Discover and read the best of Twitter Threads about #SocialCare

Most recents (24)

and if @jamaicannews had found out that there has been a gross miscarriage of @injusticewatch with a @BBC @injusticedoc #thisistottenham that was set up by @labour @DavidLammy senior members of @MetTaskforce to mislead the public in hopes to not force a #NationalUprising
by burying #thetruth to #ProtectTheProtectors the @RoyalFamily and the few #PoliceOfficers who failed both #AmbroseGGBall and his mother Toni aka Ruth Lovell as confirmed by head of @BarnetCouncil Mr & Mrs @CllrCornelius n the email sent to family within days of Toni's
Read 25 tweets
Auch in Düsseldorf:
Tausende Menschen, die dafür auf die Straße gehen, dass Politik statt Aussitzerei und Weiter-So endlich die großen Gegenwarts- und Zukunftsfragen in Angriff nimmt.

Am Sonntag ist #Bundestagswahl

#ClimateEmergency
#socialcare
Full House bei Annalena Baerbock und Robert Habeck in Düsseldorf.

Schöne Grüße aus Laschet-Land: Union abwählen, Zukunft gestalten.
Es ist *sowas* von überfällig!
Die allerbeste Bilker Stadträtin @CptLeto 🤗 & icke hätten da eine kleine Wahlempfehlung...
Read 3 tweets
With the dust settling on Monday’s #socialcare announcements & time to reflect, here’s a thread with some further personal conclusions:
1. That the State places a cap on individual liabilities for care costs is a worthy principle which subsequent govts could improve (e.g. free care = a zero-cap); I question whether it should be the 1st priority now (see 3 below).
2. The cap proposals will help few people initially & takes us back to where we would have been in 2016 had the Cameron govt not cancelled the original reforms (legislated for & funding agreed by Treasury). Not so much a bold step forward but the reinstatement of 5 lost years.
Read 10 tweets
1- After a busy day yesterday (real life meeting that exhausted me) I have now had a bit of time to look at the gov’s announcements for #SocialCare & the media coverage. I am not an economics expert but here are a few of my initial thoughts:
2- I was so disappointed that this was tied up with NHS funding & social care presented as a way to reduce workload on the NHS. Nothing about people’s QoL, being able to be an active citizen, or being able to have #AnEqualLife.
3- Of all the experts I saw on the TV or radio, no-one was speaking as an expert with lived experience. Why in social care are journalists not able to get authentic voices on, not just to tell their story, but to offer their opinions & solutions?
Read 8 tweets
Thread: The PM made no specific mention of mental health in today's health and #socialcare plans. We welcome more funding, but we need detail on the funding for mental health social care. (1/5)
Over half the current social care budget is spent on working age adults. And many people who need social care support live with mental health problems. (2/5)
Our current social care system has been broken for a long time. It's been hit hard by the pandemic, as have NHS waiting lists and services. New funding into the health and social care system must be fairly allocated to mental health. (3/5)
Read 5 tweets
Why the Government's plans (see detail here: gov.uk/government/pub…) will not "fix" #socialcare 🧵 1/19
The key proposal for social care are to introduce a lifetime personal care costs cap of £86,000 - will help only a tiny minority of people who use social care. I explored this in my (2017) book, Duties to Care cambridge.org/core/books/dut… 2/19
As ever, the devil is in the detail. The lifetime care cap was proposed by the Dilnot Commission in 2011. Then, a cap of around £35k (accounting for inflation, that would be around £43k now) was described as the fairest figure. webarchive.nationalarchives.gov.uk/ukgwa/20130221… 3/19
Read 20 tweets
Published proposals confirm that the cap on care costs will 'be implemented using legislation already in place under the 2014 Care Act'. However, this appears to relate to 'personal care' - which is very much a subset of all eligible care under the Care Act. 1/ #socialcare
*Really* interesting point - self-funders to be able to insist on accessing LA rates for care, which are generally much lower and on block contracts. LA rate models often rely on the differential rates between LAs and and self-funders to sustain care market. 2/:
Self-funders have long been allowed LAs to arrange care, which is almost always done at self-funder rates - now:'For the first time...we will ensure that self-funders are able to ask their Local Authority to arrange their care for them so that they can find better value care.' 3/
Read 11 tweets
1/ Beware the debate on Social Care:

