Simon Bottery
@blimeysimon.bsky.social
đ¤ 1629
đĽ 1560
đ 310
#Socialcare
guy at The King's Fund. Early riser. Available in stereo on Twitter/X.
Fantastic headline. Too unusual (and too good) a story to look too hard for morals but there something here about the desire for independence, isnât there?
#socialcare
www.bbc.com/news/article...
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Defiant nuns flee Austrian care home for their abandoned convent in the Alps - BBC News
Sisters Bernadette, Regina and Rita needed a locksmith to get back into their convent, defying Church leaders.
https://www.bbc.com/news/articles/c5y8r2gk0vyo.amp
12 days ago
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Fair Pay In Social Care Is A Fine And Progressive Policy â But Who Is Going To Pay For It? | The King's Fund
www.kingsfund.org.uk/insight-and-...
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Fair Pay In Social Care Is A Fine And Progressive Policy â But Who Is Going To Pay For It? | The King's Fund
There are lots of unknowns about the governmentâs proposed fair pay agreement in social care, says Simon Bottery, but the biggest is who will have to swallow the cost.
https://www.kingsfund.org.uk/insight-and-analysis/blogs/fair-pay-social-care-progressive-policy
about 2 months ago
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Interesting to see in print the government's three 'core objectives' for adult
#socialcare
. They are sensible and coherent, even if they do skip over the key issue of eligibility. A surprise, though, to see them at all after a year when social care strategy was largely avoided.
3 months ago
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Central government has focused too much on monitoring relatively small grants and too little on working out what impact our overall spend on adult
#socialcare
has on the lives of people. Thatâs one key finding of MPs in a new report today.
committees.parliament.uk/publications...
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https://committees.parliament.uk/publications/48388/documents/253315/default/
3 months ago
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Despite the dramatic headline, it seems that Casey has simply decided to meet the parties separately at first and bring them together later. It should be quite hard to work up to a âfuryâ about that.
#socialcare
www.telegraph.co.uk/politics/202...
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Fury as Labour drops cross-party talks to fix social care crisis
Gathering with health representatives from opposition political parties called off at last minute branded a âmissing opportunityâ
https://www.telegraph.co.uk/politics/2025/06/15/fury-labour-drops-cross-party-talks-fix-social-care-crisis/
3 months ago
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If you want to know how today's spending review affects
#socialcare
, you are going to have to wait. There is no clear sum to fund a fair pay agreement and promises of 'over ÂŁ4bn' for social care in 2028/29 are unclear. Puzzled, frustrated thread >
news.sky.com/story/spendi...
4 months ago
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reposted by
Simon Bottery
Global Observatory of Long-Term Care
4 months ago
NEW COUNTRY PROFILE:
#England
đ In this system profile,
@blimeysimon.bsky.social
(
@thekingsfund.bsky.social
) and
@natashacurry.bsky.social
(
@nuffieldtrust.org.uk
) unpack the country's long-term care system. đ Read now:
goltc.org/system-profi...
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This is the sort of news story care homes need. While it is of course nice to read about exotic animal visits (and there are lots of those stories in local newspapers), this is the one that makes people reassess their image of residential care.
#socialcare
www.chroniclelive.co.uk/news/north-e...
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'We moved into the same nursing home and found the friendship of a lifetime'
Peter and Kathleen met at Archers Court Nursing Care Home in Sunderland and are now inseparable
https://www.chroniclelive.co.uk/news/north-east-news/we-moved-same-nursing-home-31798121
4 months ago
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Fed up with headlines claiming
#socialcare
is responsible for specific - and usually high - numbers of delayed discharge? After crunching the data we can say that⌠we just donât know the true figure, because we stopped asking. Time to start again, though.
www.kingsfund.org.uk/insight-and-...
