Austerity in England linked to more than 50,000 extra deaths in five years | Public sector cuts | The Guardian


Researchers looked at 2010-2015 when Cameron cuts to NHS and social care were starting to bite

 

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This was inevitable, as the austerity cuts made Local Authorities and Health Authorities to make savings due to the cuts where savings could not realistically be made, so essential services were being run on a ‘shoe string’ and then the next and next and next, etc, meant that the shoe string was getting shorter and shorter.

If you had money then the cuts really did not touch you greatly, but for the masses who don’t have money, many only having an income which is just sufficient and with some not even sufficient, it touched them greatly.

So for those you could least afford it suffered the worst and are still doing so. The Prim e Minister Boris Johnson talks about leveling up, but he keeps saying this but has no idea what it means. For to level up the resources which have been taken away since 2010 need to be returned and then more. For even in 2010 the levels were not correct, and many were below the levels. To put right money needs to be invested in all areas which are insufficient and it will not be cheap.

A start would be to fund Social Care and then health so that all you need care can reasonably get it without having to think where the money is coming from. For Social Care needs to be funded just as the NHS is thereby making it free on the point of delivery, which it should always have been.

This was a major mistake in 1948 for then Social Care and health should have been looked at as one and be managed together, with public health included.

As it was health was looked after, but not social care, even though they were inter-related.

So, the paltry amounts that the Prime Minister announced some weeks ago fell way short of what is actually required and social care will by doing so will always be the poor relation as care services go.

So due to insufficient funding deaths will continue to soar due to the severe lack of care services.

 

Source: Austerity in England linked to more than 50,000 extra deaths in five years | Public sector cuts | The Guardian

Ministers to crack down on overprescription of medicines on the NHS | The Independent


Government-commissioned review finds 10 per cent of drugs prescribed by primary care doctors are not wanted or needed

 

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This may or may not be true, for we can only know if we see how this conclusion was reached.

For medications are given to individuals and like all individuals we could all experience problems in many different ways.

Unfortunately the NHS does not treat people as individuals, especially in these times of non-face to face consultations. and then the problems in getting repeat consultations when needed. This is the same for both GP and hospital consultations.

They all treat the condition in a ‘one fits all’ approach, instead of a ‘person centred ‘ approach. Also and especially hospitals treat conditions in isolation, but many have multiple conditions and with GPs and some extent hospitals appointments are time time related., otherwise the appointment system get out of line and appointment times are then not met if appointment times are exceeded.

But, if you have more than one issue when seeing a GP and want to relate to your list, the GP could well say, just give me the top of your list and we will discuss the rest on your next appointment, and that is a major problem for when will that next appointment be, certainly not the next day or even the next week could be weeks or months. Even getting through to a GP surgery is a major exercise for it could take time to get even in a queue and then wait to be connected to the receptionists, to be then told all that days appointment haver been taken, no offer for any face to face for the appointments referred to are telephone appointments. It was said sometime ago that going on 80% of a GP consultation was from the patient and not any GP checks, but with a telephone appointment the only vehicle of communication is voice, no understanding of tone, body language and any other observations, so again the appointment is somewhat not sufficient.

As I said, even with a face to face you are usually restricted to around 10 mins, which gives no time for many patient to mention all they wish too and a patient is not an expert of medical issues only on their body and how they are feeling, much of which can’t be expressed over the phone.

Yes, GPs are over worked and there are too few of then, but don’t we all have stressed lives and who is to say how much effort it took a patient to try and get an appointment in the first place, is there any wonder why A&Es are so busy these days, as patients will mainly take going to A&E and suffer the long waits there for they know they will be seen, but again by an overworked, mainly junior doctor, not saying they are not fully trained, but long hours can lead to mistakes being made and they are made and one mistake is one too many.

The NHS has been underfunded for many years, but then so as Social Care which is another story, but as equally important, if not more so.

Money is not everything, for there has been much Government interventions into the NHS and mainly not for the better. Care of any nature is more than likely to be long term and costly.

