Weekly political news round up – 29th October

November 6, 2018 in Uncategorized by Whitehouse

Paediatric Continence Forum 

Political and Parliamentary Monitoring
Week Commencing 29th October 2018 

 

The Chancellor presented The Budget to Parliament this week. In it, he announced additional funding for disability facilities and schools, as well as extra investment in health funding and Air Ambulances. In the last Budget before the United Kingdom leaves the European Union, Mr Hammond set aside additional funds for contingency planning, and vowed to do “whatever is necessary” to support the country. 

 

Whilst this was one of the biggest ‘giveaway’ budgets ever, this was almost entirely because of the extra £20 billion allocated to the National Health Service. Whilst the announcement about additional funding was originally made in the Summer, the Chancellor did provide a little extra insight in to where the extra cash was headed. New mental health crisis services are to be established across the UK, along with a 24/7 support hotline for those vulnerable people with mental health challenges who need immediate support. 

 

Nonetheless, many other aspects of The Budget were underwhelming. Whilst there was an announcement of more funding for social care, there was no mention of the need to address the increased demand in the NHS, or of improving the integration between health and social care by providing extra money for local government. A consensus is emerging amongst experts from trade and national press that, despite the positive impact the extra £20 billion of investment will have in the NHS, away from Health, “per-capita spending cuts are due to continue in the coming years”. 

 

Away from Health, the Chancellor also announced an additional £400 million investment for school “cosmetic” changes, equating to £10,000 for each Primary school and £50,000 for each Secondary school. The Chancellor said the extra funding was for “little extras”, and wouldn’t be repeated next year. In response, the Shadow Chancellor John McDonnell, said that some parents and teachers had been “really angered” by the remark.  

 

Whitehouse has provided expert analysis of The Budget, which it will circulate with this monitoring to the Paediatric Continence Fpri, 

 

 

 

Overview  

  • Territorial injustice likely to increase 
  • School toilet policies breach child rights 
  • Charities fear over children’s centres cuts 

 

Continued fall in health visitors, school and learning disabilities nurses 

The numbers of health visitors, school nurses and learning disability nurses in England have continued to fall over the last year, analysis from the National Health Service, has shown. Whilst the overall nursing numbers have increased, they have yet to make up for the decline in some specific areas the of the Health Service. The monthly figures show that, as of July 2018, there were 3,199 full-time equivalent learning disability nurses working in hospitals and the community, 124 fewer than in the year before. 

 

The latest drop continues a steady decline in numbers, with more than 2,000 fewer learning disability nurses working in the profession that there were eight years ago. Similarly, there are fewer health visitors working the NHS, with numbers falling from a peak of 10,300 in October 2015 to just 7,852 in July this year. School nurses – who are included in the community nursing stats – saw full-time numbers drop from 2,422 in July 2017 to 2,213 in July 2018. Again, this is part of a steady downward trend, with a peak of more than 3,000 school nurses having been employed in 2010. 

 

Whilst the figures alone are cause for concern, they also reveal a growing postcode lottery o are. Whilst North West London saw full-time equivalent nursing numbers increase by over four per cent, there was a steep drop n the West Midlands. This evidence will reiterate the conclusions of the PCF’s 2017 FOI audit, which found under-resourced service in many of the UK’s major towns and cities. 

 

The news that the number of community, school and public health nurses continue to fall will be of concern to the PCF, which has long campaigned to increase awareness of the value of the school nurses. As Whitehouse prepares to run a new campaign with the Paediatric Continence Forum, we will highlight where necessary the current staffing issues. 

 

 

Doubling the number of medical students ‘not affordable’ 

Doubling the number of medical students is “not affordable” and could results in “too many”, the Chief Executive of Health Education England has said. Speaking at the Westminster Health Forum this week, Ian Cumming said that Health Education England was now trying work out how many more medical students were needed, adding that “I think doubling the number of people we need to be doctors in this country is not affordable on the current funding model”. Health Education England, the education and training body, is now devising a workforce strategy. Mr Cumming added that this strategy would factor in the number part-time workers currently trained to work in the NHS. HEE is also currently exploring giving doctors more flexibility during training, by extending in to seven years rather than five, so trainees can spend time working in other areas. 

