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BHCR 2008 Vol 3 Issue 15

(Click the icon to download)
© Brunswicks LLP 2008

This week's article

Editorial

Local Authorities, encouraged by central Government,

are promoting and encouraging the implementation of

direct payments (see items 61 and 62 in this issue).

Undoubtedly, direct payments offer great flexibility,

choice and a degree of self-determination for those in

receipt of care/support. David Behan, the Department

of Health's Director General of Social Care, has some

truly inspiring stories of how direct payments are being

used creatively to transform lives. However, I have

some concerns.

For those who are able to be self-determinant the

problems and challenges are probably mostly

manageable.

However, what about the person who needs carers and

personal assistants? Such a person, using the direct

payment will become an employer. With all of the

duties and responsibilities which go with that status.

Will the direct payment be automatically increased

when a worker becomes pregnant and takes her full

entitlement to maternity leave?

If so, will the increase be sufficient to take on a

replacement worker?

What will happen when the supported person dies?

Who will meet the redundancy costs?

It seems to me that these questions and many more

have just not been thought through sufficiently for

anyone to be able to confidently provide answers.

I may well return to this

topic, and the wisdom of

receiving direct payments

in a future article.

Parliament

28.04.08 – HoC – Funding of NHS services in York,

Adjournment debate

Next

Abuse

1. Care home finds

19 April 2008 - The Times

Idle of bloody finds at Jersey horror home

19 April 2008 - Daily Mail

It is reported that items have been found in Haut de

la Garenne, Jersey, stained with human blood.

2. SCOTLAND: Survivors of childhood sexual

abuse

18 April 2008 - UKPolicing.info

Increased awareness of childhood sexual abuse, and

better support for adult survivors, should now be

available, thanks to a booklet Yes You Can! Working

with Survivors of Childhood Sexual Abuse designed

to help health professionals and those working in the

care and voluntary sectors to feel more confident in

applying best practice to support survivors of abuse.

As well as forming part of the Scottish Government's

overall approach to supporting mental wellbeing, the

booklet also ties in with SurvivorScotland, the National

Strategy for Survivors of Childhood Sexual

Abuse.

Public Health Minister Shona Robison said:

"We would all like to think that childhood sexual

abuse doesn't happen. But if people across Scotland

are aware of the reality then it is more likely that

good support and understanding will be available.

"There has, for many years, been a widespread misunderstanding

of the needs of survivors of childhood

sexual abuse and sometimes a reluctance to raise

the issue because of the stigma which can be associated

with this sensitive subject.

"It is essential, though, that health professionals and

all those involved in working with sexual abuse survivors

feel confident, informed and able to provide appropriate

support."

The National Strategy for Survivors of Childhood Sexual

Abuse was launched in 2005.

3. Legislation update

15 April 2008 - The Times, Public Agenda

Barrister Stephen Cragg reflects on issues of depravation

of liberty for people who lack mental capacity

and the fact that the Mental health Act may need to

be amended even before it becomes law because of

an decision anticipated from the European Court of

Human Rights in Strasbourg.

Business News

4. Profit track 100

20 April 2008 - The Sunday Times

Of Britain’s private firms with the fastest growing profits

only one from health and social care is in the top

100. Affinity Healthcare, based in Cheshire and

owned by venture capitalist Duke Street Capital

which paid £75m for the company in 2004. Profits for

last year grew by over 97%.

5. Craegmoor for sale

19 April 2008 - The Times

Craegmoor is up for sale by L&G Ventures with a

price tag of about £300m. Southern Cross will “take

a look” according to Bill Colvin its CEO.

6. CareTech Holdings PLC - Trading update

18 April 2008

CareTech held its AGM at which Farouq Sheikh, Executive

Chairman, gave the following trading update:

Trading in the first half of the financial year was in line

with expectations and reflected continuing progress

as the Group benefits from the investments in capacity

made in the second half of 2007. The acquisitions

of Counticare and One-Step which were made during

2007 have now been fully integrated into the regional

structure introduced last year. This structure is working

well to provide greater scalability and the Directors

believe that further organic and acquisitive

growth can be readily absorbed in line with the

Group's strategy.

During the first half of the year CareTech increased

capacity by a further 48 beds through organic initiatives

and now supports a total of 1,077 clients by way

of residential and supported living services. These

developments include the expansion of services into

Milton Keynes and Leicester, both of which are new

to CareTech and where initial discussions with local

care commissioners indicate significant opportunities

for service expansion. As reported in December

2007, the Group has continued to broaden its range

of services into supported living. The strategy is to

continue to grow these services and I am pleased to

report a further 25 places have been added during

the first six months of this financial year. Further

growth in this service area will form a part of our development

strategy for the remainder of the year and

beyond. Occupancy in established services is currently

running at 95%.

The pipeline of development opportunities remains

strong and we continue to actively evaluate those

which the Directors believe to be capable of enhancing

shareholder value.

The Board of CareTech is confident of the Group's

prospects and looks forward to reporting further progress

during the second half of this financial year.

7. New contract for Quantum

16 April 2008 - Live Care News

Quantum Care has been awarded a new 15 year

contract with Hertfordshire County Council to provide

care for elderly people across the county. The company

has 26 homes within Hertfordshire providing

care for more than 800 people.

8. August Equity exits Healthcare Homes

Group in a £75 million sale to Bowmark

14 April 2008

August Equity LLP ("August Equity"), announced it

completed the sale of Healthcare Homes Group

("HHG”) in East Anglia, to Bowmark Capital LLP

(“Bowmark”).

August Equity originally invested in HHG in August

2005, when the group consisted of 4 homes and 100

beds. August Equity and the management team pursued

a buy-and-build strategy throughout their ownership

which saw the group expand to more than 800

beds across 21 homes. In February 2008, August

Equity announced that HHG acquired Manorcourt

Care Limited, a privately owned care and nursing

home group based in Norfolk, providing HHG with an

additional 87 registered care beds.

