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 nationwide dental education and training movement set out

17/10/2019New nationwide dental education and training movement set out

A widespread engagement exercise is beginning to ensure the workfare delivering future dental services meets the requirements and expectations of... more >
Offer NHS cancer screenings during lunch breaks to halt falling attendances, report recommends

16/10/2019Offer NHS cancer screenings during lunch breaks to halt falling attendances, report recommends

Up to 10,000 lives a year could be saved if NHS screening programmes were offered in a wider variety of locations and times, according to recent ... more >
Northumbria NHS FT rated Outstanding for the second time

16/10/2019Northumbria NHS FT rated Outstanding for the second time

The Care Quality Commission (CQC) has awarded Northumbria Healthcare NHS Foundation Trust an Outstanding rating for the second time. The tru... more >
The Health Foundation calls for government overhaul for a healthy society

16/10/2019The Health Foundation calls for government overhaul for a healthy society

The Health Foundation has today (Oct 16) urged government to consider policy changes to housing, transport and education after new report shows a... 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

Providers are delivering – and here’s how

09/10/2019Providers are delivering – and here’s how

It has been a challenging few years for healthcare providers, yet they have continued to deliver high quality care despite the conditions. Adam Brimelow, director of communications at NHS Providers, outlines just how providers are managing to deliver despite the financial squeeze.   It is inevitable that the NHS’ fun... 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 >
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 >
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 >

interviews

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 >
Duncan Selbie: A step on the journey to population health

24/01/2018Duncan Selbie: A step on the journey to population health

The NHS plays a part in the country’s wellness – but it’s far from being all that matters. Duncan Selbie, chief executive of Pu... more >
Cutting through the fake news

22/11/2017Cutting through the fake news

In an era of so-called ‘fake news’ growing alongside a renewed focus on reducing stigma around mental health, Paul Farmer, chief exec... more >

health service focus

View all News