Showing posts with label disabilities. Show all posts
Showing posts with label disabilities. Show all posts

Thursday, 17 January 2013

Isolated and Under Funded


How would you feel if you were unable to wash, dress and feed yourself without support yet that support was denied to you, you would be outraged, wouldn’t you, and certainly agree there was a crisis in the care system.

Talk of a crisis in care often evokes imagery of older people who need care and support as they age, of coping with life as the rigours of life take their toll on the body and mind. Yet new research, published today by five major charities, shows the crisis in care is much wider and that the needs of younger, disabled people are not being met.

The report, ‘The Other Care Crisis’ highlights the fact that nearly 40% of disabled people do not get sufficient support in their daily lives with such things as washing, dressing and eating. Also highlighted is the £1.2 million funding gap in social care support for the disabled under the age of 64 with services being withdrawn because of a lack of funding and the criteria for being entitled for support becoming ever tighter.

It does not stop there, the report estimates that more than 100,000 people will be affected by proposed Government reforms.

It is not just about the clinical financial practicalities of providing care and support, it is about individuals. Being unable to wash without support is bad enough yet the impact on self-esteem is immeasurable, ask yourself now, how do you feel when you are dirty? Being unable to feed yourself without support has much greater impact on health and well-being and while Ministers talk of ‘prevention’ to reduce hospital admissions etc it seems, from this report, that the rhetoric remains more important the any real action.

The most shocking revelation in the report was nearly half of those who were interviewed in the study said the lack of support they receive meant they were unable to take part in community life in a way they wanted to. Once again imagine yourself in that situation, how would it feel to be socially isolated and unable to take part in the activities you enjoyed, the opportunities to talk and engage with friends. Picture the impact such social isolation would have on your mental well-being and the general frustration with life that would start to eat away at you.

In fact just over half of those interviewed for the report stated they felt anxious, isolated or experienced declining mental health as a result of services being cut.

It is time Government, and the wider discourse of social care, changed. When there is talk of integrated services it often basically means integration between health and social care yet the needs of younger disabled peoples goes far beyond that. There needs to be integration with housing services, integration with employment services and integration with benefit services. The debate on social care must encompass all those who need help and support, including those under the age of 64.

There are many great schemes that have been developed over recent years, such as direct payments, but these depend on individuals actually meeting eligibility criteria and as this becomes tighter less and less people will actually be entitled (although Governments will claim success as the percentages will be higher because less people are entitled!).

Today’s report has to be commended for highlighting the care crisis does not just apply to older people nor does its solution solely rest on whether or not property needs to be sold to pay for care. For those under the age of 64 who have life-long conditions the current system is failing many of them.

Yes we live in austere times and economic sacrifices have to be made but that does not mean we should penalise those in society who need societies support to live their lives in a way most of us take for granted.

The report “The Other Care Crisis” has been produced by Scope, Mencap, National Autistic Society, Sense & Leonard Cheshire Disability and is available at

Monday, 30 April 2012

Politicians Seem Clueless About Social Care


It seems evident that politicians do not know what to do about social care. The predominant method over the last few years appears to be simply to avoid doing anything substantial by having endless consultations and a constant tinkering around the edges (e.g. we are on the third regulator since 2003). It is not a political party specific phenomenon as all three main parties seem to be struck by the same malaise.

But why? Political parties are, generally, very sure of the best ways to do things (whether the public agree with them or not) and will forcefully set out their agenda to improve aspects of public policy for the greater good. Education, Welfare & Health, for example, have all been dealt with by the current Government and dealt with early in the terms of previous administrations yet social care has, and continues to be, something that eludes substantive action.

One of the reasons for this is, simplistically, the time factor. At the inception of the ‘welfare state’ post World War Two social care was a small consideration to those in power. After all in 1950 life expectancy was around 68, therefore those who drew from the state pension scheme aged 65 were only expected to draw on the state for three years or so. Similarly the impact of older people on the National Health Service was much more limited. In addition those with physical and learning disabilities were not expected to have much impact on the state because of their poor life expectancy.

So, in essence, social policy has largely focused on the under 65 population and political parties have, and continue to, have that as their primary focus.

Unfortunately for them the real world has crept up on them and now they seem at a loss how to respond.

Life expectancy today is around 79 years of age and rising. The life expectancy of people with disabilities has risen even more dramatically and we now have a greater need to support and care for people with age related illnesses, diseases such as dementia and provide suitable care and support for people with disabilities to meet their needs as they age.

In fact figures suggest that the UK has (or will soon have) more people over the age of 65 than under 16. Something that politicians have not quite grasped yet and something society has not yet come to terms with, as, it seems, we need to gear our society towards the needs of older people.

Society has changed and social policy needs to change with it but all politicians seem to be clueless in how to achieve this and afraid to make bold policy decisions. Now, obviously they are afraid that such boldness may cost them precious votes but until bold measures are taken, and social care bought to the fore of social policy the people who will suffer are the people who most need societies help.