The crisis over nursing home fees is forcing a council in south east England to look at sending older people to homes in France and Belgium.
Kent Council's director of social services Peter Gilroy is seeking places in Europe because it is cheaper than the UK. "I'm doing it simply because I cannot overspend budgets. Gone are the days when you can look for places in, say, Devon. It's just not affordable anymore."
In the last nine months the council has lost more than 600 nursing home beds because home owners have switched to residential care or sold off the property.
Gilroy said: "There are many homes that will not take council referrals at all. Staff are having to make about 50 calls just to find one place. On a daily basis we are being told by homes to remove our patients."
He added that his staff were looking to resolve issues over language and accessibility for relatives. "France and Belgium are nearer to Kent than Devon so we view them rather like adjoining counties. But nobody will be forced to go abroad and initial feedback from carers has been very positive."
Gilroy criticised one-off winter payments to authorities saying that a strategic approach was needed. He said an extra £7 million was needed to meet the cost of private nursing homes in Kent on top of the current budget of £26 million.
The council has written to health secretary Alan Milburn urging the government to inject more money into the nursing home sector.
Chairperson of the National Care Coalition Nadra Ahmed commented: "It's an appalling indictment of our society. To send people at the end of their lives to another country with a completely different culture is very wrong."
She added that the inability of homes to retain staff was the main reason for so many home closures.
"We as home owners can no longer subsidise the care sector. Local authorities have been creative about how they use their funds and have neglected the independent sector."
Other councils are experiencing similar problems. Two months ago nursing home owners in Devon threatened to terminate their contracts with Devon Council over fees. Last week they withdrew the threat, after agreeing a new funding package.
But Devon social services director David Johnstone said: "We still have the threat hanging over us. It has only been withdrawn temporarily on the understanding that we work together to raise public awareness of the issue."
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