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Written Question
Social Services: Contracts
Monday 21st October 2019

Asked by: Lord Coaker (Labour - Life peer)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what guidance he has issued to local authorities on awarding social care contracts; and if he will make a statement.

Answered by Caroline Dinenage

Commissioning social care is a matter for local authorities who are best placed to understand the needs of local people and communities, and how to meet them

The Department supports local authorities to commission social care by funding a number of sector-led improvement activities. These are delivered in partnership with the Local Government Association and Association of Directors of Adult Social Services and offer all local areas support in meeting the challenges of adult social care delivery

We also fund the Social Care Institute for Excellence and Think Local, Act Personal to create best practice digital guidance about commissioning and to promote the principles of co-production and personalisation within social care commissioning.

Written Question
Care Homes
Wednesday 1st May 2019

Asked by: Lord Coaker (Labour - Life peer)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what advice his Department provides to care homes on the use of funded nursing care payments for the fee charged to self-funded residents; and if he will make a statement.

Answered by Caroline Dinenage

Guidance regarding the NHS-funded Nursing Care rate and a care home resident’s overall care fees, can be found in the National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care.

This makes clear that the care home provider should set an overall fee level for the provision of care and accommodation, which should include any registered nursing care provided by them. If an individual is eligible for NHS-funded Nursing Care the clinical commissioning group will pay the NHS-funded Nursing Care rate direct to the care home, unless there is an agreement in place for this to be paid via a third party (e.g. a local authority). The balance of the fee will then be paid by the individual, their representative or the local authority unless other contracting arrangements have been agreed.

Contracts between individuals and/or local authorities, with providers, should have terms and conditions which are transparent and fair, including setting out what happens if a resident is admitted to hospital or what happens if a resident dies.

Speech in General Committees - Tue 29 Jan 2019
Draft European Qualifications (Health and Social Care Professions) (Amendment etc.) (EU Exit) Regulations 2018 Draft European Qualifications (Pharmacists) (Amendment etc.) (EU Exit) Regulations (Northern Ireland) 2018

"The Minister has just announced a major change, in that a UK regulator would determine whether qualifications were acceptable. Who sets the criteria for the regulator to determine that?..."
Lord Coaker - View Speech

View all Lord Coaker (Lab - Life peer) contributions to the debate on: Draft European Qualifications (Health and Social Care Professions) (Amendment etc.) (EU Exit) Regulations 2018 Draft European Qualifications (Pharmacists) (Amendment etc.) (EU Exit) Regulations (Northern Ireland) 2018
Speech in General Committees - Tue 29 Jan 2019
Draft European Qualifications (Health and Social Care Professions) (Amendment etc.) (EU Exit) Regulations 2018 Draft European Qualifications (Pharmacists) (Amendment etc.) (EU Exit) Regulations (Northern Ireland) 2018

"My understanding is that the regulator will determine whether a qualification is regarded as comparable. Is that the case? If so, who determines the criteria on which the regulator will make that decision?..."
Lord Coaker - View Speech

View all Lord Coaker (Lab - Life peer) contributions to the debate on: Draft European Qualifications (Health and Social Care Professions) (Amendment etc.) (EU Exit) Regulations 2018 Draft European Qualifications (Pharmacists) (Amendment etc.) (EU Exit) Regulations (Northern Ireland) 2018
Speech in General Committees - Tue 29 Jan 2019
Draft European Qualifications (Health and Social Care Professions) (Amendment etc.) (EU Exit) Regulations 2018 Draft European Qualifications (Pharmacists) (Amendment etc.) (EU Exit) Regulations (Northern Ireland) 2018

"The point I am trying to make is about the difference between automatic acceptance and the regulator determining that certain qualifications are not acceptable. I am trying to tease out from the Minister how that difference will be determined, between automatically accepted qualifications and those that are regarded as non-comparable. …..."
Lord Coaker - View Speech

View all Lord Coaker (Lab - Life peer) contributions to the debate on: Draft European Qualifications (Health and Social Care Professions) (Amendment etc.) (EU Exit) Regulations 2018 Draft European Qualifications (Pharmacists) (Amendment etc.) (EU Exit) Regulations (Northern Ireland) 2018
Speech in General Committees - Tue 29 Jan 2019
Draft European Qualifications (Health and Social Care Professions) (Amendment etc.) (EU Exit) Regulations 2018 Draft European Qualifications (Pharmacists) (Amendment etc.) (EU Exit) Regulations (Northern Ireland) 2018

"It is a pleasure to serve under your chairmanship, Mr Howarth. I wish to reinforce a couple of important points made by my hon. Friend the Member for Ellesmere Port and Neston from the Front Bench in his excellent contribution.

