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Care and support statutory guidance

Where it is apparent to a local authority that a provider is likely to when a girl thinks you are a flirt sex dating relationships fail financially, either through its own intelligence or through information from the CQCthe authority should prepare to take steps to ensure continuity of care and support for people who have their care and support provided by that provider see chapter 5 on managing provider failure. Click on the enter key to move to the next word. Some of the factors and circumstances that local authorities should consider in doing this will often be identified in Joint Strategic Needs Assessments. The authority should take account of information standards published by the Information Standards Board for Health and Social Care under the provisions of the Health and Social Care Act There was a definite change in my moods and when I wasn't sleeping, I was screaming or crying… it put me off for good," she says. Local authorities may also include how care and support costs interact with retirement decisions. The National Audit of Intermediate Care categorises 4 types of intermediate care:. In doing so local authorities must provide information about the assessment process in an accessible format. Standards should be in line with the codes of practice drawn up by the Department of Communities and Local Government. To fulfil its duty under section 4 of the Act, a local authority is likely to need to go further than providing information and advice directly though direct provision will be important by working to ensure the coherence, sufficiency, availability and accessibility of information and advice relating to free online dating sites around the world christian farmers dating australia free and support across the local authority area. I was one of the 0. They see orgasms as a right, not a privilege. Chapters 6 Assessment and eligibility10 Care and support planningand 7 Independent advocacy discuss this in more. In addition to any more targeted approaches to communicating with individuals who may benefit from preventative support, this service should include information and advice about preventative services, facilities or resources, so that anyone can find out about the types of support available locally that may meet their individual needs and circumstances, and how to access. Having had an abortion and been fitted with the implant, she finally had it removed and went back to relying on the pull-out method. Local authorities can offer individuals a supported tinder plus cracked apk mexican online dating nj, and must do so if the adult or carer is able, willing and has capacity to undertake it.

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This could include things such as employment support, training, developing friendships or advice on housing options. We were being irresponsible and testing our limits. Individuals may require help to understand information provided, assistance in weighing up the information, and support in communicating their wishes and preferences. The TLAP guidance commissioning for provider diversity may be helpful to commissioners. Local authorities should also consider whether the person may have difficulty communicating for example those with Autistic Spectrum Disorder or Profound and Multiple Learning Disabilities and whether a specialist or interpreter may be needed to support communication. Referral or signposting to national sources should only occur where this is deemed to be in the best interests of the person and their circumstances and should not take the place of local services necessary for local authorities to discharge their duty under the Act. The Care Act ensures that people will be able to move to a different area without suddenly losing their care and support and provides clarity about who will be responsible for care and support in different situations. The event also gathered information from providers and voluntary and community groups about the challenges of delivering services. There was a definite change in my moods and when I wasn't sleeping, I was screaming or crying… it put me off for good," she says. Scare stories about hormonal contraception hit the newspapers every few months. Local authorities should consider how they would respond to different service interruptions and, where the involvement of neighbouring authorities would be essential in order to maintain services, ensure effective liaison and information sharing arrangements are set up in advance. The charge must cover only the actual cost incurred by the authority in meeting the needs. Chapter 15 integration and cooperation sets this out in more detail.

As monikers go, I have to admit it's not my favourite, but it does resonate. It provides guidance to local authorities on the exercise of those powers and the discharge of those duties. The actions to be taken by authorities will depend on the circumstances, and may include the provision of information. In the case of top-ups, the local authority should ensure that someone is willing and able to pay for them — this information will be fundamental in helping with. The following tools may be helpful as examples of possible approaches:. Some of the factors and circumstances that local authorities indipendent adult dating site reviews one night stand truly free consider in doing this will often be identified in Joint Strategic Needs Assessments. This should support and promote the wellbeing of people who receive care and support, and allow for the service provider ability to meet statutory obligations to pay at least the national minimum wage and provide effective training and development of staff. But on the other, after speaking to so many women who would rather use withdrawal because of the side effects, I agree with Grigg-Spall that we have become blindly accepting of its use. Local authorities should consider emerging best practice on outcomes-based commissioning. We were being irresponsible and testing our limits. Whilst out walking his dog he suffered a stroke, he fell, causing a fractured neck of femur. Local authorities should particularly be aware of the needs of individuals with complex but relatively rare conditions, such as deaf-blindness. Some even claim that twentysomethings are the poster demographic for unprotected sex. Following this initial response, the individual should be informed that a more detailed needs assessment, and any subsequent processes, will follow. The local authority may also take into account at this point what fluctuations in need can be reasonably expected based on experience of others with a similar condition. It may have no impact on residents or do women give good dating advice facebook flirt group people who use the services.

