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Social Care FUNDING : GREEN Or RED HERRING PAPER ? Various Schemes And Utter Madness : All Together In This Thread - Page 12 - Carers UK Forum

Social Care FUNDING : GREEN Or RED HERRING PAPER ? Various Schemes And Utter Madness : All Together In This Thread

Share information, support and advice on all aspects of caring.
179 posts
Theresa May " Ducked " social care crisis with mental health still a " Disaster zone ", experts say of her legacy.

Major NHS funding commended, but prime minister " Failed to tackle social care injustice ", say leaders.

Theresa May has been accused of ducking the “greatest social challenge of our time” by health leaders as she announced she would step down leaving key commitments unfulfilled.

When she took office, the prime minister said she would tackle “burning injustices”, including inequalities in life expectancy and mental health access.

But she has presided over cuts to social care, smoking and obesity services that would help the poorest, which earlier this year one leading doctor called a “recipe for disaster”.

In her speech on Friday Ms May said she had helped give “voice to the voiceless” by delivering additional funding for mental health in the £20.5bn funding increase for the NHS by 2023.

But experts said the welcome increase was needed now and problems of rising demand and major workforce shortages remained unsolved.

“Very little has translated into action or funding at the frontline as yet,” Dr Dominique Thompson, a GP and director at Buzz Consulting which advises on student mental health, told The Independent.

“In terms of the NHS then young adult mental health is a disaster zone, with post code lotteries for care, crisis services and support in some places being almost impossible to achieve even for suicidality.”

Dr Thompson said the move towards mental health support in schools, announced in 2017, was welcome as part of a shift to tackling mental health conditions at an earlier stage.

Reform of the “outdated” Mental Health Act was another achievement praised by mental health charity Mind.

“However, at the same time, we have also seen more changes to the benefits system, resulting in thousands of people with mental health problems struggling to stay afloat,” the charity’s head of policy, Vicki Nash, said.

This has also been echoed for the vulnerable elderly and people with care needs as cash-strapped councils increased red tape for social care in a bid to save money.

The prime minister hastily abandoned her “dementia tax” for funding long-term care in 2017, but despite promising reforms a green paper has been delayed six times so far.

Niall Dickson, chief executive of the NHS Confederation, said the prime minister has “failed to tackle one of the country’s biggest injustices”.

“Thousands of the most vulnerable in our communities are being left without the care and support they need, and millions of family carers are exhausted and at the end of their tether.

“This is the greatest social challenge of our time – the next prime minister cannot duck this tragedy in our midst”.

Nigel Edwards, chief executive of the Nuffield Trust think tank said there has been no investment in crumbling NHS buildings, outdated IT or public health services aimed at cutting obesity and infectious disease.

“The recent immigration white paper leaves another shadow across the care sector, threatening to worsen staffing problems,” Mr Edwards said.

“The next Tory leader will need to look at how they can protect services as they finalise these policies.”
Hats off to the original " Trawler " again !

Social care :

Free at the point of need - The case for free personal care in England.

Adult social care is one the most important public services in the UK. For hundreds of thousands of people it provides vital care and support – in their homes or in a residential setting – to ensure that they can maintain their independence, dignity and quality of life as they age. This may involve receiving help with basic tasks such as getting up or eating, or 24-hour support for people with complex needs such as dementia.

But unlike its sibling service – the NHS – social care has been consistently undervalued. This can be seen in the different principles which underpin the two services: whilst the NHS is free at the point of need, social care is means tested, with only those on low incomes entitled to receive statutory support. As a result, approximately half of all people formally receiving social care, privately finance at least part of their care – and this figure has been growing.

Now, more than ever, it is crucial that the government ‘grasps the nettle’. The UK’s population is set to age significantly over the next decade with the number of people over 65 set to increase by 33 per cent – compared to a mere 2 per cent increase in the number of working age adults – while the number of over 85s will nearly double over the same time period. This will see demand for social care grow at an even faster rate than for the NHS. Failure to do so will not only result in meeting less need for older people, but increasing high-costs of care and greater inefficiencies in the NHS.

This paper looks to set out what a bold and comprehensive reform package would look like – building on the recent proposals set out as part of IPPR’s Lord Darzi Review – in the run up to this government intervention.

https://www.ippr.org/files/2019-05/soci ... may-19.pdf


Pages 18 & 19 ... rejoining social care with the NHS ... someone else been reading my posts again ?

