The May bank holidays are upon us and train stations are buzzing with travellers and day-trippers. However, for millions of people who are deaf, or have hearing loss, using public transport can be a challenging and stressful experience.
Imagine being on a platform. Passengers suddenly start leaving and you’re not sure why. Or you’re on a train that stops unexpectedly between stations, and you seem to be the only person in the carriage unaware of what’s going on. What should be a relaxing journey can quickly become an anxious and isolating experience. Deaf people often rely on fellow travellers for help.
To mark Deaf Awareness Week (5–11 May), RNID – the national charity supporting the 18 million people who are deaf, have hearing loss or tinnitus – has highlighted concerning research showing that the public are often unwilling to assist deaf people when navigating public transport. Whilst many people do want to help – they’re often held-back by uncertainty around how to communicate.
The good news is that RNID’s ‘It does matter’ campaign offers free tips and videos with basic BSL phrases to help people become more deaf-aware and confident when offering support.
This Deaf Awareness Week is the perfect time to learn how you can make a difference. Visit www.rnid.org.uk/it-does-matter
Yours sincerely,
Teri Devine, Associate Director of Inclusion, RNID
An event held last week (Tuesday 22 April) at the City Chambers brought together the Council and partners to take steps toward building, adapting, and finding accessible homes across the Capital.
Hosted by the City of Edinburgh Council, the Accessible Housing Summit convened representatives from the third sector, housing associations and the private sector.
Through a series of roundtable discussions, participants explored three key areas: delivering new accessible homes, improving access to existing housing, and ensuring the best use of homes already available.
In a tangible step forward, the Council recently began construction on a new residential development in Newington. Once complete, the site will provide 19 modern, fully wheelchair accessible homes available for social rent.
Attendees will now consider what actions can be taken forward to address improving access to information, advice on accessible housing and planning for new accessible homes in Edinburgh.
Housing, Homelessness and Fair Work Convener Lezley Marion Cameron said: “As Edinburgh’s population grows and changes, so do the housing needs of our residents. We must therefore strive to ensure that everyone – irrespective of their health circumstances and accessibility requirements – has a home they can live in with dignity and comfort.
“Whilst this is a national issue, the City of Edinburgh Council faces unique challenges, including being landlord of a high number of older, flatted properties which can often be harder and costly to adapt.
“It is vital for us to understand the nature, context, and complexity of the barriers to providing fully accessible housing and to work closely and collaboratively with our partners and organisations leading this crucial work to deliver the accessible housing our citizens need now and in the future.”
UK Government must “meet the moment” with decisive action
First Minister John Swinney has called for a new package of support for industry from the UK Government in the face of global economic uncertainty.
As financial markets react to global events, Mr Swinney has called on the Prime Minister and the Chancellor to change their fiscal rules and commit to a package of investment to support business, workers and consumers.
The First Minister said: “We are currently enduring a time of global financial and economic uncertainty and volatility. But while we are not immune to global trends, we can be confident in the strength of Scotland’s economy.
“Indeed, throughout my time in the United States since last week, there has been a clear confidence in Scotland as a place to do business and as a destination for investment.
“However, the global economy is clearly going through a time of upheaval and it is vital that we see strong action to meet the moment, support Scottish industry and ensure workers and consumers are protected.
“My government will continue to do everything in our power to do that, but given where powers over the economy sit, this will require clear, determined and decisive action from the UK Government.
“The old economic orthodoxies of Westminster will not be enough to meet a moment of real global challenge. The UK Government cannot meet this global uncertainty with austerity – we need to see a new approach which provides investment and support for industry as we are seeing in countries like Spain.
“It is now obvious that the era in which the UK Government’s fiscal rules were set is over. The Prime Minister and the Chancellor must accept that new reality, end their outdated commitment to the fiscal rules and deliver serious investment to support industry.
“And in the face of this economic volatility, the last move any serious government would implement is a tax on jobs. The increase in employer’s national insurance contributions was always the wrong move – but the Prime Minister should not risk further economic damage by making it more difficult for business to take on or keep staff. The Chancellor should abandon the national insurance hike immediately.
“The events of the last few days require truly bold action from the Prime Minister. He cannot simply respond to an unprecedented situation by continuing with a plan set in completely different circumstances and which already looks doomed to failure.”
