
February 2010 Archives


Councils in England are being urged to take a much more joined up approach to assessing service users' eligibility for services under guidance published today.
The document entitled, Prioritising need in the context of Putting People First, urges councils to take a whole systems approach to identifying need. In prioritising individual councils are instructed to take account of the wider population.

To promote Dignity Action Day care minister Phil Hope is set to visit a day service centre in Corby where he will, apparently, teach young people with learning disabilities to juggle.


Michelle Mitchell, the charity director for Age Concern and Help the Aged, has an earnest hope on the eve of today's conference on the reform of adult social care - but it's one I fear that will not be answered.She's urged that it won't be turned into "another political row" and has called for consensus.
As journalists we always like the habitual press conference so to find out that the Department of Health is not considering one (yet) for the social care conference is almost a red rag to a bull.
It will be held from 10.30am to 2.30pm at the Department for Business, Innovation and Skills conference centre in central London.
However it is by invitation only with more than 50 organisations attending representing local government and care bodies.
The Conservatives are not attending so I still wonder at its value.
Schools of thought are suggesting the hold-up is due to one of two reasons.
The first is Westminster intrigue and is a rumour that appears plausible. This holds that top-secret talks are reputed to be ongoing between the government and Conservative Central Office to try to persuade the Shadow Health Secretary Andrew Lansley to attend.
The second theory amounts to inability to find someone willing to host it.
The Tories, of course, deny there are any talks and continue to restate their opposition to a compulsory tax on an estate so see no point in talking.
However without the Conservatives attending is there not a danger of the conference becoming yet another talking shop this close to an election?

This time Lamb is focusing on the Conservatives' plans for care funding, as disclosed to him by opposite number Andrew Lansley.
This comes after police arrested BBC presenter Ray Gosling on suspicion of murder after he confessed on television to killing a lover who was dying of Aids.

The council has also agreed to consult extensively with stakeholder organisations over the rate of direct payments.
In this case mental health charity Rethink wants politicians to show their support for mental health by signing a manifesto pledge.
In its manifesto, Rethink calls on the next government to:
· Tackle mental health stigma by funding evidence-based awareness campaigns such as Time to Change
· Make sure people can access the treatment they need
· Support carers
· Help people affected by mental illness to find jobs, with the public sector leading by example
· Offer an alternative to prison via community based treatment services for people affected by mental illness
· Provide mental health awareness training for all professionals working in the criminal justice system
Lord Sutherland, who chaired the Royal Commission inquiry into long-term care for the elderly, analysed the implications of the breakdown during an interview on Radio 4's Today programme, which was followed with an interview with shadow health secretary Andrew Lansley.
Intriguingly it appears that Tory leader David Cameron did not initially know about the talks between the various parties on reform, though Lansley denied Cameron had ordered him to pull out.
I'm not sure Lansley came out well from the interview and personally it's difficult to see the concept of people making voluntary contributions and having personalised responsibility for their care will truly work. Lansley however made a good point about each political party having the right to take their individual stances with three months to go before an election.
Earlier Radio 4 had spoken with the Liberal Democrats' health spokesman Norman Lamb who described the Personal Care at Home Bill as a "cynical measure" and described how before Christmas he argued the case for parties to come together to build a consensus and how the talks collapsed. I don't think it puts the Conservatives in a terribly good light.

Apparently he's going to be answering questions live on the Conservatives Facebook page.
Here's a helpful link:-
At Prime Minister's Questions in Parliament yesterday they had reached such a bad level that politics had reached the level of the puerile.
Press reports have spoken of the breakdown of consensus between the parties with the Conservatives taking the flak for putting up posters suggesting the Prime Minister Gordon Brown was proposing a £20,000 death tax.
The party had put up posters featuring a grave stone on Tuesday suggesting that Brown planned to impose the flat fee levy.
The latest is the story in The Guardian about an inheritance plan to fund social care.
Health secretary Andy Burnham today denied this but not before the Tories had got on board to stoke the flames.
interestingly in this same government press conference Burnham revealed the government still does not know which of three models to pick as a future way to fund adult social care. It outlined a partnership model, a voluntary model and a compulsory model in its green paper on adult social care reform.
How long does it need before it publishes its white paper?

The plan - under which a charge of about £20,000 would be levied on all those who could afford it, either on retirement or on death - was by far the most radical proposal in last year's green paper on the issue.
Its draft document says it needs a 10-year vision to deliver social care that is fit for the future.
Community Care will have more on this later.
As trailed over the weekend, his Centre for Social Justice is proposing tax breaks for families to incentivise them to build extensions to accommodate older loved-ones - preventing them from going into residential care and bringing families closer together at the same time.
Full proposals will be out today - they promise to address poverty, social isolation, inactivity and poor standards of social care.
As my colleague Jeremy pointed out on Friday, we're expecting something in reaction to the hostile amendments to the Personal Care at Home Bill that could end up wrecking government plans to introduce free care at home for people with high needs.
What Mr Brown will be saying can only be guessed at but it is almost certainly in reaction to the various amendments being laid down by leading critics of the bill in the House of Lords.
A possibility is that Mr Brown having seen the substance of the amendments is worried that a key electoral platform will be wrecked.
I am not sure what he can do though I can imagine reference being made to the moral arguments about why free personal care should be delivered.
We await Monday in eager anticipation.

The Western Mail is reporting that one of
Professor June Williams told the paper: "You cannot get
funding in

Care minister Phil Hope has said the government will publish the final report of the Nutrition Action Plan Delivery Board along with its response by the end of the month.
The group said it was "relieved" it had progressed but admitted this was not the end of the story.
A survey of just over 3,700 vulnerable people living in residential and nursing care homes has found that more than four out of ten of them suffered a fall in a 12 month period, according to research by the University of Derby.The study found that 42 per cent of 3,730 patients in elderly care (1,566 people) had fallen over a period of a year. Of this figure, 1,077 (68.8 per cent) of people had suffered multiple falls - some having a fall every day.


This has its second reading in the House of Lords today where it is likely to receive a mauling.
The arguments for and against the bill are well-rehearsed and the positions are well-entrenched.
Burnham did his best in arguing for it on the grounds of fairness and social justice and on this there is no argument. The system as it stands is "unacceptable".
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The Adult Care blog looks behind the policies, practices and personalities involved in the care of older and disabled people for any hidden truths, helpful tips or humour. It is written by Community Care’s adults’ services beat editor Mithran Samuel. |
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