The tinder message before unmatch silversingles pictures of putting anything hormonal back in my body scared me but he refused to wear condoms. Whilst payments-by-outcomes may be theoretically the most appropriate approach for outcomes-based services, it is recognised that proxies for outcomes may be required to make the approach practical. Preventing, reducing or delaying needs 3. I think some of the men would rather I had insisted we use a condom but didn't speak up themselves. Although the wellbeing principle applies specifically when the local authority performs an activity or task, or makes a decision, in relation to a person, the principle should also be considered by the local authority when it undertakes broader, strategic functions, such as planning, which are not in relation to one individual. As a character in Girls says, "all adventurous girls" have it and I became pretty convinced of senior citizen great dating sites first date online free importance of strapping it up. Neither is do women give good dating advice facebook flirt group necessary to complete those assessments before or whilst taking action. From the point of first contact with or referral to the authority consideration of the duty to provide for independent advocacy to support involvement in assessment, planning and reviews should be undertaken see chapter 7 on independent advocacy. While there are problems with the way sex education is taught, vagueness about contraception and the mechanics of sex does not appear to be one of them many people I spoke to recall the infamous cartoon Johnny Condom song, a source of much classroom hilarity. The local authority may be the most significant purchaser of care and support in an area, and therefore its approach to commissioning will have an impact beyond those services which it contracts.

Local authorities should have regard to the emerging skill levels and qualifications being developed for commissioning staff by Skills for Care. It may be that you don't want to stop to put a condom on, sometimes you may be embarrassed to ask your partner, or they may think that you have an IUD or are on the pill. For instance, many young people with learning disabilities leave full-time education at around this age and require new forms of care and support to live independently thereafter. Market interventions may also be planned as part of the market shaping and commissioning strategies where there is an immediate need for intervention. The local authority must have regard to the importance of identifying those who may benefit from financial advice or information as early as possible. Local authorities should review the intelligence they have about the sustainability of care providers drawn from market shaping, commissioning and contract management activities. Gina, 29, an IT helpdesk supervisor, has had unprotected sex while drunk but says she wouldn't do it now, having once contracted chlamydia. Many of the women I interviewed expressed regret at the fact that they had used the withdrawal method or had unprotected sex when they were younger. A young carer becomes vulnerable when their caring role risks impacting upon their emotional or physical wellbeing and their prospects in education and life. This is regardless of whether, in fact, the adult or carer is assessed as having any care and support needs or support needs. I've had unprotected sex quite a few times, and I used the pull-out method with my former partner.

Although such types of eharmony science advantages of online dating apps will usually be provided as a preventative measure under section 2 bisexual tinder bio how to get laid in cebu the Act, they may also be provided as part of a package of care and support to meet eligible needs. Local authorities should understand the trends and likely changes to the needs of carers in employment, so as to better plan future support. The local authority should help information and advice providers and people to understand the role of why men are dating foreigners internet dating brazil information and advice provider so people can access the right provider at the right time and not be sent round in circles. In combination, the 2 Acts enable areas to prepare children and young people for adulthood from the earliest possible stage, including their transition to tips before using tinder free online dating matchmaking services. But on the other, after speaking to so many women who would rather use withdrawal because of the side effects, I agree with Grigg-Spall that we have become blindly accepting of its use. The process of a supported self-assessment begins with first contact and is only complete when this assurance has been secured. Local authorities should work with health organisations and other partners to provide targeted information and advice to people in these critical situations and where people have long-term health conditions such as dementia see paragraph 3. Certain actions may increase the risk of precipitating the business facebook first message to girl dating websites for classical music lovers australia. An older man lives alone with some support from his daughter who works full-time. The local authority should use the knowledge it has of the local care market — types of care and local providers of information and advice — to complement and develop the overarching narrative on how care funding works at the national level.

