Social Care is just as important as Health Care, but does not receive the support is should do.
With this in mind please could I mention that the forthcoming Budget is an important opportunity to address the crucial issue of funding for Social Care, but will it.
Boris has promised, but will he keep his promise and even if money is made available will it be sufficient.
Boris has now mentioned it will take 5 years to get the funding, Social Care can not wait that long.
Boris needs to be told this is not good enough, so it is essential we keep the pressure on Boris and my petition ‘Solve the crisis in Social Care could be the means.
Please see below
We now have the New Year 2020.
However, if the ‘Crisis in Social Care’ is not Solved soon there will not be many more New Years for the care, required for persons in need of care, to be provided by Local Authorities due to their lack of funding. This will then have a much greater impact on health care provision, which is itself in crisis.
I have therefore created my latest petition, please follow the link
Due to years of austerity cuts to Local Authorities, these authorities are having to spread more thinly, each year the amount of money they have all over the many areas of their responsibilities and Social Care is one of those areas.
But each year with an aging population and more persons with disabilities living longer, the people needing Social Care is increasing while the money available to help care for these needs is reducing.
In addition there is an increasing need for employed carers to provide the care the people with these needs require. But there is a shortage of people wishing to come into care and why is this?
The rate of pay within the care industry is abysmal for most employed carers receive a wage based on the *National Living Wage, currently £7.83, which will increase to £8.21 on the first of April 2019.
Being an employed carer is more than, cleansing, washing, dressing and meal preparation, as they are, in many instances, one of the few people that the people with care needs see.
Also there could be instances where the employed carer needs to deal with financial responsibilities, provide emotional support, manage prescriptions and administer medication, monitor Safeguarding and many more areas of responsibility and paying just the National Living Wage is not sufficient to cover all these responsibilities.
It is therefore, that the Living Wage would be more near a level to pay, but Local Authorities do not have the finance to pay this, currently and therefore this current Government needs to take this on board and increase the funding to Local Authorities.
FLASh (Families Lobbying & Advising Sheffield) are concerned about the continuance of Social Care within the UK.
The Care Industry is in a state of crisis as there is insufficient funding from Local Authorities to Care Service Providers to pay the carers they employ a wage of sufficient amount for the work these carers are required to provide which matches the responsibilities they have to undertake to the persons to whom they are providing care to.
These Local Authorities have, for many years, under this current Tory Government, been subjected to austerity cuts to the funding they receive from this Government, which impacts on the money these authorities have available to provide this funding.
Therefore, FLASh have created an EPetition ‘Pay all employed Carers the Living Wage.
Please view this EPetition and seriously consider signing the EPetition and then verify your signature though the link provided in the email you will receive. Until your signature is verified your signature will not be activated.
The EPetition ‘Pay all employed Carers the Living Wage’ can be accessedhere.
Once you have verified your signature please could you share this EPetition with your colleagues, friends and any other connections.
Please also forward to your MP and your Local Councillors.
Thank you for your support.
If you wish to know more about FLASh a link to their website is here. If you are a family carer in Sheffield for someone with a Learning Disability or Autism and you wish to become a member of FLASh and/or attend the monthly meetings please advise your email address to email@example.com
Chris Sterry, Vice-chair of FLASh issues his own Newsletter, on at least a monthly basis. To receive this Newsletter on a regular basis please email Chris on firstname.lastname@example.org and a copy of the Newsletter can be accessed here.
At the start of this co-production Rachael enquired through Sheffield Mencap & Gateway for carers of persons with Learning Disabilities to work with her on her PHd project. During the last 18 months we have had regular meetings at the University of Sheffield on how we would proceed with this project and what our initial outcomes would be. Initially through general discussions, which Rachael was recording, it became clear that the recurring situations was around carers communications with the range of Service Providers. Within the context of Service Providers it included Sheffield Adult Social Care through Sheffield City Council, various health providers ( being GPs, Sheffield Teaching Hospitals, Community Health, and many other health areas) together with the independent Care Providers including charities, voluntary and private independent providers.
So that we were not restricted around our own views we decided to create 2 surveys, 1 to be completed by LD carers reflecting on their interactions with Service Providers and the other survey to be completed by Service Providers reflecting on their interactions with LD Carers. The surveys were created on Survey Monkey and during their creation we had a number of meeting to discuss how these were to be formed, the number of questions to be included and the specific questions. When we were all satisfied with both surveys they went live on Survey Monkey and electronic links were disseminated through our various range of contacts within Sheffield, UK.