The hon. Member for Linlithgow and East Falkirk, who speaks …..."
Lord Coaker - View Speech

View all Lord Coaker (Lab - Life peer) contributions to the debate on: Draft European Qualifications (Health and Social Care Professions) (Amendment etc.) (EU Exit) Regulations 2018 Draft European Qualifications (Pharmacists) (Amendment etc.) (EU Exit) Regulations (Northern Ireland) 2018
Speech in General Committees - Tue 29 Jan 2019
Draft European Qualifications (Health and Social Care Professions) (Amendment etc.) (EU Exit) Regulations 2018 Draft European Qualifications (Pharmacists) (Amendment etc.) (EU Exit) Regulations (Northern Ireland) 2018

"I will of course give way to the Minister, but the House of Lords Select Committee raised that point, so is he going to tell me that that has been changed?..."
Lord Coaker - View Speech

View all Lord Coaker (Lab - Life peer) contributions to the debate on: Draft European Qualifications (Health and Social Care Professions) (Amendment etc.) (EU Exit) Regulations 2018 Draft European Qualifications (Pharmacists) (Amendment etc.) (EU Exit) Regulations (Northern Ireland) 2018
Speech in General Committees - Tue 29 Jan 2019
Draft European Qualifications (Health and Social Care Professions) (Amendment etc.) (EU Exit) Regulations 2018 Draft European Qualifications (Pharmacists) (Amendment etc.) (EU Exit) Regulations (Northern Ireland) 2018

"The implication of what the Minister has just said is that those people have been working in the NHS at the present time with sub-standard qualifications...."
Lord Coaker - View Speech

View all Lord Coaker (Lab - Life peer) contributions to the debate on: Draft European Qualifications (Health and Social Care Professions) (Amendment etc.) (EU Exit) Regulations 2018 Draft European Qualifications (Pharmacists) (Amendment etc.) (EU Exit) Regulations (Northern Ireland) 2018
Speech in General Committees - Tue 29 Jan 2019
Draft European Qualifications (Health and Social Care Professions) (Amendment etc.) (EU Exit) Regulations 2018 Draft European Qualifications (Pharmacists) (Amendment etc.) (EU Exit) Regulations (Northern Ireland) 2018

"That is exactly the implication of what the Minister has just said...."
Lord Coaker - View Speech

View all Lord Coaker (Lab - Life peer) contributions to the debate on: Draft European Qualifications (Health and Social Care Professions) (Amendment etc.) (EU Exit) Regulations 2018 Draft European Qualifications (Pharmacists) (Amendment etc.) (EU Exit) Regulations (Northern Ireland) 2018
Speech in General Committees - Tue 29 Jan 2019
Draft European Qualifications (Health and Social Care Professions) (Amendment etc.) (EU Exit) Regulations 2018 Draft European Qualifications (Pharmacists) (Amendment etc.) (EU Exit) Regulations (Northern Ireland) 2018

"The Minister will give his answer, but this question has been raised by NHS professionals and by the cross-party House of Lords Select Committee that looks into these matters. Indeed, that Committee specifically said that the Minister should be questioned about the change, because it has serious concerns about the …..."
Lord Coaker - View Speech

View all Lord Coaker (Lab - Life peer) contributions to the debate on: Draft European Qualifications (Health and Social Care Professions) (Amendment etc.) (EU Exit) Regulations 2018 Draft European Qualifications (Pharmacists) (Amendment etc.) (EU Exit) Regulations (Northern Ireland) 2018