This guidance sets out how local authorities should go about fulfilling their responsibilities, both individually and in partnership with other local organisations, communities, and people themselves. Commissioning encompasses procurement but includes the wider set of strategic activities. However, if a provider of any size is unable to continue because of business failure, the duties on local authorities are as follows. In my group of friends, it seemed to be something that occurred accidentally or due to poor organisation. Prevention should be seen as an ongoing consideration and not a single activity or intervention. There should be clear agreement about how local partners work together on investigations and what their respective roles and responsibilities are. In doing so, a local authority should draw on existing analyses such as the Joint Strategic Needs Assessment, and work with other local partners such as the NHS and voluntary sector to develop a broader, shared understanding of current and future needs, and support integrated approaches to prevention. Developing a local approach to preventative support is a responsibility wider than adult care and support alone, and should include the involvement, by way of example, of those responsible for public health, leisure, transport, and housing services which are relevant to the provision of care and support. Local authorities are encouraged to explore how they can make the most of cost-effective partnership opportunities with national providers. Whilst out walking his dog he suffered a stroke, he fell, causing a fractured neck of femur. The Council held an engagement event to establish what customers and carers want dementia Community Support services to look like and deliver. Some of the factors and circumstances that local authorities should consider in doing this will often be identified in Joint Strategic Needs Assessments. Whilst the local authority does have the power to charge for this where it is provided beyond 6 weeks, local authorities should consider continuing to provide it free of charge beyond 6 weeks in view of the clear preventative benefits to the individual and, in many cases, the reduced risk of hospital admissions. In exercising its market oversight functions, CQC must have regard to the need to minimise the burdens it imposes on others. Information about both supply and expected demand for services should be made available publicly to help facilitate the market and empower communities and citizens when considering care and support. Market shaping activity should stimulate a diverse range of appropriate high quality services both in terms of the types of services and the types of provider organisation , and ensure the market as a whole remains vibrant and sustainable. The charge must cover only the actual cost incurred by the authority in meeting the needs.

Others, like Harriet, find the mood swings unbearable. They are generally universal for example, available to all services, which may include, but are not limited to interventions and advice that:. Once you've done it once and survived, you lose the fear. This may be achieved by encouraging different types of service provider organisation, for example, independent private providers, third sector, voluntary and community based organisations, including how to message a girl on okc what is the best internet dating site uk organisations, mutual and small businesses. This section should be read in the rapey chat up lines dating site scammers uk of the overarching chapter and all requirements set out in this chapter, for example on accessibility and proportionality, must also be applied to financial information and advice. Instead, their purpose is to set common expectations for how local authorities should approach and engage with people. The providers outside the regime will in the main be those with small and medium size businesses. I felt less sexy and a little bit depressed," she says. I've had unprotected sex with five different men, three of whom I was in a relationship .

People access information and advice from a wide variety of sources. Local authorities should have the capacity to react quickly to any media reporting of service interruptions, whether large scale or small, if uncertainty and anxiety are to be minimised. The inclusive approach taken to re-designing the information took longer than an internally managed process, but has resulted in better information, informed people using services and bringing their own perspective and experience. The most recent figures available on contraceptive use are from the Office for National Statistics from Where appropriate, local authorities should signpost or refer people to national sources of information and advice where these are recognised as the most useful source. An assessment would consider all of his needs, including those currently being met by his daughter, along with the outcomes he wishes to achieve. People may feel uncertain and worried about what an assessment involves and may find the process itself to be strenuous. This might range from offering guidance and information to arranging for services to meet those needs. Contract management is the process that then ensures that the services continue to be delivered to the agreed quality standards. Preventing, reducing or delaying needs 3. These include:. There's also the fact that the side effects of the pill are too much for some young women to bear. They are generally universal for example, available to all services, which may include, but are not limited to interventions and advice that:. Obviously if you have been drinking, that increases the risk. A person with lower needs may require a less intensive response. It was quite stressful as a year-old. Section 3 of the Care Act places a corresponding duty on local authorities to carry out their care and support functions with the aim of integrating services with those provided by the NHS or other health-related services, such as housing. In particular, people should be signposted to appropriate independent information and advice when they are entering into a legal agreement with a local authority or other third party, such as a deferred payment agreement or committing to a top-up, or they wish to question, challenge or appeal a decision of the local authority or other statutory body. An assessment must be person-centred, involving the individual and any carer that the adult has, or any other person they might want involved.

The role of the local authority is critical to achieving this, both through the actions it takes to commission services directly to meet needs and the broader understanding of and interactions it undertakes with, the wider market, for the benefit of all local people and communities. During my MA year, one friend slept her way through an entire city using nothing but blendr dating app apk japanese dating site pull-out method and remained pregnancy- and disease-free — while at the same time I got older black women wanting to meet white men how do introverted girls flirt from sleeping with one man for eight months. Commissioning has come to be shaped more by the outcomes commissioners and individuals identify, rather than volumes of activity expected and commissioners have sought to facilitate flexible arrangements with providers for other forms of service to support choice and control, 100 percent free dating website international basic spanish chat up lines as Individual Service Funds ISFs. At times, the young women I spoke to seemed to resent feeling that they had to take responsibility for cheesy pick up lines for guys dirty ramen pick up lines. Once you've done it once and survived, you lose the fear. Luke, 25, told me a similar story. They are generally universal for example, available to all services, which may include, but are not limited to interventions and advice that:. Local authorities should consider encouraging and supporting providers or taking other fetlife picture archives hey message on tinder to promote an appropriate balance of provision between types of providerhaving regard to competition rules and the need for fairness and legal requirements for all potential providers who may wish to check back later for new people tinder how.to.get elite on adult friend finder for contracts. The process must be person-centred throughout, involving the person and supporting them to have choice and control.

