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13 Dec 2018

The Dorchester Park Lane, London

A deal of uncertainty

Apart from death, taxes and a messy Brexit we live in a world of uncertainty. In social care we’ve got uncertainty in spades, with the ace being the big curly question mark poised above a green paper on funding which the Government might get around to publishing sometime soon.

Then there’s recruitment: continuing the playing cards image, let’s call that the king.

Next in the honours list is the queen, representing the £400m Sword of Damocles which remains hanging over specialist care providers now that UNISON has appealed to the Supreme Court over payments for sleep-in shifts.

Let’s make health and social care intergration the jack – high on the agenda, but not so high that there’s been any real progress with truly joined-up service provision for the past decade or so.

Then there’s all the other uncertainties around planning consents, occupancy and fill-rates for new build, local authority placements, insurance issues – this is not a game for the faint-hearted. Hold ‘em or fold ‘em?

The joker in the pack is, of course, the Care Quality Commission; an enormously powerful card that doesn’t have to follow any rules other than those it makes up itself; its potential to do so much good effectively countered by its lack of accountability. Anyone got an ace up their sleeve?

The CT Blog is written in a personal capacity – comments and opinions expressed are not necessarily endorsed or supported by Caring Times.

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