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Warning of disruption amid fears over home care provider's viability

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The Care Quality Commission has warned 84 councils to make alternative arrangements for care services provided by Allied Healthcare.

It said financial problems faced by one of England’s largest home care providers meant there was “a credible risk of service disruption” in all of them after 30 November.

“We have encouraged Allied Healthcare to provide us with a realistic financially backed plan”

Andrea Sutcliffe

However, Nursing Times’ sister title Local Government Chronicle understands that Allied Healthcare believes the CQC has acted hastily as its current lender is expected to extend its credit facility beyond 30 November, and another lender has also offered support.

CQC chief inspector of adult social care Andrea Sutcliffe said Allied Healthcare had said in April that it would apply for a company voluntary arrangement to allow it to restructure its debts. The CQC had since monitored whether it could continue to provide home care services.

“We have not received adequate assurance that the company has, or will have, the ongoing funding or new investment necessary to ensure the business can operate beyond [30 November]”, Ms Sutcliffe said in a statement issued today.

“We have encouraged Allied Healthcare to provide us with a realistic financially backed plan to support the future sustainability of the business, and given them every opportunity to do so, but they have failed to provide adequate assurance regarding future funding,” she said.

“The CQC has disregarded these assurances in spite of the robust evidence we have provided”

Allied Healthcare

She added: “It is now CQC’s legal duty to notify those local authorities where Allied Healthcare is contracted to deliver home care services, that we consider there to be a credible risk of service disruption.”

Local authorities had a statutory duty to ensure continuity of care for service users where a provider ceases to operate, said Ms Sutcliffe, who was last month appointed as the chief executive and registrar of the Nursing and Midwifery Council and takes over at the regulator in January.

The CQC said issues with Allied Healthcare affected 13,000 people across the UK, 9,300 of them in England. It said no single local authority contracted more than 10% of home care services to the company, and most significantly less.

“This should mean that, given the four-week planning period, it should be possible for local authorities to arrange alternative provision if that proves necessary,” the regulator said.

The CQC said its position would be revised were Allied Healthcare able to continue in business.

Andrea sutcliffe

Andrea sutcliffe

Andrea Sutcliffe

A spokesperson for Allied Healthcare said they were “surprised and deeply disappointed” by the CQC’s decision, calling it “premature and unwarranted”.

“We have demonstrated throughout our discussions with the regulator that Allied Healthcare’s operations are sustainable and safe, that we have secured a potential replacement of our credit facility, that there is no risk to continuity of care and that we have a long-term business plan in place that will continue to deliver quality care across the UK,” they said. 

“The CQC has disregarded these assurances in spite of the robust evidence we have provided,” they added.

By issuing its warning, the spokesperson said the CQC was “putting significant pressure on already stretched and pressurised local authorities and clinical commissioning groups.

“Continuity of quality care is our number one priority. We will continue to provide the services entrusted to Allied Healthcare and will work closely with all commissioners of care throughout this period.”

Sally Copley, director of policy, campaigns and partnerships at Alzheimer’s Society, said Allied Healthcare’s situation meant there “couldn’t be a starker illustration of how close the social care system is to collapse after decades of underfunding”.

“It is paramount that steps are put in place so that the people living with dementia affected, and their families, are supported during this very distressing time,” she said.

“Allied Healthcare are not the only major care provider experiencing financial problems”

Simon Bottery

Simon Bottery, senior fellow at the King’s Fund think-tank, said: “Over 13,000 people who rely on Allied Healthcare for care and support will be wondering what today’s warning from the CQC means for them.

“Local Authorities have a legal duty to ensure continuity of care for service-users and will be working hard on contingency plans with regulators and care providers, but this does not take away from the anxiety and disruption they and their families will be experiencing,” said Mr Bottery.

“The problems faced by Allied Healthcare are a symptom of the huge pressures facing a social care system which is at breaking point after years of under-funding. The additional funding announced by the government in the budget offers some short-term relief but is another sticking plaster,” he said.

“Allied Healthcare are not the only major care provider experiencing financial problems,” he said. “Their difficulties are yet another wake-up call to the huge problems in social care. The government’s forthcoming social care green paper cannot shy away from fundamental reform of a system that is patently not working.”

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