Wednesday 30 December 2009

THE REALITY BEHIND LOW COST CARE COMPANIES CONTRACTED BY EDINBURGH COUNCIL

Support Workers' Action Network - Press Release 15th Dec 2009



"Wages are low, training is poor and there is a high turnover of staff who are so rushed they are unable to provide good quality care"


This is the reality behind the City of Edinburgh Council's use of low cost, private care companies according to campaign groups that have been documenting the standard of privatised care services.
The policy of opening up care and support services for vulnerable disabled people to the private sector through competitive tendering was thrown into the spotlight two weeks ago when the Lib Dem / SNP administration's plan to put the services for nearly 800 people out to tender collapsed. This tender process is now being investigated by way of an 'external evaluation' process which is due to report back in late January.
Key to the argument put forward by Lib Dem Health and Social Care Convener, Paul Edie, was the assertion that current providers are too expensive and that the tender process established "tested market rates" some as low as £12.65 an hour.
Itay Idan, spokesperson for the Support Workers' Action Network (SWAN Edinburgh) pointed out that

"the companies that the Council intended to award contracts of £12.65 an hour to pay their support workers less than half that amount - little over minimum wage".

Despite this Cllr Edie has consistently argued that there are 17 care providers in Edinburgh currently providing quality services for even less that £12.65 per hour.
This claim has been thrown into question after SWAN Edinburgh - a group campaigning against the current tender process - went to seek information from the Edinburgh Homecare Campaign - a group that has been documenting the effects of tendering homecare services to private companies for over two years. Danny Oliver, a support worker from SWAN, told us

"Paul Edie claims that good quality services can and are being provided by companies for less than £12.65 an hour. When we put this to Marlyn from Edinburgh Homecare Campaign she showed us pages and pages of individual cases showing that these low cost private companies are letting down their service-users".

Marlyn Tweedie, of the Homecare Campaign continues

"We are alarmed at the increasing use of the private sector in the care of our elderly and disabled citizens.
The care may be cheaper but the quality is sacrificed.
We do not blame the frontline staff. They have an impossible task. Visits are piled on, staff are so rushed they're unable to provide good quality care.
Wages are low, training is poor and there is a high turnover of staff.
As the Panorama programme "Britain's Homecare Scandal" said it is "wilful shambolism"
Councillors need to ask themselves why they have contracted out care to companies which were heavily criticised in that programme.
Companies such as Carewatch who recently told their staff they would have to take a wage cut and who allowed the undercover reporter to work 14 shifts before her clearance came through.
We have consistently learned of service-users whose care has been poor - visits missed, frequently late, staff not knowing what the tasks are etc".

Mr.Oliver of SWAN Edinburgh stated;

"We have been shown individual testimony including an 89 year old man who went without being washed for 3 weeks and a 90 year old woman with dementia who was frequently left sitting in her chair all night when staff failed to turn up. These examples are not exceptions. There are many, many more. This is the kind of care Paul Edie is so keen to roll out to people with learning disabilities, mental health problems and physical disabilities.
It is time that people look at what has been done to care of the elderly in this city and what Cllr Edie is trying to do to other care and support services and we believe it is time for Cllr Edie to reconsider his position in the light of this appalling track record".

At the full Council meeting this Thursday there will be both protests outside and deputations within the meeting calling for a halt to funding cuts and the privatisation of services.

LATEST UPDATE FROM COUNCIL CHIEF EXECUTIVE 13TH DECEMBER



Here are some points worth noting (full briefing below);

1) It appears that the Council is questioning whether or not to proceed with the tendering process at all; "There is a substantial increase in the number of direct payment applications. A decision will need to be taken in due course as to the commerciality of proceeding, bearing in mind the changed circumstances".

2) The independent evaluation will be arranged through 'Deloitte'. From their website;

"Deloitte" is the brand under which tens of thousands of dedicated professionals in independent firms throughout the world collaborate to provide audit, consulting, financial advisory, risk management and tax services to selected clients. These firms are members of Deloitte Touche Tohmatsu (‘DTT’), a Swiss Verein. Each member firm provides services in a particular geographic area and is subject to the laws and professional regulations of the particular country or countries in which it operates. DTT helps coordinate the activities of the member firms but does not itself provide services to clients. DTT and the member firms are separate and distinct legal entities, which cannot obligate the other entities"

3) The evaluation will include 3 other contracts expected to be submitted to the Finance and Resources Committee meeting on the 21st Jan. These are described as "care and support for Lochend Housing, a homelessness housing support service and maintaining a home visiting support service".
See more info on two of these tenders by clicking on links below;
http://www.tendersdirect.co.uk/ourservice/TenderView.aspx?ID=%20000000002603137

http://www.tendersdirect.co.uk/Ourservice/TenderView.aspx?ID=%20000000002569719


4) It appears that the date of 21st Jan for the evaluation to report back is not defidefinite> "The aim is to be able to report to the Finance and Resources Committee on 21 January but it is not possible to confirm this at this stage"




Full briefing;


MEMBERS BRIEFING 147 - 15th December

Contracts for the provision of Care and Support Services


The previous update on the above was provided to members in Briefing 143 on 3 December. It advised of the deferment of a decision on the Council’s tender for Care and Support to allow for an independent evaluation of the tenders.

