Tag Archives: care

Government under increasing pressure to fund social care

This blog is a week late – but I’ve been busy! I wanted to highlight the Lords’ Economic Affairs Committee report published July 4th. This cross-party group of Peers calls for an immediate investment of £8 billion pounds into our care services “to restore social care to acceptable standards”.

North Devon, as many areas of the country, has an ageing population. Many move here to retire, and then as they enter their twilight years increasingly rely on stretched care services. I have been meeting with care providers and care users – there is a lot that needs improving in North Devon and it comes down to funding. £8 billion more for our care services nationally would make a real difference in North Devon.

In England, over a million vulnerable older people do not have proper care support. However, in Scotland, where health and social services are a devolved matter, care is free for the over 65s.

Many family and friends in England have caring responsibilities as their loved one does not meet the criteria for social care. This is wrong. The report highlights that most unpaid carers are women. 63% of women who care are aged between 50-64 and care for at least 50 hours a week. Our society is being propped up by the unpaid work of millions of carers.

I welcome another recommendation of the report, notably that a further £7 billion a year should be spent to extend free personal care to all by 2025. This would include help with cooking, washing and dressing. We need an integrated health and care system, with care paid for out of taxes. Any of us could need care at any time – this should not be a lottery where some get good care and others not.

Key findings are here, and include that the lack of funding means “local authorities are paying care providers a far lower rate for local authority-funded care recipients than self-funded care recipients, and those care providers with a high proportion of local authority-funded care recipients are struggling to survive.” North Devon in a nutshell.

Posted in Op-eds and Parliament | Also tagged , and | 15 Comments

The Learning Disabilities Mortality Review Annual Report

The Learning Disabilities Mortality Review Annual Report was published recently by the Healthcare Quality Improvement Partnership. In it are harrowing statistics of people with learning disabilities dying far too young.

The report highlights the extraordinarily high incidences of preventable death. The Connor Sparrowhawk case has brought this to public attention recently: a young man with learning difficulties left in a bath unattended, he drowned whilst having an epileptic fit.

Between July 2016 and November 2017, 1311 deaths were put forward for review, often by a Learning Disability Nurse. Of those, 27% …

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Lamb and Williams warn on care cap delay

As Care Minister, Norman Lamb (and his Liberal Democrat predecessor) were pivotal in ensuring that the cap for care costs was introduced. The Conservatives have now delayed its implementation by 4 long years. Norman described this as an “outrageous betrayal of people at their most weak and most frail. He said:

This an extraordinary and devastating u-turn from the Tories and an outrageous betrayal of people at their most weak and most frail with conditions like dementia.

Crippling care costs need addressing urgently. In coalition we designed a solution that would help and was affordable. Local authorities have spent millions already preparing for the introduction of the cap, yet we now hear the Tories are turning their back on it. This delay is a total waste of public money.

The distress and heartbreak that people feel when a loved one is in care, is being exacerbated by the fear of how to pay for it. We must not allow this to continue.

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LibLink: Norman Lamb on integrated funding for health and care

Norman LambIn an interview with Public Finance Norman Lamb says that he has his sights on 2018, as the date by which all health and care spending will be pooled in England. He said:

I want the approach to evolve rather than having anything imposed. The only imposition is to say that we have got to get budgets pooled locally completely, and I’ve talked to a lot of people about this and I think we’ve come up with a neat solution to achieve the pooled budget without a national reorganisation, which nobody wants.

The Better Care Fund seems to me to be the sensible way of achieving that objective, to progressively increase the extent of the pooling, and as you do that I think you remove the perverse consequences of the gaming across the boundary between the two.

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Norman Lamb MP writes: Ending face down restraint

Department of health, mental health care reportI am sure that many of you will remember the stories about the Winterbourne View scandal a couple of years ago.  Vulnerable residents with autism and learning difficulties were subjected to shocking abuse from those who should have been protecting and caring for them.  The review that was carried out into the scandal highlighted the widespread and inappropriate use of physical restraint, including dangerous face-down restraint, at the hospital.

As a Liberal Democrat I am committed to tackling poor quality care, and ensuring that everyone in …

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Norman Lamb writes… A once-in-a-generation opportunity to fix our health and care system

In 1997 Tony Blair told the Labour Party conference “I don’t want brought up in a country where the only way pensioners can get long-term care is by selling their home.” And yet speaking to the Health Select Committee in 2010, in Labour’s final months in office, Andy Burnham said, “every member of the Cabinet believed social care to be an area that had not been properly reformed and was one of great unfairness”. In thirteen years of talk, and promises, Labour did nothing to fix our dysfunctional, and profoundly unfair, system of funding social care.

In …

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Norman Lamb writes: The Liverpool Care Pathway and end of life care

I imagine many people had not heard of the Liverpool Care Pathway before it hit the headlines a couple of weeks ago with allegations of patients denied drugs, liquid and sustenance and families experiencing real distress. Set up in the late 1990s, its intention was to help spread elements of the hospice model of care into other settings: hospitals, care homes and people’s own homes. We all want to know that our loved ones – no matter where they are – will receive dignified and appropriate care in the last hours and days of their life.

Used properly, the Pathway ensures that individuals receive whatever treatments are right for them in their final days. The Liverpool Care Pathway itself is very clear that patients should be involved in decisions about their care if possible, and that carers and families should always be included in the decision-making process.

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Paul Burstow writes: Have Your Say on Care and Support

A fortnight ago I wrote about how the Care and Support White paper and draft Bill signalled the biggest overhaul of social care in over 60 years.

The media storm triggered by that announcement inevitably focused on a single issue – namely who pays for care.

And while of course that issue is very important (and is something I care deeply about), it doesn’t address the urgent problem of fixing our broken system of social care.

Posted in News | 2 Comments
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