Archives for posts with tag: social care

What are the opportunities and challenges in implementing sustainability and transformation plans?

Source: Seven big questions facing STPs | The King’s Fund

Social care allows me to overcome barriers to assist me to achieve independence without parents having to look after me as they did when I was a child.

The emergency care provided by the local council has been cut due to funding cuts. I can’t access care when I need it the most.

Once, I was left for two weeks without sufficient care, and my health suffered as a result.

Until these cuts occurred, I was happy with the care I was getting, which was helping me to remain independent.

With good quality emergency care, I could live the life I’d like, without having to worry about being stuck without help.

Source: Julie’s story — the state of social care in Great Britain in 2016 | Leonard Cheshire Disability

Age UK report calls for urgent action, including cash injection in spring budget and development of long-term plan Social care in England is at risk of imminent collapse in the worst affected areas unless urgent steps are taken to address the crisis engulfing the sector, Age UK has warned. The charity’s latest report on the healthcare of older people calls for a cash injection into the adult social care system in the spring budget and the development of a long-term solution to a problem that will otherwise become more acute. Analysis previously published by Age UK suggests almost 1.2 million people aged 65 and over do not receive the care and support they need with essential daily activities such as eating, dressing and bathing. That figure has shot up by 17.9% in just a year and almost by 50% since 2010, with nearly one in eight now living with some level of unmet need, it says. Age UK’s charity director, Caroline Abrahams, said the report makes for “frightening reading”, adding:

Source: English social care system for elderly facing ‘complete collapse’ | DisabledGo News and Blog

Some elderly may be able to fund their own care, that is until their finances have dwindled to NIL and they will be doing so now. However, what about the elderly that have been in low paid jobs and have not been able to create a financial surplus during their working life, at times only being able to scrape by.

In all this what about the people with disabilities and find it impossible to obtain work, for in the main the work or understandable and knowledgeable employers are few and far between.

This all assumes that the persons with disabilities have the capacity not only to do work, but also to understand the concept of work. There are many with learning disabilities, who are alive today mainly because of the advances in medical science for in years gone by they would most likely not have advanced into adulthood. So, they will never have the opportunity to save and amass any monies to provide for their care throughout their entire life. So if these threats come about how will they survive.


The warning signals a “culture shift” in policy to make people realise they will have to foot the bill for their care in later life rather than relying on the state. A senior government source said the principle responsibility for looking after people when they are frail and elderly will be “themselves, their own finances and assets”.

In 2015, the Conservative Party fought the General Election with a key manifesto commitment to introduce new rules designed to prevent older people from having to sell their homes when they go into care. However, within weeks of winning an outright majority, the Conservatives announced that the introduction of a lifetime cap on care costs in England – which was set at £72,000 for people above state pension age – was being deferred until 2020.

Now fresh doubt has been cast over whether the cap will ever come into force. The source said…

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Lord McColl is obsessed with just one aspect, when there are many aspects to consider.

Health and Social Care go in tandem as you can not fund one without the other or even worse under fund both.

Health and Social Care need to work closer together and it does have to be a consideration should not one organisation manage both Social Care and Health, for to not to do so is bound to have some duplication of work, which is not cost effective, especially having two management structures.

However, in many cases, family life is seriously fragmented for in 1948 it was generally that the male was the person who went to work, while the female looked after the family. This is not so today for in many families both parents are working so that they can, in some respects are able to function as a family unit by having the monetary means to fund a reasonable life.

As both parents are now working, this creates problems in creating meals and there many families create meals by using convenience foods or take always, which in some respects is not cost effective, for within the cost is an element of preparation by another party.

Family units are now more diverse and to find work many units have splintered across the UK and beyond.

You then have the power of the media, especially advertisements, which are geared to influence children and parents alike, by promoting foods which are considered less healthy, but are very tasty and appealing.

Also are Social Care and Health sufficient to manage the ever increasing population, the living longer factor and the increase in persons with disabilities, both physical and learning, due to improvements in medical science.

The may be other factors, but to chose just one shows complete ignorance of the problems and thereby the solutions.