Don’t get me wrong for we in the UK are extremely lucky to have the NHS, and I bless the Labour Government in the 40s for all their work and will to create the NHS in 1948. But in those days Doctors and Dentists and the BMA were not fully in favour of the NHS, as I am lead to believe they did not wish to lose their access to their private practices, so a compromise was reached. This was on the lines that if they agreed to be brought into the NHS not as employees, but as self employed they could retain their private practices and still work for the NHS. So even tough they are contracted to be in the NHS it is the practice and not the individual doctors. So they can withdraw from the NHS if they wish and still work on  private patients, which many |Dentists have done, so creating many problems for |NHS Dentistry, in that there is a very serious lack of capacity in NHS Dentistry, as so many people are experiencing in not being able to find an NHS dentist, and then afford it, for Dentistry was removed for ‘free at the point of delivery’ many years ago, although the NHS payment is subsidised through the NHS.

|Both the N HS and also Social Care need to be fully funded, but that takes money and one of then should not be left short to fund the other. This is not the fault solely of this Government, but of many previous Governments who have left the NHS somewhat underfunded and even more so, Social Care,  latter even true today, in fact very true and the question is will both be able to survive, especially social care, for the current lack of social care is already having an effect on the over use of the |N HS and if it were to get worse,which it is every day, or even disappear, the NHS would not be able to cope and that would mean disastrous consequences for all who need these services and have no ability to pay.

So urgent action is still required and the announcement a few weeks ago was way to little and way too late.

So medication is but one problem in many others. But I would not just say there is over prescription, which in some instances there will be, especially in some instances of antibiotics and in some anti depression. But please before any thing is done view the patient and not just the assumed overt prescribing.

 

 

Source: Ministers to crack down on overprescription of medicines on the NHS | The Independent

Start reform of social care now – open letter to the Prime Minister, Chancellor of the Exchequer & Secretary of State for Health & Social Care from social care leaders


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Start reform of social care now – open letter to the Prime Minister, Chancellor of the Exchequer & Secretary of State for Health & Social Care from social care leaders

I support this Open Letter and urge you to do so also.

Social Care has been in crisis for way too long and this Government and all previous Governments have totally ignored the continuing decline in Social Care, mainly due to lack of long term sustainable financing.

It is the poor relation of health, but they are both inter-related, for insufficient social care means that the call on health resourses will be greater.

Before COVID there was a need for much better financing, but COVID has only made it much worse.

This can’t be ignored any longer and immediate action has to be taken now. So please support by sharing

Dear Prime Minister, Boris Johnson MP, Chancellor of the Exchequer, Rishi Sunak MP and Secretary of State for Health & Social Care, Matt Hancock MP

SOCIAL CARE REFORM

We are writing as leaders of organisations that represent adult social care nationally to urge the Government to act now on reform of England’s social care system and publish its proposals before the Summer Recess. In common with all people who draw on care and support, and colleagues working across social care, we are clear that the time to deliver reform is now. Reform must be underpinned by a positive vision: ‘We all want to live in the place we call home with the people and things that we love, in communities where we look out for one another, doing the things that matter to us’, as Social Care Future put it.

Transforming social care so that it is sustainable and helps…

View original post 704 more words

National Adult Social Care Strategic Partners: our response to the 2021 Queen’s Speech


I agree with all you say and I am supporting the petition, Solve the crisis in Social Care,
https://you.38degrees.org.uk/petitions/solve-the-crisis-in-social-care

Please could you support it also, and then share.

More information can been here, https://1drv.ms/w/s!Aq2MsYduiazgoEy6ROxeV0abd2mT?e=PICUib

It is essential that the social care funding is sorted for that is a main area, but also are

Care workers pay and conditions
quality of care
quantity of care
social care not being free at point of delivery, as is health
And others

We are united in our view that the Government’s proposals for the future of social care – promised again in the Queen’s Speech for later this year – must be brought forward urgently along with a clear timeline for action.

As senior members of organisations representing people who draw on, work in, commission, provide and regulate adult social care and support, we are united in our view that the Government’s proposals for the future of social care – promised again in the Queen’s Speech for later this year – must be brought forward urgently along with a clear timeline for action.

This was an important opportunity for the Government to make good on its promise to ‘fix social care’ and move the reform debate further forward, building on the many lessons that have been learned during the course of the pandemic.

