Unsafe Spaces report discussed in Parliament

Today the Health Select Committee of the House of Commons met with the Professional Standards Authority to discuss their role in professional regulation. Sarah Wollaston MP and Ben Bradshaw MP both raised the issues described in our Unsafe Spaces report, which describes how one in four counsellors and psychotherapists struck off for misconduct simply carry on practising.

The meeting can be viewed online here. It’s quite a lengthy video, but all the discussion of counselling and psychotherapy is finished by 15:16 (there’s a break in the video due to a vote being called, with the meeting resuming at 15:07:15).

http://videoplayback.parliamentlive.tv/Player/Index/2524278c-8db8-4e7c-bdc9-0aa77e21217e?audioOnly=False&autoStart=False&statsEnabled=False

Something that’s of interest is that the PSA is working on a risk assessment model for which professions should be on a regulator and which should be on accredited registers. This model is described as based on three factors – the risk of the intervention, the context in which it takes place, and the vulnerability of the patient or service user. They would then go back to ministers with a recommendation as to whether or not a profession should be regulated.

Counselling and psychotherapy are mentioned as professions that the government may wish to look at as ones that could move from accredited registration to regulation. They also seem to be suggesting that arts therapists could move the other way, from regulation to accredited registration. The rationale given for this latter move (by Harry Cayton, Chief Executive of the PSA, at 15: 15:39) is that, “I’m only aware of one ever fitness to practise case involving an arts therapist, and that was for theft, or dishonesty rather than competence.” This seems to miss out the incredibly nasty case of Derek Gale, who was struck off by the HPC in 2009 for running a cult disguised as a therapy centre. Admittedly that was some years ago, but even so that leaves me concerned about the idea of arts therapists no longer being regulated.

That said, I’m pleased to hear that regulation of counselling and psychotherapy is not necessarily off the agenda, and I’ll look forward with interest to hearing about the PSA’s proposed risk assessment model.

Changing Adult Social Care – The Select Committee Reports

Yesterday after collecting both written and verbal evidence, the House of Commons Health Select Committee published their report into Social Care.

It makes very interesting reading and is written accessibly so I would highly recommend that anyone with an interest in this area reads the original but I wanted to pick up on some of the themes myself as there were such crucial issues raised.

The main theme I picked out (and you don’t have to be very astute to click with this one!) is the need for continued work towards integration – not only between health and social care which has become a bit of an old chestnut, but also with social housing.

The figures the report pulls out are that 50% of GP visits and 70% of hospital days are required by older adults as well as half housing association tenancies.
Continue reading