Clause 27 - Review of care and support plan or of support plan

Part of Care Bill [Lords] – in a Public Bill Committee am 4:00 pm ar 16 Ionawr 2014.

Danfonwch hysbysiad imi am ddadleuon fel hyn

Photo of Meg Munn Meg Munn Llafur, Sheffield, Heeley 4:00, 16 Ionawr 2014

I want to make a brief point in addition to those made by my hon. Friend. It is important to review the care that service users receive, not just because their needs change in a negative way, but because they could improve. Some of the most successful cases that I dealt with in practice were where, by providing a significant amount of care at the point when a person was discharged from hospital—thus enabling them to be discharged—a review quickly after that enabled care to be reduced, often much more quickly than either the service user or the social worker expected, thus releasing the budget to be used for other people.

Often, particularly with elderly people, the issue is a lack of confidence after a period in hospital. Returning home is a bit of a lottery; no one knows or can judge properly how that person is going to cope. My experience was that, by putting someone in who slept there, perhaps for a week or two, that elderly person could be enabled to return home to regain their confidence. There could be a proper assessment of just how able they were to cope at home. Subsequently, their care needs were often reduced to the level of home care that they had before their admission to hospital.

Not to proceed in that way could lead to a person entering residential care, with their lack of confidence compounded, the costs escalating, and the person never going home. Looking at early reviews and ensuring that the needs of people, both when they deteriorate and when they improve, are properly addressed and supported by changing services are fundamental to a much more efficient service.