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BHCR 2008 Vol 3 Issue 08
Brunswicks Healthcare Review 2008 Volume 3 Issue 08

(Click the icon to download)
© Brunswicks LLP 2008

This week's article

Editorial

At the weekend we saw the beginnings of what has,

in the States of Jersey, become an explosive

issue. Child abuse in the recent past at Haut de la

Garenne – a former children’s home (see item 1).

There have been recent revelations of systematic

abuse in a range of settings, Scottish children’s

homes, NHS long-term hospitals for people with

learning disabilities.

However, what seems to set the Jersey story apart

from the others is not only that it must surely be

difficult to keep such dreadful secrets truly secret on

such a small island, but:

there is an assertion that many people

participated in the debauchery and abuse;

that many people in positions of authority

allegedly knew, or at least knew that something

not quite right was taking place; and

that many people participated in a systematic

cover-up.

We reported on the first murmurings of this story

towards the end of 2007.

Now, the story seems set to run and run.

The police investigation we hear has been on-going

for a year and what we now see is merely the visible

part of the investigative process with the police

looking for physical evidence to verify the statements

obtained.

The first charges have been laid; more will

undoubtedly follow in the weeks and months ahead.

There needs to be a concerted effort to find out why

these matters did not emerge sooner than they

have and lessons need to be learned and put into

effect.

Parliament

25.02.08 – HoL - Disabled Persons (Independent

Living) Bill, Third Reading

26.02.08 – HoC - Healthcare in Norfolk, Westminster

Hall - HoL - Lord Ashley of Stoke to ask

Government what steps it is taking to establish

independent living for disabled people.

Next

Abuse

1. Child remains found at former care home

24 February 2008 - The Sunday Times

Abuse police find body in ex-orphanage

24 February 2008 - The Mail on Sunday

Abuse of children on holiday isle of Jersey

24 February 2008 - BBC radio news

MP calls for Jersey abuse inquiry

27 February 2008—BBC News

News bulletins all day referred to the on-going investigation

by police into alleged wrongdoing, abuse and

deaths at Haut de la Garenne, a children’s home on

the island.

There are so far 70 alleged victims who have been

identified and 20 suspects. A 76 yr old man was

charged last month with indecent assault believed to

have taken place between 1969 and 1979.

For full BBC report click here

2. Action on Elder Abuse chief attacks DH

over No Secrets Review

22 February 2008 – NCF

Gary Fitzgerald, CEO of Action on Elder Abuse has

criticised DoH concerning the launch of a review of

the ‘No Secrets’ Guidance issued eight years ago he

said that he feared for the success of the review

given the current lack of engagement by DoH.

3. Independent Safeguarding Authority

Scheme Consultation

20 February 2008

The English Community Care Association (ECCA)

has made several strategic points in its consultation

response to the Independent Safeguarding Authority

Scheme review.

Martin Green, Chief Executive of ECCA, says:

“Over the past few years we have seen more and

more requirements being placed on care home providers

without any recognition of the cost and work

implications this has for the sector. ECCA believes

that there must be systems that protect vulnerable

adults and employers but at the same time these

must be proportionate, not over-costly, easy to administer

and deliver tangible outcomes.

We need this review to set out a new framework that

will improve coordination and deliver better services

whilst at the same time being not adding more burdens

to an already underfunded and tightly regulated

service.”

4. Scottish Child Abuse Helpline Launched

20 February 2008 - Daily Record

The Scottish Government called on the public to help

end the abuse and neglect of vulnerable children.

A national telephone hotline has been set up and

anyone who is concerned about the ill treatment of

kids has been urged to call.

The hotline - 0800 022 3222 - will provide a gateway

to child protection services.

Children's minister Adam Ingram said: "I believe that

child protection is everybody's business. No young

person should have to suffer abuse or maltreatment

as they grow up and we must all play our part in stopping

it.

"People might be worried about a child with unexplained

bruising, a fear of going home, or who is seen

wandering the streets late into the night."

Business News

5. BLACKPOOL MEMBERS UPDATE RE

FEES

22 February 2008 - Lancashire Care Association

(LCA)

LCVA has had crisis meetings with the council on and

off for a few months trying to salvage anything from

the attempt at a partnership approach before coming

back to members to consult on alternative approaches.

But, at the last minute, there is a glimmer

of optimism.

As with Lancashire County Council, LCA made last

minute representations to the Overview and Scrutiny

Committee and to the Leader of the Council addressing

the issues of the inadequacy of the proposed 2%

uplift (average uplift) for care homes in Blackpool.

Cllr Callow, the Leader of the Council, and Cllr Henderson

were sympathetic to the presentation from

LCA which emphasised the importance of vulnerable

people in the context of the competing council budgets,

the need for a reconnection with the council as a

whole around the vision for Blackpool’s independent

care sector, the history of partnership working with

the council, the ever-diverging ‘Fair Price’ as compared

with actual uplifts (the last three years have

seen sector costs rise by some 20%) and, increasingly

now, the divergence between Blackpool and

LCC fees.

The council has agreed, as “a goodwill gesture” arising

from the representations made, to raise uplifts by

an extra 1% raising the average figure to 3%. LCA

will have further discussions with the council over the

next few days about the uplift and the operation of

the Fair Price model in Blackpool. There will also be

a new aspect to the partnership meetings over the

next year that will involve the Council Leader and the

council more broadly so that the wider council is engaged

in the challenge to ensure a viable quality sector

for all social care providers.

6. Care home owners warn of closures over

funding fears

21 February 2008 - Northampton Chronicle

Owners of care homes across Northamptonshire

have warned care homes could close if the County

Council fails to increase fees. Members of the Northamptonshire

Association of Registered Care Homes

(NorARCH), which represents 70 per cent of the

county's independent care homes, say they have

been underfunded since 1993 and the money they

receive from the council needs to increase by 6% to

stop homes closing.

For full report go to http://www.northamptonchron.co.uk/

news/Care-home-owners-warn-of.3794490.jp

7. Care South expand into Somerset

21 February 2008 – NCF

Care South has now acquired Beauchamp House

Residential and Nursing Home and Beauchamp Gardens

at Hatch Beauchamp in Somerset.

