The reduction in the prices paid to mental health providers in 2014/15 (which exceeded reductions for hospitals providing physical health care) led many to conclude that institutional bias against mental health remains as strong as ever. This criticism has been partially addressed by NHS England’s recent planning guidance, which directs clinical commissioning groups to boost spending on mental health at least in line with each group’s overall budget increase for 2015/16, ensuring that mental health receives a proportionate share of additional funding.
In terms of specific programmes, the government has also continued to invest in the Improved Access to Psychological Therapies (IAPT) programme, a primary care service aimed mainly at people with depression or anxiety disorders. The number of people treated through this programme has increased annually, and IAPT services are now being extended to include children and young people. However, the funding provided to expand the programme has not been ring-fenced, raising concerns about whether the national ambition has been reflected consistently in local spending decisions."
This is there report:
"What's the issue?
A longstanding criticism of health and social care in England is that people with mental health problems often fail to receive the same access to services or quality of care as people with other forms of illness. For example, three in four people with a mental health problem in England receive little or no treatment for their condition, and there are large gaps in terms of health outcomes – people with the most severe mental illnesses die on average 15 to 20 years earlier than the general population.
Responding to these concerns, the Health and Social Care Act 2012 created a new legal responsibility for the NHS to deliver ‘parity of esteem’ between mental and physical health, and the government has pledged to achieve this by 2020. Parity of esteem involves ensuring that there is as much focus on improving mental as physical health, and that people with mental health problems receive an equal standard of care.
What happened?
The government launched a new mental health strategy ‘No health without mental health’ in 2011, and subsequently has used its annual ‘mandate’ to instruct NHS England to prioritise achieving parity of esteem. A number of specific commitments and initiatives have followed.Waiting times targets
In October 2014 the government announced waiting time standards for some mental health services – the first time such targets, used widely in other parts of the health service, have been set for mental health. From April 2015 waiting times will be measured for two types of service: psychological therapies provided through the Improved Access to Psychological Therapies programme (see below); and early intervention services for people experiencing their first episode of psychosis. The ambition is to extend targets to other forms of mental health care over time.Crisis services
There has been a recent focus on improving crisis services for people experiencing an acute episode of mental distress. This is in response to a number of concerns, including reported shortages of inpatient beds in some areas, and variable practices in terms of how police forces respond to emergencies involving people with mental illnesses.The Crisis Care Concordat, launched by the Department of Health in February 2014, has triggered joint agreements at the local level between the police, social care, mental health and ambulance services to improve how professionals work together. Some achievements have already been made, including a significant drop in the number of people being detained in police cells during mental health crises. The government also announced a national initiative aiming to reduce deaths from suicide, with three mental health providers in England already pursuing a ‘zero suicide’ ambition and others being urged to do the same.
Funding
The financial squeeze affecting many public services is creating intense pressure in some parts of the mental health system. Some have asked whether mental health receives a fair share of NHS funding. Mental health problems account for 23 per cent of the burden of disease in the United Kingdom, but spending on mental health services consumes only 11 per cent of the NHS budget.The reduction in the prices paid to mental health providers in 2014/15 (which exceeded reductions for hospitals providing physical health care) led many to conclude that institutional bias against mental health remains as strong as ever. This criticism has been partially addressed by NHS England’s recent planning guidance, which directs clinical commissioning groups to boost spending on mental health at least in line with each group’s overall budget increase for 2015/16, ensuring that mental health receives a proportionate share of additional funding.
In terms of specific programmes, the government has also continued to invest in the Improved Access to Psychological Therapies (IAPT) programme, a primary care service aimed mainly at people with depression or anxiety disorders. The number of people treated through this programme has increased annually, and IAPT services are now being extended to include children and young people. However, the funding provided to expand the programme has not been ring-fenced, raising concerns about whether the national ambition has been reflected consistently in local spending decisions."
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