Commenting on the sale, Philip Rattle, partner at

August Equity who leads the healthcare team, said:

"We have enjoyed working with Richard Clough and

the management team at HHG. The growth of the

group has been impressive over the past three years

and the team has continued to ensure that the highest

standards of care are offered to the residents of

the homes.”

Richard Clough, chief executive officer of HHG, said:

"We are grateful for the support that August Equity

has provided in driving the growth of the group. We

look forward to working with Bowmark in continuing

our buy-and-build strategy and maintaining the development

of high standards of care that is synonymous

with HHG.”

A recent survey commissioned by August Equity

highlighted healthcare as the sector most likely to do

well in the current market uncertainty. The research,

carried out by Mergermarket’s research arm, Remark,

found that the healthcare sector was perceived by

17% of respondents to be “hot” in the current economic

environment, closely followed by energy, mining

and utilities.

NM Rothschilds advised August Equity on the sale of

HHG to Bowmark.

9. Darling closes property deal loophole

April 2008 - HealthInvestor

The useful and much used (at least by companies

such as Southern Cross) tax avoidance mechanism

of ‘vendor de-grouping’ where one company leaves a

group before another and enabling companies to sell

real estate without paying tax has been closed by the

Chancellor of the Exchequer.

Ed. This mechanism saw Southern Cross build

rapidly over the past couple of years effectively

acquiring operating businesses for zero or close

to zero consideration as once acquired the real

estate was sold on to others, typically banks, effectively

getting the operating company for free!

10. Back Lift

April 2008 - HealthInvestor

Alex Beaumont opines that the Darzi reforms of the

NHS in the form of 150 polyclinics might provide a

boost to the flagging Local Improvement Finance

Trusts (Lift).

11. Four Seasons adds to Jersey portfolio

April 2008 - HealthInvestor

Four Seasons Health Care made its third investment

on the Channel Island of Jersey when it bought Bon

Air Apartments – a 27 bedded nursing home in St

Saviour.

Care Homes

12. Increase of 39p a day for nursing care

17 April 2008 - Live Care News

Care Forum Wales has learned that the average increase

in the contribution for Nursing Care from Local

Health Boards in Wales is just 39p per day. In response

to the derisory fee increase, Care Forum

Wales will embark on a national campaign to win

hearts and minds – as well as funding for the sector.

13. The joys of Spring

April 2008 - HealthInvestor

Peter Mitchell considers the activity of the major players

in the residential care sector and the fact that

higher fees are an unavoidable consequence of the

creation of bigger care groups and the building of

more physical assets (care homes).

Case Reports

Law Reports

14. A v Essex County Council

A claim brought by a severely disabled child against

a local education authority for damages for breach of

the right to education vouchsafed by the European

Convention on Human Rights 1950 Protocol 1 art.2

failed as the decision in Ali v Lord Grey School Governors

(2006) UKHL 14, (2006) 2 AC 363 made unarguable

the proposition that his exclusion from the

school for almost 19 months was unlawful.

15. Moody v General Osteopathic Council

The Court of Appeal held that the Professional Conduct

Committee of the General Osteopathic Council

had been entitled to take into account evidence given

by the osteopath as to how he treated all his patients

in the same way as the complainant, when deciding

on the appropriate sanction to impose.

Cases on employment law can be found under

‘STAFF’ on page 17.

Disciplinary cases

Nothing to report

Cases in the news

16. Nurse muted alarm to see football

15 April 2008 – BBC News

Peter Helps, 44, of Oswaldtwistle, a care home nurse

who muted an alarm-call system so he was not interrupted

while watching World Cup football matches on

television has been struck off the Register by the

NMC having been found guilty of misconduct over

his treatment of residents at Mapleford Residential

Nursing Home in Huncoat.

For full report click here

Children

17. Authorities 'fail' care teenagers

17 April 2008 – BBC News

Charities are calling on the Government and local

authorities to prevent vulnerable teenagers falling

through the care net. There was particular concern

expressed for so-called looked after children between

the ages of 16 and 21.

A spokesman for the Department for Children and

Families said the Children and Young Person's Bill

would give more support for children leaving care.

For full report click here

18. Huge fee hike raises fears of more child

deaths

17 April 2008 - Gazette

The ‘massive hike’ in court fees is expected to lead to

deaths of children because local authorities who fund

applications to court to place a child into care will

from 01.05.08 have to pay a court fee of £5,225 up

from £150 - an increase of 3400%.

19. Funding to vet children's workers

14 April 2008 – BBC News

Jersey has set aside funding of about £100,000 to

deal with changes to the way children’s workers are

vetted. Staff will need to be registered and their suitability

will be considered if anyone raises any concerns

about them. The fee for registering will be £60.

For full report click here

Conferences & Courses

20. Capita’s Bi-Annual Conference

The Future of the Adult Social Care Workforce

Monday 28th April 2008 – Central London

Please note that we are now taking bookings on this

event, which is CPD Certified and supported by the

General Social Care Council and the Social Care

Institute for Excellence. I would be grateful if you

could find the time to read this and also forward it on

to colleagues to whom it may be relevant, especially

those involved in HR/Personnel, Adult Social Care

Management, Recruitment and Workforce Development,

so that all stakeholders have a chance to attend

this timely event.

Please click here to download a copy of the conference

brochure in pdf format, which includes a full list

of speakers, an agenda for the day and a booking

form. If you have any problems with the hyperlink,

please e-mail me at dave.eastman@capita.co.uk and

I will send the brochure as an attachment.

Chaired by Anne Williams, Immediate Past President,

Association of Directors of Adult Social Services

(ADASS), our expert speakers include:

David Behan, Director General for Social Care,

Department of Health

Mike Wardle, Chief Executive, General Social

Care Council

Elaine Cass, Practice Development Manager,

Social Care Institute for Excellence

Patricia Kearney, Director of Practice Development,

Social Care Institute for Excellence

Dr Philippa Russell, Chair, Standing Commission

on Carers

John Dermody, Head of Adult Social Care

(Commissioning), Borough of Poole

This timely and important event will enable you to

keep pace with the rapidly changing landscape of

adult social care. It is designed to keep you informed

of progress, and includes advice and guidance from

high-achieving authorities on ensuring excellent provision

for all adults in your area. Take away the

knowledge to make your workforce a model of best

practice.

