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Department of Health

Care Act 2014: How should local authorities deliver the care and support reforms? Please give us your views

Question 83: Do you think that providers of NHS continuing healthcare and NHS-funded nursing care should continue to be exempt from the requirement to hold a licence from Monitor?

Read The National Health Service (Licence Exemptions, etc.) Amendment Regulations 2014

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  1. Anonymous says:

    Yes, they should remain exempt. It is sufficient that they are regulated by the Care Quality Commission.

  2. Anonymous says:

    We feel that providers of these services should either be regulated by Monitor or CQC.

  3. Anonymous says:

    Providers already regulated by one or more regime should be exempt from the requirement to hold a licence from Monitor. Currently some providers will be regulated under the new Care Quality Commission (CQC) market oversight scheme, as well as other regulators such as the Homes and Communities Agency (HCA).
    In particular, it is important not to place disincentives to integration within the health and social system. As set out in Section 3 of the Care Act 2014 local authorities have a duty to integrate services, which is mirrored in the Health and Social Care Act 2012. Register providers of social housing are specifically listed as body with whom local authorities should co-operate in Section 6 of the Care Act 2014.

    For the implementation of the integration duties to be successful in promoting service models that improve outcomes for health, care and wellbeing, the Care Act needs to drive integration of health and care services through the home. As more integrated services are jointly designed and delivered across health, social care and housing, there will be greater overlap with regulatory regimes. There is a danger that a barrier is placed in the way of integration by providers having to comply with by 3 regulatory regimes, each requiring similar information. Given that the CQC will be regulating providers for both quality of care and financial sustainability it would be unnecessary for another regulatory regime to be placed on top of this, especially if providers are regulated by the HCA as well.

  4. Anonymous says:

    The exemption from holding a Monitor licence for Social Care Providers of NHS Continuing Healthcare and NHS-funded nursing care needs to be extended for at least another 12 months until the impact of any change has been properly thought through. Social Care providers are already closely regulated by the CQC. Should there be no extension, there are considerable service risks arising from Social Care providers not being able to meet the Monitor requirements, being forced to withdraw services overnight and there being no back-up services available to deliver services. The risks associated with a continuation of the exemption are self-evidently low, given the absence of serious problems to date with social care providers delivering these services.

  5. Anonymous says:

    the more monitoring of the scandalous neglect that is commonplace in our care homes the better. If the public cannot have confidence in the regulators and monitors of care homes and cannot be reassured that they are accountable when abuse and neglect happen then there is no point to having acts which pay lip service to our elderly.