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WRITTEN QUESTION TO THE MINISTER FOR HEALTH AND SOCIAL SERVICES BY DEPUTY G.P. SOUTHERN OF ST. HELIER
ANSWER TO BE TABLED ON TUESDAY 22nd SEPTEMBER 2015
Question
"Will the Minister advise members whether the withdrawal of the domestic cleaning service offered to elderly/disabled clients in need has been brought about by a reduction in the grant aid to Family Nursing and Home Care from Health and Social Services? Will he further inform members how many grade 1 domestic assistants have lost their positions due to this change and how many clients then needed to source alternatives?
Will he further inform members how much the Family Nursing and Home Care grant has been reduced by over the period 2014 to 2016 and whether any other services have been or are likely to be withdrawn?"
Answer
HSSD provides funding to FNHC under an Agreement for Service, rather than a Grant. In 2015 the FNHC Agreement for Service was increased by £335,673 for sustainable home visiting and £754,900 for the delivery of Rapid Response and Reablement services, which are funded through P82. The core funding for the Agreement for Services was also increased by 4% to reflect the States of Jersey pay award and 2.5% for inflation; HSSD currently funds c83% of FNHC's costs; the remainder is funded through charitable means – including bequests, donations and income derived through investments.
In response to the financial challenges of MTFP2 and the changing funding arrangements for individuals with long-term care needs (the Long Term Care Scheme), the Health and Social Services Department is working with FNHC and other providers to ensure that the health and social care services that individuals need are made available, and that these are cost-effective and value for money. HSSD will be clear what services it will fund from 2016; these discussions are ongoing.
Organisations are also funded through the Long Term Care Scheme for those individuals who qualify for this benefit. All charitable organisations will also be making decisions about what services they wish to provide using their charitable income; decisions about these services and staffing arrangements are properly a matter for FNHC.