Foysol Choudhury MSP Stands with Unsung Community Heroes in Edinburgh
Foysol Choudhury, MSP for Lothian, calls for greater support and funding for local community organisations in Edinburgh, such as the Polish Family Support Centre, following a series of ruthless budget cuts from the Scottish Government.
Foysol Choudhury MSP has issued a heartfelt and urgent appeal for greater support and funding for local community organisations in Edinburgh. During a recent visit to the Polish Family Support Centre, Mr. Choudhury emphasised the critical role these organisations play in encouraging community cohesion and providing essential services to underrepresented groups.
This comes after the Scottish voluntary sector was struck with further budget cuts. The Scottish Council for Voluntary Organisations (SCVO) have revealed that real-term cuts to public funding have surmounted to over £177m since 2021, where more than 76% of third-sector organisations report financial challenges because of inflation and rising costs.
These cuts are not just numbers; they represent the struggles of countless individuals and families who rely on these vital services.
This situation may only worsen with changes to employers’ National Insurance contributions, imposed by Labour Chancellor Rachel Reeves, which could leave the sector with another £75m to find each year.
In his recent visit to the Polish Family Support Centre, Mr. Choudhury witnessed significant challenges due to limited funding and resources.
As a one-stop-shop for all, the Polish Family Support Centre provides a wide range of services, including professional counselling, workshops, and support groups, all aimed at helping Polish families and individuals navigate the complex nature of life in Scotland.
However, the Centre’s ability to expand its reach and impact has been drastically obstructed by financial constraints. According to the Office of the Scottish Charity Regulator, the Polish Family Support Centre has lost hundreds of thousands in funding, and with over 4,040 yearly sessions in 2023 – an increase of 2,000 from 2018 – it is clear that the Polish Family Support Centre needs further backing.
Other community organisations such as the Edinburgh Children’s Hospital Charity, Milan SWO, Edinburgh Diwali, the Bihari Community of Scotland, and other third sector organisations are also crying out for support.
Mr. Choudhury’s call to action comes at a time when many third-sector community organisations struggle to secure funding and resources. He has been a vocal advocate for these groups, hosting roundtable discussions at the Scottish Parliament to address the current funding model and barriers to access.
Here, the Scottish Government and other public bodies need to take a fair funding approach, moving to inflation-based settlements of three years or more, which consider costs such as uplifts in the real living wage.
Community organisations, such as the Polish Family Support Centre, continue to exist as a symbol of hope for the people of Edinburgh, driven by a mission to support and empower individuals and families.
Commenting, Foysol Choudhury MSP said:“Community organisations exist as the backbone of our society. They offer vital services, from psychological support to advocacy, yet they remain overlooked and underfunded.
“It is crucial that we recognise their contributions to our community and provide them with the necessary support to continue their work.
“Edinburgh and the rest of Scotland must address the barriers to funding and ensure that smaller community-based organisations have access to the resources they need, as their work is crucial in promoting social inclusion and supporting minority groups.
“I urge everyone from policymakers to residents, to recognise the invaluable work these organisations do. They are not just service providers; they are the heart and soul of our communities.
“By supporting them, we are investing in a more inclusive, compassionate, and resilient society. Let’s come together to ensure that nobody is left behind.”
Yesterday COSLA and the Scottish Government convened a roundtable discussion to consider immediate challenges facing the delivery of social care services:
COSLA Health and Social Care Spokesperson Councillor Paul Kelly, reflected on the meeting: “I was very grateful for the representation from across the care sector, including our partners in the third and independent sectors, involved in this critical discussion.
“We all have a shared responsibility to improve outcomes for people using health and social care services in Scotland, and I am acutely aware of how much more challenging this becomes when confronted with significant budget gaps for Local Government and Integrated Joint Boards.
“Of course, I know that it’s a similarly challenging financial context for our partner providers who deliver vital care and support for people.
“The reality is that the current financial challenges will have a very real impact on services and it’s for this reason I thought it was crucial to bring together key partners to highlight the impact this has been having – and will continue to have – on the system.
“The changes to employer National Insurance contributions, coupled with continued financial constraints and uncertainties, are a significant risk felt by Local Government which will impact upon the delivery, commissioning and procurement of services.
