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The care system helps older and disabled people with day-to-day tasks like washing, dressing, eating and medication.

It is under pressure across the UK after past governments failed to reform or fund the council-run system properly.

Experts believe the problems are now so acute that politicians who ignore the issue at this election, do so at their peril.

The system is devolved across the four nations, meaning parties need to develop solutions unique to their region.

1. Thousands fewer receiving care

Unlike the NHS, social care is means-tested. To receive help from your local authority, you must have a very high level of need and, in England and Northern Ireland, savings and assets of less than £23,250; in Wales, the threshold is £24,000. Scotland operates a different system.

Since 2010, the number of older people asking for council help has increased, but fewer now qualify for support in their own home or in care homes.

The charity Age UK estimates there are 1.5 million people in England who need some help with day-to-day life, but do not receive it.

Number of people receiving long-term support from councils

England, 65 and over

 
Source: NHS Digital, between 2014 and 2015 there were changes to the methodology, meaning figures are not directly comparable.

2. Not just an elderly issue

Much of the debate centres on the increasing number of older people, but the number of working-age adults needing support is also rising.

A third of the people who are provided with long-term support in England are aged between 18 and 65, but the cost of their care is around half the total social care budget. This is because they often require more intensive - and therefore, expensive - support.

Average weekly cost of a care home by age group and disability

£s, cost to local authorities in England

 
Source: NHS Digital, 2018-19

Councils can pay up to £2,000 a week or more to support someone who, for instance, has learning disabilities or a long-term physical condition. In many cases, the individuals will not have been able to build up savings or assets.

3. Funding is lower than 2010

Despite increasing demand, spending is still 5% lower than a decade ago because councils in England have had the money they receive from central government cut by nearly half.

Although councils have offset some of that loss by increasing local taxes, they still have nearly 30% less money to spend on all public services.

Local authorities have generally tried to protect their spending on adult social care, and the government has put in extra short-term money in recent years.

Local authority expenditure on social care

England, real-terms spend per adult

 
Source: NHS Digital, ONS

The Local Government Association says councils remain under intense financial pressure.

4. Fees for care differ across England

The fees that local authorities pay for care, both in a person's own home or care homes, vary hugely depending on where you live.

Map of social care expenses

But across the country, the companies and charities who provide those services complain that councils are not covering the real cost of care.

5. People who don't qualify for free care pay more

The squeeze on council funding in England means that people who pay for themselves are often propping up the care system.

In 2016, the competition regulator estimated that in care homes, self-funders pay 41% more in fees than a local authority resident.

How much more do self-funders pay for care?

England, 2017, average weekly charges for residential care

 
Source: Competition and Markets Authority

Increasingly, care companies warn they would go out of business without private clients subsidising the system.

Many of those self-funders will have ended up selling their family home to pay for their care. It is one of the reasons why many view the current system as unfair.

6. Scotland spends the most per person

The care systems across the UK are increasingly different in the way they operate, with England the least generous.

For instance, in Wales, no-one who is eligible for care at home is expected to pay more than £90 a week towards it.

In Northern Ireland, no-one over the age of 75 pays for home care.

Scotland provides free personal care for people who are assessed as needing support, whatever their age. In a care home, people receive £177 a week towards their fees, but if they have savings or assets above £28,000 they will have to fund the remaining costs.

Annual per head spending on social care in Great Britain

In £s

 
Source: Health Foundation

These differences are reflected in the amount of money each nation spends per person on social care. There is no comparable data for Northern Ireland.

7. An ageing population causes problems

The UK has an ageing population and the pressures on the care system will only increase. While living longer is considered a positive, many older people will develop health conditions which mean they need help with day-to-day life.

For instance, the number of people with dementia in the UK is expected to more than double to 1.6 million by 2040.

Percentage of the population by age group

Past and projected UK population

 
Source: ONS

The Alzheimer's Society has estimated that without local authority help, someone with dementia will typically have to spend £100,000 on the care they need.

For a long time they have called this a "dementia tax", as someone who develops the disease will have to cover their own costs until their assets are reduced to £23,250 - the threshold for qualifying for local authority help in England.

8. Lack of social care causes problems for the NHS

There is a knock-on effect for the health service if the care system is supporting fewer people, and only those with the highest needs.

Someone struggling to cope on their own is more likely to have a fall or neglect themselves, meaning they end up in hospital emergency departments.

Then, when they are ready to leave hospital, a lack of social care in the community can lead to them being marooned in a hospital bed for longer than required.

