To summarise recent concerning trends in the increased use of residential and nursing home care and reduced support in the community that raise issues about outcomes for individuals, including their safety, consumer, legal and human rights, and the operation of the market.

To set out policy and practice issues that local authorities should consider in admissions to residential care, both for short and long term care; the use of reablement and intermediate care; discharge to assess models and the operation of hospital discharge processes.

To remind Directors of the core elements of good practice in both commissioning and social care practice, based on statutory requirements and the human and other rights of people with care and support needs.

Recognising that local systems of health and social care are likely to face another difficult winter, to summarise the arrangements that should be in place with local system partners in the NHS and independent sector about how these pressures will be jointly managed in terms of capacity, resources and inter-organisational and professional collaboration.

Please see below to download the full document.