Benefits of attending include:

Get a crucial update on the Green Paper on social

care funding and discuss the future of the adult

social care workforce

Hear about progress on regulation, registration

and workforce development

Learn how to improve recruitment and retention

in your area

Consider the challenges and opportunities of the

personalisation agenda, the way forward for self

care and Individual Budgets

Understand how the new National Minimum

Data Set information gathering will ultimately affect

local workforce development

Take away advice, guidance and best practice

examples on consulting service users and

workforce solutions that have led to real change

and improvement in service provision

Places can be booked on this event either by filling

out and returning the booking form on the final page

of the conference brochure, or by e-mailing the delegate

details directly to dave.eastman@capita.co.uk.

Alternatively you can book online by clicking here and

using Booking Reference Code TSDE.

We offer discounts for Block Bookings of 3 delegates

or more, please call me direct on 0207 808

5309 for more details.

THE BOOKING REFERENCE CODE IS TSDE. YOU

MUST QUOTE THIS WHEN BOOKING.

21. Department of Health Seminar on Mental

Health Commissioning: 7 May 2008

This letter gives advance notice of a one-day seminar

on 7 May 2008 at the Victoria Park Plaza Hotel in

London, focusing on world-class commissioning, integrated

mental health commissioning and mental

health priorities.

For full report click here

22. The Green Paper on the future of Adult

Social Care

What do we want it to say?

30 April 2008, London

To book space at this conference click here

CareandHealth, working with I&DeA have put together

this top level, policy orientated, highly interactive

event looking at the Green Paper' and what it is

expected to outline with regards to the future resourcing

of adult social care. This will be an exploratory

and interactive seminar, investigating and proposing

the kind of resource allocation principles and systems

that the English social care sector would like to see

the Green Paper support. It will start with exploring

the implications of adopting the three principles

of Universal, Enhanced and Personalised services.

Throughout the conference, delegates will hear from

those driving the energy and policy initiatives and

who are working to ensure the Green Paper will offer

refreshed aims and objectives for the people that deliver

the care and support to those that need it.

Expert Speakers at the Conference include:

- Drew Clode, Policy/ Press Advisor ADASS (chairing

i n a p e r s o n a l c a p a c i t y )

- Andrew Cozens, Strategic Adviser for Children,

Adults and Health Services, I&DeA

- Nigel Walker, Senior Commissioning Advisor, Commissioning

and Systems Directorate, Department of

Health

- Nick Georgiou, Director of Adult Services at Hampshire

Council

Alexandra Norrish, Head of Social Care Strate

g y , D e p a r t m e n t o f H e a l t h

- Julien Forder, Senior Associate, Kings Fund

- Joanna Webber, Deputy Policy Director,

NHS Confederation

Workshops after each set of speaker presentations

will allow delegates to participate fully in the conference

and to put across their opinions to key influencers

on the policy.

23. Independent Safeguarding Authority

Public information road-shows explaining the role of

the ISA are taking place across the country. Find your

nearest road-show and register to attend.

May 8 2008 - Bristol

May 23 2008 - London

24. The HealthInvestor Annual Investing in

Primary Care Conference: “A New Vision for

Health Services and Infrastructure” will take

place on 8th May 2008 at One Great George

Street, Westminster, London.

The emphasis of today’s primary health market on

delivering ‘made to measure’ services to patients

closer to home requires the continual upgrade of

premises infrastructure and capital investment. This

conference identifies how to meet these demands by

engineering flexible premises which are designed to

embrace change, evolution and a wide range of

healthcare providers, supported by fully effective facilities

management. Expert speakers will propose

solutions to barriers to progress and development

and explore recent innovations in primary care.

Visit www.healthinvestor.co.uk for further information

and to book your place at this conference.

Alternatively, please call 0207 451 7050 or

email lukas.hall@healthinvestor.co.uk.

25. How can technology transform the patients'

experience of the NHS?

Tuesday 13 May 2008, 9.30am4.00pm, King's

Fund, London

In his recent speech on the NHS, the Prime Minister

highlighted the importance of patients becoming

more active and empowered in making decisions and

shaping their own health care. Technology can play

a vital role in this, providing opportunities for patients

to manage their own conditions and access information

about their health.

This conference will enable managers and health

care professionals to gain insight and understanding

into the potential uses of technology in enabling them

to help patients make choices and ultimately in improving

care. The conference will also look at the barriers

and challenges to patients engaging with technology

and how these might be overcome.

The conference will include the following speakers.

Alasdair Liddell, Senior Associate, King's Fund, on

how technology can improve the patient experience.

Ronnette Lucraft, Commercial Director, NHS Direct,

on multi-channel health.

Hazel Price, Telehealth Project Manager, Kent

County Council, on how they are using innovative

technologies to support patients in their care.

IN FOCUS: Interactive session – how can patients

use technology and the challenges to the NHS

In an increasingly digital environment, where consumers

are given more choice than ever, their expectations

of technology are rising. Patients – or 'health

care consumers' – are also becoming more demanding.

The NHS, however, has not kept up in the technology

race with consumer services such as online

banking and social networks. Why is this so? This

session at the conference will explore the barriers

and challenges to the uptake of health technologies

and what needs to be done to overcome them. The

sessions will look at:

Maintaining health

Managing a condition

Receiving care.

Places at this event are limited so we recommend

that you reserve a place as soon as possible by

downloading a registration form from our website or

booking online. For further information and to

download the full programme, please visit our website

or email us and we will be happy to provide you with

more details

26. SHOWUCARE Event

There is a SHOWUCARE event being held in Tonbridge

on the 15th May.