Hospital beds occupied by people who don't need to be there

England, days in millions

 
Source: NHS Digital, year ending March

This is why experts say the future of the NHS is tied to creating an effective social care system.

9. Not enough care workers

Finding sufficient people willing to take on the challenging, yet rewarding, work of looking after people in their own home, or in care homes, is a continuing problem.

The latest official data for England shows there are 122,000 vacancies - just under 8% of the social care workforce in England.

Social care vacancies are increasing

England

 
Source: Skills for Care

Nearly a quarter of the 1.5 million people working in the sector are on zero-hours contracts (when employees are not guaranteed a full working week) and pay is often the minimum wage.

Many argue that improving the pay and skills of the workforce is vital to encourage people to consider care work as a career. Increasingly, social care workers are carrying out tasks that would once have been done by trained nurses.

10. Social care is creeping up the political agenda

Reforming the care system is a matter political parties have struggled to agree on.

Since 1997, there have been more than a dozen inquiries and government reports setting out a variety of ideas for funding social care in the longer term.

In England, none of those ideas have led to change. It is a complicated system that few understand, and in past elections, the issue has become a political football.

In the 2010 election, Labour's plans for reform were dubbed a "death tax". In the 2017 election, Conservative plans were labelled a "dementia tax".

An analysis of the number of times social care has been mentioned in Parliament shows just how discussion about what to do has increased over the years - highlighting the issue's urgency.

Number of times social care is referenced in Parliament

 
Source: Hansard

But, as Health Secretary Matt Hancock has said, with Brexit currently dominating the agenda, plans for reforming care have struggled to get the "bandwidth" in government.

Even so, the debate seems to have shifted away from earlier ideas of insurance schemes and caps on costs. In the summer, a Lords committee called for free personal care for those aged 65 and over in England.

It would be a similar system to the one introduced in Scotland nearly 20 years ago, an idea dismissed at the time as too expensive for England.

 

 source: https://www.bbc.co.uk/news/health-50377846

 

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Saturday, 16 November 2019 11:20

Elderly and Cold

 

The cold has started, remember to think about those elderly people living in their homes alone, if you know of someone living alone, do pop round or drop them a call to make sure they are okay.

We all need support as we get older, the best support is knowing someone cares about you.   If there’s anything LMT Care Services can assist with do drop us a call..

 

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Sunday, 10 November 2019 10:18

Care sector 'leaks' £1.5bn every year

Hundreds of millions of pounds of care home fees paid by residents and local authorities are never reaching frontline services, claims a report.

The Centre for Health and Public Interest has revealed £1.5bn a year "leaks out" through rental payments, interest on loans, and profits.

The figure is 10% of the total annual income of the UK care home industry.

The think tank says some of this money could be used for frontline care if the industry were restructured.

The centre's study - which is part funded by Unison - analysed the accounts of 830 adult care home companies across the UK.

The average cost for a residential care home place in the UK is £32,084 per year, not including nursing care.

The study found that among the 26 largest care home providers, £261m of the money they receive to provide care goes towards repaying debt.

Of this, £117m goes to related companies.

"Hundreds of millions of pounds a year leak out of the care home industry in the form of rental payments to offshore landlords, in the form of profit, in the form of management fees and in the form of rental payments again to offshore companies," CHPI director David Rowlands told Newsnight.

"Lots of debt has been loaded onto large care home companies by the companies that brought them and that means in some cases that 16% of all the money that is given over to care for a resident each week disappears out of the system to pay off those high cost loans."

More than 90% of all care home services are now provided by the private sector.

Nick Hood, a senior analyst at Opus restructuring, said: "The average interest rate paid by the major care home operators in 2017 was 11.8%, which means that they were paying over £235m a year in interest and that's money that could be going to frontline care, but isn't."

He said some estimates suggest this financing model pushes up the cost for a care home resident "by anything between £100 and £200 a week".

According to the Health Foundation think tank, £4.4bn per year will be needed by 2023 just to stabilise the market.

'You expect longevity'

One of Britain's largest care home groups, Four Seasons Health Care, went into administration earlier this year after struggling to repay debts.

One of their homes - Ross Wyld in north-east London - closed the year before after they were unable to renegotiate the renewal of their lease.

Alan Lazurus's mother, Hettie, was one of the residents forced to relocate.

"She was 93, she was obviously getting on but she wasn't actually senile or had dementia at that stage," he said.

"You put someone into a nursing home - you certainly expect there would be a longevity for her."

Four Seasons declined to comment on the closure of Ross Wyld.

