section 136-part 3

local policy and monitoring of standards
1 Local commissioners should have responsibility for ensuring the establishment of a multi-agency group to develop jointly agreed

Royal College of Psychiatrists
Executive summary and recommendations
policies and procedures. The group’s membership should involve all appropriate agencies and so should include the ambulance service, emergency departments and user and carer organisations including, where appropriate, a representative of the Black and minority ethnic user groups. This report gives detailed guidance as to its membership, role and issues to be covered in the local policy.
2 The implementation group should ensure that local polices are disseminated to all involved in the Section 136 process and ensure their effective implementation including the provision of training in relation to the policy.
3 A standard recording form should be used. This can also be used for monitoring purposes and will ensure reliable information on all individuals detained under Section 136.
4 Use of a nationally agreed standard form would assist monitoring and allow local, regional and national comparisons to be made. A model form is offered which would enable the key issues to be monitored. These include the number of detentions, characteristics of the group thus detained, the place of safety used, any transfers between places of safety, time taken to begin and complete the assessment and the outcome. Given the over-representation of those from Black and minority ethnic backgrounds this issue needs to be sensitively monitored. The information should help identify issues to highlight in training and any changes needed in local procedures. It is recommended that a few sites be identified for early implementation of the form with a careful review process before it is adopted for use nationally.
5 The Care Quality Commission should report annually on the standards of care in relation to Section 136. This should include trends in the use of places of safety and outcomes experienced by service users. A body should be tasked with monitoring the standards of care relating to police involvement including the use of the police custody suite. This might be the National Police Improvement Agency.

elderly care homes and the cqc

source-By Philip Spiers FirstStop Advice

How come many private care homes in the UK employ unskilled cheap labour from overseas countries? Lewis Fitzroy, Cardiff.

In recent years, there has been a strong shift by care home operators to providing training for care workers to reach levels of NVQ that demonstrate caring skills. The care home sector would argue that councils do not pay them sufficient rates to allow them to pay more than the minimum wage for carers.
The Care Quality Commission (CQC) is responsible for registering providers of care services and, through monitoring, ensuring they continue to meet essential standards of quality and safety.

elderly care-they deserve much more

SOURCE-By Philip Spiers FirstStop Advice

Why are we not actively encouraging elderly people's families to help care for them? Surely it is cheaper to pay them a wage than it is to fund care homes? I understand some have complex needs. But, as my time as a carer has taught me, most want company and a cup of tea and a hot meal. Sarah Moorby, Kendal.

The NHS and social services are under resourced! No wonder they struggle to give adequate care. "Concerned".

The Dilnot Commission's proposals are specifically about England

This is clearly so and recent polls have suggested that people are quite prepared to contribute towards a social care system in partnership with government. It requires the government to look at ways of funding the shortfall, which has been estimated previously at a cost of around £4bn compared with the £1.7bn estimated to implement the Dilnot Commission's recommendations.

BLAME IT THE BOOGIE,THE SUN STARS OR

THE GOVERNMENT USED TO BE INDECISIVE BUT NOW THEY ARE NOT SO SURE.
MY SUNDAY STARTED LIKE NORMAL WITH THE ANDREW MARR SHOW.
MR IAN DUNCAN SMITH WAS A GUEST AND THE WEATHER,EUROPE,THE PREVIOS GOVERNMENT ARE ALL TO BLAME NOT THE COALITION GOVERNMENT.
THE BANKERS BONUS WAS AGREED BY THE PREVIOUS GOVERNMENT--NOTHING WE CAN DO
THE WELFARE PAYMENTS WAS AGREED BY THE PREVIOUS GOVERNMENT--BUT SOD THAT WE WILL CHANGE THAT
THE C S A FROM THE PREVIOUS GOVERNMENT BUT IT AS BEEN FAILING FOR YEARS AND YEARS-NEVER MIND THE PARENT WITH THE CHILDREN NEED THE MONEY SO WE WILL CHARGE THOSE PEOPLE.
BENEFITS PAYMENTS NEED TO BE CAPPED AND ANYWAY WE DO NOT WANT BENEFIT SCROUNGERS LIVING IN LONDON,CAP IT THEY CAN NOT AFFORD TO LIVE THERE--
WE COULD REGIONALISE THE CAP ON RENT BUT IF WE DO THAT WE WOULD NEED TO REGIONALISE ALL BENEFITS --WE WILL MAKE THE POOR POORER AND NO WE WONT TAX THE RICH MORE-NEVER MIND WE CAN JUST FEED THE PEASENTS BULL S---,BECAUSE THEY VOTED FOR US