极速赛车168最新开奖号码 Comments on: What are primary health needs? Demystifying continuing healthcare

极速赛车168最新开奖号码 By: Maria

Maria — Mon, 04 Sep 2017 22:58:38 +0000

In reply to Di Ross. Well said.

极速赛车168最新开奖号码 By: Jill Palmer

Jill Palmer — Mon, 04 Sep 2017 08:09:36 +0000

In reply to Donna O’Brien.

The Luke Clements article is still there:

http://www.rcpsych.ac.uk/pdf/OA-11-35%20NHS_Funding_for_CC_revised_Guidance.pdf

极速赛车168最新开奖号码 By: Donna O'Brien

Donna O'Brien — Sun, 03 Sep 2017 09:09:42 +0000

The best thing I ever read about Continuing Care was by Prof Luke Clements but I can no longer find it online. He observed that having moved a lot of people out of NHS institutional care (no argument there), the NHS has abrogated any responsibility for ‘long term care’ in the community thus this is now shunted into social care land with all of the costs to be borne by either LAs or self funders, the latter of whom who of course are cross subsiding the LA funded clients in turn by paying 50% more for exactly the same care home place. You see it in many other ways, from the way the minimum wage homecare workforce is now expected to do many of the jobs of a district nurse. The bottom line is we have aged and become more complex as a society so the 160,000 quoted is a drop in the ocean compared to the numbers of people that are chronically sick and ill and deteriorating with dementia or Parkinson’s or kept alive through modern day medicine…..but are deemed the responsibility of social care. SO much time and energy is spent by people and institutions fighting over a farcical boundary often at the most distressing time of their lives. As Jill says we have lost all sight of the people that need support – they shouldn’t be blamed for this. There is such a dishonesty about the system to be told that they aren’t practically dead enough to receive NHS CC (working with people with Parkinson’s I’ve heard that said many a time) when for many of the older generation they thought that’s what they’d paid into.

极速赛车168最新开奖号码 By: Jill Palmer

Jill Palmer — Thu, 31 Aug 2017 15:35:58 +0000

In reply to Di Ross.

It’s not a question of “blaming” anyone. It is about people with very complex conditions that clearly have nothing to do with social care being deemed not to have a “primary health need”.
If what we need to do is “manage people’s expectations” then let’s do that in a fair and open way which everyone can understand, rather than removing funding by telling people that they no longer meet the criteria – when they have a deteriorating condition and have deteriorated. The only victims in this debate are the service users. It is not, and should never be, about them and us between local authorities and the NHS. We’re on the same side – that of chronically sick and disabled people – and it’s all public money anyway.

极速赛车168最新开奖号码 By: Di Ross

Di Ross — Thu, 31 Aug 2017 14:11:16 +0000

Over 160,000 people are eligible for NHS CHC over the course of a year at a cost to the taxpayer of £4.7 billion (and rising) so its a considerable expense and there is not a bottomless pot of money to pay for it. This does not include NHS Funded Nursing Care payments to care homes, Section 117 aftercare or joint health and social care funding all of which the NHS also funds. Spend on NHS CHC is on a par with spend on primary care. The budget for NHS CHC is the same budget that pays all other NHS services such as hospitals / district nursing / dieticians / physio / dentists / speech and language / paediatric nursing / mental health nursing etc. etc. The NHS is also funding social care through Better Care Fund transfers of money.

Its unfair to blame the NHS whilst presenting the LA as a victim in this. You do not hear the families of the eligible complaining – only those who’s relative is not eligible which under current policy means they may have to fund their own care in full or in part. People are living longer. Whilst some people rightly have their care fully funded the hard reality is that there is also the need to manage people’s expectations about what society is able to fund and what else should be reduced to offset that expenditure.

极速赛车168最新开奖号码 By: Ruth Cartwright

Ruth Cartwright — Wed, 30 Aug 2017 12:36:33 +0000

My experience is that very little is ever deemed a primary healthcare need and service users and/or the local authority have to pay for their care needs to be met in the vast majority of cases. This is bewildering for service users/patients and their families – ‘but she needs care because she’s got cancer/heart failure/has had a stroke. She’s ill!’ And the social worker has to break the news that care will not be free under the NHS that everyone has paid into. (Some time ago I had experience of a person in a semi-vegetative state who needed constant nursing monitoring as she couldn’t explain when she had a life-threatening chest infection, etc, being refused Continuing Care funding under the NHS.) And don’t get me started on Alzheimers and dementia which are scarcely regarded as illnesses at all but are somehow social conditions like being unfortunate enough to live on the wrong side of the railway tracks and for which patients and their carers have to bear the brunt of the care that is needed.