Tag Archives: social care

5 July 2023 – today’s press releases

By Mark Valladares | Wed 5th July 2023 - 10:30 pm

Ed Davey warns social care “avalanche” threatens to bury NHS as figures reveal hospitals hardest hit by delayed discharges
Ofwat chief exec admits water bills will go up: Time for a proper regulator with teeth
Sunak has “thrown in the towel” one year on after resigning from Johnson government

Ed Davey warns social care “avalanche” threatens to bury NHS as figures reveal hospitals hardest hit by delayed discharges

Ed Davey gives speech to LGA Conference warning of impending catastrophe for NHS unless government fixes social care crisis

New analysis reveals hospitals lost 128,000 bed days in May to delayed discharges, up 40% compared to last year

NHS trusts hardest hit by delayed discharges include Liverpool, Leeds, East Sussex and Surrey

Lib Dem Leader calls for a Carer’s Minimum Wage to fix social care staffing crisis

Liberal Democrat Leader Ed Davey will tomorrow warn that a social care “avalanche” is “threatening to bury the NHS”, in a speech to the Local Government Association’s annual conference.

It comes as new research has revealed the hospitals hardest hit by delayed discharges, with thousands of bed days being lost because medically fit patients are stuck in hospital waiting for care.

The House of Commons Library analysis commissioned by the Liberal Democrats reveals the NHS lost over 128,800 bed days to delayed discharges from hospital in May, up 32% on the same period last year. The vast majority (82%) of bed days lost involved patients who been stuck in hospital for three weeks or more.

The NHS trusts with the highest number of bed days lost to delayed discharges were Liverpool University Hospitals (8,146), East Sussex (4,505), Leeds Teaching Hospitals (4,370), University Hospitals Sussex (4,450) and Frimley in Surrey (3,748).

Delayed discharges take place when medically fit patients are unable to leave hospital, often due to a lack of social care.

The Liberal Democrats are calling for the introduction of a Carer’s Minimum Wage, £2 above the minimum wage, to tackle huge shortages in the social care sector. This would help address the staggering 165,000 vacancies in social care, which are leaving far too many patients stranded in hospitals waiting for the care they need.

Posted in News and Press releases | Also tagged ed davey, NHS, tim farron, tory sleaze, water companies and wendy chamberlain | 7 Comments

4-5 April 2023 – catching up with the press releases…

By Mark Valladares | Wed 5th April 2023 - 11:15 pm

Social care funding halved: Elderly and disabled people will be the victims
Post-Brexit customs checks will mean more red tape for businesses
South Wales Police – Facial Recognition Technology Restart ‘Wrong Move’
Sunak must strip Scott Benton of the Conservative Whip

Social care funding halved: Elderly and disabled people will be the victims

Responding to reports that the social care reform budget has been halved, Liberal Democrat Leader Ed Davey said:

Elderly and disabled people will be the victims of the Conservatives’ decision to slash funding for recruiting care workers at a time of chronic staff shortages.

By damaging social care again, Rishi Sunak is also damaging our NHS. Patients stuck in hospital will face more delays in discharge, leading to longer delays in A&E and for operations. Only the Conservatives could damage people’s care and the nation’s health at the same time.

Liberal Democrats want a new Carer’s Minimum Wage to attract workers back to the social care sector and ease pressure on family carers, GPs and hospitals. It’s shocking that the Government refuses to back our fair deal for carers.

Post-Brexit customs checks will mean more red tape for businesses

Responding to the government’s announcement on the introduction of post-Brexit customs checks, Liberal Democrat Treasury Spokesperson Sarah Olney said:

These new checks are only going to make trade between us and Europe harder. It’s staggering that the Conservatives looked at the chaos at Dover and said, ‘more of that please’.

The Government’s claims that these plans are going to ease trading chaos are downright dishonest. Let’s be clear: these proposals mean more checks and more red tape, not less – the last thing anyone wanted.

Businesses and the public have had enough of the Conservatives’ red tape and their botched deal with Europe. If you want to grow the economy, you have to fix our broken relationship with our closest neighbours.

Posted in News, Press releases and Wales | Also tagged customs checks, daisy cooper, ed davey, facial recognition cameras, leena farhat, sarah olney and tory sleaze | 2 Comments

A whole systems approach to solving the health and social care crisis

By Chris Perry | Mon 14th February 2022 - 9:23 am

The Health and Social Care Bill currently in the House of Lords is intended to:

sort out the under-funding of social care;
remove the need for people to sell their houses to pay for their care;
promote joined-up service delivery;
replace the competitive model with a collaborative one.