We also discussed how we wished to to use the information from these surveys in addition to the original outcome for Rachael’s thesis. and decided we would wish to do this in a form of a presentation. We looked at possible dates and venues and obtained costings and also viewed each venue and then using co-production decided which venue to book and how we would advertise the event and provide a means for LD Carers and Service Providers to book to attend the event, which we did through Eventbrite and agreed on a format for a flyer and a website (Carer Voice) and the event title being Carer Voice Working Together.
Thank you for coming today and now you have seen the presentation and been involved in the workshops in which carers and service providers have worked together. This is how it should be for we are all here for the same reason, to ensure vulnerable persons, be they be our relatives or not, have provision to ensure their needs are met and they can then led their own lives.
Communication is but one key, but an extremely important key and without it all that is there can fail.
If you wish to be included in the mailing/distribution list please advise your email address. While this was produced with carers in mind, it does not mean that service providers cannot be included. Information sent will include areas relating to disability both local and national as well as notes for the support meetings.
Lunch is now ready and there are some leaflets from a selection of providers please view and take away and continue to network throughout lunch.
Do not forget to put on a post it the message you are taking away from this event and an evaluation form will be emailed to you, please return with your comments.
Our thanks to
University of Sheffield, Department of Human Communication Sciences for funding the event
Sheffield Central Fire Station for the room
Healthwatch Sheffield for the pens
After the Carer Voice : Working Together event we sent the following email to everyone who attended the event and also to those persons who could not attend but did express an interest in the event.
“We just wanted to get in touch to give you an update on the work we are doing following the Working Together Event in October.
As a group we have met once to go through the feedback and will be meeting again in December. Where we will start drafting some standards and guidelines for communication between family carers and providers of service based on the information you gave us.
In early 2018 we will email these to you for your feedback. If you would not like to receive these emails then please do let me know and I will remove your name form the mailing list.
We are also planning to pull together a small working group in the New Year to ensure the standards are accessible and practical. If you would be interested in being in this group, please do let us know. It will consist of 2 to 3 meetings at the University of Sheffield.
Please also find attached some information about care workers in the independent and charity sector and the flu vaccine which we hope will be of use to you.
If you would be interested in receiving a copy of the presentation we gave on the day please do get in touch and I will send this to you.
We have now met in December and have started drafting some standards and guidelines for communication between family carers and providers of services based on the information given to us during the Carer Voice : Working Together event.
The draft documents were produced.
So we could enage with service providers we held 3 meetings.
Intialy we met with representatives of Sheffield Adult Social Carer and Sheffield City Council Commissioning who viewed the documents and made some comments regarding some minor alterations.
The second meeting was with some service care providers who also made some contructive comments.
The final meeting was with representatives of Sheffield Clinical Commissioning Group, who also welcomed the documents and wished to use these in conjunction the their ‘For Pete’s Sake’ campaign’ and offered us a 15 minute presentation slot in the Assistive Technology event on the 28 June 2018.
Chris gave the presentation at the event and it was very appreciated by the atendees.
Restraints should always be a last resort, but feel in some areas they are the first and if used they should be used exceedingly to a minimum and ideally not at all. I believe, if restraints are used it is a sign of failure to understand the individual concerned, for behaviours is just another form of expression, when other forms have not been understood or simply ignored.
It appears, over the years, much distruptions have occurred within the schools management and who has overall management of the school. This would have a bearing on how the pupils feel about the school and especially the routines they have come to understand and accept.
With learning disabilities and, especially autism routine is paramount in the lives of the children concerned and teachers, support assistants and the schools management have to take this on board and ensure no chaanges in routines occur and if they do they are kept to the extreme minimum.
Yes, safety, expressly the child concerned and the fellow pupils and staff need to be considered and therefore extensive risk assessments need to have been done, both on a general basis and for each individual pupil.
All training is extremely important and should be done as a matter of urgency, with regular updates.
In all areas the pupils and their families should be an intergral part of the process as the team working is not restrricted to those employed in the school, for pupils and their families should also be equal members of the team and never, never ever discounted.
