Saturday 28 December 2013

Illegal Eviction and other crimes against an elderly woman

 
In the following video there is an interview with Barbara and Peter Hofschroer who tell their story of their dealings with Yorkshire Council, social workers, the police and others who illegally evicted them from their home.  Barbara and Peter Hofschroer are now on the run.
 
The interview can  be found towards the end of the video.
 
On Youtube

Social Workers ignore Mental Capacity Act

Specialist solicitor Ian Cranefield says too many care professionals are taking decisions about vulnerable adults without properly assessing capacity or consulting them – in breach of the Mental Capacity Act’s principles.

In recent months I have found it both depressing and intensely frustrating that some of the fundamental principles of Mental Capacity Act 2005 have had to be explained in detail for many organisations, before a sensible discussion about legal solutions to a problem can commence.

Within the last three months, for example, I have had to deal with:
  • A local authority which has seemingly refused or failed to ask a man who appears to retain capacity whether he wishes to see his partner of 12 years or remain in a care home, where he has been placed by his children without his express consent. Many decisions about this gentleman are being made without assessing his capacity, properly consulting with him or exploring his wishes through an independent mental capacity advocate (IMCA).
  • Local authority social workers responding to allegations of neglect, emotional abuse or undue influence by undertaking casual interviews with the alleged victim in the presence of the alleged abuser.
  • Care home managers working with the family of a resident to decide arbitrarily who gets to visit the resident in the care home, without recognising that interfering with the resident’s rights and freedoms of social contact (and those of the visitor) must be properly authorised as a deprivation of liberty under the Deprivation of Liberty Safeguards (Dols).
CommunitCare

Saturday 21 December 2013

LCP to be phased out in Scotland

The BBC have reported that the Liverpool Care Pathway is to be phased out in Scotland:

The move followed recommendations from the Living and Dying Well National Advisory Group, which had been examining the issue in the wake of the Neuberger review of the LCP in England.

The advisory group concluded that, when used correctly, the LCP had supported good quality care in the last days and hours of life in Scotland.

However, it also recognised that the inappropriate use of the pathway may, on occasion, inhibit the provision of high quality care, and recommended that it be phased out in Scotland over the next 12 months.

A working group will now be established to support the changes required.

Health Secretary Alex Neil said: "While standards of end of life care in Scotland are generally very high, the aim of improving care in the last days and hours of life to ensure that everyone has a dignified death is a priority for the Scottish government and NHS Scotland.

Read More

Thursday 19 December 2013

Assisted Dying Bill

Here is an interesting post from `Christian Medical Comment` which discusses the House of Lords Assisted Dying Bill. `Leading parliamentary think tank says Lord Falconer’s ‘Assisted Dying’ Bill fails public safety test`

Living and Dying Well (LDW) is a public policy research organisation established in 2010 to promote clear thinking on the end-of-life debate and to explore the complexities surrounding 'assisted dying' and other end-of-life issues. It has just published a comprehensive report on Lord Falconer’s Assisted Dying Bill which was introduced into the House of Lords on 15 May.

Lord Falconer's Assisted Dying Bill [HL Bill 24] is the fourth of its kind to come before the House of Lords in the last ten years and seeks to authorise assisted suicide for mentally competent adults with less than six months to live.

None of its predecessors has made progress and the last one (Lord Joffe's Assisted Dying for the Terminally Ill Bill) was rejected in May 2006.
http://pjsaunders.blogspot.co.uk/2013/07/leading-parliamentary-think-tank-says.html


An article in the Telegraph  headed `We legalise assisted dying at our peril` puts forward a very balanced view against the proposed legislation. There are heated arguments in the commentary which follows the article indicating what an emotive topic this is.

Monetary incentives

"Dr Greaves said: ‘With an aging population the old models of dementia care are not sustainable. A tsunami of frail elderly is threatening to engulf and bankrupt the NHS. Carrying on in the same way is simply not an option."

`A consortium of 162 GPs at 41 practices scooped the NHS Innovation Challenge Prize for Dementia run in collaboration with Janssen Healthcare Innovation at the annual NHS Innovation Awards.`
 
The scheme has cut waiting times for diagnosis and detection rates have soared from 30% to 100% of anticipated local cases. It has helped more patients stay independent in their own homes, and saved the NHS around £500,000 per year across a population of 280,000. The service integrates dementia care by putting consultant-led clinics in the community and pulling together end-of-life care and social care services.
A GP-led dementia service that slashed diagnosis waiting times and boosted detection rates has won an £80,000 NHS innovation prize.
 