Sadly, as I wrote here, it appears to be a quick fix component level response to a whole systems problem which will simply “kick the problem on for a few more years”. There is little point putting more and more money into the first aid camp at the bottom of the cliff without building a fence at the top.

The cap on the amount which can be spent on care home fees will favour the rich in that people who do not have sufficient savings will still have to sell their house to pay for their care.

The “Integrated Care Systems” and “Integrated Care Partnerships” will be very costly and appear more concerned with preserving:

the current configuration of local authorities and NHS Trusts, and;
the purchaser / provider split and commissioning;

than they do the provision of integrated care.

Successive Governments have tried to get health, social services, police, education and housing to work together, but none has grasped the nettle of different geographical areas, different funding streams and different lines of accountability, which have been the main impediments.

Since the 1990 National Health Service and Community Care Act the “contract culture” has led to:

a “minding” rather than a “mending” service with social workers increasingly used to assess the eligibility to specific services rather than using relationship and therapeutic counselling to resolve problems;
further fragmentation with different components of a “package of care” bought from different providers, and;
“self-funders” (a dreadful term) being waived away denying them an “independent verification of their wishes” and their families the help and support they need.

There is a wealth of empirical evidence on the “social determinates of health” which have demonstrated the correlation between income and demand upon the NHS.

Posted in Op-eds | Also tagged health | 13 Comments

29 July 2020 – the overnight press releases

By Mark Valladares | Wed 29th July 2020 - 7:30 am

PAC report on social care demands lessons are learned
Government continues to ignore bad deal economic warning
Government must do more to get young people into work

PAC report on social care demands lessons are learned

Commenting on a Public Accounts Committee report which condemns the “slow, inconsistent and at times negligent approach” to the social care sector during the Covid-19 pandemic, Liberal Democrat MP and member of the committee Sarah Olney said:

The coronavirus has left people worried about their future and mourning loved ones. While we have relied on frontline staff to protect us, the Government’s PPE shortages seriously let NHS and care workers down.

People deserve better. Ministers must read and act on this report before it is too late to prepare for a second wave. That means rapidly upscaling the strategy to test, trace and isolate every case of coronavirus to keep people safe and prevent new surges.

To improve public confidence, the Prime Minister must set out a timetable for the independent inquiry into the Government’s actions. With that, we can ensure the same mistakes never happen again.

Posted in News and Press releases | Also tagged ed davey, public accounts committee, sarah olney, unemployment and youth unemployment | Leave a comment

Lib Dem peers highlight problems with social care

By The Voice | Sat 25th April 2020 - 8:55 am

The House of Lords debated how Covid-19 affected social care this week and Lib Dem peers made several contributions on such issues as DNRs being inappropriately proposed to local authority financing and the needs of charities helping seriously ill children and PPE in care homes.

Sal Brinton as Health and Social Care spokesperson summed up the Lib Dem stance on these important issues.

Here is her speech in full:

On behalf of the Liberal Democrat Benches, I also thank all the staff and volunteers working across the wider social care and community sector. Frequently low paid but definitely not low skilled, these amazing people show us their professionalism and big hearts, day after day.

Back in mid-February, we on these Benches asked the Minister repeatedly about care. On 26 February, the noble Lord, Lord Bethell, said in Hansard that

“we are planning … a massive communications campaign on how to protect people, particularly vulnerable people, in our population.”—

The evidence of recent weeks shows that those most vulnerable in our communities and care homes have been seriously and tragically let down.

Others have covered plenty of the detail, which is symptomatic of the centralised way in which Whitehall, the Department of Health and Social Care, and the NHS have treated anything not in hospitals as a second or even third order of priority. My noble friend Lord Shipley explained the problems that have arisen since Whitehall took over the supply chain for the social care sector and then decided to create a separate system, known as Clipper, that we were told was due to come online on 6 April, but yesterday discovered is still three to four weeks away from going operational.

Worse, where providers and local resilience forums have ordered their own PPE, it has been confiscated by government and rerouted centrally for hospitals first, leaving community settings high and dry. This includes lorries being stopped at border ports and drivers being rerouted. Consequently, a lack of PPE and a policy of moving patients from hospital into care homes without any testing has meant that Covid-19 has spread rapidly in the social care sector.

I support my noble friend Lady Jolly’s call for clarity on DNRs and echo her concerns about GPs asking disabled and learning-disabled people completely inappropriate questions. It is very clear from the government advice, NICE advice and all good palliative care advice that the way in which this happened was inappropriate. I hope that this DNR factor will be examined as part of any inevitable public inquiry. It seemed to happen in groups. Were CCGs asking GPs to ring their patients and find out whether they wanted to go to hospital? To do it all in one conversation is completely inappropriate. For many disabled people, it was completely inappropriate to even ask them this, if they do not have the clinical frailty that my noble friend Lady Jolly spoke of.