 

Mr Cummng reiterated comments made earlier in the year regarding predictions about the demand for clinical workforce in the NHS rising by between three and five per cent a year over the next decade. However, he stressed that a five per cent increase in the workforce year-on-year over the next decade would be unaffordable, and has instructed the workforce strategy to examine ways to keep the figure as low as possible. One particular aspect of NHS workforce which will come under great scrutiny, which Mr Cumming said was facing a “demographic timebomb” as the number of people retiring increases and the average age of those leaving the profession continued to creep down.  

 

The announcement by HEE comes in the same week that it was revealed the organisation will be made more accountable to NHS Improvement, in an effort to create “a ore coherent approach to workforce development”. In a statement, HEE and NHS Improvement said they would “work more closely together to ensure the national workforce system is well aligned”.  

 

The PCF welcomes any attempt to increase the number of staff working in the NHS, including this strategy. One priority must be ensuring that all aspects of the health service get the resources they need to respond to rising demand. This includes making sure there are enough school, community and paediatric nurses to support young people and their families.  

 

 

Tax on Toilets are abolished 

 

The Chancellor announced additional, much-needed, investment in local authorities in his budget this week.  An extra £650 million will be made available for social care funding, as well as a £45 million grant for disabled facilities and the abolition of business rate tax on toilets made available for public use. This news will be welcomed by many in the wider continence care sector who have been campaigning for better investment in public facilities. Whitehouse has reported on the efforts of Paula Sherriff MP, who has campaigned for more Changing Places facilities in the UK’s towns and cities. 

 

The All-Party Parliamentary Group on Continence Care, which The Whitehouse Consultancy attends, has made improving toilet facilities and Changing Places provision a priority, and the announcements made by the Chancellor today indicates a recognition of the importance of urology care. As such, this announcement will be considered a major victory for those who have campaigned for a more accessible net work of public toilets, including the Paediatric Continence Forum. The Whitehouse reached out in support of Paula Sherriff MP in the summer, and the Forum will welcome today’s announcement. 

 

The PCF will welcome the news, after supporting the APPG’s concerns that the lack of resources was a breach of the human rights of disabled people and those with bladder and bowel issues. Whitehouse will continue to monitor the implementation of this policy.

Weekly political news round up – 22nd October

November 6, 2018 in Uncategorized by Whitehouse

Paediatric Continence Forum 

Political and Parliamentary Monitoring
Week Commencing 22nd October 2018 

 

The budget will take place next Tuesday, 29th October, and details are emerging of what key decisions Mr Hammond will have to face. With the final Brexit deal still unknown, it is unclear how much money will be put aside for contingency planning. At the same time, the Prime Minister has already announced an additional £20 billion of investment for the NHS by 2023/24, applying extra pressure on The Treasury, especially given that a new report today by experts at the Institute for Fiscal Studies calculates that most of this will be spent on keeping spending on health services in line with inflation.  

 

On the opposition side, Labour has been preparing its ‘alternative budget’, highlighting its own priorities and calling for the Prime Minister to “end austerity”. In an event in London, the Shadow Chancellor, John McDonnell MP, said an additional £108 billion would be required to end austerity and reverse cuts to social security and social care funding. Speaking to business and trade union representatives, McDonnell said that Labour would prioritise the NHS, adult social care, and schools as the three areas in need of urgent investment. 

 

The annual budget speculation comes as Audit Scotland, the public spending watchdog for the country, announced this week that Scotland’s  NHS faces a huge funding crisis. The organisation said, “the scale of the challenges means decisive action is required”, after finding real-terms funding of health services fell 0.2 per cent last year. Whilst the Scottish Parliament has oversight of health matters, given the UK Government at Westminster provides Scotland with a bloc grant of financial support each year, it is likely that Chancellor will be pressured to provide more funds to the devolved authorities. 

 

Speculation before the annual budget is nothing new, however pressures seems to be mounting on all sides of Mr Hammond, and especially so in the health sector. The devolved nature of health services; across the NHS, local authorities, and the devolved Parliaments, mean that the Chancellor will be pushed to provide additional funding for councils and the nations and regions, as well as central government health projects. Whitehouse will provide budgetary insight and analysis on the day. 

