But there are members of our community – particularly those who are elderly or with underlying health issues – who have already started social distancing for their own safety, meaning that they will have more difficulty in stocking up on the household essentials they will need in the coming weeks. 99 ($49.99/Count) Help at home from a paid carer costs around £20 an hour, but it varies according to where you live. guidance aimed at supporting the workforce has been published earlier this year, including guidance for carers of people with a learning disability and autistic adults (short-form version), advice on supporting people with dementia living in care homes, and guidance for supported living. Under the Care Act 2014, local authorities have duties to shape local provision of care and ensure services remain sustainable and continuity of care is maintained. See more detail on Care Home Support Plans. Alongside this sits the Care Quality Commission’s (CQC) Market Oversight scheme, which monitors the financial health of the largest and most difficult to substitute providers, so that there is early warning of emerging risks. Care home vaccination delivery should be aligned with the new Enhanced Health in Care Homes model where appropriate. This includes decisions on the application of do not attempt cardiopulmonary resuscitation orders (, ensuring everyone who needs care or support can get high-quality, timely and safe care throughout the autumn and winter period, protecting people who need care, support or safeguards, the social care workforce, and carers from infections including COVID-19, making sure that people who need care, support or safeguards remain connected to essential services and their loved ones whilst protecting individuals from infections including COVID-19, detailing what the government’s national support will be, establishing expectations of other parts of the system, including local authorities, NHS organisations, and care providers, putting into practice the recommendations of the, providing a stimulus for further local winter planning and preparedness, continue to implement relevant guidance and circulate and promote guidance to adult social care providers in their area, including for visitors, directors of public health should work with relevant partners including Public Health England and local health protection boards to control local outbreaks and should refer to the, support care homes, working with local partners to carry out learning reviews after each outbreak to identify and share any lessons learned at local, regional and national levels, continue to follow all relevant guidance on how to prevent, control and manage an infection in their care setting, undertake a learning review after an outbreak, with support from their local authority, report shortfalls in support or equipment, to local authorities, and through established data capture portals, ensure all care staff have ongoing training on infection prevention and control, the appropriate use of, ensure staff are carrying out all relevant infection prevention and control procedures to a high standard through a robust system of audit and quality assurance, identify and support an individual to be the lead for infection prevention and control for COVID-19 to ensure adherence to infection prevention guidance, ensure staff do not work if they have COVID-19 symptoms, or a member of their household has symptoms or a recent positive test, or they have been told to isolate by NHS Test and Trace, continue to support all providers to put in place measures to stop staff movement, contintue to support providers to pay staff who are self-isolating, in line with government guidance, their normal wages while doing so, distribute money from the Infection Control Fund, and submit returns on how the funding has been used in line with the grant conditions, continue to review contingency arrangements to help manage staffing shortages, within social care provision, through the winter, with the aim of reducing the need for staff movement, provide clear communication to social care providers regarding the importance of implementing workforce measures to limit COVID-19 infection, signpost relevant guidance, and encourage providers to make use of additional funding where appropriate, actively monitor Capacity Tracker data to identify and act on emerging concerns regarding staff movement between care settings, including following up with care providers who are not limiting staff movement, limit all staff movement between settings unless absolutely necessary to help reduce the spread of infection, including by reviewing exclusivity arrangements with recruitment agencies, and considering the recruitment of additional staff over the winter period, use funding from the Infection Control Fund to meet additional costs associated with restricting workforce movement for infection control purposes, in accordance with the conditions on which it is given by local authorities, providing local authorities (in those areas where, report shortages via Capacity Tracker and/or the, ensure positive cases are identified promptly, make sure care providers, as far as possible, carry out testing as per the testing strategy and and, together with NHS organisations, provide local support for testing in adult social care, if needed, actively monitor their local testing data to identify and act on emerging concerns, including following up with care homes that are not undertaking regular testing, as per the guidance, continue to test people being discharged from hospital to a care