This brief is intended to provide you with a further update on activity to date and address some concerns which have been raised by members.

Why was the decision on the Care and Support Tender deferred?

New information emerged on Tuesday
1 December, prior to the special Finance and Resources Committee on 3 December which caused officers to review the prospect of legal challenge.

An enquiry had been raised asking whether or not there had been complete separation between price and quality. To ensure that the process was robust, further time was required in order to investigate this. As a result and upon the Leader’s instructions, an independent evaluation of the process has been instructed.

Given the proximity of the special meeting of the Finance and Resources Committee on 3 December, and after consulting with senior officers and legal counsel, my advice to the Council Leader on Wednesday 2 December was to adjourn the special meeting of the Finance and Resources Committee to allow further consideration of a number of issues.

This advice was accepted by the Council Leader who immediately instructed me to obtain an independent evaluation of the tenders.

As members had been advised, tenders were open for acceptance until 5 December 2009. However, for the reasons outlined above, it was felt better to delay the award of contract, and judging the balance of risk, it was clear that the risk of proceeding with the award outweighed that of delaying a decision beyond the tender acceptance dates.

The Director of Finance is writing to all tenderers asking them to keep open their tender submission for an extended period. It is important to recognise that we cannot legally require tenderers to do this.

Communications with service users

On the afternoon of 3 December the Director of Services for Communities contacted the User Group Representatives advising them that the Committee had been adjourned. Letters to service users and to relatives and carers of service users were issued on 4 December which:

· informed them of the deferment of the decision on the award of contract
· advised them of the continuity of their current service provider and
· provided a contact number for enquiries.

Copies of these letters are attached.

Previously, an assurance had been given that all applications for direct payments received by 3 December would be excluded from any contracts pending their assessment. This approach had been recommended to provide a period of stability to allow the transition to new contracts. Since the contract award has been deferred, the Departments of Health and Social Care and Services for Communities have continued to accept and process direct payment applications.

Since 19 November 466 clients have requested a direct payment. 26 applications have been processed in addition to 69 previously processed.

There is a substantial increase in the number of direct payment applications. A decision will need to be taken in due course as to the commerciality of proceeding, bearing in mind the changed circumstances.

What are we doing now?

Utilising the Council’s procurement framework agreement, I expect to appoint Deloitte in the next 24 hours to undertake an independent evaluation of the tender process.

Their remit is to carry out two stages of work:

a) the first stage is to carry out an initial
assessment of the process undertaken; and

b) the second subsequent stage is to assess
the consistency of the approach and the
outcome obtained.

Three other contracts are currently scheduled to be submitted to Finance and Resources Committee in January. These are for:

· care and support for Lochend Housing
· a homelessness housing support service and
· maintaining a home visiting support service.

I intend to ask Deloitte to review these as part of their remit.

The consultants have been asked to report as soon as possible, while ensuring that the remit is thoroughly discharged. With the holiday period imminent, this will mean that the bulk of the work will take place in January. The aim is to be able to report to the Finance and Resources Committee on 21 January but it is not possible to confirm this at this stage.

A number of letters, seeking additional information, have been received from elected members and others. These will be responded to as soon as practicable but it will not be possible to deal with substantive issues until the consultants’ assignment is completed.

A further Members’ Briefing will be issued as soon as is possible.

Tom Aitchison
Chief Executive

Member's Briefing 15th December

MEMBERS BRIEFING 147 - 15th December

Contracts for the provision of Care and Support Services


The previous update on the above was provided to members in Briefing 143 on 3 December. It advised of the deferment of a decision on the Council’s tender for Care and Support to allow for an independent evaluation of the tenders.

This brief is intended to provide you with a further update on activity to date and address some concerns which have been raised by members.

Why was the decision on the Care and Support Tender deferred?

New information emerged on Tuesday
1 December, prior to the special Finance and Resources Committee on 3 December which caused officers to review the prospect of legal challenge.

An enquiry had been raised asking whether or not there had been complete separation between price and quality. To ensure that the process was robust, further time was required in order to investigate this. As a result and upon the Leader’s instructions, an independent evaluation of the process has been instructed.

Given the proximity of the special meeting of the Finance and Resources Committee on 3 December, and after consulting with senior officers and legal counsel, my advice to the Council Leader on Wednesday 2 December was to adjourn the special meeting of the Finance and Resources Committee to allow further consideration of a number of issues.

This advice was accepted by the Council Leader who immediately instructed me to obtain an independent evaluation of the tenders.

As members had been advised, tenders were open for acceptance until 5 December 2009. However, for the reasons outlined above, it was felt better to delay the award of contract, and judging the balance of risk, it was clear that the risk of proceeding with the award outweighed that of delaying a decision beyond the tender acceptance dates.

The Director of Finance is writing to all tenderers asking them to keep open their tender submission for an extended period. It is important to recognise that we cannot legally require tenderers to do this.

