Category Archives: Care Providers

Huge rise in GP expenses could make some practices unviable within two years | The BMJ

It is well-known that the NHS is in crisis and little is being done to remedy it, lack of staff, abundance of patients, lack of funding and a major crisis in Social Care for similar reasons, but the Social Care crisis could be much more serious than that in the NHS. However, while the Government and all previous Government have been prepared to look at the NHS, but by doing so, they have in some respects added to the crisis, the Social care crisis is totally with the Governments due their  considerable inactions and apparent indifference to Social Care.

But, while Social Care is a major factor in the NHS, lets just look at Primary Care and GP practices.

I should mention that Dentistry is also a problem and could well be as bad, if not more so than GP practices for trying to find a NHS Dentist is like ‘looking for a needle in a Haystack’, which could well be so for GP practices if the problems can’t be sorted.

There is a major shortage of GPs and newly qualified doctors are reluctant to become GPs, in fact many, while qualifying in the UK, leave the UK when qualified. This is due to the finance of GP salaries and GP surgeries and the stresses caused within practices.

Trying to obtain GP appointment even virtually by telephone, let alone face to face are very difficult and this is causing a massing of patients for GPs attending A&E instead, causing even more lengthy delays in A&Es making it impossible to meet ‘targets’, especially the 4 hour wait and thereby creating problems for ambulances having to wait outside hospitals as they are unable to transfer their patients into A&E.

But GPs in short supply in GP practices are not the only problems as obtaining other staff are also problems, as there are insufficient receptionists, practice nurses and others. So major stresses for all concerned.

Then with practice expenses increasing, not only staff salaries, but there are also energy price increases and price increases for products used in the surgery, such as cleaning and PPE and others.

In fact, instead of stating the problems, it could be easier to state what is going right or not a problem.

Well, just the NHS, as with all the problems the NHS is still better than health services in other countries, especially as it is, mostly free at the point of delivery, with the exceptions of Dentists, Opticians and prescriptions, but they are still heavily subsidised.

The NHS was and still is a great concept and one that we need to maintain and have much less privatisation, which is creeping into the NHS.

But the Government, when we eventually have one, needs to sort out the finances, before the NHS and also Social Care disintegrates into nothing.

Source: Huge rise in GP expenses could make some practices unviable within two years | The BMJ

Adult social care vacancy rate hits 10% – Community Care

There appears to be some misconception both in the article and in some of the comments.

In the article. ‘the 1.25 percentage point rise in national insurance contributions and dividend taxes introduced this month’ is being split between the NHS and Social Care over 3 years, with, initially the bulk of the money going to the NHS. Even if £500 million is being promised for Social Care is is way below the amounts that are required which is more like, £12 billion, which will only bring funding back to 2010 levels, which then was wholly insufficient.

Then is the social care funding for council run Adult Social Care or for care workers in care homes, home care, respite care, supported living, hospices, etc or both.

The rate of pay for care workers is also wholly insufficient now a minimum, the National Living Wage of £9.50 per hour and not the £10.10 being offered to non-UK workers, while it should be a minimum of the Real Living Wage of £9.90. But, workers can get £14/15 per hour at Supermarkets for much less responsibilities. Care staff have the life of the persons needing care in their hands, not just providing personal care of washing, dressing and toileting, but dispensing medication, meal preparation, emotional support, managing finances, ensuring safeguarding and much more.

It is not just that care is in the private sector, for some councils also have care workers, maybe not employed directly, but through agencies with a long-arm connection, where care rates may be slightly higher but not by much. If done correctly it is a very demanding profession, not the misconception of many that it is unskilled for it does take great skills to provide care consistently of good quality. The workers, if providing good quality care should be respecting their choices and dignity of those to whom they provide care to and not just provide care how they wish for care should be person-centred.

But there are unsocial hours too much travel time and not fully funded, if at all, training should be first class and relevant and much more.

Social care has always been the very poor relation of the NHS, when it should be held in equal esteem by both Government and the UK population and has never been sufficiently funded and even more so over the last 12 years or so.

If more is not done for social care and done urgently, then the quality and quantity of care will be severely diminished to where it is not really available. This will create even more pressures on a currently over-burdened NHS.

You may not, currently require Social Care, but when you do or a family member does then you may find it is not there and it is not just social care for the elderly but for any age starting at times from birth and |COVID| is increasing demand on Social Care as well as the NHS.

Don’t be fooled by the very ignorant and discriminative Government. who are just following many other Governments before them of any Party.

 

Source: Adult social care vacancy rate hits 10% – Community Care

Whistleblowing: nephrologist who reported colleagues to GMC was unfairly dismissed | The BMJ

Whistleblowers are in many ways doing what the NHS was created to do, which is looking after the interests of patients, by dismissing them it implies the these NHS establishments are not looking after the interests of patients, but more intent for their own survival and patients don’t matter.

