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Panels

Since I’ve been employed as a social worker one of the constants in my working week has been the presence and existence of ‘panels’ in many different forms. There was a brief stage when we were told not to refer to them as ‘panels’ but rather meetings...

Published 31 Aug 2011 6:42 AM by Fighting Monsters

Filed under: social care, social work, older people, work, old age, long-term care, health care, health, nhs, local government, National Health Service, decision-making, personal, personal budget, continuing care panel, funding panel
Fear and Loathing in the Public Sector – Or Why I despise Oliver Letwin

Yesterday I read this article about Oliver Letwin, who, according to the Guardian article ..warned that it was only through “some real discipline and some fear” of job losses that excellence would be achieved in the public sector. Letwin added...

Published 31 Jul 2011 7:13 AM by Fighting Monsters

Filed under: social care, social work, work, local authority, politics, health, conservative party, public sector, National Health Service, member of parliament, personal, david cameron, conservative party policy, KPMG, Oliver Letwin, Public policy, the nasty party
Selling the NHS – The Beginning

Yesterday, while most of the media, fixated self-referentially on the Murdoch hearings and Cameron was flying back into the country, Lansley began to dismantle the National Health Service. As The Guardian reports In the first wave, beginning in April...

Published 20 Jul 2011 6:53 AM by Fighting Monsters

Filed under: social care, social work, work, socialcare, mental health, politics, health care, health, nhs, National Health Service, personal, Guardian, Secretary of State for Health, david cameron, andrew lansley, lansley, Primary care, private sector healthcare, privatisation, selling the nhs
The Price of Everything and the Value of Nothing

To continue my theme (at least initially) for carers’ week, I wondered a while on the purpose of these weeks and days and months we have devoted to various issues. They are about celebration, gratitude and recognition for the most part. Celebrating Mothers...

Published 14 Jun 2011 6:55 AM by Fighting Monsters

Filed under: social care, social work, social issues, work, carers, mental health, politics, health, nhs, carer, National Health Service, Employment, personal, Social media, improving social work
Distractions and Uncertainty

Of Local Distractions I met one of the hospital social workers earlier this week. We don’t actually catch up with each other very often but when we do we always make a point of hanging around in whatever corridor we bump into each other in and chat. This...

Published 9 Jun 2011 6:54 AM by Fighting Monsters

Filed under: social care, social work, older people, work, local authority, old age, politics, elderly, london, long-term care, Southern Cross, nursing home, National Health Service, Disability, southern cross healthcare, personal, Inspection, Care Quality Commission, cqc, Burgess Park, Tower Bridge
Lansley, Nurses, Social Workers and Colleges

Yesterday, as a part of Lansley’s so-called ‘listening’ exercise, he found himself at the conference of the Royal College of Nursing (RCN) as they voted in favour of a motion of no confidence in him personally by a fairly substantial … Continue...

Published 14 Apr 2011 6:51 AM by Fighting Monsters

Filed under: social care, social work, social issues, work, socialcare, local authority, politics, health, nurse, National Health Service, Unison, Disability, personal, British Association of Social Workers, basw, social work college, andrew lansley, Social media, college of social care, college of social work feud, Motion of no confidence, Royal College of Nursing
Why I’m marching

The Guardian published an article on their website yesterday titled ‘Why we’re marching?’ and it gave the points of view of six people who were going to be attending the TUC organised rally on Saturday. ketu@Flickr I am going to … Continue reading...

Published 23 Mar 2011 6:47 AM by Fighting Monsters

Filed under: work, government, politics, london, National Health Service, personal, Labour, the guardian, Liberal Democrat, Disability Living Allowance, 26 march, 26th march, protest, rally, Trades Union Congress, tuc, tuc demonstration, uk government, uk uncut, why i'm marching on 26 march
Scrutiny, CQC and ADASS

Yesterday, I read on the Community Care website that ADASS (Association of Directors of Adult Social Services.. and Housing Departments or whatever else they direct these days) are seeking a meeting with the CQC (Care Quality Commission) about ‘a new...

Published 15 Feb 2011 6:44 AM by Fighting Monsters

Filed under: social care, social work, social issues, older people, work, local authority, old age, politics, elderly, health, nhs, local government, National Health Service, Disability, personal, Care Quality Commission, cqc, personal budget, adass, outcome measurement, Quality assurance, transparency in outcomes
Changes in the NHS – initial thoughts

I’ll write more about the government proposals to reform the NHS after the Health and SOCIAL CARE Bill is published tomorrow. Oh yes, did anyone pick up that slight subtlety there that it is supposedly covering social care as well … Continue reading...

