I was pleased that the Better Care Fund has got an additional £1.5 bn next year, but want it to be spent on genuine better care (such as NICE recommended Mindfulness Based Cognitive Therapy 8 week courses) to teach patients and social care service users how to look after themselves better, so that they don't need so much public services. See papers on section 9 of www.reginaldkapp.org
Makes pretty gloomy reading Themes around resilience to survive & ideas for success are part of how we are approaching the harder times ahead. A mixture of positive action promoting for example our Devon Care Kite Mark for care homes as well as the pride & enthusiasm we have developed within our local culture as a growing coalition of providers is paramount but must be combined with strong words of protest about the 'Perfect Storm' hitting social care providers. The pressures include - an ageing population with complex needs, coming to care homes too late often, increased expectations of what can be offered & managed, major problems recruiting and keeping staff especially in nursing homes, the CQC inspection regime in social care being much more rigorous - which is hard to argue against yet is adding to the disconnect re expectations and the reality of reasonableness. Add to these a significant emphasis on safeguarding capacity linked many feel to Mid Staffs, Winterborne View, The Old Deanery etc. again hard to argue with save the sometimes absent 'proportionality' of process regarding at times minor concerns that lead to good staff being suspended pending protracted investigations where the whole staff teams and individuals morale are damaged and stigmatised. Increased costs of course not least the living wage impact, auto pension enrolment contributions and extra holiday entitlement. - all great things - hard to argue with but for small family run providers not seeing fees increases to accommodate these it simply adds to the worry and risk. Adverse media headlines also add to the frustrations where we generally hear and see many shock horror stories and few celebrating great care, fun, happy times and where people's lives have been positively transformed in great 24/7 care. I've spoken at many conferences nationally and overseas about mental health care and numerous NHS topics. I'm chairing a big nurse focused conference at the Birmingham NEC tomorrow -11/11/15 presenting to the 700 strong audience about dementia care and the work my 2 small energised care homes do as well as our kite mark work. I'll be saying as I do. Make life in a great care home something to look forward to by not fearing joining in with promoting what they do, become a 'friend'. Taking the worries away for older folk struggling, experiencing avoidable admissions to hospital, dealing with vulnerability, loneliness and dread and that these can be alleviated for around the same per week as it costs per day in a hospital bed. We must protect both health & social care not just the NHS. It's that simple and that important
The Autumn Statement will be Osborne's nemesis.
Excellent piece both. It would be helpful if your % comparisons & real terms spend reductions could be linked with those published by ADASS & LGA so that there is no ambiguity. Political & public understanding & appreciation needs to be indisputable. Also when Government talks 'Whitehall departments' it is clear that what this means is people, carers, vital sustaining services...
The 'other side of the coin' Social Care is in fact the most crucial element of 'Care in the Community' without adequate funding, well educated and informed 'leaders' it is doomed to fail, and the 'story's' we read every day regarding Mental Health today has confirmed it is in 'Meltdown' The LAs must embrace Carers and seek their support in the delivering of a service that is Primarily their responsibility. We need your help and support and you need us. I would suggest that the new Agenda regarding the non delivery of LA services to the most vulnerable ' requires a different approach, Carers are willing to help but LAs must accept they cannot provide the impossible without our help.