I fear the #SocialCare debate is going the way of the Brexit debate. A binary choice between two polar opposites with nothing in between. In this case raise Nat Ins or don't. Already the debate on the media is between these two points.
2/ There is very limited to no discussion on:

- The bigger issues: what sort of model of social care do we want in the 21st century?
3/ What is the best way to structure social care, the balance between private and public, between in home and residential home care, between council responsibilities and the government's and why shouldn't social care be structured like the NHS?
Read 9 tweets
There is a strong case for Mr Pritchard to publish all income he receives. How that income is spent, what percentage of private work is undertaken and the hours he works? The government needs to call for more transparency & champion taxpayers' interests @Keir_Starmer. /1
I am also tiring of the lambasting of all GPs by Tory’s & their supporting newspapers. I tend to let this stuff wash over me but as @parthaskar has noted this feels sustained & is accusing my staff of being lazy, part time & not seeing patients. It’s time for facts and balance
/2
First fact: primary care sees 95% of patients on 9% of the NHS budget. That’s ~ £19 billion of the £212billion allocated for spending this year by Dept Health and socialcare. You may want to compare this with NHS track and trace back which had double the budget ~£37 billion.
/3
Read 14 tweets
1/ Yesterday was my last day working in the #NHS. I loved my job and my team but we need to stop normalising working for stat services being a lifestyle choice and not just a job. We deserve a life outside of work too. (a thread)
2/ The NHS recruits the best people. Passionate people who care about others. With the best values. And they give their heart, their soul and their life to their work because of that. They will do what it takes to keep their NHS and the people they support afloat.
3/ this year I learnt it doesn't matter. It will never be enough. They will see you suffer, pat you on the back (or give you a clap) and tell you to crack on. It doesn't matter how resilient you are (though they'll make you think it does), how much you care or how hard you work
Read 10 tweets
1/2 Delighted to see a such a constructive outcome following @DHSCgovuk consultation on #careworker mobility. We responded to it from gov.uk/government/con… from @CHSS_Kent @BSMSMedSchool @SussexUni. communitycare.co.uk/2021/01/19/soc… #EssentialWorkers Coronavirus - a 3 year old artist's impression
2/2 Here at @ARC_KSS we are working to help support #socialcare workers amid #Covid19 and beyond. Preliminary soon follow @RebeccaJSharp @MedVetAcarology for early alerts! Here's why #socialcare workers are so vulnerable jackiecassell.com/care-homes-or-…
Read 3 tweets
US CDC advice on airborne transmission of #COVID19

In poorly ventilated indoor spaces, with people gathering for a long time, 2m distance may not be enough to prevent transmission

Postpone Christmas!

cdc.gov/coronavirus/20…

#COVID19UK Image
UK Gov will allow hugging during care home visits - based on a single rapid #COVID19 test.....which has an at least 1 in 5 false negative rate

Unbelievable incompetence, or worse

theguardian.com/world/2020/dec…

bmj.com/content/371/bm…

gov.uk/government/pub… #COVID19UK #SafeGuarding ImageImageImage
Criminally reckless of UK Gov to risk safety of care home residents yet again, just for Christmas