“There are no easy solutions to the challenges that were aired but I was encouraged by the frank and open contributions from attendees, and the consensus that it’s more important than ever that we work collaboratively to ensure continued delivery of social care for all those who need it.
“As COSLA’s Health and Social Care Spokesperson, I want to reiterate that we are doing everything we can to address the challenges the sector collectively faces, and that COSLA remains absolutely committed to engaging with the Scottish and UK Governments on these matters.”
EVOC (Edinburgh Voluntary Organisations’ Council) is delighted to announce the appointment of a new Chief Executive Officer, Bruce Crawford.
Following a comprehensive recruitment process, led by EVOC’s Board and involving representatives from the Third Sector and Edinburgh’s Third Sector Interface partners (Edinburgh Social Enterprise Network and Volunteer Edinburgh), Bruce will take up the CEO position today – Monday 9 December 2024.
Bruce brings a breadth of strategic leadership experience to the role, as a CEO, Trustee and Volunteer. As Director of Grange Associates, he has supported charities and social enterprises to develop and succeed, offering advice in a range of areas including governance, strategy, policy, change management, diversity, risk management, business planning and sustainability.
As Chief Executive for Scottish Curling, Bruce led successful negotiations that secured £2m funding for covid recovery from the Scottish Government and played a key role in developing strategies and campaigns to ensure that the Olympic profile and success were capitalised to maximum effect.
He is also a member of the Sustainability Committee for World Curling and is the chair of the James Gillespie’s Trust.
Diarmaid Lawlor (EVOC Convenor) said: ““We are delighted to appoint Bruce to lead EVOC. This has been a competitive and thorough recruitment process.
“The core of strong Third Sector organisations is clear purpose, tangible impacts, sustainable finance, and, particularly relevant to this situation, great people.
“Bruce’s appointment completes EVOC’s internal staffing restructure and we look forward to working with him and the wider Third Sector to finalise our strategic priorities, working towards ‘a strong sector for a strong city’.”
Responding to news of his appointment, Bruce said: “I am delighted to be appointed to lead EVOC as its new CEO, working with the staff and board, listening to members and consulting with stakeholders as we support the voluntary organisations that serve our communities.
“I am looking forward to hearing from colleagues across the sector as we develop our new strategy and set priorities, which will help us to make an impact and address the challenges that lie ahead.”
PM to pledge ‘the biggest reimagining of our NHS since its birth’
PM to set out plan for long term, fundamental reform to fix broken NHS
Lord Darzi’s independent investigation concludes NHS is in ‘critical condition’
Findings provide a diagnosis of the challenges facing the health service, which will inform government’s 10 year plan to reform the NHS
The PM will pledge the ‘biggest reimagining of our NHS since its birth’ in a speech this morning [12 September 2024], following the publication today of a full and independent investigation into the state of the NHS.
Lord Ara Darzi’s probe has concluded the service is in a ‘critical condition’ amidst surging waiting lists and a deterioration in the nation’s underlying health, identifying serious and widespread problems for people accessing services.
The PM will say that the scale of the damage done to the NHS revealed by the report is “unforgivable”, recognising the tragic consequences for too many patients and their families: “People have every right to be angry. It’s not just because the NHS is so personal to all of us – it’s because some of these failings are life and death.
“Take the waiting times in A&E. That’s not just a source of fear and anxiety – it’s leading to avoidable deaths.
“People’s loved ones who could have been saved. Doctors and nurses whose whole vocation is to save them – hampered from doing so. It’s devastating.
He will also address the causes behind the state of the NHS, including the long term impacts of the 2012 Health and Social Care Act which is described in the report as “a calamity without international precedent” which “proved disastrous”, as well as the far reaching consequences of underinvestment throughout the 2010s.
The PM is expected to say: “Our NHS went into the pandemic in a much more fragile state.
“We had higher bed-occupancy rates, fewer doctors, fewer nurses and fewer beds than most other high income health systems in the world.
“And let’s be clear about what caused that…a “scorched earth” approach to health reform, the effects of which are still felt to this day.
“Lord Darzi describes [the 2010s] as “the most austere decade since the NHS was founded”. Crumbling buildings, decrepit portacabins, mental health patients accommodated in Victorian-era cells infested with vermin.
“The 2010s were a lost decade for our NHS…which left the NHS unable to be there for patients today, and totally unprepared for the challenges and opportunities of tomorrow.”
