Today the People Pay Ten Million for the Emperors New Clothes

English: NHS logo

English: NHS logo (Photo credit: Wikipedia)

On the face of it this seems a great deal for the voluntary sector and how they can provide help for the homeless, but the real truth is that it saves this government having to support the NHS!  As in the long run they want to change our health service into a privatised and fee paying one ,for those that can afford it! This is similar to the US Healthcare system that was based on the amount of money you could afford to pay for your health insurance, that Obama has tried to wipe out! So the UK Government will lead its people down this path, providing contracts for the likes of Atos!  
So watch this space because what is done today, is a blind and only those that look for the truth, will find out the real truth about how the taxpayers money is really being spent! As keeping people out of hospital and freeing up A & E looks good, but it allows other projects in a mess like the NHS Direct Number 111 and also other third-party contracts to thrive!
Enabling resources to be provided above the normal prices and below the standard the people who are ill should expect.
Extract from the Guardian 29/07/2013 The organisation originally won 11 of the 46 contracts to provide the 24-hour service in England. It had put a value of £43m a year on the contracts, but says its predicted income is £21.2m. http://www.theguardian.com/society/2013/jul/29/nhs-direct-111-telephone-service-risk     
The story that comes to mind is the “Emperors New Clothes” and as we know the people was so scared of the Emperor they would not speak, as the Emperor had also been blinded by the truth of the tailors deception, but one poor and wide-eyed youth, saw the truth and spoke, these words out loud ” The Emperor Is Naked As Naked As He Was Born” then like all sheep the people agreed and they laughed and laughed! 
 Are you those people who are blind as it does not affect your life, or are you like the youth, that told it as it really is, or are you a sheep or a lamb!
Judge for yourself?
Then leave your comments in the box and l promise l will approve all those that are written on the subject, not spam and any really good ones will be featured on the front page of Ace News Services!
Well here is the article simply copied and pasted need the link to prove it here it is: https://www.gov.uk/government/news/ten-million-pound-cash-boost-to-improve-the-health-of-homeless-people                     

Fifty two projects have been awarded a share of £10 million to make sure homeless people receive better help once they leave the hospital, Public Health Minister Anna Soubry announced today.

It is estimated that homeless people attend A&E up to six times more than people with a home – and that now 70 per cent of homeless people are discharged back onto the street without their housing or on-going care needs after hospital being properly addressed.

The projects are run by voluntary sector organisations who will work with the NHS and local government to make sure homeless people get the best possible support and care after they leave the hospital. This will help reduce the number of homeless people who are readmitted to hospital.

Some of the organisations receiving funding will provide:

  • Specialist training for hospital staff on the needs of homeless people;
  • Support to make sure their care continues after discharge;
  • Teams to support homeless people find accommodation that takes into account their health needs; and
  • 14 care beds for people discharged from hospital thanks to over £1million from the fund.
Anna Soubry

Anna Soubry (Photo credit: Wikipedia)

Public Health Minister Anna Soubry said:

In today’s society, it is not acceptable that people are leaving hospital with no plans in place to discuss their ongoing care needs.

The £10 million we have awarded to these 52 projects will help stamp out the bad practice we know exists in some trusts when homeless people are discharged from hospital and make sure they have the support and care they need.

Housing Minister Mark Prisk said:

This Government is working hard to make every contact count, ensuring that homeless people have access to the help and support they need wherever they are – from the housing office to the hospital bed. Today’s funding, backed by a further £470 million Government investment in homelessness prevention, will reach people in need when they’re at their most vulnerable, getting them back on their feet more quickly, and saving local services the ongoing bills for repeat treatment.

Then he was replaced by a new minister! 

#acehealthnews, #10-million, #anna-soubry, #atos, #david-cameron, #department-for-communities-and-local-government, #department-of-health, #ed-miliband, #england, #health-care, #homeless-people, #homelessness, #housing-association, #len-mccluskey, #liam-byrne, #london, #mark-prisk, #mungo, #national-health-service, #national-health-service-england, #nhs, #public-health-minister-anna-soubry, #rick-henderson, #saint-mungo, #sam-gyimah

Hidden tax on older – Care Home Residents – that councils rely upon

Care In The CommunityAccording  to a press release by Laing and Buisson in January 2013

Councils rely on a ‘hidden tax’ on older care home residents

Data presented in the latest edition of the Care of Elderly People UK Market Survey 2012-13* shows that 175,000 older residents (43.4%) paid the full costs of their long-term care fees in 2012. A further 56,000 (14%), while being supported by councils, also relied on ‘top-ups’ from family or friends. This means that a total of 231,000 older residents were paying in full or in part from their own or their families’ resources – this marks a record high of 57% of all (403,000) older residents of independent sector care homes in the UK.

