, Health and Social Care Committee
Health and Social Care (Wales) Bill: evidence session with the Minister for Social Care
Firstly, can I just say that the wider policy around the implementation of continuing healthcare is, actually, not within the scope of this Bill, and is, actually, outside of my portfolio? What I can tell you is that in preparation for the Bill, officials…
, Health and Social Care Committee
Health and Social Care (Wales) Bill: evidence session with the Minister for Social Care
I think that's a very valid point. We would have to look at exactly the same processes that we apply with direct payments for social care. We have to take very careful steps to ensure that people are protected in that and it would be exactly the same process…
, Health and Social Care Committee
Health and Social Care (Wales) Bill: evidence session with the Minister for Social Care
Firstly, the charging of top-up fees is not allowed under CHC, but we are aware that it is an issue that has arisen in relation to some CHC payments in care homes. It's been for things that are beyond continuing healthcare; it's things like going on outings…
, Health and Social Care Committee
Health and Social Care (Wales) Bill: evidence session with the Minister for Social Care
Do you want to say a bit more about the hub arrangements for the administration of direct payments? Because that's where there will be support offered to people that are in receipt of direct payments for the first time. A number of people, as I say, will…
, Health and Social Care Committee
Health and Social Care (Wales) Bill: evidence session with the Minister for Social Care
The direct payment is made to the individual, so the individual is then responsible for the payment. So, none of these payments go directly to the person that is providing the care, unless there are capacity issues, which is something different. The…
, Health and Social Care Committee
Health and Social Care (Wales) Bill: evidence session with the Minister for Social Care
Yes, absolutely. Certainly, the experience of England, which has had direct continuing healthcare payments for about 10 years now, has been that the health outcomes and the delivery of healthcare to those people requiring continuing healthcare at home have…
, Health and Social Care Committee
Health and Social Care (Wales) Bill: evidence session with the Minister for Social Care
Sorry, I didn't quite—
, Health and Social Care Committee
Health and Social Care (Wales) Bill: evidence session with the Minister for Social Care
Morning.
, Health and Social Care Committee
Health and Social Care (Wales) Bill: evidence session with the Minister for Social Care
Of course, I understand.
, Health and Social Care Committee
Health and Social Care (Wales) Bill: evidence session with the Minister for Social Care
And what I would say, Chair, is I’m quite happy to come back and do a separate session with you on my portfolio if that makes life easier for the committee.
, Health and Social Care Committee
Health and Social Care (Wales) Bill: evidence session with the Minister for Social Care
It is, yes.
, Health and Social Care Committee
Health and Social Care (Wales) Bill: evidence session with the Minister for Social Care
In that case, happy to do so, yes.
, Health and Social Care Committee
Health and Social Care (Wales) Bill: evidence session with the Minister for Social Care
Possibly, but I know I'm going on a visit. I haven't got my diary with me, so—.
, Health and Social Care Committee
Health and Social Care (Wales) Bill: evidence session with the Minister for Social Care
As I said previously, we don’t see that that will be a huge problem, for the reasons I just explained, but we do recognise that that is a concern, and my officials are discussing that issue with other teams across Welsh Government and stakeholder groups, and…
, Health and Social Care Committee
Health and Social Care (Wales) Bill: evidence session with the Minister for Social Care
Absolutely, and for some people in receipt of home-based healthcare, we know that family and close friends often provide much of that care without any recognition at all; they don’t get any payment or adequate respite opportunities. So, this actually provides…
, Health and Social Care Committee
Health and Social Care (Wales) Bill: evidence session with the Minister for Social Care
Well, the pool of PAs, what we would expect is that the vast majority of PAs will actually be drawn from an existing pool. To explain that: what we anticipate happening is that a number of people who are currently in receipt of social care direct payments…
, Health and Social Care Committee
Health and Social Care (Wales) Bill: evidence session with the Minister for Social Care
Yes.
, Health and Social Care Committee
Health and Social Care (Wales) Bill: evidence session with the Minister for Social Care
Yes, yes, we can certainly do that, but I'll ask Albert to explain that, yes.
, Health and Social Care Committee
Health and Social Care (Wales) Bill: evidence session with the Minister for Social Care
So, when we talk about Welsh Ministers, then obviously that does mean that Welsh Government officials act on behalf of Welsh Ministers, and there are situations now where Welsh Ministers have to sign off placements and so on. That doesn't prevent the local…
, Health and Social Care Committee
Health and Social Care (Wales) Bill: evidence session with the Minister for Social Care
Yes, Cardiff is the biggest risk we have. I think something like 80 per cent—. Is it something in the region of 80 per cent?
, Health and Social Care Committee
Health and Social Care (Wales) Bill: evidence session with the Minister for Social Care
Sure. Well, as I've said previously, this is not something that we're just dropping on local authorities, this is something they've been preparing for over a period of time. And some of that work includes regular market intelligence that they've been seeking…
, Health and Social Care Committee
Health and Social Care (Wales) Bill: evidence session with the Minister for Social Care
Hi, Sam.
, Health and Social Care Committee
Health and Social Care (Wales) Bill: evidence session with the Minister for Social Care
Sure.
, Health and Social Care Committee
Health and Social Care (Wales) Bill: evidence session with the Minister for Social Care
No, they're not technicalities, but they are technical. They're definitely not technicalities, but they are technical in terms of what is required within the terms of the Act.
, Health and Social Care Committee
Health and Social Care (Wales) Bill: evidence session with the Minister for Social Care
You can have that in writing as well. You may indeed. Some of this is quite technical. I understand that.
