NCF recognises the importance of the new analysis produced last week by CQC entitled The State of Health and Adult Social Care in England. The report covers all the services regulated by the Care Quality Commission, and reflects in detail on the Local System Review Work carried out by the CQC during 17-18.
Vic Rayner, Executive Director of the NCF, says of the report:
“The complexity of health and care provision in localities is laid bare within this report. The State of Care talks of an ‘integration lottery’ and highlights that people who use care and support services are subject to significant geographic variation in the quality of health and care they can and do receive. This has to change.”
The report talks more about the outcomes of Adult Social Care inspections over the last year, and highlights some important improvements in both the leadership and safeguarding elements of care inspections. However, the report bases these changes in the context of the extremely difficult market within which providers operate.
Vic Rayner notes:
“Social care providers are struggling to offer high quality services under core pressures of funding and an extremely challenging recruitment and retention environment. Within this context, the CQC have rightly praised some of the excellent leadership, innovation, dedication and high quality care they have identified within care services. However, they have added their voice to the call for a Green Paper and Spending Review that addresses the long term sustainability of the social care sector. The CQC perspective across the whole of health and care has shone a light on the inherent co-dependencies across our fragmented system, and provides further evidence of how futile it will be to significantly invest in health without embedding sustainability and growth in social care.”