Communications with service users

On the afternoon of 3 December the Director of Services for Communities contacted the User Group Representatives advising them that the Committee had been adjourned. Letters to service users and to relatives and carers of service users were issued on 4 December which:

· informed them of the deferment of the decision on the award of contract
· advised them of the continuity of their current service provider and
· provided a contact number for enquiries.

Copies of these letters are attached.

Previously, an assurance had been given that all applications for direct payments received by 3 December would be excluded from any contracts pending their assessment. This approach had been recommended to provide a period of stability to allow the transition to new contracts. Since the contract award has been deferred, the Departments of Health and Social Care and Services for Communities have continued to accept and process direct payment applications.

Since 19 November 466 clients have requested a direct payment. 26 applications have been processed in addition to 69 previously processed.

There is a substantial increase in the number of direct payment applications. A decision will need to be taken in due course as to the commerciality of proceeding, bearing in mind the changed circumstances.

What are we doing now?

Utilising the Council’s procurement framework agreement, I expect to appoint Deloitte in the next 24 hours to undertake an independent evaluation of the tender process.

Their remit is to carry out two stages of work:

a) the first stage is to carry out an initial
assessment of the process undertaken; and

b) the second subsequent stage is to assess
the consistency of the approach and the
outcome obtained.

Three other contracts are currently scheduled to be submitted to Finance and Resources Committee in January. These are for:

· care and support for Lochend Housing
· a homelessness housing support service and
· maintaining a home visiting support service.

I intend to ask Deloitte to review these as part of their remit.

The consultants have been asked to report as soon as possible, while ensuring that the remit is thoroughly discharged. With the holiday period imminent, this will mean that the bulk of the work will take place in January. The aim is to be able to report to the Finance and Resources Committee on 21 January but it is not possible to confirm this at this stage.

A number of letters, seeking additional information, have been received from elected members and others. These will be responded to as soon as practicable but it will not be possible to deal with substantive issues until the consultants’ assignment is completed.

A further Members’ Briefing will be issued as soon as is possible.

Tom Aitchison
Chief Executive

Thursday 10 December 2009

Swan Edinburgh Meeting 7/12/09



Present:
Support Workers from : Action Group , Garvald, Deaf Action, Richmond Fellowship and Freespace.

Update:
There will be an external evaluation of the tendering. In theory the finding will be presented to the finance committee on 21st Jan . Jude will try to find out what is the remit of the review. Andy will contact Maggie Chapman to find out more details.

Meeting with Councilors: We will keep up the pressure on the council and continue our campaign by organising support workers from different organisations (2-3 people for a meeting) to meet councilors. Danny will coordinate.

Press release: People expressed their disappointment that Cllr Norman Work’s letter was not published in the media. As well as the Evening News and the Scotsman that already being given the press release Herald Post and the Big Issue and Councilors will be also notified.

‘Fair wage and conditions for care workers’ Petition: So far we have more than 400 signatures (online and paper). Danny will check with Iain McGill about presenting it to the petition committee in the Scottish Parliament.
Contact with other campaign groups: Marlyn from the Homecare group called to say that everyone at their campaign is encouraged and motivated by the success of the campaign against tendering. We at Swan can learn from the way they use individual cases to argue their point of view.
*Parents and Carers Group at Garvald was interested in coming to our meetings. Jude will link with Lesley from that group to find out how it is organised and what is discussed. We hope to find volunteers to go to each of the above mentioned groups’ meetings.

Union Membership: The Union has not being helpful in the tendering campaign and the refuse workers dispute. However, some people think that if we will have a strong membership we can make the union work for us. That will require a greater involvement and participation. Further discussion is needed. Meanwhile some organisations have already started to extend Union’s membership. We will try to build this within our own organisations.

Independent Impact Assessment: Suggested by Martine to evaluate the impact of the tendering. Mary will check with Martine how far she is with the assessment and what help she needs.

Legal Advice: We will need advice about the legality of Direct payment cuts, limited choice for service users and people right to refuse entry to their home (human rights legislation). Jude will find out where we may get advice and will contact the law faculty at Edinburgh University to see if anyone wants to help us with legal issues.
Internet Site: We would like to make it more accessible. Danny and Elli will coordinate with Ben and Hesham.

*Next Meeting: in Slateford Green Community hall 7:30 pm next Monday 14th

Thursday 3 December 2009

Letter from cllr Andrew burns to Cheif exec of the finance & Resources Commitee

Today at 12:03pm
Hello

By way of further update - following this morning's meeting of the Finance and Resources Committee - please see the e-mail below which I have just sent to the Chief Executive of the Council.

Please do feel free to forward this, and the earlier update sent last night, to any others who you know have an interest in the current tendering process.

And, if you have any queries, don't hesitate to get in touch with either myself or Lesley Hinds ... many thanks.

Andrew
____________



Andrew Burns

Labour Councillor for Fountainbridge/Craiglockhart Ward

Leader, Labour Group, City of Edinburgh Council



Tel: 0131 529 3287 (w) or: 07880 502 212 (m)






From: Andrew Burns
Sent: 03 December 2009 11:10
To: Tom Aitchison
Cc: Phil Wheeler; Mark Turley
Subject: Care and Support Services tender
Importance: High

Tom

Firstly, can I say thanks for the efforts you've personally made to keep the Opposition Groups informed of events over the last few days ... its been appreciated.