The remaining 43% of residents either had their fees paid in full by councils (143,000) or by the NHS under the continuing healthcare programme (29,000).

Commenting on the findings, author and Laing & Buisson chief executive William Laing predicted a further shift to private pay in the future.

Mr Laing said:

‘The private payers’ share is projected to continue growing in the future as the rate of owner occupation continues to expand among the very old population at risk of entering care homes. Meanwhile, the quasi-private, top-up market will be reinforced by the minimal or zero local authority fee uplifts which look likely to continue in the medium term.’

There is, of course, wide regional variation with a much higher proportion of ‘pure’ private payers in affluent areas of the country including the South East (55% of residents), South West (53%) and East of England 50%). The North East, Northern Ireland and the Isle of Man, meanwhile, have the lowest level at just 22%, compared with the UK average of 43%.

What’s more, with the per week fees being paid by councils either frozen or subject to very minor uplifts, the gap between what councils pay and what private payers are being asked to pay is opening up to an alarming extent.

On average, according to the report, English councils are paying just £480 per week for residential care in 2012/13, approximately £50 – £140 less than the ‘fair market price’ range of £528 – £623 calculated by Laing & Buisson (with nursing care fees being about £150 per week higher).

‘The private payers’ share is projected to continue growing in the future as the rate of owner occupation continues to expand among the very old population at risk of entering care homes. Meanwhile, the quasi-private, top-up market will be reinforced by the minimal or zero local authority fee uplifts which look likely to continue in the medium term.’

There is, of course, wide regional variation with a much higher proportion of ‘pure’ private payers in affluent areas of the country including the South East (55% of residents), South West (53%) and East of England 50%). The North East, Northern Ireland and the Isle of Man, meanwhile, have the lowest level at just 22%, compared with the UK average of 43%.

What’s more, with the per week fees being paid by councils either frozen or subject to very minor uplifts, the gap between what councils pay and what private payers are being asked to pay is opening up to an alarming extent.

On average, according to the report, English councils are paying just £480 per week for residential care in 2012/13, approximately £50 – £140 less than the ‘fair market price’ range of £528 – £623 calculated by Laing & Buisson (with nursing care fees being about £150 per week higher).

Mr Laing commented:

‘The reality is that independent care home providers are having to rely more and more on cross subsidies from private payers. Without these subsidies, large numbers of care homes would be literally bust. It is understandable that cash-strapped councils are seeking to pay care homes as little as they can, since this is now the biggest single cost that councils have to bear, but it needs to be recognised that this amounts to a ‘hidden tax’ on private payers, who are in effect bearing the brunt of austerity measures.’

Addressing the long-term funding debate, the report says that implementation of the Dilnot proposals would certainly reduce the burden on private payers and their families, but it will by no means remove it, because the proposal is that only ‘care’ costs will be paid by the state once an (as yet undecided) cap is reached, leaving the individual to pay for ‘hotel’ and other costs which are included in care home fees.

For the first time, Laing & Buisson has split care home costs into their component parts (see table below) for a care home meeting all the latest physical and other standards:

‘The private payers’ share is projected to continue growing in the future as the rate of owner occupation continues to expand among the very old population at risk of entering care homes. Meanwhile, the quasi-private, top-up market will be reinforced by the minimal or zero local authority fee uplifts which look likely to continue in the medium term.’

There is, of course, wide regional variation with a much higher proportion of ‘pure’ private payers in affluent areas of the country including the South East (55% of residents), South West (53%) and East of England 50%). The North East, Northern Ireland and the Isle of Man, meanwhile, have the lowest level at just 22%, compared with the UK average of 43%.

What’s more, with the per week fees being paid by councils either frozen or subject to very minor uplifts, the gap between what councils pay and what private payers are being asked to pay is opening up to an alarming extent.

On average, according to the report, English councils are paying just £480 per week for residential care in 2012/13, approximately £50 – £140 less than the ‘fair market price’ range of £528 – £623 calculated by Laing & Buisson (with nursing care fees being about £150 per week higher).

