Our next steps: Coproduce Care CIC @coprocare www.coproducecare.com hi@coproducecare.com
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Agenda • What is #Actfo tforCa Care ? Petition; Select Committee evidence; research • Our submission, your recommendations 7 recommendations across key themes • Our next steps: Call for action on each recommendation; who? how? T o note: Recording; Co-Production Week 3
Thoughts Submissi ssion on Call for Action? n? Act for Care Anything else…… hi@coproducecare.com 4
The Petition Calling ng for Parity y of Estee eem with the NHS Named ed in parliam ament entar ary y debat ate hi@coproducecare.com 5
The Inquiry What is this Selec ect Commit ittee? ee? This is a group of senior politicians from across all parties tasked to look into one specific area in society. They will look at research, written evidence and speak to people affected by this area. *Still l time e to submit mit* What is the Health and Social al Care Commit mittee ee lookin ing at? “ Social care: funding and workforce inquiry” They are looking at how to support the social care workforce in the future, including funding and links to NHS. What did Coproduce ce Care do? We collecting the opinions of 400 care worker ers for our joint written response. Making sure our recommendations represented you properly and asking the select committee to make suggestions to government about pay and employee support. 6 hi@coproducecare.com
Breakdown of our consultation groups: Just over half of our 381 respondents are in management of a provider or service. • One third are in support or senior support work levels, and the remainder are in administration or policy roles. • More than 80% of the worker group have been working in care for more than 5 years, • another 10% have been in the sector for 2 – 5 years. 2. Our online and remote focus group included 16 workers across independent, community and NHS services. We followed up with mangers and senior support workers to create qualitative insights into good and bad practice. hi@coproducecare.com 7
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Would you like more of a say in how decisions are made in the organisation you work for? (All respondents) hi@coproducecare.com 9
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Working conditions; explanation word cloud 14 hi@coproducecare.com
Recommendations By Theme Pay: y: Fund and enforce a national living wage across social care. Robust pay scales. Commissioning that rewards the values of care. Recrui ruitment ent and Retent ention on: National bodies and commissioners to support and reward recruitment. Personal development being measured by person-centred values. Traini ning: ng: New staff-directed training pathways that reflect specialisms particular to care. National bodies to make more workshopping and collaborative training programmes. Diver ersi sity y in Care: e: More support worker steering groups, dedicated mentoring and staff-led forums available remotely and nationally. Extras? as? Wellbeing service and rewards? hi@coproducecare.com 15
Pay Most people we spoke to agree strongly that higher “We appear as the forgotten sector, with very little recognition until pay and funding is crucial for the sustainability of care. the pandemic hit, and it will return to that once this is all over”. Care workers told us they do not feel the government (Manager) supports the workforce enough either directly or in any visible way. “The sector really feels like the forgotten cousin. Usually last to be The majority of workers feel they get at least ‘a fair thought of.” (Support Worker) amount’ of career help from their employer, but the majority feel they do not get enough from industry “For such a responsible role support work is poorly paid and the bodies such as Skills for Care or SCIE. good nature of staff is often taken advantage of.” (Support Worker) Pay needs to show that care work is seen as more than an unskilled, entry level job. Should d there e be more career er pathways hways in care? ← hi@coproducecare.com 16
Pay: Recommendations Recommendations: 1. The government should increase and structure funding for care so that basic workforce support can be offered in line with other sectors. This would be a living wage, a robust pay scale to reward tenure. 2. The key here is to improve funding and in turn how legitimate a career in care seems without over formalising positions and entry routes. The evidence here shows that social care wants to be valued in the same way as the NHS but for the community based, interpersonal values that are just as crucial to care as medication and clinical skills. 3. Bonuses in line with local commissioning priorities. hi@coproducecare.com 17
Recruitment Our research shows the Government must direct changes towards employment rules and supporting the values that are needed to do care work. This includes the distinct personal development goals of people who carry out effective care work. “I decided that I wanted to work within the care sector to try and make a difference; no matter how big or how small a difference” . (Care Coordinator) hi@coproducecare.com 18
The public image of care is also key in attracting new staff. “Health care in Britain has been underfunded, undervalued and undermined for at least the last 25 years. It gets worse as time goes on. We do the hardest of jobs. The most rewarding of jobs. We are both underpaid and considered by society as unskilled. It's an insult really. It really does take a great deal of skill to be a kind, caring & compassionate carer. We put our hearts and souls into our work. We do it because we love it” . (Support Work Team Leader) “The attitude of the Government is that because we are low paid then we are low skilled. Because of this care work is not seen as a profession by the general public but as a job to have until you get a job that that pays enough to live. This is why care work doesn't always attract high calibre people. ” (Care Manager) hi@coproducecare.com 19
Recruitment: Recommendations Recommendations: more resources to help providers carry out values-based assessments of job applicants. They should also 1. help with promotion and more positive ‘champions’ in care need to be actively promoted both in media and in the community. These bodies should centralise or connect providers to wellbeing services like cost effective therapies and products that help reward the emotional, physical and mental pressures of working in this sector. hi@coproducecare.com 20
Training and Career Paths The most popular training types our 400 care workers said they wanted was wellbeing skills (52%). As well as the development of more programmes so that people could specialise specifically in skills or circumstances that are common in care, such as the recent focus on Autism and Learning Disabilities (52%). hi@coproducecare.com 21
Digital skills (34%) and health and social care law (43%) were also popular subjects. Our focus group told us e-learning was not popular and the current confidence levels in tech and law are very low. hi@coproducecare.com 22
Retention: Recommendations Recommendation: Staff to be invited in to design new training pathways and specialisations that reflect circumstances specific to care. The development of a Care Education England that should offer workshops and networks for health and social care staff to learn collaboratively and develop new specialities that are specific to care and its distinct identity. 23 hi@coproducecare.com
Inclusive Workforce Support Case e Study: Anndeloris Chacon RN (Manager/Support Worker at Bristol Black Carers) gave some shocking examples of times that BAME staff had faced discrimination. She was also able to share from her wealth of experience ways to structure and support a workforce so that equality and diversity is properly promoted. Anndeloris echoed that person-centred principles are key, including how you carry out staff development. hi@coproducecare.com 24
Recommendations: 1. Use the national care bodies to build and properly promote support worker panels and targeted mentoring so that every worker in care can feel that their personal goals and values can be rewarded and developed to make them a leader in making communities accessible for better health and wellbeing. hi@coproducecare.com 25
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