Parts Of Nursing Redefined As Social Care ?

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An interesting one , picked up from Carers Radio , an unlikely source ? ... 67.article

Are we letting fundamental parts of nursing be redefined as social care?

Nursing Times web site ... Dame June Clark authoress :

A recent court case in Wales, in which local councils and NHS health boards were arguing over how much money they should each pay for nurses’ time in care homes, has shown this may be becoming a reality.

The health boards said they should not be required to fund nurses’ time spent doing tasks such as dressing and washing, because other staff members could do this instead – but the local authorities disagreed and said the NHS should pay for everything done by a registered nurse in a care home.

I believe that personal care, which is currently being defined as social care, should be recognised as part of the “unique function of the nurse”, as defined by Henderson as “to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that the person would perform unaided given the necessary strength, will or knowledge”.

This does not mean that personal care can only be undertaken by nurses. But it does mean that the assessment of need and the prescription of care is based on nursing knowledge,

Not only that but, when it comes to who pays, personal care should be free to those who need it – regardless of who provides it – and the RCN should stand up and say so

Without a clear understanding of the nature of nursing we are at risk of seeing the informaticist’s prediction come true. To stop this from happening we must urgently promote the provision of personal care as a responsibility that belongs to nurses.

A view from a professional nurse.

Quite a bit of contention here if one thows care workers and carers into the mix ?

For example , personnal care ... does where it is underttaken make a difference to whose responsiblity it is to actual do ?

Why " Free " inside the NHS but charged outside .... separate thread on this sometime ago : ... t-if-27398

Thank you for your correspondence of 22 October about social care and healthcare. I have been asked to reply.

Since the start of the NHS in 1948, NHS care has been free at the point of delivery. However, the NHS has never been responsible for all of the needs of everybody requiring long-term support and local authorities have been able to seek contributions towards the cost of the care and support services they provide.

NHS care includes care by a registered nurse in providing, planning and supervising a person’s healthcare. As you are aware, such nursing care given when someone has to stay in an NHS hospital is free of charge. In October 2001, nursing care for people in care homes and other settings was made free of charge too. This is generally referred to as ‘NHS-funded nursing care’, and a person’s needs are assessed on their need for care from a registered nurse.

‘Personal care’ is the term used to describe the help someone needs in order to carry out personal activities such as bathing, dressing and undressing, eating and using the lavatory. Those who require personal care may receive this care at home, or in a care home, where they also pay a fee for their room and board. Some people are well enough off to be able to pay for this themselves and those who can afford to do so are asked to meet the cost of this type of care.

Would not any " Shop stewad " be up in arms if work were taken away from his / her members ?

Over to all readers.
A "care" home funded by Social Services is not required to have qualified nurses. If a patient requires some fairly small element of qualified nurse time, then they are entitled to "Funded Nursing Care" of £100 a week.
If someone needs more care than this, they should be entitled to full NHS Continuing Healthcare, as it is "beyond the limit of care which a local authority can provide" but the NHS, as we already know, is trying to shift the goal posts towards a much greater medical need.
Redefining some nursing roles so that non nurses undertake such tasks certainly reduces the cost to the provider.

No wonder the nurses are up in arms if some of their colleagues jobs are at risk.

From our viewpoint , standards , if that is the right word in this context , will fall , and our carees , in the charge of others , will suffer first hand.

Bottom line yet again ... cost control ... the end user is a secondary consideration.