Mr Laing commented:

‘The reality is that independent care home providers are having to rely more and more on cross subsidies from private payers. Without these subsidies, large numbers of care homes would be literally bust. It is understandable that cash-strapped councils are seeking to pay care homes as little as they can, since this is now the biggest single cost that councils have to bear, but it needs to be recognised that this amounts to a ‘hidden tax’ on private payers, who are in effect bearing the brunt of austerity measures.’

Addressing the long-term funding debate, the report says that implementation of the Dilnot proposals would certainly reduce the burden on private payers and their families, but it will by no means remove it, because the proposal is that only ‘care’ costs will be paid by the state once an (as yet undecided) cap is reached, leaving the individual to pay for ‘hotel’ and other costs which are included in care home fees.

For the first time, Laing & Buisson has split care home costs into their component parts (see table below) for a care home meeting all the latest physical and other standards:

Table. Breakdown of care home fees £ per resident per week, England average

 Care Costs
 Accommodation Costs
Ancillary Costs
 Operator’s Profit  Total Costs and Profit
Residential care
frail elderly
 £197 £151 £205 £44 £596
Nursing care
frail elderly
 £347 £153 £205 £59 £764
Residential care
dementia
 £221 £151 £205 £47 £623
Nursing care
dementia
 £356  £153 £205 £60 £774

On these figures, residents and their families would under the Dilnot proposals still have to pay £399 – £418 per week in care home fees on average, even after the state picks up the full cost of ‘care’. And in affluent parts of the country the costs to the individual will much higher. It would still be necessary post-Dilnot, therefore, for most private payers entering care homes to sell any house they own to pay for fees – either at the outset, or at death for those benefiting from deferred payment arrangements.

There are also hidden dangers from Dilnot for care home operators, according to the report. In particular, moving the upper limit of the asset threshold from £23,250 to £100,000 would mean that large numbers of care home residents who are presently private payers would be drawn within the ambit of local authority payment, meaning that a significant proportion of the premium fee rates which are presently needed to cross subsidise inadequate local authority fee rates may gravitate towards the low fee regime of councils.

Looking at the financial health of care home operators, and with one eye on government proposals to instigate some form of financial regulation on the largest corporate providers, the report highlights the very different fortunes of providers across the ‘north/south’ or ‘affluent/non-affluent’ divide. Those facing the toughest market, and bearing the brunt of council expenditure cuts, are operators with large slices of their care home portfolio in the North and the Midlands. Providers with a portfolio concentrated in more affluent areas are performing comparatively well, subject to the debt overhangs from pre-crisis days that still affect some healthcare providers.

Mr Laing added:

‘Market polarisation means that three of the four largest groups, including the market leader Four Seasons Health Care, are becoming increasingly unrepresentative of the market as a whole – and this is reflected in operating margins. Four Seasons, Bupa Care Homes and HC-One all have significantly higher than average exposure to publicly paid residents, and each has reported a significant decline in EBITDAR as a percentage of revenue since the austerity measures began. Meanwhile, the operating profitability of private-pay focused Barchester Healthcare remained above 30%. The 2012 results of the largest groups will be awaited with great interest.’

Elsewhere the report once again shows that, despite public policy which seeks to divert elderly care away from residential settings, the overall number of people being supported in their older age in care homes is on the up. In 2012 there were 432,000 older or physically people in all residential settings (independent and public supply combined), compared to 422,000 in the previous year, representing growth of 2.2%.

This fuelled an occupancy rate growth in the year taking it to an average 89.9% in 2012, compared to 88.5% in 2011.

Of the total capacity of 487,800 care beds currently operating in the country, those owned and run by the state dropped by a further 11% in the year to 38,800. Independent providers took advantage of this fall, adding 8,300 beds to its market share (now at 449,000).

Mr Laing concluded:

‘A two decade declining trend in the volume of demand appears to have been transformed into a rising trend. Independent sector capacity from new registrations continues to run at about double the loss of capacity from closures, making this unexpected surge one of the most significant trends to emerge from recent marketing monitoring. Without rising demand the additional capacity would impact negatively on occupancy rates and profitability at a time when the sector is also being challenged by council finding. However, this had not happened and new capacity has been coming onto the market at a faster rate over the last four years and there is no sign of this falling off so far in 2013.’