The CHPI is calling for A Care Home Transparency Act, so that those paying for care in a care home know exactly where their money goes.

You can watch Newsnight on BBC Two at 22:30 on weekdays. Catch up on iPlayer, subscribe to the programme on YouTube and follow it on Twitter.

 

source: https://www.bbc.co.uk/news/business-50337617?intlink_from_url=https://www.bbc.co.uk/news/topics/c40rjmqdw04t/elderly-people&link_location=live-reporting-story

 

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Thursday, 07 November 2019 21:23

How To Keep Your Loved Ones Independent

INDEPENDENCE AND AGING

Being Independent and aging is not an easy task. With aging, the health and independence of our parents take a back seat. And they seem to become increasingly dependent on others for their daily tasks. Illness and accidents can cause a sudden loss of independence. And make your parents feel hopeless and depressed. Such forms of emotions can seriously trick their brain. And convince them that they are no longer capable of carrying out their daily tasks by alone. Such an event causes our elderly to become more and more dependent on their caregivers. In many cases, this dependence becomes an inevitable phenomenon. And in some cases, it occurs by choice.

BEING INDEPENDENT AND THE SUDDEN DETERIORATION OF HEALTH

As family caregivers, it becomes difficult for us to witness the sudden deterioration of health in our aging parents. On the other hand, research has also shown. Senior parents often show inhibition in moving out of their home. The caregivers are also equally concerned about their parents living alone. And express their fear about their parent’s emotional and physical well-being.

WAYS TO HELP OUR PARENTS STAY INDEPENDENT

Focus on the health of your senior parents and keep them healthy.

Adopting ways to keep your senior parents healthy. This can go a long way in preventing various disease conditions. Here are some suggestions that can be of help.

  1. Take care of their dietary habits.  A healthy diet is the key to healthy aging. And can also prevent your parents from an array of lifestyle diseases. Focus on complex carbohydrates. And do not give them simple sugars and refined or processed foods. Moreover, you also need to take into account their fluid intake. An adequate fluid intake is extremely essential to flush out the toxins from our body. Limit their coffee intake as caffeinated beverages are not grateful to our body.
  2. Exercise. Exercising regularly would not only help them to become physically active. But also improve their cognitive functioning, which usually deteriorates as we age. Encourage them to go for walks and engage in light exercises.
  3. Health check-ups.  Getting the health of your aging parents regularly. Check-ups are very important to help in the timely diagnosis of any disease

Ensure safety at home and outside

Ensuring safety of your loved ones at home and when they are outside. This can go a long way in preventing accidents from taking place. Here are a few tips that would help to keep your home fall proof and safe for your senior parents.

  1. Prepare your home. You need to prepare your home in a way that, your senior parents feel confident and safe in their home. In order to make home a safe place for your aging parents. Here are some suggestions.
  2. You need to first remove all rugs. Rugs can become a major reason for accidental falls. If there are children at home, make sure there are no toys lying on the floor. Make every possible effort to make your home, senior-friendly for your aging parents.
  3. The bathroom is another area that needs special attention.  As our elderly loved ones may trip and fall due to water on the floor. It is, therefore, necessary that you install rails and grab bars in the bathroom so that our elderly can hold on to for support. Shower benches are another necessity that you need to provide for. You also need to ensure that the rooms are well lit so that your parents can properly see everything. With age, the vision goes down a bit. Causing inability of our parents to appropriately see in the dark and in dim light.

Have a smartphone-based monitoring system.  

Which ensures us the safety of our parents even when we are not with them. Making use of such technologies can go a long way in making the home safe for our parents.

Lend a helping hand.  

Consider helping your aging parents with their daily chores and errands. Accompany them for grocery shopping and also help them with laundry. Allow them to the light tasks such as, making a grocery list, folding laundry, etc.,  all by themselves. You can help by doing the tasks that require physical labor, which your parents might not be able to accomplish alone.

Offer emotional support.  

Depression is almost an inevitable occurrence in old age. The need for a companion, loneliness, can pose serious health risks for our aging parents. Furthermore, the inability to carry out their daily tasks is a cause of emotional stress. Therefore it is necessary, that we also offer emotional support to our parents. Listening to them, taking an active part in their discussions. all can have a positive impact on their emotional well-being.

Conclusion

All the above-mentioned tips and suggestions, can help you keep your loved ones independent and living a long and happy life.

source: https://caregiver.com/articles/keep-independent/

ivorce/

 

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Eight out of every 10 women dread choosing a care home for an elderly parent or relative so much they find divorce, a survey has found.