As well as recognising the cost to people’s health, the PM will also address the inextricable link between the state of the NHS and the nation’s economy: It’s not just the state of our National Health Service in crisis – it’s also the state of our national health.
“There are 2.8 million people economically inactive due to long term sickness, and more than half of those on the current waiting lists for inpatient treatment are working age adults.
“Getting people back to health and work will not only reduce the costs on the NHS, it will drive economic growth – in turn creating more tax receipts to fund public services.
In the face of these dire findings and the growing pressures on the NHS from an ageing society and preventable illnesses, the PM will set out his belief in the ‘profound responsibility’ of government to do the hard work necessary to tackle them: “What we need is the courage to deliver long-term reform – major surgery not sticking plaster solutions.
“The NHS is at a fork in the road, and we have a choice about how it should meet these rising demands.
“Raise taxes on working people to meet the ever-higher costs of aging population – or reform to secure its future.
“We know working people can’t afford to pay more, so it’s reform or die.”
Rooted in Lord Darzi’s diagnoses of the challenges facing the NHS, the Prime Minister will outline three fundamental areas of reform and the imperative to work with staff and patients throughout this process.He is expected to say: “”This government is working at pace to build a Ten-Year Plan. Something so different from anything that has come before.
“Instead of the top-down approach of the past, this plan is going to have the fingerprints of NHS staff and patients all over it.
“And as we build it together, I want to frame this plan around three big shifts – first, moving from an analogue to a digital NHS. A tomorrow service not just a today service.
“Second, we’ve got to shift more care from hospitals to communities… And third, we’ve got to be much bolder in moving from sickness to prevention.
“Only fundamental reform and a plan for the long term can turn around the NHS and build a healthy society. It won’t be easy or quick. But I know we can do it.
“The challenge is clear before us; the change could amount to the biggest reimagining of our NHS since its birth.”
Lord Darzi is an independent peer and practising surgeon with 30 years’ experience in the NHS. He examined over 600 pieces of analysis from DHSC, NHS England and external organisations during his investigation. His report will inform the government’s 10-year plan to reform the health service.
Lord Darzi said: “Although I have worked in the NHS for more than 30 years, I have been shocked by what I have found during this investigation – not just in the health service but in the state of the nation’s health.
“We want to deliver high quality care for all but far too many people are waiting for too long and in too many clinical areas, quality of care has gone backwards.
“My colleagues in the NHS are working harder than ever but our productivity has fallen.
“We get caught up frantically trying to find beds that have been axed or using IT that is outdated or trying to work out how to get things done because operational processes are overwhelmed. It sucks the joy from our work – we became clinicians to help patients get better, not to go into battle with a broken system.
“We need to rebalance the system towards care in the community rather than adding more and more staff to hospitals. And we need a more honest conversation about performance – the NHS is now an open book.
“In the last 15 years, the NHS was hit by three shocks – austerity and starvation of investment, confusion caused by top-down reorganisation, and then the pandemic which came with resilience at an all-time low. Two out of three of those shocks were choices made in Westminster.
“It took more than a decade for the NHS to fall into disrepair so it’s going to take time to fix it. But we in the NHS have turned things around before, and I’m confident we will do it again.”
Despite the damning analysis, Lord Darzi insists the NHS’s vital signs ‘remain strong’ and he praised staff for their ‘shared passion and determination to make the NHS better for our patients’.
In carrying out the review, Lord Darzi brought more than 70 organisations together in an Expert Reference Group and sought input from NHS staff and patients through focus groups and frontline visits.
Responding to the report, Secretary of State Wes Streeting said: “I asked Lord Darzi to tell hard truths about the state of the NHS. He has produced an honest, expert, comprehensive report on the appalling state our health service is in.
“Today’s findings will inform our 10-year plan to radically reform the NHS and get patients treated on time again.
“The damage done to the NHS has been more than a decade in the making. We clearly have a long road ahead. But while the NHS is broken, it’s not beaten. We will turn the NHS around so it is there for you when you need it, once again.”
Today’s report has been welcomed by NHS England and health organisations who have pledged to work closely with the government on its mission to rebuild the NHS.
Amanda Pritchard, NHS England Chief Executive, said: “As this report sets out, staff are the beating heart of the NHS with a shared passion and determination for making the NHS better for patients – but it is also clear they are facing unprecedented challenges.
