Tag Archives: elderly

Risk of Falling for Elderly Nursing Care Plan

Elderly Falls and Trips

In the United Kingdom, the number of patients readmitted to hospital after treatment for a fracture had risen significantly since 2008/9.

Click here for the comprehensive falls risk assessment

Trips and falls can be a major hazard for any elderly person.  A fall can have serious and life changing implications for a patient, and the fear of falling can impact negatively on their lifestyle and the activities they enjoy.

It is vitally important that a comprehensive falls risk assessment is completed for all patients and any issues associated with, or increasing, the risks of falls are identified.

This risk assessment must be reviewed at least monthly or more regularly  if the patient’s condition changes, because any deterioration or slight changes in the patient’s condition can increase their risk of falling.

The objective of any person centred Care Plan is to ensure the patient’s issues and needs are set out in great detail and are very much at the core of the Care Plan.

The starting point is a detailed consultation with the patient and their relatives. Any issues which might increase a patient’s risk of falling are discussed and a plan to address the issues is formulated and agreed.

Many factors can increase a patient’s risk of falling, such as their mental state and the impact that may have on memory and poor or impaired eyesight.

Hearing difficulties can sometimes cause balance problems also increasing the risk.

A patient’s mobility, steadiness and gait and any issues they have with that, or an inability to ask for  help, can increase the risk of falls.

Any medication which causes drowsiness including sleeping tablets may result in  falls.

A patient’s room and day rooms must be kept clear of potential trip hazards and where possible the patient should wear well fitting shoes, and not slippers, even though they may be more comfortable.

You should consider any of these issues which are causing an increase in the risk of falling and where possible suggest or agree a plan which will address or improve the issues and record this.

Anything, however simple, that can be done to help should be recorded and implemented, such as ensuring the environment is free of clutter and ensuring a call buzzer or alarm is given to the patient.

Safety of the patient is of course paramount, and a key consideration when preparing this Care Plan.

You need to look at ways of ensuring the patient’s safety, which may involve the use of a pressure mat next to the bed to alert staff when the patient gets up, bed rails to prevent a patient falling out of bed or a lap strap in a wheelchair.

Any form of restraint must be assessed as a benefit to the patient and agreed with the patient and relative. You need to record your assessment in detail.

You need to look at any equipment which the patient will be using, such as a zimmer frame or walking aid and assess what risks they might have by using them.

When considering the issues central to a falls Care Plan, you need to strike the right balance, and look at what risks prevail in promoting and encouraging the patient’s independence, but at the same time minimise as far as possible the risks of falling.

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Nurses in Britain are Buried by Paperwork

Nurses in Britain are Buried by Paperwork

Nurses in Britain buried in paperwork planningforcare.co.ukNurses in Britain spend an estimated 2.5 million hours a week on “non-essential” paperwork that’s where Planning for Care can help

The Royal College of Nursing believes nurses are burdened with too much paperwork and too many targets.

I think every nurse would support that belief.

The view adopted by the inspectors and auditors appears to be ‘if it’s not written down, it’s not happening.’

In reality, there can be a well written Care Plan but the quality of care might bear no resemblance to what is set out within the Care Plan.

Nurses would much rather spend their time caring for patients or residents than completing paperwork such as care plans.

Unless nurses are producing excellent Care Plans, Care Home grades will suffer.

30 years ago written Care Plans did not exist, but the care delivered was, in the main, very good or excellent.

Perhaps this was because nurses did not have to spend much of their time producing the volume of paperwork that is necessary today.

I do very much believe in the benefit of care plans today.

It is the way forward and if written well, can really have the capacity to have a substantial effect and improve the quality of care.

Documentation is a crucial aspect of care, which facilitates the continuity of care and it forms an accurate record of care provided. It is now vitally important that the quality of resident’s care and nursing documentation is of the highest standard.

How Our Care Plans Can Help

A good system of Care Planning undoubtedly can help the nurses and carers complete the paperwork far quicker and more comprehensively.

A system of personalising care planning for the elderly, which Planning for Care provides, can vastly improve the delivery of care and help Care Homes improve the grading they are awarded by the Care Inspectorate by helping them meet their regulatory requirements.

“The challenges facing everyone in the care sector are growing exponentially with constant changes in law, increased regulation and the potential threat of litigation.”

The focus on nursing appears to have changed and, instead of it being a wonderful, satisfying and fulfilling occupation, it is now very much a race against time.

It is in everyone’s interest that the standards of care improve.