 

Overview  

  • Territorial injustice likely to increase 
  • School toilet policies breach child rights 
  • Charities fear over children’s centres cuts 

 

Leaders express fears over Brexit impact on care 

The National Care Forum (NCF), which represented care providers associations from across the UK, have expressed serious concerns about the impact of Brexit on the sector. In a statement, the NCF highlighted concerns over post-Brexit availability of staff and equipment, stressing that “the social care sector is heavily reliant on a workforce from across the EU”. The categorisation of social care staff as ‘low skilled workers’ by the Migration Advisory Committee risks preventing workers essential to the operation of the health service from entering the country. 

 

The NCF also stressed their concern over the supply of continence devices and drugs, saying that “the Government must recognise the interdependencies between the UK social care sector in ensuring continued access to the skilled workforce and the resources required to deliver quality care.” The NCF added that they were calling for a Brexit which ensured continuity of care across the UK. The news comes as a vacancy crisis emerged in the Health Service, with the number of EU students coming to Britain falling, and the number of domestic students applying to study nursing also falling. 

 

Last week, the Secretary of State of Health issued another letter to medicine and device manufacturers describing what measures they should put in place to protect supply chains and ensure patients still received the prescriptions and supplies they required. Officially, the Government is still confident of a deal being forged, and is recommending that all patients, including paediatric continence, do not begin to personally stockpile, in the confidence that there will be enough supplies. 

 

Recent research report by the BMJ and the House of Commons Library has shown that hospitals in London and South East are especially reliant on EU staff, who represent 11 per cent of the whole workforce. In comparison, just two per cent of the whole NHS workforce in North East England comes from the EU. 

 

Whilst the PCF will welcome reassurances from the Secretary of State regarding Brexit preparations, it will share many of the concerns raised by the NCF. Ensuring minimal disruption to continence devices must be a priority for the health service, as the provide continence support can lead to those with bladder and bowel issues presenting at their local GP or hospital. 

 

 

Student nurses should be warned about nursing job challenges 

Prospective student nurses should be warned about the challenges and demands of the job before choosing to pursue the career, according to a new report by Health Education England, which is attempting to gain a greater understanding of the reasons why healthcare students fail to complete their course or quit the profession within two years of registration. In the academic yeas 2013-14 and 2014-15, the overall attrition rate, referring to the percentage of nurses who did not complete their course on time, continued to rise, the top reasons being finances and academic concerns. 

 

Now, Health Education England has released a series of recommendations to lower the attrition rate, including making clinical staff more involved in the recruitment of student so they can convey the true demands of the course and subsequent career. The report also recommended that hardship funds be made available to encourage more people, particularly those who are older, to embark on a career in nursing, midwifery or therapeutic radiography. More work should be done between universities and healthcare providers to map out detailed clinic placement plans for students, so those studying understand in greater detail what they will be doing, and the costs involved. 

 

Last week, Whitehouse reported that a study by BPP University had found that healthcare assistants were now taking over many of the jobs previously undertaken by nurses. Whilst providing better financial support to trainee and student nurses could increase the take-up, explaining in greater clarity the challenges of the job may risk turning some prospective nurses away from choosing the profession. Nonetheless, Professor John Clark, Regional Chief Nurse who led on the Health Education England report, and the project associated with it, said that “attrition is everyone’s business”. By providing a toolkit for universities and healthcare providers aimed at better supporting students, it is hoped that many students currently struggling from financial worries and stress will have the resources available to alleviate hardship. 

 

The PCF welcomes any attempt to increase the number of nurses working in the NHS. One priority must be ensuring that all aspects of nursing receive the spotlight, investment and focus they deserve. With reductions in council funding threatening school and public health nursing positions, it is prudent for the health service to highlight the rewards associated with the school nursing sectorin order to retain current levels of provision. 