Rather than looking at whistleblowers and others who complain as causing problems, they are, in fact, just commenting on service delivery so that the delivery can improve, which should be beneficial to all of us.

Safeguarding is everyone’s responsibility.

The establishments are not number 1 as the patients are, as without them the establishments would not be.

In all aspects everyone should be aiming to improve and not just stay as is or even get worse, as that leads to anarchy.

 

 

Source: Whistleblowing: nephrologist who reported colleagues to GMC was unfairly dismissed | The BMJ

Family of autistic man plan legal challenge over care conditions | Social care | The Guardian

Campaigners are calling for greater efforts to provide care in the community for people with severe learning disabilities. Photograph: AA Pix/Alamy

I have for years been saying that funding for social care is extremely important, but until recently I feel no one has been listening. That is certainly true about this Government for even now they are not listening and when it comes down to the facts, it is because, in reality, they do not even care.

I therefore support this legal challenge in every aspect.

To remedy the funding situation this Government needs to immediately refund to all Local Authorities (LAs) all the money withheld by Austerity Cuts and fully refund all the COVID costs LAs have had to encounter.

Only then will there be any chance that social care could be improved and in doing so relieve some of the burden the lack of social care has been causing to the NHS and the resulting effects on health care.

But there are also other measures this Government could do, one of which to immediately allow more non-UK citizens the enter the UK so they can be employed in social care for this would go a long way to ensure more persons would be available to work in social care. But also to ensure funding is sufficient to LAs so that care providers can be able to pay their care workers a more reasonable salary, to the extent of at least £14 per hour rather that the current National Living wage of £8.91or even the Real Living wage of £ 9.90 out of London (£11.05 within London).

But others need to be improves which includes

realistic sick pay rates

travel rates

unsocial hours rates

working conditions

and more

Social care is just as important as the NHS as both are inter-reliable on each other.

Source: Family of autistic man plan legal challenge over care conditions | Social care | The Guardian

£300m boost for adult social care workforce through winter – Community Care

True there are some care providers who do cream off money but they are few and far between.

I am a family carer, those who provides care and are unpaid, but with advancing years and deteriorating health I now can’t provide the care required. So I applied to our Local Authority for a Direct Payment so I could employ carers myself and when we did in 1988 the rate allowed by our Local Authority was very good, but since 2010 when it was £7.20 per hour the value of the rate continued to deteriorate.

From 2011 to 2015 I was allowed only one rate uplift, which brought the rate to £8.00 per hour and in 2016 requested another and that was granted in 2019 to £9.00 per hour.

During 2020 no uplifts were allowed for anyone using Direct Payments, but a good uplift was granted in 2021 being £9.50 per hour.

However, while it was a good rate in care those care workers could have earned around £14 per hour in a supermarket or Amazon, with much less experience and responsibility required.

So, the rate for care work is in no way sufficient and no I am not creaming off any money for the LA only pays sufficient for the rate in question. Care workers in providers are getting similar.

By saying what you do you are degrading care workers and the whole care profession.

Hardly anyone wishes to come into care to receive abysmal rewards. For to do care work to a good recognised standard considerable training, dedication and the will to provide good quality care is required.

The miserly £300million goes nowhere near far enough, as it is well short of the required £1.5 billion requested. Even that falls far short of what is required to bring pay levels back to 2010, which would require at least £12 billion.

But, even that falls far short of what should be coming from this Government, for it is not just pay rates that need to be improved.

There needs to be a

recognised sick pay arrangement

alterations to the UK Immigration regulations to allow more persons wishing to do care work from outside the UK

sufficient travel expenses

allowances for unsocial hours working

and much more.

Care work is in very grave danger of being ‘run into the ground’ causing even more problems for persons requiring care, leading to calamitous deteriorations of persons in need of care and also their families, which will greatly increase the demand for care from the NHS.

We are quickly sliding into Victorian conditions, when care for the poor and vulnerable was non-existent.

 

Source: £300m boost for adult social care workforce through winter – Community Care

Labour Members Vote In Favour Of £15 Minimum Wage | HuffPost UK

On the face of it this appears to be good news, provided Labour get in and do not renege on their promises, for nothing is ever certain.

I was campaigning for at least  £14, but £15 is even better, but is it?

Many organisations will be able to comply, without much bother but what about those organisations that are on restrictive incomes or uncertain incomes, for here I am relating to charities who have to bid for much of their income from ever reducing sources.

it could be that to pay £15 they would have to reduce the hours worked, so in effect the individuals would not be better or even worse if those reduced hours brought their reduced hours to be low the hours required to be eligible for certain tax credits.