The National Health Service, and nurses in Britain are wonderful institutions which have to survive and flourish.

Progress is a great thing, but there needs to be a balance to ensure there is no deterioration in the very core standards and values of nursing. We need to rethink the path we are taking.

The days of placing massive importance on positioning each pillow case with the closed end facing the entrance door of the ward have gone!

But was it really such a pointless exercise?

In those days every nurse knew every detail about every patient, and every aspect of patient care was delivered with precision and thought.

Patient care may have been delivered in a task orientated way, but attention to detail was everything.

The pride nurses had in their job was tangible.

A mixture of the nursing cultures of yesteryear and today is, I think, needed to help elevate nursing to the high standard of profession it should be.

View our free sample Care Plan or our full range of Care Plans here. 

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Pain In Dementia Is Often Not Recognised or Treated

 

Pain in people with dementia is under-assessed and undertreated.

Antipsychotic drugs, sedatives, antidepressants and many other drugs are often prescribed to people with dementia. Anxious, distressed and aggressive behaviour may be the result of pain, which in some cases the person with dementia cannot express or communicate.

If it is difficult or impossible to assess if a person with dementia has pain, would it not be a great step forward to try painkillers for a short period and assess the effect, before commencing all the sedatives?

Click here for Pain Assessment for Residents with Communication Issues

Click here for Nursing Care Plan for Pain which incorporates an Assessment Tool.

 

Analgesia Awakens Alzheimer’s Patient From Dementia

Click here to view some real success stories of people with dementia improving dramatically after being given painkillers.

My friend’s mother has very advanced dementia and was extremely unsettled, agitated and could be extremely angry and aggressive at times.

She had never complained of pain nor showed signs of being in pain when she was being cared for.

She fractured her femur just over a month ago and was commenced on strong analgesics post operatively.

Her behaviour and quality of life changed almost immediately. She has continued on analgesics regularly and continues to have a much improved quality of life.

She is now settled, calm and  and enjoys spending time with her husband and family.

Her family are so upset that for years no one realised she was in pain.

A review in the Nursing Times discusses the main barriers to effective assessment and management of pain in people with dementia

5 key points

An estimated 115 million people could be affected by dementia by 2050

The prevalence of pain in older people is estimated to be 25-50%

People with dementia receive fewer analgesics than their counterparts who are cognitively intact

One study found three quarters of care homes did not use standardised pain assessment tools

Attitudes and beliefs among patients and nurses can be substantial barriers to effective pain management

People With Communication Issues Can Not Complain Of Pain Or Express Pain

Doctors often are not able to determine if a person with dementia has pain.

Nurses likewise may consider that people with dementia cannot reliably report pain or any change in the level of pain.

Correctly Assessing and Meeting Peoples Needs Improves Quality of Life

A simple tool, based on the ‘PAINAD’ (Pain Assessment in Advanced Dementia scale) could help:

P – Pick up on mood (are they withdrawn or irritable?)

A – Assess verbal cues (are they muttering under their breath, moaning or crying out?)

I – Inspect facial expressions (are they grimacing or looking frightened?)

N – Notice body language (are they pacing, clenching their fists, fidgeting or curled up as if trying to hide?)

Use of assessment tools and guidelines

Increasing the use of assessment tools would assist Nurses and carers in recognising pain.

Education for staff

All staff need training and guidance to be able to care well for a person with dementia. They need training to understand the complex issues of the condition, and how important empathy and understanding are.

Assessment of Pain

Consistency of care with residents with dementia is extremely important in assessing pain and delivering excellent person centred care.

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Music can be an Amazing Therapy for Dementia

Dementia and Music

In my experience music can reach many individuals who suffer from dementia in a very special way.

We asked families to tell us the resident’s favourite music which we recorded onto an ipod, the music was specifically chosen for them.

For some residents it had a remarkable effect.

For one gentleman who had very little interaction with his wife or carers, and very little interest in anything it gave him a real interest in something. He was much more expressive and animated, and he started communicating with everyone.

His wife admitted that when she was first asked to try this, she was really sceptical.

She said that she could not believe the difference in her husband, he was much more happy, he showed a real interest in everything and his quality of life improved dramatically due to the music.

An improved or good quality of life for any elderly person should be every nurses or carer’s goal.

Music has dramatically improved many resident’s quality of life, It has been wonderful for the person and very special for their families.

Music has power especially for individuals with Alzheimer’s disease and related dementias.

It can spark compelling outcomes even in the very late stages of the disease.