One of those lessons is the clear and important…

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Sobbing mother describes ‘barbaric’ treatment of autistic daughter in hospital | Express & Star


Autism is a condition not an illness, so why are the NHS still looking after people with autism as though there is a health cure.

People with autism have difficulty dealing with changes of routine, so taking them from a safe home environment is not a way to deal with anyone showing autistic tendencies. For it is not a health cure that is required, but a change of direction by the health authorities to understand autism more and thereby understand each person with autism. For each person with autism is an individual and needs an individual approach, unfortunately health does not work like that and just uses an approach which is the same for everyone.

Putting persons with autism in these health institutions is nowhere the correct approach, as they need to be within the community, one that is part of them. Autism is not a mental problem, but the way the health authorities and then the general community is. Care in the community should have been the best approach, but true to form community care was never sufficiently funded and is still not along with many other areas including Social Care, which is also seriously underfunded.

The National Health Service and Community Care Act 1990 was supposed to have been the answer, but it would never be without the required sufficient funding.

Care and Treatments reviews were introduced in 2015, to alleviate some of the problems, but really it needs a complete overall and more importantly to be sufficiently funded.

Source: Sobbing mother describes ‘barbaric’ treatment of autistic daughter in hospital | Express & Star

UK needs £102bn boost to NHS and social care, says major report | NHS | The Guardian


Funding from higher taxes would cut avoidable deaths and improve equality after the Covid pandemic, yes it would, but with Social Care it can’t wait for over a decade for it needs its funding now, like yesterday.

COVID, if we did not know it already that England, even the whole of the UK needs Social Care like never before. The funding increase has to be now, before any more deaths take place.

The funding situation was bad enough before the start of austerity cuts in 2010, they made it much worse and now COVID has left Social Care so decimated that no one is safe.

To not do anything, shows that this Government has no consideration for anyone in need of Social Care, it is as though they are being left to fend for themselves and this they are unable to do, hence their need for Social Care.

To do nothing means that this Government has blood on its hands.

There is a petition, Solve the crisis in Social Care, https://you.38degrees.org.uk/petitions/solve-the-crisis-in-social-care, Which needs your support

 

Source: UK needs £102bn boost to NHS and social care, says major report | NHS | The Guardian

A vision for the future of social care


I so agree, which is why I support the petition, Solve the crisis in Social Care, https://you.38degrees.org.uk/petitions/solve-the-crisis-in-social-care

Further information can be found at https://1drv.ms/w/s!Aq2MsYduiazgo1VP3BeD4Qrpt0Xm?e=hHwlFU

This vision has been developed by people that draw on or work in social care and through extensive public audience research. It changes how people think about social care and builds public support for and optimism about investment and reform.

Our social care future

We all want a good life

We all want to live in the place we call home, with the people and things we love, in communities where we look out for one another, doing what matters to us.

Caring about each other

If we or someone we care about has a disability or health condition during our life, we might need some support to do these things. That’s the role of social care.

Drawing on support to live our lives in the way we want to

When organised well, social care helps to weave the web of relationships and support in our local communities that…

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Tara Bostock’s Family Call For Research Into LD Covid Death Rates


I agree wholeheartedly that persons with Learning Disabilities and also Autism should have been and now need to be given an increased priority to receive the COVID-19 vaccines.

In fact there is a petition, Prioritise vaccinations for people with a learning disability.

Persons with Down’s Syndrome have now been included in Priority 4, whereas some others with Learning Disabilities are now in Priority 6, but not all and therefore they will be vaccinated according to their age.

A further consideration is for persons with Learning Disabilities who have an aversion to needles and therefore can’t have the vaccine by injection. But currently there is no alternative, however, I do believe that 2 forms of Nasal Spray are now being tested within the UK.

Since May 2015 there has been the Learning Disabilities Mortality Review (LeDeR) programme. This programme is showing that persons with learning disabilities, (LD) mortality is 20% less than persons who do not have learning disabilities. All deaths of persons with LD are, currently, referred to the LeDeR programme and research is ongoing, so why did the Government take this into account, when forming the priority groups and not wait until the situation was specifically mentioned to them, as NHS England are aware of the programme as it is funded by them.