If ever there was a Report for ALL carers and their carees to rally round , this one is it.

To be shoved down the throat of every academic / suit / mp in sight.

High time for BOTH of our supporting organisations to come out of the closet on this issue.
here is the link for the actual page too

https://www.ippr.org/research/publicati ... nt-of-need

Their " Fair Care " publication is interesting ... aimed squarely at the whole social care sector.

Put in it's simpliest form ... less paid and skilled care workers , more pressure on us to bridge the gap.

https://www.carersuk.org/forum/support- ... 20shortage
Prelude to the forthcoming BBC Panorama program on social care :

Social care is a slow-motion car crash.

Watch out, it’s heading for you.

As an 83-year-old film-maker, care is a subject close to my heart.

But our Panorama films show it’s a national crisis that we all need to act on.

When you see a car about to crash, you hope somehow it can be avoided. When you see one in slow motion, the urge to intervene is even stronger. That’s my response each time as a film-maker when I find a situation spiralling out of control – kids in care, failed adoptions, police mistreatment of rape victims, young people sent to prison for lack of an alternative, and many more.

Now it is adult social care. At 83, and still working, I have a personal interest.

Less money, fewer staff, and more people needing care as they age: a slow-motion car crash.

I was enlisted by Angie Mason – with whom I have made challenging films about neglectful care homes, classroom chaos and fraudulent claims for medicines, and sports products. Working with my longstanding collaborator James Rogan to make a two-part Panorama special on the care crisis in local authorities.

Many are under huge financial pressure – some on the verge of going bust – largely because of the needs of a small percentage of their population at a time of austerity and cuts.

Most councils said no. But Somerset county council gave us extraordinary access to show staff trying to manage the needs of one of the largest number of people over 65 in the country – while cutting the budget.

The numbers are astonishing : 500,000 council taxpayers in Somerset help fund the care needs of 6,500.

Their support takes 42% of the council budget of £320m. Adding children’s services consumes a total of 60%.

These are statutory obligations, so other services must be cut – such as libraries, Citizens Advice and road gritting. The care budget must also be cut. Its Conservative leader David Fothergill wanted the government to see the impact of its policies.

For 10 months we followed the council and its intrepid director of adult social services, Stephen Chandler. It was a rollercoaster. Eight dementia-care centres were shut, leaving some people struggling to care for their elderly relatives. In a huge county, rural travel payments to help low-paid care workers with the cost of the extra miles involved were withdrawn.

We chose eight families to focus on. Their stories are heartbreaking, yet also inspiring. The patience, loyalty and courage of the carers – and the acceptance of their situation by those they care for – is a revelation.

We saw vulnerable people forced to move as care homes closed, families desperately navigating the arcane funding system, and those with no families to fight for them going without care. Yet the social workers and managers are also exemplary, keeping on keeping on despite scarce resources.

Take Martine, who is only 37. She married David four years ago. She has arthritis. When they had triplets, it worsened dramatically, incapacitating her. She needs help to take her medications, and even turn in bed.

David, a motor mechanic, believed no company would tolerate the frequent interruptions to return home to help Martine. He is now self-employed. David does the lion’s share of raising the three boys, now aged three. The council provided a nanny some of the time. His nights are largely sleepless: sometimes due to the boys’ or Martine’s needs. The situation is exhausting. But they never complained. That is what love looks like.

Each family coped with extreme demands on their time, energy, patience, and love. It was deeply moving. At our preview screening, the economist Andrew Dilnot – author of the Dilnot Report on Social Care – said he wept. Anyone who doesn’t, has no heart.This is a national crisis, facing one in four of us now – or soon. As medical advances keep us alive, we must grasp that our care system is badly out of date. It needs a drastic overhaul, using present and future demographics, before it collapses under increasing demand.

Financial sweeteners are only gestures. Last winter, the government gave Somerset an extra £10m for potholes, and only £2m for care. Ministers must reorder their priorities.

The next prime minister can make history by revamping the care system: the grandest project of them all. We should all ensure friends, family, and especially MPs, see these films and do something. Watch out – the car about to crash is heading for you.

• Roger Graef is executive producer of Care in Crisis: Part one: Who Cares airs on 29 May at 9pm, BBC1. Part two: Who Pays? is on 5 June at 9pm. He writes in a personal capacity





English " Short-changed " on care funding.