When used appropriately, music has the power to change mood, manage stress-induced agitation, stimulate positive interactions, facilitate cognitive function, and coordinate motor movements.

This happens because rhythmic and other well-rehearsed responses require little to no cognitive or mental processing.

A person’s ability to engage in music, particularly rhythm playing and singing, remains intact late into the disease process because, again, these activities do not mandate cognitive functioning for success.

Most people associate music with important events and a wide array of emotions.

The connection can be so strong that hearing a tune can evoke a memory of the event and take the person back to that time and place.

Prior experience with the piece is the greatest indicator of an individual’s likely response.

Music that is soothing for one person may remind another of the loss of a loved one and be tragically sad.

If the links with the music are unknown, it is difficult to predict an individual’s response.

Therefore, observe a person’s reaction to a particular arrangement and discontinue it if it evokes distress, such as agitation, facial grimaces or increasing muscular tension.

It is such a simple idea but is really worth trying as it can make a difference.

Click here for a person centred Nursing Care Plan for dementia.

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Elderly Care: The problem no-one can fix

Gathering dust on a shelf in the Department of Health’s London headquarters is a plan for reform of the care system for the over-65s in England. It is the much heralded cap on care costs, which was a key part of the 2015 Tory manifesto .

It was meant to have launched in April. But last summer ministers announced it was to be postponed until 2020 amid concerns it would not work given the pressures in the system.

Officially it still remains policy, but many doubt it will ever see the light of day – even former Care Minister Norman Lamb, one of the architects of the plan, is in this camp. Instead, they believe it is destined to go down on the long list of failed changes to the system.

The care system has remained more or less unchanged since it was created, along with the NHS, after World War Two, when life expectancy was nearly 10 years shorter than it is now.

But people are not only living longer, they are surviving with more complex conditions that require care and support. So just at the time when you would expect the amount of support provided by the government to be rising, it is falling.

Councils complain they do not have enough money – the Local Government Association estimates the gap between what they need and what they get will be about £4bn by the end of the decade. That would leave them about a third short of what they need

So what can be done? Over the years a variety of suggestions have been put forward.

Increases in tax or national insurance contributions could be used to put more money in – and in a way this has already been done, as councils have been given the power to raise council tax to fund care. But already it looks like that will not be enough.

How much does it cost to be old?

State of care for the over 65s

One million

people with care needs go without help

  • 4 in 10 people in care homes pay for themselves
  • 300,000 fewer people receive council-funded help within four years
  • £100,000 or more is now spent on care in later years for 1 in 10 people

Other options include diverting existing spending on pensioner benefits (the winter fuel allowance for example) to go on care. But ministers seem reluctant to tackle that.

In the dying days of the Labour government, a plan was drawn up to create a universal care system – giving everyone a minimum entitlement to care.

But the Tories leapt on that, suggesting it would be paid for by a “death tax”. And it was soon consigned to the bin.

There has also been talk of merging the system with the NHS – the budget for which is 10 times more than what councils spend on care.

But following Andrew Lansley’s changes to the health service, there is little appetite in the corridors of power for more structural upheaval.

Instead, the NHS is being encouraged to, in the words of one social care director I spoke to, tinker around the edges by setting up shared budgets under a scheme called the Better Care Fund, currently worth £5bn a year.

The result is that councils are left to limp on. Each year, they cut the amount of care they can provide.

It leaves people to pay for themselves, rely on family and friends or, increasingly, go without care.

Elsewhere in the UK, the devolved governments have tried to offer more generous access to help in the home – it is capped in Wales and provided largely free in Scotland and Northern Ireland.

The hope is that it will keep people well – and their costs down. But people still complain they are struggling to get the help they really need.

It means those with money are increasingly having to subsidise the government-funded system – people who pay for their own places in care homes pay nearly 50% more on average than the fees councils pay homes.

Meanwhile, those without have to rely on family and friends or simply go without. As always, there will be calls for reform. The problem is no-one seems to have a plan.


Source BBC News

Flu jab blunder fuelled biggest spike in deaths since 1960s

The flu jab blunder contributed to the largest spike in deaths in a generation, new figures from the Office for National Statistics have shown.

An extra 28,189 people died last year compared with 2014, the largest percentage increase since 1968.  The majority of the excess deaths, 24,000, were people aged over 75, many of whom died from flu or dementia.

There were 16,415 excess deaths last winter, with flu likely to be a major explanatory factor compared to 577 the previous year.