I do though have to complain to you, as Chief Executive, in the strongest terms at the way this morning's Finance and Resources Committee meeting was handled.

Councillor Wheeler simply read out a pre-prepared statement (which is fair enough) and then refused to take any questions and all Officers and Administration politicians present simply walked out of the room.

We have three very serious concerns that now remain totally unanswered:
no one knows if the previously communicated deadline of 3rd December (today!) for Direct Payment applications still stands and/or if Direct Payment applications will now be accepted up until the 21st January - or any date in between? In addition, there was no discussion at all about how any of this is now to be communicated to clients and carers - it would have been helpful to have at least been reassured about what communications plans are now in place, and to have been informed about the potential scope of any investigation?
we were told by Officers, in totally unequivocal terms, at the 19th November Council meeting (and at several others meetings, including recent User-Group meetings) that the contracts HAD to be awarded by the 4th December (under the 240-day rule from the original contract documentation) ... nobody knows if this has now been extended via negotiation with the successful tenderers and/or if another arrangement has been arrived at? In addition to this important query - how can we now have confidence in legal advice we are given at Council meetings by Officers?
finally, we have additional serious concerns about previous tendering processes (specifically for Homelessness Services) conducted by this Administration and do feel, in the light of what has happened with the Care and Support services tender, that the investigation which is about to take place should look at some of these issues ... we were given no chance to raise this important point? It is worth remembering that this current tender would have been awarded on the 27th October, and thereafter again on the 19th November, if Opposition Groups (and the public) hadn't maintained a vigorous questioning of the processes being followed.
But in many ways, worse than us - as Opposition politicians - not knowing the answers to these points - neither do the hundreds of clients and carers affected by this whole saga. Many of them were present this morning and I can only assure you they were appalled at the inability of anyone to query Officers on the points above.

Tom - today's meeting only happened because of Opposition and public disquiet over these issues. Today's meeting only happened as a result of an Amendment (now an Act of Council) moved by Councillor Hinds and seconded by Councillor Chapman. I feel very strongly that over the coming weeks much more Officer attention should be paid to those who have led the Council on this, and who have the majority support of the Council behind them.

I look forward to your response to these points.

Andrew

The tender process has been postponed to allow independent evaluation

In a surprise last minute decision, the Chief Executive of Edinburgh Council has intervened to suspend the tendering process for care and support services. The report that was to be submitted to tomorrow morning's Finance and Resources Committee meeting will now be withdrawn from the agenda. An independent investigation is being launched into the whole process, which will report back to the Council next year. The special meeting of the Finance and Resources Committee will still go ahead tomorrow, but it will simply last a few minutes and the Convener will announce the intention to postpone award of contracts pending an independent investigation.
This significant victory is largely due to the pressure put on the Council from all those involved in the campaign against the whole tendering process.
Well done!
SWAN believes that the positions of those who tried to push this through are now untenable. We suggest that you contact both the LibDem / SNP administration and local media (principally the Evening News) to call for the resignation of Paul Edie, Norman Work, Mark Turley and Peter Gabbitas now that the policy of cutting finance to, and the selling off, of care and support services that they engineered has been discredited.
We will be attending the Finance meeting tomorrow and it would be great to see you there to celebrate with us!
Statement from Council Leader Jenny Dawe copied below.
Thanks
SWAN Edinburgh

FINAL DRAFT OF CEC NEWS RELEASE

from Chief Executive's Office





The following is a statement from City of Edinburgh Council Leader Jenny Dawe.



She said: “I recognise the importance of the Care and Support Services Tender to vulnerable people in the city and have insisted that all aspects of the tendering process must be robust. I have been in regular touch with senior council officials on this and have just been advised that there remain a number of outstanding issues surrounding the Care and Support Services Tender. As a result, I have instructed the Chief Executive to have the tenders independently evaluated.



“The specially convened Finance and Resources Committee will meet tomorrow when the Convener intends to adjourn the meeting to allow officers to provide an updated report in January.



“On behalf of the Administration, I would like to reassure service users there will be no interruption to their current care and support arrangements, pending a decision in January. Direct Payment applications will continue to be processed as previously agreed.



“We are determined to ensure the integrity of the tender process and believe an independent evaluation is the best way to achieve this.”

Wednesday 2 December 2009

Update 1.12.09

Sign Petition

Petition to persuade the council to set Direct Payments at a rate that allows support workers to receive a reasonable , living wage and that takes account of the skilled and specialized nature of their work. This is essential to keep skilled experienced teams capable of providing quality care
Please sign before Thursday 3rd.



http://www.gopetition.com/online/32369.html



:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::

STOP THE DESTRUCTION OF CARE AND SUPPORT SERVICE IN EDINBURGH

Lobby the Council 9.30am Thursday 3rd December 2009 City Chambers , High Street



This Thursday service-users , their families , care and support staff , campaign groups and their supporters will be attending a specially convened meeting of the Finance committee in a last ditch attempt to save their vital services from being handed over to low cost private companies.

The LibDem / SNP administration is attempting to force through cuts of up to 40% on some people’s care packages despite massive opposition.

