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BHCR 2008 Vol 3 Issue 17

(Click the icon to download)
© Brunswicks LLP 2008

This week's article

Editorial

Now Local Government elections are now out of the

way, the embargo on announcements has expired, we

have the publication of the Commission for Social Care

Inspection star ratings – accelerated, if one can say that

after so many postponements and delays, the ratings

were to have been published on 07.05.08; however,

some were definitely published when I looked on the

CSCI website on 05.05.08!!!

Looking at the star ratings of services, this has done

nothing to allay my concerns.

I have said many times before, my fear was that the

public would do little beyond compare the stars which a

CSCI inspector considers appropriate for a given

service.

Having seen the way the information is presented I am

convinced that members of the public looking for a care

home will, as a first sift, simply rule out all those

services which do not have the level of service which is

sought.

It remains to be seen whether:

I am correct;

The purchasing habits of local authorities will change

or whether they will continue to depress price, if they

do, they may end up with largely indifferent quality

care.

Initial signs are that for some authorities, whose own

progress will be dependent upon measures and

verification carried out by CSCI, will use the star ratings

system to pay a ‘quality premium’ for care provided by

the ‘better’ providers.

However, will the Care Quality Commission maintain the

star ratings system when it becomes responsible for

regulating the sector?

This week’s article

Bridget Penhale summarises the creation of the International Network for the Prevention of Elder Abuse whose

mission statement is:

“To increase society’s ability, through international collaboration, to recognise and respond to the mistreatment of

older people in whatever setting it occurs, so that the later years of life will be free from abuse, neglect, and

exploitation for individuals. Each individual should be able to achieve an optimal quality of life, which is consistent

with that person’s traditions and cultural values” - (INPEA, Toronto, 1998).

To read article click here.

Parliament

06.05.08 – HoL – Health and Social Care Bill; Grand

Committee, day four

08.05.08 – HoC - National Institute for Health and

Clinical Excellence (First Report from the Health

Committee, HC27, and the Government response)

Next

Abuse

1. Within these walls

4 May 2008 - The Sunday Times, Colour Supplement

Investigation

David James Smith in an eight page article considers

some of the personal and political issues arising from

the abuse at Haut de la Garenne, Jersey.

2. Jersey rape charge

1 May 2008 - The Times

Claude Donnelly, 68, of St Brelade has been

charged with rape and sexual assault of a 12 yr old

girl although connected to Haut de la Garenne they

do not relate directly to the home or the current investigation.

Business News

3. Priory plans its plunge into the long term

scene

May 2008 - Community Care Market News

Article based on discussions between Bhavana

Jones of Priory and journalist Robert Potter.

4. Care sector performance

May 2008 - Care Management Matters

Colliers CRE provides a review and analysis of the

care sector and considers the prospects for 2008

about which it is “very optimistic”.

5. CareTech Holdings PLC

29 Apr 2008

Acquisition of Beacon Care Holdings Limited and

Beacon Care Inv e s t m e n t s L i m i t e d

(together 'Beacon') (the 'Acquisition').

CareTech Holdings PLC ('CareTech' or 'Group'), announced

the acquisition of the entire issued share

capital of Beacon together with 16 freehold properties

for up to £22.5 million. Consideration of £18.6million

is payable on completion and will be satisfied by a

cash payment of £15.6million and by the issue, to the

vendors, of 600,000 ordinary shares of 0.5 pence

each in CareTech ('Ordinary Shares'). The shares

are being issued to the vendors at a price of 500

pence per ordinary share. Deferred consideration of

up to £3.9 million in cash will become payable to the

vendors following the achievement of certain performance

targets.

Beacon provides a focussed range of specialist services

for adults with learning difficulties including residential

care and supported living schemes. Beacon

has 16 homes located in the South East, with a total

capacity of 111 beds. All of the properties are freehold.

The Beacon services have a strong geographic

and operational fit with CareTech's existing portfolio

and will be integrated into CareTech's Southern region.

The acquisition has been funded from partial utilisation

of the Group's new £120m bank facility provided

by the Royal Bank of Scotland and Allied Irish Bank.

Following the acquisition of Beacon, CareTech will

have net indebtedness of approximately £99million.

The accounts of Beacon for the year ended 30 December

2006 (being the latest period on which Beacon's

accountants have reported) show a profit from

continuing operations before exceptional items, interest

and taxation of £315,343, turnover of £7,304,247

and net assets of £1,981,102. These figures include

certain costs that will not be incurred under

CareTech's ownership.

