http://www.thestar.co.uk/news/health/local-health/care-overspend-at-city-hospitals-1-6670806

Funding for both health and social care in the UK has been at critical for the last few years. It may have been that some of the money spent could have been used more effectively. But with the funding cuts imposed on both Local Authority Social Care and the NHS over the last few years much of this has now been addressed. Any cuts now being managed are having a direct effect on the front line services, this then requires services to be cut to the persons who need the services most.

You do not need to be financially educated to see why demand is exceeding funding. With the advances in medical science, the ability for most persons to live longer, the past policies of allowing large scale immigration to the UK have resulted in the greater demand.

To cut front line services for care and support, will mean a drastic reduction in the quality of life for some of the most vulnerable and also chronically ill persons in the UK.

Many feel there is still masses of waste in both health and social care and to over spend on their budgets means there is massive ineffective use of the monies involved. But in many areas this is not so, it is the demand outstripping the funding for supply.

For these persons who feel there is still waste, do they wish for the persons who need to have these services, to not have these, thus resulting in a drastic reduction in their quality of life. In many instances the existing quality of life for these persons will be much lower than that is expected from persons who feel there is waste of financial resources.

The UK needs to take stock of itself and see that it is not the country it once was. We are a small nation in a much larger world. We still wish to see ourselves as the country that can help every other country, but in doing so we are not helping ourselves, especially those in the UK who do need help. We are richer than most, but our finance is much needed at home.

The persons who govern the UK need to take this into consideration. We can not afford to send armed forces here and everywhere, not only do we not have sufficient frontline persons to do so, but the costs relating to equipment and weaponry are so expensive for our meager finances.

As the time long gone when we need to concentrate on the UK and not the wider world. But in doing so will some of our industries that rely on the rest of the world also suffer, the finance centre in London, banking on a global scale, the energy and fuel industries, let alone the balance of payments, the ratio of spending on goods and services coming into the UK and the receipts for goods and services going out of the UK.

Just what is the answer?


Simon Stevens his view of care in 50 years

Is this view by Simon Stevens a pipe dream or will it be reality?

In an ideal world this may be possible, but when care is not practicable at home, a care home is an alternative or independent living within a monitored housing scheme. Many persons would prefer to be cared for in their own home, but when they need care, where will it come from. Family members do this for as long as they can. When they can not do this for the length of time required, carers could be employed to maintain care in the home, either Personal Assistants employed by the person with a disability or care assistants from a Care Agency. or care assistants within a care home or within the independent living arrangement. In a care home the care should be available 24/7 and most likely the independent arrangement, but this is not possible within a persons own home. for one there has to be the availability of carers to attend for the length of time required, let alone the funds to pay for the carers.

Currently, due to Government cuts to local authority spending, this care in the home, is also being cut by the Local Authorities. This is leaving the supposedly cared for to be put at risk, due to the lack of carers attending and the time available on the funding provided.

When Care in the Community was introduced, many years ago, it was not fully funded and now that funding is being cut at a time when the requirement for care is increasing.

Get the funding right and then care can be a person’s choice.

 

Is this now to be rectified?

The Care Act 2014 in this the Care and Support Minister Norman Lamb talks about the biggest reforms to the social care system in more than 60 years. The Care Bill has now progressed through both Houses of Parliament and is now The Care Act 2014, if you wish some light reading, or not, you could view The Care Act 2014 by Link*. This is not the official printed copy, to obtain such copy, this will be available from http://www.tsoshop.co.uk/ for this there would appear to be, currently, a charge of £23.25.

The Care Act is for adults who may be vulnerable and carers of these adults and brings together all the various pieces of legislation relating to adult care. In doing so it also brings responsibility on Local Authorities to ensure the right care is available, but if the funding is not there how can this be achieved?

This is the question all Local Authorities are currently asking themselves. Many persons would still wish to be cared for within their own home either by family members, Personal Assistants or care assistants. But individualised care can be expensive, so some are deciding to use the independent living arrangement or care homes. In these a number of carers can be used to care for a number of persons, so the costs are equalised between the persons requiring care, thus having a lower cost ratio of care, to cared for.