For full report click here

Care Homes

8. Elderly face a rapid exit at doomed care

home

21 February 2008 – Scotsman

Residents of Cockenzie House Nursing Home have

had to deal with the shock news that it will close three

weeks earlier than expected.

The owner says he cannot afford to pay staff after 9

March 2008.

9. Extractor fan starts home's fire

19 February 2008 – BBC News

A care home in Dorset was evacuated after an overheated

extractor fan fell into an acrylic bath and set it

on fire. Forty-five firefighters tackled the blaze at the

three-storey home in Acreman Street in Sherborne.

For full report click here

10. The Human Rights Act and care homes

19 February 2008 – NCF

The Alzheimer’s Society has commented on the use

of the Human Rights Act in private care homes.

Neil Hunt, Chief Executive of Alzheimer’s Society has

said:

“More than two thirds of people in care homes are

living with dementia and thousands of them and their

carers are left exposed by this scandalous legal loophole.

There should never be any compromise when it

comes to treating people with fairness, dignity, equality

and respect and there needs to be an urgent rethink

on extending the Human Rights Act to protect

all residents.

We hear every day about people with dementia being

neglected in care homes, being refused a daily bath

or forced to wear incontinence pads for 15 hours. If a

person with dementia is forced to move from one care

home to another it can pose serious risks to their

health and wellbeing.

This two-tier approach to legally binding human

rights, which depends on how and who runs care

homes, cannot continue.”

For full report click here

Case Reports

Law Reports

11. Re G (a child) sub nom MM v (1) Mr & Mrs

C, (2) X Local Authority, (3) AG and (4) G (by

her Children’s Guardian)

A foreign adoption agency, not the foreign immigration

authorities has to provide confirmation under

Adoptions with a Foreign Element Regulations 2005

reg.10(b)(iv) before an order would be made in favour

of foreign adopters.

12. Lambeth Borough Council v (1) TK (by

her Litigation Friend) and (2) KK

A court was entitled to hold a fact-finding hearing to

determine an applicant's age where it had made a

direction to the local authority under the Children Act

1989 s.37. The local authority was not able to discharge

its duties under the direction by simply concluding

that the applicant was not a child.

Disciplinary cases

13. Social worker struck off for child abuse

failure

18 February 2008 - 24dash.com

A social worker whose actions were found to have

put a child at serious risk has been removed from the

social care register, by the General Social Care

Council (GSCC).

Tricia Forbes, who worked for Waltham Forest Borough

Council, was found guilty of professional misconduct

after a four-day hearing in London, Forbes

admitted failing to initiate a child protection inquiry

after a 13-year-old girl said she had been physically

abused by her father.

Forbes, a deputy team manager, failed to arrange for

the child and her siblings to be accommodated overnight

in a place of safety and did not inform the police,

child protection response unit and partner agencies

of the disclosure, the spokeswoman added.

Sir Rodney Brooke, chair of the GSCC, said:

"Fortunately, professional negligence in social work

is very rare and the tens of thousands of social workers

registered with us provide only the highest standards

of care to vulnerable members of our society.

"In order to protect the reputation of the very many

social workers who do an outstanding job day in day

out, it's vital that we take action where misconduct

has been found."

Forbes has a right of appeal to the independent Care

Standards Tribunal.

Cases in the news

14. Matron accused over woman's death

22 February 2008 – BBC News

Harjinder Kaur Manjat denied manslaughter by negligence

of the death of Eileen Murphy in March 2003.

The court was told the deputy matron failed in her

duty after Ms Murphy had an epileptic fit lasting up to

two and a half hours.

Bernadette Gerrard of Hednesford, admitted at Wolverhampton

Crown Court to manslaughter by negligence.

For full report click here

15. No charges to be brought over care home

death

21 February 2008 – ChronicleLive

Nobody at Silverdale Nursing Home in Newcastle will

face criminal charges over the death of a pensioner.

Northumbria Police initiated an investigation after a

suspected mix-up of medication was given to 71-

year-old John Gallagher, but experts have been unable

to say the patient’s treatment caused his death.

16. Nurses gave patients wrong drugs

21 February 2008 – BBC News

Three nurses, Kathleen Smith, Mary Casey and Carol

Bushell all admitted they gave the wrong drugs to

patients at Birmingham’s Maypole Nursing Home. 27

people died in a year at the care home.

They admitted the charges at a hearing of the Nursing

and Midwifery Council, which will decide whether

the three are unfit to practise.

The home was closed in 2003 after an unannounced

inspection and it was later discovered that 27 residents

had died there between 2002 and 2003, compared

to eight the previous year.

For full report click here

17. Damages for mother

19 February 2008 - The Times

The young mother in G v Nottingham Social Services

will be compensated by Nottingham City Council for

unlawfully removing her new-born son without having

a legal right to do so.

The baby was taken into care lawfully following a

court order a day later and is still in care with the

mother having limited access.

For previous reports see Vol 3, Issue 5—item 21

Children

18. Scandal of the stolen children (cont.)

23 February 2008 - Daily Mail

A two page story about Louise Dillon who had her

children taken from her as a result of false accusations

that she had harmed a child. The story, which

can only be told as a result of a highly unusual order

of Mr Justice Gillon allowing the mother to be named

and for the story to be reported. Usually, such cases

are shrouded in the secrecy of the family courts system.

It is an appalling tale of the high handed approach

sometimes taken by social workers and medical

staff. It was a chance reading of a report of Ms Dillon’s

criminal prosecution that one of the doctors involved

in the initial treatment of her child learned of

the fact that her children had been taken into care

and that she had been prosecuted that he came forward

and evidence gathered that the child had suffered

a rare form of cancer.

19. Security fears over children’s database

22 February 2008 - The Times

Call to scrap children's database

21 February 2008 – BBC News

Deloitte which reviewed ContactPoint has said that it

is at risk of security breaches. Government has released

a five page summary and will not publish the

report for fear of putting the data at risk.

For previous items about ContactPoint see BHCR

Vol 2, Issue 32 – item 24.

For BBC report click here

Ed. We have been concerned from the outset of

ContactPoint about the potential for breaches of

security. It would appear that it is generally the

case that our security services can keep data

reasonably secure; why then is it so difficult for

the rest of the State apparatus to keep information

secure?

