National Care Service consultation: discussion events summaries

25 October 2021

• Theme of discussion: role and remit of the NCS
• Time: 16:00-17:00
• Discussions leader(s): Anna Kynaston

Introduction

This is a summary of the key points raised by attendees at this session.  None of the points have been attributed to individuals as the purpose was to encourage broad and open discussion.  The summaries for all the national events will be provided to the independent contractor undertaking the consultation analysis.

Points raised at event

• Where does Self Directed Support (SDS) fit into this.  Would see SDS framework of standards as a framework of additional standards that run through everything – is that right?  How to address consistency and service is something to look at through consultation for a clear understanding of views but agreed that SDS is at the heart of social care and should continue to be going forward.
• People’s different networks and support systems (assets) can also influence the care need.  Doesn’t necessarily follow two people with similar care requirements need the same from a NCS.
• Consensus is difficult to find, seems to be accepted and positive that a national care service is coming - there is an appetite for change and potential.  Key lines sound good but there seems to be a lack of clarity for people trying to get a real sense of what this means.  Will there be further consultations and opportunities to shape things going forward?  Next stage will be clear about what falls into statutory decisions vs co-design to help distinguish and provide clarity.  Where things touch people these need to be co-designed with people.
• Key initial thoughts of aspects to consider include: Disjointed services, communication, economic social and cultural rights, governance and accountability,  multiple disciplines and how they will work with NHS Service. 
• Data and systems need to work together to save people re-telling their needs to different services.
• It’d be helpful to understand how / where does the Chief Social Work Officer fits – no mention in the consultation?
• Also what’s meant by crisis service – how will this be defined?
• A SWS project to implement and test a framework of standards was highlighted.  One aspect that would be particularly helpful to learn from and incorporate into the NCS is worker autonomy.  It would be helpful in new Service to have a space where workers can agree and put services in place without the need for bureaucracy.  Workers includes finance officers etc as well as front line workers.
• Need a balance between meeting budgets and meeting personal outcomes and needs.
• NCS will need flexibility to ensure it can change and adapt so it can keep improving for the future.