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heero_yuy 23-03-2017 14:23

Re: Crisis in the NHS
 
Quote:

Hospital chiefs spend whopping £1.2m on more than 5,000 trendy bladeless Dyson fans

The splurge is part of a £1,435,432 fortune spent by trusts across England on the firm’s notoriously pricey products.
Linky

No wonder there's a cash crisis. :rolleyes:

Mr K 12-04-2017 14:11

Re: Crisis in the NHS
 
Quote:

928 carers in England quit a day as social care system 'starts to collapse'
https://www.theguardian.com/society/...ts-to-collapse

Particularly alarming as the number of non-British EU nationals working in social care system has shot up by more than 40% in three years. if they decide they're not welcome we're stuffed.

Why are they leaving ? Did ask some body who recently left and they said crap pay, crap hours, too may visits in too short time and soul destroying if you care about the patients ,as there isn't enough time to spend with each patient to do the job properly. I won't be applying anytime soon...

Pierre 13-04-2017 10:52

Re: Crisis in the NHS
 
Quote:

Originally Posted by Mr K (Post 35894369)
I won't be applying anytime soon...

Good I hope nobody does, then they'll be forced to put wages up......unless they bus in a load of Eastern European migrants that will do the job for minimum wages or less...............

No there's a thought........you don't think free movement of cheap labour multiplied by unscrupulous care firms has some how contributed to all of this do you?

1andrew1 13-04-2017 11:07

Re: Crisis in the NHS
 
Quote:

Originally Posted by Pierre (Post 35894495)
Good I hope nobody does, then they'll be forced to put wages up......unless they bus in a load of Eastern European migrants that will do the job for minimum wages or less...............

No there's a thought........you don't think free movement of cheap labour multiplied by unscrupulous care firms has some how contributed to all of this do you?

It seems that to get better people you need to employ more people and pay them more. However, councils just don't have the money. So what to do? Raise taxes? Borrow money? You can tinker round the edges and save £1m by not buying Dyson hand driers but when you're talking £billions that doesn't go very far.

Gavin78 14-04-2017 00:28

Re: Crisis in the NHS
 
Quote:

Originally Posted by heero_yuy (Post 35891417)
Linky

No wonder there's a cash crisis. :rolleyes:


we've just spent £3000 on 12 of them but they have come from the Ward fund of donations so has a lot of the other wards.

They can't use fans with blades do to infection control

---------- Post added at 00:28 ---------- Previous post was at 00:25 ----------

Quote:

Originally Posted by Pierre (Post 35894495)
Good I hope nobody does, then they'll be forced to put wages up......unless they bus in a load of Eastern European migrants that will do the job for minimum wages or less...............

No there's a thought........you don't think free movement of cheap labour multiplied by unscrupulous care firms has some how contributed to all of this do you?

Language barrier is a huge issue, I often have to repeat what the foreign nurses have said to the patient because they don't undertand what they said.

Plus I find a lot of them wont listen my 11 years in Renal seems to count for nothing because the managers excuse is it's their culture

Osem 14-04-2017 09:45

Re: Crisis in the NHS
 
Quote:

Originally Posted by Gavin78 (Post 35894605)
we've just spent £3000 on 12 of them but they have come from the Ward fund of donations so has a lot of the other wards.

They can't use fans with blades do to infection control

---------- Post added at 00:28 ---------- Previous post was at 00:25 ----------



Language barrier is a huge issue, I often have to repeat what the foreign nurses have said to the patient because they don't undertand what they said.

Plus I find a lot of them wont listen my 11 years in Renal seems to count for nothing because the managers excuse is it's their culture

They're frightened to offend anyone and that'd include a lot of patients I'm sure, my elderly mum being one. It's the sort of 'logic' which led to all those child abuse cases - fear of upsetting someone = do nothing. As far as I'm concerned being able to properly understand medical professionals is essential and that shouldn't offend anyone, let alone a professional person.

Interesting thing about fans and infection control. I don't recall traditional fans being cited as a common source of infection in the past in the years when MRSA etc. weren't almost endemic in many of our hospitals so has something changed or is the move to bladeless fans just another policy resulting from a desire to be seen to be doing something, anything?... :shrug:

Damien 14-04-2017 10:03

Re: Crisis in the NHS
 
The reason adult social care is not in crisis because of immigrant workers. The social care workers get paid little and funding has been cut. The idea they get paid little because there are Eastern Europeans willing to do for minimum wage as if there would be plenty of money otherwise is nonsense.