20. Children's minister Brennan says lessons

must be learned

22 February 2008 – Community Care

Junior Children’s Minister, Kevin Brennan stated that

he will see to strengthening inspection of privately-run

children’s homes after the provider Sedgemoor collapsed.

He told MPs that the Sedgemoor case had been

"completely unacceptable" and promised that a

"closer and better" inspection regime would be implemented.

For full report click here

21. A third of 10-year-olds are now overweight

22 February 2008 - The Times

New data on children's height and weight

published

21 February 2008 - GNN

About 80% of school children in Reception and Year

six have been weighed and measured as part of a

scheme to fight obesity according to Public Health

Minister Dawn Primarolo.

The National Child Measurement Programme, established

in 2005, checks children's height and weight to

enable local health services to identify children who

are, or who are at risk of becoming overweight.

The figures, recorded in 2006/07, show that:

- in Reception year (age four to five) one in four children

(22.9%) were overweight or obese;

- in year six (age ten to 11) one in three children

(31.6%) were overweight;

- in both age groups, boys are more likely than girls to

be obese;

A copy of the guidance is available at: http://

www.ic.nhs.uk

22. Childminders face huge rise in Ofsted fee

20 February 2008 - The Times

Childminders face a seven-fold increase in registration

fees in April with an increase from £15 pa to £103

pa. Day nurseries fees will increase from £155 pa to

£450 pa in 2010.

This push to increase fees is to reduce the taxpayer’s

burden of running Ofsted. The proposal was

‘slipped’ in to a consultation, now ended.

23. ’Some people may choose to break the

law’

20 February 2008 - The Times

The item looks at the experience of Susanna Dawson

of Hexham, she looks after 18 children and earns

£700 per month, gross.

24. £20m to improve services for some of the

country's sickest children

19 February 2008 - GNN

Care Services Minister, Ivan Lewis launched a £20m

boost to improve palliative care services for the thousands

of children with life-limiting or life-threatening

conditions.

The, money which is launched alongside the first

ever Children's Palliative Care Strategy 'Better Care:

Better Lives' will enable some of the country's sickest

children to be cared for and die in their choice of setting

whether at home or in a hospice.

There is currently a grant of £27m from 2006/07 -

2008/09 for childrens' hospices and hospice-at-home

care.

Care Services Minister, Ivan Lewis said:

"Today's announcement means a further £10m per

year until 2011 for children's hospices and hospice at

home grant, which will help thousands of children

with life-limiting or life-threatening conditions to receive

the care that they want, where they want.”

Conferences & Courses

To follow next week

Consultations

25. Improving health, supporting justice: a

consultation

Closing Date: 4 March 2008

The publication of this document is the start of a consultation

process on how health and social care services

can be improved for people subject to the

criminal justice system. This is a joint initiative between

the Department of Health, Department of Children,

Schools and Families, Ministry of Justice,

Youth Justice Board and the Home Office.

For full report click here

26. Finding a Shared Vision of How People's

Mental Health Problems Should Be Understood:

Consultation on guidance

Closing Date: 5 March 2008

Consultation seeking views on draft guidance on how

people’s mental health problems should be understood.

The guidance is aimed at everyone involved in

the development and delivery of services, including

people that use services and their carers.

For full consultation click here

27. Removing or suspending chairs and nonexecutives

from PCTs and NHS Trusts: consultation

on introducing powers of suspension

Closing Date: 6 March 2008

A consultation setting out a single approach to considering

whether, and if so how, a chair or nonexecutive

member of a primary care trust, or a chair

or non-executive director of an NHS trust, should be

removed from office. The process can involve seeking

either resignation or the termination of appointment

and also introduces the potential use of a suspension

function.

For full report click here

28. Improving Specialist Disability Employment

Services: Public consultation

Closing Date: 10 March 2008

This consultation seeks views on proposals to reform

the department's disability employment services that

help disabled people who have complex issues to

find, retain and progress in work. The department is

interested to hear from disabled people, employers

and organisations who represent the interests of disabled

people.

For full consultation go to http://www.dwp.gov.uk/

resourcecentre/des-consultation.asp

29. A better life for people with learning disabilities

4 December 2007 - GNN

Care Services Minister Ivan Lewis launched a consultation

to seek views on the priorities for learning disability

for the next three years.

'Valuing People Now - From Progress to Transformation'

is a cross-government consultation which sets

the agenda across a range of issues, including health

and well-being, housing, employment, education and

community inclusion. It builds on the vision set out in

Valuing People (2001) which was the first white paper

on learning disability for thirty years - a vision based

on the four main principles of rights, independence,

choice and inclusion.

The key areas it will focus on are:

* the personalisation agenda - having choice and control

through individual budgets, direct payments, person

centred planning and advocacy;

* what people do - helping people to be socially included

in their local communities, with a particular

focus on paid work;

* better health - ensuring that the mainstream NHS

provides full and equal access to good quality healthcare

and that specialist healthcare services are modernised;

* access to housing - ensuring that people have access

to housing that they want and need with a focus

on home ownership and real tenancies;

* making sure that change happens - making learning

disability partnership boards more effective and

checking that the things we say should happen do

actually happen.

The consultation will run until 11th March 2008 and

can be accessed at: http://www.dh.gov.uk

30. Health Care and Associated Professions

(Miscellaneous Amendments) No 2 Order

2008 - a paper for consultation

Closing Date: 22 March 2008

An order, the second in a series of orders that will

take forward the reforms of professional regulation

identified in the White Paper "Trust assurance and

safety". It concentrates on reforms set out in the

White Paper, but also includes measures required to

deliver other legislative requirements.

For consultation click here

31. Ofsted Race Equality Scheme: Consultation

Closing Date: 31 March 2008

This consultation seeks views on Ofsted's revised

Race Equality Scheme, which sets out methods to

eliminate discrimination, foster good race relations

and promote equality of opportunity in response to

the requirements of the Race Relations

(Amendment) Act 2000.