Health and social care secretary Thérèse Coffey has unveiled a £500m adult social care grant to free up hospital beds and bolster the care workforce
As is usual the Health and Social care secretary Therese Coffey, mp doesn’t hav e a clue for the crisis in Social Care goes far deeper than hospital beds and £500 million is way too little for all of the following have to be sorted
payrates, for these are so abysmal and urgently greatly improved
working conditions, including recognised holiday pay, sick pay, appropiate travel expenses, recognised career progression
bank holidays to be recognised, like additional enhanced pay rates for working Bank Holidays, together with a day in lieu
much more investment for non-UK workers
and much more
Then more persons could be encouraged to enter the social care profession.
But to offer a measly £500 million is the biggest joke ever.
Unfortunately social care has been, deliberately ignore by this and all previous Governments. The care of our most vulnerable and this includes children as well as adults, so it is not just care homes, but also home care, supported living, respite, hospices. etc.
Innumerable aspects of England’s new secretary of state for health and social care, Thérèse Coffey, could instil anything from disquiet to dread in an NHS doctor. I recoil at Coffey’s record on same sex marriage, for example: she voted against it in 2013 and 2019.1 Then there’s her record on welfare and poverty: she voted for a reduction in spending on welfare benefits some 52 times from 2012 to 2021, not to mention consistently voting against increasing benefits for people unable to work because of illness or disability.2 It’s a record likely to provoke deep unease in anyone committed to dealing with harmful consequences of socioeconomic gradients in health.
I so agree for gender, looks, weight and size should never be a consideration, for it would never be done to a male and even if it was, it would be so wrong.
Competence and judgement should be how she is judged and on these aspects I am greatly worried for health and social care, which are so important to all of us, especially social care. For, while all of us might not need or come into contact with it, unlike health, the degree of association between them shows how important they are to each other, with, perhaps healthy needing social care more than social care needs health. for the lack of social care causes many problems to health being
a greater need for health resources where social care is lacking
2. causing greater useage of health resources, thereby an insufficiency of resources being available in health
3. this then cauing problems for other relaled health resources such as ambulances not being able to transfer people from ambulances inti A&E
4. this then causing a shortage of ambulances to attebd to others requesting ambulances through ringing 999
All this because no Government is bothered to fund, sufficiently social care to anywhere to what is required.
In this aspect i certainly fear Coffey will not have the ability, the will and foresight to do so, thereby social care will further cease to exist and the eventuality that health, especially the NHS will desend to abject failure.
So, nothing really new there as it appears bemnefit claimants are penalised by the DWP for daring to claim benefits, for surely the DWP should be there to benefit claimants rather than punish them.
They appear to easily go out of their way to hinder claimants, rather than help them.
This is a very sorry state of affairs and one that should be reversed without delay.
But, with the appontment of Therese Coffey MP as the new Work & Pension Secretary, situations will get much worse, before there is any degree of them feeling better. Penalise claiments now and then again later as though to keep claimants short of funding, will make them to cease to exist, thereby reducing the overall costs of providing benefits, a complete reversal of what should be expected of a department setup to help, but is in effect an hinderence.
The DWP has refused to follow any recommendations by the Commons work and pensions committee designed to help claimants through the cost of living crisis.
The simplest suggestions made by MPs was that the DWP pause making deductions from benefits where a claimant owes the department money, perhaps because of an overpayment or loan.
This would have cost the DWP very little, but made a dramatic difference to claimants struggling to make ends meet as prices rocket. It is a measure that was introduced during the pandemic and one which would be very easy to reinstate.
The DWP’s bizarre excuse for not doing so is that it is not ‘in the claimant’s best interest’ because if debt recovery was reintroduced after next April’s benefits uprating claimants ‘may feel no better off as a result’.
In other words, it’s better to make claimants repay…
England’s new health and social care secretary takes office at a time of greater crisis in the NHS than faced by her predecessors and with an overflowing in-tray, as Jacqui Wise reportsEngland’s fifth health and social care secretary in five years faces an unenviable task, with a record 6.84 million people on hospital waiting lists at the end of July1 and chronic staff shortages that stand at around 132 000 in NHS trusts and 165 000 in adult social care. On top of this, distressing stories of people waiting hours, or even days, for ambulances regularly hit the headlines. And it’s not even winter yet, with another covid wave, a bad flu season, and even doctors strikes all possible in the coming months.“The context for the new health secretary is grim,” Hugh Alderwick, director of policy at the Health Foundation, told The BMJ . “Health and care services in England are under extraordinary strain, and more people are struggling to get the care they need. The cost-of-living crisis will put even more pressure on people and public services over winter.