Recent studies highlight the continuing under supply

of specialist residential care places and the business

opportunities offered through supported living

schemes. The Directors consider CareTech to be well

positioned through the breadth of services it offers

and its reputation for quality care to deliver the solutions

being sought by care commissioners looking to

place vulnerable people.

Care Homes

6. Insider reveals care home concern

2 May 2008 – BBC News

An undercover investigation by the BBC has revealed

alleged failings at a Nottinghamshire care home.

Moorlands, at Bridsley is owned by Regal Care

Homes allegedly left a resident in urine-soaked

clothes, patients were unattended and anti-infection

procedures were sometimes not followed.

When the concerns were reported to the Commission

for Social Care Inspection – it took nearly two months

to act. The Commission said it was slow to react in

this case.

For full report click here

7. Where caring comes first!

1 May 2008 - St Helens Star

Coverage of the official opening of a new purpose

built home by Stocks Hall Care Homes Ltd, registered

for 53, aged 18 yrs and older, with physical or learning

disabilities or early onset dementia.

8. Are the days numbered for one star

homes?

May 2008 - Community Care Market News

Item about the new CSCI star ratings system and the

concern that even those homes which comply with

the legal requirements (one star) may fall by the wayside

if local authorities seek to cancel contracts with

them. This concern has been highlighted by Dorset

County Council which wrote to providers telling them

that one star homes – ie those which are legally

compliant – will be placed on a ‘watch list’.

9. Nottinghamshire’s £19m plan

May 2008 - Community Care Market News

Extra care and specialist dementia care provision is

to be promoted in Nottinghamshire as some existing

residential units are closed.

10. Ten providers in running for Leicestershire

sale

May 2008 - Community Care Market News

Leicestershire CC is selling six care homes totalling

231 beds. Detailed bid from the 10 interested parties

must be submitted by 06.05.08. Announcements are

expected in June 08.

11. Three star ratings will stay in reregistration,

as CSCI changes policy

May 2008 - Community Care Market News

CSCI has performed a U-turn in relation to the approach

it adopts to ratings on change of ownership or

change in manager.

12. Sharing decision-making

May 2008 - Care Management Matters

MyHome Life seeks to set out how to engage in

sharing decision making and how the process can

transform lives.

13. End of life care Knowledge set

May 2008 - Care Management Matters

Andrew Makin considers the details of the knowledge

set recently released by Skills for Care.

14. MP claims over 23,000 home deaths

May 2008 – Caring UK

Paul Burstow MP has claimed an astonishingly high

rate of unnecessary deaths in care homes and called

on the Crown Prosecution Service to send a message

that “abusive medication is a criminal offence;

care home owners, managers and staff should blow

the whistle on bad practice and face up to the legacy

of lethal prescribing.”

Ed. It is clear that where there is poor prescribing

practise this should be addressed by, for example,

the GMC as regulator of doctors’ clinical

practice. Pharmacists are in a very good position

to monitor what is occurring locally.

15. Care home complaints mount over waste

firm

May 2008 – Caring UK

Spread over a number of pages are stories and items

about PHS All Clear and its approach to contracting

which has many of its customers up in arms.

Ed. We advised a number of clients in 2007 on

their waste disposal contracts with PHS.

16. Wii strikes in older people’s homes

30 April 2008 – SocietyGuardian

An article about an Age Concern Nintendo Wii project

in Brighton and Hove. The project is aiming to have a

monthly league touring 24 council-run residential

homes in the city.

17. Colliers CRE CARE HOMES REVIEW 2008

28 Apr 2008

Key points in this report include:

• Average fees for a nursing home bed rose to £ 665

per week in 2007, whilst beds in “Other” (mainly specialist)

homes commanded the highest average

weekly fees at £1,437.

• Payroll costs rose in 2007, bucking the downward

trend seen in earlier years. PC (residential) homes

experienced the largest increase, at around 4.2%,

whilst payroll costs in nursing homes rose by 2.9%.

• Non-payroll costs as a proportion of revenue have

continued to rise slightly for all types of home. This is

due, in part, to increasing facilities and insurance

costs.

• The downward momentum in profit margins continued

for a second year, although only a slight fall was

seen in 2007.

The report concludes that 2007 saw further consolidation

of an initially fragmented marketplace, generated

through corporate growth and increasing market

dominance of key players. Strong land prices, steady

rental levels and growing demand only increased the

investable universe further.

