Discharge to a B&B room?

Discuss news stories and political issues that affect carers.
The Trust does seem to have backed off this now. I appreciate they are desperate to get their beds back.

I don't know about urban areas, but in the westcountry where my MIL is in a nursing home now, they are closing down the Community Hospitals left right and centre. Absolute disgrace. It's these highly local hospitals, with only a dozen beds or so, that are SO needed as 'halfway houses' for discharge. The nearest major hospitals are ALL over an hours drive, 40 miles away.
Dovetails into another thread started this morning.

Short term solutions , longer term problems.

The closure of cottage hospitals / halfway establishments.

Any executives running a public limited company that way would receive a P60.

Any executives running a tax payer owned establishment would receive a gold plated pension / golden handshake and ... possible mention in dispatches ... before taking on a position in the private sector to " Pad out his / her pension. "

Some actually retire after causing more damage to the local populace than the bubonic plague !

Madness ... sheer and utter.
So it's transpiring that an iffy idea by a private company looking to make profits has been dismissed by one Trust, but at least its bringing the whole discharge and bed blocking mess to a wider audience.
A silver lining ... of sorts ... in a very dark cloud ?

We should always be thankfull for small ... mercies ?

Perhaps imitation silver lining more apt when it comes to " Joe Public ? "
Follow the money ?

Snippet from similar article in today's Morning Star :


Concerns were raised over the involvement of Mike Bewick, who acts as an unpaid adviser to CareRooms and is also the chair of the Mid and South Essex Sustainability and Transformation Partnership, charged with implementing NHS reforms.



Wikipedia entry :

https://en.wikipedia.org/wiki/Mike_Bewick

Pulse Today ( GP's news web site ) :

http://www.pulsetoday.co.uk/news/commis ... 73.article


One easy lead for the deerstalkers amongst our readers to follow.
Oh, so many downfalls. Where to start?

Additional laundry, food and heating costs would potentially use up a good part of that income, especially if it affected the host's discounted council tax, invalidated their house insurance and potentially opened up an opportunity to be sued. If the caree developed an infection, and the host had not noticed it, could the caree sue the host for lack of care? I can imagine a lot of lawyers licking their lips at this new source of income.
None of which any concern for CareRooms ... they take their 50% upfront ... leaving any " Problems " for the host landlord.

Easy money ... even more so with any tax breaks and / or being washed offshore to " Minimise " any tax.

Test case ... Claimant v. Landlord ... dismissed , a landlord cannot be expected to be a qualified nurse / doctor ... costs awarded to the landlord ... bookies offering even money ... any takers ?

The Law ... strange beast ... our best ally / worst enemy ... both at the same time ... ????

A scheme that may well be doomed to failure ... if ever rolled out ... and the smart money already on it's way to other areas / sectors , leaving the late comers to pick over the carcass ?
£50 a day to care for an eldery person in that person's OWN HOME woulb be far better than the miserly care packages mentioned here.
With me as ringmaster / master of ceremonies ?

Yep , raises yet another issue ... the cost of care ... bearing in mind the minimum wage ... I won't mention that well known alternative , cash in hand ... that's not cricket , is it ... especially with DPs / paperwork involved.

In these circumstances , removing the barriers / increasing CA for family carers might encourage more to join our ranks and ... JUST IMAGINE HOW MUCH WOULD BE SAVED BY EACH LA ???

Our contribution accelerating towards £ 200 BILLION per annum , and continuing to accelerate.

Might even cover the TRUE cost of PFIs before 2025 ???

Unison and other unions will be up in arms but ... no thanks to recent legislation ... can only bark but not bite !

Anyone with a bit of savvy would add that to the forthcoming Carer's Strategy working papers ... surely ???
This morning's Guardian ... a requiem of sorts ?

https://www.theguardian.com/commentisfr ... eds-airbnb

Thanks but no thanks, CareRooms. In the NHS we need staff, not beds.

Where do we even start with the Airbnbification of the NHS ?

