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Luke Clements described the judgment as "chilling" - Carers UK Forum

Luke Clements described the judgment as "chilling"

Discuss news stories and political issues that affect carers.
Appeal court ruling clears way for councils to cut social care servicesKensington and Chelsea acted lawfully in withdrawing care for former ballerina despite unchanged circumstances, say judges
Local councils have been given the green light by the courts to cut social care services to elderly and disabled people previously assessed by law as needing them.

In a test case involving care support for a woman who was one of Britain's leading ballerinas, the appeal court ruled that Kensington and Chelsea council in west London acted lawfully and reasonably in withdrawing some services to save money.

The judgment could affect services to hundreds of thousands of vulnerable adults, including care at home, meals-on-wheels, escorted transport and places at day centres.
read in full here
That is a disgrace.
How humiliating for the poor lady,and very worrying for the future for disabled and elderly people.
Just sent email here.

letters@guardian.co.uk
It's shocking and very worrying.
The judgment, by Lords Justice Rix and Wilson and Sir David Keene, says the council acted "cautiously and generously" in seeking to accommodate McDonald's needs and wishes and reached a reasonable decision.

"The evidence is that the use of pads in circumstances such as those which afflict Ms McDonald is a widespread, satisfactory and accepted practice. Although it does not suit Ms McDonald's preferences, and it cannot make for perfection in a difficult situation, it provides safety and a large degree of independence and autonomy."
I have to disagree with this statement, although it is common practice to solely use incontinence pads at night lying in a urine or faeces-stained pad can lead to bedsores, it can also lead to complete loss of urinary and faecal continence, it is not hygenic and it can be hardly be considered dignified, widespread and accepted it may be, satisfactory it is not.
My dad used a sheath and a legbag at night - is there not something similar for a woman to use? Coloplast have female catheters which can be used by the person themselves so that they can self-catheterise (our neighbour who was a wheelchair user did this). I can see the councils's point - that is very expensive to have someone stay all night in case she needs to pee. What is the problem with using a pad?

Eun
I have just listed some of the problems with using a pad all night, lying in a urine- and/or faeces-soaked pad rapidly causes a breakdown in tissue, particularly a problem in those who score high on the Waterlow Score, using pads without changing them for several hours is very far from ideal, Grade 4 pressure sores are extremely difficult to heal and can be life-threatening causing death due to infection.
As I said there are alternatives to pads - such as self-catheterisation. More expensive than pads but a lot cheaper than the expense of having a care worker there all night. Overnight care should surely be kept for those in the most need eg living alone and on ventilation as an example.

Eun
Surely there is a point where if she cant pay for her own care around the clock, we have to say that a nursing home is a more reasonable and cost effective option? I mean costs have to be taken into account - there isnt an unlimited budget, is there?.
As I said there are alternatives to pads - such as self-catheterisation. More expensive than pads but a lot cheaper than the expense of having a care worker there all night. Overnight care should surely be kept for those in the most need eg living alone and on ventilation as an example.

Eun
She lives alone and it may well be that self-catheterisation is not an option for her, she has had a stroke, she was certainly deemed as in need of a night carer until funding became an issue. And what right has anyone here to suggest what would be appropriate for her?

There are also the small matters of choice, not everyone wishes to self-catheterise, independence and dignity and the impact of this judgement on other users of services who may find that they no longer qualify for the services which they were once deemed to need.