From UK Column News:
Highlighting the article, `Edinburgh Families told to `plug the gap` in care for the elderly` Mike Robinson says: "Do Edinburgh families have the resources to plug the gap in care for the elderly?"
David Scott: "They`re jolly well going to have to find the resources because they`re not going to be given a choice. This is a fascinating little article. The Edinburgh Integration Joint Board. (EIJB), now this is a combination of council and NHS running social and health care as an integrated whole. It`s set to undergo... `a major culture change`. Where`ve we heard that one before? It will see the onus placed on patients to look after themselves or receive help from relatives. So this is the equivalent of `pick up thy bed and walk` but there`s no miracle involved. It`s just leave, you`re costing us money."
"Another wonderful quote: `Health chiefs are now set to have a ... `big conversation with the public about what might be deemed a reasonable contribution from individuals, their relatives, neighbours, local communities to provide elements of social care themselves. The board has launched an action plan to get to grips with the service. The new approach will include a shift towards prevention and early intervention. So `I`m very sorry you`re fat, so we`re going to have to do something about that because you`ll cost us money in the future`, or `you`re smoking`, or `you`re whatever`. Whatever you`re doing at that point the state does not like, `we`re going to prevent that to reduce dependency on acute services and crisis support`."
"Ricky Henderson chairman for the IEJB said ... Supporting people to live as independently as possible in their own homes and communities means that we will have to think carefully about how our invaluable health and social services are provided. `Invaluable` meaning `unaffordable`, is what we`re looking at there."
"Now this little diagram next, this is meant to be improvement. A couple of things struck me about this. It`s a really bizarre diagram because the lines are going in every direction and it`s not at all clear who`s responsible for who, which I think is part of the point. Some of these symbols read `some hospital based services` so it`s not even clear which services are included in this system or not. But the bit I particularly liked is right up at the top. The £s come from the NHS and the local authority into the joint board and coming the other way is `directions`. So we pay them, and they tell us how to operate. Get that. That is a very bizarre route to be following. Normally the golden rule is `he who has the gold makes the rules.` No, this is reversed now."
Mike Robinson: "Now you have to pay someone else to make the rules on their behalf? "
"Well, on someone`s behalf. It`s not clear whose behalf. ... It`s a part of the system that`s becoming ever more opaque, ever more complex, and just before we leave that... `The vision of this organisation. People and oganisations, working together for a caring, healthier and safer Edinburgh. Now that [is] presumably a grammatical mistake. It should be `more caring`. Because that implies there`s no care in Edinburgh at the moment which you might have applied if you`d been in Glasgow... They introduce `safer`. Does that mean police are going to come into this as well? ..."
[Continues 40.00 minutes into the programme]
https://www.youtube.com/watch?v=ckDBmIj9sqA
As for Glasgow:
No comments:
Post a Comment