Not only are there basic concerns about safety and accountability, it’s not even useful


There’s only so much glumness a secretary of state for health can take. With Newsnight this week featuring harrowing footage of patients stacked up on trolleys in corridors in a Birmingham hospital, thank heavens, then, for the disruptive innovators. These tech-savvy go-getters see pound signs – sorry possibilities – where others only find doom and gloom, by promising patients nothing less than the Airbnbification of the NHS.

That’s right, if the startup CareRooms has its way, soon you too will be able to sleep soundly at night knowing that your granny has been safely discharged from her hip operation into the loving care of someone who clicked on a website, read its top line – “Earn £50 per room, per night as a host” – and couldn’t resist turning a spare room into cash.

You just have to commend their entrepreneurial spirit. Some might say “patient safety disaster just waiting to happen”, but I say, get with the digital transformation, people.

Why it has taken this long to embed the unruly freedoms of the gig economy into the heart of the NHS is anyone’s guess. I suppose doctors are to blame – we usually are – being notoriously sanctimonious killjoys, relentlessly banging on about safety, clinical governance and, worst of all, accountability.

There is so much we luddites in the NHS could learn from the giants of Silicon Valley, if only we’d stop fearing change. As someone whose hospital is already part-branded by that global health giant, McDonald’s (yes, the accommodation for parents in my children’s hospital is genuinely named Ronald McDonald House), I can only hope we embrace more of this tantalising NHS-private sector synergy.

Only this week, for example, we discovered, via a report helpfully leaked to the BBC, “How operating theatres are wasting two hours a day”. All that precious taxpayers’ cash squandered by those pesky, bespectacled surgeons refusing to race through their operations like they’re on commission. With a little imagination and new fast food-style, drive-through operating theatres, imagine what the NHS could be capable of? Pull in, get your appendix whipped out no time, then be discharged into an UberAmbulance, and taken to recover afterwards in your Airbnb en suite, perhaps with Siri or Alexa dictating your rehab.

Amazingly, after less than 24 hours of national outcry, the hospital partnering the CareRooms wheeze, Southend University hospital foundation trust, pulled out of supplying patients for the pilot. Its deputy chief executive, Tom Abell, stated that while he welcomed and encouraged new ideas and innovation (don’t we all?), “there is no intention, and there never has been, for the hospital to support this pilot at this time”. Which is odd, given reports that CareRooms had already been allowed to set up a stall in the hospital’s restaurant, and were observed handing out fliers to the public.

There is, of course, a serious problem that CareRooms is hoping to cash in on. NHS figures show that last year, 2.2m hospital “bed days” in England were lost due to delayed transfers of care. But the reason for this epidemic of patients marooned in hospital beds is our catastrophically underfunded social care sector. CareRooms’ blurb about “transforming spare rooms and annexes into secure care spaces” for these patients entirely misses the point.

Trained staff – carers – are what the sector lacks, not physical spaces in buildings. Urgent investment in trained, regulated carers is the only safe way to address this, not outsourcing the problem to random homeowners with no clearly defined standards for safeguarding, clinical governance and infection control, not to mention other risks to patients who are at their most vulnerable.

“We’re not going off half-cocked,” said Dr Harry Thirkettle, CareRooms’ medical director, despite the NHS regulator, the Care Quality Commission, having no record of the startup. Meanwhile, his company’s website promises participants that no care experience at all is required to earn “up to £1,000 per month renting out your spare room”.

Sure. Because what could be safer than a cut-price, NHS-lite, human warehousing scheme for vulnerable, frail and elderly patients?

• Rachel Clarke is a palliative care doctor in Oxford and author of Your Life in my Hands, a book about life on the NHS frontline


Only one consideration left ?

Where to bury this one ... in unconsecrated ground ( 12 feet if you please ! ) ... or it's local lime pit ???

Be a bit pricey if the ultimate holding company is a po box somewhere in the caribbean ?

Perhaps a voodoo type send off from some of the natives ?

A wooden stake beforehand ???