There is not a lot of money in providing social care for vulnerable adults, few can afford private care and this isn't a area of government spending that was ring fenced in 2010. There is a limited amount of money and if you got rid of immigrants and paid UK workers more you would have fewer social care workers until such time as the government puts even more money in or we otherwise find a way to solve this problem.

But people resent tax rises, they resent the idea their home should go to cost of providing their social care and they resent immigrants who come and take the low paid social care jobs so god knows what the answer is going to be.

Osem 14-04-2017 10:18

Re: Crisis in the NHS
 
Quote:

Originally Posted by Damien (Post 35894629)
The reason adult social care is not in crisis because of immigrant workers. The social care workers get paid little and funding has been cut. The idea they get paid little because there are Eastern Europeans willing to do for minimum wage as if there would be plenty of money otherwise is nonsense.

There is not a lot of money in providing social care for vulnerable adults, few can afford private care and this isn't a area of government spending that was ring fenced in 2010. There is a limited amount of money and if you got rid of immigrants and paid UK workers more you would have fewer social care workers until such time as the government puts even more money in or we otherwise find a way to solve this problem.

But people resent tax rises, they resent the idea their home should go to cost of providing their social care and they resent immigrants who come and take the low paid social care jobs so god knows what the answer is going to be.

The answer is going to be that people have to pay more by hook or by crook AKA tax. As the bank of mum and dad is forced to step in more to help their kids get on the housing ladder, reduce student debts etc, including downsizing themselves, there's going to be even fewer people with assets left after so doing which are sufficient to pay for all their social care when it's needed.

There's not much of an incentive to save and accrue assets if you believe that when the time comes you may have nothing to pass on to your children because you'll have to pay for all your care and sell your house to do so. Far more sensible to help them out early on (housing prices are going up much faster then investment returns) and thereby reduce your assets because self-funders are all too often being charged far more for the same standard of care as those being funded by the LAs. They're effectively subsidising the system.

I think the only long term answer is some form of social care insurance people are required to pay into throughout their lives but that idea will go down like a lead balloon until the system we have grinds to a halt.

Damien 14-04-2017 10:35

Re: Crisis in the NHS
 
Quote:

Originally Posted by Osem (Post 35894630)
The answer is going to be that people have to pay more by hook or by crook AKA tax. As the bank of mum and dad is forced to step in more to help their kids get on the housing ladder, reduce student debts etc, including downsizing themselves, there's going to be even fewer people with assets left after so doing which are sufficient to pay for all their social care when it's needed.

There's not much of an incentive to save and accrue assets if you believe that when the time comes you may have nothing to pass on to your children because you'll have to pay for all your care and sell your house to do so. Far more sensible to help them out early on (housing prices are going up much faster then investment returns) and thereby reduce your assets because self-funders are all too often being charged far more for the same standard of care as those being funded by the LAs. They're effectively subsidising the system.

I think the only long term answer is some form of social care insurance people are required to pay into throughout their lives but that idea will go down like a lead balloon until the system we have grinds to a halt.

Yes I think tax too although I think this also highlights how unfit for purpose our current housing market is as well.

Osem 14-04-2017 10:46

Re: Crisis in the NHS
 
Quote:

Originally Posted by Damien (Post 35894632)
Yes I think tax too although I think this also highlights how unfit for purpose our current housing market is as well.

The housing market bubble will burst again just like it always does but people are being given mixed messages. On the one hand they're being encouraged to save (eg ISAs & pensions) but on the other and the returns they get for so doing are miniscule unless they invest in bricks and mortar or stock market related products which are also risky. Personal debt is also being allowed to mushroom to keep the economy growing - IIRC more new cars were registered in the UK than ever before and the highest ever proportion being financed.

