Category Archives: Health Care

Cap on care costs ‘will do little for less well off’ following government change – Community Care

In all of these calculations, where is the costs of administering such arrangements, as opposed to putting Social Care on the same basis as for health care.

Why should some with certain conditions have to pay when for people with other conditions do not, this is a conditions lottery and is discriminatory.

 

Source: Cap on care costs ‘will do little for less well off’ following government change – Community Care

Patients are at risk as NHS reaches unsafe “tipping point,” leaders warn government | The BMJ

So much pressure on the NHS and this Government does nothing, but that is what we have come to expect from this Government.

Now there is mandatory COVID vaccinations which will apply even more pressure, does this Government really care I doubt it.

Social care can’t help because there is severe pressures  there also and care homes could have to closed due to staff shortages, compounded by mandatory COVID vaccinations. Then in time this could also affect home care, but the Government will not help only go out of their way to hinder.

 

Source: Patients are at risk as NHS reaches unsafe “tipping point,” leaders warn government | The BMJ

University of Sheffield study reveals reasons why some care workers remain unvaccinated | The Star

The majority of unvaccinated care workers who fear losing their jobs as a result of mandatory vaccination ruled did not receive the jabs due to poor working conditions, a University of Sheffield study reveals.

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It is well-known that the working conditions and pay for care workers are exceedingly poor and I can quite believe that these are some reasons why some care workers did not get vaccinated, no sick pay being another valid reason. These areas need to be rectified, but this is again down to the Government, yes, the same Government who introduced this no vaccination policy.

Why is it down to Government, well Social care is mainly financed by Local Authorities, (LAs) paying Care Service Providers so they in turn can pay their care workers. But to do this LAs rely to a large extent on the Government Grants they receive to finance Social Care and many other areas under the control of LAs. But since 2010 LAs were subjected to austerity cuts by successive Tory Governments, for 10 years to force them to make saving where in most instances there were not savings to be made, except by reducing funding for essential services with social care being made. LAs had to make many redundancies within their own workforces meaning services to residents where also reduced and maybe even cost much more.

Currently these cuts have not been dealt with by this Government in reimbursing LAs for all the funding, which in my view was taken away without due consideration on how services would be continued, So with costs increasing to inflation as well as salary increases with regards to at least increases in the National Living Wage, which were required, but it is not in any way a ‘Living Wage’ for from it and taxable as well, surely the Tax free allowances should be as the National Living Wage.

Now we see from the University of Sheffield study this austerity legislation and the inability or down-right refusals to reimburse these cuts is leading to persons not complying with other legislation from this Government re COVID vaccinations.

Care workers, especially in Care Homes have been considerably let down by this Government, letting COVID patient be discharged from hospitals is but one let down. But it is not just care workers who have been let down, but also the persons in need of care and also their families.

MPs are saying they can’t exist on their salaries, which are far in excess of those for care workers. There is already a large insufficiency of care workers and this will only make matters worse.

Not only that, but the problems in social care caused by the Government are also affecting the NHS for people are becoming more sick and hospitals are having bed shortages as there is not the availability of aftercare for persons who could be discharged from hospitals.

Care is interrelated within health and social care for one can’t exist without the other.

Hospitals are again in crisis, but this Government is still unwilling to reintroduce mandatory wearing of face covering and social distancing, surely the least this Government should do.

This Government is failing in all areas, is it a ‘Nero Government’, Emperor Nero was supposed to have ‘fiddled while Rome burnt‘. well it is looking like it is fiddling something or is that just ‘Boris’.

Social Care needs much more additional funding and while I agree everyone in all aspects of front-line care should be vaccinated, is mandatory really the only way.

 

Source: University of Sheffield study reveals reasons why some care workers remain unvaccinated | The Star

CQC joins call for care staff pay boost to prevent ‘tsunami of unmet need’ – Community Care

Funding from the Government, much more than the paltry amounts already announced, which are way too little, way too late, needs to be made available immediately, but this is never going to materialise from this Government.

Staffing will continue to diminish and then that will be the end of social care and the demise of many in need of social care and then the wishes of this Government and many before them will have come through.

If this Government wishes to see Social Care survive then substantial investment is require of at least £12 billion and the alteration of the UK Immigration Policy to encourage persons from out of the UK to come and work in Social Care.

To make Social Care a more attractive prospect the rate of pay for care workers is required to increase to at least £14/15 per hour and a sick pay arrangement be introduced.

Many other improvements are required but the above are very essential.

 

Source: CQC joins call for care staff pay boost to prevent ‘tsunami of unmet need’ – Community Care

Homecare costs outstrip funding from councils, says report – BBC News

Well, at long last home care is getting some coverage, for on the few occasions social care is mentioned it is usually only regarding care homes and the elderly. But Social Care is much more than that, for there is home care, respite, care, supported living, hospices and more and covers both children and adults.

