November 14, 2013 -- Able Newsflash No.399
One in four NHS walk-in centres set up in the past decade to improve patients’ access to urgent health care has been closed since the election amid a mounting crisis in accident and emergency care. Patients have been left with nowhere to turn after the closure of more than 50 of 238 clinics, which were introduced to relieve pressure on casualty departments. According to regulators, the demand for the centres has remained high, with most closing because of financial pressures.
(Source: The Telegraph)
A Member of the Scottish Parliament who visited Edinburgh Royal Infirmary's accident and emergency department last week was given a patient advice leaflet which carried an advertisement for a personal injury lawyer. The back page had a full-page advertisement that read: 'Have you been injured? You may be able to claim compensation. There is no shame in making an honest claim - ask about no-win, no-fee'.
The MSP is quoted: "I was appalled by this. I can't believe that if you go to a hospital, they give you literature telling you how to sue."
County Councils are being told to make savings of several million pounds throughout the country. The following is one example of the ways in which some of these savings will be made by Wrexham Council who are looking to save approx. £10,000,000:
- Closure of 103 playgrounds or transfer to community councils saving £87,000
- Review of community centres – closure or transfer to community councils to save £129,000
- Library Review – closure of 3 libraries.
- 5% reduction to the highways maintenance saving £107,000
- Cessation of subsidised bus services saving £455,000
- Reduce the frequency of the street cleansing service.
- Cease school crossing patrols or transfer to community councils saving £77,000
- Homelessness – planned reduction in the use of temporary accommodation including B&B’s saving £100,000
- Review and Retender Domiciliary Care – review all packages, with projected savings of £1 million over three years.
- Review / reprovide outreach for mental health clients saving £50,000
- 14 – 19 Course Review with Yale – reduction in the number of courses offered.
- Special Needs packages concluding.
- School Music and Library Services mentioned no detail of changes.
- Schools to now fund their own redundancy costs.
- No further Twinning visits will be made, to save £9000.
- Introduce a 2.5% fee for payments by credit cards for payments to the Council.
- The Connect magazine is being moved to ‘web only’ or reduced in scale.
- Call answering could change to more automated systems.
Question of the Week
"Does the Care Quality Commission regulate and inspect day centres? I cannot find an inspection report on their site for one near me?"
Answer : The Care Quality Commission does not regulate or inspect all day centres. Providers of day centres run differing services and therefore the regulations to which they have to comply can differ.
Day Centres providing services commissioned or provided directly by a local council will have a range of quality checks in place and they will be able to provide you with the details.
Day Centres which provide specific services and are staffed by registered nurses, or which provide treatment for particular conditions, do need to be registered with CQC and inspected and regulated by them. Their inspection reports will be on the CQC website online.
Day centres run by charities/other independent organisations may or may not be regulated and registered, depending on what they provide.
- Never use boiling water to fill a hot water bottle as this can cause the bottle to split or leak, very hot water is fine.
- Do not lie or sit on the hot water bottle.
- Do not overfill - three-quarters is the maximum.
- Never use a hot water bottle at the same time as an electric blanket.
A potential client was visited in Norfolk this week.
Two Care Managers attended MAR Chart training (Medication).
A Care Manager attended a general meeting re NHS Continuing Care Commissioning.
A client re-assessment meeting took place in Norfolk.
Potential live-in care workers were interviewed in Derbyshire.
The first social workers were called hospital almoners, and were based in medical institutions. The Royal Free Hospital hired Mary Stewart as the first almoner in 1895. Her role was to assess people requesting treatment at the hospital to ensure that they were considered "deserving enough" of the free treatment. The role soon developed to cover the provision of other social programs, and by 1905 other hospitals had created similar roles.
The flu pandemic of 1918 was the last occasion a killer disease swept rapidly across the world. At least 50 million people died.
Louise was born in the 1920’s and after she became a widow, her family built an annexe on their home and Louise happily moved in. As Louise aged her sight and her mobility decreased to a point where her family felt she was unable to be left alone in the house when they went away on holiday. Not wishing to move into a residential care home setting, in 2010 Able Community Care was asked to provide a live-in carer to cover for the family absence. Further bookings to care for Louise have taken place since that date enabling the family to take holidays.
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Angela Gifford, Director
Able Community Care Ltd.
Telephone 01603 764567