Brain & Spinal Injury Handbook - 22/23

Page 148

FINANCIAL & LEGAL

What are the effects of the care crisis on COMPENSATION CLAIMS? The crisis in the care sector has been the subject of great concern in recent months. The National Care Forum has described it as the “most acute recruitment and retention crisis” in its history. 1

I

t produced a survey of more than 2,000 social care services, identifying that 74% of providers had reported an increase in staff exits. Staff turnover was estimated to be in the region of 30% at a time of increasing need for care services. Similarly, a report by the charity Skills for Care found that an average of 6.8% of roles in the adult social care sector were vacant in the year 2020/21. This is equivalent to 105,000 jobs being advertised on any given day.2 In relation to pay in other sectors across the country, the Consumer Prices Index rose by 5% in the 12 months to January 2022.3 UK employers expect to award pay rises of 3% in 2022, the highest for at least a decade. Job vacancies have reached record levels.4 The National Living Wage will increase in April 2022 by 6.6%. 5 Looking further into this area, the British Association of Brain Injury Case Managers (BABICM) published its report “Perfect Storm Survey Results” 6 . It makes for sobering but unsurprising reading for those of us working with brain and spinal cord injury survivors. Prompted by reports of increasing difficulty in recruiting and retaining skilled support workers, the crisis appears to be worsening with no clear end in sight. BABICM conducted a survey that would gather objective statistics to go alongside the more anecdotal evidence in this specific sector of the care industry. BABICM wanted, among other things, to highlight to those involved the pay rates for support workers that are now being requested and paid. Of 200 responses, more than 90% had experienced problems with staff recruitment. The reasons for the shortage of support workers included:

1. 2. 3. 4. 5. 6.

148

Low wages. Increased rates of pay in other sectors. Poor working conditions. Loss of candidates and loss of some existing staff due to Brexit. Impact of the pandemic on the role. Introduction of mandatory vaccinations.

202 2 /23

The report mentions that these factors increase case management costs as well as increasing support worker wages. This is in part because difficulty finding appropriate support workers increases the time case managers need to be engaged in that part of their role. The pressure on wages generally to go up is significant, as outlined earlier, but the other factors mentioned in relation to support workers in this sector only exacerbate these pressures. The respondents in the survey expected increasing difficulty with recruitment because of the factors mentioned above. The recruitment crisis appears to be ongoing, with no end in sight. Wage increases were identified as necessary, an unsurprising conclusion in any industry, but again exacerbated by the other factors that disproportionately affect support worker recruitment. The cost of retaining support workers in the future, after the case has been settled, is often the largest part of a compensation claim for those who have been seriously injured.7 The effect on a claimant if the future care claim is not correct can be catastrophic, as it means they will not have sufficient funds to pay for the care they require for the rest of their lives. This task can become much more difficult in an environment of rapidly accelerating care costs. This crisis is therefore having an ongoing effect on claims for brain and spinal cord injury, which all the professionals involved in these claims need to appreciate and act upon. Future care claims have always taken a great deal of time and effort from all the professionals involved in a claim. As ever with compensation claims, it can be easy to achieve a settlement, but achieving the right figure is difficult.

HOW CAN THESE PROBLEMS BE DEALT WITH IN COMPENSATION CLAIMS? The lawyers running such cases need to think carefully about the benefits of seeking payment of care costs on an annual basis rather than as a lump sum.8 If the care costs are paid on an annual basis, then they will be linked to increases in wages in the sector. However, not every case is suitable for payments on an annual basis; they often do not work in cases involving significant liability disputes as the claimant then receives only

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A very special thank-you to all our contributors

1min
pages 160-164

I am his deputy so why is the official Solicitor acting as his litigation friend?

6min
pages 152-155

Brain & spinal injury contact information

4min
pages 158-159

Release the cash tied up in your ongoing cases

2min
pages 150-151

What are the effects of the care crisis on compensation claims?