  • END OF RELEASE

Care of Elderly People UK 2012/13 – Key facts:

Care Homes

  • At September 2012 care home capacity in the UK stood at 487,800 places in residential settings for long stay care of elderly and physically disabled people across all sectors (independent and public) – up 3,600 places over April 2011.
  • Of this, 432,000 places were occupied in April 2011, up 10,000 over April 2011.
  • The estimated annual value of the market is £15.2bn (2011: £14.6bn). This breaks down as: for-profit sector – £11.1bn (2011: £10.5bn); voluntary sector – £2.2bn (2001: £2bn); public sector – £1.9bn (2001: £2bn).
  • Average care home fees across the UK for the financial year 2012/13 are ££731 (2011/12: £722) per week for nursing care and £531 (2011/12: £542) per week for residential care.

Non-residential care services

  • Public and private spending on non-residential social care and community health services for elderly and physically disabled people is estimated at £7.4bn in England (2011: £7.7bn). Of this, £4bn was spent by English local authorities on services, of which 60% were provided by the independent sector. A further £2.6bn was spent by the NHS on almost exclusively in-house services such as district and community nurses. Private spending accounted for an estimated £1.2bn on home care services. A further £500m was spent via Direct Payments.
  • Hours of homecare commissioned from the independent sector dropped from 175m to 168m in the year to March 2012 with council-supplied hours falling from 26m to 20m.

*Care of Elderly People UK Market Survey 2012/13. Priced at £835 for hard copy and £1,195 for hard copy and PDF. Available from Laing & Buisson, 29 Angel Gate, City Road, London, EC1V 2PT. Tel: 020 7833 9123. Web: www.laingbuisson.co.uk

FOR FURTHER INFORMATION:

William Laing Justin Merritt
Laing & Buisson Laing & Buisson
Chief Executive Operations Director
Tel: 020 7923 5347 Tel: 0207 841 0049
william@laingbuisson.co.uk justin@laingbuisson.co.uk

#acenewsservices, #austeritymeasures, #england, #home-care, #isle-of-man, #nhs, #northern-ireland, #nursing, #nursing-home, #residential-care

Privatisation Backdoor Style

Sometimes with a back-door in politics,evolves a plan,with the aim to change the promise made by a chancellor! This plan has been months in the making,and the next step is to remove the fence that has ringed the NHS funding for many a year, and it will shortly be dismantled! And with it all the promises made since the introduction of the ” Community Care Act” in 1990! It will be washed away “like throwing the baby out with the bath water,” and what a baby it is, having been nurtured since inception in 1948! So you ask what do l mean, well simply back in 1979 when Margaret Thatcher came to power, the rot set in and everyday since that time it carried the nails in its side (like Jesus, just waiting for the time of the next Conservative Government, to finish the job she started! Well her legacy of privatising the NHS is nearly realised, as various MPs gather to sound the death knell of our beloved, yet beleaguered health service! Leaving in its wake a disjointed, broken-up and battered organisation, ripe for the picking!Soon those nails so carefully placed by Margaret Thatcher will become so painful that we will be told by the chancellor, there is no choice the NHS cannot have guaranteed funding and it will slowly die on the cross of “#ProfitB4People and “Care In The Community” will be no more, unless you can afford to pay!!

LATEST:// 30/04/2013 at 6am today.

Six centre-Right policy institutes say it is “not sensible” to define some public services as “sacrosanct”, as two think-tanks favoured by Labour criticise the ring-fencing of funds for schools, health and international development.

The independent Institute for Fiscal Studies also warned that other public services would suffer more “pain” as a result of the “sub-optimal” approach to reviewing government budgets. Read full story at: Cut-Aid-& NHS-Cash-George-Osborne-Told

 

#cash4contracts, #profit-b4-people, #conservative, #david-cameron, #jesus, #margaret-thatcher, #member-of-parliament, #national-health-service, #nhs, #privatization

Profits Before Care

 

A report into the abuse scandal at the Winterbourne View Care Home in South Gloucestershire has found that the owners put profitability before humanity, leaving vulnerable patients “chronically under–protected”. The report also criticised the Care Quality Commission, police, social services and the NHS for failing to pick up warning signs about the treatment of  patients. It concluded that they were collectively “unequal to the task” of detecting what was going on. Dr Margaret Flynn, who conducted the serious case review into the home, warned that the case showed how abuse could go undetected “when information about concerns, alerts, complaints, allegations and notifications are either unknown or scattered across agencies”. The Daily Telegraph Editorial calls for CQC to be reformed.

 

#abuse, #care, #care-quality-commission, #hambrook, #margaret-flynn, #national-health-service, #nhs, #nursing-home, #social-work, #south-gloucestershire, #vulnerable, #winterbourne