For consultation click here

CSCI, CSSIW, Healthcare

Commission &

Scottish Care Commission

32. The state of social care

March 2008 – Care Management Matters

Andrew Cole reviews CSCIs annual report ‘The state

of social care’ including comment and criticisms from

a number of leaders of national associations, Sheila

Scott, NCA, Martin Green, ECCA, Des Kelly and others.

33. Scottish Public Services Ombudsman Report

21 February 2008 – Scottish Care Commission

If a complainant is unhappy with the Care Commission's

response to their complaint, they have every

right to approach the Scottish Public Services Ombudsman

(SPSO) to request an inquiry into the matter.

In the February 2008 'Commentary', the SPSO published

details of a report (case reference

2007003322). The complaint was 'not upheld' andaccess

to the report can be obtained through the complaints

page of its website.

For full report click here

34. State of Social Care Report Launch: Presentation

transcript

21 February 2008 – CSCI

A transcript of presentations at the State of Social

Care report launch on 29 January 2008 by speakers

including Dame Denise Platt, Nasa Begum, Paul

Snell, Anne Williams, Stephen Burke, Lesley Rimmer

and Ivan Lewis.

They spoke about CSCI's plans to improve provision

of social care in the UK.

For full report click here

35. CSCI Chair and Commissioners reappointed

18 February 2008 – CSCI

The Chair and five Commissioners of the Commission

for Social Care Inspection (CSCI) have been

reappointed to serve a further term. The term is effective

until March 31st 2010 or until CSCI is superseded

by the Care Quality Commission, if this is

sooner.

Dame Denise Platt DBE continues to be Chair of the

Commission.

John Knight is Head of Policy and Campaigns Leonard

Cheshire Disability, a national voluntary sector

provider of social care services for disabled people.

Jim Mansell is Professor of Learning Disability in the

Tizard Centre at the University of Kent.

Olu Olasode is a Chartered Accountant and Public

Service Productivity Consultant.

Beryl Seaman CBE is a former Chair of the South

Yorkshire Probation Board and the Probation Boards

Association.

Peter Westland CBE has had a distinguished career

in social care services including posts as Director of

Social Services for the London Borough of Hammersmith

and Fulham and in the Association of Metropolitan

Authorities.

For full report click here

36. Regulator begins site visits for mental

health study

18 February 2008 – Community Care

The Healthcare Commission has started its drive to

visit mental health trusts and examine the quality of

older people’s services. Factors taken into account

will be levels of ageism and integration with social

care and safety.

The visits began last week and six trusts will take

part.

For full report click here

Education

Nothing to report

Ireland, Scotland & Wales

Ireland

37. Bug investigation team announced

19 February 2008 – BBC News

The members of a review team assigned to look into

the recent outbreak of C. difficile in Northern Ireland

has now been announced.

Six people will take part, with four of them from outside

Northern Ireland and have been described by

the Department of Health as experts in infection control

from across the UK. The team will be concentrating

on hospitals in the Northern Trust area.

For full report click here

Scotland

38. Scottish Child Abuse Helpline Launched

20 February 2008 - Daily Record

For full report see Abuse—item 4

39. Docs Say Extra Cash Is Worth GBP3 A

Patient

22 February 2008 – Evening Times

FAMILY doctors in Scotland claim they will receive

less than £3 per patient for opening surgeries at evenings

and weekends.

The British Medical Association Scotland has

branded Government plans to offer appointments

outside office hours as "badly thought out".

40. Needle Jabs Hit 600 NHS Staff A Year

21 February 2008 – Evening Times

Health bosses are looking to raise awareness of

needlestick injuries among staff at NHS Greater Glasgow

and Clyde. There were 605 injuries among staff

at the hospital of health workers being jabbed by needles.

They are now training senior nurses across the city to

come to the aid of affected colleagues, who risk contracting

blood-borne viruses.

41. Doctors Reject GBP19,000 Offer For 3 Extra

Hours

20 February 2008 – Evening Times

Doctors in Glasgow have rejected plans which would

give them £19,000 for just three extra hours of work a

week.

Hundreds of GPs from across Glasgow, Ayrshire and

Lanarkshire gathered at Celtic Park last night to protest

at Government plans to change their working

practices.

Health Secretary, Nicola Sturgeon has written to

4000 Scottish GPs to persuade them to offer appointments

outside office hours, saying if they agree to the

proposals a total of £19million additional funding will

be set aside for general practices.

42. Campaign bid to protect children

19 February 2008 – BBC News

The Scottish Government has launched a new national

campaign aiming to prevent child abuse or neglect.

The campaign will urge people to telephone a

dedicated helpline to report any fears they have

about the safety and welfare of vulnerable children.

The hotline will then provide a link to child protection

services, and has been branded the "fourth emergency

service".

For full report click here

43. Hospital to cost taxpayer £842m

19 February 2008 – BBC News

According to the local health board, a new

“Superhospital” on the site of Glasgow’s Southern

General could be costing the taxpayer as much as

£842m.

The hospital plans to deliver an adult hospital with

1,109 beds and a 240-bedded children's hospital by

2014 and Glasgow City Council has already granted

outline planning permission for the development.

For full report click here

44. MPs criticise military healthcare

18 January 2008 – BBC News

Veterans 'need more mental care'

18 January 2008 – BBC News

The Commons Defence Select Committee has criticised

the Scottish Government for failing to give adequate

healthcare to military personnel and their families.

The CDSC’s report said that the mental health

needs of veterans and their families returning from

overseas postings were also being failed.

Ministers rejected the claims and said changes had

already been made.

For Scottish report click here

For English report click here

45. Plans to improve elderly services

18 January 2008 – BBC News

A public consultation has been launched in Renfrewshire

with the aim of improving services for older

people needing long-term NHS care. One of the recommendations

includes transferring specialist services

currently provided at Johnstone Hospital to a

more modern facility.

For full report click here

46. Scotland’s £63 million funding gap

March 2008 – Care Management Matters

Item about the auditor’s findings that there is a ‘black

hole’ in the funding of social care of 70,000 people in

Scotland.

Wales

47. Hospitals warned over A&E failure

21 February 2008 – BBC News

All Welsh NHS trusts missed key targets and got a

warning from Health Minister, Edwina Hart over their

poor” performance.

