WHERE IS THE PREVENTATIVE NATIONAL HEALTH SERVICE
12th Sept 2018
THE SERVICE THAT MUST TAKE RESPONSIBILITY FOR PHYSICAL AND “MENTAL” HEALTH
WHERE IS THE FUNDING ?
CUT BACKS MOSTLY !
DURHAM COUNTY COUNCIL OFTEN HAVE NO IDEA WHAT THE PROBLEM OF THE LACK OF HEALTH AND SOCIAL CARE NEEDS ARE IN THE COMMUNITY, UNTIL IT HITS THEM IN THE FACE.
“TAKE UP THY BED AND WALK” ?
“SELF SERVICE OR HELP YOURSELF”
“SELF REFERRAL” ?
THE PRIMARY (and SECONDARY) HEALTH CARE SERVICES ARE A SICK SERVICE.
WHO ARE OR SHOULD BE THE COMMUNITY HEALTH CARE SERVICES –
WHERE ARE THE LINKS ?
DOCTORS IN OFFICES – WHAT’S THE PROBLEM ? IS THE PATIENT SICK ?
WHERE ARE THE COMMUNITY HEALTH VISITORS
WHERE IS THE COMMUNITY LINK WITH THE GP PRACTICE BASE ?
WHERE IS THE GP PRACTICE BASE LINK WITH THE COMMUNITY ?
WHY SHOULD THEY BE SEPARATE ?
WHERE IS THE PROGRAMME THAT IDENTIFIES THE MOST VULNERABLE IN SOCIETY.
WHO ARE THE VULNERABLE ?
WHO IDENTIFIES THE VULNERABLE –
IN ALL THESE SERVICES IT IS THE ARMY OF “UNQUALIFIED” MOSTLY UNPAID COMMUNITY WHO IS REQUIRED TO TRIGGER THE PROBLEM AND THE LACK OF A COMMUNITY SERVICE SET UP OFTEN THROWS THE INITIAL RESPONSIBILITY THAT SOMETHING IS WRONG ONTO THE EMERGENCY SERVICES.
THE COUNCIL AND PRIMARY HEALTH CARE IS A “9 – 5” SERVICE
DO THE COUNCIL KNOW WHO CONSTITUTES A COMMUNITY CARER ?
THE MOTHER, THE WIFE, THE HUSBAND, THE PARTNER, THE NEIGHBOUR ?
IT IS NOT EVEN ONLY THE VULNERABLE WHO NEED IDENTIFYING BUT THOSE CARING FOR THEM.
STICKING NOTICES UP IN GP SURGERIES WONT FIND THEM
THE KINGS FUND REPORT…..
• Social care funding is in urgent need of reform. Recent cuts to social care
budgets have intensified an underlying mismatch between funding and
demand, so that a growing number of people on low incomes are no longer
eligible for state support. In addition, many people are forced to sell their
homes to meet the costs of residential care.
• Without action, this situation is likely to worsen. Estimates produced for the
Dilnot Commission suggest that even without reform, spending on social care
will have to rise from £14.6 billion in 2010/11 to £23 billion by 2025/26.
• The Dilnot Commission proposals would extend more state funding to the
less well-off, and offer some publicly funded care to everyone faced with very
high costs of residential care. Implementing these would cost an additional
£3.6 billion by 2025/26. The recommendations have received broad support
across organisations that represent care users and providers.
• A better-funded social care system, which includes the Dilnot proposals,
will require increased public spending on adult social care. There are various
options for paying for this. In the short term, more funds could be made
available from the NHS: primary care trusts (PCTs) are currently projecting
an underspend of £1.5 billion in 2011/12. The Department of Health should
consider using part of this for further transfers to social care.