This event is aimed at managers and operators of

care homes and agencies together with associated

care professionals based in the South East of England.

With no other event being held in the South

East SHOWUCARE TONBRIDGE offers an excellent

opportunity to meet face to face with decision makers

of some of the 6000 care services in the region.

The opportunity exists for companies to join the growing

list of market leaders exhibiting at the event. Companies

such as Boots The Chemist, Lloyds TSB, Capita

Care, CFS Carpets, Cool Blue and Training and

Care Solutions are already sign up to the show. The

state of the art River Centre will host the event and

the quality business environment aids prestige to the

showcasing of products and services.

As a key player in the sector we thought that some of

you might be interested in joining us for the event.

Further details including a tour of the venue can be

found on www.showucare.org

27. Striving for Better Outcomes

National Care Forum’s 5th Annual Conference

Wednesday 14 May - Thursday 15 May 2008 at

Chesford Grange, Kenilworth

Wednesday 14 May

Welcome and introduction from NCF Chairman Andrew

Larpent OBE

Plenary I Barbara Pointon MBE, Alzheimer’s Society

Plenary II Des Kelly OBE, Executive Director, National

Care Forum

Workshops I: Striving for Better Outcomes

Working in partnership to commission domiciliary

care

the experience in Somerset

From residential care to supported living in learning

disability services: understanding and preparing

for change

Fremantle Trust

Designing an education and training strategy to

enhance staff confidence and competencies built

on an external customer focus

Cornwall Care

New Homes for Old

a description of the Anchor Trust/Coventry City

Council PFI scheme to develop a range of new specialist

services for older people with dementia

Plenary III Anna Walker, Chief Executive, Healthcare

Commission

Plenary IV Sarah Wood, Director, National Programme

for Third Sector Commissioning, Office of

the Third Sector

Conference dinner

Thursday 15 May

Workshops II: Putting outcomes into practice

Working with relatives to achieve the best outcomes

– a description of a joint project with the

Relatives and Residents Association

Dr Gillian Dalley (CEO, Relatives and Residents

Association) and Sharon Blackburn (Executive

Director, Heart of England Housing and Care)

Lifetime housing – from strategy to delivery

Luke O’Shea (Department for Communities and

Local Government) and Dr Trevor Edwards (Care

Services Improvement Partnership)

Deprivation of Liberty Safeguards

Kate Hardy (Department of Health)

Using “My Home Life” to support commissioning

Tom Owen (Deputy Director, My Home Life Programme,

City University/Help the Aged)

Plenary VI David Behan CBE, Director General of

Social Care, Department of Health

Plenary VII Julie Jones OBE, Chief Executive, Social

Care Institute for Excellence

Plenary VIII John Dixon, President of Association of

Directors of Adult Social Services

The delegate registration form can be downloaded

from our website www.nationalcareforum.org.uk

28. Westminster Health Forum keynote seminar

Healthcare Associated Infections and Patient

Safety

Morning, 20th May 2008 Local Government House,

Smith Square, London SW1P 3HZ

This seminar will examine issues around the control

and tackling of HCAIs, and what more can be done to

provide a better service and ensure patient safety.

The context is new figures from the Office for National

Statistics reporting a 72% rise in Clostridium

difficile related deaths in 2006, and the Healthcare

Commission’s Annual Health Check for 2008/09,

which will include an in-depth look at healthcare associated

infections (HCAIs).

The meeting will bring together key policy makers

from government and Parliament with stakeholders to

discuss how healthcare associated infections can be

minimised, how this might be implemented across the

NHS, and the next steps in improving patient safety.

Speakers

Speakers include: Janice Stevens, Director, MRSA/

Cleaner Hospitals Programme, Department of Health-

Professor Peter Borriello, Chair, Rapid Review

Panel; Vanessa Bourne, Head of Special Projects,

The Patients Association; Dr Jeremy Dennison,

Medical Advisor to Pfizer Anti-Infectives; Dr Georgia

Duckworth, National HCAI & AMR Surveillance

Lead, Health Protection Agency; Peter Ellingworth,

Vice President and General Manager, ConvaTec and

Chairman, The Association of British Healthcare Industries;

Martin Fletcher, Chief Executive, National

Patient Safety Agency; Dr David Jenkins, Director of

Infection Prevention and Control at University Hospitals

of Leicester NHS Trust; Dr Elizabeth Jenner,

Expert in Infection Control Nursing, and Principal Lecturer,

University of Hertfordshire; Karen Jennings,

National Secretary for Health, Unison; Andrew

Large, Director General, Cleaning and Support Services

Association; Wendy Lawson, Infectious Disease

Pharmacist, Imperial College Healthcare NHS;

Sue Lewis, Director of Nursing and Operations and

Deputy Chief Executive, Royal Surrey County Hospital

NHS Trust; John McConnell, Editor, Lancet Infectious

Diseases; Judy Potter, President, Infection Prevention

Society; and Laura Probert, East & South

Kent Regional Representative, National Concern for

Healthcare Infections.

Andrew Lansley MP, Shadow Secretary of State for

Health, and Greg Mulholland MP, Liberal Democrat

Shadow Minister for Health, have kindly agreed to

chair this seminar.

Output

A key output of the seminar will be a transcript of the

proceedings, sent out within a week of the event to

Ministers and officials at DH and other departments

affected by the issues, Parliamentarians with a special

interest in these areas, and other agencies. It will

also be made available more widely. It will include

transcripts of all speeches and questions and answers

sessions from the day, along with access to

PowerPoint presentations, speaker biographies, attendee

list, an agenda and sponsor information. It is

made available subject to strict restrictions on public

use, similar to those for Select Committee Uncorrected

Evidence, and is intended to provide timely

information for interested parties who are unable to

attend on the day.

All delegates will receive free PDF copies and are

invited to contribute to the content.