Published 18 Jan 2011 6:23 AM by Fighting Monsters

Filed under: social care, social work, social issues, work, mental health, politics, health, National Health Service, BBC, General practitioner, personal, health and social care, david cameron, andrew lansley, gp, gp commissioning, nhs and social care bill 2011, nhs reforms
Hospital Discharges or the Lack of Them

I’ve written a few times about some of the difficulties about managing and organising discharges from hospital so forgive me for reiterating previously presented points but I couldn’t resist because there’s an article about it in The Guardian who...

Published 5 Jan 2011 6:35 AM by Fighting Monsters

Filed under: social care, social work, social issues, older people, dementia, work, mental health, local authority, old age, politics, elderly, long-term care, nhs, local government, Home Care, National Health Service, Disability, bed blocking, personal, andrew lansley, delayed discharges
The Financial Management of Personal Budgets

The soon-to-be defunct Audit Commission published ‘The Financial Management of Personal Budgets’ today. Community Care have a good run down on the basic points but I thought I’d read through it myself, just because I’m actually genuinely interested...

Published 28 Oct 2010 7:26 AM by Fighting Monsters

Filed under: social care, social work, social issues, older people, work, carers, mental health, local authority, old age, politics, elderly, health, carer, direct payments, local government, National Health Service, Disability, personal, personal budget, budget, Audit Commission
Lessons from the Care Sector

One of the flagship policies of this new coalition government and one mentioned in the Spending Review is about outsourcing services from directly provided in-house type provision to a tendering out type market led style of outsourcing services. This...

Published 26 Oct 2010 7:35 AM by Fighting Monsters

Filed under: social care, social work, social issues, older people, work, nursing care, discrimination, local authority, old age, politics, elderly, long-term care, health, nhs, carer, nurse, National Health Service, BBC, Disability, personal, ambition 24, jamie merrett, nursing agencies, violetta aylward
Hospitals

Today, the Telegraph printed a letter sent to them by the Chair of the NHS Confederation which states that The NHS Confederation has expressed concern that cuts to local government could have a knock-on impact on NHS services. Less support … Continue...

Published 23 Oct 2010 9:13 AM by Fighting Monsters

Filed under: social care, social work, social issues, older people, work, mental health, local authority, old age, politics, long-term care, health, nhs, local government, hospital, National Health Service, bed blocking, patient, personal, daily telegraph letters, NHS Confederation
Glance at the CSR

So the Comprehensive Spending Review has been delivered and ingested. I tried to look at it on three levels. The impact on social care in particular, as that’s the area I work in and the one which is most likely … Continue reading → Read More...

Published 21 Oct 2010 8:33 AM by Fighting Monsters

Filed under: social care, social issues, work, mental health, local authority, old age, benefits, politics, health, local government, National Health Service, Disability, personal, Employment and Support Allowance, Spending Review (United Kingdom), Incapacity Benefit, Jobseekers Allowance
Immediate post-CSR thoughts

I listened to Osborne’s statement and my very brief (pending actually proper reading of the document) thoughts are as follows:- -£2 billion more to be pushed into social care. £1 billion to be provided through the NHS. Not really sure … Continue...

Published 20 Oct 2010 3:20 PM by Fighting Monsters

Filed under: social care, social work, social issues, work, local authority, benefits, politics, National Health Service, personal, george osborne, Disability Living Allowance, budget, housing benefit, Employment and Support Allowance, Spending Review (United Kingdom)
Politeness

The Economist in an attempt to draw some kind of ‘focus’ has a blog post from an NHS hospital administrator. I have to say, it made me squirm somewhat. The author seems to be erring on the pernicious side to … Continue reading → Read More...

Published 12 Oct 2010 6:49 AM by Fighting Monsters

Filed under: social work, work, health, nhs, public sector, National Health Service, Employment, personal, admin, economist, economist blog, nhs admin, the economist
Liberating the NHS – some thoughts

There has a lot been written since Lansley announced the new government White Paper on reforms to the NHS called ‘Equity and Excellence : Liberating the NHS’ My hesitation in summarising the points immediately came partly because the thought...

Published 15 Jul 2010 7:17 AM by Fighting Monsters

Filed under: social care, social work, social issues, work, socialcare, mental health, local authority, politics, uk, health, nhs, National Health Service, uk politics, personal, social care institute of excellence, scie, nice, andrew lansley, equity and excellence, government health policy, health policy uk, lansley, liberating the nhs, national institute for clinical excellence, pct
National Care Service?

The Secretary of State for Health, Andy Burnham, wrote a piece in the Guardian today about his vision for a ‘National Care Service’ ‘ providing personal care and support to adults on the basis of need and free at the point of use, will ensure that an...

Published 30 Mar 2010 7:31 AM by Fighting Monsters

Filed under: social care, social work, social issues, older people, work, local authority, old age, politics, long-term care, health, National Health Service, personal, Secretary of State for Health, personal care, andy burnham, national care service
The Recovery Model and Dementia

Every week, in supervision with my student, we pick a theory, article, piece of legislation or policy, to discuss at length. Last week, we spoke briefly about the recovery model in mental health services and she asked that we discuss it in more depth...