I do wonder, if the lack of attention to persons with LD is not by accident by this and previous Governments and that there is an underlying motive.

Same Difference

The family of a woman with Down’s syndrome who died after contracting Covid-19 are calling for more research into how the virus affects people with disabilities.

Tara Bostock, 51, from Barlestone in Leicestershire, died despite having self-isolated, her family said.

Research has found people with learning disabilities are more likely to die from Covid.

Ms Bostock’s family described the death rate as “astonishing”.

‘Appalling loss’

Ms Bostock – described by her family as “a joy to be around” – lived with her sister and was waiting for a vaccine before she died on 21 January.

Her relatives said she was “the most beautiful, loving person”.

Niece Rebecca Barnes said people with learning disabilities needed to be vaccinated faster.

“I completely understand the elderly are very vulnerable,” she said.

“They need to be looked after, but there are other people that need looking after as well.

“The figures are astonishing [concerning]…

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George Osborne’s legacy is all around us: his cuts left Britain helpless to resist Covid | Conservatives | The Guardian


This is so true, but to date nothing has been done to reverse cuts, even a proportion of them.

It was wrong then and therefore is still wrong now and even today all Local Authorities (LAs) are having to find savings, for costs and demand for services are forever increasing, while the Government Grant is not in any realistic proportion. In reality there were no savings to be made and this has been proven by COVID in so many ways.

Virtually all LA services are suffering and Social Care was and is decimated. As Polly states the poor, sick and disabled, those who could least afford any cuts to services, were the ones to suffer most, leading in some instances to their deaths, especially when the changes to welfare benefits are taken into account. For to claim welfare benefits the eligibility was tightened and claimants were sanctioned for the least failure to abide by the ongoing stringent conditions related to payments and eligibility to benefits. The loss of a miniscule amount of benefit had enormous consequences for persons on benefits, who were most likely living on a day to day basis from one benefit payment to another. For some, even the benefits they received were insufficient to manage.

But LAs are not the only authorities suffering for Health Authorities are suffering too, for while they have been receiving some increased funding the increases are in no way sufficient to maintain services at a level required. In fact the funding for the UK needs to be seriously looked at and it has to be sufficient for the 21st century and buffers need to be maintained to cater for the unexpected, for COVID will not be the last.

Also, with the state of pay scales in the UK, this left many who are in employment unable to manage. Many jobs have been lost over the last few years and even though other jobs have been created these will, more than likely, be at the lowest rate of pay (National Living Wage or even the Minimum Living Wage for persons under 25 years) and maybe part-time rather than full-time. Whereas the starting point for pay should be the Real Living Wage.

LAs do obtain funding in otherways, one being Business Rates, but these are also decreasing due to the effects of lockdowns and COVID restrictions limiting businesses opening.

The UK has never been good at pay rates for those on the lower levels of pay and George Osborne and his cronies did their utmost to ensure these pay levels were kept low, especially when costs were increasing.

One does not need to be a genius to see that this is wrong and not sustainable for a healthy and prosperous UK and which is equal to all.

 

Source: George Osborne’s legacy is all around us: his cuts left Britain helpless to resist Covid | Conservatives | The Guardian

How many more DWP deaths will there be?


The figures speak for themselves, so no one should be in any doubt about the intentions of this Tory and previous Tory Governments in their will to decimate the population of disabled people.

Yesterday 27 January 2021 was Holocaust Memorial Day and the Tories are as guilty as the Nazis, the Serbs and others in the massacre of sections of their community by numerous methods

insufficient funding of Social Care

insufficient funding of Community Care

Sanctions on benefit claimants

COVID-19 scandals in Care Homes

insufficient vaccine priority for persons with Learning Disabilities and/or Autism

and many others

Boris has stated he and his Government have done the best they can during COVID-19, well if that is their best I would not wish to see their worst

Then to ‘Cap It’ he stated the immortal phrase ‘Lessons would be Learnt’, well from my 71 years of experience of life I have never seen that lessons have been learnt, is this due to, not wishing to learn, no funding to learn, inability to learn or others I can’t really say, although I assume funding will play a big part, but in effect it could be a mixture of them all.

So, unfortunately I can’t see anyway learning can be improved, unless all of the above are reversed and them some.