home, continue to deliver their testing responsibilities, as outlined in the testing strategy. Vicky Pattison and boyfriend Ercan help send 600 care packages to elderly amid coronavirus crisis . There are lots of people needing to maintain social distancing in order to keep themselves protected from infection, but many of these people still require additional support to help them live safely at home. The CDC recommends that everyone stock up on enough food and other supplies to stay home for a couple weeks. COVID-19 test results should always be communicated to the care home before the individual leaves the hospital (unless otherwise agreed with the care home) and be included in documentation that accompanies the person on discharge. During the COVID-19 pandemic, there has been an unprecedented shift towards digitally enabled services, and the health and care workforce has innovated and collaborated to ensure that people could benefit from the digital provision of health information, advice and clinical care. It is of central importance that we support the workforce through the winter period by keeping them well, increasing workforce capacity and providing high-quality training and guidance. continue to develop and publish relevant guidance, accessible for everyone supported by social care services, and update policies and guidance based on the latest science and evidence. Do you know someone who needs additional support? Since March 2020, the government has made £3.7 billion of emergency grant funding available to local authorities to enable them to address the pressures on local services, caused by the pandemic, including in Adult Social Care. Putting social care on a sustainable footing, where everyone is treated with dignity and respect, is one of the biggest challenges our society faces. There are over 5.4 million people in England providing care to loved ones, including young carers. Whilst most areas with high prevalence are implementing restrictions, for avoidance of doubt, any area listed by Public Health England’s surveillance report as an ‘area of intervention’ should immediately move to stop visiting, except in exceptional circumstances. Our testing policy is based on scientific advice on relative priorities and available testing capacity in order to limit the spread and save lives. Warwickshire NHS organisations will continue to offer clinical support and training where needed in a system. Care homes should adhere to guidance on regular testing for all staff and care home residents, all eligible care providers can register for and use the new, providers ineligible to register for the portal (such as personal assistants) should contact their, providers should proactively encourage and enable people who receive care and social care staff to receive free flu vaccinations and report uptake, care home providers should develop a policy for limited visits (if appropriate), in line with up-to-date guidance from their relevant Director of Public Health and based on dynamic risk assessments which consider the vulnerability of residents. ‘Our Frontline’, a collaboration between Samaritans, Shout, Hospice UK and Mind, provides information, emotional support and access to a crisis text service. From knowing where to start, what type of care and support you need and who pays for it, there are lots of questions to ask. This aims to understand the robustness of the plans local authorities have in place, and what additional support may be needed, to secure sufficient, sustainable and suitable capacity over winter, and maintain continuity of provision, working closely across government, with care providers and insurance representatives, to understand the breadth and severity of issues relating to insurance renewals in the care sector to understand whether action should be taken, work with local partners to engage with the Service Continuity and Care Market Review, and – when requested – complete a self-assessment of the health of local market management and contingency planning leading into winter, continue to work understand their local care market; and to support and develop the market accordingly, continue to support their provider market as needed, to secure continuity of care, including promoting the financial support available. Long-life food such as frozen ready meals, tinned vegetables and dry pasta are very easy to prepare into a nutritious meal. Older people and … This includes a series of webinars and a dedicated advice line, our offer to the workforce is brought together in the CARE workforce app, which signposts to resources, in one place, which will be available until at least December 2020, we will work with local authorities to assess access to occupational health provision and other wellbeing support available to social care staff, highlight good practice and consider where we can make improvements before the end of November, maintain, where possible, the additional staff support services which they put in place during the first wave of the pandemic, review current occupational health provision with providers in their area and highlight good practice, promote wellbeing offers to their staff and allow staff time to access support, as well as promoting to providers in their area, reinforce the message that staff wellbeing remains of the utmost priority. These local plans were reviewed regionally by local government, NHS and public health officials to identify areas of concern and areas that needed support. Because it might be hard for older people to get to the store, put together a care package of things