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Social Care providers say they are “dismayed” after the government failed to commit to paying a potentially devastating back pay bill for sleep-in shifts.

The crisis arose after a court ruled that carers staying overnight, known as sleep-in shifts, were entitled to the minimum wage, rather than a flat-rate £30 which had been paid by care providers. Charities say they had been wrongly advised by government guidance. It means some face bills for back pay covering up to six years, with many saying they will simply fold without a bailout.

Care providers say they are “dismayed” after the government failed to commit to paying a potentially devastating back pay bill for sleep-in shifts. In a long-awaited announcement on Wednesday, the government said it would give care providers 15 months to compensate staff who were underpaid for the shifts, which require workers to stay overnight in care facilities in case of emergency.

In the past carers were paid a flat rate for the work. But after a recent ruling they are now entitled to an hourly minimum wage and compensation for six years of back pay – a cost care providers are expected to bear. The liability could leave the learning disabilities sector alone facing a cost of some £400m, while children’s homes may face a bill of between £40,000 and £2m each.

It is a bill many organisations say will bankrupt them if the Government does not step in.

“Having to pay that amount would drive medium to small providers out of business,” Derek Lewis, Mencap’s chair of trustees, told Sky News.

Under the government’s proposed solution to the problem, care providers will opt into a “compliance scheme” which will give them 15 months and HMRC support to identify and pay what they owe workers.

It is a programme the government says has “been designed to help ensure workers are paid what they are owed, while also maintaining important services for people who access social care“.

But providers have criticised the scheme, and have urged the government to commit to financial help with the bill.

In a statement responding to the scheme, Mr Lewis said it meant only the “promise of further delay”, with “no commitment, even in principle, to accept responsibility for a liability created by Government changing the rules.”

“Today’s announcement may help HMRC understand the extent of the liabilities for back pay but it completely fails to give any reassurance to people with a learning disability that their homes and care are secure and to carers that their jobs are not under threat,” he said.

An assessment of the 2,000 specialist independent children’s homes in the UK found 25% could close if forced to meet the cost of back pay.

Jonathan Stanley, the chief executive of the Independent Children’s Homes Association, said the cost would be the “final nail in the coffin” for providers who had not received funding increases from local authorities for many years.

“Without urgent Government assistance, the residential child care sector faces profound change and one of the most important care options for vulnerable children will be lost forever,” he said.

A diabetes nursing qualification is being established in England to standardise the qualities needed for nurses specialising in the condition, The Diabetes Times has learned.

NHS England has given its backing to the scheme being put forward by leading nursing organisation TREND-UK (Training, Research and Education for Nurses in Diabetes-UK).

Debbie Hicks, Jill Hill and June James, the co-chairs of TREND-UK, want the role to have a clearer definition and for a single foundation diabetes specialist qualification to be made available, as is currently available in Northern Ireland.

This is because at the moment there is no qualification available for a diabetes specialist nurse, which means anyone within the field of nursing could potentially become one.

The trio of senior nurses have already met with Diabetes UK and representatives from Leicester and Swansea universities to discuss the next step. All parties are working together to create a position statement on the subject to be released later this year.

Progress has already been made as NHS England has identified what the role of a DSN should look like and how it differs to the job of a practice nurse, but work still needs to be done in a bid to persuade the Nursing and Midwifery Council (NMC) to back the idea.