“Our staff are treating record numbers of patients every day despite ageing equipment and crumbling buildings, a surge in multiple long-term illnesses, and managing the long-lasting effects of the pandemic.
“While teams are working hard to get services back on track, it is clear waiting times across many services are unacceptable and we need to address the underlying issues outlined in Lord Darzi’s report so we can deliver the care we all want for patients.
“As Lord Darzi rightly points out, many of the solutions can be found in parts of the NHS today. That is why we are fully committed to working with government to create a 10-year plan for healthcare to ensure the NHS recovers from Covid, strengthens its foundations and continues to reform so it is fit for future generations”
Key findings from Lord Darzi’s 142-page report include:
Deterioration: The health of the nation has deteriorated over the past 15 years, with a substantial increase in the number of people living with multiple long-term conditions.
Spending: Too great a share of the NHS budget is being spent in hospitals, too little in the community, and productivity is too low.
Waiting times: Waiting lists have swelled and waiting times have surged, with A&E queues more than doubling from an average of just under 40 people on a typical evening in April 2009 to over 100 in April 2024. 1 in 10 patients are now waiting for 12 hours or more.
Cancer care: The UK has appreciably higher cancer mortality rates than other countries, with no progress whatsoever made in diagnosing cancer at stage one and two between 2013 and 2021.
Lasting damage: The Health and Social Care Act of 2012 did lasting damage to the management capacity and capability of the NHS. It took 10 years to return to a sensible structure, and the effects continue to be felt to this day.
Productivity: Too many resources have been being poured into hospitals where productivity had substantially fallen, while too little has been spent in the community.
Responding to the publication of Professor Lord Darzi’s Independent Investigation of the National Health Service in England, Nuffield Trust Chief Executive Thea Stein said:“Lord Darzi’s damning report underlines the stark realities experienced across almost every corner of the health service.
“Wide-ranging problems have been growing in plain sight for years and Darzi’s impressively comprehensive assessment will be familiar to anyone who has studied or experienced the slow deterioration of health care provision in England.
“While not surprising, the report’s findings are deeply troubling. As our research work has repeatedly shown, too often the NHS is not able to provide people with the timely care they need, despite steadfast public commitment to the core principles of the health service. The impacts of this are not felt equally: people in the poorest areas are particularly struggling to access healthcare.
“The big question now is what happens next.
“The Government has an early opportunity to make good on long-argued points on dysfunctional NHS funding in its first Budget next month. The health service is staring down the barrel of a significant shortfall in funding this current year [2] and the Chancellor will need to set out clear plans to tackle this, ahead of a longer-term funding settlement.
“Rightly, the report repeatedly references the interrelated, compounding pressures of the desperate state of social care and cuts to public health provision. But by design it does not dig into those issues. In future, we hope to see serious work by the government to address those broader societal issues that determine population health and impact health care access.
“Ultimately, the Lord Darzi’s diagnostic report sets out important aspirations to be delivered in the forthcoming 10-year plan to treat – and fix – the NHS. But the improvements we all hope for – and that patients desperately need – will take time, commitment and major financial, practical and system-wide support. There will be no quick fixes.”
Just three days short of its second anniversary, the Covid-19 Public Inquiry published the report from the Module One investigation into the resilience and preparedness of the United Kingdom (writes TUC’s NATHAN OSWIN).
The report highlights the devastating consequences of austerity in the decade that preceded the pandemic and the risk of vulnerability in the UK population.
The Impact of austerity on public services
Inquiry Chair, Baroness Hallett, states plainly that, “In short, the UK entered the pandemic with its public services depleted, health improvement stalled, health inequalities increased, and health among the poorest people in a state of decline.” This blunt assessment underscores the critical condition of the nation’s public services as they faced the unprecedented challenges of the Covid-19 pandemic.
The role of the TUC and evidence from frontline workers
As Core Participants in the Inquiry, the TUC played an integral role in the process, working with our unions to provide the evidence that ten years of under-investment and real terms funding cuts to public service in the run up to the Inquiry left key services struggling to cope.
“Public services, particularly health and social care, were running close to, if not beyond, capacity in normal times” the report states, a statement that doctors, nurses, porters and social care workers have been telling us all.