New operators still face a number of barriers to entry,

including a lack of operational experience, market

transparency and rigid minimum standards requirements.

However, demographic drivers combined with continued

corporate interest, indicated by the large number

of deals that took place in 2007, will ensure sustained

market growth. These key factors provide a very optimistic

outlook for the sector in 2008.

For the full report go to http://www.emailcampaigner.com/

accounts/10065/resources/resource_1209404775.pdf

18. Concern at night care for elderly

28 April 2008 – BBC News

Research commissioned by the Joseph Rowntree

Foundation has found that standards of care in residential

homes appear to be much lower at night than

during the day. Reasons were thought to be a lack of

routine inspections and questions were raised about

the level of training given to night-shift carers.

The study said that minor changes could make a big

difference and called for care homes to be inspected

at night.

For full report click here

19. MPs urge cut in dementia drug use

27 April 2008 – BBC News

MPs are calling on the Government to stop the

"dangerous over-prescribing" of antipsychotic drugs

to people in care homes with dementia. The All Party

Parliamentary Group on Dementia said that the

drugs should only be used as a last resort.

For full report click here

20. Ian’s a care home hero

25 April 2008 – Hexham Courant

Ian Byers, a Hexham care worker who originally left

school barely able to read or write has won national

recognition. The former pupil of Hexham’s long gone

Hackwood Park School, always struggled with learning

difficulties, but when he joined the staff at nearby

Sunningdale House residential centre, he found his

calling in life.

He started work initially as a cleaner, and made such

progress that he was transferred to the care side –

working directly with some of the elderly residents.

For full report go to http://www.hexham-courant.co.uk/

businessnews/viewarticle.aspx?id=827140

21. Pensioner was ‘swindled’ claim family in

care costs claim

21 April 2008 – Liverpool Daily Post

Relatives are claiming that a disabled pensioner unwittingly

paid out thousands in care home fees because

three health organisations failed to assess her

financial status.

Marjorie Eyton-Jones’s family has served a High

Court writ against the NHS bodies, one of which includes

Wirral Primary Care Trust – demanding repayment

of up to £150,000.

The family believes costs should have been met by

the authorities under NHS Continuing Healthcare

guidelines.

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

liverpool-news/regional-news/2008/04/21/pensioner-wasswindled-

claim-family-in-care-costs-claim-64375-20793194/

Case Reports

Law Reports

22. In the matter of F (a child)

The Court of Appeal gave guidance as to good practice

for local authorities to supplement the Adoption

and Children Act 2002 s.24 where a challenge was

emerging to the making of a placement order.

23. General Medical Council v Sathananthan

The General Medical Council's Interim Orders Panel

was, on the basis of public safety, justified in imposing

an interim suspension order on a GP who had

allegedly prescribed large quantities of controlled

drugs to a number of patients in an irresponsible

manner. In the circumstances, it was appropriate to

extend that order for a period of six months so that

the GMC was able to complete its investigation.

24. R (BAPIO Action Lit & Another) v Secretary

of State for the Home Department & Another

Guidance issued by Patricia Hewitt when Secretary of

State for Health which essentially barred doctors

trained outside Europe from applying for training

posts in Britain has been ruled unlawful by the House

of Lords in a majority decision of 4:1. The guidance

drew comment from Lord Bingham who said that to

speak of the guidance as “issued” was to “suggest

official formality which was notably lacking”. It had

simply been published on the NHS employers’ website,

no official record had been produced during the

legal proceedings.

25. R (Eisai Ltd) (Claimant) v National Institute

for Health and Clinical Excellence

(Defendant) & (1) Shire Pharmaceuticals (2)

Association of British Pharmaceutical Industry

(Interveners)

House of Lords held by majority of 4:1 that National

Institute for Health and Clinical Excellence acted unfairly

during a consultation process by making available

to consultees only a ‘read-only’ version of an

economic model used to assess the costeffectiveness

of drugs and refusing to make available

a fully executable version of the model.

Disciplinary cases

26. Alan Carr, 50, has been struck off the register

by the General Social Care Council after it came to

light that he had ‘become intimate’ with a 16 yr old in

his care in a care home in 1987 and which continued

until 1997.

