this is so true, in all areas, the social care mandatory 'contribution' has got too expensive for many to afford especially in the more affluent London boroughs, forcing those in great need to opt out, hospitals are pushed to their limits and further meaning they are leaving catheters in situ for 14 weeks because they have no spaces in theater to do the changes (mine needs to be done under anesthetic) which is twice the time NHS website says they should be left in and 2 wees longer than manufactures say they should be changed. home carers pick and choose the easy jobs because there are more clients in need than carers to do the jobs so more complex clients are dropped or not accepted in the first place, with no formal training and no register for personal care assistants you get the dregs of society who are unable or unwilling to follow basic instruction or even speak the language of the one in need of care and have to pay top rate for that only to be dropped at a minutes notice. there is no pride in being a carer/pa, no respect for clients and more abuse than ever can be imagined going on in that sector. many people fall through the ever-shifting cracks (canyons more like) while more and more bonuses are paid out to the minority at the top and unless there is a mojor shake up this situation is only going to get worse forcing the gap between disabled and working class further apart
It is unbelievable that a LA would stoop so low in order not to Care or Support this vulnerable woman.
To be diagnosed with a 'Personality Disorder' there is a rigid assessment process? this has never taken place.
I have suggested to the mother and her daughter a request to view her Medical Records from the Hospital and the Community, also to contact a Solicitor specializing in Mental Health LAW. The daughter would be entitled to Legal Aid.
I'm presenting at our local AHSN event on Wednesday (Sharing Best Practice) then at our Local Authority provider engagement conference on Thursday then am part of nxt weeks Kings Fund 'enhancing health in care homes' event then we have our 3rd Devon care home kite mark annual Jamboree all events I will be saying position be things. Being arguably naive but determined not to be a whinger ( I've taken to say "no one likes a whinger' - lot of late). I attended a CCG consultation last week and spoke up about STP status for us all, Better Care Fund ambition unrealised and the frustration about Vanguard new care models that whilst celebrated feel distant and very NHS heavy.
This blog whilst very relevant and well constructed is another arms length voice commenting at a safe distance dare I say about the plight of front line services More important than any of the events I'm invited to speak at are the 2 residents and guests meetings we are having at my 2 care homes tomorrow. We have some work to do in reassuring families that we are 'good' as deemed by CQC in the wake of the latest Panorama expose last week. We are actually better than good but like all those addressing unmet need in H&SC we are very anxious about a lack of acknowledgement of the cliffedge we are teetering on. Tomorrow I'm also hosting a group of newly installed Councillors visiting one of my care homes. They will chat with Meg - our energetic multitalented carer, say hello to George with his new hat, meet Lucy, Marion and others. I'm hoping I can impress upon them how vital them seeing and believimg that our work needs more local investment - perhaps daring to introduce a ringfenced 'social care levy' in raising council tax but greater still apply more understanding and less condemnation to those of us really dong all we can to protect services, look after staff and especially older folk in our care Check Pottles blog for further insights on how we try to combat doom and gloom our last posting was titled 'responding to poor care'
Thanks for the prompt to say a few things on our behalf and on behalf of those needing good care
with the massively well documented H&SC pressures
I do think care agencies could help a lot with homecare, AS has a campaign runing called homecare is broken fix dementia care, thats its taken to the gov. Untill we invest in specific dementia training for dom care agency staff and we have a minimum standard nationally and we commission differently and work with dom xare agencies more...nothing will change.
Realise 'vanguards' are set up to try and define and solve some of these organisational change problems and while there is some limited success, integration problems remain significant - running across LA organisations, private companies, NHS providers and commissioners (including NHS England) and we are fast running out of time. It might be time to consider how a National Care Agency might contribute to 'breaking the mould' both culturally and in terms of the way things get done
d effort on both sides to block any initiatives to create a joined up serice. My local Community Health Trust (DHCFT) and Community Health Services Trust (DCHS) are planning to join forces - a long awaited initiative.
However as the criteria for accessing social care services differ between different Trusts I am still at a loss to understand how some patients will benefit - when they are sent to a Hospital in a different Trust.
I wonder if the new initiative published by the RCGPs & the BGS (24.11.16) will fly? It would have been so much much more encouraging if social care had been the third author!!
I hope those responsible for caring for us, butn particularly the elderly and frail get your act togather before I need you!!