The number of deaths in England and Wales was so high that it has lowered life expectancy for girls born this year by two months to 79.3, and boys by three months to 82.9, the first fall in two decades.

Last year Public Health England (PHE) warned that the main strain of influenza in circulation had mutated unexpectedly. But by then it was too late to change the vaccine formula even though it meant the jab was largely ineffective.

The mutated strain, A(H3N2) was particularly lethal to the elderly, and the jab was found to work in just one in three adults, compared to the 50 per cent that it usually protects.

Today PHE admitted that the mismatched flu jab had fuelled the rise in deaths.

Dr. Richard Pebody, head of flu surveillance for Public Health England said: “In any flu season dominated by an H3 subtype, unfortunately we can expect the burden of illness to be seen particularly in the elderly, including increased levels of excess mortality, even in a season where the vaccine is well matched to the circulating strains.

“Although in most winters, the vaccine is well matched, winter 2014/15 saw the circulation of a drifted H3 flu strain, making the vaccine less effective than the typical 50 per cent we had seen in recent previous years.

“It is possible that this contributed to the increase in excess mortality. The flu vaccine is updated every year and it is crucial that we remember that vaccination remains the best protection we have against the unpredictable flu virus.”

Prof Jonathan Ball, a virologist from the University of Nottingham, said it was a ‘very reasonable assumption’ that the extra deaths were linked to problems with the flu jab.

The ONS and PHE were so concerned about the large rise in deaths that they commissioned a special analysis to find out what was responsible.

Last year there were 529,613 deaths registered in England and Wales, an increase of 28,189, or 5.6 per cent. It is the largest percentage rise since 1968 when death rates rose by 6.3 per cent. It is also the biggest number of deaths since 2003, when 539,151 people died.

Some 86 per cent of extra deaths occurred in the over 75s and 38 per cent in the over 90s. Even in patients suffering Alzhimer’s or dementia, flu was linked to one third of the cases.

At the height of the crisis in the winter of 2015, GPs were urged to prescribe antiviral drugs to prevent cases in the most vulnerable, and in care homes where viruses are spreading.

Claudia Wells, Head of Mortality Analysis at ONS, said: “The majority of the increase in deaths in 2015 happened during the first few months of the year, coinciding with an increase in hospital admissions for flu and reports of numerous outbreaks of the virus in care homes.

“Respiratory diseases, such as flu, were also mentioned in a third of deaths from dementia and Alzheimer’s  last year”.

“The number of deaths where dementia and Alzheimer’s were listed as the underlying cause have been steadily increasing over the last 15 years, but were well above the five year average in 2015.”

Professor John Newton, Chief Knowledge Officer at Public Health England added: “An outbreak of flu can have a big impact, especially on those who are most vulnerable or experiencing other illnesses, such as dementia.

“An increase in deaths will generally lead to a decrease in life expectancy that year, but we have seen these annual fluctuations before and the overall trend has remained positive”.

Deaths remained close to the 5-year average in the first 12 weeks of 2016, and the large increase in deaths in the early part of 2015 was not repeated in the early part of 2016.

The decision about which strains of flu are likely to be circulating are taken 12 months before the winter flu season by the World Health Organisation, with different vaccines recommended for the Northern and Southern hemispheres.

It takes from February through to September to produce sufficient quantities of the flu vaccine. And if a change in the virus is detected once production has started it is not possible to change it.

However Public Health England said this year’s vaccine looked like it would match the most dominant strain.

Nurses in Britain spend an estimated 2.5 million hours a week on “non-essential” paperwork – Planning for Care Can Help

Britain’s nurses spend an estimated 2.5 million hours a week on ‘non-essential’ paperwork and clerical tasks, according to research.

The Royal College of Nursing believes nurses are burdened with too much paperwork and too many targets.

I think every nurse would support that belief.

The view adopted by the inspectors and auditors appears to be ‘if it’s not written down, it’s not happening.’

In reality, there can be a well written Care Plan but the quality of care might bear no resemblance to what is set out within the Care Plan.

Nurses would much rather spend their time caring for patients or residents than completing paperwork such as care plans.

Unless nurses are producing excellent Care Plans, Care Home grades will suffer.

30 years ago written Care Plans did not exist, but the care delivered was, in the main, excellent.

Perhaps this was because nurses did not have to spend much of their time producing the volume of paperwork that is necessary today.

I do very much believe in the benefit of care plans today.

It is the way forward and if written well, can really have the capacity to have a substantial effect and improve the quality of care.

