Social Care Myths

A considered riposte to the question posed by Peter Feldon “If unmet need is so rife, why are there so few complaints about it?”

Having taken some time off from managing the flood of referrals received weekly about dodgy practice in adults’ social work, to read Mr Feldon’s article, in Community Care, my jaw dropped. It doesn’t feel as if nobody’s complaining, HERE! However, on a more careful reading, it may just be that it’d been inappropriately edited with […]

A considered riposte to the question posed by Peter Feldon “If unmet need is so rife, why are there so few complaints about it?” Read More »

“We can tell you that you have to use an agency from our preferred provider list for your direct payment funded services”

There are essentially two ways to take a personal budget – as a direct payment or as a ‘managed’ personal budget. ‘Managed’ – in this context – means the council’s officers making a contract for the service, in as personalised a way as a suitable provider will allow, or feel it would be necessary or

“We can tell you that you have to use an agency from our preferred provider list for your direct payment funded services” Read More »

“You can only have a direct payment for your services, if it saves US money…or doesn’t cost us MORE”

Direct payments were supposedly “the Government’s preferred mechanism for personalised care and support… “They provide independence, choice and control by enabling people to commission their own care and support in order to meet their eligible needs” … making people “free to choose how their needs are met, whether through local authority or third-party provision, by

“You can only have a direct payment for your services, if it saves US money…or doesn’t cost us MORE” Read More »

“We can change your care plan and cut the funding whenever our own funding gets cuts from central government or our own budget looks wobbly”

Councils can change a care plan to save money. How they do it though, is the all important question, because there’s judicial review for decisions that have been driven by one thing only, or which have taken irrelevant considerations into account or been arrived at unfairly. The desire to save money, can only be one

“We can change your care plan and cut the funding whenever our own funding gets cuts from central government or our own budget looks wobbly” Read More »

“We tell you, the provider, what the price of care is, and you have to accept our prices!”

Social care and health providers – care homes or personal care agencies, are, in the main, regulated activity providers, providing services for a fee, as a business or as a means of delivering public benefit, in support of a charitable purpose They are doing it from choice, not a duty. Having chosen to take on

“We tell you, the provider, what the price of care is, and you have to accept our prices!” Read More »

“Top-Ups aren’t lawful, so you can’t do business with us, (the council or the CCG), or ever charge the client or other people anything extra…”

Hyperventilating here…. What unbelievable flannel, in legal terms, from commissioners! First of all – any extras, in the sense of personal extras, like the glass of wine at night or the cost of hairdressing, etc, are matter of contract, based on offer and acceptance, and completely outside the governance of the local authority. The fact

“Top-Ups aren’t lawful, so you can’t do business with us, (the council or the CCG), or ever charge the client or other people anything extra…” Read More »

“We can decide whether your care and support needs are met or not, even if we don’t pay for anything…”

“….after the assessment in which we found you were eligible…!!” It is true, in legal terms, that there are no duties to PROVIDE or ARRANGE to PROVIDE, any longer, on councils, under the Care Act. That concept has been supposedly ‘modernised’ into a duty to MEET one’s NEEDS. As before, there are several ways to

“We can decide whether your care and support needs are met or not, even if we don’t pay for anything…” Read More »

“We can cap the level of services provided in your own home to whatever the cost of any other way of meeting your needs would be, any alternative that we can think of…”

The decided cases with any bearing on this topic go back a long, way, back into the 1990s, in our view, and stem from the legal principle that cost is relevant to any public body as to HOW it meets needs, not WHETHER. And from the principle that where there is a duty, there must

“We can cap the level of services provided in your own home to whatever the cost of any other way of meeting your needs would be, any alternative that we can think of…” Read More »