Cases in the news

27. Alzheimer’s victory lifts lid on secretive

approval of new drugs

2 May 2008 - The Times

Thousands of Alzheimer’s sufferers and their families

had their hopes raised when two drug companies

won a landmark victory in the Court of Appeal.

The court ruled that National Institute for Clinical Excellence

that controls the prescription of new drugs

must make public how it measures the benefits that

novel treatments bring.

28. Carer admits man's neglect death

29 April 2008 – BBC News

Kathleen Vitturini has pleaded guilty to neglecting an

Alzheimer’s disease sufferer who died at a Blackpool

nursing home.

Peter Giles died in October 2004, but the original

charge of manslaughter was withdrawn due to new

medical evidence. Vitturini will be sentenced on 20

May.

For full report click here

29. Care home employed fewest staff allowed

25 April 2008 – icWales

Newport Crown Court heard that a care home at the

centre of neglect claims suffered a recruitment crisis

and operated with the legal minimum of staff. As a

result, care assistants at Bryngwyn nursing home in

Newbridge, Caerphilly, were sometimes unqualified

or had no previous experience of working in the sector.

For full report go to http://icwales.icnetwork.co.uk/news/

wales-news/2008/04/25/care-home-employed-fewest-staffallowed-

91466-20817716/

30. Care home manager accused of neglecting

Gladys, 84

24 April 2008 – icWales

Care home spinster died with fractured bones

and extensive bruising

24 April 2008 – Telegraph

Newport Crown Court heard that a care home manager

deliberately neglected an elderly, schizophrenic

patient who died five weeks after moving into the

nursing home.

Debra Richards, 45, is accused of failing in her duty

of care towards 84-year-old Gladys Thomas leading

up to Miss Thomas’ death in October 2005. The trial

is ongoing.

For full report go to http://icwales.icnetwork.co.uk/news/

cardiff-news/2008/04/24/care-home-manager-accused-ofneglecting-

gladys-84-91466-20812871/

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

main.jhtml?xml=/news/2008/04/24/nspinster124.xml

Children

31. No choice if you’re young and disabled

29 April 2008 - The Times

Livability launches Freedom to Live campaign

28 April 2008 – NCF

A report from Livability ‘Freedom to Live’ says most

young disabled people have little or no choice over

where, how and with whom they live.

Website: www.freedomtolive.org.uk

For NCF report click here

32. Children ‘put at risk by higher court fees’

28 April 2008 - The Times

Frances Gibb, legal editor, writes of the risk to vulnerable

children as a result in the dramatic hike in court

fees up from £150 to £4,000.

Ed. This matter was referred to in BHCR Vol 3,

Issue 15, item 18.

33. NATIONAL CARE ASSOCIATION ANNOUNCES

SUPPORT FOR VOICE CAMPAIGN

ON INDEPENDENT ADVOCACY FOR CHILDREN

IN CARE

28 Apr 2008

NCA strongly supports the current campaign by children

and young people’s organisation VOICE for the

right to advocacy for all children in care. The present

situation is that a child only has a statutory right to

advocacy services when they are making a complaint.

NCA’s Children's Services Development Officer Janet

Rich said:

“We believe that children in care, a uniquely vulnerable

group, should have access to advocacy whenever

they want or need it, and that regular contact

with advocacy groups should be promoted and encouraged.

Advocacy should be universally available

to look after children as a pro-active way of getting

their voice across in important decisions that affect

their lives, not just as a last resort when something

has gone wrong”.

34. NATIONAL CARE ASSOCIATION ANNOUNCES

SUPPORT FOR VOICE CAMPAIGN

ON INDEPENDENT ADVOCACY FOR

CHILDREN IN CARE (continued…)

Many children in care remain reluctant to complain

formally, believing that there is little point, or that they

may face negative repercussions. Even when they

do access advocacy services, for many children and

young people this means using their local authority’s

children’s rights service. Children and young people

often do not see such services as independent.

Many respondents to the Consultation prior to publication

of the Children and Young People’s Bill commented

on the need for Independent Advocacy, but

the Government has maintained that there is already

a sufficient statutory framework to provide for this.

Independent children’s home providers often operate

contracts with organisations like the National Youth

Advocacy Service (NYAS) or VOICE to ensure that

children and young people living with them do have

access to such a service independent of their local

authority. One of the strong areas of demand for independent

advocacy comes from children and young

people who are unhappy with decisions being made

by their placing authority to move them, or to end

placements where they feel settled and happy. Disputed

decisions are invariably budget or service led,

and not child-centered.

