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Towards a National Care and Support Service for Wales: report of the Expert Group
- Authors:
- WILLIAMS Dilwyn Owen (Joint Chair), et al
- Publisher:
- Wales. Welsh Government
- Publication year:
- 2022
- Pagination:
- 49
- Place of publication:
- Cardiff
This report presents a wide-ranging appraisal of the key elements necessary in creation of a National Care Service for children, families and adults, giving particular attention to how care could be made free at the point of need. A National Care Service for Wales will realise a future where: children, young people and adults requiring care and support are empowered to voice what matters to them and are resourced to enhance their wellbeing and achieve control in their everyday lives and aspirations; a skilled, valued, supported, and resourced social care workforce is empowered to deliver what matters to citizens and communities, in co-production with them, and is properly rewarded for doing so; a just and fair leadership culture empowers citizens, communities and the workforce to achieve what matters and is accountable for enhanced wellbeing through innovation, co-production and relationship-centred approaches; care and support services are fully resourced, sustainable, community-centred, person-directed and free at the point of delivery. Based on this vision, the report presents a defined set of changes which will need to take place in order for Wales' National Care Service to bring to life the spirit of the Act in the lives of our citizens. These changes have been split out into seven key areas of consideration: establishing a National Care and Support Office; co-producing care with citizens in Wales; supporting and valuing the workforce; supporting what matters; partnering locally around the person needing support; investing in prevention and early intervention; paying for care. In each area, the Group has made some specific suggestions for practical next steps, which are indicated in bold type, and indented, to bring them to the attention of the reader. (Edited publisher abstract)
Wellbeing of Wales, 2022
- Author:
- WALES. Welsh Government
- Publisher:
- Wales. Welsh Government
- Publication year:
- 2022
- Pagination:
- 174
- Place of publication:
- Cardiff
This report provides an update on progress being made in Wales towards the achievement of the seven wellbeing goals: a prosperous Wales; a resilient Wales; a healthier Wales; a more equal Wales; a Wales of cohesive communities; a Wales of vibrant culture and thriving Welsh language; a globally responsible Wales. The report considers progress against the 50 national indicators, which were set by Welsh Ministers in 2016, alongside a range of other relevant data. The report reveals that there has been little change in overall relative income poverty levels in Wales for over 15 years. Wales has more people in low paid work than some other parts of the UK, but there have been recent increases in the share of people on permanent contracts who are paid the real Living Wage. Life expectancy fell in the most recent period available (2018 to 2020), which includes part of the period of the COVID-19 pandemic. Healthy life expectancy continues to be worse for those living in more deprived areas but has remained relatively stable between 2011 to 2013 and 2018 to 2020. The majority (93%) of adults reported following two or more of the five healthy lifestyle behaviours. The percentage of children with two or more healthy lifestyle behaviours remains at 88%, broadly unchanged since data collection started in 2013/14. Mental wellbeing for both adults and children is lower than prior to the pandemic, according to the most recent assessment. Nearly half (49%) of single parents were in material deprivation in 2021-22 and 2% of households said they had received food from a food bank during 2021-22. The (full-time) gender pay gap was 5.0% in 2021, unchanged on the previous year and the lowest rate ever recorded. The disability pay gap, which rose between 2014 and 2019 now appears to be reducing, though the employment situation during the COVID-19 pandemic may have had an impact on this trend. Community cohesion remains above pre-pandemic levels, although reported hate crimes continued to increase in the latest year. (Edited publisher abstract)
Substance misuse treatment framework: integrated substance misuse service provision for children and young people: consultation document
- Author:
- WALES. Welsh Government. Substance Misuse Policy & Delivery Team
- Publisher:
- Wales. Welsh Government
- Publication year:
- 2022
- Pagination:
- 89
- Place of publication:
- Cardiff
This consultation seeks views on a draft framework for children’s and young people’s substance misuse services. This looks at ways of improving outcomes and reducing harm for children and young people aged up to 25. The guidance provided in this framework relies on implementation of three key developments/recommendations across Wales, developed and agreed through the national stakeholder engagement process: 1. All services for children and young people provide an inclusive and adaptive service for all those aged up to 25 years; 2. Implementation of an electronic unified and modular assessment tool across services in Wales working with children and young people aged up to <25; 3. Development of comprehensive specialised intervention services delivered by creating a single agency, or bringing together separate agencies, to act as a single entity to support those with multiple and/or complex vulnerabilities including substance use, mental health and learning difficulties and/or risk of offending and reoffending aged 15-25 years. The consultations closes on 23 December 2022. (Edited publisher abstract)
Proposals for primary legislation in relation to children's social care, Continuing Health Care, mandatory reporting and regulation and inspection
- Author:
- WALES. Welsh Government
- Publisher:
- Wales. Welsh Government
- Publication year:
- 2022
- Pagination:
- 59
- Place of publication:
- Cardiff
