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Author Archives: Roy Lilley

Their quest to ‘inspect’ quality into care homes is futile.  Turning them into a proper regulator makes much more sense. The CQC should have total powers over the sector.  Clear accountability and someone to nail if it goes wrong. I can think of a dozen new powers: Develop and publish an annual, independent, strategic assessment of the sector, with recommendations for government on the realistic cost of care and funding levels. Provide national model-contracts for care home providers, so the public know what to expect and where they stand. New powers to decline any home registration that does not have […]
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Section one; PFI. It’s only about 2% of NHS turnover but in some places it is totally unmanageable. The NHS Emergency Powers Act would allow LaLite to leave the PFI debt with the Trusts but deal with the payments as interest bearing debt and as one global sum by adjusting the tariff. Effectively, sharing the pain across the NHS. This would provoke an outcry from non-PFI places but he’ll have to ignore that and act in the national interest. If he doesn’t more Trusts will close, run out of money or end up with useless blue-light-lite services and more disaffected voters. […]
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