 

Bury continence service award 

Bury’s Young People’s Continence services have won a CARES Award for supporting children with bladder and bowel complaints and who experience daytime and night-time wetting, constipation and soiling – issues which affect more than 900,000 children in the UK each year. Selected ahead of 65 other nominees, Bury was successful due to the high standards and levels of provision, and the trans-anal irrigation training provided to children and their families at home.  

 

The training, previously carried out in hospital, involves emptying the bowels using water, thus preventing constipation and providing young people with more regular bowel movements. By training children and adults to do the procedure at home, the nurses are both decreasing the pressure on hospital services, and giving young people greater dignity and freedom. Claire Bilsborrow, Continence Care Advisor, said that “through support, we can give children more control, improving their social experience, self-esteem and giving them a happier life overall.” 

 

Dignity was central to the ‘Getting It Right For Every Child’ (GIRFEC) approach developed in Scotland, and reported by the PCF last month. The approach, which aims to empower and inform young people and their families, aims to provide care in a familiar and comfortable environment, in the knowledge that this provides better emotional support for the child, and saves the NHS money in the long term. NICE approved the use of an irrigation device for treating constipation earlier this year. When NICE came to that decision, Brenda Cheer, Paediatric Specialist Continence Nurse said “no child should have to suffer from ongoing faecal soiling; if laxatives and regular, effective toileting do not prevent it then thy should be offered a rectal intervention.” 

 

The PCF congratulates the Bury paediatric service for their outstanding achievements. In the longer term, the GIRFEC approach to treating children may be suitable for wider rollout across the UK. Once the GIRFEC approach has been more firmly established, the PCF will contact NHS England outlining its value. 

Weekly political news round up – 15th October

November 6, 2018 in Uncategorized by Whitehouse

Paediatric Continence Forum 

Political and Parliamentary Monitoring
Week Commencing 15th October 2018 

 

The Chancellor, Philip Hammond, has announced that this year’s Budget will be held on October 29th, as speculation rises that tax increases are in the pipeline   to provide extra funding for the increase in NHS spending. Theresa May announced at the Conservative Party Conference that, by in large, austerity was over, and that Government spending would now begin to increase at a faster rate than the public had experienced over the last eight years.  

 

Theresa May’s announcement, coupled with the Government’s plans for an additional £20 billion in funding for the NHS by 2021/22, will put additional strain on The Treasury, which has also committed itself to ‘fiscal restraint’. Now, Mr Hammond has said that “people will have to contribute a little extra in the future to pay for our ageing population”, adding “that will mean a little more tax to pay for the service”.  

 

These comments have caused division in the Conservative Party, with Brexit Secretary, Dominic Raab, saying that he would much rather focus on cutting waste than increasing taxes. Pro-remain MPs, such as Anna Soubry, have also pounced on comments, questioning why the additional funding for the NHS is coming from taxation rather than dividend that the Leave campaign claimed could be injected in to the National Health Service. 

 

At the same time, a group of health faculties and royal colleges have urged the Chancellor to use the Budget to invest long-term in adult social care and health services, or “risk the NHS failing to meet demands”. The letter, jointly signed by 11 institutions, including the Royal College of Physicians and the Royal College of Surgeons, reminds Mr Hammond that a healthier population is key to the long-term sustainability of public services. 

 

The PCF will welcome any additional funding for the NHS, with the understanding the early diagnosis and treatment has the potential to save money in the longer term.  

 

 

 

Overview  

  • Territorial injustice likely to increase 
  • School toilet policies breach child rights 
  • Charities fear over children’s centres cuts 

 

GP trainee recruitment target surpassed for the first time 

Secretary of State for Health & Social Care, Matt Hancock MP, has announced that nearly 3,500 GP trainees were recruited this year, above the 3,250 target set for 2017/18 and a rise of ten per cent on last year. Speaking to the Best Practice conference, Mr Hancock announced that “we have a record number of GPs in training”, adding that NHS England is on track to see an increase in the number of other staff working in general practice rising by 5,000 by 2020. 