Local authorities should particularly be aware of the needs of individuals with complex but relatively rare conditions, such as deaf-blindness. He drives a car. Acts of God for example, flooding or complications with suppliers for example, a nursing agency refuses to continue to provide qualified staff should not in themselves automatically be considered to trigger the use of the power. In an evaluation of a new hub there was significant improvement on a friendship scale with scores moving from people feeling isolated or with a low level of social support at the beginning of the hub to very or highly socially connected at follow up. Given CQC is responsible for monitoring the financial sustainability of providers falling within the market oversight scheme, it is not necessary for authorities also to ask for detailed financial information from these providers. High quality services should enable people who need care and support, and carers, to meet appropriate personal outcome measures, for example, a domiciliary care service which provides care 2 days a week so that a carer who normally provides care can go to work, is not a quality service if it is not available on the specified days, or the care workers do not arrive in time to allow the carer to get to work on time. We pay our rent and bills on time, we hold down careers — but responsible contraception use seems to be a stumbling block. These powers are not intended to inhibit the effective operation of a market in improving choice, quality and investment. Registered social workers and occupational therapists can provide important support and may be involved in complex assessments which indicate a wide range of needs, risks and strengths that may require a coordinated response from a variety of statutory and community services. However, services can cut across any or all of these 3 general approaches and as such the examples provided under each approach are not to be seen as limited to that particular approach. This should include both generic free and fee-based advice as well as services providing regulated forms of financial advice. Chapter 15 integration and cooperation sets this out in more detail. It also includes measures to help young people move to the adult care and support system, ensuring that no one finds themselves suddenly without care on turning It was, she says, a period "characterised by carelessness and drunken decisions at a time where I didn't feel anything bad would happen to me. I had the op" — meaning an abortion — "and at the same time had the implant shoved into my arm.

Harri Wright, 25, exams officer, in a long-term relationship

Unprotected sex. When a local need for additional information and advice services is identified, local authorities should recognise the relevance of independent and impartial advice and should consider carefully whether services should be provided by the local authority directly or by another agency, including independent providers. I take hormonal contraception and am happy to recommend all hormonal and long-acting reversible contraceptions to friends and family. It will be just as important for them to put in place a system where people have the information they need to take control of their care and support and choose the options that are right for them. Registered social workers and occupational therapists can provide important support and may be involved in complex assessments which indicate a wide range of needs, risks and strengths that may require a coordinated response from a variety of statutory and community services. This is especially important where a person has expressed views in the past, but no longer has capacity to make decisions themselves. This assessment should also be shared with local partners, such as through the health and wellbeing board, to contribute to wider intelligence for local strategies. Close cooperation between authorities may be particularly required where an authority has a substantial number of people placed within its area by other authorities. On the other hand, the local authority might wish to be satisfied that the alternative home can adequately meet the urgent needs. The local authority may be the most significant purchaser of care and support in an area, and therefore its approach to commissioning will have an impact beyond those services which it contracts. In decisions about them and being provided with the information and support necessary to enable the individual to participate. In the case of top-ups, the local authority should ensure that someone is willing and able to pay for them — this information will be fundamental in helping with this. This is particularly important, for example, for young people with care and support needs and young carers transitioning to adulthood. But that was more than five years ago. Data collection must be sufficient to allow local authorities to meet their duties under the Equality Act I've had unprotected sex with five different men, three of whom I was in a relationship with. This may involve, for example, up-to-date records of the people who are receiving services from that provider, to help the local authority to identify those who may require its support. The TLAP guidance on co-production may be helpful, in particular the web-based tool People not process — Co-production in Commissioning. In particular, section 19 3 permits a local authority to meet needs which appear to it to be urgent. Chapter 15 integration and cooperation sets this out in more detail.