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Delayed Discharges: Why Itâs Hard To Say How Many Are Due To Social Care Capacity | The King's Fund
We donât know how many delayed discharges are due to lack of social care capacity, say Simon Bottery and Sarah Arnold, and thatâs because we stopped counting.
https://www.kingsfund.org.uk/insight-and-analysis/blogs/delayed-discharges-social-care-capacity
4 months ago
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In your lifetime, you are more likely than not to develop
#dementia
or care for someone with it, a new @CareQualityComm report reminds us. Thatâs a strong, self-interest argument for a fairer, better funded
#socialcare
system, isnât it?
www.cqc.org.uk/publications...
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Health and social care support for people with dementia - Care Quality CommissionFacebookTwitterYouTube
A review of the experiences of people with dementia and how health and care services are responding
https://www.cqc.org.uk/publications/health-and-social-care-support-dementia
4 months ago
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Interesting @thefabians report which - for me - begs questions about the extent to which pay should be the immediate
#socialcare
priority. Crudely, should you âblow the budgetâ on it or accept more limited change and investment in other areas? Threadđ˝
fabians.org.uk/publication/...
4 months ago
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âFor a moment I understand why, despite everything, so many here seem to love their job.â Sympathetic portrait of working in
#socialcare
www.thetimes.com/uk/healthcar...
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Whatâs it like to work in a care home? I joined a shift to find out
Ministers want Britons to fill more of the sectorâs 130,000 vacancies. Could you wipe, feed, smile and log every moment for ÂŁ12.84 an hour?
https://www.thetimes.com/uk/healthcare/article/inside-bristol-nursing-home-care-worker-jobs-brnsklcdw
4 months ago
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Valuable new @HealthFdn report on the potential cost of improved
#socialcare
. It considers three âlevelsâ of improvement and finds cost rises of between ÂŁ3.4bn and ÂŁ8.7bn in 2028/29 (all figures are real terms). Quick summary and some thoughts below đ˝
www.health.org.uk/reports-and-...
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Adult social care funding pressures: 2023â35
We project the costs of meeting growing demand for adult social care in England and making some improvements to care up to 2034/35.
https://www.health.org.uk/reports-and-analysis/analysis/adult-social-care-funding-pressures-2023-35
4 months ago
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Care providers may struggle to win over the public on new immigration rules, suggests this large @YouGov poll. Nearly half (47%) support the govt reducing the no. of people migrating to work in
#socialcare
while a third (33%) oppose it. Big differences by politics/age though⌠đ˝
5 months ago
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The issue here is not so much the principle as the timing. Itâs right we should end reliance on overseas
#socialcare
workers and improving pay, which the govt plans to do, should help achieve that. But that potential pay increase is a long way offâŚ
www.theguardian.com/society/2025...
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Labour axing care worker visa will put services at risk, say unions and care leaders
White paper proposes banning new recruitment from abroad despite care sector relying heavily on foreign workers
https://www.theguardian.com/society/2025/may/11/labour-axing-care-worker-visa-will-put-services-at-risk-say-unions-and-care-leaders
5 months ago
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The new @CommonsHealth report is a robust critique of the âdo nothing/delayâ approach to
#socialcare
reform. It finds too little data to answer its own exam question - what is the cost of doing nothing - but points to some ways forward. V short thread đ˝
www.bbc.co.uk/news/article...
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Doing nothing on social care is untenable, MPs warn
The report says failure to fix England's social care system carries an unknown human and financial cost.
https://www.bbc.co.uk/news/articles/c62zpwx74e6o
5 months ago
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The terms of reference for the Casey
#socialcare
commission are published today (though staff have been working for a while). There are concerns, particularly timing, but they should offer the scope Baroness Casey needs to do a thorough job. Thread below âŹď¸
www.gov.uk/government/p...