”Coffey, appointed by the UK’s new prime minister, Liz Truss, to the dual role of health secretary and deputy prime minister, has become the third person to hold the health and social care post in as many months.
She takes over from Steve Barclay,2 who had only two months in the job.Coffey is said to have a tireless work ethic and claims that her attention to detail in her previous role as work and pensions secretary was why she had been rewarded with the demanding health job. Nadine Dorries, the former culture …
Coffey, appointed by the UK’s new prime minister, Liz Truss, to the dual role of health secretary and deputy prime minister, has become the third person to hold the health and social care post in as many months. She takes over from Steve Barclay,2 who had only two months in the job.
Coffey is said to have a tireless work ethic and claims that her attention to detail in her previous role as work and pensions secretary was why she had been rewarded with the demanding health job. Nadine Dorries, the former culture …’
Well, I wonder if she is either, for what I see from her previous position Work & Pensions Secretary, I can see very little hard work and can’t comment on Party Animal, what I will comment, is that she appears to have no emphaty or compssion for the persons to whom the department was working on behalf, as she dismissed them at every turn. So I do worry for the NHS under her hands and even more so for Social Care, who is appears is not worthy of a mention, not even by the BMA, who arraer to be solely concerned about health in other words the NHS, when Social care has a large bearing on the NHS. For without sufficient consideration to social care, the N HS is doomed to failure, perhas, this is her goal, for then, could this lead to more privitisation, when the NHS needs less than more.
Many of the problems within the NHS is exacerbated by the demise of social care, as it extends the degree of health issues, crfeates bedblocking at point of discharge, thus leading to A&Es not being able to take new patients from ambulances, thereby iincreasing waiting times for ambulances to be able to pickup new patients.
It is essential that this Government and also The BMA underrstand and recognise the significance of social care to the NHS and even more so to persons in need of Social care for social care, which has been the forgotten health service for far too long. Perhaps since the needs of social care were apparent, for, as for as I can see social care has been ignored by every Government there has been and still is. Funding is, in sufficient quantities is required, like yesterday, perhaps even more so than the NHS, but with Coffey I am so desponent that nothing will be achieved.
So, I feel bye to social care and those in need, perhaps this is the design of this Government.
This has been coming for many years as social care has been abandonded by this Government and all previous Governments, meaning all aspects of social care has been underfunded, which has affected care workers employed by care agencies tremendously. However, there is another aspect of care worker and this is what is being referred to, whereby the care worker is not employed by a care agency, but by the persons in receipt of care. Normally this will be funded by, Direct Payments from a Local Authority (LA) to the person in receipt of care or to a managed account company who manage the Direct Payment on behalf of the person in receipt of care.
For LAs to provide Direct Payments they inturn need to be funded and this is from Government through Grants to the LAs from Government, but from 2010 these Grants have been drastically reduced under the Austerity Cuts programme introduced in 2010 and they have not beed reversed. These cuts in Grants were not solely re social care but for all services provided by LAs.
The bstate of social care is in a dire state in the UK, but itis, apparentky not on the Government agenda and therefore much needed care will not be given, which also has an impact on the NHS. For lack of social care soon leads to health inequalities resulting serious health declines, when the services of the NHS will be required.
So, this much shortsightedness by this and all previous Governments is also seriously affecting the NHS. Much more health problems and maybe more serious and in greater degrees than should be all due to extreme lack nof finance from Governments.
The bincreases in use of the NHS results in an insufficiency of beds due to the increased health issues and by also lack of social care to enabe required discharges from hospitals, thereby causing major problems in A&E with patrient buildups as hospital beds are not availoable for A&E to ntransfer patients wo wards. This then causes delays for ambulance patients not being able to be transferred from ambulances into A&E. This means ambulances have to be retained at hospitals, thereby reducing the available ambulances to attend to more patientgs causing ambulance arrival time to drastically increase, which in turn can lead to possible patients dying before they can access ambulances.