Ms Hart said it was “clearly unacceptable” that every

single A&E department missed its waiting time targets

last month and left over 11% of patients waiting

more than four hours.

For full report click here

48. 'Bed-blocking' worsening say AMs

20 February 2008 – BBC News

Welsh Assembly Members are calling for stronger

Government leadership on bed-blocking, otherwise

known as delayed discharges from hospitals. The

audit committee said that more work needs to be

done to ensure patients do not stay in hospital any

longer than they need to.

The latest figures on the number of unnecessary

days spent in hospital showed a rise from 262,595 to

268,491 between 2005-06 and 2006-07.

For full report click here

49. NHS dentistry 'set back 20 years'

19 February 2008 – BBC News

Dentists are blaming a contract brought in by the

Welsh Assembly Government in April 2006 for setting

back NHS dentistry by 20 years. They say that patients

can now expect to have more teeth taken out

rather than fixed.

Some patients have found that more expensive work

was only available privately.

For full report click here

50. New mental health powers sought

18 January 2008 – BBC News

Conservative AM Jonathan Morgan will be attempting

to gain new powers for the assembly. The MP wants

mental health patients to be assessed and treated

earlier than present and to date the assembly has

only made applications to the UK government for extra

powers under the Government of Wales Act.

The powers would also allow for mental health patients

to receive independent advocacy services during

treatment.

For full report click here

Learning Disabilities

51. Model costs

March 2008 – Care Management Matters

CMM business clinic looks at the national roll-out of a

new model contract developed in two regions over

the past few years; comments are provided by James

Churchill, CEO ARC, Claire Million Director of Finance,

United Response and Colin Young, Director,

Leonard Cheshire Disability – flaws are identified in

the model as presently developed.

Legislation Update

Nothing to report

Mental Health

52. The impact of the NHS Research and Development

Strategy on Mental Health Services

and Research in England: Response

document

22 February 2007 – DoH

Response document by Department of Health on the

new research funding system. The system will provide

competitively awarded grants to cover the direct

costs of research, as well as paying NHS clinicians to

collaborate in research led by others.

For full report click here

53. Guidance on nominating a consultee for

research involving adults who lack capacity

to consent

22 February 2008 – DoH

Guidance setting out how to identify an appropriate

consultee for the purposes of section 32 of the Mental

Capacity Act, it requires the researcher to take reasonable

steps to identify a person who, as a result of

an existing relationship with the person who lacks

capacity, can advise the researcher about that person’s

participation in the project.

Where no such person is identified, the Act requires

another person who can provide this advice to be appointed

in accordance with guidance.

For full report click here

54. MPs criticise military healthcare

18 January 2008 – BBC News

Veterans 'need more mental care'

18 January 2008 – BBC News

The Commons Defence Select Committee has criticised

the Scottish Government for failing to give adequate

healthcare to military personnel and their families.

The CDSC’s report said that the mental health

needs of veterans and their families returning from

overseas postings were also being failed.

Ministers rejected the claims and said changes had

already been made.

For Scottish report click here

For English report click here

55. Regulator begins site visits for mental

health study

18 February 2008 – Community Care

For full report see CSCI, CSSIW etc….—item 36

Miscellaneous

56. GPs are at odds with patients over surgery

opening hours

23 February 2008 - The Times

Item about a poll conducted for The Times which

suggests that patients are much more enthusiastic

for extended opening hours of surgeries at weekends

and in the evenings.

57. A fight ministers know they can win

23 February 2008 - The Times

A short item about the issue over which Government

has chosen to have a show-down with doctors

58. Preparing for an Influenza Pandemic

22 February 2008

The English Community Care Association (ECCA

has supported the Department of Health in its planning

for an influenza pandemic.

Martin Green, Chief Executive of ECCA, said:

“We welcome the guidance being given by the Department

of Health that suggests the independent

sector should be involved in the planning for an influenza

pandemic. If the sector is prepared to manage

the pandemic effectively and staff are supported

properly this will undoubtedly ease the pressure on

statutory services and particularly acute hospitals.

Influenza makes no distinction between private

and public services. Everyone is at risk and everyone

must work together to protect the public and care

services”.

For the article on planning for flu pandemic see

BHCR Vol 3, Issue 2.

59. Johnson irks committee as he ducks careers

queries

22 February 2008 - Health Service Journal

Alan Johnson, Health Secretary, has irked MPs by

refusing to answer questions at a health select committee

inquiry into Modernising Medical Careers.

Mr Johnson fended off a series of questions concerning

junior doctors' training, saying he could not comment

before the Department of Health's formal response

to the Tooke report.

60. Eye fight man 'forgotten' says GP

22 February 2008 – BBC News

The Government has been accused by a Devon GP

of "forgetting" Jack Tagg, a World War II pilot from

Torquay who is going blind. Mr Tagg, 88, from Torquay,

fears he will have to sell his house to pay for

vital treatment for wet age-related macular degeneration

(AMD).

Mr Tagg said he was told by a consultant in Torbay

that he would not get injections of the drug Lucentis

unless he had lost vision in his left eye, yet elsewhere

in the South West the same treatment is offered for

free.

For full report click here

61. 'No proof' private clinics work

22 February 2008 – BBC News

Edinburgh University researchers have criticised the

Government for forging ahead with a £5bn scheme to

carry out NHS care in private clinics without sufficient

evidence showing that they work.

The Government retaliated by saying they had helped

cut waiting lists and gave value for money. The clinics,

run by private firms, were set up to do minor NHS

operations, such as hip and knee replacements and

cataracts, as well as some diagnostics.

For full report click here

62. Supermarket to offer in-store GP

21 February 2008 – BBC News

Sainsbury’s in Manchester is believed to the first in

the UK to offer doctor appointments. Doctors from

three different surgeries will work from a consulting

room in the superstore in Heaton Park, near Prestwich

from March.

It is the first phase of a £126,000 pilot by the Heywood,

Middleton and Rochdale Primary Care Trust to

provide extended-hours medical care and also means

that NHS patients in the area can book appointments

on selected evenings and weekend days.

For full report click here

63. Woman's long trip for dental help

20 February 2008 – BBC News

A Hampshire woman has been told that to see an

NHS dentist she needs to undertake a 50-mile round

trip.

