The Care Provider Alliance (CPA) is an informal alliance of the ten main national associations which represent independent and voluntary adult social care providers in England.
It reaches over 95% of all care and support provider organisations, in a sector with 1.6 million employees, helping and supporting adults with physical, sensory or learning disabilities, people with mental ill-health, and older people to live good quality, independent lives.
The role of CPA chair rotates annually across each of the ten associations. Prof Vic Rayner, CEO of the National Care Form is the current chair of the alliance. [1]
The members are:
The CPA acts as a collective voice, and as a pressure group and lobbyist for the sector. [2] It has been very involved with initiatives developed under the Better Care Fund and has produced various resources for its members. [3]
In 2015 it formed an alliance with the Association of Directors of Adult Social Services, the Care and Support Alliance, and the NHS Confederation all of whose members are affected by the pressures on social care. [4] At that time, the alliance was attempting to influence the result of the 2015 Comprehensive Spending Review. [5] It warned that the sector was facing “a deepening crisis” [6] and the campaign attracted support from some local authorities. [7]
Throughout the COVID19 pandemic in 2020, the CPA played an integral part in highlighting the major challenges facing the sector, writing to the then Prime Minister Boris Johnson on 27 March warning: “Margins are very tight and the sector is working at full capacity, while also experiencing increasing levels of staff sickness. [8]
It also joined other organisations raising concerns bout decisions on advanced care plans and DNAR forms, stating “must continue to be made on an individual basis according to need.” [9]
At the same time, it was disseminating information to care providers, to ensure care staff and people who used care services were applied to EU Settlement Scheme (EUSS). [10] This would ensure they are able to continue to live, work and access funding and services in the UK after 30 June 2021.
In November 2022, the CPA published a report The State of the Social Care and Support Provision in England, highlighting the key issues currently afflicting the social care sector. [11]
More recently, the CPA is driving an urgent call to address the devastating impact on care and support of the rises in employee National Insurance and other announcements made in the 2024 Autumn budget; its survey of more than 1,180 care and support providers in England found 22% of those asked said they were planning to close their businesses entirely and 57% will hand back existing contracts to local authorities or the NHS as a result of the rising costs.
Almost three-quarters (73%) said they will have to refuse new care packages from local authorities or the NHS, and 64% said they will have to make staff redundant. [12]
An NHS trust is an organisational unit within the National Health Services of England and Wales, generally serving either a geographical area or a specialised function. In any particular location there may be several trusts involved in the different aspects of providing healthcare to the local population. As of April 2020, there were altogether 217 trusts, and they employ around 800,000 of the NHS's 1.2 million staff.
Primary care trusts (PCTs) were part of the National Health Service in England from 2001 to 2013. PCTs were largely administrative bodies, responsible for commissioning primary, community and secondary health services from providers. Until 31 May 2011, they also provided community health services directly. Collectively PCTs were responsible for spending around 80 per cent of the total NHS budget. Primary care trusts were abolished on 31 March 2013 as part of the Health and Social Care Act 2012, with their work taken over by clinical commissioning groups.
The NHS Confederation, formerly the National Association of Health Authorities and Trusts, is a membership body for organisations that commission and provide National Health Service services founded in 1990. The predecessor organisation was called the National Association of Health Authorities in England and Wales.
Health and Social Care is the publicly funded healthcare system in Northern Ireland. Although having been created separately to the National Health Service (NHS), it is nonetheless considered a part of the overall national health service in the United Kingdom. The Northern Ireland Executive through its Department of Health is responsible for its funding, while the Public Health Agency is the executive agency responsible for the provision of public health and social care services across Northern Ireland. It is free of charge to all citizens of Northern Ireland and the rest of the United Kingdom.
Emergency medical services in the United Kingdom provide emergency care to people with acute illness or injury and are predominantly provided free at the point of use by the four National Health Services (NHS) of England, Scotland, Wales, and Northern Ireland. Emergency care including ambulance and emergency department treatment is only free to UK residents and a charge may be made to those not entitled to free NHS care.
The NHS Business Services Authority (NHSBSA) is an executive non-departmental public body of the Department of Health and Social Care which provides a number of support services to the National Health Service in England and Wales. It was created on 1 October 2005 following a review by the Department of Health of its "arm's length bodies". It began operating on 1 April 2006, bringing together five previously separate NHS business support organisations.