All round major problems due to governments not sufficiently financing social care, another lack of Duty of Care from Government.
However, Governments are not generally blamed but social care, NHS and ambulance services are and they are just doing the best they can withever reducing resourses.
This can’t go on and should never have been allowed to occur, but is due to ignorance or a direct action to not act by Governments, Governments need to be made fully accountable.
Baroness Jane Campbell, a cross-party peer, and others have been struggling to recruit PAs in recent years.
Personal assistants, known as PAs, help with care and general tasks to enable individuals to live independently.
The government said £500m will be used to “develop the existing workforce”.
Veteran disability campaigner Baroness Campbell contacted the BBC’s Access All podcast to say: “The situation is so bad I fear disabled people will be forced back into living in instructional settings.
“Most of us escaped from them in the 1970s to live independent lives. We don’t want to go back.”
The Baroness is a wheelchair user with the muscle wasting condition spinal muscular atrophy (SMA).
According to the Local Government Association (LGA) about 70,000…
Unfortunately, DWP believes it is a law unto itself, in some ways just as our outgoing Prime Minister Boris Johnsom MP, whereas, they are a Govenment office staffed by civil servants, but in reality some are far from civil and don’t appear to agree they are servants, but some act as dictators. A generalisation, as there will be many go people in the DWP, but we hear about the bad experiences as bad makes good press, whereas good does not.
The DWP in total needs to work as they should be and that is helping people to obtain benefits while weeding out the claimants who are committing fraud, who will be a very small percentage. But from media and actions of some in the DWP it appears they believe that all claimants could be committing fraud and the claimants have to prove otherwise, not a very satisfactory situation at all.
The DWP should go out of its way to find anyone who should be paid compensation and then pay it without delay, not as it seems to ignore that mistakes have been made and put the responsibility on claimants to make contact.
In reality they should make every endeavour to get it right first time, as that is the correct way, save time, saves money and does not distress claimants more than needs be. It could be the system which is at fault and if it is all means should be done to make the system exceedingly better, for all concerned.
By not doing so they are creating safeguarding concerns and causing abuses of human rights.
The DWP has refused to follow a recommendation by the Parliamentary and Health Service Ombudsman (PHSO) to contact over 100,000 ESA claimants who are owed compensation totalling many millions for DWP errors. However, one claimant has been awarded £7,500 in compensation and we explain below how you can begin a claim if you were affected.
The issue relates to mistakes made by the DWP which began over a decade ago.
In 2011 the DWP began transferring claimants from incapacity benefit to employment and support allowance (ESA). However, in many thousands of cases the DWP only assessed claimants for contribution based ESA and failed to check whether they should also have been awarded income-based ESA.
Eventually, after many complaints and awards to claimants who had missed out, the DWP reluctantly launched a LEAP exercise to identify claimants who had been victims of their error.
Yes, this Governments response to the many areas of crisis in social care are wholly insufficient, but at least they are offering something, but much too little and could swell be much too late. But this crisis is nothing new, for it has been coming for years, perhaps since social care was ever needed, so all previous Governments ate to blame.
Social care has never been recognised for the service it is and needs to be, as it is as essential as any other service, even the NHS and perhaps even more so. It is generally believed especially by many of the UK population and indeed many in Government as a non-skilled profession, when, it is a very skilled or should be profession.
It is not just social worker, but even more so care workers and not only care workers in care homes for the elderly but care for both children and adults in home care, supported Living, respite and hospices.
The pay for care workers has never been, anywhere near the level it should be for the work care workers need to do, for it is not just, wiping bums and getting meals r4eady. There a whole range of skills required.
Yes, personal care. but also
and much more
They need to respect the persons they are caring for showing dignity and respect for their choices and much more.
But, that is not all as there are issues with
holidays and holiday pay
Pay around the National Living Wage of £9.50 or even the Real Living Wage of £9.90 are way insufficient as £14/15 would be more near, just for a starting pay rate.
All of this, plus the UK Immigration criteria are all adding to the crisis, as did the austerity cuts on Local Authorities, (LAs) and then COVID costs.
A failure to sufficiently support social care, will have disastrous consequences on the NHS, making it untenable.
We all say Save the NHS, well to do so, firstly, we have to Save Social Care.