The Westminster Health Forum is strictly impartial

and cross-party, and draws on the considerable support

within Parliament and government, and amongst

the wider stakeholder community. The Forum has

no policy agenda of its own.

Booking arrangements

To book places, please use our online booking form.

Once submitted, this will be taken as a confirmed

booking and will be subject to our terms and conditions

below.

Please pay in advance by credit card on 01276

489144. If advance credit card payment is not possible

please let me know and we may be able make

other arrangements.

Options and charges are as follows:

Places at Healthcare Associated Infections and Patient

Safety (including refreshments and PDF copy of

the transcripts) are £190 plus VAT (£223.25);

Concessionary rate places for small charities, unfunded

individuals and those in similar circumstances

are £80 plus VAT (£94). Please be sure to apply for

this at the time of booking.

For those who cannot attend:

Copies of the briefing document, including full transcripts

of all speeches and the question and comment

sessions and further articles from interested

parties, will be available approximately 7 days after

the event for £95 plus VAT (£111.63);

Concessionary rate: £50 plus VAT.

If you find the charge for tickets a barrier to attending

please let me know and we will do our best to see

you are not excluded. Please note terms and conditions

below (including cancellation charges).

29. Supporting Witnesses in the Scottish

Justice Scheme Conference

2 June 2008 – Scottish Police College Tulliallan

Castle

This is being hosted by the Victims and Witnesses

Unit in partnership with other stakeholders, with the

aim of raising awareness about the development of

support for victims and witnesses in the Scottish Justice

system through the Vulnerable Witnesses

(Scotland) Act 2004 and other initiatives.

The impetus for the conference is the completion of

the 3 year implementation period of the Vulnerable

Witnesses (Scotland) Act 2004

The conference will provide an opportunity for an exchange

of information about policy and good practice

through the use of speakers, seminars and a discussion

panel. The keynote speech will be delivered by

the Cabinet Secretary for Justice. The Lord Advocate

will also be participating, along with senior officers

from the Scottish Government and voluntary organisations.

Contributions will also be made by senior

members of the judiciary, and representatives of the

Law Society of Scotland and voluntary organisations.

A question and answer panel will be chaired by the

well known journalist Pennie Taylor.

The conference is sponsored by the Victims and Witnesses

Unit of the Scottish Government’s Criminal

Justice Directorate working in partnership with the

Crown Office and Procurator Fiscal Service, the Scottish

Court Service, the Scottish Children’s Reporter

Administration, the Law Society of Scotland, the Association

of Chief Police Officers in Scotland, Victim

Support Scotland, the Association of Directors of Social

Work, Justice for Children, Scottish Women’s Aid

and other voluntary organisations.

The conference is targeted at practitioners from

throughout the UK, but will be of particular interest to

those in Scotland especially the legal profession, the

judiciary, those working for voluntary organisations

supporting victims and witnesses, children’s reporters,

academics, and researchers, and staff of relevant

government departments and justice agencies.

Key issues covered by seminars

Access to justice to people with mental disorder

Does the Vulnerable Witnesses (Scotland) Act 2004

work for justice?

Child Witnesses – meeting the challenge

Identifying vulnerable witnesses

Using special measures in the courtroom

Why you should attend

An opportunity to see how special measures work in

practice in a mock courtroom

Raise your awareness of how to identify vulnerable

witnesses and how this awareness will assist with

securing a fair trial

How to question child witnesses effectively

The pros and cons of the Vulnerable Witnesses Act –

a chance for debate

A chance to question senior practitioners about the

Act

We hope you find this an exciting programme and

will be able to attend the conference. You can find

out more or request to attend at www.holyrood.com/

supportingwitnesses

30. The HealthInvestor Annual Investing in

Healthcare Conference: “Investment Opportunities

in the UK and Overseas Markets”

will take place on 11th June 2008 at One

Great George Street, Westminster, London.

This event offers a clearer understanding of the future

direction of the domestic market and an overview

of the substantial differences and common

trends applicable to the UK, US and European market.

Industry insiders will identify how developments

in the US and Europe and Eastern markets will provide

UK investors with new avenues for innovation

and exciting opportunities for revenue growth and

profitability.

Delegates attending will have the opportunity to:

Identify new markets overseas and analyse key

trends

Assess rapidly changing demographic need and

to match healthcare services accordingly

Strengthen their competitive advantage through

comprehensive analysis of the dynamics of the overseas

markets.

Identify the best prospects for 2008-2009

Understand how to navigate the obstacles to high

performance

Network with potential future partners

Visit www.healthinvestor.co.uk for further information

and to book your place at this conference.

Alternatively, call 0207 451 7061 or

email lukas.hall@healthinvestor.co.uk or

carolyn.spring@healthinvestor.co.uk;

31. A New Strategy for Children’s Health:

Prevention, Intervention and Support

Thursday 19th June 2008 in Westminster.

In December, at the launch of the Government’s latest

long term plan for children, the Department for

Health and Department for Children, Schools and

Families announced they would jointly publish the

first ever Child Health Strategy (due to be produced

this Spring). Delegates at this Westminster Briefing

conference will consider the details contained within

the Strategy as well as the future direction of children’s

healthcare provision, funding and delivery.

Topics to be discussed will include (please see the

enclosed agenda for full details):

- Multi agency working and joined up healthcare

and children’s services

- Mental health and behavioural issues in our

young

- Childhood obesity and easting disorders

- Aiming high for disabled children and better

support for families

- Sexual health and teenage pregnancy

- The importance of sport and physical activity

- The health consequences of alcohol, drugs

and smoking

- Closing the gap: the health implications for

children disadvantaged by poverty and social

exclusion

- Birth to 5, early years development

- The age of innocence: how the modern

world affects children’s development

Should you/your colleagues wish to attend, please

complete and return (by email or fax) the enclosed

reservation form at your earliest convenience in order

to secure your delegate place(s). I would also be

grateful if you could forward the details of this event

to relevant colleagues within your organisation. If you

require further information, have any questions, or are

interested in sponsorship or exhibition opportunities

please do not hesitate to contact me.