Documentation is a crucial aspect of care, which facilitates the continuity of care and it forms an accurate record of care provided. It is now vitally important that the quality of resident’s care and nursing documentation is of the highest standard.

A good system of Care Planning undoubtedly can help the nurses and carers complete the paperwork far quicker and more comprehensively.

A system of personalising care planning for the elderly, which Planning for Care provides, can vastly improve the delivery of care and help Care Homes improve the grading they are awarded by the Care Inspectorate by helping them meet their regulatory requirements.

“The challenges facing everyone in the care sector are growing exponentially with constant changes in law, increased regulation and the potential threat of litigation.”

The focus on nursing appears to have changed and, instead of it being a wonderful, satisfying and fulfilling occupation, it is now very much a race against time.

It is in everyone’s interest that the standards of care improve.

The National Health Service is such a wonderful institution and it has to survive and flourish.

Progress is a great thing, but there needs to be a balance to ensure there is no deterioration in the very core standards and values of nursing. We need to rethink the path we are taking.

The days of placing massive importance on positioning each pillow case with the closed end facing the entrance door of the ward have gone!

But was it really such a pointless exercise?

In those days every nurse knew every detail about every patient, and every aspect of patient care was delivered with precision and thought.

Patient care may have been delivered in a task orientated way, but attention to detail was everything.

The pride nurses had in their job was tangible.

A mixture of the nursing cultures of yesteryear and today is, I think, needed to help elevate nursing to the high standard of profession it should be.

Elderly ‘reluctant to complain’ over health care

Elderly people are reluctant to make complaints about poor health care or do not know how to, the Parliamentary and Health Service Ombudsman says.
A report suggested 56% of people aged over 65 who experienced a problem did not complain because of worries about how it might impact future treatment.
Nearly 20% did not know how to raise a complaint, it said, while a third felt complaining would make no difference.
Ombudsman Julie Mellor said it could mean some are “suffering in silence”.
That could “lead to missed opportunities to improve the service for others”, she added.
The research involved a national survey of almost 700 people over the age of 65, as well as focus groups and case studies.
‘Proactive approach’
One carer in Manchester told authors: “When people have a problem they don’t know where to go; they are referred to a computer which they don’t have; they are referred to a library which is too far away to get to… (and) they wouldn’t know what to do anyway.”
The report recommended a more proactive approach from NHS providers, saying they should make sure all users know how to complain and are reassured there will not be repercussions.
It said progress had been made, including through steps by the government to explore a new streamlined public ombudsman service to handle complaints.
But Age UK said the research was a cause for concern.
Charity director Caroline Abrahams said: “Seeking and responding to older people’s views and experiences is crucial if we are to prevent future care scandals like those that have too often blighted our hospitals and care homes in recent years.”
Healthwatch England said a universal, independent complaints advocacy service that was easy to find and simple to use would improve the situation.
A spokesman said: “We know the NHS is under pressure at this time of year, it is therefore vital that if things do go wrong patients are informed how to raise concerns and how to get help to do so if they need it.
“Without this support, thousands of incidents will continue to go under the radar every year and mistakes will never be learnt from.”
Source BBC News

NHS ‘TripAdvisor’ to let families check care home quality: Site will allow reviews from other families and show ratings that inspectors have given