A national shortage of NHS dentists has meant hundreds

of patients travelling long distances, often in

pain, Ms Dale said she already tried the local NHS

dentists listed as taking on patients, but found that

they were all full.

For full report click here

64. Bid to tackle 'sick-note culture'

20 February 2008 – BBC News

Health Secretary, Alan Johnson, is calling for doctors

to tackle the sick-note culture by issuing “well notes”

instead of automatically signing patients off.

The “well notes” would list out what tasks a worker

can perform.

For full report click here

65. Comprehensive Area Assessment –

ECCA Response

20 February 2008

The English Community Care Association has responded

to the consultation on the Comprehensive

Area Assessment (CAA).

Martin Green, Chief Executive of ECCA, said:

“Good Comprehensive Area Assessments are vital to

ensure proper commissioning of services. The care

home sector is very underfunded and is not well

served by the current situation which does not see

authorities effectively judged on the basis of their

integrated commissioning.

We need this review to set out a new framework that

will improve coordination and deliver better services”.

66. Christie & Co’s Care Focus, Autumn 2007

19 February 2008

Christies deals round-up for the latter part of 2007 is

now available.

To access the report go to http://www.christieupdate.com/

users/b7j6d5e3i2e9c2/r4805719/4805719.pdf

67. CQC moves a step closer

19 February 2008 – NCF

The proposed new regulator, the Care Quality Commission

came closer to reality as the Health and Social

Care Bill progressed through Parliament.

The House of Commons held the report stage and

third reading of the bill.

For full report click here

68. Doctors ‘intimidated’

18 February 2008 - The Times

Prof Terence Stephenson says medical regulators

and Government are failing to defend paediatricians

in their child protection work. He is lobbying for a

survey of paediatricians.

69. Controversy built into the job

19 February 2008 - The Times

A look at the role of Andrew Dillon, chief executive of

NICE – National Institute for Clinical Excellence.

70. Government orders eligibility criteria review

March 2008 – Care Management Matters

Item by Des Kelly, OBE, about the review which Ivan

Lewis has ordered CSCI to undertake and report

back to him in autumn 2008.

Ed. I expect Ivan Lewis will have been moved to

another post by then following the Government

re-shuffle in the summer.

71. Capital allowances changes for 2008

March 2008 – Care Management Matters

Item by David Rees of Davis Langdon, discussing the

value of capital allowances in care homes and the

generous treatment by HM Revenue and Customs

and how they might be exploited.

72. Model contract for your clients

March 08 Care Management Matters

Resume of the draft contract developed for CMM and

National Care Forum in an attempt to meet the requirements

of the Office of Fair Trading criticisms.

NHS

73. Monitor challenges DH on freedoms

22 February 2008 – HSJ

Battle lines are being drawn between foundation

trusts and the Department of Health over the trusts'

future, after a series of leaked letters between the

leaders of the NHS and regulator Monitor were published.

The correspondence has exposed a huge gap between

their positions on New Labour's flagship hospitals.

74. Inequitable illness

22 February 2008 - The Times, Letters to the Editor

Letter from P Farmer, chief exec, MIND

A Greatley, chief exec, Sainsbury Centre for Mental

Health

Prof. S Hollins, President, Royal College of Psychiatrists

P Jenkins, chief exec, Rethink

A McCulloch, chief exec, Mental Health Foundation

jointly call for mental health to be properly considered

and funded in the proposed NHS constitution.

75. No private benefit

22 February 2008 - The Times

According to Alyson Pollock and Sylvia Godden of

University of Edinburgh there is no good evidence

that private treatment centres offer value for taxpayers

nor for that matter additional capacity.

76. Snags with £12bn NHS computer system

‘put patients at risk’

21 February 2008 – The Daily Telegraph

A leading hospital trust has abandoned software for

the controversial new £12billion IT system for the

NHS claiming it posed a risk to patients.

Dr Chris Taylor, an A&E consultant at Worthing Hospital,

said it “couldn’t do simple things like print labels

for blood samples quickly”.

77. Hospital staff give ward warning

21 February 2008 – BBC News

Devon Staff at a Derriford Hospital in Plymouth have

written to managers warning that patients lives are

being put at risk by a shortage of nurses on a main

surgical ward.

More than 35 staff signed the letter, saying "patients

deserve better". However, the hospital said that it

was recruiting hundreds of nurses and insisted that

care was safe on the ward, which mainly holds cancer

patients.

For full report click here

78. Dear colleague letter: Introduction of the

standard NHS contract for acute services

20 February 2008 – DoH

A letter confirming the new standard NHS Contract

was published with the NHS Operating Framework in

December, for introduction from April 2008 and its

expectations regarding the adoption of the standard

contract; to ensure that PCTs are aware of the obligations

of NHS Foundation Trusts .

For full report click here

79. NHS 'limiting obesity operations'

20 February 2008 – BBC News

A survey of 20 doctors by GP magazine, Pulse, has

revealed that hospitals in England and Wales are

starting to refuse referrals for obesity operations on

cost grounds.

This means that the severely obese - at risk of conditions

like heart disease - have to rely on lifestyle

changes and drugs.

For full report click here

80. Health records dumped in landfill

20 February 2008 – BBC News

Bolton Primary Care Trust has had to write to about

3,200 patients after confidential records were mistakenly

dumped in landfill. The paper notes should have

been shredded or burned.

A statement from the trust said all patients had been

contacted about the matter and it has provided information

lines for anyone worried.

For full report click here

81. Health Minister calls for new focus on

work-health balance

20 February 2008 - GNN

Health Secretary Alan Johnson today called for all

employers to do more to promote the health and wellbeing

of their staff. He said:

"Ten years ago, we started the debate on work-life

balance. Increased maternity leave, the introduction

of paternity leave, time off for adoptive parents and

the right to request flexible working have led to a

quiet revolution, as more employers recognise that

supporting a healthy work-life balance is essential to

recruiting and retaining talented staff. The next stage

is to incorporate work life balance with work health

balance."