But in some instances this will not be abiding by the principles of The Care Act 2014. The Act stipulates that both the cared for and the family carers should each have an assessment of need, where the needs and choices of each should be stated and the care to be provided should be tailored arround these assessments and the support plan resulting from the assessments. There is a  requirement that all Local Authorities should be using the same criteria and not a criteria created by each Local Authority and so the support plan will be centred on the individual requiring care. This still requires that sufficient funding is available and within the Act there is the assumption that the budgets of Health and Social Care will be brought together. But will this be sufficient, well time will tell.

Then we come back to the views of Simon Stevens and for this to occur even more funding will be required. Is any of this feasible, well should we wait and see?


Just what is truth and respect, we hear these words mentioned in all areas from time to time, but what is the truth and do we show or have respect and do we trust.

From an early age we are informed to respect authority and to trust the Police. Now we are told no one respects authority and there is no trust in the police. So why has there been a change over the last 50 years or has there been no change, but people are now more honest about their feelings. At this early age the children are also expected to trust and respect their parents.

When I was at school some 50-60 years ago it was assumed we respected the teachers, but was fear thought to be respect. The teachers were the power and should not be crossed, as they had the punishments to deliver if you did cross them. Is that they way to have or gain respect, no you fear for what could and can be done to you. This fear is no longer there, as the punishments of long ago have been withdrawn and the pupils of today know they can do virtually anything and will not receive any punishment. This lead to large-scale disobedience and can have devastating consequences as could be seen from recent news. Teacher stabbed to death in Leeds, while this may not be a direct result in punishment removal and the no respect or fear of teachers, it is a product of what is occurring today.

Then we have the Police, this was, only a few years ago, a profession that the majority respected and looked upon with pride and trust. While there were always the occasional stories of corruption, this was isolated persons in particular forces. Now we have Hillsborough, possibly Orgreave, Stephen Lawrence and others. This is not to say that the police are corrupt, but a minority of the officers may be, but it is the manner in which these investigations and others were handled that leaves a door of mistrust open.

The NHS, this is one of the great institutions of the UK, being that it provides health care, free at point of delivery for all eligible persons within the UK. But there have been many issues, one of which is Mid Staffs. This is where there were many unexplained deaths and the extent of a cover up.

One of the biggest scandals and is still current is the child abuse allegations and Jimmy Saville and others. Here questions are still being asked about the conduct of the BBC, various hospital, including Leeds General InfirmaryBroardmoor , Stoke Mandeville and many others, CPS, Police and some child care homes.

Now Cyril Smith which again bring in, what appears to be child abuse, police investigations or no investigation and politics. Was this known at Westminster, by his own party; the Liberals  or any of the other parties or any MP’s and if it was, were there cover ups?

The mention of politics and MP’s brings in the expenses scandal, where certain MP’s were accused of claiming expenses they were not entitled to and some were prosecuted and many had to pay back the expenses they should not have had. Then we have certain persons in Parliament and Government who may not have always been truthful, this causes Tony Blair  to be mentioned his’weapons of mass destruction‘ is but one example of limited truth.

But can one believe anything a Politian says, have you observed when they are in interviews and are asked questions, have you ever seen or heard one politician answer any question directly.  In most cases the response will be superbly diverted to the response they wish to give, which in most cases has no bearing on the question being asked.

The expenses scandal was found out by media investigation, but recently the media has had its own scandals with the phone hacking, the parliamentary review and the convictions.

So many of the UK institutions have recently been found to be not telling the truth and then, does that lead to the non-respecting of these institutions, for many the answer will be yes. This, of course, does presuppose that they were, in fact, respected previously.

So how can these institution and the persons within them be seen to be trustful and then maybe respected. I believe it starts with them being  open, honest and transparent and at least one MP says he will MP Craig Whittaker. There are also a number of  NHS Hospitals and NHS organisations who have taken this on board, some being NHS England, The Rotherham NHS Foundation Trust, The Newcastle Upon Tyne Hospitals NHS Foundation TrustSalford Royal NHS Foundation Trust, but there are also others.