 They are pulling together end-of-life care and social care services  because someone has been diagnosed EARLY with dementia. Surely that is rushing it !
 
 
Here is another incentive:
 
 GPs in England are to get £30 000 a year for taking on board the `named person` role for the elderly. http://www.gponline.com/News/article/1225160/30000-per-practice-named-clinician-role/

 
 

Wednesday 4 December 2013

Liverpool Pathway in Scotland


The last update in the Scottish Partnership for Palliative care is still singing the praises of the Liverpool Care Pathway:


 

It discusses misconceptions and explains how it works:

  • Requires staff ensure all decisions to either continue or to stop a treatment are taken in the best interest of each patient. It is not always easy to tell whether someone is very close to death – a decision to consider using the Liverpool Care Pathway should always be made by the most senior doctor available, with help from all the other staff involved in a person’s care. It should be countersigned as soon as possible by the doctor responsible for the person’s care.

Read more http://www.palliativecarescotland.org.uk/content/lcp/

There is more collaborative work to be done with stakeholders (?) and in due course a report.  So there is no sense of urgency about getting end-of-life-care right and no acknowledgement that in thousands of cases it has gone horribly wrong. Nothing is said about patients who are placed on the LCP at the week-end when no senior doctor is available.


Given that these decisions involve the use of syringe drivers, anticipatory prescribing, use of sedation and narcotics and limitation of hydration and nutrition we really do need to know that the patient is actually dying. But that`s the problem.


Can we trust them ?

South Lanarkshire Council suing people who criticize them

South Lanarkshire Council are using taxpayers money in order to bring defamation claims against people who criticize them. In doing so they expose themselves ignorant of the law, vexatious and acting against the interests of free speech.


Read Morehttp://www.jonathanmitchell.info/2010/09/02/whats-wrong-with-south-lanarkshire/

Lverpool Care Pathway to be re-branded, not axed


An article in the Telegraph indicates that the Liverpool Care Pathway is not going to be abolished: In fact the new protocals could be worse for patients because doctors are going to be allowed to make the decisions regardless of whether the patient has the capacity to make their own decisions:


The discredited Liverpool Care Pathway is to be “rebranded” rather than abolished, senior doctors have said. In July ministers said the end-of-life protocals would be axed, after a damning independent review undercovered frequent and “heartbreaking” cases of patients being denied water and left desperately sucking at sponges used to moisten their mouths.
 
Instead, every patient would receive individual end-of-life care plans, following the review led by Baroness Julia Neuberger. However, doctors who led criticism of the pathway say new draft guidance, seen by the Daily Telegraph, outlining a replacement scheme will perpetuate many of its worst practices, allowing patients to suffer days of dehyration, or to be sedated, leaving them unable to even ask for food or drink.


Professor Pullicino points out the difficulties of making predictions about when a patient is near death:


 “There is no indication about how patients who are in the last days of life are going to be diagnosed as such. There is no mention of a research base to improve this prediction. This was a main central concern of the Neuberger report,” he said. Any replacement scheme should be studied before being introduced, or risked simply repeating the same problems, he said.

“The Liverpool Care Pathway not only produced many instances of suspected hastening of death but also repeated instances of poor care.”

“The fact is that little seems to have changed, including the use of syringe drivers, anticipatory prescribing, use of sedation and narcotics and limitation of hydration and nutrition by a ‘best interest’ team decision.


Read More http://www.telegraph.co.uk/health/healthnews/10487109/Liverpool-Care-Pathway-being-rebranded-not-axed.html

Starved to death on Liverpool Care Pathway

 This is an extract from an article in the Daily Mail:

The son of an elderly hospital patient who was 'starved to death' on the Liverpool Care Pathway has called for police to launch a murder inquiry.
 
Peter Tulloch believes the death of his mother, Jean Tulloch, was the result of 'negligent' and 'unlawful' care at the Western General hospital in Edinburgh.
 
The 56-year-old has urged police to take action after an independent medical report found Mrs Tulloch had gone without food or water for up to 30 hours in the weeks before her death.


Read more: http://www.dailymail.co.uk/news/article-2513136/It-murder-says-son-woman-starved-death-Liverpool-Care-Pathway-calls-police-inquiry.html#ixzz2mZlc5z8g