As a decent parent, the main thing you save for is your children's future and when that is discouraged the big losers will be the children who not only have to pay more for everything along the way but will get less back and probably won't inherit a bean either. The good news for an increasing number of them will be. however, that they'll have far less assets for HMG to take off them as they get old and prepare to meet their maker... :erm: ;)

Pierre 14-04-2017 17:41

Re: Crisis in the NHS
 
Quote:

Originally Posted by Damien (Post 35894629)
The reason adult social care is not in crisis because of immigrant workers. The social care workers get paid little and funding has been cut. The idea they get paid little because there are Eastern Europeans willing to do for minimum wage as if there would be plenty of money otherwise is nonsense.

I have to disagree there. Basic market economics says otherwise.

It's not the only reason, but if there is no driver i.e. Lack of labour resource, to increase wages then they won't increase simple as that.

Quote:

There is not a lot of money in providing social care for vulnerable adults, few can afford private care and this isn't a area of government spending that was ring fenced in 2010. There is a limited amount of money and if you got rid of immigrants and paid UK workers more you would have fewer social care workers until such time as the government puts even more money in or we otherwise find a way to solve this problem.
There's not a lot of money in it because they're getting away with not putting any money in it because they're paying depressed wages.

If they were forced to put more money into then at least we'd be forced into having a proper debate on how we fund social care for the ever increasing age of the population.

Perhaps a care tax or as well as having a private pension plan you have to get a private care plan?

But whilst they can get away with running the system on cheap labour they are not forced to have that uncomfortable debate.

Damien 14-04-2017 18:14

Re: Crisis in the NHS
 
Quote:

Originally Posted by Pierre (Post 35894680)
I have to disagree there. Basic market economics says otherwise.

It's not the only reason, but if there is no driver i.e. Lack of labour resource, to increase wages then they won't increase simple as that.



There's not a lot of money in it because they're getting away with not putting any money in it because they're paying depressed wages.

If they were forced to put more money into then at least we'd be forced into having a proper debate on how we fund social care for the ever increasing age of the population.

Perhaps a care tax or as well as having a private pension plan you have to get a private care plan?

But whilst they can get away with running the system on cheap labour they are not forced to have that uncomfortable debate.

The system isn't working now and they're not putting much money in.

Social care was ripe for cuts in 2010 because it gets far less attention than the bigger items such as the NHS so whilst the latter was 'ringfenced' social care was cut. It's not just elderly people, the part of social care people do at least pay some attention too, it's also for adults who have various disabilities that require a lot of care.

1andrew1 14-04-2017 19:14

Re: Crisis in the NHS
 
Quote:

Originally Posted by Pierre (Post 35894680)
I have to disagree there. Basic market economics says otherwise.

It's not the only reason, but if there is no driver i.e. Lack of labour resource, to increase wages then they won't increase simple as that.

There's not a lot of money in it because they're getting away with not putting any money in it because they're paying depressed wages.

If they were forced to put more money into then at least we'd be forced into having a proper debate on how we fund social care for the ever increasing age of the population.

Perhaps a care tax or as well as having a private pension plan you have to get a private care plan?

But whilst they can get away with running the system on cheap labour they are not forced to have that uncomfortable debate.

Not really market economics. Wages have risen in social care due to the minimum wage and its subsequent increases, they've not been pushed down due to any apparent over-supply of labour.

TheDaddy 14-04-2017 21:42

Re: Crisis in the NHS
 
Quote:

Originally Posted by 1andrew1 (Post 35894689)
Not really market economics. Wages have risen in social care due to the minimum wage and its subsequent increases, they've not been pushed down due to any apparent over-supply of labour.

Are those increases even worth talking about, we are talking about the barest minimum in pay rise.

I remember when I was young my grandad came to live with us when things got to much for him, that kind of thing doesn't seem to happen much anymore and all it cost us was a dining room.

Mr K 14-05-2017 10:01

Re: Crisis in the NHS
 
Quote:

Recruitment crisis hits NHS with one in nine posts currently vacant
Quote:

The government’s approach to Brexit was also adding to the recruitment difficulties, Lamb added. “Some 7% of nurses and health visitors – 22,000 – are other-EU nationals, many of whom are also leaving due to the government’s failure to guarantee the right to remain of NHS nurses.”
https://www.theguardian.com/society/...y_to_clipboard

Wonder why we can't attract enough people into nursing, and we are reliant on EU nationals ?


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