This is most likely following Jeremy Hunt, The Health Secretary, asking NHS Hospitals to have an open and honest reporting culture and there is a Government Press Release* on this subject.

The proof, however is yet to come and we shall see where the open, honesty and transparency will be, for it is one thing to have put the deed on paper, it is another task to deliver it by action.

For trust has to be seen to be forthcoming from all UK organisations and the people within and then, and only then, will the respect be being earned. It is then for each individual person to decide are they being given the truth, so that they can commence to trust and possibly then, in time also respect.

 

*Open Government Licence v2.0


Globalist Mouthpiece Calls For The Entire Planet To Adopt The ‘National Identification System’ One European Country Has Established.

Is this for good, bad, or evil, who knows. On the face of it, it sounds great, but is it ‘Big Brother 1984′. Do we really want our own Government, let alone another, to have so much information, control and power over each individual.

Then you have hackers, could they hack into a chip implanted in your body and if they could, what would it mean, what would it do and is it completely safe, for now and forever.  Who knows what next is on the horizon, could these chips take over your body by accessing your bodies own communications to and from your brain.

Could it be technology way too far?


Improved Child care?

This will be an improvement or is it and if it is, is it far enough. For children that are still in touch with a parent, in most cases this parent is for and with them for the life of that parent, whether the children are still at home or have gone to find their own independence. Parental responsibility* is for life, even if not legally required to be.

For children, who have no parent to respond to they are still vulnerable **to the pressures of  life forces and so up to 18 there are areas to provide these facilities, care homes, fostering*, etc. to minimise the risk to vulnerable factors, whether it is good or bad, it is there. But after 18 or the proposed 21, there is no one and these adult children may still be vulnerable, whether they feel so or not. While legally they are not classed as now being vulnerable, they have missed, though no fault of their own a valuable component of life building though their childhood years.

Independence is good, but should there not be a fall back for all?

Yes, this could be classed as a furtherance of the ‘Nanny State‘ or is it just equalising the responsibility for all children.

It is said that children who have no parents are more likely to fall to vulnerable risks and be at a disadvantage at the start of their adult life. Whether this is true is open to debate, as their own will to succeed in life will have a bearing on how they progress. But this could be said of anyone and people fail or succeed no matter what their childhood background was. But if there are no parents or supposed persons of responsibility to contact, surely this, for some, will be a factor that will not be advantageous to their continued development.

It will be a cost factor that continued safeguarding is not progressed into adult life, but for those who for one reason and another do not succeed, there will be costs related, being it to the NHS, other council departments, the Justice system and others.

This, in some way, has a bearing on adults who are still viewed as being vulnerable, being adults with learning disabilities, mental health issues and the elderly. Here many costs are involved with ensuring a reasonable life, but in the current climate the money available to undertake these costs is reducing due to Central Government austerity cuts to Local Authority grants and Local Authorities passing on these in the reduced budgets available to fund a reducing service, irrespective of accessed needs, which both in the short and long-term outcomes have a reflection on their quality of life.

This, however is leading to an even greater discussion, which will be the subject of a further post.

* Contains public sector information licensed under the Open Government Licence v2.0.

** Open Government Licence


Polar Ice is it increasing or not?

Satellite observation since 1979, such a short time in the whole environmental cycle, even since the time of known human, would classify as be short, when compared to the scientific calculations of the existence of Earth.

This, to many, makes a mockery of all the doom and glum expressed by all the climatic change, so called, experts. This leads to people not following green guidance, which at times could be seen as too much, resulting in discounting of climate change and creates an attitude of, we can do as we please, as what we do has no impact on the worlds climate. Whereas, in effect, all activity has a bearing on the future of the Earth and the existence of life, no one is an island.

Science is by no means exact and is only based on current opinion and research, but to discount it completely would be wrong. By all means use all knowledge available, not only current, but that of many years long gone and endeavour to view cycles of events. Ice ages and the eventual global warming have been ongoing since the Earth was created. But that is not a reason to do all we can to minimise processes caused by man, which could exacerbate the current climatic situation.

We are only on Earth for a short period of time and should act responsibly for those yet to come.