In his speech, the Health Secretary set out some key

steps that employers and government must take:

- First, employers taking steps to promote health and

well-being in the workplace;

- Secondly, government must work with employers to

improve how we identify potential health risks - in particular

around stress and mental health - and address

these risks;

- And thirdly, government must do more to help those

who able to work, but have been prevented from doing

so by health reasons to get back into the workplace.

The Government also today launched Professor

Louis Appleby's report 'Mental Health and Ill Health in

Doctors' containing recommendations on how the

NHS can support doctors to look after their own mental

health.

A copy of health Secretary Alan Johnson's speech is

available on http://www.dh.gov.uk

82. County differences over eye drugs

19 February 2008 – BBC News

Marion Lindsey-Noble lives on the border of Devon

and Somerset. Her deteriorating eye condition was

treated differently under each county, Somerset offered

the treatment free whereas Devon said she

had to pay.

For full report click here

83. Health trust could cut 200 jobs

19 February 2008 – BBC News

Greater Manchester NHS Trust could be axing over

200 jobs as it tries to avoid a £7m deficit. Trafford

Healthcare NHS Trust has been struggling with cash

problems for quite a few years and hopes this will

help it avoid “major financial problems”.

The Trust also plans to close two wards and two operating

theatres and has already had to borrow £3m

from the Government to pay its staff wages.

For full report click here

84. Infection control top of NHS list

19 February 2008 – BBC News

NHS South East Coast has published its goals and

priorities it wants to deliver by April 2011. Top of its

agenda is improving infection control, reducing

deaths from heart disease, stroke and cancer.

It pledges to have wiped out hospital acquired MRSA

by 2011 and reduced clostridium difficile (C.diff) by

55%.

For full report click here

85. Staff levels 'risk to patients'

19 February 2008 – BBC News

A former nurse, Jean Hollis has said staffing levels at

Bridling Hospital are putting patients at risk. Ms

Hollis worked at the East Yorkshire hospital for six

years and said staff are being put under too much

pressure.

Officials at Scarborough and North East Yorkshire

Healthcare NHS Trust, currently managing the hospital,

deny the claims but admitted in a statement there

had been staffing issues but that these were being

addressed.

For full report click here

86. Better Care: Better Lives

19 February 2008 – DoH

Care Services Minister, Ivan Lewis has launched a

£20m boost to improve palliative care services for the

thousands of children with life-limiting or lifethreatening

conditions.

For full report click here

87. Ignore the doctors. Polyclinics are the

future

19 February 2008 - The Times

Item by David Aaronovitch.

88. NHS makes outstanding progress in

treatment of heart disease

19 February 2008 - GNN

The NHS claims to have made outstanding progress

in the management of cardiovascular disease (CVD)

according to the Coronary Heart Disease (CHD) National

Service Framework (NSF) Progress Report.

89. Ignore the doctors. Polyclinics are the

future

19 February 2008 - The Times

David Aaronovitch extols the virtues, as he sees

them, of polyclinics as envisaged by Lord Darzi as

part of the proposed reform and modernisation of the

NHS delivery of primary care.

90. No funds for restraint training

19 February 2008 - The Times

Item extracted from Health Service Journal commenting

on the level of physically challenging behaviour

on NHS mental health acute wards and the fact that

10 years the death of David Bennett, who died after

being held face down for almost 30 minutes there is

still no budget for this training and another coroner

called for such training after the inquest last month

into the death of Geoffrey Hodgkins who was held

face down for 25 minutes.

91. NHS criticised on blindness cure

18 January 2008 – BBC News

Due to refusal by the local NHS, an 88-year-old

Devon man is paying up to £10,000 for treatment to

save the sight in his right eye.

Jack Tagg said he was told by a consultant that he

would not get drug injections unless he had lost vision

in his left eye. He suffers from age-related wet macular

degeneration (AMD).

Torbay Care Trust rejected his claim and said it operated

a "fair" policy.

For full report click here

92. Anger at 'patient stacking' claim

17 January 2008 – BBC News

Unison has claimed that ambulances are being used

as waiting rooms outside hospital emergency units in

order to meet Government pledges on treatment

times.

The union said that so-called patient stacking in ambulances

was used if they could not be seen in A&E

within four hours. However, the Department of Health

denied the target was causing undue delays.

For full report click here

93. The sick note that will tell the boss you’re

fit enough to work

16 February 2008 - The Times

Secretary of State for health, Alan Johnson, has announced

that he expects GPs to complete a new

‘Well Note’ saying what work patients are capable of

in an attempt to change what he has categorised as

a ‘sick note culture’.

94. Another prescription for GP gloom

16 February 2008—The Times

Item by Dr Martyn Lobley a GP from south-east London

despairing of the Government plans – he quotes

from the opening sentence of a standard medical text

book for GPs – “Wherever possible, suggest work

adjustments rather than signing a patient off work”.

Nursing

Nothing to report

Older People

95. Palliative care for people with dementia

March 2008 – Care Management Matters

Les Bright explains his views on how this issue can

be successfully addressed to the benefit of those

cared for.

96. Sunshine in your life

March 2008 – Care Management Matters

The Sunshine Project, based in Clacton-on-Sea,

suggests ways of giving meaning and direction to the

lives of older people.

97. Views sought on elderly services

24 February 2008 – BBC News

Reading Borough Council is inviting residents to

have their say on the level of care and home support

services they can have available as they grow older.

It is estimated that by 2015 there could be 2,000

older people giving unpaid care to a partner or relative

in the town, a council spokesman said and the

event will be held at the town hall on 6 March from

1000 to 1600 GMT.

For full report click here

98. TV's ‘The Real Hustle’ joins OFT in fight

against scammers

20 February 2008 - GNN

BBC's The Real Hustle team have urged consumers

to join the fight against scammers as part of the OFT

Scams awareness month.

TV hustlers Alexis Conran, Jessica-Jane Clement,

and Paul Wilson are asking UK consumers to support

the OFT's campaign and collect any potential scam

mailings they have recently received and drop them

in designated 'Scamnesty' bins or boxes at local libraries

and other public areas across the country until

February 27. The scheme, in partnership with local

authority Trading Standards Services, is taking place

in nearly 60 local authorities to provide intelligence,

help inform future investigations, and prevent others

from being scammed.