The Inquiry also heard that “there were severe staff shortages and that a significant amount of the hospital infrastructure was not fit for purpose. England’s social care sector faced similar issues. This combination of factors had a directly negative impact on infection control measures and on the ability of the NHS and the care sector to ‘surge up’ during a pandemic.”
A call to avoid past mistakes
The report is both a damning indictment and a call to never repeat the mistakes of that decade – a desperate reminder of the need to invest in our public services.
And while the report is not naive about the costs needed to make the UK more resilient ahead of the next pandemic – a matter of when not if – it reaches the conclusion that “the massive financial, economic and human cost of the Covid-19 pandemic is proof that, in the area of preparedness and resilience, money spent on systems for our protection will be vastly outweighed by the cost of not doing so”.
Addressing health inequalities
What’s more, the Inquiry is crystal clear as to the price we pay for inequality across our communities. It notes that at the outset of the pandemic, the UK had “substantial systematic health inequalities by socio-economic status, ethnicity, area-level deprivation, region, social excluded minority groups and inclusion health groups”.
And Baroness Hallett’s report correctly states that these inequalities weakened the ability of the UK to cope, stating that “resilience depends on having a resilient population. The existence and persistence of vulnerability in the population is a long-term risk to the UK.’
Recommendations for the future
The recommendations themselves speak of the need to engage with wider society for planning on how we handle a crisis and to take into account the “capacity and capabilities of the UK”.
No one knows the capacity and capabilities of our public services better than the staff that deliver them and the TUC and its affiliated unions stand ready to assist the government in this vital work.
Conclusion: Building a resilient future together
It is by working in partnership – with proper resources going into our public services – that we can truly learn the lessons this report sets out and secure the resilience and preparedness that the UK needs for a future full of challenges.
In this Account Commission briefing about Scotland’s Integration Joint Boards (IJBs), we report that community health and social care faces rising unmet need and managing the crisis is taking priority over prevention due to the multiple pressures facing the bodies providing these services.
IJBs plan and commission many vital community-based health and care services.
People
One in 25 people in Scotland receive social care.
Expected to rise sharply due to an ageing population – 76% of people receiving health and social care are aged 65 and over.
By mid-2045, the number of people aged 65 and over is set to grow by nearly a third.
Performance
Where data is available, nationally there has been a general decline in performance of services and outcomes for people.
Data quality and availability is insufficient to fully assess the performance of IJBs and inform how to improve outcomes for people who use services with a lack of joined- up data sharing.
Care
Community health and social care faces unprecedented pressures and financial uncertainty. We have not seen significant evidence of the shift in the balance of care from hospitals to the community intended by the creation of IJBs.
Finances
IJB funding has decreased by £1.1 billion (nine per cent) in real terms to £11 billion in 2022/23. The funding gap is set to triple in 2023/24.
IJBs are making savings by not filling staff vacancies and using their financial reserves, but this is not sustainable.
Staffing
Vacancies are at a record high. Nearly half of services report vacancies. A quarter of staff leave jobs within their first three months. And there is continued turnover in senior leadership.
Action is needed now
IJBS need to share learning to identify and develop:
service redesign focused on early intervention and prevention.
approaches focused on improving the recruitment and retention of the workforce.
improvement to the data available.
commissioning approaches that improve outcomes for people.
ensure that their financial plans are up to date.
IJBs need to work together and with other stakeholders to:
ensure that the annual budgets and proposed savings are achievable and sustainable.
ENGLAND’S SOCIAL CARE WATCHDOG ‘NOT FIT FOR PURPOSE
The Care Quality Commission (CQC), the body responsible for regulating adult social care services in England, is ‘not fit for purpose’, according to the health secretary Wes Streeting.
Health and Social Care Secretary Wes Streeting was responding to an independent review that identified ‘significant internal failings’ within the health and social care regulator.
The interim report, led by Dr Penny Dash, chair of the North West London Integrated Care Board, found the number of inspections being undertaken were well below pre-Covid levels.
It also revealed a lack of clinical expertise among inspectors, a lack of consistency in assessments and problems with the CQC’s IT system.
Commenting on her findings, Dr Dash said: ‘The contents of my interim report underscore the urgent need for comprehensive reform within the CQC.