The survey, from parenting websites Mumsnet and Gransnet, found middle-aged women were so overwhelmed by the decision that they found moving home less stressful.

Mumsnet's poll was aimed at the so-called "sandwich generation" - aged between 40-60, they balance caring for their children with supporting elderly parents.

The problem is set to get worse because of the UK's ageing population. Credit: PA

Carers UK estimates that there are around 2.4 million people in this situation, with numbers expected to rise with the ageing population.

By 2015, there will be 5.4 million people aged over 75 years who will need to receive Adult Social Care, with this set to rise to 8.8 million by 2035.

Helena Herklots, the head of Carers UK warned the provision of adult social care was behind where it needed to be by 15-20 years.

 

Families are dealing with elderly relatives with a host of health problems which may need round the clock care. Credit: PA

She said caring for an elderly relative would "be a reality for us all at some point in our lives".

The charity chief explained:

Juggling the care we want for those we care about, alongside work and family commitments can be stressful and confusing.

Families need the support of information and advice, affordable, good quality care services and they need clear reassurance of standards and rigorous, reliable monitoring of services provided.

– HELENA HERKLOTS

The survey results come as the Care Quality Commission (CQ) launches new inspections and standards of care for Adult Social Care across England.

However, CQC inspector, Andrea Sutcliffe encouraged concerned members of the sandwich generation to set up secret cameras in their parents' care home if they were worried about their relative's wellbeing.

She told The Times:

We have decided that the best way to proceed is to issue guidance so those providers and relatives who feel the need to do it know what the issues are that they need to take into account.

Respecting the dignity of people is central.

– ANDREA SUTCLIFFE

The CQC's new standards on adult social care are due out later this month.

 

source: https://www.itv.com/news/2014-10-06/choosing-care-for-elderly-loved-one-harder-than-divorce/

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Monday, 02 September 2019 13:55

Care in Nottingham

 

Home-Care Services Nottingham 

Live-in Care | Supported Living | Sleep Ins | Calls | Resourcing - LMT Care

01158 557 867 / 01613 025 224

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Thursday, 15 August 2019 14:56

Supported Living in Nottingham

Supported Living in Nottingham

Located in Nottingham, a 3 bed house suited for Supported Living, for clients with:

Learning Disability

Physical Disability

Brain or Spinal Injury.

Talk to a member of our team and let us help you make a positive difference in your life

01158 557 867 / 01613 025 224

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£8 billion must be ‘spent immediately’ by the government on England’s adult social care and free personal care should be available to everyone, a House of Lords Committee has recommended.

Free personal care in England should be available universally by 2025/6 and funded through general taxation over a period of five years, concludes the House of Lords Economic Affairs Committee’s report ‘Social care funding: time to end a national scandal’.

Forget the green paper, publish a white paper now

The Committee's report, published today, also recommended the government not focus on a green paper for social care and publish a white paper immediately.

Lord Forsyth of Drumlean, chairman of the Economic Affairs Committee, said: “Fixing underfunding is not difficult. The Government needs to spend £8 billion now to return quality and access in the system to an acceptable standard.

“Fixing unfairness is more complicated but the Government has ducked the question for too long. They need to publish a white paper, not a green paper, with clear proposals for change now.

“We think that change should include the introduction of free personal care, ensuring those with critical needs can receive help with essential daily activities like washing, dressing and cooking.”

Lord Drumlean also noted the unfairness of someone with dementia paying hundreds of thousands of pounds for care, while someone with cancer gets care for free.

Cap on accommodation costs

If the Committee’s free personal care proposal were implemented, people living in care homes would still pay for their accommodation and assistance with less critical needs.

Those receiving care in their own homes would not have to pay accommodation costs, which the Committee felt may encourage care users to seek essential help with personal care early.

The Health Foundation and the King’s Fund estimate this would cost £7 billion if introduced in 2020/21.

The report also recommended the government retain a means test for accommodation costs and to avoid catastrophic accommodation costs, the government should also explore a cap.

Social system ‘riddled with unfairness’

Lord Drumlean added: “Social care is severely underfunded. The whole system is riddled with unfairness.”

The report found more than a million adults who need social care aren't receiving it, family and friends are under pressure to provide unpaid care and the care workforce continues to be underpaid and undervalued.

The Committee heard evidence that local authorities are increasingly expected to fund social care themselves, despite differences in local care demands and budgets.

Funding is £700 million lower than 2010/11 in real terms, despite continuing increases in the numbers of people who need care. The Health Foundation and The King’s Fund estimate that to return access to social care to 2009/10 levels, the government would need to spend £8 billion.

