, Public Accounts and Public Administration Committee
Care Home Commissioning for Older People: Evidence Session 1
Thank you very much indeed. That does, as Cefin indicated, bring us to the end of our question session with you, so, Mary, thanks very much for being with us and for answering our questions. A transcript of today's meeting will be published in draft form and…
, Public Accounts and Public Administration Committee
Care Home Commissioning for Older People: Evidence Session 1
Thank you very much. Cefin, I'm conscious you're short on time, but we'll now land everything back on you.
, Public Accounts and Public Administration Committee
Care Home Commissioning for Older People: Evidence Session 1
Thank you. If I could now bring in, please, Rhianon Passmore.
, Public Accounts and Public Administration Committee
Care Home Commissioning for Older People: Evidence Session 1
Thank you. Does Audit Wales wish to comment? No. Thank you. I'll now bring in Mike Hedges.
, Public Accounts and Public Administration Committee
Care Home Commissioning for Older People: Evidence Session 1
Okay, thank you. My final question in this section. The findings from north Wales suggest that not all providers provide the required financial information on their costs. What would encourage them to do so?
, Public Accounts and Public Administration Committee
Care Home Commissioning for Older People: Evidence Session 1
Okay, thank you. Why has Care Forum Wales recently resigned from the north Wales care fees group?
, Public Accounts and Public Administration Committee
Care Home Commissioning for Older People: Evidence Session 1
Okay, thank you. And, presumably, some of that is reflected in your earlier comments regarding the regional bodies as well, where, as you say, whilst people are talking the language of co-operation, at the same time they're each protecting their own budgets…
, Public Accounts and Public Administration Committee
Care Home Commissioning for Older People: Evidence Session 1
Thank you. How well do bodies work together locally or regionally, including with providers, in determining, for example, charges or fees for placements and the merits or otherwise of greater national co-ordination?
, Public Accounts and Public Administration Committee
Care Home Commissioning for Older People: Evidence Session 1
The degree to which there's an issue with cross-subsidisation, where a provider might straddle more than one area.
, Public Accounts and Public Administration Committee
Care Home Commissioning for Older People: Evidence Session 1
Okay, thank you. If I can further develop this theme, what, in Care Forum Wales's opinion, are the reasons for variation in unit costs, for example weekly placement cost, across Wales and the extent of possible cross-subsidisation where providers operate in…
, Public Accounts and Public Administration Committee
Care Home Commissioning for Older People: Evidence Session 1
Thank you. I think Rhianon Passmore would like to come in.
, Public Accounts and Public Administration Committee
Care Home Commissioning for Older People: Evidence Session 1
Okay, thank you. Moving on and, again, still looking at funding but at variations in expenditure, as you know, Care Forum Wales has for some time been highlighting the impact of the variation in expenditure on residential care and continuing healthcare weekly…
, Public Accounts and Public Administration Committee
Care Home Commissioning for Older People: Evidence Session 1
Thank you. If I could ask one supplementary on that before I move on to the next section, how would your proposed national model and national funding model, including, presumably, national minimum pay rates and so on, be reflected in processes and funding…
, Public Accounts and Public Administration Committee
Care Home Commissioning for Older People: Evidence Session 1
Okay, thank you. Well, if we could move on, I invite Natasha to open the next session of questions.
, Public Accounts and Public Administration Committee
Care Home Commissioning for Older People: Evidence Session 1
Thank you, and just—. My closing comment on this. Some years ago I proposed a community care direct payment Wales Bill, and elements of that were taking into the Social Services and Well-being (Wales) Act 2014, including the call on each local authority to…
, Public Accounts and Public Administration Committee
Care Home Commissioning for Older People: Evidence Session 1
Thank you. Though would I be correct that some of the membership of Care Forum Wales would also be domiciliary care providers?
, Public Accounts and Public Administration Committee
Care Home Commissioning for Older People: Evidence Session 1
Thank you very much indeed. Before I pass on to our next questioner, you're probably aware that the auditor general recently produced a report on direct payments, which looked at issues around pooled funding. I don't know if you've had a chance to see that…
, Public Accounts and Public Administration Committee
Care Home Commissioning for Older People: Evidence Session 1
Thank you. Can I now bring in Rhianon Passmore, please, who will pick up the next line of questioning?
, Public Accounts and Public Administration Committee
Care Home Commissioning for Older People: Evidence Session 1
Thank you. Can I bring Natasha in? I think you have a question on this.
, Public Accounts and Public Administration Committee
Care Home Commissioning for Older People: Evidence Session 1
Thank you. Are you confident that providers will now sign up to the proposed new shiny model, or are there still concerns that some may be unhappy to do so, as we go forward?
, Public Accounts and Public Administration Committee
Care Home Commissioning for Older People: Evidence Session 1
Thank you. I know that Members will want to develop that in further questioning later. But given that the initial Audit Wales report was focused on north Wales, can you tell us whether Care Forum Wales has now agreed a revised pre-placement agreement with…
, Public Accounts and Public Administration Committee
Care Home Commissioning for Older People: Evidence Session 1
Thank you. It might be early in the questioning, but can you think of any potential quick wins to simplify the system and process that could be easily and quickly done or stopped?
, Public Accounts and Public Administration Committee
Care Home Commissioning for Older People: Evidence Session 1
Thank you very much, Mary. Of course, I've known you for a long time. As you'll expect, we have a number of questions. I'd like to ask both Members and yourself to be succinct to enable us to cover the wide range of issues the topic has generated. And I'll…
, Public Accounts and Public Administration Committee
Care Home Commissioning for Older People: Evidence Session 1
So, I welcome Mary Wimbury from Care Forum Wales to the meeting. For the Record, could I ask you, please, to state your name and role?
, Public Accounts and Public Administration Committee
Papers to note
Thank you very much indeed. So, I think there's a clear direction, Fay, to take forward, with your able assistant. Thank you very much indeed. That moves us, then, to the end of the items to note and to the main items on today's agenda, looking at our work on…