99% of service-users threatened by the cuts were never consulted and the potential impact on vulnerable individuals with complex needs was never assessed.

The funding cuts will see much of the care of people with learning disabilities , physical disabilities and mental health problems transferred from well established , specialised voluntary sector organisation to low cost , private companies with questionable track records with devastating results as has been seen in care of the elderly in many places

We must stop this before its too late.

Come along on Thursday and show the Council that the people of Edinburgh will not let this happen without a fight.



Edinburgh Support Workers’ Action Network (SWAN)

Monday 30 November 2009

Swan Edinburgh- Press Release 29th November 2009

29th November 2009



Pressure is mounting on City of Edinburgh Council to listen to the cities most vulnerable people, and provide a decent rate of payment to buy good quality services.

Following their defeat on the 19th November, the Councils Finance and Resources Committee will meet on the 3rd December, to look again at the proposed tender of care services in Edinburgh .

At the general council meeting service users, many of whom had attended protests in the lead up to the meeting, were assured that the freeze on Direct Payments would be lifted and claims would be processed, giving them the ability to choose who provides their service.

Highlighting the serious and growing dissatisfaction with the council’s plans, 533 people have now applied for a direct payment in order to opt out of the tendering process and continue with their current provider.

The concern for people now is that the Direct Payment will be set at the rate of the winning tender, which is too low to buy the quality services that they currently use, and will in effect force them into the care of the private companies who won the tender. This has angered service users and campaign groups, who were assured that Direct Payments would offer real choice.

A representative of Edinburgh ’s Support Workers Action Network (SWAN) pointed out that;

“Originally the council was aiming to make 10% cuts, but have cynically used the protests against the blocking of Direct Payments to make further savings of 20%”

Many of the organisations which lost out in the tender could absorb a 10% cut, but would be unable to continue under the proposed cuts, forcing their service users to choose between a handful of cheap alternatives.

A recent study of the effects of tendering Social Care services, commissioned by the Scottish Government and carried out by Strathclyde University , found that a common effect of tendering is the loss of experienced, motivated staff.

The Council repeats its assurances that continuity of care would be maintained with existing staff transferring under TUPE regulations, but for many of the cities support workers this is not an option.



A support worker from SWAN said;

“The company that stands to win the biggest contract if this tendering process is allowed to go ahead is Choices Care. They pay their staff £6.05 per hour. There is no way you can retain good, dedicated, qualified staff over a long period of time if the role of support worker is devalued to barely above minimum wage. This would be disastrous for us and the people we support”.

The Council and the voluntary sector have invested in recent years, to create a well trained and qualified social care workforce. This is at risk of being lost, as private companies move in to take on voluntary sector contracts. Edinburgh campaign group SWAN have begun a petition, calling on the Council to set Direct Payment rates at a level which can sustain reasonable pay and conditions for frontline staff who have mortgages to pay and families to support.

The petition, signed by almost 200 people, states;

"Social care support workersplay a vital role in the provision of housing support services....It is essential that they receive a reasonable, living wage that takes into account the skilled, specialist nature of their work."

Amidst all the talk of savings it is easy to forget that the Council claims its primary motivation for putting services out to tender was to improve quality, quoting 70% quality to 30% cost.

So far the Council has avoided too much focus on the quality issue, particularly after it was revealed that the report produced by the independent care standards agency the Care Commission accounted for just 4% of the quality assessment. The rest being made up of the Councils in-house assessment criteria.

A major finding of the Strathclyde research was that the public were kept in the dark about how crucial decisions were being made, a mistake Edinburgh Council is clearly repeating.

The report stated that service users and support organisations;

“request greater transparency from local authorities with regard to why tenders are won and lost, and the balance between cost and quality in the final decision.”

Thursday’s meeting offers Edinburgh Council another chance to provide decent care services for its most vulnerable people, with service users and support workers ready for a long battle if they fail to deliver on their promises.

Wednesday 25 November 2009

Petition for fair wages

Please visit, read and sign the petition at

http://www.tinyurl.com/fairwages

Sunday 22 November 2009

COUNCIL ADMINISTRATION SUFFERS FIRST EVER DEFEAT AS SOCIAL CARE SERVICE-USERS CLAIM VICTORY

On Thursday "People power" forced City of Edinburgh Council to suspend its plan "to sell 777 of the city's most vulnerable residents to the lowest bidder." Hundreds packed into the City Chambers on 19 November as the Council voted to suspend till 3rd December its plan to remove Care and Support services from existing local providers.

A support worker from SWAN stated "It was a great victory but now we have a busy two weeks ahead until the next decision day of 3rd December. " The Finance and Resources Committee meets at 10am that day to decide the future of hundreds of people with serious mental and physical disabilities.

Carers and service users condemned the Council's money-saving plan as a drastic attack on the quality of life for such people with learning disabilities, physical disabilities, mental health conditions and hearing impairments. Many of those directly under attack participated in the lobby wearing "I'm not for sale" T shirts.