Published 25 Mar 2010 7:04 AM by Fighting Monsters

Filed under: social work, older people, dementia, work, mental health, old age, elderly, health, nhs, National Health Service, personal, social work theories, recovery model and dementia, dementia reconsidered, kitwood, Theory
Databases

I am currently out of the office on ‘training’. I am learning all about a new wonderful database system which will supersede those we are currently using. Again. Oh, but this one is better, this one will reduce the amount of hours spent on it. This one...

Published 5 Aug 2009 6:48 AM by Fighting Monsters

Filed under: social work, work, training, local authority, health, local government, National Health Service, personal, new computer systems, training at work
DoLs, IMHAs and CQC

Lots of jargon and initials today. I should apologise in advance but they are certainly new phrases and words that will be becoming ever more familiar. Sidelong @ flickr As, 1 April 2009 sees the implementation of three new nuggets of legislation which...

Published 1 Apr 2009 7:06 AM by Fighting Monsters

Filed under: social care, social work, work, mental health, MCA, long-term care, Mental Health Act Commission, National Health Service, Commission for Social Care Inspection, England, Mental Capacity Act 2005, Healthcare Commission, Best Interests Assessor, Care Quality Commission, cqc, imha, independent mental health advocate
Direct Payments and Continuing Care

We are used to ‘Direct Payments’ in the social care sector. They were introduced in the Direct Payments (Community Care) Act 1997. While without doubt they are incredibly beneficial and empowering to some service users as they allow the user to receive...

Published 24 Mar 2009 4:46 AM by Fighting Monsters

Filed under: social care, social work, social issues, work, socialcare, discrimination, local authority, london, long-term care, health care, health, direct payments, National Health Service, Department of Health, England, NHS primary care trust, Primary Care Trust, continuing care
Abuse at Greenacres

I came upon a story over the weekend in the Daily Telegraph. It relates to a horrific series of abuses that took place in a residential home for adults with learning disabilities in Kent. No criticisms of money-saving private companies here this time...

Published 16 Mar 2009 5:28 AM by Fighting Monsters

Filed under: social care, social work, social issues, work, discrimination, long-term care, health care, National Health Service, crown prosecution service, safeguarding adults, mencap, Abuse, west kent nhs and social care trust, adult abuse, greenacres, jonathan wilkes, mark goldring
Paying for Care

Community Care reports on a study which has been published by the Joseph Rowntree Foundation which proposes a number of recommendations which could be implemented to make the way that adult care is funded in the UK ‘fairer’. The report is...

Published 4 Mar 2009 5:54 AM by Fighting Monsters

Filed under: social care, social work, social issues, older people, work, local authority, old age, long-term care, uk, health, United Kingdom, local government, Home Care, National Health Service, joseph rowntree foundation, paying for residential care, models for costing care
Paper Trails and Mountains

I spent a lot of time with my computer at work. Inputting and logging. Writing and refining. Reports, contacts, telephone conversations, attempted visits, visits, phone calls from concerned friends and neighbours. It is all logged. Or rather it is supposed...

Published 14 Nov 2008 5:58 AM by Fighting Monsters

Filed under: social work, older people, work, socialcare, mental health, local authority, old age, government, elderly, nhs, social services, local government, National Health Service, Employment, uk social services, paperwork, cpa meeting, cpa, reviews, paper trail
Healthcare for Asylum Seekers

I read in The Guardian yesterday that the government is to abolish her plans to tighten regulations that allow asylum seekers to seek free primary care. To be honest, I was horrified when I heard it had been proposed at all. What kind of society are we...

Published 13 Oct 2008 6:55 AM by Fighting Monsters

Filed under: social work, social issues, work, immigration, uk, asylum seeker, health care, health, nhs, National Health Service, England, General practitioner, doctor, British Medical Association, free nhs health care, failed asylum seeker, Refugee, BMA
A duty to die

Sarah Wootton wrote a piece in the Guardian, a few days ago, considering Baroness Warnock’s comments in the Church of Scotland’s magazine, Life and Work, in which she stated that dementia suffers may have ‘a duty to die’. Uproar...

Published 1 Oct 2008 5:45 PM by Fighting Monsters

Filed under: social care, social work, social issues, older people, work, old age, elderly, health, alzheimers, National Health Service, OAP, power of attorney, Lady Warnock, mary warnock, Euthanasia, right to die, sarah wootton, Baroness Warnock
Happy Birthday, NHS

Today is the 60th anniversary of the founding of the National Health Service. There has been a lot of coverage over the last week in every kind of media source to commemorate this. From finding people born on the same day to relive their lives through...

Published 5 Jul 2008 5:43 AM by Fighting Monsters

Filed under: social work, social issues, work, medication, health care, health, nhs, Medicine, social worker, National Health Service

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