 

Celebrating the news, Mr Hancock said that working in General Practice should have the same prestige as being a consultant or a surgeon, because of their role as “the bedrock of the NHS”. Mr Hancock also announced that the NHS needed to explore new business modes, including mutuals, whereby clients own part of the business. Reacting to the news about GP numbers, Dr Krishna Kasaraneni, a British Medical Association GP Committee Executive Workforce Lead, said that, whilst he welcomed the news, we must not forget that new GPs take ten years to train and that, without urgent action and investment, more doctors will leave the profession. 

 

Mr Kasaraneni added that “whilst the Health Secretary again promises an extra 5,000 GPs in the workforce, the Government continues to push the deadline for achieving this back as overall numbers dwindle”, adding that “while the news on recruitment is very welcome, there is still more work to be done on retention.” Additional GPs are required in the Health Service if it is to meet the rising demand. At the same time, this winter is set be the busiest on record, with multiple hospitals warning of staff and funding shortages.  

 

The PCF  will welcome the news that additional GPs are now undergoing training compared with a year ago, especially given the long delays in diagnosis, referral and treatment which many young people experience in the Health Service.  

 

 

NHS Trusts turning to healthcare assistants to ‘plug nursing shortfall’ 

Healthcare assistant now account for almost three in 10 of all nursing team roles in NHS Trusts in England, a new study has shown, and their numbers are increasing at nearly four times the rate of registered nurses. Analysis by BPP University’s School of Nursing used data obtained through Freedom of Information requests to show that 29 per cent of nursing and support roles are now filled by healthcare assistants. Healthcare assistants are meant to help trained nurses, carrying out basic tasks such as feeding patients, answering call bells and helping them to the toilets. However, there is an increasing concern that they are now being used to perform tasks for which they are not trained, such as administration of medicines, or being left in charge of multiple patients. 

 

The study by BPP says that the increase in the number of nursing vacancies over period has creating an “alarming picture”, with hospitals now reliant on healthcare assistants and agency staff. In the north west of England, nursing vacancies rose by 48 per cent between December 2015 and December 2017. Across all England NHS Health Trusts, the nursing and midwifery vacancy rate rose from 28,713 in December 2015 to 34,62 in December 2017 – a rise of 21 per cent. Overall, while the number of nurses rose by 0.5 per cent between December 2015 and December 2017, the number of healthcare assistants rose by 6.5 per cent, the analysis shows. 

 

Joyce Robins, of the patient representation group, Patient Concern, said the trends were “frightening”, adding that “we are seeing far too much reliance on staff who just aren’t trained for the tasks they are doing.” Dr Anne Corrin, Head of Professional Learning Development at the Royal College of Nursing said that while healthcare assistants provided “vital support to registered nurses and other clinical staff”, it was a “very different role” to nursing and could not be considered a substitute. 

 

This news will cause concern for the PCF. Trained nurses are essential for good continence care, and should not be replaced, or see their duties transferred, to the Healthcare Assistants. The PCF will contact the Department of Health to raise our concerns over this issue. 

 

English councils brace for the biggest cuts since 2010 

Councils in England are facing the biggest cuts to their budgets since 2010, despite unprecedented pressures on demand. The Revenue Support Grant, the main source of local government funding and which is transferred from central to local government authorities, will be cut by 36 per cent next year, the largest annual deduction in almost a decade and at a time when demand for health and social care services continues to rise. 

An analysis by the Local Government Association reveals that, overall, councils will have suffered a 77 per cent decrease in the government funding for local councils between 2015/16 and 2018/19, dropping from £9 billion to £2 billion. Councils will instead receive grater control over business rates and local taxes, which they will now receive directly, and which will no longer be redistributed by the Ministry of Housing, Communities and Local Government. Once concern over the change is that those areas with a low proportion of businesses, or where business rates and land value is low, could be disproportionately hit by the new system, thus threatening local services. 

There is continued speculation that public health spending could be squeezed further, as council prioritise social care and education. Andrew Gwynne MP, Shadow Minister for Communities and Local Government, said “The Government can no longer ignore this crisis”, adding that without additional investment into local services “councils will be in an impossible position” and many will face bankruptcy. In a statement, a Government spokesperson said that Council “are responsible for their own funding decisions”, adding that “ We are giving them the power to retain the growth in business rates income”. 

