Policy changes that you need to know about during COVID-19

COVID-19 has resulted in many changes across the country. Here are some changes to policy that you should be aware of at Healthwatch if you are to run effectively.
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1) Employment: Coronavirus job retention scheme

Date updated: 26.03.2020

While any UK organisation with employees can apply for the Coronavirus Job Retention Scheme, Healthwatch are unlikely to be eligible because where employers receive public funding for staff costs, and that funding is continuing, the Government expects employers to use that money to continue to pay staff in the usual fashion – and correspondingly not furlough them. This also applies to non-public sector employers who receive public funding for staff costs.

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2) Procurement policy note: Responding to COVID-19

Date updated: 18.03.2020

Healthwatch contracts may be coming up for tender or an extension in the next few months.

The guidance highlights existing procurement regulations which could be considered when responding to the impact of COVID-19, including options to directly award contracts and to extend or modify existing contracts. Healthwatch England’s Network Development Team will be looking at contracts either up for tender or moving into extension so are available to support. Please contact us if you want to talk about this.

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3) Implications of COVID-19: Control measures and charity financial reporting

Date updated: 23.03.2020

The capacity of Healthwatch providers and the availability of an independent examiner/auditor may prevent you from preparing accounts within the usual timeframe.

The Charities SORP Committee have published guidance on financial reporting for charities during COVID-19. The guidance contains advice for charities preparing accounts to be approved at this time.

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4) Coronavirus (COVID-19) Guidance for the charity sector

Date updated: 25.03.2020

This piece of advice provides governance information for Healthwatch providers with charitable status.

Guidance from the Charities Commission confirm that:

  • charities can use reserves and restricted funds at this time
  • the Commission will be flexible on various governance issues such as upcoming AGMs, holding meetings using teleconference etc. provided charities are transparent and continue reporting

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5) COVID-19 Business interruption loan scheme

Date updated: 26.03.2020

Provides information for Community Interest Company’s (CICs) with borrowing proposals.

The COVID-19 Business Interruption Loan Scheme will be the main method of obtaining loans for social enterprises that need access to working capital during the COVID-19 pandemic.

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6) NHS and PHSO complaints process paused

Date updated: 15.06.2020

The Parliamentary and Health Service Ombudsman (PHSO) will accept new health service complaints and will progress existing ones where this requires contact with the NHS from 1st July 2020.  NHS England has also advised NHS organisations that the pause to NHS complaints (introduced in March 2020) will cease at the end of June 2020.

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7) NHS complaints paused

Date updated: 27.03.2020

NHS England and NHS Improvement have announced that staff have the option to 'pause' the NHS complaints procedure for three months.

The statutory duty to investigate and respond to complaints has not changed, but if the complaint is not deemed urgent, it can remain 'open' pending investigation.

The NHS is likley to publish further guidance for services.

8) Extension of First Aid at Work, Emergency First Aid at Work, Paediatric First Aid and Emergency Paediatric First Aid Certificates

Date updated: 19.03.2020

Staff with First Aid certificates may not be able to update training due to COVID-19. The Health and Safety Executive have announced that first aid certificates due to expire after 16.03.2020 can be extended by three months, where requalification is not possible due to COVID-19.

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9) COVID-19: Changes to DBS ID Checking Guidelines

Date updated: 24.03.2020

Temporary changes to ID checking guidelines are being made as a result of the coronavirus outbreak.

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10) Arrangements for 2019/20 Quality Accounts

Date updated: 05.05.2020

In light of COVID-19 pressure, NHS providers are now working to a deadline of December 15 to publish 2019/20 quality accounts. Healthwatch will be given the opportunity to provide comment in the normal way and should expect NHS providers to share draft quality accounts with them by October 15.

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11) Changes to carer's allowance

Date updated: 15.04.2020

Regulations have been brought in which allow carers to retain their entitlement to carer's allowance if they have a temporary break in caring because either they or the person they care for is forced to isolate due to the coronavirus. 

However, if an alternative carer claims benefit for providing the necessary care and meets the qualifying conditions, they will receive the carer benefit instead and the original carer will be advised to claim another benefit, such as Universal Credit.

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12) Mental Health Act and Deprivation of Liberty Safeguards

Date updated: 22.04.20

Restrictions on an individual due to treatment for COVID-19 or subsequent public health advice (e.g. isolation) could constitute a deprivation of liberty for adults who lack the relevant mental capacity to consent to their care and treatment.

Therefore, the following changes have been made to the Mental Health Act and Deprivation of Liberty Safeguards (DoLS). These will apply for the duration of the outbreak.

  • DoLS will not apply for people receiving life-saving treatment, as long as the treatment is the same as would normally be given to any person not lacking capacity.
  • Health and care providers will need to decide on a case-by-case basis whether an individual’s new care arrangements constitute a deprivation of liberty and whether a new DoLS standard authorisation should be requested from the local authority.
  • DoLS assessors can consider an individual’s previous assessments as relevant evidence in decision making, because visits to care homes or hospitals are not advised.

What is in the Government’s coronavirus (COVID-19) bill?

The Government has introduced emergency legislation to help it respond to coronavirus. Find out what the bill contains and the issues that are most relevant to Healthwatch services.

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The following sections have been amended - 07.04.2020:

  • Employment: Coronavirus job retention scheme
  • Procurement policy note: Responding to COVID-19
  • Coronavirus (COVID-19) Guidance for the charity sector

What are people telling you about their experiences of COVID-19?

We want to know what COVID-19 advice and information people are asking you for or issues they are raising. This is so we can spot any gaps in information, identify any issues and keep Government and the NHS informed. Let us know the issues people are raising with you.

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