The Committee also heard how local authorities can’t afford to pay care providers a fair price, forcing providers to choose whether to market to those people who fund their own care or risk going bankrupt.

Peers reject mandatory social care insurance system

The Committee believes currently establishing a market for long term social care insurance in England 'would be difficult', even with a cap on lifetime social care costs or accommodation costs or an auto-enrolment scheme.

The report stated: 'We do not support the introduction of a hypothecated tax or a mandatory social insurance system. While some witnesses said that this could help the public trust that extra taxation will be spent on social care, hypothecation could leave the amount of funding available more sensitive to the performance of the economy.

'Private insurance cannot provide the amount of funding required by the social care system, not least because roughly half of public social care funding is currently spent on people who are working-age.'

In 2016/17 local authorities spent £18.15 billion on adult social care, which was divided equally between care for older people and for those of working-age.

The report also recommended that people older than the state pension age should no longer be exempt from employees’ national insurance but should pay the same rate as other age groups. The Committee believe this measure could raise more than £1 billion.

Peers recommended extra funding for social care should come from national government which should raise the money largely from general taxation, with the money distributed to local authorities.

Extra funding needed for social care should be given as a government grant directly to local authorities, according to a national funding formula and the amount would consider differences between local authorities in demand for care and ability to raise funds from local taxation.

Message for the new PM

Sally Warren, director of policy at The King’s Fund said: "This report, from an influential cross-party group which includes two former Chancellors, makes a strong case for immediate, additional public investment in social care.

"In the longer-term the case for change is overwhelming, and we welcome the Committee’s call to move towards a more generous system which would give more people access to publicly-funded social care as a useful contribution to the public debate. "Reforming social care is now one of the most urgent and important social policy issue facing the country and should be at the top of the agenda for the new Prime Minister."

Vic Rayner, executive director of the National Care Forum said: "The message is clear for the future Prime Minister – adult social care is domestic priority number one – and the combined voices of local government, providers of care and the workforce, members of the House of Lords, parliamentarians from across the parties and people receiving care and support and their carers demand action now.

“To take no immediate action in the face of this evidence as a new Prime Minister will not serve this country well.”

surce: https://www.homecare.co.uk/news/article.cfm/id/1611826/Free-personal-care-8bn-now-and-a-social-care-white-paper-can-end-national-scandal-say-peers

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Britain's oldest person is believed to have set a new world record after she underwent a hip replacement operation at the age of 112.

Gladys Hooper, of Ryde on the Isle of Wight, underwent the surgery after she fell and fractured her hip.

Gladys Hooper
Gladys Hooper may be the oldest person in the world to undergo hip replacement surgery (file photo) Credit: Steve Parsons/PA Wire

Derek Hermiston, Mrs Hooper's son, himself 84, said the operation had gone "splendidly" and had given his mother a "new lease of life".

He said his mother was recovering well following the operation at St Mary's Hospital in Newport.

"She is standing but not walking yet, they are taking it rather carefully with her as you never know what happens at that age. She listens to music and she's chatting away," he said.

The Guinness World Records currently lists John Randall as the oldest person to have a total hip replacement.

He under went the operation at Pinderfields Hospital in Wakefield, West Yorkshire, in November 2011, but at just 102 years three months and 30 days at the time of the operation he was younger than Mrs Hooper.

I think she is the oldest person in the world to have a hip operation and the surgeon, Jason Millington, and the anaesthetist were both courageous to take the decision to operate on someone of that age but the operation went splendidly.

– DEREK HERMISTON

Mr Millington, the consultant orthopaedic surgeon at the Isle of Wight NHS Trust who performed Mrs Hooper's hip replacement, said he understood the operation on "this amazing lady" was the "oldest documented case worldwide".

"I have had correspondence since the surgery to suggest that not only is Mrs Hooper the oldest patient in the UK to have had hip fracture surgery, but possibly the oldest documented case worldwide," he said.

"However, the point is this - nothing I or my team have done has been significantly different to what we do for any patient with this injury. The only thing that makes this interesting and unique is Mrs Hooper. I therefore feel the focus should be on this amazing lady and we should all be willing her to make a full and uneventful recovery."

A spokesman for Guinness World Records said the organisation would "welcome a record application" from a member of Mrs Hooper's family.

source: https://www.itv.com/news/2015-10-16/britains-oldest-person-may-have-set-world-record-with-hip-replacement-operation-at-112/

 

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06 December 2019