This news will interest the PCF. Since the transfer of school nurses to local authority oversight, there has been growing concern about the future of local authority funding. The PCF reiterates in all meetings and events the need to ensure universal provision and protect funding.

Weekly political news round up – 8th October

November 6, 2018 in Uncategorized by Whitehouse

 

Political and Parliamentary Monitoring
Week Commencing 8th October 2018

 

Healthcare leaders in the UK must have a voice in the Brexit negotiations due to the expected impact on workforce, an expert on global nursing policy has warned. Howard Catton, Director of Nursing, Policy and Programmes at the International Council of Nurses, intervened in the Brexit debate due to the tremendous impact the negotiations were having on nurse recruitment. Speaking to the Nursing Times, Mr Catton said “the impact of Brexit on the health workforce could be really significant and I don’t know how close health is to these Brexit negotiations.”

 

Mr Catton’s call comes just a day after the Care Quality Commission published its ‘State of Care’ document, which outlined that the EU referendum outcomes had added “to the uncertainty in health and care in the challenge to recruit and retain staff.” The report shows the number of EU nurses and midwives registering to work in the UK fell from 9,389 in the year to March 2016 to just 805. The decline was only “slightly offset” by a rise in the new nurse and midwives from countries outside the EU, the report added.

 

Speaking to the Nursing Times, Mr Catton said employers must be mindful of the state of health services and workforce in a country when deciding where to recruit nurses from, adding that “If you are recruiting in a country the impact on a country already short on nurses could mean services close or waiting times increase”. He urged for those negotiating a Brexit deal to listen to the concerns of nursing leads about a broad range of issues, including language testing and identifying qualifications.

 

The PCF will welcome the calls by Mr Catton and agree that, in order to ensure that there are enough nurses in the UK (including the paediatric continence sector), the Government needs to have a clear policy in place on skilled migration in to the UK.

 

 

Overview

  • Territorial injustice likely to increase
  • School toilet policies breach child rights
  • Charities fear over children’s centres cuts

 

Territorial injustice may rise in England

Disproportionately harsh spending cuts to local public services in England’s poorest areas are likely to intensify perceived “territorial injustice” between deprived and wealthy parts of the country,  study has shown. Research from the University of Cambridge has shown that Post-industrial cities in the north of England, together with some inner-city London Boroughs, have been hit by the deepest cuts to local government spending. Mia Gray, an economic and social geographer at Cambridge who co-authored the study, said that “the idea that austerity has hit all areas equally is nonsense”.

 

More than 30 council areas in England have experienced cuts in spending of over 30 per cent between 2010 and 2017, with seven councils, Westminster, Salford, South Tyneside, Slough, Wigan, Oldham and Gateshead having budgets cuts of more than 40 per cent. The smallest reductions in budget have been in East Riding of Yorkshire, Hampshire, Surrey and Somerset. The cuts in England, on average, have been twice as deep as in Scotland and Wales. Ms Gray waned that the government needed to decide whether it was prepared to see more local authorities go bust in the manner of Northamptonshire County Council, which took the unusual step of declaring insolvency this year after being unable to balance its budget.

 

A spokesperson for the Ministry of Housing, Communities and Local Government said the funding its gave councils was based on the relative needs of different areas, adding that “the average spending power per dwelling for the 10 per cent most deprived authorities is around 23 per cent more than for the least deprived 10 per cent in 2018-19”. Soon, local authorities will also have full-control over business rates tax receipts, thus increasing inequality between areas with high-value business outlets, and low-value areas.

 

The PCF will be concerned that any future decrease in local government spending could negatively affect school nurses, who now fall under the oversight of local councils, and thus efforts to treat bladder and bowel issues in young people.

 

 

School toilet policies breach child rights

School pupils’ rights to leave a classroom to use the toilet has hit the headlines recently. In one case, reported in The Independent this week, a girl was left to bleed through her clothes after being refused permission to go to the toilet while she was menstruating, whilst parents have reported that children who need to use the toilet are having their requests refused because it could lead to disruption in the classroom.