This consultation seeks views on several proposals for changes to primary legislation which aim to improve social care in Wales. This consultation document: outlines legislative proposals for eliminating profit from the care of children looked after; proposes enabling access to Direct Payments for adults who are eligible for Continuing NHS Healthcare; looks at existing duties to report children and adults at risk in Wales, and asks whether these duties should be expanded; explores areas within existing regulation of service providers, responsible individuals and the social care workforce, and seeks views on potential amendments. The consultation closes on 7 November 2022. (Edited publisher abstract)
National framework for social prescribing: consultation document
- Author:
- WALES. Welsh Government
- Publisher:
- Wales. Welsh Government
- Publication year:
- 2022
- Pagination:
- 42
- Place of publication:
- Cardiff
The purpose of this consultation exercise is to agree with stakeholders a model of social prescribing for Wales, to develop a common understanding of the language used to describe social prescribing and identify actions which embed the model through a national framework. The consultation seeks views on what action can be taken on a once for Wales basis and where guidance or standards are required to ensure social prescribing makes the desired impact. The Welsh model of social prescribing moves away from a medicalised approach, instead proposing social prescribing where the sources of referral are cross-sectoral and not limited to healthcare/primary care. Social Prescribing can require multiple organisations to work together to ensure a coherent, seamless social prescribing model that meets both local and national population needs. The dominant model in Wales is holistic and person centred. It is a relationship-based approach to empower individuals and includes a few key stages such as referral, relationship building and maximising the agency of the pathway user through 'reconnecting them to their own community and improving their wellbeing'. This consultation closes on 20 October 2022. (Edited publisher abstract)
National action plan to prevent the abuse of older people: a consultation on actions the Welsh Government will take to prevent the abuse and neglect of older people in Wales
- Author:
- WALES. Welsh Government
- Publisher:
- Wales. Welsh Government
- Publication year:
- 2022
- Pagination:
- 26
- Place of publication:
- Cardiff
This consultation document seeks views on proposed actions the Welsh Government will take to prevent the abuse and neglect of older people in Wales. The Government is clear that abuse or neglect in any form against older people will not be tolerated. This includes financial scams, physical and mental abuse and neglect. Age does not diminish an individual's right to live with dignity and respect. The Action Plan sets out a series of measures which the Welsh Government will put in place across Government to ensure that older people are protected from all types of abuse, and to prevent them from being at risk of abuse. It builds upon much good work done under the Social Services and Well-being (Wales) Act 2014, the Regulation and Inspection of Social Care (Wales) Act 2016, and the Violence against Women, Domestic Abuse and Sexual Violence (Wales) Act 2015. This plan has three overarching themes: 1. Older people are supported to live independently and with dignity and are able to access relevant support from safeguarding services where they are at risk of abuse or neglect; 2. Older people experiencing domestic abuse or sexual violence are able to access relevant support from Violence against Women, Domestic Abuse and Sexual Violence (VAWDASV) services when required; 3. Older people receiving care and support are protected from becoming at risk of abuse or neglect. This consultation closes on 17 October 2022. (Edited publisher abstract)
A scoping review of place-based approaches to community engagement and support
- Author:
- BAKER Sophie
- Publisher:
- Wales. Welsh Government
- Publication year:
- 2022
- Pagination:
- 63
- Place of publication:
- Cardiff
This report aims to outline the theoretical rationale and empirical evidence underpinning place-based approaches (PBAs); identify case studies of PBAs to community engagement and support that have been implemented in Wales; and identify themes of facilitators and barriers across these approaches which can be used as a starting point to develop a best practice framework for the use of PBAs in Wales. PBAs enable funding and resources to be targeted at communities most in need of support. In the broadest sense, PBAs, also known as 'area-based initiatives', can be characterised as "any intervention, policy, programme, or action that aims to improve health and reduce health inequalities and is delivered at a local- or regional-level, excluding national level interventions." Evidence suggests that effective community engagement is integral to the success of PBAs. There is a clear rationale for engaging community members at a local level - physical location connects people and in doing so provides a foundation for collective action. The common identity fostered by a shared sense of place helps to mobilise the assets of the community - members of the community are incentivised to engage in place-based work because decisions about policy and public services in their local area affect them on a personal level. Five main themes and eleven sub-themes were derived from the thematic analysis of programme evaluations of six PBAs to community engagement and support in Wales selected as case studies. Themes can be defined as the "Five Cs" and pertain to common barriers and facilitators to community engagement and support across the six PBA case studies. Main themes are: community inclusion; capacity building; community assets and local characteristics; communicating aims and expected outcomes; collaborative working. (Edited publisher abstract)
Violence against women, domestic abuse and sexual violence (VAWDASV) barriers to engagement: engaging survivors from diverse groups
- Authors:
- MANIATT R., COATES J.