Grandparents fight for their grandchild

What have we in this case and more than likely many others? *Secret courts, government targets, the requirement to meet these targets, judgemental decisions, nontransparency and perhaps workloads, money restraints on councils, expediency and many more.

Somewhere in all that should be the care for all parties involved the mother, the infant in question and any supporting relatives.

The infant should come first, but who is best to judge what is best. Life can be good, bad, indifferent and many others for any of us. Who knows what the future will be for any of us. But Social Workers are expected to get these situations right every time. In their course of work, they are expected to follow the requirements and rulings of their own Social Services management, while endeavouring to do the best for, in this case, a small child. Their resources are continually being cut and directives may change, but still they are expected to get it right all the time.

But is it right that people should expect the decisions to be right all the time, but is it feasible and reasonable to expect this. They are, after all, only human, but they are dealing with people lives and expectations.

A first step would be to remove the secrecy of the courts and all operations to be transparent.

 

*Contains public sector information licensed under the Open Government Licence v2.0.


61chrissterry:

A true reflection of care in the community in the UK and this is only one of many stories that could be told.

Originally posted on Philipa at Changepeople:

My name is Dan. I am a person with a learning disability, I am 23. I work at CHANGE. I inspect care homes.My blog is about my experience of living in Care Homes.

I used to live in supported living but it didn’t feel like that it felt like an institution to me and here’s why:

You were told what to do and it didn’t feel homely. It felt very cold in the atmosphere in the house because the staff used to sit in my living room on their mobile phones. This made me feel angry. The staff used to watch what they wanted on the television and they would turn the two other residents who were disabled women to the the wall while they, the staff, watched the television.

One of the women who lived there, when she needed the toilet, the staff said she had to have 2…

View original 598 more words


The Big Questions Sunday 27 April 2014

I was privileged to be a member of the audience of The Big Questions on Sunday 27 April 2014 and was involved in the interesting, topical and far reaching debates re  Islam and a threat to the modern world and should Pope John Paul II have been made a saint.

The initial debate being ‘Is Islamism the biggest threat to the modern world?’ and the following debate being ‘Does Pope John Paul II deserve sainthood?’ The first being topical due to Tony Blair speech at Peking University in Beijing, China and the second due to Pope John Paul II being made a saint on Sunday 27 April 2014.

The current format of The Big Questions is that it is hosted by Nicky Campbell and two or three topical items from the week will be discussed in front of a live audience. The audience will mainly comprise of invited members of the general public, with, on the front row, invited guests who have a specialised interest in the topics being discussed, being some guests from different opposing view points.

The idea is to have a balanced discussion between the invited guests, with each promoting their point of view, with comments intermingled from the invited members of the general public. Depending on the topic for discussion, this can create some very heated discussions, but then this provides very good content for a programme.

With regards to the topic relating to Islam this did provide some very heated opposing views, with excellent orchestrating from Nicky Campbell, which provided good subject coverage, while being very good entertainment value.

The topic relating to the sainthood of Pope John Paul II, while there were some opposing views the heated element was slightly subdued, but still provided a balanced discussion, with good subject coverage and still gave very good entertainment value.

I, myself, was very pleased to be able to participate in the programme and enjoyed the experience greatly.


Deeper cuts to Social Care Budgets

Many, if not all councils are making cuts which will affect frontline services and some of these will reduce the amount of care being given or made available to some of the most vulnerable adults in the UK.

Many of these adults are reliant solely on their council funded care packages, as their disability benefits are used to fund other essential daily living costs, such as food, heating and other costs.

Some may have family carers, but these carers are already providing care to the limit of their resources. There is no slack for them to do more. many of the carers, themselves are aged and after many years of caring, their health as or is beginning to deteriorate.

The effects of any of these cuts will enhance the health deteriorisation of both family carers and those being cared for. This will, create many safeguarding issues and will further stretch the resources of both the NHS and Social Services.

Thereby creating a much greater funding crisis.

While I do not begrudge the ‘ring fenced’ money for Overseas Aid, thereby safeguarding the vulnerable overseas, but why can not the same be given to the vulnerable of the UK.

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