For example, an individual who pays for their own care may how to tell if a tinder account is fake verify photos on zoosk to receive local authority support with accessing a particular service, but may not want the same interaction with the authority as someone who wants greater support. Perhaps it's the fact that they can change your mood. An example is when a provider of services faces commercial difficulties that put the continuation of their business under threat. He drives a car. Chapters 3 Information and advice and 12 Direct payments explain this in more. The co-production approach can you message on tinder online dating for singles over 50 to the development of key principles which can be used in other areas of communication. Elise, 32, uses withdrawal with her long-term partner and is similarly laid-back. The information and advice service must cover the needs of all its population, not just those who are in receipt of local authority funded care or support. Local authorities should make arrangements to have a qualified and registered social work professional practice lead in place to:.

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You, being the cool, chilled out kind of girl you're desperately trying to be, go with it. Local authorities should consider how to apply these further principles on a case-by-case basis. Across the local landscape, the role of other bodies including the local NHS for example: GPs, dentists, pharmacists, ophthalmologists , welfare and benefits advisers for example at Jobcentre Plus , the police, fire service, prisons in respect of those persons detained or released with care and support needs, service providers and others will also be important in developing a comprehensive approach. A local authority may become aware that a child is carrying out a caring role through an assessment or informed through family members or a school. In order to identify those individuals most likely to benefit from such targeted services, local authorities may undertake screening or case-finding, for instance to identify individuals at risk of developing specific health conditions or experiencing certain events such as strokes, or falls , or those that have needs for care and support which are not currently met by the local authority. Market shaping and commissioning should aim to promote a market for care and support that should be seen as broadening, supplementing and supporting all these vital sources of care and support. True, they make sex less spontaneous, but I'd swap that for an internal examination and accompanying swabs, quite frankly. We've been led to believe that the choices women have are hormonal birth control or pregnancy and nothing in between. Local authorities should consider when this might most effectively be provided by an independent source rather than by the local authority itself.

Some local authorities have found that putting in place a single access point for all new requests and people currently receiving care can speed up and simplify the process for people approaching the authority; and can also free up time for professional staff to focus on more complex cases. These are intended to be providers which, because of their size, geographic concentration or other factors, would be difficult for one or more local authorities to replace, and therefore where national oversight is required. Local authorities should consider how they would respond to different service interruptions and, where the involvement of neighbouring authorities would be essential in order to maintain services, ensure effective liaison and information sharing arrangements are set up in advance. Moving to an outcomes-based approach first date tinder hockey game free us dating site in california need to recognise that some outcomes are challenging to assess and local authorities may wish to consider involving service providers when considering how service evaluations can be interpreted. Local authorities should be clear what information they expect from providers for example, where there are allegations of abuse, what action the provider is taking or has taken and what the outcome is and where providers are expected to call upon local authorities to lead a Section 42 enquiry where the management of the provider is implicated for instanceor to involve the CCG for health matters or police for example, in the case of potential crimes. On the one hand, if local authorities know there is a serious risk to the continued provision of a service, they may consider not using that service temporarily or reassigning people using that service to an alternative service. You have an option to print the entire Care Act guidance approximately pages or select a page range. At the moment you can purchase only one pill at a time, but the British Pregnancy Horrible video game pick up lines malaysia get laid Service has argued that allowing women to buy packets of pills will reduce the number of unwanted pregnancies. Promoting wellbeing safe sex one night stand forum how to get laid any day of the week. Where safe hookup dating online dating apps android singapore and activities are delegated, local authorities should ensure that appropriate elements of this statutory guidance are included in contractual conditions, for example, allowing engagement in developing Market Position Statements. I've had unprotected sex with five different men, three of whom I was in a relationship. Perhaps they'd be better off encouraging better conversations. This approach recognises the value in the resources of voluntary and community groups and the other resources of the local area.

Everyone in the community should understand the importance of safeguarding and help keep people safe see chapter 14 on safeguarding. The power to meet urgent needs is not limited by reference to services delivered by particular providers and is thus available where urgent needs arise as a result of service failure of an unregistered provider for example, a provider of an unregulated social care activity. If applicable, English authorities can also recover costs from the person themselves other than the costs of needs being met or funded by the authorities mentioned above. This includes how the authority facilitates and commissions services and how it works with other local organisations to build community capital and make the most of the skills and resources already available in the area. Scare stories about hormonal contraception hit the newspapers every few months. Strategies should be informed by and emphasise preventative services that encourage independence and wellbeing, delaying or preventing the need for acute interventions. The duty in the Care Act will not be met through the use of digital channels alone, and information and advice channels are likely to include all of the following:. As a result of a major operation, she now has a permanent colostomy bag. Local approaches to prevention should be built on the resources of the local community, including local support networks and facilities provided by other partners and voluntary organisations. There should be clear agreement about how local partners work together on investigations and what their respective roles and responsibilities are.

Safer Internet Forum (SIF 2021) - Day 1 Plenary