Sticking up for the child’s wishes, feelings and best

interests will often be seen by the purchasing authority

as the provider looking after their own interests. It

can be very challenging for a provider to stick their

neck out in opposition to the will of an authority who

is a customer that they need to continue to do business

with. One young person, expressing his frustration

with not being heard said “If I behave badly

they [the Local Authority] move me, if I behave well

they move me”.

Access to a fully independent advocacy service

should be the right of every looked after child, and it

should not be dependent on strength of feeling and

financial capability of individual providers to make this

accessible.

Conferences & Courses

35. 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 heatlh 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.

36.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

37. 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

38. 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

HealthProfessor 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).

39. 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 23 2008

London

40. 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

41. 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.

42. Tackling the Social Exclusion of Older

People

Tuesday 17th June 2008 – Central London

Please note that we are now taking bookings on this

popular event, which is CPD Certified, supported by

Age Concern, The Age and Employment Network

and Help the Aged, and includes a keynote

address from Mike O’Brien QC MP, Minister of State

for Work and Pensions, Department for Work and

Pensions. 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

with Adult Social Services, Social Inclusion, Older

People’s Teams and Independent Living Managers,

so that all stakeholders are given the opportunity

to attend this important event.

Please click here for further details of this conference.

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 Gillian Crosby, Director, Centre for Policy

on Ageing, our expert speakers include:

Ruth Eley, National Programme Lead, Older and

Disabled People, CSIP, Department of Health

Patrick South, Head of Public Affairs, Age Concern

Jacqui Hitchen, Senior Lecturer, Edge Hill University

Angela Whelan, Senior Lecturer, Edge Hill University

Paul McGarry, Principal Programme Manager, Valuing

Older People, Manchester City Council

Chris Ball, Chief Executive, The Age and Employment

Network

Paul Cann, Director of Policy and External Relations,

Help the Aged

Sylvia Brims, Housing for Older People Services

Manager, SLFHA Ltd

Jon Allen, Independent Living Facilitator, Cambridge

City Council

Capita’s National Tackling the Social Exclusion of

Older People Conference brings together expert

speakers from forward thinking organisations. They

will provide practical insight and advice on how local

authorities, housing organisations, health and social

care providers and third sector organisations can

work together to improve the quality of life for older

people in the community.

Benefits of Attending include:

Hear the latest Government strategy for older people

from the Minister of State for Work and Pensions

Discover the practical measures being taken by the

Department of Health to effect positive change in

health and social care for older people

Hear the findings of Age Concern’s Out of Sight, Out

of Mind research project and the practical recommendations

Get to grips with ways to build intergenerational

relationships through joined up activities

Learn how to organise an effective multi agency

older people strategy from a successful service provider

Explore ways to tackle the age discrimination issues

highlighted by Help the Aged’s Less Equal

Than Others public consultation

Consider ways to promote a positive attitude towards

our ageing population

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.

43. 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

44. Action on Elder Abuse

Achieving Justice - Supporting Victims

7th July 2008

Ort House Conference Centre, London

Action on Elder Abuse is running a major conference

on abuse, criminal justice and supporting victims in

London in early July. As policy makers and practitioners

increasingly locate their work within a criminal

justice context, this conference poses the questions:

How do we ensure justice for victims of abuse?

Can we put victims of abuse at the centre of the

criminal justice system?

How do we support victims of these crimes effectively?

Do we need greater clarity of roles and responsibilities

within this work?

With a keynote speech by Deputy Chief Constable

Richard Crompton ACPO lead on vulnerable adults

and Vulnerable and intimidated victims

Speakers have been invited from a number of organisations

including:

Crown Prosecution Service

Victim Support

MIND

The Metropolitan Police Service

Chaired by Keith M Lewin

£126 + VAT for members

£140 + VAT for non-members

Discussing the often complicated relationship between

abuse, safeguarding systems, policies and

procedures and the criminal justice system: This conference

is a must for professionals working with older

people, safeguarding staff and staff from criminal

justice agencies.

A full, detailed programme and booking form will be

available shortly, but to register your interest and request

a booking form, please contact Daisy Goodstien

on daisygoodstien@elderabuse.org.uk or call us

on 0208 765 7000.

45. “Implementing the Independent Living

Strategy: Delivering Choice and Control for

Disabled People” Westminster Briefing hosted

by The House Magazine on Wednesday, 9th July

2008 held in Westminster.

