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  • Guardianship - or a journey into Section 7 of the Mental Health Act

    I was called into one of the CMHT (Community Mental Health Team) meetings last week. It was a bit of a surprise. We don’t tend to go into other peoples’ meetings. It is almost like entering an alternate universe. People have the same roles and even tend to sit in the same places around the...
    Posted to Fighting Monsters (Weblog) by Anonymous on 09-01-2008
  • Delayed Discharges

    Since moving from a generic Community Care team into a specialist Mental Health team a few years ago, I haven’t had as much contact with the vagaries of the delayed discharge system as I did back then. Yesterday was a rude (in every sense of the word) awakening. The Community Care (Delayed Discharge...
    Posted to Fighting Monsters (Weblog) by Anonymous on 08-27-2008
  • Active Care? Another tale of Southern Cross

    I write a few months ago about the difficulties faced by Southern Cross Healthcare but a quick recap a) They are the largest private operator of residential and nursing care in the UK b) Big financial problems c) Some disparate concerns about quality of care and treatment of staff in homes that they...
    Posted to Fighting Monsters (Weblog) by Anonymous on 08-16-2008
  • Direct Payments - Chapter Two

    So, a week from the start of my journey into a Direct Payments referral and I have sent the appropriate forms, documents and paperwork to the appropriate people.  The figures are being checked and the amount that has been requested matched up against  the Fair Access to Care criteria along...
    Posted to Fighting Monsters (Weblog) by Anonymous on 07-03-2008
  • Trouble at Southern Cross

    Both The Times and The Guardian reported that Southern Cross Healthcare Group have been launched into some kind of financial crisis following the failure to repay a loan of some £46 million. Times are getting harder and a lot of firms are failing - but Southern Cross are the largest provider and operator...
    Posted to Fighting Monsters (Weblog) by Anonymous on 07-02-2008
  • Speaking in tongues

    Yesterday seemed  much longer than 24 hours. A busy day! I had quite a lot to pack into a relatively short (seeming work day and it felt like I was scuttling all over the place).  I visited a man who asked me to explain to him why his life was worth living. Of course, I [...]
    Posted to Fighting Monsters (Weblog) by Anonymous on 06-07-2008
  • It’s good to talk

    The Commission of Social Care Inspection are, according to the BBC, reporting the groundbreaking news that when staff in care homes talk to residents with dementia, it helps to prevent the residents from becoming withdrawn. twenty_questions  @flickr At the risk of being a little cynical, one does...
    Posted to Fighting Monsters (Weblog) by Anonymous on 06-03-2008
  • Prevention before cure

    It is all very well for the government to call for better preventative care for older people. It is a noble aim - and a cost effective policy too. But I can’t help but be a little bit cynical. As long as the Fair Access to Care bands exist and restrict care provision to Critical [...]
    Posted to Fighting Monsters (Weblog) by Anonymous on 05-23-2008
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