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 Over time, many more pieces of legislation pertaining to both Health and Social Care were passed and implemented, however there are too many to mention here. https://www.kingsfund.org.uk/publications/com munity­services­assets/timeline
What is Social Care?
To provide an insight into what Social Care is, we can look to the Dilnot Commission (2011) ‘an independent body tasked by Government to review the funding system for care and support in England’. Dilnot (2011) describes the attributes and activities covered by Social Care as follows: ­
“Social Care supports people of all ages with certain physical, cognitive or age­related conditions in carrying out personal care or domestic routines. It helps people to sustain employment in paid or unpaid work, education, learning, leisure, and other social support systems. It supports people in building social relationships and taking part fully in society. Social Care is part of a wider care and support system, which includes social care, the NHS, the social security system, housing support and public health services. It also includes the services provided by charitable organisations and the invaluable contribution made by carers and volunteers. The state pension and private financial products also provide income that is used for care and support needs”.
Following Dilnot’s Report in 2011, the Care Act was introduced in 2014. The Care Act represented the most significant reform of Social Care and support for more than 60 years. Central to this Act was the concept of well­being. First and foremost, councils now have a duty to consider the physical, mental, and emotional well­being of the individual needing care. They also have a new duty to provide preventative services. The Care Act has put people and their carers in control of their care and support and put a limit on the amount anyone has to pay towards the costs of their care. https://www.gov.uk/government/publications/ care­act­statutory­guidance/care­and­support­ statutory­guidance#using­the­care­act­guidance
Perhaps, we can only really understand what social care is, when we experience it first­hand, for instance, when a loved one or close friend needs ‘care provision. Whether this is at home (domiciliary care) or in a residential/nursing care home or, ‘one to one’ specialist care, or in a supported living environment. From my experience of being my Mum’s full time carer, finding the route to Social Care support services wasn’t easy or clear at first. Signposting for the ‘person needing care’ and their family or supporter is crucial, especially after a stay in hospital. Both parties can find it difficult to know the next steps, where to go for help and advice, especially when emotions are high. A discharge from hospital assessment should determine whether more care is required after being in hospital. This is a vital time and often needs the supporter or family to take control and manage the process, otherwise it can hold up forward going care provision, if required.
The type of care and support provision provided can depend on factors associated with the ‘person in need of care’, their health care needs, their support needs, their well­being, and their personal circumstances. All of these different factors surrounding the person need to be considered in their package of care. https://www.nice.org.uk/guidance/ng86/chapter /Recommendations
Accessing Social Care Provision
Adult Social Care supports people from 18 to 70 and over, with some people aged over 100 years. The assumption is often made that social care only supports older people, when in fact its activities enable people of all ages with diverse needs, to live their lives to the fullest.
The pathway to finding Social Care provision is via the gate keeper ­ your GP. Talk to them first about your situation. They will refer you to specific social care services that can assist you. You can also talk to Adult Social Services, provided by your Local Authority, about a package of care. In Oxfordshire, Adult Social Care services are providedbyOxfordshireCountyCouncil. https://www.oxfordshire.gov.uk/residents/ social­and­health­care/adult­social­care
If you are a carer, you can register with your GP; they will put you in touch with organisations that can support and advocate for you, such as Age UK Oxfordshire and Action for Carers, or Carers Oxfordshire. As well as other more specific organisations, depending on the situational need. For more information about finding Care Providers in Oxfordshire see our Care Finder Directory on page 37) and/or visit the approved Personal Assistant online directory at https://oacp.org.uk/support­with­confidence­ directory/
To effectively deliver the mantra ‘high quality care for all’ Health Care and Social Care will need to work ever more closely together. The move to person centred care is driving change via co­production, shaping the future of health and social care provision. Personal Assistants under a system know as Self­Directed Support is giving people the choice to choose the kind of help
they receive and where they get it from.
Assistive technology is also being looked at as method of monitoring a person’s care from a distance.
However, what is needed in England and in Oxfordshire, right now, is key to the continuity and provision of all care services. Care workers to work in Adult Social Care are required across all job roles and at all levels, to fill the numerous jobs availableacrosstheCounty! Theneedtofind dedicated, friendly and caring people who are willing to step forward, has never been greater! Could you be the next social care professional today or in the future! Visit our jobs portal go to: https://oacp.org.uk/jobs
The Here and Now
Last year the Health/NHS celebrated its birthday, 70 years since its inception and with a quiet diginity and understanding of its own successes so did Social Care!
'Social care may not be the most visible public service but that doesn’t make it any less vital’. AnitaCharlesworth Directorofresearchand economics at the Health Foundation.
In January 2018, the Department of Health rebranded to recognise ‘Social Care’. It is now entitled the Department of Health and Social Care. Finally, Social Care has its place, shoulder to shoulder with Health (NHS), where it can be rightfully, yet clearly acknowledged, in the hearts and minds of the people it serves.
Article by
Jane Wood OACP
 2019|ISSUE 6|TALKING CARE|OACP|9













































































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