Once #COVID19 enters a care home, attack rate can be very high

gov.scot/publications/r…

One study found 72% of residents had COVID antibodies

minhalexander.files.wordpress.com/2020/12/high-r… #COVID19UK ImageImage
Read 13 tweets
So #socialcare overlooked again in the SR, despite the clapping, despite *that* badge, despite the countless news stories about deaths in care homes & the painful separation of families under the rubric of 'protecting the vulnerable'. And long term reform put back again.
First thing, first: this is an utterly shameful and shameless government, whose mismanagement is directly implicated in the preventable deaths, directly or indirectly from Covid, of tens of thousands of people who draw on social care. There will be a reckoning.
To run social care into the ground by denying it the resources it needs ahead of winter indicates only that this government does not care about older & disabled people's lives, that of their families, the workforce it professes to celebrate or 'protecting the NHS'.
Read 7 tweets
Many people who have family still consider a friend to be their Next of Kin. There are many reasons, including geography (many residents have sons / daughters overseas) and relationship breakdown, but we must not limit our considerations to conventional 'family'.
Until I worked in #socialcare I was very naive about how common relationship breakdown within 'families' is. You might be surprised how many people have children but no contact - I know I was. There are also plenty of cases when children simply drift away.
In any case, I am a huge believer that all of us 'build our own family' as we move through life; many of us have friends who are very important parts of our lives, and as 'blood relatives' are more dispersed, these friends are increasingly important.
Read 4 tweets
So let's unpack this.

We hear a lot about "#dashboards"; we were even promised sight of one, back in March* - though we've not seen it yet.

But what are they, in reality?

__
*healthtech.blog.gov.uk/2020/03/28/the… ImageImage
Well, for starters, we know quite a bit about @NHSEngland's 'dashboard(s)': back in March, @MattHancock gave it powers to DEMAND confidential patient information from care providers*, for (broadly defined) "#COVID19 purposes"...

__
Under the #COPInotices:
gov.uk/government/pub…
...and we know @NHSEngland's hoovering up *at least* 70 different datasets into its #DataStore (the list at data.england.nhs.uk/covid-19/ is no longer comprehensive due to the controversial contents of some of the datasets).

As its "#PrivacyNotice" points out,
england.nhs.uk/contact-us/pri… Image
Read 13 tweets
@RussInCheshire I'm so sorry to hear about your mum. I must say, you're being remarkably stoic about it. I dare say you're in bits inside. Be kind to yourself. 😇

Meanwhile, don't worry about #TheWeekInTory. I've made some notes for you...
@RussInCheshire To start off #TheWeekInTory, some good news —possibly because it's got nothing to do with Tories.

19AUG20: The 1st polar bear to be born in UK for 2yrs will move from its Scottish home to an English Park.

Hmm. That might make a good metaphor for something more political...
@RussInCheshire 1.#WorldHumanitarianDay began tragically when the body of a 16yr-old Sudanese refugee trying to cross the Channel with a friend in a dinghy rowed by shovels washed up on a French beach.

2.Priti Patel responded with invective against criminal gangs, bypassing compassion & concern
Read 54 tweets
We already do. And not just in #health.

Matthew mentions the #QALY ('Quality-Adjusted Life Year') that, via #NICE, is currently valued at between £20-30k - but QALYs are used, and valued differently, across different Gov't Departments too: qna.files.parliament.uk/qna-attachment…
Meanwhile, 'in the private sector', #insurance payouts for #death remain significantly lower than for debilitating #injury, cf. #JudicialCollegeGuidelines: quittance.co.uk/personal-injur… and legislation like the Fatal Accidents Act 1976: legislation.gov.uk/ukpga/1976/30/…

So maybe, rather than...
...haggle, posture and virtue signal over numbers on which no-one will ever agree, but which #actuaries, #algorithm makers and #AI trainers WILL inevitably use, we should focus on far more meaningful debates - like what we want '#SocialCare' to actually mean?
Read 3 tweets
Unclear why the @guardian would lowball #COVID19 deaths ("one in 20"?) across the #SocialCare sector here:

theguardian.com/society/2020/j…

Why use out-of-date, back-of-a-fag-packet guesstimates when we have actual figures? 👇

13.6% is one in seven people.

*ONE IN SEVEN*, not 1 in 20! Image
While we're on the topic, @BorisJohnson's pledge 👇 on becoming PM failed to even appear in his 2019 manifesto.