Deputation after deputation denounced the sell-off to the full Council meeting.
"My daughter is profoundly handicapped. She can't talk or walk. She's incontinent. She's in a wheelchair, she has fits. When we take her to the Doctor she screams in pain, and we have to try and work out what's wrong, she can't tell us. She needs trained professionals to care for her. We are very pleased with the care she's getting now. You can't pull people off the streets on the minimum wage and expect them to care for people with these kinds of disabilities." said a speaker from Share Scotland

This and other contributions were met with loud applause from the packed public gallery and the equally packed overflow room, where an estimated 300 people avidly followed the proceedings through loudspeakers.


NO CHOICE NO CARE

One support worker in attendance said:
“The company that stands to win the biggest contract if this tendering process is allowed to go ahead is Choices Care. They pay their staff £6.05 per hour. There is no way you can retain good, dedicated, qualified staff over a long period of time if the role of support worker is devalued to barely above minimum wage. This would be disastrous for us and the people we support”.

Ian Hood from Learning Disability Alliance Scotland pointed out that Companies who had won the Council contracts had been rated by the Care Commission as "barely adequate" and "must improve".

A user of learning disability services stated in a letter to LibDem councillor Jim Lowrie:
“I want my staff to keep on working with me. Don’t make them go away. Leave the staff alone and let them get on with their work”.

Edinburgh Support Workers Action Network : " The Council's proposal aims to wipe out several local voluntary sector organisations that provide good quality specialised services and replace them wth 8 companies, the biggest winners being low cost, large scale private companies with questionable track records (one was the subject of a Panorama documentary entitled Britain's Homecare Scandal.)"

"What's proposed is a cut of over 30%. The contracts awarded mean a cut of 21%, then the companies concerned will take at least another 10% profits on top of that." explained the speaker from SHARE Scotland.

DIRECT PAYMENTS DENIED

People who need care have a legal right to "Direct Payments" to enable them to pay for the kind of care that they choose themselves. But the City of Edinburgh Council has been refusing to pay out these Direct Payments, to try and force people into the arms of the profit-driven winners of the tendering process.

The outrage at this policy has now forced the Council to partially back down. The amendment passed at today's Council meeting declares that the Council will now process Direct Payments applications.

But the crucial question of the level of payments that they will pay has still to be decided. competitive tender bids" it has received.

WHAT DOES THE COUNCIL DECISION MEAN?

Learning Disability Alliance Scotland summarised the main points of the successful amendment passed yesterday as:
* 2 weeks for another report
* Major issues on the direct payments to be addressed
* Other councillors like Lesley Hinds will be critically involved in directing officials.
* No guarantees but there will be more options.

The amendment was backed in the Council meeting by Labour, the Greens, and the Conservatives, and with Liberal Democrat counsellor Gary Peacock abstaining due to financial interest, this proved enough to outvote the ruling Liberal Democrat - SNP coalition and inflict their first defeat since taking power 2 ½ years ago.



http://www.indymediascotland.org/sites/default/files/care%20in%20pink.JPG



ACT NOW

Edinburgh Support Worker Action Network declare:
"The Council was not so worried about cutting costs when it bailed out its "arms length" property companies to the tune of £70 million.

We have to make them change their priorities.

Otherwise, in years to come, we will be watching TV documentaries, reading newspaper articles about how appalling these services have become, how they are wrecking lives, as has been the case in care of the elderly in many places.

And we will wonder how this was allowed to happen.

We must act now before it's too late."

Edinburgh Support Workers Action Network
http://www.swanedinburgh.org.uk/ swanedinburgh@yahoo.co.uk

Learning Disability Alliance Scotland http://www.ldascotland.org/

Edinburgh Homecare Campaign http://edinburghhomecarecampaign.wordpress.com/

Full text of the amendment agreed at the Council meeting on 19 November at http://www.ldascotland.org/

Friday 20 November 2009

Swan Edinburgh Meeting 15.11.09

Swan Edinburgh Second Meeting 15.11.09

We had presence from Garvald Edinburgh, Learning Disability Alliance, Unite union, Inclusion Alliance and Thistle Foundation.

* Update: First Ian Hood gave an update on the current situation re: tendering.
777 people are affected by the first phase of the tendering. That process aimed to help the council to make saving on their budget. There was almost no consultation with the service users with regard to the tendering. Only 8 service users were consulted in only two meetings back at the end of last year.
170 applied for Direct payment only 70 were awarded and the rest around 100 were in the process before the Council Decision to freeze DP.
The main concern is what choice people have in deciding about care provision.
Furthermore what about people who do not want or can not have Direct Payments. What choice do they have? We hope to have a shift in the council decision regarding the Direct payment and then challenge the Council about rates, the issue of choice etc.
If we have most of the hours that were up for tendering shifted to Direct Payment it could consequently stop the tendering, as there would not be much to tender for.
Many service users from most of the organisations who are affected by the tendering have sent a letter of intention to receive Direct Payment. The transition between the bidder and the current provider is also expected to be very problematic for service users and support workers. The rate that was given for Direct payment is not sufficient for people’s needs and quality of provision.
At the Council on Thurs meeting there will be a motion from the labour, and deputations from parents, organisations and service users. We aim to have a variety of voices to attack the issue from all angle. The Petition will also be presented at the Council meeting.