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Independent commission into adult social care: terms of reference
https://www.gov.uk/government/publications/independent-commission-into-adult-social-care-terms-of-reference/independent-commission-into-adult-social-care-terms-of-reference
5 months ago
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Despite being 40% of a typical council's spending, adult
#socialcare
often seems missing in local election debate. So credit to @Kent_Online for asking each party what they'd do about it locally - the results are fascinating (summary in the thread below).
www.kentonline.co.uk/kent/news/pa...
5 months ago
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reposted by
Simon Bottery
Global Observatory of Long-Term Care
5 months ago
HAPPENING TOMORROW! đŁ Join
@adelinacohe.bsky.social
,
@blimeysimon.bsky.social
, Janine Dizon, Nicky Baker, and Sarah Gilbert for this exciting session on care
#Workforce
retention. đź REGISTER NOW to join at 9am BST:
lse.zoom.us/meeting/regi...
#CareWorkforce
#WorkforceRetention
#Webinar
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Welcome! You are invited to join a meeting: GOLTC webinar: Care Workforce Retention â what factors are critical and how they change with worker age. . After registering, you will receive a confirmatio...
Recruitment is a critical issue for most care sectors internationally, but stemming the loss of highly experienced workers through successful retention strategies must equally be a priority. The prese...
https://lse.zoom.us/meeting/register/BC-K4RUiTD6e5i5mHVh-bw#/registration
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Terms like âmy loveâ serve a valuable purpose in communication, says this new research in care homes.
#socialcare
theconversation.com/dementia-car...
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Dementia care: are terms of endearment like âsweetheartâ comforting or condescending?
âElderspeakâ can serve important functions in conversations between healthcare professionals and patients with dementia.
https://theconversation.com/dementia-care-are-terms-of-endearment-like-sweetheart-comforting-or-condescending-254306?utm_source=twitter&utm_medium=bylinetwitterbutton
5 months ago
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Interesting from @HSJnews (ÂŁ): hospitals 'increasingly using' fast track CHC to speed up discharges while awaiting
#socialcare
packages. Yet fast track is typically for end of life care and so may well be the wrong option for many people.
www.hsj.co.uk/integrated-c...
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âUnaffordableâ care spending driven by rush to clear hospital beds
The rush from acute hospitals to "free up beds" is probably behind an "unaffordable" rise in an integrated care board's social care spending, it has been told.
https://www.hsj.co.uk/integrated-care/unaffordable-care-spending-driven-by-rush-to-clear-hospital-beds/7039165.article
5 months ago
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"Failing to recognize that a person may consider some states of impairment worse than death is not resident centered or evidence-based". This is thought-provoking research for care homes.
#socialcare
jamanetwork.com/journals/jam...
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Cognitive and Functional Decline Among Long-Term Care Residents
This cohort study investigates the incidence of severe cognitive and functional impairment and survival after impairment among long-term care residents in Canada.
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2833182?utm_source=twitter&utm_campaign=content-shareicons&utm_content=article_engagement&utm_medium=social&utm_term=042425
5 months ago
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"If you do work in the care system - please know you are massively appreciated and the role you play in the lives of families is huge."
#socialcare
www.mirror.co.uk/3am/celebrit...
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Radio 2's Jo Whiley shares new health update on sister after move to care home
BBC Radio 2 star Jo Whiley discussed the family's tough decision to place her sister Frances into a Mencap-run home, as well as her worries about Frances' wellbeing
https://www.mirror.co.uk/3am/celebrity-news/radio-2s-jo-whiley-shares-35093432
5 months ago
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There are some positives in the new @DHSCgovuk survey on the
#socialcare
workforce, conducted in autumn 2024. While 71% of providers found recruitment a challenge, most thought it hadnât deteriorated and 1 in 5 thought it had improved, as had retention and morale.
5 months ago
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Went to the Freud Museum yesterday and discovered that the post box outside the house has been covered with visitor stickers, presumably through the process of transference.
5 months ago
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This raises the familiar question of whether we need more care coordinators to help people navigate a complex health and
#socialcare
system. Alternatively, maybe we need a simpler health and
#socialcare
system. (Probably we need both.)
www.hssib.org.uk/patient-safe...