Public spending on care for the elderly and disabled is much higher in Scotland and Wales than England, figures show.

In England, £310 per person is spent each year on services such as care homes and home help for daily tasks such as washing and dressing.

But in Scotland, £445 is spent - 43% more than in England - and in Wales it is £414 - 33% more.

The analysis has been produced by the Health Foundation using official spending and population data.

The think-tank said the differences were " Huge " and had a major impact on the care that could be provided by councils to these vulnerable groups.

It comes after the BBC revealed a number of councils are at risk of running out of their reserves if current spending continues.

Care spending is likely to be a significant factor in this given it accounts for more than half of local authority budgets.

Ministers in England have promised that new plans for care, including funding, will be published soon.


How the system is failing the vulnerable

( Social affairs correspondent Alison Holt )

Over ten months, a Panorama team and I saw for ourselves the dilemmas that social care staff in Somerset were facing almost daily - as they juggled the increasing need for help from people who are older or disabled alongside the county council's severe financial pressures.

At the heart of the difficult decisions they were having to make were people, such as 37-year-old Martine. She has severe arthritis and her husband David was exhausted from caring for her and their triplet sons, day and night.

Or Paul, who had learning disabilities. His family had to fight for a place at a specialist residential home, which cost more than the council felt able to pay.

And then there was Barbara, bewildered by dementia, whose daughter viewed the day centre she attended as a life line. It closed because of council cuts. They were offered alternatives, but they lost something that worked.

The pressures we saw are not unique to Somerset, they are being faced across the country as our population ages.

Two things were particularly striking. The first was how hard people were working to plug the gaps in a system buckling under the strain.

The second was the cruelty of seeing families, often at a time of crisis, being confronted by a care system that is confusing, hard to navigate and where few really know what they will have to pay to get the support they need.

Watch BBC Panorama Care in Crisis: Who cares? Wednesday 29 May at 9pm on BBC One

How significant are the differences ?

Public spending per head tends to be higher in other parts of the UK than it is in England.

Economies of scale and the rural nature of Wales and Scotland are key drivers for this.

But the analysis suggests what is happening with care spending far outstrips this.

For example, health spending in Scotland is just 8% a year more than it is in England - five times less than the difference in care funding.

Anita Charlesworth, from the Health Foundation, said: "While there are differences in the populations and needs of the UK countries, this cannot possibly account for the huge differences in per head spending on publicly-funded social care.

"Considering the scale of the problem in England, it is perhaps unsurprising that the long-delayed social care green paper is still 'forthcoming'.

"One reason governments have struggled is that any solution is expensive. But transformation is now, more than ever, needed to make the social care system fair and sustainable in the future."

The analysis shows spending per head fell by a tenth once inflation was taken into account between 2010-11 and 2016-17 in England.

If funding levels had grown in line with demand, councils would be spending in excess of £23bn a year rather than the £17bn put aside, the think-tank said.

Over the six-year period spending had also fallen in Scotland and Wales, although not by as much.

What does the extra funding allow Wales and Scotland to do ?

In all parts of the UK, care is means-tested with people expected to contribute towards the cost of their care.

But since devolution, differences have emerged in approaches to care.

In England, anyone with assets of over £23,250 has to pay the full cost of their care.

But in Scotland personal care, such as help washing and dressing, is provided free to everyone assessed as being entitled to care.

Meanwhile, in Wales the cost of help in the home is capped, currently at £90 a week.

The point at which individuals are liable for the full cost of all other services is also higher than the £23,250 threshold.


It means the amount people pay for care is likely to be higher in England - particularly for older people who are more likely to have built up assets than younger disabled people.

The cost of care is one of the major factors behind why increasing numbers of people struggle without the support they need, Age UK says.

It estimates there are around 1.4 million over 65s who get no care or not enough care.

Councillor Ian Hudspeth, of the Local Government Association, said the system was at "breaking point".

"More and more people are increasingly unable to get the quality and reliable care and support which enables them to live more fulfilling and independent lives."

He added it was "absolutely vital" the government took action.

Ministers in England has been promising a green paper will be published setting out its plans to reform social care since the 2017 general election.

A number of options are understood to have been discussed including a dedicated social care tax on the over 40s and asking for some kind of contribution for those with significant assets, such as property, in return for greater universal entitlement to support.

