Originally Posted by MARTYM8:
“But I would remove councils altogether from running social care and give it to the NHS to avoid the appalling post code lottery we have now.
We should in due course make this an NHS function to ensure that old people with the same assets, income and needs are treated equally wherever they live in England and pay the same charges too for their home care.
In London you can pay up to £25000 a year in some boroughs for your daily home help as there is a high weekly cap on council charges - in others you can pay nothing at all. We worry about a few quid difference in council tax yet no one ever looks at fees and charges. The differences are shameful given these are the most vulnerable people in the country. And that's assuming you get any support at all!”
Couldn't disagree more. Let the NHS do what it does best - clinical care, it should focus on that rather than being given more underfunded burdens.
There must be thousands of residential care centres and homes, day centres and hundreds of thousands of domicilary carers. Some of these homes are no more than an adapted house on a street. Adding these to the NHS estate portfolio and getting them sucked into the centralised beaurocratic machine that the NHS is a recipie for trouble.
On top of that you have emergency alarm type services, meals on wheels and a whole host of other offers that make a difference to the community.
The NHS should be there to clean bums and wash people - it should be there to make people get better and end of life care in a clinical setting. Social care services should be about prevention in a community setting.
There shouldn't be a post code lottery but we also need services based on the needs of the local community. Local government will always have the ability to be responsive to local needs in thand community than the NHS.
What we don't need is another risky and expensive reorganisation. Social care simply needs the funding rather than giving one underfunded service to another underfunded organisation.