New issue
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A major finding from research "the commodity of care" which suprised myself, was that the government CONSIDER, as supported by emails, that agencies independent of themselves and the private sector, are not "their responsibility". Legally and morally, we know this would would be questionable according to the Human Rights Act as a British citizen. indeed - it has arisen in courts of law. Hence regulations differ, complaints procedures are bizzare, government led /influenced campaigns do not apply etc.
Many find this unbeliveable- as I would if I heard- which is why publications, research and thinking is ever more blocked.
Neoliberlaism- the public are responsible for themselves and private businesses will prevail ie empowerment- you chose it so you are responsible. Applies to many countries- not solely UK.
"The Government may say they are "empowering" individuals to make choices (when buying private health insurance), but their true aim may be abdication of responsibility, and focus on capitalist goals. ..." qualityofnursingcare.webs.com
See also article "Who owns care homes" Lenin Nightingale; extremely important - if you do not know exactly WHO owns it- nobody is responsible. Who do you call??
From Tales of an agency nurse
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Worked one day in a nursing home. Care assistants pleaded with me to take action regarding the condition of a resident's legs. They had been like it for 6 weeks and no doctor had been rung by the nurses, who happened to be from overseas. I rang the doctor who came and she also expresed alarm that she had not been contacted, Of course I made full records.This tale tells us a few facts. Care assistants do report to nurses (not always we know) . When no action is taken, the care assistants are at a loss regarding what to do. I knew nothing about the manager in this case. If they too were registered, it may well place on them additional responsibility and awareness- hopefully by standardised education .Overseas nurses are inadequately trained when they arrive in the UK (Dimon 2013). Regulations, procedures and culture differ. In some countries pain patches do not exist for example, nor do specilaised nurses such as tissue viability nurses. Pressure care equipment and procedures will differ in many countrirs. Indeed in some, doctors are not involved at all in nursing homes (have references). Apart from that, attitudes differ to eg pain . This all warrants further research but nobody will do it. Far easier to ignore the situation and blame overseas staff by requiring their attendance at NMC hearings.
Anon
(page 3 of this blog)
UK care?
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Campaigns still rise for the NHS. Remember, care exists also in the private and charity sector, to which politicians march. Privatise and forget about it - "we are not responsible" they say. Poor care in the NHS- an excuse to privatise we wonder?
Many forget also that the 4 regions of the UK have different regulatory bodies, regulations and procedures etc. Carol Dimon has analysed this on qualityofnursingcare.webs.com. Nobody else to our knowledge? All speak of UK care as though the same should apply all over the UK.
One useful study- if we must have them- would be a comparative study. What effect do such regulatory bodies etc have? How effective are they? Can be done by analysing poor or good care in relation to the orgainsations in that region.
Charities gagged
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Great- establish yourself as a much needed registered charity, and gain Government grants, and then get gagged ie not allowed to campaiign against certain issues. Sounds rather like Mafia management . Suppose anybody not registered, will be elbowed out by those who are.
(Toynbee P 2013 The Guardian October 18th )
Abuse of the vulnerable. Care is a commodity-a business.
By Lenin Nightingale
Care home top up fees
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Still I hear of relatives paying top up fees for people to be cared for in some care homes. This is when the fee is above the local authority given rate. According to reports, this practice is in some cases, illegal.(Morrison J 2013 The Guardian) with councils setting the rate even lower . Yet relatives and individuals, seeking such care , are in no position to fully explore this at the time.
Consider also- people already in care homes, who are then asked for a top up, or to pay an increased top up.
The Government still insist- the private sector is nothing to do with them., See Who owns care homes? (Lenin 2013)
Issues can be raised with certain bodies regarding private/charity run care homes, depending who pays for the care of the resident. The majority of people, including staff and nurses/managers, are unaware. For example, few are aware of the support of contracts compliance if LA funded- or that you can pay your private payment via the LA in order to secure this additional support. See article
internurse.com/cgi-bin/go.pl/library/abstract.html?uid=100319
1 Sep 2013 - However, it should be a priority of the care home to ensure that they are ... with information on the complains process, as Carol Dimon explains
Care Bill
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England- you have untill feb 2014 to comment on the Care Bill. Important issues regarding human rights, payment for longterm care., safeguarding. . The proposed cap of £72000 for care home care, is misleading and unfair.
Blocked info
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Few have any idea how much info is being blocked by publication release, or on google in particular. See this
Apathy--
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People. See this
1 day ago - Under the new rules, older
If you continue to do nothing, the old and vulnerable will be outcast. I gain nothing from this work but will continue to churn info out.
Germany sends old people abroad ,to places they have never been before, for cheaper care.
To the rich, this capped figure of (£72000 , in reality £150,000) will mean nothing. What does it mean to you or your parents?
Or are you all able to care for your family, friends and neighbours?
With help-maybe , but will that help be there? We need preparation if that is to be so. (with community carers on 15 mins per patient, not at the moment).
The agony is the GDP, we are 14th out of a list of 29. So where does the money go?? Hmmm.
Incestuous clan Australia
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TIME - (12.12.13) Lijas p
Shock as Incestuous Clan Discovered in Australia
At first I felt horrified on reading this- like some others perhaps. Then I realised there is a connection to perceptions underlying care- and multiple other issues. One huge factor in CARE is what is acceptable and what is not- this reflects morals of society and individuals. This is related to culture amongst other factors. Also the link to history is of relevance. Historians know that years ago such behaviour was accepted especailly within isolated areas; possibly today within some areas. Indeed this is one reason why Golding wrote Lord of the Flies- what would happen to a group of children if all rules etc were removed and overridden by aims of survival?
Whilst a painful subject for many, there is much to be learnt from such analysis.
Book :Decisions and Dilemmas in Care Homes 2006
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This book is still being sold by various outlets, it appears. I wish to repeat- it is now out of date as new regulations are in force eg Deprivation of Liberty. However, the fundamental issue remains in the UK and overseas. I am unaware who now publishes or sells the book and receive no payment for it. It was one perspective regarding " poor care" ie unintentional in some cases.