 

The National Education Union’s own guidance raises the concerns of reducing bladder capacity, saying that the practice of only letting pupils go to the toilet at a certain time can cause ‘I’ll just go in case practices’ whereby the bladder does get used o holding on until it’s full. Over time the bladder capacity can reduce, increasing the need to visit the toilet more frequently. Another impact of this practice is that a child may consciously or unconsciously ration their fluid intake, or avoid drinking altogether, or they fear not being able to go to the toilet when they need to.

 

A recent American study concluded that young people with continence problems often require unrestricted access to private and adequate toilet facilities during the school day. It added that there is a need for inclusive toilet access policies and improved toilet standards in schools, and notes that children with continence issues are at greater risk of not achieving their full academic potential. The Department for Education has said that, in order to reduce disruption, and to prevent poor behaviour, teachers are able to limit toilet breaks where they deem necessary.

 

This news will cause concern for the PCF. Without the freedom to use toilets when necessary, young people risk exacerbating bladder and bowel issues. As in the case of the young girl mentioned above, it can cause embarrassment for pupils, and can indicate a deep lack of understanding on the part of teachers to the needs of those with continence issues.

 

Charities fear over children’s centres cuts

Planned spending on children’s Sure Start centres has fallen by more than a third since 2014, Government figures reveal, from nearly £1 billion four years ago to less than £650 million today. Imran Hussain, Director of Policy and Campaigns at the charity Action for Children, said “we known from our own work that without the safety net of well-funded early help services like children’s centres, thousands of children at risk of abuse, neglect or domestic violence are being left to fend for themselves until problems spiral out of control.” Sure Start and children’s centres act as a main gateway for advice for new parents, or those parents and carers who do not have traditional sources of support in order to seek advice. This incudes paediatric and continence care advice.

 

Peter Lampl, founder of the Sutton Trust, echoed Mr Hussain’s calls, adding that “high quality early years provision is crucial to the development of children from the poorest homes”, whilst the Government indicated that spending by both the Department for Education and Department of Health and Social Care continues to rise. This news comes just a month after the Local Government Association warned of a real-terms cut to school spending and the need for the Government to introduce “greater certainty over future funding by introducing three-year budgets, and ensure that the overall level [of spending] is sufficient”.

 

This news will interest the PCF, given its campaign for increased paediatric continence provision. Reduction in school nursing positions by local authorities, coupled with a lack of investment in Sure Start and children’s centres, risks resulting in a situation whereby parents and carers are forced to turn to their GP for advice, which is often a long process. Alternatively, continence issues are left untreated.

 

 

Weekly political news round up – 1st October

November 6, 2018 in Uncategorized by Whitehouse

Paediatric Continence Forum 

Political and Parliamentary Monitoring
Week Commencing 1st October 2018 

Major health announcements were made at the Conservative Party conference this week, including an increase in emergency funds for social care and extra resources for hospitals this winter. Recently, we have reported on the concern many trusts have over rising patient demand and increase in the number of patients presenting themselves at A&E. This summer has been likened to a ‘summer crisis’, with the hot weather causing a spike in admissions. 

Now, the Health Secretary, Matt Hancock, has announced an emergency injection of £240 million in to the care system in an attempt to ease pressure on the NHS this winter. In a speech on Tuesday, Mr. Hancock told the Conservative conference that the extra funding will prevent unnecessary admissions and mean that delays to routine operations experienced when staff are diverted to the frontline would now be avoided. “I want to help the NHS through this winter, too”, Mr. Hancock added. 

The move comes after managers in the social care sector declared hat it needed at least £1 billion to adequately relieve the intensifying pressure faced in the care system. The Shadow Social Care Minister, Barbara Keeley, said the amount earmarked by Hancock was a “drop in the ocean” and called urgently called for further investment. 

The PCF will welcome the news that the Secretary of State is investing more money in social care in order to alleviate demand in A&E and routine surgery. In the last year, continence care specialists either providing treatment or diagnosis have been diverted to emergency care, thus delaying the care that many young people with bladder and bowel issues urgently need. An extra investment is therefore useful in avoiding another ‘winter crisis’. 