The Government, have to, immediately reverse all austerity cuts to LAs and make it ‘ring fenced’ for social care, while not allowing LAs to reduce the funding already there. The funding, as to, at least, increase in line with inflation and really much more so.
This is no time to ‘fence sit, but of immediate actions.
As are most headlines, this is misleading for COVID is not over for anyone, it is just the restrictions have been relaxed and some are now only guidelines and the current variants of COVID are milder than the initial variant.
Then we have the Government actions, or in most cases, inactions for in many in stance this Government was slow to react and when they did it was then kept on for longer than some thought was necessary.
There was delayed actions in bringing in some of the restrictions and inactions with regards to PPE and for persons with learning disabilities, (LD).
While for the vaccine programme there was very quick actions.
To some extent the knowledge of COVID-19 was insufficient, but COVID has been with us for many years, just not stated as being COVID, as the yearly invasion of Influenza is a form of COVID, but not as serious, although every year there are deaths relating to flu, but mainly with persons with other underlying conditions, which was not so with COVID-19 where anyone, even with no underlying conditions could die from COVID.
Persons with learning disabilities were always in serious risk from COVID-19 much more so than from the yearly flu. With the flu persons with learning disabilities are eligible for the yearly flu vaccine, but with COVID-19 were not, initially eligible for the priority COVID-19 injections. This action by the Government makes no sense at all and could be seen as an action to rid the UK of persons with LD.
Even though the evidence around the flu. there is also the evidence from the LeDeR programme, which commenced in 2016 through Bristol University, where any deaths of persons with LD had to be reported to the LeDeR section at Bristol University , who then reported back to the Department of Health and Social Care on a regular basis so early deaths of persons with LD could be research. Now is it known that for persons with LD there is seen to be an average of early deaths of 20% earlier than for persons without learning disabilities.
This and other UK Government could do more fore persons with LD, but are very reluctant to do so, even with Welfare Benefits, where in many instances they have to attend some degrading assessments and sometimes conducted by persons who have no respect for the persons with disabilities.
Persons have enough barriers from Society to contend with, without more from the Government. Unfortunately the systems are not fit for purpose and are certainly well underfunded and could well be by design. Under the Care Act 2014 reasonable adjustment have to be made, but the Government conveniently forgets or disregards this when there are Government actions or inactions.
But, that is not just in the UK, for it is much like it the World allover.
It is nothing new that social care is in crisis, but as is usual if crisis is not attended to then the crisis gets bigger and bigger and this is what is occurring in social care, currently.
Previous Governments could have done much to avert the crisis and certainly stopped it getting worse, but they all decided to ignore the crisis. Hence the currently state of social care in the UK.
Unfortunately has always been the forgotten care service, unlike the NHS, but they are so dependent on each other. For lack of social care results in health deteriorations and then health deteriorations lead to more social care being required and the cycle is never ending, for one some become deceased more are coming forward to take their place.
It does not take Einstein thoughts to understand that ignoring social care is effectively ignoring the NHS, But Governments can be so stupid, especially when they want to be.
Not only should Governments be aware of this, but in 2010 the Tory Government decided to bring in austerity cuts to local authority (LA) grants and while LAs initially tried to shield Social care from the cuts, because the cuts were very excessive and went on for at least 10 years and then followed by more costs due to COVID. Yes, this current Government have decided to do something, but nowhere near enough and while the action is being taken most of the money will go to the NHS and very little, if any at all to social care. Even, if all of the £5.1 billion was going to social care it would be and is a drop in the Ocean for what is really required.
But, funding is but one element of the crisis, there are ever extending shortages of staff, extremely poor rates of pay, very poor working conditions. Some of the shortage of staffing was reduced by workers coming in from the EU and some from other parts of the World, But Brexit stemmed some of the flow of workers from the EU and the current Immigration Bill did nothing to encourage any workers to come from outside the UK. In fact, it went out of its way to try to stem the flow of care workers for the criteria to come fully excluded care workers.
This was known by the Government and initially stated that care workers would be an exception to the criteria, but when it came about, this was not so.
Immediate actions that the Government need to take,
Reverse all austerity cuts to Las
Ensure working conditions for care workers are greatly improved
Allow more care workers to come to the UK
Make the minimum wage for care workers to be at least £15 per hour