The recently launched cross-governmental Independent

Living strategy underlines the Government’s commitment

to supporting disabled people. It aims to provide

more choice and control over how their needs

will be met as well as putting in place measures to

tackle barriers in accessing health, housing, transport,

and employment opportunities. It is designed to

make a real and measurable impact on the lives of

disabled people with a commitment to monitor its impact,

year-on-year, in partnership with disabled people.

Delegates at this Westminster Briefing will have the

opportunity to consider how the strategy will be implemented,

its implications and the way forward to fully

achieving the goals of “independent living” for disabled

people. Please refer to the attached agenda for

further details.

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.

T: 020 7096 2916

F: 020 7096 2946

E: nick.rotsides@westminster-briefing.com

46. 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.

April O’Donoughue

Tel: +1 (450) 292-3456, ext. 227

Fax: +1 (450) 292-3453

E-mail: info@pal2008.com

Web : www.pal2008.com

47. Delivering effective end-of-life care: developing

partnership working

Wednesday 15 October 2008, 9.30am4.00pm,

London

Recognition of the need for good-quality end-of-life

care has been steadily increasing, with the release of

the government's End of Life Care Strategy being

imminent. Much pioneering work has been done by a

wide range of organisations across health and social

care. There is now a move towards effective commissioning

and co-ordination of this care, in order to

enable greater choice for those at the end of their

life.

Produced in partnership between the King's Fund

and Marie Curie Cancer Care, this one-day conference

will look at how best to deliver end-of-life care.

Key speakers

Professor Mike Richards CBE, Chair, End of Life

Strategy Advisory Board and National Clinical Director

for Cancer

Dr James Beattie, National Clinical Lead, NHS Heart

Improvement Programme and Consultant Cardiologist,

Birmingham Heartlands Hospital

This conference will:

highlight key challenges for implementation of the

End of Life Care Strategy

look at how to develop effective service delivery by

ensuring that the right relationships are developed

between organisations and that staff are well trained

to support patients

identify areas for collaboration and partnership working

across health and social 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.

48. 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

48. Annual Return - Late Submissions

2 May 2008 – SCC

The Scottish Care Commission has announced that it

is unable to accept late submissions of paper annual

returns submitted after the 7 March 2008.

For full report click here

49. Baroness Young favoured as Care Quality

Commission Chair

30 April 2008 – NCF

Candidate for future post of Care Quality

Commission Chair announced

1 May 2008 - COI

Baroness Young of Old Scone has emerged as the

Government's candidate for the post of Chair of the

Care Quality Commission. The Secretary of State for

Health has invited the Health Select Committee to

hold a public pre-appointment scrutiny hearing and

report on the candidate's suitability for the post.

For NCF report click here

Domiciliary Care

50. Government launches guidance to assist

in support for Self Care

1 May 2008 - COI

Health Minister Ivan Lewis announced the introduction

of seven Common Core Principles to Support

Self Care, designed to help health and social care

staff support people to live independently, stay

healthy and make the most of their lives by managing

their conditions.

The Common Core Principles, which have been developed

with Skills for Health and Skills for Care, will

be available to employers, managers and workers in

health and social care services so that they can use

them to help service users get the most out of their

care. .

Minister for Care Services Ivan Lewis said:

"Supporting self care is consistent with our policy of

putting people first. People want control over their

lives enabling them, their families and carers to

maintain and improve their well-being and independence.

The Common Core Principles to Support Self Care

are intended to be a resource for reflection, challenge

and practice change. Their purpose is to enable

organisations and all those who work in health

and social care, whether as commissioners, service

providers or educators, to make personalised services,

enablement and early intervention to promote

independence a reality."

The seven principles are:

* Ensure individuals are able to make informed

choices to manage their self care needs

* Communicate effectively to enable individuals to

assess their needs, and develop and gain confidence

to self care

* Support and enable individuals to access appropriate

information to manage their self care needs

* Support and enable individuals to develop skills in

self care

* Support and enable individuals to use technology to

support self care

* Advise individuals how to access support networks

and participate in the planning, development and

evaluation of services

* Support and enable risk management and risk taking

to maximise independence and choice

The principles are consistent with the seven outcomes

expected from adult care services - that people,

irrespective of illness or disability, are supported

to:

* live independently

* stay healthy and recover quickly from illness

* exercise maximum control over their own life and

where appropriate the lives of their family members

* sustain a family unit which avoids children being

required to take on inappropriate caring roles

* participate as active and equal citizens, both economically

and socially

* have the best possible quality of life, irrespective of

illness or disability

* retain maximum dignity and respect

51. Mental Health Foundation responds to

government announcement on self-care

1 May 2008

In response to the announcement of the Common

Principles to Support Self Care by Health Minister

Ivan Lewis, Dr Andrew McCulloch, Chief Executive of

the Mental Health Foundation said:

“This is a welcome announcement from the government

that acknowledges the importance of people

with long-term conditions being involved in managing

their own care.

