There is much we can learn from our partners in Europe. 1. Health and Welfare in Flanders for example are united not separate 2. In the Netherlands there are four different funding sources and everyone has insurance with the two working hand in hand to support primary, secondary and tertiary care. With strict KPIs for patients and care providers it ensures a fairer integrated system of care and support. 3. Care facilities for older people are designed to be the heart of the community in Belgium and the Netherlands for eg with elderly medical specialists (GPs trained in this specialism) running their services with pharmacy and co located fully integrated health professional treats staffing services that support assisted living, independent living, short stay, longer stay rehab with shops, restaurants, hairdressers, chapel, care advisors, mobility services, and dementia friendly shared housing all together on one site - we need this model!
Providers need action now! Money needs to hit the front-line immediately for all the debating in committees will be meaningless as there won't be enough provision out there to deliver even if we get all the money in the world.
How blunt do we have to be?
How blunt do we have to be?
While Nicholas Timmins is right to identify the various complexities of the social care debate I think he over-estimates the possibility of a cross-party technocratic fix. The failure to recognise the different ideological perspectives relating to social care means that this may be a policy issue that can only be resolved by a `progressive' and determined radical left of centre government in the same way that the post war reforms were driven through by the Attlee administration. While this might have seemed a fanciful pipe dream a few years ago recent political developments (events dear boy events) may now provide a basis for optimism in this and other spheres of social policy.
The total obsession with Brexit combined with knockabout politics in the aftermath of yet more embarrassing dysfunctionality within our ever divided society must not derail urgent plans to address the H&SC crisis. And crisis it surely is! So many of my friends and colleagues in the NHS and in various care roles in social care are burning out, cynical, tired, undervalued and looking for an out - many care providers not for the lack of wanting to do a great job. My care homes are working frantically to maintain strong and proud, kind and keen workforce cultures with happy, well cared for increasingly frail older folk coming to us much later than they once did. Collectively we must work together - politicians, policy makers & implementers, commissioners, clinicians, managers and providers. We must reconcile self interest with common interest and grasp the proverbial nettle. We have constructive, credible and creative thoughts on how to contribute to ways we protect and provide choices for those living into their 90s and beyond ( including good 24/7 care when the time is right ). The 90 somethings are the urgent age group for whom a great majority need support. Those that can afford to pay for it will (and should) pay toward that. Those that can't should not be abandoned to a 2nd or 3rd class provision. My passion is for determined effort and energy for ensuring great care through great leadership - we need this at all levels I'll be sharing your words across my areas of influence including with local politicians, seniors and jobbing frontliners and those we serve Big thanks.