However, the Government’s lack of understanding of the wide range of other disabled people, and extremely fragile people, living within our community extends completely in the opposite direction. As a result, people who have ventilators or tracheostomies, for example, have found that their care support is entitled to only the most simple and flimsy face masks, because they are regarded as exactly the same as the standard care in residential homes. The Government’s PPE for the social care sector is almost always designed for the elderly.

Matt Hancock said last week that health and social care workers should not overuse PPE. The gasp that went through the social care community when he said that could be heard across the country. Most community orders are receiving a tiny fraction of what is ordered and needed. My noble friend Lady Barker summarised well the problem between the department and local government.

Posted in News | Also tagged coronavirus, lib dem lords and sal brinton | 19 Comments

1 October 2019 – today’s press releases

By Mark Valladares | Tue 1st October 2019 - 11:30 pm

Rise in homeless deaths demands end of Vagrancy Act
UK govt must not be silent on situation in Hong Kong
Tories cannot call themselves the law and order party
Cable: End ‘weaponising’ of social care

Rise in homeless deaths demands end of Vagrancy Act

Liberal Democrat MP Layla Moran has renewed her call for the Vagrancy Act to be scrapped following the publication of new ONS statistics revealing a rise in the deaths of homeless people in 2018.

The ONS data shows that there were an estimated 726 deaths in 2018, an increase of over 20% on the previous year. The highest numbers of deaths were …

Posted in News | Also tagged Alistair Carmichael, christine jardine, homelessness, hong kong, law and order, layla moran, vagrancy act and vince cable | 4 Comments

29 June – 1 July 2019 – the weekend and overnight press releases

By Mark Valladares | Mon 1st July 2019 - 9:30 am

Labour leadership tone deaf to a People’s Vote

Responding to Len McCluskey’s comments on the Andrew Marr show this morning, Liberal Democrat Brexit spokespeson Tom Brake said:

No matter how loudly some in the Labour party demand that the leadership change its position on Brexit, it is clear it is still falling on deaf ears.

It is insincere to only offer a People’s Vote if it’s a Labour deal on the table. Any Brexit plan must go back to the British public.

Any Brexit deal, whether negotiated by Theresa May, Boris Johnson or Jeremy Corbyn will be bad for our country. It will damage

…

Posted in News | Also tagged dementia, judith jolly, labour, lib dem leadership election 2019, peoples vote, sal brinton and tom brake | Leave a comment

12 June 2019 – today’s press releases

By Mark Valladares | Wed 12th June 2019 - 11:54 pm

Leaked memo confirms no-deal Brexit medicine fears
Farron calls for new deal to fix broken social care system at PMQs
Lords pass Lib Dem law to raise age of criminal responsibility
Lib Dems: We must ensure next PM cannot shutdown Parliament

Leaked memo confirms no-deal Brexit medicine fears

Responding to a leaked Cabinet note revealing the UK will not be ready for a no-deal Brexit by October 31st because is will take “six to eight months” to build up supplies of medicines, Liberal Democrat MP Christine Jardine said:

This Government document will be extremely concerning to people who rely on medicines like insulin to stay

…

Posted in News | Also tagged age of criminal responsibility, brexit, christine jardine, medicines, navnit dholakia, tim farron, tom brake and wera hobhouse | 4 Comments

30 April 2019 – today’s press releases

By The Voice | Tue 30th April 2019 - 11:55 pm

Four Seasons collapse shows social care crisis unfolding on Tory’s watch
Gosport investigation vital to ensure justice is done – Lamb
Free sanitary products to be available in Welsh colleges
Lib Dems: A vote for Labour is a vote for Brexit

Four Seasons collapse shows social care crisis unfolding on Tory’s watch

Responding to the news that one of Britain’s largest care home groups, Four Seasons Health Care, is on the brink of administration, Liberal Democrat Health Spokesperson Judith Jolly said:

For the many thousands of residents and staff at the Four Seasons Health Care, the news that the group is set to go into administration

…

Posted in News | Also tagged brexit, gosport war memorial hospital, jane dodds, judith jolly, kirsty williams, labour, norman lamb, period poverty, tom brake and Wales | 2 Comments

Celia Thomas: Every disabled person should be able to live a life of dignity and respect

By The Voice | Tue 29th January 2019 - 10:25 am

Last week, the House of Lords debated the future essential services run by local authorities. As local government is so important to Liberal Democrats, it’s no surprise that several Lib Dems took part in the debate.