‘By addressing these failings together, we can enhance the regulator’s ability to inspect and rate the safety and quality of health and social care services across England.’
Mr Streeting commented: ‘When I joined the department, it was already clear that the NHS was broken and the social care system in crisis.
‘But I have been stunned by the extent of the failings of the institution that is supposed to identify and act on failings. It’s clear to me the CQC is not fit for purpose.’ Kate Terroni, CQC’s interim chief executive, said the regulator accepts in full the findings and recommendations of the report.
‘Many of these align with areas we have prioritised as part of our work to restore trust with the public and providers by listening better, working together more collaboratively and being honest about what we’ve got wrong,’ she said.
‘We are working at pace and in consultation with our stakeholders to rebuild that trust and become the strong, credible, and effective regulator of health and care services that the public and providers need and deserve.’
The interim findings of the review of our operational effectiveness led by Dr Penelope Dash have been published this morning.In response, Kate Terroni, our interim chief executive, said: “We accept in full the findings and recommendations in this interim review, which identifies clear areas where improvement is urgently needed.
“Many of these align with areas we have prioritised as part of our work to restore trust with the public and providers by listening better, working together more collaboratively and being honest about what we’ve got wrong.
“We are working at pace and in consultation with our stakeholders to rebuild that trust and become the strong, credible, and effective regulator of health and care services that the public and providers need and deserve.
“Work is underway to improve how we’re using our new regulatory approach. We’ve committed to increasing the number of inspections we are doing so that the public have an up-to-date understanding of quality and providers are able to demonstrate improvement.
“We’re increasing the number of people working in registration so we can improve waiting times. We’re working to fix and improve our provider portal, and this time we’ll be listening to providers and to our colleagues about the improvements that are needed and how we can design solutions together.
“We’ll be working with people who use services and providers to develop a shared definition of what good care looks like. And we’re also developing a new approach to relationship management that enables a closer and more consistent contact point for providers.
“Additionally, to strengthen our senior level healthcare expertise, we have appointed Professor Sir Mike Richards to conduct a targeted review of how the single assessment framework is currently working for NHS trusts and where we can make improvements.
“Sir Mike’s career as a senior clinician, and a distinguished leader of high-profile national reviews, as well as his direct experience of driving improvement through regulation, make him uniquely placed to conduct this work.”
Despite improved transparency, a Parliament committee has found that inconsistency, bureaucracy, and inflexibility are still creating challenges for small businesses and third sector organisations looking to participate in public procurement.
A decade on from the introduction of the Procurement Reform (Scotland) Act 2014 (the Act), Holyrood’s Economy and Fair Work Committee has explored how the Act is operating.
Intended to support economic growth with procurement systems which were transparent, fair and business friendly, the Act put in place regulation for public procurement contracts above certain financial thresholds.
During its inquiry, the Committee heard from businesses and the third sector, as well as local authorities and the Scottish Government.
The Committee found that while the Act’s improvements to transparency were welcomed, there were still challenges which made navigating public procurement difficult, with one witness giving the Act a “C+ for its performance.”
Challenges experienced by witnesses included inconsistency across contracting authorities and heavy bureaucratic load.
The Committee’s report makes a number of recommendations to improve the system including:
Ensuring that the Public Contracts Scotland website is updated to make it once again “best in class”.
The Scottish Government should work with contracting authorities to drive consistency and reduce administrative burden.
A uniform process for the provision of feedback should be developed.
Speaking as the report launched last week, Committee Convener Claire Baker MSP said:“Public procurement plays a vital role in the Scottish economy, involving small business, the third sector and public bodies.
“But with more than ten years now passed since the Act came into force, it is time to reflect on whether the ambitious aims are being met.
“There is no doubt that the Act has had a positive impact on increasing transparency of procurement processes which of course is to be welcomed. But for too many businesses, especially new or small businesses, there is still confusion and inconsistency. all of which is causing a barrier to those who may want to engage.
“Our report calls for a number of changes which would have a real impact to ensure that the bureaucracy and inflexibility can be addressed.”
During its inquiry, the Committee also found that the Act had contributed to an increase in Scottish procurement. However, the report makes clear that the Committee believes more can be done to increase local procurement.
The Committee noted the results from the community wealth building pilot areas and called for the principles and lessons learned to be fully embedded in procurement processes.