you know they'll need such as canned goods, over-the-counter medicines, and cleaning supplies. Homecare is very flexible. Where we have identified any third party copyright information you will need to obtain permission from the copyright holders concerned. The CQC has published headline findings from both pieces of work in the September COVID insight report. We are providing free flu vaccines to the following groups: PHE/ NHS England and Improvement will shortly publish guidance on flu vaccinations for social care workers and we are working with partners across the system, including providers, on national and targeted communications to maximise uptake among eligible groups. These reviews have focused on the experience of people over the age of 65, with and without COVID-19, across health and social care providers, including the independent sector, local authorities and NHS providers. If you have concerns about an elderly relative's health or need more information about coronavirus, you can visit the NHS 111 website. These plans should consider the recommendations of this Winter Plan, and involve NHS and voluntary and community sector organisations where possible, continue current oversight processes, including delivery of Care Home Support Plans and engagement with regional feedback loops, continue to champion the Capacity Tracker and the CQC community care survey and promote their importance as a source of data to local providers and commissioners, establish a weekly joint communication from local directors of adult social services and directors of public health to go to all local providers of adult social care, as a matter of course, through the winter months, review and update their business continuity plans leading into winter and proactively engage with the relevant local authorities or NHS commissioners and the CQC if they have concerns or need support, continue to complete the relevant sections of the capacity tracker or the CQC community care survey. The first round included 80 care packages across three senior care facilities — Grand Brook Memory Care Allen, Grand Brook Memory Care Mckinney … Technical and user support will be provided to set up the devices for use by care providers. We continue to work with stakeholders to understand what more we can do nationally to prevent inappropriate DNACPR decisions being made for individuals, guidance for the public setting out what a DNACPR decision is, how it should be applied, who should be involved and what to do if an individual or their loved ones have concerns will be published by NHS England and Improvement shortly. Other financial considerations during COVID-19. Advocates for elderly Australians are calling for a minimum $2 billion federal budget investment to wipe out the home care waiting list, as COVID-19 fears in aged care … COVID-19 will be co-circulating with seasonal flu and other viruses, and transmission may increase over the winter period. The Department of Health and Social Care (DHSC) has worked with the National Institute for Health and Care Excellence (NICE) to develop a new guidance portal specifically for care providers, overview of adult social care guidance on coronavirus (COVID-19). We have agreed a change to the pharmacy contract so that, this year, pharmacists are able to vaccinate staff and recipients of care in care homes at the same time. Where possible hospitals should plan 48 hours in advance of discharge to ensure test results are available and care homes have a chance to plan for a timely discharge. The government will continue to provide national leadership and coordination as we move into the next phase of the COVID-19 response. This week the Helping Hands organisation has released a full guide on how to put together crucial packs for those who cannot get to the shops, … All calls are recorded for training purposes. Guidance can be found on the NHS England website and the Resuscitation Council UK website, we are aware of anecdotal reports of inappropriate practice in applying DNACPRs. We’ll send you a link to a feedback form. This was a condition of access to the £600 million Infection Control Fund. updated guidance on direct payments, which will cover the winter period for commissioners was published on the 11 September, updated guidance on direct payments, which will cover the winter period, for recipients and those that they employ will be published ahead of the winter period, national guidance on how personal assistants can access the winter flu vaccination free of charge (via the NHS complementary scheme) will be published shortly, people who use direct payments to employ a personal assistant are entitled to free PPE for their personal assistant where they carry out close contact care. Whether it’s someone to pop to the shops to stock up on some household essentials or someone to support you with your personal care, we’re here to ensure that you never have to compromise on your comfort and safety at home. Sponsored If you want to recruit unpaid sperm donors then play into masculine stereotypes. We will endeavour to continue to co-produce accessible guidance for the winter period, with partners in the social care sector, as well as people who need care and their families and carers. Throughout the pandemic, the NHS has extended support to the social care sector and ensured close working across health and social care. * All calls to 0843 numbers will cost you 7p per minute plus your phone company’s access charge. take advantage of time-limited connectivity deals, and complete the simple order form to apply for a tablet