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Workforce and patient safety: primary and community care co-ordination for people with long-term conditions
This is the fourth of five investigation reports that consider how working conditions in the NHS can be optimised to support patient safety, while maintaining and improving staff wellbeing.
https://www.hssib.org.uk/patient-safety-investigations/workforce-and-patient-safety/fourth-investigation-report/
6 months ago
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The over-enthusiasm of this headline (the story is about nothing more dramatic than a new qualification for care workers) came on the same day as a report by @TunstallHealth said preventative technology is hamstrung by failure to integrate health and
#socialcare
budgets. 1/4
6 months ago
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A pity thereâs nothing about
#socialcare
in this interesting piece about âdoor-to-doorâ NHS services. Crucially, how can a free, universal service work effectively when home care is means-tested and rationed? Now, if you had Scotlandâs free personal care systemâŚ
www.telegraph.co.uk/gift/6ab8f2a...
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NHS sent door-to-door to tackle sickness crisis
Radical scheme tipped to transform healthcare with house calls likened to return of the family doctor
https://www.telegraph.co.uk/gift/6ab8f2aab222f7cd
6 months ago
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Macro-level news might be terrible but thereâs the occasional heartening story lower down the page
www.bbc.co.uk/news/article...
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Excel Parking ordered to pay ÂŁ10,240 in five-minute parking rule row
Excel Parking had demanded ÂŁ11,390 from driver Hannah Robinson, but lost a court case against her.
https://www.bbc.co.uk/news/articles/c2040xy9yn6o
6 months ago
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reposted by
Simon Bottery
Global Observatory of Long-Term Care
6 months ago
Another webinar to get excited about! đ Care
#WorkforceRetention
: what factors are critical + how they change w/ age? đź Join us on Wed 30 April w/
@blimeysimon.bsky.social
(
@thekingsfund.bsky.social
), Janine Dizon, Nicky Baker (ARIIA) + Sarah Gilbert (Skills4Care):đ
lse.zoom.us/meeting/regi...
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Public satisfaction with adult
#socialcare
remains at an all-time low, with just 13% of people saying they are very or quite satisfied, according to the new British Social Attitudes survey. But weâre still at least 2.5 years away from promise of reform. Short thread âŹď¸
6 months ago
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Tomorrow, 780,000
#socialcare
staff will get a pay rise to bring them up to the new level of the minimum wage. Thatâs great news for them but also a marker of how poorly paid they were before. And it masks other pay-related issues showing the weakness of the sector. Thread âŹď¸
6 months ago
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'We're not going to be able to make the NHS hum beautifully unless we sort out the
#socialcare
system'. There's a big focus on care in this excellent @AlisonHoltBBC
#bbcpanorama
special airing tonight, including an interview with @wesstreeting 1/3
www.bbc.co.uk/iplayer/epis...
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Panorama - Fixing the NHS: What Will It Take?
Alison Holt speaks to the doctors, researchers and frontline staff transforming their parts of the NHS to deliver better care.
https://www.bbc.co.uk/iplayer/episode/m0029bpc/panorama-fixing-the-nhs-what-will-it-take
6 months ago
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âThis government has certainly started something. But I donât know how this is all meant to end. And more worryingly, Iâm not sure who does.â Siva Anandaciva on the abolition of NHS England.
www.kingsfund.org.uk/insight-and-...
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The Reshaping Of NHS National Bodies Has Only Just Started. How Will It Finish? | The King's Fund
Following the announcement that NHS England is to be abolished, Siva Anandaciva considers the implications and why at the moment there are more questions than answers.
https://www.kingsfund.org.uk/insight-and-analysis/blogs/reshaping-nhs-national-bodies-started-finish
7 months ago
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Health and
#socialcare
often seem like they are going in different directions: here we have @NHSEngland functions being brought in-house to @DHSCgovuk at the same time as
#socialcare
policy is being outsourced to an independent commission.
www.bbc.co.uk/news/live/cx...
