At this year’s political party conferences the future of the Human Rights Act (HRA) was a hot topic, with the Conservative Party announcing a manifesto commitment to scrap the HRA and replace it with a British Bill of Rights, while the Liberal Democrats and Labour Party vowed to staunchly defend the status quo.
This debate, which is set to intensify between now and the next general election, tends to focus on a narrow range of human rights issues, namely how the HRA affects groups such as immigrants and prisoners. What usually gets lost in this debate is the crucial role that human rights can play in the everyday lives of those whose rights are at risk in very different contexts, such as vulnerable older people receiving health or social care.
Last week the Equality and Human Rights Commission published the latest in a series of reports about the human rights of older people who receive care at home. It highlights that funding pressures which result in brief care visits have a devastating effect on both the older people relying on these services as well as the staff forced to choose between rushing visits, leaving early without finishing tasks or running late between clients. For local authorities to meet their human rights obligations and for older people to be assured of dignified and respectful care, the rates paid to care providers must cover the cost of care. Continue reading “Older People’s Human Rights on the agenda at national and global level”
This blog was contributed by Matthew Norton, Head of Policy and Public Affairs, at Alzheimer’s Research UK.
With the Care Bill running through parliament, the development of historic reform of the funding system for social care and much political focus on the integration with the health system, one could be forgiven for thinking that the Gordian Knot that is health and social care integration is close to being severed.
Challenges to health and social care integration
There are a number of reasons why there is still a long way to go before it can be claimed that social care has been fundamentally and sustainably reformed:
- The challenges associated with funding reform;
- A lack of a concrete and proven plan to integrate health and social care with a focus on the individual;
- Structural issues relating to the fact that health is free at the point of use and social care is not.
However, at Alzheimer’s Research UK we are concerned that the issue of dementia and particularly research into finding effective treatments is being missed in the debate around health and social care. Of course we have the Prime Minister’s Challenge on Dementia, and this has been responsible for a huge step forward in fighting dementia, but we know this alone isn’t enough. A focused and coordinated effort to create a step change in the way we tackle a particular issue is one thing, but in order to create a sustainable and ambitious legacy it is crucial to build solutions, learnt from this initiative and others, into the fabric of the health and care services. Doing so will continue to improve the lives of people with dementia long beyond any single initiative. The current agenda around social care presents us with one such opportunity. Continue reading “Guest blog – Why is dementia research the elephant in the room?”
Jenny is 64 and her husband James is 74. James has dementia and is cared for by Jenny, who has put a lot of effort into getting an appropriate care package put in place.
In this short video, Jenny explains the challenges she’s experienced in trying to arrange care for James.
Find out more about Age UK’s campaign for better care at www.ageuk.org.uk/careincrisis
This blog was contributed by Dr Nick Goodwin a speaker at Age UK’s annual For Later Life conference. Nick is CEO of the International Foundation for Integrated Care and a Senior Fellow at The King’s Fund, London where he leads their programme of research and analysis for improving and integrating care for older people and those with long-term conditions.
When my elderly father was in hospital recently his experience of an uncoordinated, chaotic and impersonal service was both dispiriting and disturbing to both him and his family. Whilst clinical decision-making was good, and as a result his physical health returned through the miracles of blood transfusions and intravenous antibiotics, the experience undoubtedly took a large piece out of his mental wellbeing and future self-confidence.
The underlying problem was a lack of care co-ordination. The lack of information sharing on diagnosis, procedures, results and next steps led to worried waits about the seriousness of his condition and what, as a family, we needed to put in place for home care support. Different and conflicting advice and feedback from doctors and nurses was unhelpful. The lack of communication between wards, and between nurses on the wards, meant that his medication regime for Parkinson’s was often ignored despite constant reminders. No help was given to support discharge, and no plan put in place. Continue reading “Guest blog – Mad as hell: Older people must demand a better care experience”
The first inquiry into Mid Staffordshire NHS Foundation Trust catalogued extensive examples of neglectful care and appalling patient experiences. Stories of people being ignored, dehydrated, abused were visible signs of an organisation that had forgotten basic principles of care and at worst, wilfully put organisational considerations ahead of patients. Many, if not most, of the patients involved were older people.
The second inquiry reported in February and included 290 recommendations
that could help to avoid the same situation arising again, not just in Staffordshire, but throughout the NHS. You can see what we said about it in our blog.
The government yesterday gave its response to the report in a paper titled Patients first and foremost, and there’s much to be positive about in what it says.
The paper outlines changes to how services are regulated, reflecting an on-going review by the health and care regulator the Care Quality Commission (CQC). It describes much wider use of expert inspectors in hospitals including members of the public that bring expertise derived from their experience of care. Continue reading “Government responds to the Francis Inquiry”
This blog was contributed by Caroline Abrahams, Director of External Affairs, for Age UK.
Last year’s White Paper and draft Bill make these encouraging times for social care, for decades a Cinderella service. What has been so obviously lacking though is the funding for a better system, so today’s announcement about the implementation of ‘Dilnot’ is a welcome step forward.
Unfortunately, implementation has to wait until April 2017, so very few older people living in a care home now will benefit, but at least some of those who come after them will: the Government estimates that 1 in 6 older people who need care will gain, but by just how much and over what timescale is hard to tell without detailed modelling which the Government has not (yet) released.
Continue reading “Government announces care costs cap”
A demographic revolution is under way, with more of us living longer than ever before. Fifty years ago there were nearly 20 million people in the world age 80 or over; now that figure stands at about 105 million, and it’s rising fast. Many – though not enough – of our older population are in good health and will retire with a decent income and a strong social network, and many have much to offer society.
The timing of the debate around the aging population in the UK is then perhaps unfortunate, held as it is against a backdrop of a beleaguered economy. Since the Coalition Government came to power we have seen cuts to government services and working-age benefits and a further £10 billion reduction in welfare to come. Against this context there is a perception that older people have fared better than most other groups but media commentary suggesting that today’s older people belong to “the lucky generation” obscure the enormous variations that exist. This is particularly stark in terms of poverty and wealth – fewer than half of all retirees have an income big enough to pay income tax. Older people’s median income levels remain lower than those of the population as a whole. Continue reading “UK life reimagined”