Celia Thomas talked about two critical issues – social care and, first the provision of public toilets and the impact that cuts have on isolation of people with continence problems.

She warned against the idea that we need to provide support for disabled people so that they can work as this can promulgate the idea that there are deserving and undeserving disabled people. Every disabled person, she said, should be able to live a life of dignity and respect:

My Lords, I shall concentrate on the provision of social care but, before that, I want to mention something that I would call an essential service but which turns out to be discretionary. Here I shall lower the tone of the debate so I hope noble Lords will not mind; I am talking about the provision of public conveniences, lavatories, toilets or loos throughout the country. Those that are left are now often maintained by town or parish councils, but for how long? In 2010, there were over 5,000 public toilets; now, there are 4,486. Is it right that fast-food chains, supermarkets and coffee shops have now virtually taken the place of public toilets? What happens when these places are closed, when managers are reluctant to let everyone use their facilities or when there are no accessible toilets? We should not forget the silent number of people trapped in their homes because of continence problems.

I turn now to social care. As the noble Lord, Lord Kerslake, said, we are no nearer to seeing the Government’s Green Paper; as late as October, we were told it would be with us by the end of the year. The funding issue is a fiendishly difficult problem because social care encompasses so much and is so little understood. We need a different term; I agree with the noble Lord, Lord Patten, about language. The word “social”, according to the dictionary, means,

“marked by friendly companionship with others”.

But, in local government terms, it has a much sterner face to cover the state’s obligation to help care for children, including those with mild or severe learning difficulties, as well as disabled and elderly adults. It may have to cover playschemes for disabled children, personal assistants, aids and equipment, care at home and residential care.

Not only are we all living longer, but there is now a better survival rate for people with serious health conditions. I believe that the dictionary definition of the word “social” is one reason why so many people think the service is free for council taxpayers rather than means-tested, or partly means-tested. Anyone who thinks the answer for even quite severely disabled people is NHS continuing care should think again as it is very difficult to get. As for delays in hospital discharges, these are still causing a problem due to care packages having to be negotiated or re-negotiated. Can the Minister say how the Government have evaluated the impact of health and well-being boards in tackling the increasing number of these delays?

Posted in News | Also tagged Celia Thomas, house of lords, Local government, public toilets and speeches | 7 Comments

Paul Scriven: We need to fund Councils properly and give them the powers to create great communities

By The Voice | Mon 28th January 2019 - 10:00 pm

Local Government is an issue of paramount importance to Liberal Democrats. Last week in the Lords, Liberal Democrat peer Paul Scriven led a debate on the essential services that local authorities provide. He outlined how chronic underfunding of local government, combined with rising demand for services was creating unsustainable problems.

Here is his speech:

I am very pleased to be leading this debate because to me it is a vital issue that affects every village, every town, every city and every region: local government has a positive power to change people’s lives. Just think of the older person who is becoming vulnerable and possibly losing their independence. With good public health, good housing services and good social services that person can continue to lead an independent life with dignity. Just think of the young man who might be on a crossroads between violence and going forward to have a fulfilling life. With good youth services and education services that young person can be supported to make the correct decision and have a successful life.

Local government can facilitate enterprise and business locally with good business development services, planning and support services provided by local authorities. They can help to create vibrant, successful and sustainable communities: libraries, parks, clean air, shared spaces and bringing people together to give them opportunities to achieve. That is the vision that I think most people have of a good local service: bottom up and delivering for people—not just a service provider of last resort but a local democratic hub that facilitates and brings opportunities for people and businesses to succeed.

I will mention my own journey in Sheffield in the local authority, first as a back-bench councillor helping individual constituents, then as leader of the opposition, many times clashing with the then chief executive, the noble Lord, Lord Kerslake—I am not sure whether he will raise that—then as chair of scrutiny, holding the executive to account, and then having the great pleasure of leading that great city and that great council. I was then put on early retirement when I lost my seat and am now back again as a local councillor. I saw the power that local authorities can have to affect individuals and communities and make a real difference to people’s ability to succeed in their life.

That is what the situation should do, but we must look at what it has now become in many cases. Sadly, in some cases local authorities have not just become the provider of last resort but are struggling to be even that—we only have to look at Northamptonshire, Somerset, Norfolk and Lancashire County Councils, and the National Audit Office warning that reserves are running out. In some cases they are not just unable to provide the opportunities that I talked about but are unable to provide the very statutory services that they are there to provide in an emergency as a safety net.