The show's stars, who demonstrate ways in which

the public can be conned in the series, have also

urged more real-life victims to come forward. OFT

research shows that whilst three million people a year

fall victim to scams including bogus lotteries, deceptive

prize draws, sweepstakes and fake psychics,

less than 5% report it to the authorities. Consumer

Direct, the government advice service, has this month

launched a new scams reporting function on its website,

allowing the public to record details of the type of

scam they have encountered.

99. Research: older people's care is top

health priority for most people

19 February 2008 – Community Care

A survey published by think-tank the Resolution

Foundation, reveals that three-quarters of people believe

that the reform of older people’s care is equal to,

or more important than key NHS reforms.

For full report click here

100. Regulator begins site visits for mental

health study

18 February 2008 – Community Care

For full report see CSCI, CSSIW etc….—item 36

101. Social care of older people as important

as NHS

19 February 2008

Almost 75% of people view the reform of elderly care

as equal to or more important than key NHS reforms,

according to research published today by the Resolution

Foundation:

– 73% said they viewed elderly care as equal to

or more important than improving hospitals

– 78% said they viewed elderly care as equal to

or more important than improving the provision

of dental services

– 77% said they viewed elderly care as equal to

or more important than extending GP opening

hours

The report ‘Lost: low earners and the elderly care

market’ adds weight to the growing consensus that

the current system needs urgent reform, and that it

must be a top policy priority alongside higher profile

NHS reforms. The report which includes polling evidence

from YouGov and new analysis from Deloitte

101. Social care of older people as important

as NHS (continued…)

offers an insight into the current elderly care system,

in particular through the eyes of ‘low earners’ – the

‘not rich, not poor’ group who have modest means in

retirement and get caught in means-testing.

Clive Cowdery, Chairman of the Resolution Foundation,

said:

“The current system is not fit for purpose and an ageing

population will only make this worse. The Foundation

has started an objective look at how low earners

can get fair and efficient access to the care market.”

Sue Regan, Chief Executive of the foundation,

added:

“With a Green Paper in the pipeline, now is the time

to make sure that the elderly care system is not just

tinkered with but undergoes fundamental reform.

There is now growing public demand for this issue to

be a top political priority.”

All the Foundation’s research, reports, briefings,

seminar notes are available on our website

www.resolutionfoundation.org

102. Cost of caring for elderly could hit

£1,000 a week

19 February 2008 - Daily Mail

Long-term care costs 'to double'

19 February 2008 – BBC News

The cost of care home places is set to double to

about £1,000 pw over the next 20 years according to

figures released by SAGA.

For BBC report click here

Parliament

27.02.08 – HoC - Air ambulances in the NHS, Westminster

Hall

Social Care

103. Social Care as an Equality and Human

Rights Issue: Speech by Baroness Campbell

21 February 2008 – Equality & Human Rights

Commission

A transcript of the speech by Chair of the Disability

Committee and EHRC Commissioner Baroness

Campbell at the Institute for Public Policy Research's

Power to Carers and Users: Transforming Care Services

event on 19 February 2008.

She addresses the human rights issues of social

care.

For full report go to http://www.equalityhumanrights.com/en/

n e w s a n d c o m m e n t / s p e e c h e s / P a g e s /

socialcareequalityandhumanrightsissue.aspx

104. New SCIE guide on promoting dignity

within the law

18 February 2008 – NCF

The Social Care Institute for Excellence (SCIE) has

launched a new guide to help practitioners and commissioners

of health and social care services understand

the way legislation protects people’s rights to

be treated with dignity. This was commissioned by

the Department of Health,

For full report click here

Staff, employment and

disciplinary

105. The draft Social Security Benefits Up-rating Order

2008 has been published. From 6th April 2008,

SMP increases to £117.18pw (from £112.75), and

SSP increases to £75.40pw (from £72.55).

Thanks to David Perry of Tinsdills and Daniel Barnett,

barrister specialising in employment and human resources

law barrister www.danielbarnett.co.uk

Volume 3 Issue 8

Stars in their eyes – revisited!

More nonsense decisions from CSCI based

on its ridiculous application of its ill-thought

through rules

Last week I wrote about some potentially perverse

decisions which might be arrived at by a rigid approach

by the Commission for Social Care Inspection

(CSCI) to its newly introduced Key Lines of Regulatory

Assessment and the associated procedures and

protocols which it introduced against a number of

serious misgivings voiced by associations representing

care providers (see BHCR Vol 3, Issue 7, page

17 – you can access this an all other back copies at

www.brunswicks-web.co.uk).

As the issue was being published I was speaking at

an event for providers hosted by National Care Association

on mental capacity issues. During a panel

session at the end of the day, which at such events

often becomes something of an opportunity for a

range of provider related issues, of all types, to be

raised and co-incidentally with the publication of the

article a provider shared with the audience her experience.

In summary, she is a person who has been involved

in the provision of care for many years. The style of

trading was a partnership with her parents.

The partnership (much in the same was as the scenario

played out in my last article) decided to upgrade

the ‘built environment’ – the care home was a

large Victorian House which, over time, had been

extended. The partnership decided that they would

build a brand new, state of the art care home, incorporating

the latest ideas for people in need of long

term care, eco-friendly technology and the like.

As it happens, for other reasons, I recently visited the

new care home and it is superb, just the sort of home

I would want to live in should I be in need of longterm

care.

However, as part of the process of modernisation,

and no doubt to assist the bankers with the payment

covenants they required, the partners decided that

they would also up-date the trading entity, converting

from a partnership into a limited liability company,

having as its directors and shareholders only those

individuals who had previously traded in partnership.

The meeting was informed that the care provider,

again, like the scenario painted last week, had always

enjoyed reports from CSCI categorising the home as

‘excellent’. However, this simple step of changing the

trading style resulted in CSCI deciding that as the

company had no trading history and therefore no

“...sustained track record of delivering good performance

and managing improvement.” Which you now

know is a requirement in KLORA – page 4.

This is frankly nonsense.

The phrase ‘jobsworth’ and all the negative connotations

that the term implies comes to mind.

What has changed? Little. All of the participants in

the provision and delivery of care remain as they did

previously.