device. This will include information on escalation routes to highlight issues at a local level, increase the volume of Adult Social Care data in the public domain, as part of our contribution to the data strategy for the Health and Social Care system being developed by NHSX, write to DHSC by 31 October confirming they have put in place a winter plan and that they are working with care providers in their area on their business continuity plans, highlighting any key issues if needed, in order to receive the second instalment of the Infection Control Fund. So, we're making a case to re-embrace the care package (toothpaste optional). Some LRFs are choosing to cease distribution of PPE. The capacity tracker has continued to provide regular data on the situation in care homes, both on the implementation of infection prevention and control measures, and on outbreaks. It can mean different things to different people. We have procured enough doses of the seasonal flu vaccine to cover the social care workforce and have worked with the NHS and PHE to expand coverage of their flu vaccination programme to include personal assistants, making this year’s programme the most comprehensive ever. Local authorities should continue to put in place their own winter plans. Caroline Abrahams, Age UK's Charity Director, explains what we mean when we talk about it. Importantly, improved technology and digital support have also made it easier for people with care needs to stay connected with their loved ones. if necessary, impose visiting restrictions if local incidence rates are rising, and immediately if an area is listed as ‘an area of intervention’. It applies to England only, as adult social care is a devolved matter. The government’s testing programme is responsible for delivering the testing needed for the whole of the UK. To find out more about how we can help you throughout the coronavirus outbreak, please call us on 0808 278 2589 and we’ll ensure that you have the support of a dedicated professional carer whenever you need, for as long as you need. As part of the Care Home Support Package, local authorities were asked to review or put in place a Care Home Support Plan, drawing on local resilience and business continuity plans. The reviews share examples of where collaboration has worked well across the system, helping to drive improvements and prepare for future pressures on local care systems. The local authority should be the lead commissioner unless otherwise agreed between the CCG and the local authority. They should: From 1 October, Primary Care Networks (PCNs) – working with community healthcare providers – will become responsible for delivering the Enhanced Health in Care Homes (EHCH) framework, which builds on the COVID-19 care home support service announced in May. Some are designed especially with seniors in mind , and others follow a theme such as beauty box, a tea subscription, or even a fun pair of socks each month. We set out below tightened infection prevention and control measures to enable visits to continue safely. Where people who use those services can no longer access them in a way that meets their needs, local authorities should work with them to identify alternative arrangements, local authorities and NHS organisations should continue to work with providers to provide appropriate primary and community care at home and in care homes, to prevent avoidable admissions, support safe and timely discharge from hospitals, and to resume Continuing Healthcare (, NHS organisations should continue to provide high-quality clinical and technical support to care providers through the, local authority directors of public health should give a regular assessment of whether visiting care homes is likely to be appropriate within their local authority, or within local wards, taking into account the wider risk environment and immediately move to stop visiting if an area becomes an ‘area of intervention’, except in exceptional circumstances such as end of life, providers must keep the needs and safety of the people they support and their staff at the forefront of all activities, providers should review and update their business continuity plans for the autumn and winter, of which workforce resilience should be a key component. In all cases exemptions should be made for visits to residents at the end of their lives. This includes through testing all individuals for COVID-19 on discharge from hospital to care settings. I suggest a scheme of a fortnightly care package or supply box to be delivered mainly by a consortium of supermarkets. We will also continue to work with the Bringing Back Staff initiative to help social care providers access nurses and other professionals who sign up to be redeployed, we have issued guidance on redeploying staff and using volunteers to support the sector to build capacity where most needed, the NHS Volunteer Responders programme is available to the social care sector. In addition, with each coronavirus care package purchased, Brilliant Gifts will use a portion of the proceeds to donate treats and snacks to local first responders and health care workers on the front line of the battle with COVID-19. COVID-19: Woolworths to offer care packages to elderly and people with disability Woolworths will hold a shopping hour for the vulnerable who've … These winter plans should build on the Care Home Support Plans, and other existing resilience planning (for example, local outbreak plans and cold weather planning), in the context of planning for the end of the Transition Period. For the avoidance of doubt, NHS