The National Health Service (NHS) is the publicly funded healthcare system in England, and one of the four National Health Service systems in the United Kingdom. It is the second largest single-payer healthcare system in the world after the Brazilian Sistema Único de Saúde. Primarily funded by the government from general taxation, and overseen by the Department of Health and Social Care, the NHS provides healthcare to all legal English residents and residents from other regions of the UK, with most services free at the point of use for most people. The NHS also conducts research through the National Institute for Health and Care Research (NIHR).
The Care Quality Commission (CQC) is an executive non-departmental public body of the Department of Health and Social Care of the United Kingdom. It was established in 2009 to regulate and inspect health and social care providers in England.
Healthcare in England is mainly provided by the National Health Service (NHS), a public body that provides healthcare to all permanent residents in England, that is free at the point of use. The body is one of four forming the UK National Health Service, as health is a devolved matter; there are differences with the provisions for healthcare elsewhere in the United Kingdom, and in England it is overseen by NHS England. Though the public system dominates healthcare provision in England, private health care and a wide variety of alternative and complementary treatments are available for those willing and able to pay.
The National Health Service (NHS) is the umbrella term for the publicly funded healthcare systems of the United Kingdom, comprising the NHS in England, NHS Scotland and NHS Wales. Health and Social Care in Northern Ireland was created separately and is often locally referred to as "the NHS". The original three systems were established in 1948 as part of major social reforms following the Second World War. The founding principles were that services should be comprehensive, universal and free at the point of delivery—a health service based on clinical need, not ability to pay. Each service provides a comprehensive range of health services, provided without charge for residents of the United Kingdom apart from dental treatment and optical care. In England, NHS patients have to pay prescription charges; some, such as those aged over 60, or those on certain state benefits, are exempt.
In England, social care is defined as the provision of social work, personal care, protection or social support services to children or adults in need or at risk, or adults with needs arising from illness, disability, old age or poverty. The main legal definitions flow from the National Health Service and Community Care Act 1990, with other provisions covering disability and responsibilities to informal carers. That provision may have one or more of the following aims: to protect people who use care services from abuse or neglect, to prevent deterioration of or promote physical or mental health, to promote independence and social inclusion, to improve opportunities and life chances, to strengthen families and to protect human rights in relation to people's social needs.
The Health and Social Care Act 2012 is an act of the Parliament of the United Kingdom. It provided for the most extensive reorganisation of the structure of the National Health Service in England to date. It removed responsibility for the health of citizens from the Secretary of State for Health, which the post had carried since the inception of the NHS in 1948. It abolished primary care trusts (PCTs) and strategic health authorities (SHAs) and transferred between £60 billion and £80 billion of "commissioning", or healthcare funds, from the abolished PCTs to several hundred clinical commissioning groups, partly run by the general practitioners (GPs) in England. A new executive agency of the Department of Health, Public Health England, was established under the act on 1 April 2013.
Clinical commissioning groups (CCGs) were National Health Service (NHS) organisations set up by the Health and Social Care Act 2012 to replace strategic health authorities and primary care trusts to organise the delivery of NHS services in each of their local areas in England. On 1 July 2022, they were abolished and replaced by integrated care systems as a result of the Health and Care Act 2022.
The Five Year Forward View was produced by NHS England in October 2014 under the leadership of Simon Stevens as a planning document.
Healthcare in the West Midlands was, until July 2022, the responsibility of five integrated care groups: Birmingham and Solihull, Sandwell and West Birmingham, Dudley, Wolverhampton, and Walsall.
The Association of Directors of Adult Social Services (ADASS) is a charity representing directors of adult social services in England, and is a leading body on social care issues.
In England, a sustainability and transformation plan (STP) is a non-statutory requirement which promotes integrated provision of healthcare, including purchasing and commissioning, within each geographical area of the National Health Service. The plans were introduced in 2016 but by 2018 had been overtaken by progress towards integrated care systems.
In England, an integrated care system (ICS) is a statutory partnership of organisations who plan, buy, and provide health and care services in their geographical area. The organisations involved include the NHS, local authorities, voluntary and charity groups, and independent care providers. The NHS Long Term Plan of January 2019 called for the whole of England to be covered by ICSs by April 2021. On 1 July 2022, ICSs replaced clinical commissioning groups in England.
The private provision of NHS services has been considered a controversial topic since the early 1990s. Keep Our NHS Public, NHS Support Federation and other groups have campaigned against the threat of privatisation, largely in England.
Care England is a trade organisation for independent adult social care providers in England. It is the largest representative body for independent social care services in the UK. It is a registered charity based in London. Members provide a variety of services for older people and those with long term conditions, learning disabilities or mental health problems. Professor Martin Green, OBE, is the Chief Executive.