* We should try to have as much people as we can at the Demo on thurs. We are also allowed in the European room at the chambers where it will be possible to listen to the debate on the tendering paper..

* Unite member advised all support workers who are affected by the tendering to join a union so they can get legal advice to defend their employee rights with the Tupe legislation. It is thought that if enough staff assert their rights under TUPE the contracts will not be viable for the winning providers.
We will aim to contact the unions to see if we can get more support workers to join.

* We will organise a contact sheet to have support workers from a wide range of organisations to join our campaign.

* We will organise a stall for Mon, Tues between 12 and 6pm. We will continue with the petition and hand over leaflets to inform the public about our campaign. We agreed to have the writing “People are not for sale” in front of the desk.


* Next Meeting on Sunday 7pm.

The Amendment which was agreed by the Council yesterday and what it means?

The outcome of yesterdays meeting was that the papers approving the tender and direct payment rates were not approved. The opportunity to enter into some debate over a two week period and possibly get an extention to this was facilitated by a Labour Green amendment that was supported by conservatives.

Organisations are already in contact looking at how any talks with the council can be set and what proposals might be able to be progressed.

Please see LDA summary and amendment attached as these provide a good summary of the outcome and amendment.


At the Edinburgh Council meeting today the Labour amendment was passed by 29 votes to 28. That means there is now a pause for breath while councils officials rush about doing what they should have done long ago.

The amendment is attached for your interest. My detailed understanding of this is as follows:

1. There will be a series of meetings this week organised by the Chief Executive of the CEC to look at the amendment and plan a campaign to meet its requirements.

2. All political parties will be involved in this and therefore there will be a number of different objectives to be met from the final report. The contract award will not be dead in the water, the Conservatives still want some residual progress on this.

3. Reps from the political parties will meet with service users and carers and organisations to discuss how concerns can be resolved. Since these concerns principally now are around is the money sufficient, there needs to be movement on 10 below. [The organisations are not likely to be anyone who tendered except in so far as they reflect the views of service users. It is legitimate to have a group called XXXX service users and carers group]

4. All people who apply for a Direct Payment will have their hours totalled and withdrawn from the contract award.

5. They will continue with their current provider on the usual basis until the Direct Payment is approved.

6. The date of Dec 3rd for this to take place no longer applies- we do not know what will happen with this. [But I would recommend that all applications are put in sooner rather than later. In the spirit of “partnership” it will allow better planning if they are in asap. If any organisation/service user groups/advocacy groups has problems supporting people in making this choice, then the council should be able to help.]

7. The question of choice for those who don’t want to be transferred but can’t get or don’t want a DP will be considered. Suggestions on this will be helpful.

8. All remaining hours are likely to be put into new contracts – the officials have stated that they do not have to award all contracts but those that they do should be in the region of 800 to 1200 hours per week.

9. The paper cutting Direct Payment rates to a new level does not apply - therefore there are no current proposals to reduce the level of Direct Payments.

10. This issue of the rate and how it will be set will be addressed by the later report. [This is an issues that it would be best for the CEOs to consider collectively in order to have a positive suggestion that will help the council officials decide what is to happen. It would be best that this takes places through the good offices of CCPS if that is possible.]

11. There was a lot of talk that 21% of a cut was too much when only 4% was mentioned as applying to internal services. Therefore while there will have to be a cut from the rates current it will be less than 21%, but probably higher than the target 10% for the tender project.

12. Winning bidders will be approached and asked to consider extending the 240 day validity of their tender. This runs out on Dec 5th and is one of the reasons for the hurry in this matter. An extension of 60 days will give more time.

13. There is a need to make sure that there is a voice for service users [A series of meetings need to be organised with service users of different organisations preferably in a collective fashion. This will give them information, advise them of their options and allow a demonstration of what consultation and involvement means. There should probably be some investment in facilitation of these. Some of us have some skills in this already but we should aim at lots of participation and evidence of this – MAPS – PATHS – DVDs and so on. We should invite council staff to come to these as well – equalities officers – Funding Independence people and so on.]

14. Carers too have to be considered in this, especially those of people with greater/complex needs. [see the point in 3 above]

Not all of this has to be done within 2 weeks but now that there is a pause for breath, I believe it is best for service users, their carers and the organisations that support them to take the initiative.

While it may seem this is only a 2 week delay, it is a major step forward in putting person centred service back on the agenda in edinburgh . There is much to do but we can do it.

All the best

Ian Hood

Sorry for any cross posting


City of Edinburgh Council

Amendment

Full Council Meeting

19th November 2009

Item 7.2a - Contracts for the Provision of Care and Support Services

&

Item 7.2b - Direct Payments: Transitional Arrangements for Care and

Support Services

Council acknowledges the need to extend support to people waiting for Care and Support Services and that therefore efficiency savings need to be made, as well as more investment in such services.

This Council believes, when considering the service provision for the Care and Support packages, choice for clients should be the top priority, and that service quality should not be compromised.

This Council notes that when this tendering process started a target of 10% saving was set. The Council notes that the report at the recent Finance and Resources Committee recommended a 21% saving.