policy is clear that clinical decision making should always be personalised and should never be done on a blanket basis. The guidance will shortly be updated to reflect these changes. Working together will ensure that high-quality, safe and timely care is provided to everyone who needs it, whilst protecting people who need care, their carers and the social care workforce from COVID-19. This plan sets out the clear and robust steps we are taking to ensure the sector is prepared for winter, and that we protect people who need care and the workforce that supports them. Want to share love with friends and family while social distancing? There are complex questions to address, to which we want to give our full considerations in light of the current circumstances. The Secretary of State for Health and Care will continue to keep easements under review, based on expert clinical and social care advice. Planning should be as transparent and inclusive as possible, involving collaboration across health and care agencies, the voluntary sector, people who need care and carers. As we approach winter, the government’s 3 overarching priorities for adult social care are: The aim of this winter plan is to set out our approach to supporting the adult social care sector by: The winter plan sits alongside and is complementary to the letter to the NHS on the third phase of the COVID-19 response and the new adult social care guidance portal for providers. The Care Act 2014 allows people who receive direct payments to use them flexibly and in a way that works for them, giving them more flexibility, control and responsibility over how their care and support is arranged, providing it continues to meet their needs and keeps them safe. Care home providers should accept people discharged from hospital only when able to do so safely. If you know someone who could do with a helping hand, our team of carers are available to help and taking every precaution to ensure that they can continue to provide safe and reliable home care to those who need it most. Community and respite services could consider the following options: provision of outreach support or support based in outside community spaces, support provided less often in smaller groups. This support was set out in the adult social care action plan, published on 15 April 2020 and the care home support package, published on 15 May 2020. establish an Executive Lead for the leadership and delivery of the discharge to assess model; secure sufficient staff to rapidly complete deferred assessments, drawing on discharge funding but without negatively impacting on care home support, work with partners to coordinate activity, with local and national voluntary sector organisations, to provide services and support to people requiring support around discharge from hospital and subsequent recovery, are required to provide appropriate accommodation for people who have been discharged from hospital, if their care home cannot provide appropriate isolation or cohorting facilities, as set out in the, should consider adopting the cohorting and zoning, isolate all residents discharged from hospital or interim care facilities for 14 days regardless of COVID-19 test result, unless they have already undergone isolation for a 14-day period in another setting, in line with the, alert their local authority if they have been requested to receive an individual from hospital with a confirmed COVID-19 positive test result, advise their local authority if they assess they cannot accept an individual from hospital with a confirmed COVID-19 positive test results as they are unable to safely isolate or cohort the individual, or if they cannot manage the needs of the individual due to other challenges impacts on infection control capability (such as staffing issues), alert their local Health Protection Team in the event of positive COVID-19 test results, continue to update the Capacity Tracker daily or more frequently if something changes, work with adult social care contract leads to identify capacity that can be used for hospital discharge purposes or follow-on care from reablement services, work collaboratively with NHS primary and community care services, timely access to clinical advice for care home staff and residents, including a named clinical lead from the PCN, for every care home, and weekly multidisciplinary team support, support for care home residents with suspected or confirmed COVID-19 through remote monitoring (and face-to-face assessment where clinically appropriate), pulse oximeters available to care homes that do not have the recommended number of devices (1 per 25 beds) which, used under clinical supervision, can help identify ‘silent hypoxia’ and rapid deterioration of people with COVID-19, rehabilitation for those recovering from COVID-19, provided by both primary and community healthcare services, training and development for care home staff, support with data, IT and technology, including access to care records and secure email, confirm to NHS England that all care homes have been aligned to a PCN by 1 October 2020, work with care home providers to support home oximetry including identifying local need for oximeters, nominate a clinical lead and ensure that partner care homes are informed of their lead and the support available, including home oximetry, engage with personalised care roles within their PCN – social prescribing link workers, health and wellbeing coaches, and care coordinators – to ensure that personalised care approaches are embedded. 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