Nick Rotsides

T: 020 7096 2916

F: 020 7096 2946

E: nick.rotsides@westminster-briefing.com

Website: http://www.westminster-briefing.co.uk/

home.html

32. 17th International Congress on Palliative

Care

23-26 September 2008 at the Palais des Congrès

in Montréal, Canada.

Presented by the Palliative Care Division of the Departments

of Medicine and Oncology of McGill University,

this biennial Congress has grown to become

one of the premier international events in palliative

care. Healthcare professionals, therapists, volunteers

and all those involved in care for the dying

come to renew themselves as providers of care and

to obtain the inspiration that will help them shape the

palliative care of the future. Since the first Congress

in 1976 under the leadership of palliative care pioneer

Dr. Balfour Mount, there has been increasing

agreement in the field that palliative care should be

provided from diagnosis, hence the shift to “Palliative

Care” from “Care of the Terminally Ill” in the title of

the 2008 Congress.

This year’s outstanding programme will feature five

plenary sessions, four day long Concurrent Seminars,

research fora, and over 80 workshops and

symposia. In 2008 for the first time, the Congress

will be a trilingual event, with simultaneous interpretation

of selected sessions, including all Plenaries,

into Spanish as well as French. There will also be a

special focus on palliative care as a basic human

right and how to develop and support programmes

and initiatives in Africa, Asia and Latin America.

Poster abstracts may be submitted until May 28,

2008.

The early registration deadline is March 24,

2008. For more information, to register or to submit

an abstract, please visit www.pal2008.com or call

450-292-3456 ext. 227.

E-mail: info@pal2008.com

33. Mind the Gap! ECCA Conference, November

12, 2008. Book now and save £50!

Book now for our conference on the future of care at

the Holiday Inn, Bloomsbury, London WC1. Email

conference@ecca.org.uk , call 08450 577 677, or

visit www.ecca.org.uk.

Consultations

To follow next week

CSCI, CSSIW, Healthcare

Commission &

Scottish Care Commission

34. Nurse Agency Update – Error noted

within the Self Assessment Online Form

17 April 2008 – SCRC

For the attention of all Nurse Agency Service Providers.

The Commission asks you to note that any reference

to SSI 2002/114 Regulation 15 Quality of Independent

Health does not apply to Nurse Agencies as highlighted

within the Self Assessment Online Form.

For full report click here

35. Healthcare Commission welcomes new

national clinical advisor for nursing

15 April 2008 – Healthcare Commission

Senior nurse Ann Close has joined the Healthcare

Commission this month as a national clinical advisor.

She is responsible for providing the Commission with

senior strategic advice on issues related to nursing

and patient care.

For full report go to http://www.healthcarecommission.org.uk/

n e w s a n d e v e n t s / p r e s s r e l e a s e s . c f m ?

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36. Ipswich hospital NHS trust makes progress

on infection control

15 April 2008 – Healthcare Commission

The Healthcare Commission has announced that Ipswich

Hospital NHS Trust has made the necessary

improvements in infection control by now being compliant

with the requirements of an improvement notice

issued on 21 February 2008. The notice required

immediate changes to infection control practices.

For full report go to http://www.healthcarecommission.org.uk/

n e w s a n d e v e n t s / p r e s s r e l e a s e s . c f m ?

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che=false

37. Caring About Health: an A-Z Resource

Pack for Staff and Carers

14 April 2008 – SCRC

NHS Health Scotland launched ‘Caring About Health:

Improving the health of looked after and accommodated

children in Scotland’ which took place in Edinburgh

on 8 April 2008.

For full report click here

Education

Nothing to report

Ireland, Scotland & Wales

Ireland

38. No inquiry into 34 broken bones

17 April 2008 – BBC News

Health Minister, Michael McGimpsey said that there

will be no public inquiry into how an elderly lady suffered

34 broken bones. Mrs McGinley, 78-years-old

died in Altnagelvin Hospital in January 2007 and between

her death and coroner examination, her body

sustained numerous fractures, primarily to her rib

cage.

17 April 2008 – BBC News

Internal inquiries at the hospital and the Coroner's

Office failed to establish who was responsible.

For full report click here

Scotland

39. Hospital says 'sorry' for blunder

18 April 2008 – BBC News

John McAndrew, 83, has received an apology after

he spent a week in hospital without seeing a doctor.

He did not receive any treatment at St John's Hospital

in Livingston after a mix-up.

His medical records were sent to Edinburgh Royal

Infirmary but the mistake only came to light after he

asked staff why he had not been seen to.

For full report click here

40. Ambulance Service 'at Breaking Point'

17 April 2008 – The Herald

According to GPs, Scotland’s ambulance service is

chronically short of funding and struggling to cope.

Doctors are expected to call upon the Scottish Government

to increase the money it gives to the service

at a major conference.

41. NHS yet to meet hygiene standard

17 April 2008 – BBC News

A report by Health Protection Scotland has found

that hospital staff have still not yet reached a target

for complying with hand-washing standards. The

investigation revealed that levels were far below the

90% required.

NHS Lanarkshire had the lowest rating at 75%, while

staff at NHS Ayrshire and Arran had a 97% compliance

rate along with those in NHS Forth Valley.

For full report click here

42. Rise in hand washing by NHS staff

17 April 2008 – BBC News

According to an audit in the NHS Highlands, more

staff have been washing their hands than seven

months ago when only 59% of employers met national

hygiene standards.

For full report click here

43. Violence In Scotland Lands NHS

GBP400m Bill

17 April 2008 – Evening Times

Violence across Scotland costs the NHS £400million

a year, shock figures revealed today.

Scotland's top medic Dr Harry Burns has revealed

that violence across Scotland costs the NHS £400

million a year.

He said the level of violent attacks, including youths

in street gangs, was higher than police statistics suggested.

He was appearing before Holyrood's Health

committee to discuss his annual report from November.

