Integrated Care & Social Care

01.07.19

Councils failing to meet dementia care targets, reveals Healthwatch England

Healthwatch England have published new data showing councils are struggling to meet key targets for dementia care.

Under the Care Act, which came into force in April 2015, councils must ensure that their social care services are responsive to the specific needs of individual patients. In order to achieve this, people’s care plans must be reviewed at least once a year.

New figures, gathered through a Freedom of Information Act request,  show that councils across England are struggling to meet these requirements – with those with dementia worst affected.

Out of 152 councils with social care responsibilities in England that were asked about their reviews and reassessments for people with dementia, 97 councils provided data that formed the final report.

In that data, it showed only 45% of people with dementia who use social care got a care review in 2017/18. The figure for all care users, according to NHS Digital, stands at 51%.

One quarter of people with dementia had to have an urgent or unplanned review after an emergency or sudden change of circumstance meant their support needs had changed.

Should a review find that someone’s needs have changed significantly it should immediately trigger a full reassessment of their needs.

Healthwatch England’s research found that 65% of completed reviews led to a full reassessment. Over half of these reassessments saw no change in a person’s care, while 34% saw an increase in funding.

Just 8% of reassessments led to a decrease in funding.

READ MORE: A third of people with dementia diagnosis don’t get NHS follow-up support

READ MORE: How we can truly make a difference for inpatients with dementia?

Dementia is unique in each person, with symptoms affecting everyone differently and creating very different experiences with the condition, which can deteriorate quickly or fluctuate rapidly.

Reviews serve to ensure that people with dementia get the care they need, and if not in place it can regularly fall on friends and family to step in and provide what formal social care cannot.

In 2017/18 one third of people who use dementia support services got no review at all.

National director of Healthwatch England, Imelda Redmond CBE, said in response to the organisation’s findings: “Reviews and assessments are about more than just ticking boxes on a form.

“Over half of reviews for people with dementia were missed by councils last year, so we simply don’t know if people are getting the support they need.

“Behind each missed review is a real human story.

iStock-653495116

“We heard examples where a lack of support left people and their families struggling to cope on a day-to-day basis, with tasks that many of us take for granted, like eating, washing, dressing or even using toilet.

“The fact that councils are struggling to meet the Care Act requirement to deliver care reviews should provide a real wake-up call to us all.”

Redmond added that with council resources stretched to near breaking point, fixing social care must be a new priority for the new Cabinet in the coming weeks.

Jeremy Hughes CBE, chief executive officer of Alzheimer’s Society said: “It’s downright appalling that more than half of people with dementia didn’t get a care package review last year.

“Dementia is a complex disease, and a person’s care needs can change dramatically over time. This means thousands of people are not receiving the appropriate care and support that they so badly need.”

Comments

There are no comments. Why not be the first?

Add your comment

 

national health executive tv

more videos >

latest healthcare news

New technologies to improve patient care to receive £10m boost

20/02/2020New technologies to improve patient care to receive £10m boost

Leading researchers and businesses based in the UK are being supported to work closer together to develop treatments and cures for those facing l... more >
Hospitals given power to develop personalised treatment

19/02/2020Hospitals given power to develop personalised treatment

Personalised medicines to treat unique cancers and diseases are set to become more prevalent in healthcare as the introduction of the Medicines a... more >
University of Exeter receive £152k diabetes research grant

19/02/2020University of Exeter receive £152k diabetes research grant

Researchers at the University of Exeter have received a grant of £152,000 over two years from Diabetes UK to fund investigations into how m... more >
More staff, modern facilities needed for mental health services

19/02/2020More staff, modern facilities needed for mental health services

That was the call of Sean Duggan, Chief Executive of the Mental Health Network, part of the NHS Confederation, as he responded to a report on NHS... more >

editor's comment

25/09/2017A hotbed of innovation

This edition of NHE comes hot on the heels of this year’s NHS Expo which, once again, proved to be a huge success at Manchester Central. A number of announcements were made during the event, with the health secretary naming the second wave of NHS digital pioneers, or ‘fast followers’, which follow the initial global digital e... read more >

last word

Haseeb Ahmad: ‘We all have a role to play in getting innovations quicker’

Haseeb Ahmad: ‘We all have a role to play in getting innovations quicker’

Haseeb Ahmad, president of the Association of the British Pharmaceutical Industry (ABPI), sits down with National Health Executive as part of our Last Word Q&A series. Would you talk us th... more > more last word articles >

the scalpel's daily blog

Unappreciated Qualities of Leadership: Hope

17/02/2020Unappreciated Qualities of Leadership: Hope

Independent consultant and strategic advisor Dean Royles continues his series on The Unappreciated Qualities of Leadership. You can find links to his previous pieces here.   Those that follow me on Twitter and Instagram will know I'm a keen hiker. I love the outdoors and I love a sunrise, full of anticipation, bringing with it t... more >
read more blog posts from 'the scalpel' >

comment

NHS England dementia director prescribes rugby for mental health and dementia patients

23/09/2019NHS England dementia director prescribes rugby for mental health and dementia patients

Reason to celebrate as NHS says watching rugby can be good for your mental health and wellbeing. As the best rugby players in the world repr... more >
Peter Kyle MP: It’s time to say thank you this Public Service Day

21/06/2019Peter Kyle MP: It’s time to say thank you this Public Service Day

Taking time to say thank you is one of the hidden pillars of a society. Being on the receiving end of some “thanks” can make communit... more >
Nurses named as least-appreciated public sector workers

13/06/2019Nurses named as least-appreciated public sector workers

Nurses have been named as the most under-appreciated public sector professionals as new research reveals how shockingly under-vauled our NHS, edu... more >
Creating the Cardigan integrated care centre

10/06/2019Creating the Cardigan integrated care centre

Peter Skitt, county director and commissioner for Ceredigion Hywel Dda University Health Board, looks ahead to the new integrated care centre bei... more >
Helpforce to launch training programmes for NHS volunteers

10/06/2019Helpforce to launch training programmes for NHS volunteers

Kay Fawcett OBE, clinical advisor and education lead at Helpforce, and Lynn Twinn, talent development consultant, outline the new national traini... more >

interviews

Mike Farrar, Swim England - Last Word

07/12/2019Mike Farrar, Swim England - Last Word

Mike Farrar Chairperson of Swim England Would you talk us through your previous roles within the NHS? I’ve held a number of ... more >
Matt Hancock says GP recruitment is on the rise to support ‘bedrock of the NHS’

24/10/2019Matt Hancock says GP recruitment is on the rise to support ‘bedrock of the NHS’

Today, speaking at the Royal College of General Practitioners (RCGP) annual conference, Matt Hancock highlighted what he believes to be the three... more >
NHS dreams come true for Teesside domestic

17/09/2019NHS dreams come true for Teesside domestic

Over 20 years ago, a Teesside hospital cleaner put down her mop and took steps towards her midwifery dreams. Lisa Payne has been delivering ... more >
How can winter pressures be dealt with? Introduce a National Social Care Service, RCP president suggests

24/10/2018How can winter pressures be dealt with? Introduce a National Social Care Service, RCP president suggests

A dedicated national social care service could be a potential solution to surging demand burdening acute health providers over the winter months,... more >
RCP president on new Liverpool college building: ‘This will be a hub for clinicians in the north’

24/10/2018RCP president on new Liverpool college building: ‘This will be a hub for clinicians in the north’

The president of the Royal College of Physicians (RCP) has told NHE that the college’s new headquarters based in Liverpool will become a hu... more >

health service focus

View all News