The final goal should be a radical change to the way

health and social care is delivered that gives serviceusers

true self-determination, ultimately by handing

them the financial reins through far greater use of

individualised budgets.

This step change will have to come eventually, and

the Mental Health Foundation will be investing time

and energy in helping to make empowerment of mental

health service users a reality.”

Education

Nothing to report

Ireland, Scotland & Wales

Ireland

Nothing to report

Scotland

52. Drug group backs £2.8m settlement

30 April 2008 – BBC News

A drugs group has agreed on a £2.8m settlement with

the Scottish Government and health boards over the

alleged price fixing of medicine after being named in

court papers lodged in 2005. The papers were lodged

over alleged formation of price-fixing cartels of drugs

sold to the NHS including Warfarin, penicillin-based

drugs and Ranitidine.

For full report click here

53. PFI Scheme Branded 'rip-off'

29 April 2008 – Evening Times

Hairmyres Hospital in East Kilbride was the first PFI

hospital in Scotland when it opened its doors in

2001, and was financed by a consortium of construction

group Kier and finance company Innisfree.

The consortium now stands to make more than

£145million from an outlay of just £8.4m. The private

funding scheme has been branded a “rip-off”.

54. Call To Restore GBP30m Cut From Elderly

29 April 2008 – The Herald

Westminster is being called upon to reinstate the

£30m a year in attendance allowance which was

originally withdrawn for elderly people in care homes

when Scotland's flagship policy of free personal care

was introduced.

55. Study finds £40m care funding gap

28 April 2008 – BBC News

A review commissioned by Health Secretary, Nicola

Sturgeon has found that in order to sustain free personal

care for Scotland’s elderly – a £40m funding

gap must be addressed.

A study of the flagship policy by Lord Sutherland also

called for the reinstatement of £30m a year in attendance

allowance by Westminster.

For full report click here

Wales

56. Student midwives face uncertainty

4 May 2008 – BBC News

Welsh final year students studying to become midwives

are struggling to find jobs. The Welsh governing

body has warned that a UK-wide survey of those

hoping to graduate this year seemed to suggest that

less than 10% had secured a midwifery post.

The Royal College of Midwives says it is now campaigning

for student midwives to be awarded a

£10,000 bursary to help them through their training.

For full report click here

57. NHS waiting lists fall in Wales

30 April 2008 – BBC News

The Welsh Assembly Government has announced a

fall in the number of patients waiting more than 22

weeks for appointments and then treatment.

The total waiting for a first outpatient appointment

dropped from 5,565 in February to zero in March.

Those waiting for admission to hospital for treatment

are down from 2,838 to five in the same period.

For full report click here

Learning Disabilities

58. Prime minister brought to tears after

reading children's letters, says Lewis

30 April 2008 – Community Care

Care services Minister, Ivan Lewis, admitted that

Gordon Brown revealed "hidden emotional depths"

after he cried when reading testimonies of children

with learning disabilities.

The Prime Minister, often criticised for seeming unemotional

was moved when reading two hand-written

notes from the children.

For full report click here

59. Care service asks users for ideas

27 April 2008 – BBC News

Surrey County Council is asking for help in modernising

the region’s services. Both users and providers of

supporting learning disabilities will be consulted.

The Council is also hoping to give people with learning

disabilities more opportunities to determine how

day services are run.

For full report click here

Legislation Update

60. Mental Health Act 2007 c.12 1 amendment

18 April 2008 – OPSI

For full legislation click here

61. No. 793 The Childcare (Voluntary Registration)

(Amendment) Regulations 2008 1

29 April 2008 – OPSI

For full report click here

Mental Health

62. Confusion on the frontline about mental

capacity

2 May 2008

In the months leading up to the implementation of the

Mental Capacity Act 2005, many health and social

care staff became confused about mental capacity

issues, according to a new report from the Mental