Here we have home care, which as stated, is mostly paid for through local authorities (LAs) who obtain their funding from Government. However, LAs have suffered 10 years of austerity cuts and going on 2 years of increased costs from COVID and are still not being paid the equivalent to what they were being paid in 2010. So, there is major Government failings here.

Home carers are paid, mostly from £8.91 per hour,the National Living Wage to £9.50 per hour, the Real Living Wage. So, the Care Providers have to be paid much more so they can pay their care workers, which is why there are much higher rates mentioned in the article. For Care providers, have other expenses than just paying care workers, being, office expenses, administration staff salaries, training, recruitment, payroll costs, etc.

In the article it is stating that the pay rate needs to increase to £11.20 per hour, but this is the very bare minimum, but to have any real affect the rate needs to be increased to at least £14.00 per hour and more likely £15 per hour, to offset the rates at Amazon and some supermarkets.

Most people, even the Government class care work as unskilled when it is far from it, as to provide good quality care the care workers need to know who they are caring for, provide emotional support as well as personal care, respect the choices of the person being cared for and their property, be able to understand how to use all the equipment the care for person has, adjust the care to how the person being cared for is on any particular occasion, provide meals as wished for by the person being cared for, understand their medication and much more. So, depending on the person being cared for it is very skilled to provide good quality care. Therefore not everyone is capable of being a skilled care worker.

Due to the insufficient pay there are a vast number of vacancies in social care and to get anywhere near the numbers required the UK Immigration Policy has to be altered to enable more workers from out of the  UK to gain entry to work in the UK. and this needs to be done urgently.

So, much needs to be done in respect of social care in the UK and this starts with the Government

Source: Homecare costs outstrip funding from councils, says report – BBC News

Budget 2021: NHS in England to receive £5.9bn to cut waiting lists – BBC News

It is good to see more funding coming through for the NHS, whether it is fully sufficient is open to debate.

But, the other major problem is social care, where no funding is coming forward except the way insufficient amount announced earlier and even then the main focus is on the NHS and what is coming to social care is not immediate.

So again Social Care is forgotten about, when it should not be as it is as important as the NHS, if not more so and should been seen as such. Unfortunately no one appears to recognise the importance of social care and even if they do are not prepared to do anything about it.

But, to disregard social care is done at peril, not only for those who desperately have to rely on social care, but for every social care failure it rebounds two-fold on the NHS, for it further increases care inequalities, but also causes more reliance on the NHS.

So to ignore social care is in fact a very false economy factor, for to sufficiently fund social care will provide benefits, not only for those on social care, but will mean that health deteriorations will be much minimised and therefore save costs on the NHS.

Source: Budget 2021: NHS in England to receive £5.9bn to cut waiting lists – BBC News

‘Tsunami of unmet need’: Care watchdog contradicts government with dire NHS warning | The Independent

Everyone is now telling the Government they are wrong and wrong again, for during this COVID pandemic they have been wrong more than they have been right, for they have only been right once, that being the COVID vaccine programme. Even there, that success is beginning to wane, but this Government still clings to that one success as though they are scared to do differently.

But they need to think of those who are suffering and will continue to suffer due to their inactions.

All areas of care are suffering but social care much more than health, even though the suffering in health is considerable.

Both areas are suffering because of lack of investment, social care much more than health, while both are severely short of staff for in these areas there is insufficient workforce in the UK and more are desperately needed for out side the UK.

So there are a number of actions this Government needs to do, which includes

  • ensuring the COVID vaccination programme continues to be successful both 1st and 2nd vaccinations and also the booster
  • replace the new Minister for Vaccines and Public Health Maggie Throup MP with someone who is more capable
  • increase the investment in social care so that care workers receive a salary more inline with the responsibilities they undertake, around £14-£15 per hour
  • change UK Immigration Policy to allow more persons to enter to work as care workers in social care
  • look to provide a sick pay scheme for care workers
  • improve care workers terms and conditions of employment

Only then will social care be saved, for currently it is doomed to fail and then the pressures on the NHS would increase considerably so it too would fail.

By not looking to improve social care the Government is causing much unnecessary pain and suffering.

But their first actions need to bring back mandatory face coverings and social distancing and even consider making it compulsory for all eligible persons to have the COVID vaccinations, even the booster.

 

Source: ‘Tsunami of unmet need’: Care watchdog contradicts government with dire NHS warning | The Independent

Disabled Man Hopes To Challenge Benefit ‘Hospital Rule’

Another benefit rule which makes little sense for many reasons.

But one of the reasons it is there to offset double charging for while in hospital it is deemed that the hospital will provide all means of care so therefore there should be no costs for any other person to do so. However, this does not take in to account persons with Complex needs, whereby care needs to be provided by someone who really knows the person.

But is it really cost effective, as how many instances does this occur in, and in doing so is the cost of stopping the benefit and then recommencing more than paying the benefit double.

Then in this instance when the usual care is required in order to to stop suffering for the cared for person to be present, then it needs to be paid but there are no mechanisms to do so, so this requires and urgently requires a change in the payment rules. For it would not be cost effective and again no mechanism to do so for the hospital to take over payment to the carer.