- Publisher:
- Wales. Welsh Government
- Publication year:
- 2022
- Pagination:
- 84
- Place of publication:
- Cardiff
This research aimed to explore what the barriers are for survivors of abuse from diverse and under-represented populations in engaging with participatory programmes, such as survivor forums. It aimed to understand the barriers for survivors of violence against women, domestic abuse and sexual violence (VAWDASV) and how these and can be overcome, before presenting recommendations for future Welsh Government survivor engagement. The study found that diverse survivors do not trust that participation will make any change, will not be taken seriously, or worry about experiencing negative effects due to taking part in projects. To remedy this, researchers / facilitators need to take steps to build trust with communities and participants, engaging with gatekeepers and providing information about themselves and the project, so that survivors can make an informed decision. Participants in this study also explained how lack of knowledge regarding diversity and alternate forms of VAWDASV to the dominant narrative are barriers to participation, as they can be made to feel 'less worthy' compared with other survivors and that their experiences do not matter. Accessibility is cited as a barrier for diverse groups. All engagement should be designed with accessibility in mind, ideally in consultation with disabled people, older people and minority ethnic groups, to ensure that any issues around physical, digital and language are identified. Survivors stated that they did not want to be separate from those of other ethnicities and sexualities, with diverse survivors who were interviewed sharing that they like to be mixed with survivors from other backgrounds so they can learn different viewpoints. Regarding whether to hold mixed sex and gender groups, most services, including 'by and for' services for LGBTQ+ and male survivors, stated the need for separation, as the dominant narrative of a female victim with a male perpetrator often obscures other experiences. Survivors and services both acknowledged and expressed concern regarding including trans+ survivors in female and male groups, in some cases as female survivors worry that they may be perpetrators, but also due to the fear for the trans+ survivors' wellbeing from being bullied or experiencing voyeurism. (Edited publisher abstract)
Violence against women, domestic abuse and sexual violence: strategy 2022 to 2026
- Author:
- WALES. Welsh Government
- Publisher:
- Wales. Welsh Government
- Publication year:
- 2022
- Place of publication:
- Cardiff
This strategy, which is the second to be completed under the duty established by the Violence against Women Domestic Abuse and Sexual Violence (Wales) Act 2015, sets out the approach to be taken by the Welsh Government elected in May 2021. It will cover the period to the end of this administration in 2026. It is marked by a commitment to tackle cause as well as effect. Ending VAWDASV is a complex challenge, involving many facets and issues affecting cause and effect for survivors and their families, perpetrators of abuse and those bodies with a duty to act whether that is legal or moral. This is intended to be an all-Wales strategy defining and leading action within all parts of the Welsh public sector. It is a strategy for public authorities and the third sector setting out priorities to create a collective sense of endeavour towards shared goals. It is also a strategy for business and wider society to make the changes to norms, behaviours and cultures, which will lie at the root of achieving our ambitions. This strategy seeks to end VAWDASV and therefore must take a multi-agency and multi-disciplinary approach including the voices of experts by experience at its heart. The strategy has six objectives: challenge the public attitude to violence against women, domestic abuse and sexual violence across the Welsh population through awareness raising and space for public discussion with the aim to decrease its occurrence; increase awareness in children, young people and adults of the importance of safe, equal and healthy relationships and empowering them to positive personal choices; increase the focus on holding those who commit abuse to account and supporting those who may carry out abusive or violent behaviour to change their behaviour and avoid offending; make early intervention and prevention a priority; relevant professionals are trained to provide effective, timely and appropriate responses to victims and survivors; provide all victims with equal access to appropriately resourced, high quality, needs-led, strength-based, inter-sectional and responsive services across Wales. (Edited publisher abstract)
Learning disability strategic action plan 2022 to 2026
- Author:
- WALES. Welsh Government
- Publisher:
- Wales. Welsh Government
- Publication year:
- 2022
- Pagination:
- 20
- Place of publication:
- Cardiff
This action plan sets out the Welsh Government's overarching strategic agenda for the development and implementation of learning disability policy for the remainder of the current term of government, 2022 to 2026. The action plan (and associated delivery plan) is a living document and will be updated to reflect any changes to priorities and circumstances as they arise. It is designed to be flexible and contains actions that can reasonably be expected to be achieved given the ongoing focus on pandemic recovery and limits on available resources. Priority areas identified in the plan include: overarching/cross-cutting, including cross-government activity that may not sit in one specific area; COVID recovery; health, including reducing health inequalities and avoidable deaths; social services and social care; facilitating independent living and access to services through increased access to advocacy and self-advocacy skills, engagement and collaboration; education including children and young people's services; employment and skills; housing - appropriate housing, close to home, access to joined-up services; and transport. (Edited publisher abstract)