But the publication of the green paper has been delayed on numerous occasions as ministers have focussed their attentions on Brexit.

The Department of Health and Social Care said the plans would be published at the "earliest opportunity" and pointed out a national recruitment campaign to encourage people to apply for jobs in the care sector had already started.
Major feature on social care now available on the BBC web site !

Just the link ... it's a slideshow type presentation ... no way will it display probably on here !

https://www.bbc.co.uk/news/extra/MYx8zC ... is_in_care

Focuses on Somerset in line with the two part Panorama program.

Government must face up to need for higher taxes to fund social care, says IFS chief

System leaves increasing number of people facing " Catastrophic " risk of losing all assets, says Paul Johnson.

Politicians need to face up to the need for higher taxes or radical reforms to care for the ageing population, the head of the Institute for Fiscal Studies (IFS) will warn.

Paul Johnson, director of the economic think tank, will say the social care system still leaves people facing the “catastrophic risk” of losing their assets.

And he says that without changes, the pension system is “unlikely to be stable in the long run”.

He warns that too much risk is being loaded onto individuals when it could be shared across the population.

In a lecture on Thursday to mark the centenary of the Government Actuary’s Department, he will say that further spending cuts are unlikely to be able to pay for the rising cost of pensions and care.

He will add: “For decades, spending on health and pensions has risen without state spending growing overall.

“That reflected, first, sharp falls in defence spending and, over the last decade, falls in spending on many other services.

“It seems unlikely that further substantial falls in other spending are possible to accommodate growing demands on the health and pension systems, implying either radical reform or higher taxes.”

A long-awaited green paper on social care has yet to be published, and the issue has become politically toxic for the two main parties.

Theresa May’s election campaign in 2017 foundered after the controversy over her proposals on the issue, which were dubbed a “dementia tax” by critics.

Mr Johnson will say: “There is an obvious case for some form of social insurance and we need urgently to break the policy-making logjam.”

On the pension system, the IFS director will claim there is “a degree of hubris” about the way it is working.

“With current pensioners on average better off than ever, the introduction of what will become a near-universal single-tier state pension, and auto-enrolment boosting workplace pension coverage to its highest ever rates, it easy to think that all is well. It is not,” he will say.

“A combination of bad design, bad policy, low interest rates and unanticipated increases in longevity have killed our defined benefit pension system in the private sector. What’s left is a system of individual saving pots.

“Inadequate contributions accompany very low interest rates; individuals face all the risk of low returns; and, with pension freedoms, very few buy annuities so there is no longevity insurance for most.

“A pension system without any risk sharing is unlikely to be stable in the long run.”

John McDonnell, the shadow chancellor, said: “The IFS is right to highlight the precarious nature of our current provision for pensioners.

“The catastrophic costs that face many with care needs are an obvious example of why we as a society need collective, shared solutions to the challenges of ageing.

“Labour will properly fund local government and put an extra £8bn more into our care system.”

A government spokesman said: “We want everyone to look forward to a better future and retirement through our investment in public services and pensions reforms.”

Auto-enrolment in pensions has been a “huge success” and a key priority for the NHS long-term plan is “to put our health service on a sustainable financial path”, the spokesman added.

Okay guys , what does 2 + 2 equal ?

Why does it take everyone so long to come up with 4 ?

Recombine social care with the NHS.

Fund through general taxation ... progressive tax at that.

No more split care for a cancer patient with dementia.

Cancer care delivered free as everyone contributes through taxation.

Social care ?

Poor blighter ... needs to sell his / her house for that !

National Insurance type stamp scheme ?

Existing one hangs in the air with nowhere to go apart from counting towards one's future state pension.

14 MILLION around the official poverty line ... how are they going to pay it ?

Argued inside CarerWatch a decade ago ... finally got a consensus ... of sorts.

Rejected in 2009 ... " Too costly " ... being one of the objections.

2019 ... what is the cost for NOT doing so ? ... a level playing field for all.

.... Just like the NHS !


( If this sounds like a broken record ... good ... the message is getting home ? )
Received a letter this morning from Caroline Dinenage, Minister of State for the Dept of Health and Social Care, came via my MP. Nothing new, but will post it up when I get back from seeing hubby. Need remove personal details 1st.

179 posts