- Regulation: The VODG believes that CQC should seek to develop inspection processes that reduce regulatory burden and which ensure a fair, transparent and proportionate approach; critically underpinned by high quality consistent judgements.
We are concerned about increasing regulatory burden and particularly by what we see as a gradual move away from judging performance against the essential standards as a process that can helpfully drive quality improvements, to an approach based on assessing ‘non-compliance.’ We do not believe that a single regulator for health and social care serves social care well and are disappointed that CQC and the DH have not yet brought forward successor arrangements to the former star ratings system. This does not, in our view, serve the public or taxpayers well. We do not believe that the proposed ‘Trip Advisor’ type model will be as useful or as reliable as star ratings were.
The impact CQC has on our members’ activities means that regulation provides a significant focus for our work.
- Ordinary Residence: The VODG has long argued for revised guidance to Local Authorities on resolving Ordinary Residence disputes and an update to LAC(93)7. We believe there needs to be a clear (nationally applied) framework to ensure that funding follows the individual.
Download No Place Like Home (PDF 626Kb)
Download Not in my Backyard (PDF 2Mb)
- Cuts and 0% Uplift: The VODG recognises the tough economic realities faced by local government but is concerned about the increasing tendency of funders to attempt to unilaterally enforce fee reductions and 0% uplifts and the use of independent ‘cost cutting brokers’.
Separating costs from service quality and individual support plans is unacceptable and leads to poor quality services and poor outcomes for service users. The VODG believes collaboration between commissioners, providers, service users and carers – through co-production - is essential in order to ensure good outcomes and value for money. Unilateral action by funders seriously undermines contractual and strategic relationships.
Download VODG’s report, ‘Another Way’ (PDF 616Kb)
- LD National Costing Tool: The Care Funding Calculator (for calculating the cost of learning disability social care packages) despite some weaknesses in its underpinning cost assumptions nevertheless offers a useful ‘tool’ for calculating fees.
However we believe that fee levels can only be fairly calculated by commissioners working closely with providers with objectivity, accountability and openness and are opposed to fee levels being driven down at the cost of quality outcomes for service users.
The Care Funding Calculator offers a useful way of structuring fee negotiations and its use shouldn’t be an ‘end in itself.’ The VODG has developed a national protocol supported by ADASS and the LGA to inform the use of the costing tool by commissioners and providers.
Download Care Funding Calculator (PDF 106Kb)
- Market shaping and transformation: The VODG believes it is essential that providers and commissioners work together to bring about service transformation. Commissioners and providers share an important leadership role in developing responsive services that meet real need. This underpins our involvement in the ‘Think Local, Act Personal’ Partnership.
The VODG with the National Care Forum is a Department of Health joint strategic partner – working to ensure the voice of voluntary and not for profit providers are heard at all levels.
- The future reform and regulation of health and adult social care in England.
- Building constructive and progressive relationships with the Department of Health; Adass; CQC; Skills for Care; the National Skills Academy and SCIE.
- Keeping members up-to-date and well informed about regulatory changes and other policy developments.
- Supporting members' campaign objectives.