@MattHancock's letter of 6 March 2020 showed @10DowningStreet's "plan" didn't even exist:


So, with #trust collapsing:
homecareinsight.co.uk/pm-not-trusted… Image
Let's be clear what's needed ain't just another "centralised system” (i.e. another costly care.data-style debacle) but a #coherent, #interoperable, #consensual, #safe & #transparent 21stC #InformationSystem, to flow #DataThatCares along #CarePathways & show #stats we need to know
Read 3 tweets
Two thoughts: (1) any system where information *for care* does not flow along #CarePathways is fundamentally broken. Once that DOES work properly, abstracting useful/necessary #statistics for planning & #response becomes far more possible/likely...
(2) As #COVID19 has shown, any '#MinimumCareDataset' MUST contain #operational as well as #health data - and must distinguish #health & #care too. Also, focusing just on '#datasets' is too many layers up the #stack; what about the #dictionary?
#Investment in #SocialCare as an #InformationSystem (which every complex system basically is) lags health & the NHS by 3 - 4 DECADES.

If that's not an opportunity for massive #innovation, #transformation and *avoiding past errors* then tell me what is. Allowing #BigTech et al...
Read 4 tweets
BE CAREFUL major distraction attempt being led today by the BBC’s Laura Kuenssberg. She’s pushing the story fed to her by a source that the Government are “close to a solution on #socialcare
More in this Thread (1 of 7)...
If you listen to her, she’s selling hot air. She’s saying the Government had “90% of a solution” before #COVID hit and they were planning to launch the policy in the autumn. This is based on one source telling her this and is based only on a handful of meetings..
2/7
..Andrew Dilnot had with the PM, the Chancellor and Health Secretary.

None of this stands up to analysis. The Tories had no plan for social care in their manifesto in December. When pressed after the election they said their plan was..
3/7
Read 7 tweets
The threat of judicial review (JR) has already achieved at least three wins for disabled people’s rights during the current crisis (thread to follow, JR explainer here) google.com/amp/s/rightsin… (1)
First, a ‘letter before action’ (first step in JR) was sent by @Simpson_millar challenging guidance on ‘vulnerable’ children which wrongly suggested duties to children with #SEND had changed. Result - new guidance which accurately reflects current law gov.uk/government/pub… (2)
Second, letter before action sebt by @PeterTodd_ @hodgejonesallen challenging NICE guideline on prioritising treatment which risked discriminating against disabled people. Result - guidance amended, ‘CFS’ tool not to be used to assess disabled people nice.org.uk/guidance/ng159… (3)
Read 10 tweets
A really important thread, looking at the harsh, hidden realities for those living and working in #SocialCare during #covid19.

The clearest demonstration of how #covid19 is entangling urgent questions of economy with public health, human rights & dignity, #ukemplaw.
Well worth reading in conjunction with this new brilliant study from @abicadams @MartaGolin @TeodoraBoneva1 on the economic shock for workers on low income and insecure work - many of those working in #socialcare right now.

Some of the hard-hitting stats in that study are broken down in this excellent thread by @JeremiasPrassl. It’s a sobering reminder/wake-up call of the need for a multi-faceted urgent policy response.
Read 6 tweets
A closer re-read of govt's #immigration policy paper & its possible effect on #socialcare drawing on some international learning: 1/
Govt’s decision to “not implement a route for lower-skilled workers” means the UK will be on a poor footing to compete with other countries. 🇦🇺🇳🇿🇨🇦 have all used points-based systems for years, & all found that they need some kind of parallel route for much-needed care staff 2/
Govt is firm that “Employers will need to adjust”, but have pledged minimal help beyond an additional £1bn per year for social care. Employers can’t simply adjust to the sudden absence of key frontline staff without significant help to boost domestic recruitment 3/
Read 12 tweets
This has profound implications for #socialcare. EU workers currently make up 1 in 11 careworkers and, from January 1st, they will not be replaced when they leave. So social care will have to find more British nationality workers. 1/6 bbc.co.uk/news/uk-politi…
1 in 13 jobs (122,000) in the sector is already vacant, far higher than the average in other industries (and rising). Unemployment is low so, without EU workers, #socialcare employers will have to entice these staff from sectors like retail. 2/6
But #socialcare pays less than many other sectors, including retail. kingsfund.org.uk/blog/2019/10/c… Raising pay will therefore be critical. 3/6
Read 6 tweets

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