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David Oliver rightly draws attention to the woes and wherefores of NHS helping or "bullying" social care. But reshuffling these current structures has failed thus far and seems unlikely to resolve the challenges of a rapidly growing population of older people largely dependent as a consequence of neurodegenerative disease any time soon.
This population have little or no prospect of regaining independence and autonomy - the key objectives of social care - and have little liklihood of gain from medical investigation or extended hospital treatment. With around 80% of social care budgets going to care homes and large numbers of NHS acute beds being misused for their care, the only reasonable comment about the present is that it is not only wasteful and unsustainable but lacks real understnding of its purpose. Collectively the population we are concerned over are most expensive for both the NHS and SS budget.
So, both the NHS and SS could benefit being relieved of the responsibility for this population, nether have shown the committment needed to make a success of their care. A new third arm of public service funded by significant portions of NHS and SS funding could manage the purchasing of care home beds. National policies, national procedures and practices, an end to reinvernting the wheel and sensible determined adoption of technology and management of scarce resources such as professional nurses. Radical? Well over 400,000 beds and no clear leadership in policy terms or gov isn't really very conservative.... the default may be to rebrand public hospitals as Infirmaries.
I am an NED of a Care Home group and chair a health tech company