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Keir Starmer to abolish NHS England and bring health service back under 'democratic control' - live updates
The PM says abolishing
https://www.bbc.co.uk/news/live/cx29lrl826rt?post=asset:3f59e63c-f275-4ba2-a7eb-7009165032a7
7 months ago
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"The most important question is how will the abolition of NHS England make it easier for people to get a GP appointment, shorten waits for planned care and improve peopleâs health?" The King's Fund response to today's announcement
www.kingsfund.org.uk/insight-and-...
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The King's Fund Responds To Government Plans To Abolish NHS England | The King's Fund
Responding to today's announcement, Sarah Woolnough, CEO of The King's Fund, says that the government must be clear why this significant structural change at this time is necessary, and how it fits in...
https://www.kingsfund.org.uk/insight-and-analysis/press-releases/response-government-plans-abolish-nhs-england
7 months ago
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Itâs a strange old world when this is how we fund
#socialcare
www.thetimes.com/article/7a31...
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Shoppers hit by ÂŁ2bn packaging tax âto prop up failing councilsâ
Ministers have been accused of bankrolling cash-strapped local authorities as the levy is no longer ring-fenced for improving recycling services
https://www.thetimes.com/article/7a31fb75-47ca-4126-a38a-47c25754debd?shareToken=698a6516e98d03e72cf10b7ed74558ff
7 months ago
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I can still vividly remember having a session on toothbrushing at primary school in the 1960s. What most stuck in my mind was advice that, if you donât have toothpaste you can use salt or - cue howls of disgust from class - soap. And on occasions I have.
www.thesun.co.uk/health/33727...
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Supervised school toothbrushing starts in weeks as kids' tooth decay soars
A NATIONAL program of toothbrushing at schools and pre-schools will start next month in a bid to stop dental decay. Three, four and five-year-olds will get free brushes and paste donated by ColgateâŚ
https://www.thesun.co.uk/health/33727707/supervised-toothbrushing-schools-kids-tooth-decay/
7 months ago
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Loading unfunded costs on care providers ultimately leads to a âdoom loopâ in which fewer people receive
#socialcare
support. Thatâs the key lesson in this yearâs Social Care 360 report. Hereâs a short thread on the key findings âŹď¸
www.kingsfund.org.uk/insight-and-...
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Social Care 360 | The King's Fund
Explore the key trends in adult social care in England in our latest 360-degree review.
https://www.kingsfund.org.uk/insight-and-analysis/long-reads/social-care-360#introduction
7 months ago
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For
#socialcare
people wanting to understand whatâs going on at the top levels of the NHS, this is a must read
www.kingsfund.org.uk/insight-and-...
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What Will The Relationship Between Ministers & The NHS Be In Future? | The King's Fund
Following the recent announcement of changes to the top of NHS England, Nicholas Timmins and Professor Sir Chris Ham take a look back at the chequered relationship between government and the health se...
https://www.kingsfund.org.uk/insight-and-analysis/blogs/relationship-between-ministers-nhs-future
7 months ago
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Which
#socialcare
staff have the highest wellbeing at work? According to this newly released @DHSCgovuk survey, itâs personal assistants. Care workers and - perhaps more surprisingly - social workers/nursing associates are at the bottom. Lots more in the report : thread here âŹď¸
7 months ago
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It was always going to be a tough ask to get cross party support for
#socialcare
reform but this difficulty, according to âŚâŞ@BBCNewsâŹâŠ, is administrative rather than ideological.
www.bbc.co.uk/news/article...