44. Bowel cancer drug campaigner dies

17 April 2008 – BBC News

Mike Gray, a cancer sufferer who won his fight to

make NHS Grampian pay for a drug he hoped would

help him live longer, has lost his battle against the

disease.

He died on Wednesday at his home in Buckie, Moray,

with his wife Tina, family and friends around him.

The health board had initially argued that cetuximab

would not be cost effective but following Mr Gray's

protests eventually agreed to pay for the drug.

Mr Gray then spent his final days campaigning for a

fairer system of prescribing drugs.

For full report click here

45. NHS Boss Is Vague Over GBP1.3m Parking

Fees

16 April 2008 – Evening Times

GLASGOW'S NHS boss has admitted that he doesn't

know how £1.3million raised from hospital parking

charges will be used but he defended the charges by

claiming they were necessary to help free up spaces

for patients and visitors.

Mr Divers, the chief executive of NHS Greater Glasgow

and Clyde was speaking before the Scottish Parliament's

public Petitions Committee after he ignored

a request from politicians not to impose charges.

MSP Joins Row Over Hospital Parking Fees

15 April 2008 – Evening Times

Labour MSP, Paul Martin, has hit out at health chiefs

today for pushing ahead with controversial hospital

parking charges.

His comments came as NHS managers from two

Scottish health boards prepared for a grilling today by

politicians over the fees.

Wales

46. Quality care hangs in the balance in

Wales

19 April 2008 – Live Care News

Care Forum Wales has discovered that Local Health

Boards in Wales (on behalf of the Welsh Assembly

Government) have decided to contribute to just 39

pence per day or £2.73 per week to nursing care.

The contribution has been described as ‘an affront’

and ‘blatant ageism’ by Care Forum Wales and is

just the latest in several funding shortfalls due to hit

the Welsh care sector.

For full report go to http://www.livecarenews.com/

FrmHeadnews_Detail.aspx?id=4139

47. Day trips to save on NHS fees

17 April 2008 – Daily Express

Thousands of English patients are becoming “health

tourists” by sneaking into Wales to cash in on free

NHS prescriptions.

48. Ward hygiene faces new criticism

16 April 2008 – BBC News

A hospital has been criticised yet again over its hygiene

standards after a visit by Montgomery Community

Health Council. Aberystwyth's Bronglais Hospital

was found with dirty floors in some wards, along with

dirty sluices and toilets less than a year after the

Healthcare Inspectorate Wales raised concerns over

its cleanliness.

But the hospital said it had "some of the lowest infection

rates in Wales".

For full report click here

49. Lack of progress on bed blocking

15 April 2008 – BBC News

A review for the Welsh Assembly Government has

found that little progress has been made in the way

of bed blocking in Welsh hospitals. This is despite a

two year drive to reduce the problem.

For full report click here

50. Hospital trusts agree to merger

14 April 2008 – BBC News

Following a consultation, two of the three NHS trusts

in north Wales have agreed to merge. The trusts will

also write to the health minister asking for a decision

saying the merger would be in the “best interests” of

the local people.

For full report click here

51. ‘How did care home lose my mum?’

April 2008 - Thisissouthwales

The family of a Llanelli pensioner is furious after she

was discovered outside in a muddy nightdress after

going missing from her private care home. 70-yearold

Doris Williams is now recovering in hospital.

For full report go to http://www.thisissouthwales.co.uk/

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Learning Disabilities

52. How could my boy be racist? He has a

mental age of five

17 April 2008 - The Times

Two page article about the impact of a zero-tolerance

policy on racism under which police have to respond

to any complaint, however minor, on a family with a

teenager with Down’s Syndrome.

The 18-year old Down’s Syndrome boy has a mental

age of 5yrs and was charged with racially abusing a

fellow student, an Asian girl who also had special

needs.

53. Justice system 'fails' sex victim

16 April 2008 – BBC News

The Mental Welfare Commission has ruled that a

woman with a learning disability has been denied

justice after being sexually assaulted. She was not

judged a reliable witness and therefore none of her

attackers were prosecuted, despite reports being

made to the police. The Commission fears that this

may not be an isolated example.

Between 1999 to 2006, Miss A was believed to have

been subjected to no fewer than 12 incidents of rape,

attempted rape and serious sexual assault.

For full report click here

Legislation Update

54. Mental Health Act 2007 c.12

18 April 2008 – OPSI

For full legislation click here

55. No. 1062 The Safeguarding Vulnerable

Groups Act 2006 (Prescribed Criteria)

(Transitional Provisions) Regulations 2008

17 April 2008 – OPSI

For full legislation click here

56. Health and Social Care Bill: The Government's

response to the report of the Joint

Committee on Human Rights

16 April 2008 – DoH

The Joint Committee on Human Rights has published

three reports on its legislative scrutiny of the Health

and Social Care Bill, and the Government has responded

to the first two of the reports.

For full report click here

Mental Health

57. Craegmoor announces multi-million

pound development of independent hospital

division

16 April 2008

Craegmoor Healthcare, the largest independent provider

of long term specialist care in the UK, has invested

significantly in its Independent Hospital Division.

The first hospital to benefit has been The Willows in

West Yorkshire. The hospital has been re-developed

at a cost of over £1 million and now boasts five purpose

built single-gender wards for 43 men and

women with severe and enduring complex mental

illnesses.

The hospital has also expanded its groundbreaking

therapeutic facilities so as to build its reputation

amongst commissioners in the North of England for

"best in class" delivery of a 'recovery' model for

adults with complex mental health problems.

Other hospitals that have been redeveloped include:

Maes Y Dderwen in Cardiff has been repositioned to

provide care and treatment to 17 male offenders with

learning disabilities. The hospital, through its links

with the criminal justice system, provides cognitive

behavioural treatment which helps rehabilitate offenders

with learning disabilities to develop attitudes,

values and skills that support and encourage positive

behaviours.