What also needs to be considered as by not paying a carer what is the carer supposed to do, for they will most likely not be able to care for themselves without the payments and may need to start caring for another person and therefore not be available when the original person is eventually to be discharged from hospital. So then is the person discharged without suitable care being there, or not discharged thereby retaining a bed from being freed for another patient.

The common thought that care can be provided by anyone is is very misunderstood, for in most instances, if not all, it is not true, that is for good quality care to be provided. To get someone will take time and then to be well trained even more time, so discharge could be delayed for months.

Care is very skilled to do it correctly, again not fully realised if realised at all by many, especially the Government who make up all this ridiculous rules and regulations, without any consideration for the carers and those being cared for.

All this , also assumes that there are sufficient people available to do care which there is not again down to the Government in many ways, some which are

great insufficiency of investment in care

this also does not provide sufficient funding for a sufficient salary to be paid to the carer for providing care

lack of reasonable terms and conditions of employment for carers

restrictions in UK Immigration policies to allow more persons to enter the UK to be employed in the care profession

plus much more

Everything is against carers and care being provided of good quality and sufficient remuneration, so the care for are being abandoned by not only this Government all all previous Governments and this and those other Government should be ashamed and made accountable for their inactions with regards to care and allowing carers and the cared for to suffer.

Same Difference

A disabled man who had his welfare benefits paused when he spent more than 28 days in hospital, is hoping to challenge the rule in court.

Cameron Mitchell, 20, from Carlisle, cannot walk or speak, and has seizures. He spent 128 days at the Royal Victoria Infirmary.

Current rules mean he lost his payments while still needing carers, and he has applied for a judicial review.

The Department for Work and Pensions has been contacted for a comment.

‘Needs don’t change’

Mr Mitchell receives Personal Independence Payment (PIP) and his mother and carer – Nicola Clulow – receives a Carer’s Allowance.

Under current regulations, known as the “hospitalisation rule”, a person’s entitlement to their benefits is suspended if they have received care in hospital for more than 28 days.

Legal firm, Leigh Day, has applied for a judicial review – where a judge considers the lawfulness of a decision or…

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Covid cases Sheffield: Infection rate on the rise as Government dicusses ‘Plan B’ to tackle autumn infection spikes | The Star

Too much is not being done, as Plan B needs to be implemented now before the situation worsens any further. However, this Government are Ace at not doing and leaving plan to the last minute to implement, or more often than not well after than they should have.

Their only success was the COVID vaccination programme and now that appears to be failing, but this Government still looks at the success as the only way out. That is completely wrong as all measures have to be implemented, for only relying on one is a very false premise.

So with immediate effect they need to bring back mandatory wearing of face-masks and social distancing, maybe, even working from home.

Also sack the new Minister for Vaccines and Public Health Maggie Throup, MP as she appears to be worse than useless, unlike her predecessor, the former Minister for Vaccines and Public Health Nadhim Zahawi, MP.

What they can’t do is nothing, which they are doing currently, for if they had implemented actions, previously then, perhaps we would not be in this situation. The former is now with hindsight, but not now, so Plan B needs to be implemented immediately, so there is more to rely on than the vaccine and booster vaccination programme.

To not do so will see COVID continue to take off and the collapse of the NHS, as well as Social Care.

 

Source: Covid cases Sheffield: Infection rate on the rise as Government dicusses ‘Plan B’ to tackle autumn infection spikes | The Star

Covid: Bring back rules amid rising cases, urge NHS chiefs – BBC News

I completely disagree with the Government, but then when have I ever agreed.

But the proof is there for when has this Government been right over the last 2 years, well very little with exception to the COVID vaccine programme, which has said is no longer as successful as it was.

This is a Government of dither and mainly due to the view of the current Prime Minister, Boris Johnson, MP that he does not wish to place restrictions on the population of England. But, in doing so, he is playing with the lives of people in England. This is wrong, as when he does eventually change his mind, which he does with regularity, it is way too late, too late which means the many losses of lives and very much suffering on the people of England.

If he can’t manage effectively then it is well time for him to go and the sooner the better.

The case of Social Care is another good example, but here he is not alone with dithering for many Prime Ministers before him are just as guilty if not even more so. Actions need to be swift, rather than not as by waiting many hours, minutes and seconds are lost, leading to days, weeks, month and very many years , creating years of neglect, much suffering, loss of lives and very much increased demand on our NHS, which, itself is in great danger of becoming unstable.

This is seen very clearly by many in the NHS and while they have been very supportive of the NHS, many have now had enough, especially with COVID adding greatly to the stresses, of working extremely long periods and being virtually ignored by successive Governments. Funding has been insufficient, although not nearly as insufficient as that with Social Care, which is very much bordering on criminality of much neglect and great abandonment.

Actions are required not in the future but now as the inactions are causing many safeguarding issues with neglect being one.

Source: Covid: Bring back rules amid rising cases, urge NHS chiefs – BBC News