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Social care: First cross-party talks on reforms postponed
The five largest parties in England were due to meet this week - but the BBC has learned the talks have been cancelled.
https://www.bbc.co.uk/news/articles/cg5d2jg8dr1o
7 months ago
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Hereâs the classic error of assuming that what applies to the NHS must also apply to
#socialcare
. Yet you canât simply apply the planned NHS âshiftsâ described here - hospital to community, sickness to prevention and analogue to digital - to social care. 1/5
www.standard.co.uk/news/politic...
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Social care must be âmodernisedâ to help councils on brink of bankruptcy - minister
Londonâs boroughs have warned that they have faced ârocketing demand for social careâ
https://www.standard.co.uk/news/politics/adult-social-care-reform-london-council-tax-bankruptcy-b1212707.html
7 months ago
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Whether or not youâre religious, this is good on community action in
#socialcare
. It draws on
@annadixonmp.bsky.social
#reimaginingcare
report, which made a critical point about the need to agree the roles of individuals, families, communities and govt in care.
www.thetimes.com/article/b56f...
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Churches can help solve the social care crisis
It is about attending to peopleâs physical, social and emotional needs so that we can all live a full life
https://www.thetimes.com/article/b56ffe86-20c7-47b9-8f54-c39020a88a02?shareToken=9d1985d734d3c92de05fd5afb6401734
7 months ago
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7 months ago
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Big contrast here with drugs treatments for
#dementia
- this is a personalised behavioural programme, delivered by non-clinicians e.g. carers or
#socialcare
staff. The cost saving claims need scrutiny but are a welcome attempt to quantify value.
www.thelancet.com/journals/lan...
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Cost-utility of a new psychosocial goal-setting and manualised support intervention for independence in dementia (NIDUS-Family) versus goal setting and routine care: an economic evaluation embedded wi...
NIDUS-Family is the first personalised care and support intervention to show both cost-effectiveness from the perspective of the quality of life of people with dementia as well as clinical effectivene...
https://www.thelancet.com/journals/lanhl/article/PIIS2666-7568(24)00202-2/fulltext
7 months ago
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We know that council tax is a bad way of funding adult
#socialcare
because it raises less money in areas with highest demand for publicly-funded care. But hereâs another reason from @resfoundation - council tax puts more of a burden on low income families than wealthier ones. 1/3
7 months ago
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This seems to me a helpful way of considering the value of disease-modifying drugs for
#dementia
- to what extent do they reduce loss of independence? It suggests a delay in lost independence of between 10 and 13 months.
#socialcare
alz-journals.onlinelibrary.wiley.com/doi/full/10....
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Assessing the clinical meaningfulness of slowing CDRâSB progression with diseaseâmodifying therapies for Alzheimer's disease
INTRODUCTION For many patients and caregivers, a major goal of disease-modifying treatments (DMTs) for Alzheimer's disease (AD) dementia is to extend independence in instrumental and basic activitie...
https://alz-journals.onlinelibrary.wiley.com/doi/full/10.1002/trc2.70033#
7 months ago
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This @TheIFS analysis of the 2025/26 local government finance settlement calculates itâs a 6.4% real terms increase. While substantial, it will still be a stretch to fund extra
#socialcare
costs, driven especially by the NICs increases for care providers.
ifs.org.uk/articles/ifs...
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Response to the final English local government finance settlement | Institute for Fiscal Studies
2025â26 will continue the substantial above-inflation increases in funding for English councils, but their costs have also been outpacing inflation.
https://ifs.org.uk/articles/ifs-response-final-english-local-government-finance-settlement
8 months ago
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I saw this and just had to look up the numbers: councils in fact spend 34 times as much on adult
#socialcare
as they do on streetlighting. Yet streetlighting is - literally - a more visible service so you can understand its equivalence in the headline.
inews.co.uk/news/politic...
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Streetlighting and social care at risk as councils warn of 'severe' cuts
County councils warn of cuts to frontline services despite council tax rise
https://inews.co.uk/news/politics/streetlighting-social-care-risk-councils-severe-cuts-3517188?ito=twitter_share_article-top
8 months ago
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