NURSING AND EDUCATION PLATFORM

Debates about care in the uk, fuelled by the Francis report, focus upon the NHS. Yet by 2014 all NHS hospitals in England, will be foundation Trusts which are very different from NHS hospuitals. Much care is given also within other areas such as private/ charity owned care homes, private prisons, the community, hospices. All issues raised with Francis report, do not apply to other areas eg  care homes. By considering all areas, we can identify underlying themes such as staffing thus strengthening any arguments for improvements, A focus purely on the NHS, also imlpies that other areas are secondary and of less importance. Many nurses and care assistants etc, work within the private sector,  and education is not preparing them for the differences which is another issue. Since we are being shoved towards privatisation, we need to prepare and avoid hastening abdication of responsibility by the govt or other bodies.

October 2013, terrible news of Orchard View care home, that was owned by large company Four Seasons. Home closed 2011. Thanks to admin Lisa who informed police. Majority of staff were it seems , from overseas. Many fear complaining and work for less (book commodity of care). Registered manager will be responsible- but we know huge dilemmas exist when regional manager etc restricts eg booking agency. few would inform the inspector of this --. Time we supported them to do so- as many suggest. Concerns remain when some unions sign agreements, to support business objectives of the care home company (Lenin- who owns care homes? In book). There will be other homes. All sectors are relevent when considering quality of care- not only NHS or Foundation Trusts.

Not all care within this home, was due to low staffing.Low staffing does not dictate  to  erase records or sit whilst buzzer is going.

Accountability is a merry- go- round.

It should not be , if everybody kept records and was honest.

Consider incidents.

Patient falls from hoist. carers not been trained., Carers from overseas, Cultural reasons why do not ask. In care home, manager is REGISTERED. Not ward manager.

Short staffed- has manager reported it? Who to? errors etc occur--. Blame Nurse? Carer? Manager? Health minister? Not in private sector.Yet we march towards the private sector-- govt not responsible. Who is Terra Firma? Who and where are they?? fail and they sell to govt for £1. See Lenin NIghtingale- Who owns care homes? Book The commodity of care. We need background info

Not short staffed- carer/nurse shouts at patient. stress?? Attitude?

Patient locked in cupboard- were staff and manager aware? Was it short staffing?

Before blaming, analyse full situation. Who owns the place? Even VIRGIN owns some NHS.

Veil of secrecy in all fields, and hiding reports or falsifying due to fear, is unacceptable

ACK to twitter discussion.

Still we hear, the sole reason for poor care is low staffing. Of course major unions may state that to " keep nurse members". Yes low staffing does create horrendous problems eg residents not bathed in care home or hospital, errors drugs or whatever, overlooked aspects of care or delays and stressed staff.Iin care homes, the manager is REGISTERED thus responsible . see article on this web re this.

Yet refs and CQC report support that poor care is NOT always due to low staff numbers as do experiences of myself and others. eg shouting at patients, nurse not knowing how to turn oxygen cannister on in an emergenecy ( she had never been taught),forgotten records in care plans, falsified records care plan etc.In book Commodity of care. This book dares to anlayse fully. Taken a long time this book.

We need to stop whitewashing the situation by simply blaming low staff levels. We also need to reduce the cloud of fear amongst staff which prevents discussion which may prevent or resolve some problems.

mailonline describes (Duell 2013)  a case of 100 year old resident who fell from an insecure hoist. Overseas carers had language difficulties and no training re that sling. See book the commodity of care. First full analysis of such issues in nursing. Great need for NMc/ govt to review training and English language. Remember- attitudes differ between culters within the same  country or from overseas, which HS executive supports in Duell 2013.How many staff from overseas would dare to challenge or question? They need support.

So J Hunt announced CQC to be independent (1.10 13). What does this mean? Who at present appoints CQC board members? Seems to be DH and privy council IF they become idependent- does this mean private/ charity /RCN run?? Whose benefit will this serve? Things may be hidden to an even greater degree. Who will then monitor the CQC, and will that too- be independent? Is this  a means of the Govt abdicating responsibility?

"Listen to the voices"- of the ordinary people. 

NHS watchdog Care Quality Commission to becomeindependent

The Information Daily ‎- 12 hours ago

so jeremy Hunt is to send 50 Drs and nurses to Havard University, costing 9million plus (The SUN). USA and other countries have similar problems to the UK. The structure of healthcare also differs, in addition to cultural attitudes. Will this further promote the elite (a major problem in nursing)  and medicalisation of care? There are different types of poor care in different areas of care eg coronary care or old people. see book the commodity of care for further analysis. there is no quick fix. "listen to the voices".

This really is getting juicy now. I have been banned from webs sites and groups for mentioning this (The commodity of care) book. Regardless of who has written it, the information needs to be out there. Nobody wants alternative view points it seems. Surely offering your research results anyway, may too be classed as advertising?? If anybody else has the honour of ever being banned , please let me know. Myself I gain nothing from this only strangulation of any work progression. This has vast implications for all fields and all people,; it is not about nursing care anymore. 

qualityofnursingcare.webs.com

qualityofnursingcare.webs.com

Article coming soon regarding the restriction of knowledge. 

So Mr Gove, education Minister, suddenly realises poor care exists in childrens homes ie children within them are extremely vulnerable.. Children's homes echoes the privatisation of many care homes- some owned by private equity trusts (see article by Lenin Nightingale on wideshut or at rear of book "The commodity of care"). Yet he finds, info is restricted re children's homes-- due to "confidentiality"- this means nobody can ordinarily access the home or the info. Who restricts the info?? The same applies to many other private bodies. Is the restriction by the inspection body- in the case of children's homes, OFSTED? Is it the private company? Or is somebody on the governmet protecting the private companies? Surely common sense tells them all that we need to be aware of situations behind closed doors. The issue of children being placed miles away from their home (Unnecessarily) is appalling. Consider also, this happens to older people when cheaper beds are sought. Germany sends old people abroad in some cases (See book The commodity of care). It was only 1950s in the UK, when children without parents were sent to Australia. History is important when exploring attitudes and social values. 

The underlying themes of recognising people as commodites and money making, amongst others underlies all sectors. Do not consider one sector in isolation.

Restriction??" They" even try to restrict my work---.

Carol Dimon

Interesting. If you do not sing the same song or make the same point, you are not in the club/ the box or on the committee. You may be but may be ostracised or may remove yourself.

How does this fit with academia? Surely academics in all fields, have altenative points to raise or discuss ?

It is well known that they who 'progress', sing in agreement. The work of those who do not, is often blocked.

What is it that people fear? Is it loss of job, loss of promotion, fear of ridicule, isolation, lack of identity with the group or  competition?

What we really achieve is restricted development and restricted thinking.

Mika-- thanks, I would rather be beautiful.