Care Commission Questions

The Care Commission will be exploring many themes relating to social care. Read through these themes and submit your views in the box below. Feel free to comment on any or all of these themes. To help us understand what's being referred to, please name the theme along with your comments.

All comments will remain anonymous and we will keep you updated with the progress of the commission. You can unsubscribe from these emails at any point. 

You can also download these themes by clicking here and send your responses as an email to or in the post to Plaid Cymru, Tŷ Gwynfor, Anson Court, Atlantic Wharf, Cardiff, CF10 4AL.

Themes for sessions

Theme 1   The value systems underlying social care

What does ‘person-centred’ mean in practice?

What model of social care ensures the implementation of the rights of a person wishing to access the service?

How can the balance between empowerment and intervention be achieved?

What is the role of direct payments in social care in the future?

What can personalisation mean? Can ‘personalisation’ exist without the marketisation of social care?

What are the best models for the delivery of social care from the perspective of the service user, the service provider and financially?

Theme 2   Technology

What developments in technology are in sight, i.e. telecare, telehealth, telemedicine, A.I., robots etc.?

What is their potential for use in social care?

What are the benefits and demerits in their use?

What would be the implications for the workforce and for funding in the incorporation of these methods into social care?

Theme 3   Role of the non-statutory sectors

What are the challenges for (a) the third sector and (b) the private sector at the current time?

What is the most effective role for (a) the third sector and (b) the private sector in relation to the statutory sector in delivering social care?

What can (a) the third sector and (b) the private sector offer that the statutory sector cannot, and vice-versa?

If (a) the third sector or (b) the private sector are to play a part in delivering at scale, what responsibility does the statutory sector have to enable this? i.e. accessible commissioning, partnership in service planning and design.

Would (a) the third sector or (b) the private sector have the capacity to deliver on a large and long-term scale?

Theme 4   Dementia and other age-related conditions

What is the projected prevalence and incidence of dementia in Wales?

What effective treatments are in the pipeline?

How could these treatments be expected to affect the prevalence and incidence of dementia in Wales?

What services are needed?

Where should the balance of service provision/funding lie? In early interventions or for individuals with advanced conditions and high dependence?

What other age-related conditions need to be considered in addition to Dementia?

What new and innovative service models are available or possible?

Theme 5   Staff recruitment, training and retention

Does the current capacity of the workforce meet the need?        

What will be needed in terms of numbers and categories of workers to meet future need?

What are the implications of future need, i.e. numbers of service users, financing, new service models, for staff recruitment and training?

What needs to be done to retain trained/qualified/experienced workers?       

Theme 6   Effective working with health

What models of integration have been developed?

What are the challenges/barriers and are there solutions?

At what level should integration with Health take place?

How can continuity of service for the individual be ensured, e.g. home, respite, hospital, residential and nursing care?

Has the issue of accommodation for vulnerable and older people been adequately addressed?

Should the challenge of High Resource Individuals be confronted and if so how?

Are there any conditions, usually managed by social services, which currently have to be referred away from Wales but which have reached a critical mass in Wales which would justify building all-Wales specialist provision? If so, what structure is there to develop the needed resource in Wales?

Theme 7   Future structure

Is there a better funding and management structure for an effective and respected social care service in Wales?

What are the benefits/drawbacks of local/hyper-local provision and can some services work at a national level?

In the light of the proposed integration of Health and Social care, how should the funding of the relative arms of the two services be organised?

What are the implications for staff in closer working relationships between Health and Social Care?

Where should the responsibility lie for developing and maintaining service standards?

What role should elected members play in the delivery and scrutiny of health and social care in future?

Theme 8   Finances

Has the need for social care in the future been quantified?

What is the cost of meeting that need in terms of funding, staffing and resources?

What part should eligibility criteria play in supporting service users?

Should there be any charges for social care services or should all services be free at the point of need?

What costs would it be reasonable to pass on to service users, e.g. entrance fees to luncheon club, meals on wheels, direct care, living costs in nursing or residential care?

If the recommendation is for free services, should the possibility of a residency qualification be researched?

How can the costs of meeting anticipated needs be found?

Theme 9 Welsh language

What is the current state of bilingual provision of social care?

What are the public’s expectations about access to Welsh language services?

How can the social care service be enabled to provide a bi-lingual service?

How do we encourage more people to access services in Welsh?

What are the implications for staff training and staff recruitment?

Are there any implications for the organisation of the service in achieving this?

Theme 10 Carers

What are the implications for the increasing role being played by unpaid carers?

What are the implications of accepting carers as an essential part of the social care economy?

What support is currently available and will it be able to respond fully to the new carers rights under the 2014 Social Services and Wellbeing (Wales) Act?

Theme 11 Children

Review of legislation

What is the legislation both UK and Welsh which covers children’s services?            


Definition of Children’s Services

What is the definition of ‘Children’s Services’ in Wales?

Are we working with the traditional concept or the broader concept signalled in the Social Services (Wales) and Wellbeing Act 2014?

What social support is involved in addition to Health provision and how do they work together?

What overlap is there between social support and Education provision? What are the complexities?

What responsibility does and should social care bear for wellbeing services such as youth services (up to 18), play provision etc.?

What role does whole family support – or support given to adult parents/carers or siblings – play in the provision of a social care package for children?

What is the provision for children with mental health issues in Wales?

Is there adequate provision for children within hospitals and within specialist wards?


Third sector

What role does and should the third sector play in social care provision for children in Wales?

How much of third sector provision is critical or delivering a statutory service?

How much of this could be considered preventative/wellbeing provision? In which case, who should fund these activities?

What is the total cost of third sector services which contribute to social care provision for children?

Preventative services

What kind of services can be classified as preventative which are provided by children’s services?

What proportion of the work of statutory social services is preventative?

What is the level of co-operative working with education, housing, youth services, third sector?

What is the level of referrals for preventative work from outside agencies?




How well do services deal with transition to adult services?

How much of a role do preventative services play and how much should they play in children’s services provision?

What is the level of co-operation with education, housing, youth services, third sector?

What is currently in place in social services to deal with the transition of children to adult services?

Does the Social Services and Wellbeing Act’s ‘people of all ages’ approach improve the process of transition? 

How well is it working currently? What are the issues?

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