Non-motoring > Strikes - Volume 1   [Read only] Miscellaneous
Thread Author: sooty123 Replies: 244
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New Wed 21 Dec 22 12:18 
 Strikes - Bromptonaut
>> In 1974 social care was separated from NHS due to reorganisation. This may have seemed
>> a good idea at the time - but for 3 or 4 decades no government
>> has managed to ensure seamless working between two separately managed and funded systems.

Many other changes since 74 as well. No longer any such thing as a geriatric hospital; those who cannot manage go to a care home. Until the mid-nineties if you couldn't pay you got Income Support with the weekly amount set by whether you needed Nursing or just Care and category of care the home was registered for.

After about 96 that was replaced with the Local Authority doing an assessment. If you needed a Care Home place then you went to a home the LA contracted with as homes being run by the LA was discouraged. Initially it drove costs down but then went down the race to bottom route.

Similarly with domiciliary care. That too went down the race to the bottom route with frazzled carers on min wage and only paid while they're actually with the cl. Even 20 years ago when the Mother Out Law had carers in it was grim.

It needs money to sort it so that both homes and domiciliary care is properly remunerated. Johnson claimed he had a reform to solve the problem but it turned out just to be a rearrange of the financial deckchairs so as to protect inheritances,

Nobody on either side of the political fence has the courage to say it will cost us all more money. It was the Dementia Tax label that did for Theresa May.

>> Until these problems (and no doubt others) are fixed, however much pay is increased will
>> make close to no difference to service levels. This does not mean there is no
>> need for a pay increase - just that pay alone will not solve the problems.
>> NHS management and government need to do much more.

Of course pay alone will not solve the problem but it is very much part of the solution.

The mantra for public sector pay since the eighties has been that it be no more than is needed to recruit, motivate and retain. It's patently clear from every account we've heard during and before the current unrest that there's a recruitment and retention crisis in front line roles in the NHS.

I suspect that if the government was prepared to pay nurses etc a modest addition to the current offer, even perhaps a non-consolidated and non-pensionable one of cost of living increase and a commitment to generous remit to a properly independent review body then they could get folks back to work in days.
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 Strikes - Volume 1 new sooty123 6 Dec 22 16:47
 Strikes  new Manatee 6 Dec 22 17:18
 Strikes  new CGNorwich 6 Dec 22 17:34
 Strikes  new Bromptonaut 7 Dec 22 13:00
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