Then we have the care profession, and yes, the good care workers should be on £15 or even much more, but for providers to pay that then their rates they charge for care would also have to be considerably increased and their is no mention of that. For Government controls what is paid to Local Authorities who in turn pay the care providers so they in turn pay their care workers.

For this to be achievable the total withdrawn under austerity cuts would have to be returned to Local Authorities and much much. For if the austerity cuts were to be reversed today this would only bring local authorities funding to 2010 levels, which due to the passage of time would have to be uplifted to account for inflation.

But 2010 levels even uplifted for inflation are way too insufficient to account for payments into social care, for in my view social care has never been sufficiently funded  by having an underfunded social care this has a bearing on the NHS, which in itself is also underfunded, but not to the enormous scale of the underfunding of social care.

The crisis in social care is very dire and not all is down to funding, for much is also down to the lack of persons willing to enter the care profession, and this could be partly remedied by allowing persons from outside the UK to enter so they could become employed in social care, but the current Government immigration policy does not allow for this. But it appears there are to be some temporary lifting for lorry drivers and some others, but no mention of social care.

Social Care has to be part of increased funding, substantial increases of funding as well as substantial permanent changes to the immigration policy and then look at working conditions, guaranteed travel pay and sickness and holiday pay as well as unsocial hours payments.

If not social care will not survive which means neither will the NHS.

 

 

Source: Labour Members Vote In Favour Of £15 Minimum Wage | HuffPost UK

Vulnerable patient’s death at private hospital is a ‘scandal’, says mother | Hospitals | The Guardian

Yet another scandal regarding to persons with learning Disabilities, so why are these situations allowed to happen and why are there no prosecutions on the persons who allowed the scandals to occur, where is the accountability.

Where is the public outcry?

Where is the Government action?

What are the Legal Authorities doing?

What are the authorities doing about the supervision and monitoring of all the various areas which are involved in the caring of persons with Learning Disabilities?

So many What’s and Where’s, but are any being answered, I fear not and if not why.

Is Learning Disability and/or Autism really at the forefront of Safeguarding and if not why not?

Is this Government doing all it can to safeguard persons with Learning Disabilities and/or Autism and as any previous Governments done so? On all counts I regret the answer is no.

In the UK there are approximately 1.5 million people with a Learning Disability (2019), with approximately 1% of the UK population has autism

More information regarding Learning Disability in Yorkshire and Humber (2012)

In 2020 the Population of the UK was around 67 million

There is a NHS Learning Disability Register, please if you have a learning Disability or you have a relative with a Learning disability please ensure you or they are recorded on the Register

In Sheffield there is a local Sheffield Learning Disability Register please ensure if you are in Sheffield with a Learning Disability you are also on this register, you can register by using this form.

 

Source: Vulnerable patient’s death at private hospital is a ‘scandal’, says mother | Hospitals | The Guardian

Care workers in England leaving for Amazon and other better-paid jobs | Care workers | The Guardian

I have been forecasting this for many years, but no one was listening, especially the Government and the Government is still not listening.

Amazon and other organisations can afford to offer these salaries of over £13 per hour but the care profession can’t unless a massive increase in funding but brought in, so carers are being paid either the national |Living Wage of £

Social Care has always been insufficiently funded, meaning care workers have not been allowed to earn a salary more in keeping with the care work they do.

But the Government insisted in forcing Local Authorities to accept austerity measures, when there was insufficient areas in which they could make saving without cutting back on essential services. The poor, disabled and the sick depend on all these essential services in order for them to lead reasonable lives. and social care is a necessity for them.

By not having sufficient care staff, persons in need of care are not always receiving good quality care, if at all.

So care workers are having to survive on the National Living Wage of £8.91 or in some instances the Read Living Wage of £9.50 or varying rates in-between.  For people to come into the Care profession the starting rate should be £14.00 per hour and the differentials be maintained in the years to come.

Then the other areas should be looked at

sick pay arrangements

Holiday pay

travel expenses

unsocial hours compensation

and others

Also, please could people resist in thinking Social Care is only for the elderly and care homes, for it is not although the elderly may be, currently the majority. For social care is there for anyone, or should be, who needs it, be they children or adults and it will cover Home Care, Respite, Supported Living, Hospices, etc.

The Government should be funding Local Authorities to enable them to fund care workers salaries to £14 per hour as well as bring the Government Grants back to at least pre 2010 levels for other council spending. This would then ensure that Local Governments could provide services more fitting to the 21st Century rather than the 18th/19th century.

This all needs to be addressed immediately for by the promise of the end of the year could well be too late or is that what the Government is really wishing for, as by that time many unnecessary deaths could have occurred.