Families will be able to check the safety and quality of every care home in the country on a new TripAdvisor-style website run by the NHS.
They will be able to see if homes have been rated good or inadequate by inspectors and read critical reviews from other relatives.
The site is being launched by the Government amid concern that as many as a third of care homes in England fail to meet basic standards.
At the worst, inspectors have found patients calling for help, left severely dehydrated or with ‘worrying’ bruises.
From today, the details of all 17,000 care homes in England will be published on a section of the NHS Choices website.
Each will have an overall rating of outstanding down to inadequate, based on the most recent inspection by the Care Quality Commission.
But relatives will also be able to award their own scores out of five and write reviews, similar to those on the TripAdvisor website for hotels and restaurants.
There will be nothing to stop care home managers giving themselves glowing reviews under the guise of members of the public. Staff or relatives with a grudge against a home could also post bad reviews unfairly.
However, officials at the Department of Health say comments will be checked before they go online to ensure they are not offensive and the website will be constantly monitored.
Ministers hope the site will drive up standards by encouraging the worst-rated homes to improve, or relatives will be unlikely to choose them.
 The Mail has repeatedly exposed failings in residential care as part of our Dignity for the Elderly campaign.
Health minister Alistair Burt said: ‘This is a victory for those who are worried about care. With a click of a button, the public will be able to make an informed choice about care.
‘This data will show clearly the difference in quality across care homes and will help drive up standards by highlighting poor performers, which will mean they have to shape up their services or lose out.’
The Government claims the website will make England the first country in the world to provide families with so much information about care homes.
Figures from the CQC show 36 per cent of residential care homes inspected so far have been graded as inadequate or requiring improvement.
The situation is even worse for nursing homes caring for frailer patients, with 55 per cent deemed inadequate or requiring improvement based on recent inspections.
The CQC’s chief inspector of adult social care, Andrea Sutcliffe, has admitted that ‘week in, week out, our inspectors discover some truly awful care’. At the worst homes, they have found residents with ‘worrying bruises’ or dementia sufferers with ‘malnutrition or life-threatening dehydration’.
In an interview earlier this year, she said there was a ‘shocking lack of respect for people’s dignity’ in the worst homes.
‘Sometimes it is abuse – older people treated roughly, worrying bruises that have no explanation,’ she said. ‘Sometimes it is neglect …It can all add up to a thoroughly miserable and frightening experience for people often in the most vulnerable of circumstances.’
At one, the Old Village School Nursing Home in Bedfordshire, inspectors uncovered such appalling neglect they sought a court order to close it immediately. But this was granted only at 5pm and some frail residents were still being moved out on to the street in wheelchairs at midnight before being transferred.
The new website will also state the hygiene rating of homes, based on inspections by the Food Standards Agency, and the number of beds.
It will give the staff turnover, as a percentage of those who left in the last year, and whether there is a registered manager.
Beth Britton, a campaigner whose father spent nine years in care homes after being diagnosed with dementia, said: ‘Anything that helps families to be more informed when making these decisions is to be welcomed.
‘I very much hope this new resource will provide more transparency about quality of care and give families increased insight at what is a hugely challenging time.’
Source Mail Online

Care chiefs’ message to Osborne: we fear a wave of Care Homes closing down

Health and social care chiefs are demanding a crisis meeting with George Osborne and Jeremy Hunt to avert what they fear could be a wave of care home closures within months after years of spending cuts.

“What happened to the £6 billion originally earmarked for the full implementation of the Care Act?”
Care chiefs’ letter to ministers

Leaders of four separate organisations representing council and NHS bodies have written to the Chancellor and Health Secretary, warning that plans unveiled in the recent spending review fall short of what is needed to avert disaster in the care system in England.

They also question whether £6 billion originally earmarked for reform of the care system under the Coalition government has been quietly diverted into other spending areas.

Health secretary Jeremy HuntJeremy Hunt  Photo: Andrew Crowley/The Telegraph

Crucially, they fear that the introduction of the new National Living Wage, being phased in from next spring, could tip care providers over the edge financially unless extra cash is forthcoming.

While spending on the NHS has been protected throughout Mr Osborne’s austerity cuts, councils which are responsible for care for elderly and disabled people have seen their budgets slashed by around 40 per cent.

NHS facing 37,000-strong influx of elderly as care homes close

Care system ‘crumbling’ after broken promise on fees cap – inquiry chair

The warning came in a letter jointly signed by the leaders of the Association of Directors of Adult Social Services (Adass); the NHS Confederation, which represents NHS bodies; the Care and Support Alliance, a coalition of 75 charities, and the Care Provider Alliance.

“Ultimately the package put forward for social care will not enable us to fill the current gap in funding, cover additional costs associated with the introduction of the National Living Wage, nor fully meet future growth in demand due to our ageing population,” they wrote.

“There is the potential for significant and adverse impacts … including an acceleration of the failure of domiciliary, residential and nursing home providers.”
Care chiefs’ letter to ministers

Rob Webster, chief executive of the NHS Confederation, added: “The NHS is not an island, it is part of a single system.

“Without sufficient investment in social care the sustainability of the NHS is called into question.”

The elderly deserve good quality care, regardless of age. There are fears of care homes closing  Photo: Getty Images

Cllr Izzi Seccombe, of the Local Government Association, said: “We are now on the fast-track towards a care home collapse, leaving our elderly friends and family in care limbo, not knowing where they will go if a care home closes.

“It cannot be left solely to local council taxpayers to fix our chronically underfunded social care system.

“If proper funding for social care is not urgently addressed, essential services will remain increasingly at risk and the full needs of older and disabled people and their carers who require vital care and support will not be met.”

Source The Telegraph