Longhouse in Cardiff is a newly opened care home

which offers specialist nursing care to three men with

autism and challenging behaviours, all of whom

benefit from the highest standard of care and therapies

which enable quality of life.

Cefn Carnau in Caerphilly, South Wales has benefited

from substantially improved therapeutic facilities.

This has allowed the hospital to build on its

reputation for providing specialist care and treatment

to men with Aspergers Syndrome who require high

levels of observation within a therapeutic environment.

The hospital also specialises in the treatment

of women who display complex and challenging behaviours

because of mental illness or a learning disability.

The new facilities also mean that the hospital

is able to provide a high degree of relational security

within a low secure setting, thus facilitating positive

behaviours and outcomes.

In addition, Craegmoor has several other developments

in the pipeline, which the company looks forward

to announcing in the near future, including the

multi-million pound development of a new wing at its

mental health hospital in Abergavenny.

Julian Spurling, Managing Director of the Independent

Hospitals division today said:

"These developments are a key part of Craegmoor's

growth plans over the next two years, building on an

excellent reputation for providing therapeutic care

and treatment to men and women who may be detained

under the Mental Health Act."

58. Legislation update

15 April 2008 - The Times, Public Agenda

Barrister Stephen Cragg reflects on issues of depravation

of liberty for people who lack mental capacity

and the fact that the Mental health Act may need to

be amended even before it becomes law because of

an decision anticipated from the European Court of

Human Rights in Strasbourg.

Miscellaneous

59. Dental contract pushing up A&E admissions,

say Tories

18 April 2008 - Health Service Journal

Hospital admissions for dentistry have gone up 6%

since the introduction of the new dental contract, according

to figures obtained by the Conservative Party.

Last year, there were nearly 240,000 hospital admissions

for dental treatment, of which nearly 18,000

were emergencies.

60. Child doctors court witness fear

16 April 2008 – BBC News

Doctors have spoken of their reluctance to appear as

expert witnesses in court cases because of past

heavy-handed approaches by regulators.

They claim that the GMC's "disproportionate" ban on

two paediatricians for their conduct in child cases has

led to a climate of fear among doctors.

A no confidence motion is to be tabled at the Royal

College of Paediatrics and Child Health's annual

meeting.

For full report click here

61. Direct Payments are opening up a world

of opportunities

April-July 2008 - St.HelensFirst

Item promoting Direct Payments to those receiving

Community Care Services – promoting the idea of

personal assistants, carers and so forth.

62. Jane’s new life thanks to Direct Payments

April-July 2008 - St.HelensFirst

Story about Jane Parr who has learning difficulties

and how Direct Payments have enabled her to realise

ambitions.

64. Emma is dancing with delight

April-July 2008 - St.HelensFirst

Emma Hough has a Personal Assistant and is able to

attend dance classes and other recreational activities.

65. Alternative remedy

April 2008 - HealthInvestor

John Elledge takes a look at private care and the

chopping and changing that seems to be going on in

terms of policy.

66. Who’s who in Healthcare 2008-09

April 2008 - Published by HealthInvestor

Lists over 4,000 of the sector’s most influential figures

academics, bankers, journalists, lawyers politicians.

NHS

67. How safe is your hospital?

27 Apr 2008 – BBC 1 Panorama 22:15 hrs

A look at the effect of C. difficile in hospitals across

the country.

Sally Magnusson seeks answers in the Trust responsible

for the deaths of 90 patients.

68. Junior doctors’ £5,000 allowance is axed

…by expenses-row Minister

20 April 2008 - The Mail on Sunday

DoH is facing protests as the free accommodation

provided to junior doctors (worth £5,000 a year) will

be withdrawn – effectively reducing their pay by 20%.

69. Man's family appeal PCT refusal

18 April 2008 – BBC News

The family of Tom Davidson has criticised South

Staffordshire Primary Care Trust after it refused to

pay for him to live at a specialist care home. Mr

Davidson has survived MRSA and three spells of

pneumonia and now only has minimal movement in

his arms and legs.

Mr Davidson served in the RAF and operated a

ground radar station during the Berlin airlift in 1948.

For full report click here

70. Patients who go to A&E instead of local

surgery could cost GPs £1bn

17 April 2008 - The Guardian

Inappropriate A&E use could mean fines for

family doctors

17 April 2008 - Health Service Journal

The DoH is apparently considering proposals to

charge back to GPs the treatment cost of patients

who visit accident and emergency departments instead

of their family doctor, HSJ has learned.

The proposals could emerge as part of the Darzi review

this summer.

71. Man refused money for US surgery

16 April 2008 – BBC News

David Gill, a man who went to the US to have a brain

tumour removed has been told the NHS will not refund

the money he paid for the treatment.

He travelled to New York for the surgery after UK

doctors told him it was inoperable after his parents

remortgaged their homes to raise more than £30,000

for the procedure.

Derbyshire County Primary Care Trust said there

were no grounds for compensation in this case.

For full report click here

72. Health managers back polyclinics

16 April 2008 – BBC News

NHS managers have given their backing to polyclinics

and criticised the "knee-jerk" reactions of critics.

Ministers want to have super GP surgeries, housing

doctors alongside a host of other health staff, set up

across England.

For full report click here

73. Union condemns NHS pay deal 'threat'

16 April 2008 – HSJ

Unite has condemned what it says is a threat by NHS

chief executive David Nicholson to stage the 2008-09

NHS pay award if the unions do not back a three-year

pay deal worth 7.999 per cent.

74. Diagnostics waiting times and activity

data - monthly update

16 April 2008 - GNN

Diagnostics waiting times & activity data: month ending

February 2008 .

This data is said by DoH to show the NHS progress in

tackling waiting times for diagnostic tests like

scans. The monthly data published today gives the

waiting times for 15 key diagnostic tests carried out in

the NHS. This data will help the NHS in delivering

the 18 week maximum wait from GP to treatment,

including all diagnostic tests, by end 2008. More information,

including a diagnostic data Q&A, is available