6min
pages 148-149

Leading experts - Specialists acting for a multitude of clients in all forms of personal injury

4min
page 147

MORR & Co

2min
page 146

The hidden victims of Covid-19 and how we can help them

5min
pages 142-145

After the Event Insurance – More than a promise

3min
pages 140-141

How we help seriously injured people

2min
pages 135-137

From strength to strength

7min
pages 132-134

Opening up the law after a serious spinal or brain injury

2min
pages 138-139

Living with a spinal cord injury

2min
pages 130-131

Functional electrical stimulation (FES) for correction of dropped foot

2min
pages 128-129

Why manage posture?

4min
pages 122-123

Historical merged with contemporary moving accessibly between the centuries

2min
pages 124-127

A simple solution to independent living after brain or spinal injury

11min
pages 113-115

Brotherwood Electric Wav is the perfect fit for Sussex charity

2min
pages 118-119

Innovations in wheelchair vibration dampening

2min
pages 120-121

Introducing CareFlex & the benefits of specialist seating

3min
pages 116-117

Somek and Associates’ Brain and spinal injury reports

1min
pages 111-112

Eximius Live-in care Ltd – Personalised live-in care in your own home

3min
pages 108-110

There’s nothing like the comfort of your own home

1min
page 104

Prestige Nursing & Care - Benefits of a fully managed service when sourcing brain and spinal injury care

1min
page 106

Resolution Care Services - Providing specialist personalised complex care solutions in Wales

1min
page 107

Empowering U

1min
page 99

Complete Care Amegreen... Connecting healthcare and wellbeing with our trusted partner, the Spinal Injuries Association (SIA)

2min
pages 100-101

Consumer lead healthcare that positions Advantage Healthcare as your provider of choice

2min
pages 102-103

Helping to improve lives

1min
page 98

Callum’s story: Returning home with live-in care

2min
pages 90-92

Maplewood Independent Living - Bespoke case management, specialist care & support

1min
pages 94-97

JAM Complex Care - Helping you live a rich independent & full life at home

2min
page 93

Working with diversity - The psychological personal injury service

1min
page 88

Registration, registration, registration

3min
page 89

A case manager’s perspective: Building relationships with clients and families

3min
pages 86-87

A care sector in turmoil - Is direct recruitment a solution?

3min
pages 80-81

MCCM – Mary Campbell case management

1min
page 79

Are you looking for a case manager in the South of England?

1min
page 78

Taking the holistic approach to rehabilitation and case management

3min
pages 74-75

Collaboration & the elephant in the room (substance misuse)

5min
pages 60-61

Innovation and quality are at the forefront of case management provision at StanleySmith

3min
pages 62-63

Expert rehabilitation case management services

7min
pages 66-67

Regulated HR services for court of protection teams balancing sensitivity & compliance

2min
page 65

Breakthrough case management ‘case management with care’

2min
pages 68-69

BABICM looks to the future

5min
pages 58-59

All your rehabilitation needs under one roof

3min
pages 52-53

Never give up

1min
page 45

Renovo Care Group: Helping people reconnect

1min
page 44

Dedicated rehabilitation creating happiness daily

4min
pages 40-42

Recognising the complex needs of families living with brain injury

1min
page 37

BIS Services

1min
page 36

How Calvert Reconnections’ new approach to brain injury rehabilitation is transforming lives

3min
pages 38-39

B&SI

7min
pages 32-35

Sex, relationships, consent and capacity: Can the arts therapies help?

7min
pages 20-21

Managing sleep - in long Covid

4min
pages 30-31

It’s only Child’s Play or is it?

8min
pages 26-28

Design for Independence celebrates 10th anniversary

2min
pages 18-19

What advice do you wish you could have given family and friends after your stroke?

2min
pages 14-15

Specialist behavioural support following a brain or spinal injury

2min
pages 16-17

Delivering life changing rehab at Askham

2min
pages 24-25

Rehab, Respite & Rock’n’Roll Supporting clients to achieve their goals

1min
page 29
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