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Humphries,-Richard-2.gifby Richard Humphries

Many hope that White Paper 'Building the National Care Service' published last week will become a key staging post towards a reformed social care system.   
If I had to choose a Beatles' song to describe the journey so far, it would be 'The Long and Winding Road' - and the destination still seems a long way in the distance.

Peter-Beresford-60.jpgby Peter Beresford

The prime minister's party conference commitment to introduce free home care for people with the highest needs has made a further mockery of the government's green paper consultation. This wasn't even on the menu. The government wanted the green paper to foster a big public debate. It seems only to be increasing controversy.

Adult care green paper less than bold and visionary

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Heng web blog.jpgby Simon Heng

Last year, my 76-year-old mother was failing. She could barely walk; she was having difficulty in looking after herself physically, and was becoming confused. She certainly couldn't drive.

In April of this year, she had a triple heart bypass. For a few weeks, she was extremely ill, and we worried - she worried, most of all - that she would never be independent again. When she left hospital, she went to a rehabilitation unit for older people, a joint venture between the primary care trust and the local authority.

No time to stall change

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writes Richard Humphries

The economic crisis should not be used as an excuse to do little to change our antiquated adult social care funding system

There is now almost universal consensus that the current system of social care funding is unsustainable and in urgent need of reform. Some positive steps have been taken: a major new drive to transform social care; new strategies for dementia and for carers; and a commitment to consult on options for reform of care and support.

'I feel embarrassed when I pay my personal assistants'

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Heng web blog.jpgDirect payment users treasure their relationships with their personal assistants, but can feel uncomfortable on pay day

By Simon Heng

One of the great things about being trained as a cognitive behavioural therapist is that I can now lead a guilt-free existence, which, as I was brought up in the faith which relies on guilt for its ongoing membership, I take as a personal achievement.

Make the system simple

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Simon-Heng.jpgBy Simon Heng


The adult social care review should propose streamlining benefits and reducing complexity, then give the savings to users

 

Andrew-Holman-60.jpgby Andrew Holman

It was inevitable there were going to be inconsistencies. Decision making in social care has been increasingly devolved to local authorities over the past few years. This has been portrayed as a way of empowering local democracy and conveniently avoiding tedious questions about a lack of funding, by being able to say budget allocation and spending is all down to local decision makers. Therefore, it should come as no surprise that there are differences between areas. Indeed how could it be otherwise, this was surely to be expected?

Allan%20Norman%2060.jpgby Allan Norman

The London Borough of Harrow is one of a handful of authorities that has decided to set its eligibility threshold for adult care services so high that only those needs banded as ‘critical’ are met. A group of its residents have just tested the lawfulness of its policy in the High Court, and the court’s ruling in the case Chavda & Ors, R (on the application of) v London Borough of Harrow [2007] EWHC 3064 (Admin) (20 December 2007) indicates that Harrow has nearly and possibly got away with it. For a legal analysis, see a companion post – this one is about social work!

Anne Williamsby Anne Williams

As professionals we must take our lead from Sir Derek Wanless to make a stand for adult social care and enhance its status in 2008

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