The Council further notes that key decisions on the tendering process for Care and Support Services were taken by officials of the Council and that Direct Payment applications have been suspended with no reference to the Council’s democratic process. This has harmed the reputation of the Council.

The Council finally notes, with regret, that the tendering process has caused concern for the individuals and carers whose service has been put out to tender.

Therefore Council agrees:

  • To process the Direct Payment applications which have already been submitted to the Council
  • To communicate directly with all clients, informing them that they are entitled to apply for a Direct Payment, and to process all those that are received subsequently
  • To offer alternative means of expressing choice in relation to future provision, to all those clients for whom a Direct Payment is not possible or appropriate

Council thus agrees to suspend award of contracts until all the above has been carried out.

Council further agrees that renewed discussions are clearly required with the organisations that represent individuals and carers to resolve their concerns, and that the Spokespersons (of all Parties) for ‘Finance’ and ‘Health and Social Care’ should meet these organisations in order to try to get a resolution to their concerns and thereafter report to a specially convened Finance and Resources Committee at 10am on Thursday 3rd December on the outcome of those discussions.

At the Finance and Resources Committee the report above should also include:

  • The communications strategy for the award of Care and Support packages
  • Details of the choices or alternatives that might be available for those who do not want a Direct Payment or who are not eligible for one
  • The number of Direct Payments likely to be agreed and the effect this might have on the contracting process
  • The rates for Direct Payments
  • Evidence that service quality will not be compromised in any transfer of service to new providers
  • Proposals to consult with service users about the quality and effectiveness of the services they receive and ways of improving those services
  • Legal ramifications taking into account the decisions above

Tuesday 17 November 2009

Swan Edinburgh Info 16.11.09

EDINBURGH SUPPORT WORKER'S
ACTION NETWORK


Budget cuts and competitive tendering threaten to wreck social care services in Edinburgh depriving service-users of quality and choice and reducing the role of support worker to a minimum wage, unskilled role.

Its time to stand up for our jobs and our service-users.

Next organising meeting;

7pm Sunday 22nd November 2009

Autonomous Centre of Edinburgh,
17 West Montgomery Place,
EH7 5HA

At the first meeting of the Support Worker’s Action Network (SWAN) it was agreed that our main objectives would be to campaign for the City of Edinburgh Council to;

- Stop blocking Direct Payments
- Abandon competitive tendering as a way of selecting service providers
- Guarantee adequate funding to enable genuine service-user choice
and retain well trained, good quality staff

We aim to create a network of frontline staff from across organisations and workplaces and to organise against the attacks on service-user choice and staff pay and conditions posed by the current tendering process.

Contact - swanedinburgh@yahoo.co.uk

Our Information Leaflet

EDINBURGH’S MOST VULNERABLE RESIDENTS

BEING SOLD TO THE LOWEST BIDDER

STOP SOCIAL CARE CUTS AND TENDERING

Between 2004 and 2008 the City of Edinburgh Council slashed its ‘Supporting People’ budget by 20%.

Despite this they have now launched an unprecedented attack on the vital services many people with learning disabilities, physical disabilities, mental health conditions and hearing impairments depend on.

On the 27th October the Council made public its plans to sell of the services of 777 people to the lowest bidder. The move aims to wipe out several local voluntary sector organisations that provide good quality specialised services and replace then with 8 companies, the biggest winners being low cost, large scale private companies with questionable track records.

However, the Council has a legal obligation to allow service-users to ask for a ‘Direct Payment’ enabling them to choose there service provider.

As the full scale of the Council’s disastrous plans became clear hundreds of people set about doing just that.

The Council’s response?

Block service-users from getting Direct Payments.

However, in the face of a massive outcry and public protest from service-users, parents/carers and support staff the Council appeared to be backing down.

They now seem to be saying they will allow some Direct Payments to be processed, enabling service-users to choose who supports them in their daily lives.

A victory for Edinburgh’s most vulnerable in their battle against the City Council?

Or is their a catch?


Those familiar with the City of Edinburgh Council will have guessed it.

There is a catch.

The Council intends to set a new rate for Direct Payments that is in line with the ‘most competetive tender bids’ it has received.

So people can choose to have a Direct Payment and therefore will be able to choose their service.

However, they will only be able to choose from the cheapest options on offer;

Low cost, large scale private companies with poor track records.

This is what the City of Edinburgh Council calls choice.

Many current service-users want a Direct Payment so they can continue to work with their support staff with which they have built up good relationships on a daily basis over a number of years.

The Council will not let this happen. The funding rates they have set will not be able to pay for good quality support services. They are intent on cutting costs whatever the human cost.

We must not allow this to happen.

Some of you may have noticed that the Council was not so worried about cutting costs when it bailed out its “arms length” property companies to the tune of £70million.

We have to make them change their priorities.

Otherwise, in years to come, we will be watching TV documentaries, reading newspaper articles about how appalling these services have become, how they are wrecking lives, as has been the case in care of the elderly in many places.

And we will wonder how this was allowed to happen.

We must act now before its too late.

To find out more or to get involved go to

www.swanedinburgh.org.uk or www.ldascotland.org

Produced by Edinburgh Support Worker’s Action Network

Contact us at swanedinburgh@yahoo.co.uk