10. • Sector dominated by high
level of scandals
• Demoralised staff
• Still commissioned by task
and minute
• Low level personal budgets
or indicative budgets
• Required to do complex
tasks for low wages
• Severe recruitment
difficulties
• Minimal regulatory
• training standard
• Health and care still
• working in silos
Pessimistic v Optimistic
• Robust career pathways – apprenticeships to
senior levels
• Enhanced training requirement and
structured levels
• Clear salary progression from basic living
wage
• Multi-disciplinary teams and multi- skilled
staff
• Integration health and care has really
happened
• Reablement focus, community enriched
• Respected profession and career of choice
• All publically commissioned customers either
personal budgets or indicative budgets
• People willing to pay and value good care.