During all this Government dithering, it is causing more demands on NHS resources at a time when the NHS is still dealing with COVID and the lengthening waiting lists due to the many deferred instances for people requiring non-COVID procedures as well as all the increasing demands due to long COVID ailments and conditions.

 

 

Source: Care workers in England leaving for Amazon and other better-paid jobs | Care workers | The Guardian

National Insurance: Minister refuses to deny reports of tax hike for social care – BBC News

The justice secretary says social care must be properly funded but declines to “speculate” on plans.


I completely agree that Social care should be properly funded and I would say, totally funded, but there is a problems, one of many.

Currently, is there sufficient funding to be funding back to 2010 levels which is around £10 billion, I fear not.

Then, it was not sufficient to provide all the Social Care required, as directed by the Assessments of Needs done in 2010 and funding has dropped considerably so many in need of Social Care or receiving no care or a bare, insufficient minimum.

But the problem is even deeper than that, as for many years Assessments of Need have not been sufficiently completed, as not all reasonable needs have been recorded, only those that the assessor felt would be funded. So, in affect, there is no written record of the total care needs that are required, even from 2010 and since then many more have not been recorded.

In fact, many in need of care have not been coming forward, until the situations reached a safeguarding situation and not even then, which has results in many persons suffering when they should not have been and for some the ultimate was the outcome, being deaths.

Any none covering of needs, will eventually cause even more demands on the NHS, so the continuous ignoring of the problems in Social Care has had dire effects on the NHS and will continue to do so for many years to come, even if sufficient funding is made immediately.

For Social Care can’t be looked on in isolation from health as they are so intermixed, lack of social care requiring more health involvement and with health continuing involvement as there is insufficient social care to allow discharges from health care. This causing many to be kept in hospital longer than should be or in some instances discharged before any social care has been organised, which in some respects could have caused some of the elderly discharges into Nursing Homes and the result being excess deaths from COVID-19.

To say this is now the 21st century, the complete lack of dealing with the Social Care crisis is in effect, bringing health and social care back to the 19th century or even earlier.

People in authority have to be brought to account, both currently and even more so, previously.

Funding is but one aspect, but there are many others, some being

a severe lack of people wishing to come to be employed in Social Care

Government interventions to severely restrict people wishing to come from outside the UK to work in Social Care

Abysmal rates of pay for the work undertaken and the responsibilities

Poor working conditions

In some instances the lack of dignity and respect by persons working in Social Care for the persons they are caring for

The lack of sufficient quality of care supervision by, not only, Care Providers but also the Statutory Authorities, which includes Local Authorities and CQC(Care Quality Commission) which has been shown in Winterbourne Scandal, and many more since.

Much needs to be done, but there is very little action being taken currently and this needs to change immediately, for it appears this Government are happy to see deaths to occur as this reduces the amount of persons needing to be looked after.

 

Source: National Insurance: Minister refuses to deny reports of tax hike for social care – BBC News

People with learning disabilities ‘failed again’ as CQC closes unit over abuse | Nursing Times

Yet again persons with Learning Disabilities and/or Autism are being let down by the system, a system that due to many years of underfunding is far from ‘fit for purpose’. But underfunding should not be used as an excuse for cruelty and abuse, for this is purely down to management and the standard of carers employed.

However, as the article states if Social Care was sufficiently funded persons could live in their own communities and not be locked away in these , so called, hospitals, for that is a disgrace for they are not hospitals, but more like . But, it is also wrong to say prisons, for prisons would not be allowed to cause suffering in these ways.

What needs to occur is for this Government make good their promises and promises of many previous Governments to once and for all put Social Care on a very secure financial footing. For it is my belief that Social Care has never been sufficiently funded, but 10 years of austerity cuts and then going on 2 years of COVID have caused many more problems for social care, when one would have expected it could not get worse. But much worse is has become, due to many years of Government inactivity with regards to social care.

Unfortunately social care does not receive a good press, for many in the population feel that spending on social care is a waste of money, just because they fail to see the need for social care. This is compounded by government actions in many areas, including the benefits system and how the majority of the media view social care and the persons in need of social care. That is, until a scandal is uncovered, but it is the lead to the scandal which is also of concern. So decrying social care at every opportunity leads to the scandals in the first place.

A ‘White Paper’ on Social care has been promised by many UK governments, but to date not one has delivered. Even when a White Paper is published it may not be the solution, for it will be coming from a Government which has shown many times it cares nothing for social care and the persons who are in need of receiving social care.

So the attitudes of many within the UK, or just England have to improve. For until they do the Human Rights of Persons with Learning Disabilities and/or Autism will not be adhered to.

 

Source: People with learning disabilities ‘failed again’ as CQC closes unit over abuse | Nursing Times