Blame fat kids for NHS crisis says ex-surgeon & shadow health secretary
The NHS is in crisis and fat kids are to blame, a leading doctor warned, adding that the “grotesque” modern diet is placing needless pressure on the nation’s health service.

One-time professor of surgery at Guy’s Hospital London, Lord McColl of Dulwich, told the House of Lords that young people and their bad eating habits had more to answer for than the elderly when it came to a strained NHS.

His speech followed the shocking revelation that, on average, Accident & Emergency patients in England waited up to four hours for treatment over the last month – the service’s worst figures in more than a decade – while patients had to wait more than two months to begin cancer treatment after receiving an urgent referral.

Health officials, who have dubbed the situation “unprecedented,” believe the services are suffering under the burden…

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National charity call follows the publication of NAO report, which highlights the failure of the ‘Better Care Fund’

Source: Sense calls for urgent investment into social care and new approach to health & social care integration | Care Industry News

Older and vulnerable people could stop receiving vital help to get out of bed, washed and dressed, because the underfunding of social care has become so severe, councils have warned.

Leaders of 370 local authorities in England and Wales fear that some councils are finding it so hard to provide the right level of support they could face a high court legal challenge for breaking the law.

The Local Government Association said care visits could become shorter, carers could face greater strain and more people could be trapped in hospitals, making NHS services even busier as a result. The LGA estimates that there will be a £2.6bn gap by 2020 between the amount of money social care services need and their budgets.

Source: Councils may cut social care provision due to underfunding, LGA says | Society | The Guardian

People with learning disabilities are five times more likely than those in the general population to develop dementia*.

Source: New report sets out why dementia and learning disabilities needs better representation in policy, practice and research | Care Industry News

The NHS is struggling to cope with record demand and social care services are stretched to the limit. Here we highlight a selection of our work to explain the pressures on services and what needs to be done to put the health and social care system on a sustainable footing for the future.

Problems can occur in any organisations and situations and if they are not attended to outcomes will be affected. In some instances the problems will create blockages in processes thereby, more than likely, the outcomes will related to shortages. In others the problems could produce outcomes relating to over supply.

In manufacturing and industry these outcomes could be dealt with by changing production systems, reallocating employees, increasing or decreasing production and even stop production over a period. All these can be considered as the products being produced are inanimate objects. But when the outcomes, as in health and social care are relative to human life other methods need to be considered and implemented.

More money being available is one such consideration and for a time this may solve the problem, but if the root cause or causes are not being identified, then the problems will continue to reappear and more often with a greater intensity.

The problems could be not having the right staff in the right place at the right time, system deficiencies, lack of effective management or supervision or the wrong type. In time all of the these problems can be overcome, but the biggest problem is identifying the problem or problems in the first place. In this does the system even allow for this identification to take place and if it does do those in power or control of the system consider the findings and or act accordingly.

For in health and social care much of what is brought to bear on both health and social care is governed by political motives.

Funding for both is mainly in the hands of who is in power at any particular time and what is their own political outcomes, which may or may not be beneficial to health, social care and those in receipt of the services.

All that being said there are some savings or changes which could be found, however, these will most likely not be sufficient to solve the problems.

What should solve the problems is that all persons, organisations and political masters to work together to formulate a common aim that everyone could take ownership of, in other words ‘co-production’.

Unfortunately, those in power do not care for co-production as the resultant aim is owned by the co-production team and not those with the purse strings.


MORE than 10 avoidable patient deaths a day are linked to overcrowded A&E departments – double the number of fatalities from road accidents, research reveals.


More than 10 patients die avoidable deaths linked to hospital overcrowding, research reveals
The shock figures, released by the Royal College of Emergency Medicine, have alarmed health experts and led to calls for urgent Government action to “unblock” the system.

With ever-increasing numbers of people flocking to A&E departments across the country, they have warned the death toll is set to rise even higher.

Dr Adrian Boyle, chairman of the college’s Emergency Care Committee who helped carry out the analysis, said: “The number of deaths linked with overcrowded emergency departments is as serious a problem as the number of deaths caused by road traffic collisions. We need to recognise this.

“This is not caused by inappropriate attenders to A&E and is not confined to a…

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