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?”
Winterbourne View,Operation Jasmine, the EHRC’s Close to Home report and the harrowing story of Gloria Foster are all recent examples, and there are many more, of how the human rights of those receiving care have been breached. One would assume that protecting someone from abuse, neglect or undignified treatment would be the first priority of those providing care, however, in some cases it is clear that it is not so.
In this context it is vital that the law acts to protect who are vulnerable to human rights abuses. The Human Rights Act 1998 states that ‘It is unlawful for a public authority to act in a way which is incompatible with a Convention right.’ Simply put, this means that public bodies have a duty to respect and protect people’s human rights to fairness, respect, equality, dignity and autonomy. Where they fail in this regard they can be challenged in the courts.
Age UK has long been concerned that not all older people receiving care benefit from this vital source of protection. Certain groups of older people including those who receive home care services provided by private and third sector organisations under a contract to the local authority and those who arrange and pay for their own care are currently not directly protected under the Human Rights Act. Continue reading “Care Bill: How the Human Rights Act can provide a safety net”
Older people featured rather significantly in the public spending review to 2015/16. The Chancellor talked quite forcefully about the need to address the problems in social care, and in his consideration of welfare spending, he firmly identified state pensions as remaining outside his proposed new ‘cap’.
The landscape for the next Government is coming into view, but what does it mean for older people beyond the rhetoric? By 2016, of course, we should be implementing the legislation currently being debated in Parliament and have in place a new single tier state pension and a new social care regime – funded in part by the ideas proposed by Andrew Dilnot. The spending plans suggest that more money will be diverted from NHS budgets into programmes jointly commissioned with social care. If this means more integrated care and a more ‘whole person’ approach, it will be welcome. But before we get there, local government will have taken another severe cut in its budget, and there is speculation that social care support may be prioritised only for those with critical needs. This means we will remain far away from the ambition to provide the appropriate care which promotes independence and prevents people from becoming substantially or critically in need of care. Continue reading “Spending Review 2013”
This blog was contributed by Baroness Sally Greengross, a crossbench member of the House of Lords. Baroness Greengross is seeking to amend the Care Bill, which is currently being debated in the House of Lords, on the issue of delayed discharge.
The Care Billthat is currently being debated in the House of Lords is a vital part of the changes that are necessary to reform social care in England, by clarifying and bringing up-to-date the legal framework of the care system. A key area that the Bill must address is the delay that those needing social care experience, while waiting for a package of support to be put in place to enable them to leave hospital.
Facing a stay on a hospital ward can be difficult for anyone but for an older person being admitted following a crisis, such as broken hip from a fall at home, it can be particularly upsetting and disruptive.
Recent statistics show that people who experience a delay in accessing social care, go on to wait much longer for a package of support to be put in place compared to when the Government came to power. Someone will now wait an average of 27 days in hospital before a social care package is put together to allow them to go home – 12.8 per cent longer. For those accessing residential care the average wait is 30.3 days. Continue reading “Guest blog – Strengthening the Care Bill”
Imagine that one day your Mum is at home enjoying her retirement. She has always been highly independent, fit and well. Until the day she has a stroke.
After a short stay in hospital she comes home. But life is different now. It’s much harder for her to do everyday things. She struggles getting in and out of the bath and even using the shower is a challenge. There are times when reaching the toilet is too much. You have to face the fact that she cannot manage on her own any more.
You do the most sensible thing. You get in touch with Mum’s local social services. You explain the difficulties she is now having. They assess her needs. You hope this leads to some carers coming in to give Mum a hand with those things she is finding too much, like getting to the toilet, washing and preparing simple meals.