Category Archives: caring

Ofsted raises concerns over use of restraints on pupils in special needs school | Special educational needs | The Guardian

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.

 

Source: Ofsted raises concerns over use of restraints on pupils in special needs school | Special educational needs | The Guardian

Rachel Clarke: We should judge Coffey on her policies, not her appearance | The BMJ

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.

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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

  1. 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.

Source: Rachel Clarke: We should judge Coffey on her policies, not her appearance | The BMJ

DWP Refuses To Help Claimants During Cost Of Living Crisis

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.

Same Difference

With many thanks to Benefits And Work.

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…

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Thérèse Coffey: who is the new health secretary and what’s her plan for fixing the NHS?| The BMA

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 …

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So, the article states’

Hard worker or party animal?

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.

Source: Thérèse Coffey: who is the new health secretary and what’s her plan for fixing the NHS? | The BMJ

Disabled People Fear Shortage Of Personal Assistants And The Loss Of Independence

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.

Same Difference

A disabled member of the House of Lords says she “fears” disabled people could end up living in care homes if a “severe” shortage in personal assistants is not addressed.

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…

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DWP Refuses To Contact Over 100,000 ESA Claimants Owed Compensation Totaling Many Millions

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.

Same Difference

With many thanks to Benefits And Work.

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. 

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Adult social care agency staff crisis ‘needs government intervention’

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

empathy
emotional support
financial management
safeguarding
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

unsocial hours,
sick pay
travel costs
working conditions
employment contracts
holidays and holiday pay
and others

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.

 

Source: Adult social care agency staff crisis ‘needs government intervention’

15 Scots with learning disabilities and autism in hospital for more than 20 years | The Scotsman

As well as being a Human Rights issue, it is a disgrace that persons with learning disabilities and autism are referred to these hospitals and are there for much of their lives. But, much of this is down to lack of sufficient planning and development of services, with funding being a major issue. Social care due to incompetent Government management both today and many, if not all over the past 40 years, is in a major crisis, but also housing as a role to play, which again is a funding and planning issue which has and is causing an extreme short supply of suitable housing.

There is also the public view of Social Care, which, very unfortunately does not have the degree of understanding and priority as does the NHS. But is just as important and needed as is the NHS and both are very closely related. As degrees of insufficiency in the NHS, housing and social care lead to more and increasing health issues for the NHS to deal with, thus creating capacity issues within the NHS..

Social housing has been allowed to decay, coupled with the inability to raise the housing stock. This brings health issues, which are not being sufficiently dealt with and therefore the cycle of deprivation continues.

So solve the very grave funding issues of social care, build more suitable housing and maintain existing stocks, which in turn will decrease the need and reliance on the NHS, which also needs to be suitably funded.

The ‘Duty of Care’ with the Government, the local Governments and the services concerned is causing much concern and much disregard for the individuals and families involved.

Years of Government incompetency’s, lack of forward planning and the required funding have all come together and this while causing the problems are also affecting the human rights of the individuals and families concerned.

These areas are as important as all others being defence of the UK, Policing, Local Authority services and the tory 10 and more years of austerity cuts to the local authorities are as much to blame as the other issues. The population of the UK as been seriously disregarding by successive Governments and this needs to change.

 

Source: 15 Scots with learning disabilities and autism in hospital for more than 20 years | The Scotsman

Why live-in care staff are at high risk of modern slavery – Community Care

Many believe that slavery was abolished in the late 18th and early 19th century, and in effect that concept was, but slavery is still around. Now it is known a modern slavery and is more common than people would expect.

Modern slavery includes but are not limited to:

sexual exploitation
domestic servitude
forced labour
criminal exploitation
other forms of exploitation: organ removal; forced begging; forced benefit fraud; forced marriage and illegal adoption.

In the UK there is the Modern Slavery Act 2015, but persons affected by Modern Slavery are trafficked, so it is essential that everybody associated with areas where Modern Slavery could be need to ensure all aspects are monitored to minimise modern slavery being there.

Even when the legitimate employments are known there are no or very little employment rights and this needs addressing, with a register of every known employment and employee being included. But, even then more needs to be done, more inspections with a sufficiently resourced team of investigators. Each employee needs to be reassured that their rights will be respected and this means if there are terminations for any reasons, then other suitable employments need to be found and their immigration status will not be affected.

Local Authorities need to be fully finance to undertake these responsibilities and the Government and Ministers need to be made accountable and transparent in the dealings with these employments and combatting Modern Slavery.

 

Source: Why live-in care staff are at high risk of modern slavery – Community Care

Government seeks overseas care staff to fill mounting shortages – Community Care

There are many factors here and some are being looked in isolation.

The problems are that care work is viewed by many as being unskilled, when to provide good quality care it is far from it as many skills are required for care work is not all about care.

Some of the areas are

emotional support
ability to manage a persons finances
understanding moving and handling
technical support for a cared for persons equipment
understanding medication and its dispensing
with many others

So with many care workers being on just the National Living Wage hourly rate of £9.50, even the Real Living Wage of £9.90 is no where near the rates for skilled workers, which care workers should be classed as.

Also we need to get away from the idea that all care workers work in care homes for many don’t, for many work for home care providers and also many are employed direct by persons in need of care and everybody is paid a meagre salary.

As to PA care rates, well in 2010 they were far in excess of rates paid to care workers employed by care providers and if the real living Wage had been in existence it was well above what it would have been.

So what is the significance of 2010, well that was when austerity cuts were placed on Local Authorities by the then Tory/ Lib Dems collation government and the cuts went on for at least 10 more years and then there was and is COVID. So, as austerity cuts made any significance to the salary differentials for PA rates and Agency provider rates, well I believe it has and maybe to some extent is one of the reason care workers are so low paid.

But maybe not so, as care workers have aways been very low paid and social care as never been funded as sufficiently as it should have been.

While all this occurring safeguarding concerns are increasing and so is abuse of vulnerable persons, be they adults or children. Some even get as for as criminal proceedings, but again it is viewed that the problems stem from inefficient LAs and unreliable social workers, who are so over worked is it really not believable that mistakes are made, but the Government and Government inactions are never considered and blamed, they are never held accountable, when they should be.

So why are we all fighting each other and even LAs, when all this should be firmly placed at the Door of the Health and Social Care Secretary and the resulting Prime Ministers, who have done little and in reality nothing for social care, as there are even major shortage of Social Workers.

Lets all of us agree that Social Care is in a very grave and deep crisis and that is resulting in making the crisis in the NHS even worse, with bed blocking long ambulance waits, A&Es not meeting targets due to the crisis in Primary Care with GP Practices.

All this is interrelated and it affects us all, but we are so intent of blaming each other, when all the blame should be heaped on the Government. Even to the extent that until now this Government has done all it can to stop non-UK persons coming to the UK to help care worker recruitment. It is not non-UK persons who are stopping care worker salaries increasing, but the total lack of concern by this Tory Government and all previous Governments, from whichever Party they came from.

 

 

Source: Government seeks overseas care staff to fill mounting shortages – Community Care