 

 

Overview  

  • Essity report update 
  • Minister highlights needs to promote community nursing  
  • SEND cuts ‘breaking’ nurseries  

 

Essity report  

Essity have reached out to Whitehouse to inform the PCF about the progress which has been made on their School Hygiene Essentials initiative. The PCF provided a quote for the Initiative in May this year, and the organisation has now provided details of the next phase of development.  

The next phase will include a survey that has been set up in partnership with the National Association of Primary Education to survey teachers from across the UK about what resources would be most helpful for Essity to create. The survey has now gone live and the results will soon be analysed and shared with the PCF via Whitehouse.  

Whitehouse will distribute the results of the Essity Report, as well as the resources it plans to develop, when the report is finalised and distributed 

 

Minister highlights need to promote work of community nurses 

The Care Minister, Carol Dinenage, has promised to fight to get the voice of community nurses heard in Government. In a speech to the Queen’s Nursing Institute Conference, Ms. Dinenage told the audience that “much of what you do goes unnoticed and that simply must change”. Ms. Dinenage’s brief includes community services, for which she said she was “passionate” about improving. The theme of the event was Healthcare in the Community: From Silence to Voice, and looked at the challenges facing community health. 

Ms. Dinenage set out three particular areas of focus for the Government, including: the workforce, improving data collection and analysis and joining up structures. The Minister announced the introduction of a ‘Golden Hello’ of up to £10,000 for new graduates entering district nursing roles, and confirmed that “big progress” was being made on the community services dataset, which would improve data collection on staff and patients and in turn create a more efficient health service. The dataset will also allow Commissioners to compare data from different areas, and, therefore, better understand where to focus resources. 

In a post-speech question and answer session, one delegate was applauded for challenging Ms. Dinenage, saying that “ you can’t develop an already diminished and stretched workforce”, and asked her to bring back the student nurse bursary. The Minister insisted that “she heard” and understood the concerns of the sector, but added that such matters were “beyond my paygrade”. In all, she emphasised the Department of Health & Social Care wanted to learn about what nurses were doing, and encouraged delegates to use the TalkHealthandCare digital platform to record best practice and highlight concerns. 

This PCF will  welcome the news that the Government wants to prioritise community healthcareWhilst Ms. Dinenage does not have oversight of all public health nurses, as these are now funded and administered via local authorities, the emphasis on good community care suggests a subtle change in Government policy which has, thus far, involved slashing funding streams for district nurses. Whitehouse will engage with Ms. Dinenage, and invite her to meet with us to discuss concerns over staffing levels, the importance of early intervention, and paediatric issues more broadly. 

 

SEND cuts ‘breaking’ nursery schools 

Funding to support some of the most vulnerable children in the education system is being cut, according to research released by Early Education, a profession association for early years nursery schools, has shown. Figures indicate that one in six maintained nursery schools got no extra funding for children with special education needs or disabilities despite having children eligible for SEND support and additional funding via education, health and care plans. 

More than a third of the 128 schools surveyed reported that less funding had been available since April 2017 or that they had pupils whose increased funding did not match their increased hours. One nursery reported that they were at “breaking point”. Beatrice Merrick, Chief Executive Early Education, said that “schools are having to meet the needs of children with SEND with less funding than they used to be able to access”. Maintained nursey schools are widely seen as a canary in the coal mine for the education service, because of the high concentration of children with SEND. Whereas schools for older pupils have a notion SEND budget, which is used to pay for up to £6,000 of support per child, but early years providers do not – meaning that they must use their core budget and request a top-op from their authority. 

The figures come just weeks after the National Association of Head Teachers warned that 94 per cent of headteachers were funding it more difficult to resource SEND provision than they had done two years ago. Anntoinette Bramble, Chair of the Local Government Association’s Children and Young People Board, said: “We have been clear all along that the Government needs to provide significant, ongoing and sustainable funding to help council manage their rising demand in support from pupils”. In response, the Department for Education highlighted that a record high of £6 billion was being spend on high-needs funding for children with SEND. 

This news will interest the PCF. Identifying bladder and bowel issues at an early age  is crucial to early intervention. Mapping childhood development and identifying areas of concern help address continence issues in young people. By reducing the funding and resources for nurseries, there is the risk young people may ‘slip through the net’ in terms of support and care.