Category Archives: personal
In the bold move towards a transformation in adult social care, it feels from where I sit, that control has completely overtaken any pretence of ‘choice’ in the so-called move towards more idealised ‘person-centred’ care and support planning.
I hope I’ve been clear over the years in which I’ve expressed a remarkably consistent view that I love the idea of people being able to choose the support plan they like from a wide menu of options with ‘professionals’ taking less of a role. I am a massive fan of direct payments. I want people to have more personalised care and more creative care. Desperately. The options just aren’t there yet for people who lack capacity and that is a terrible disservice and inequity that is being served throughout the care system.
Removing care planning from my role doesn’t concern me – unlike those people on the training courses who bang the drums blindly about how wonderful and bright it looks when we allow people to choice whatever they like to put together packages of care, I don’t want ‘retain control’, I truly don’t believe that I, as a professional ‘know better’, but likewise I know that with the user group I work with, it is rare that I can just hand someone a support planning tool and a list of potential providers and tell them to ‘get on with it’.
That is as far from reality now as it was 20 years ago in my work. While I can say that everyone I care co-ordinate who has a ‘package of care’ is now officially on a ‘personal budget’ and some even have direct payments, it hasn’t really increased choice or control for any but a couple of those people.
If anyone for a moment wants to ponder the duplicitious nature of those in policy making ivory towers who dribble down policies which they want to couch in ‘soft’ language so they are difficult to challenge, one only has to read a fantastic piece of research conducted and published on The Small Places site.
It is worth reading through the piece in detail. Lucy, the author, made a number of requests to local authorities to ask about how their Resource Allocation Systems (the link between the ‘assessment’ and the ‘cash’ – basically) was calculated. She seemed to come up against a wall of obfuscation but it’s worth looking at her research in detail.
This reluctance for me, seems to relate to the lack and reduction in spending on care and support – the key ‘missing piece’ as to why a council can ‘reassess’ someone as needing less ‘cash’ than they did last year with a more traditional care package.
My personal experience is that the council I work in (and this is similar to things I’ve heard from people in other councils) probably doesn’t want to share it’s RAS because it’s ashamed of the utter dog’s dinner that it’s made of it. It doesn’t ‘work’. It doesn’t make sense. It is frequently changed. There is more emphasis on physical health needs as opposed to mental health needs and while there can be manual adjustments, some of the figures that are ‘spat out’ just seem nigh on ridiculous (and that works for sometimes calculating care ‘too high’ as much as a figure which is ‘too low’). It comes down to everything needing to be qualified and fitted onto a spreadsheet when actually the needs of two people who might fill out a self-assessment with the same ‘tick boxes’ might have very different needs in reality – no RAS can account for that. One person might under-score because they are embarrassed by the process and don’t want to admit to being incontinent on an initial visit from a social worker because they haven’t been able to tell anyone other than their GP – another person might be anxious and think they can manage less well than they can. Sometimes and this is what local authorities and health services seem to find hard to account for, you just have to treat people and their needs as individuals rather than the subject of outcome measures, tick box performance indicators or resource allocation systems.
Shouldn’t personalisation be about putting the user at the heart of the system? Every user should have a copy of the RAS and how the figure was determined. Which questions are weighted and which aren’t. Without that, there flow of money and the control rests solely with the local authority.
I’m fully against ‘traditional’ care packages. Having someone anonymous and constantly changing pop in for a 30 min welfare check once a day isn’t about improving the quality, control and choice in someone’s life, it’s about a local authority doing the absolute bare minimum that they can get away with to fulfil their statutory duties of care.
The lack of openness about the ways that the RAS shows the true colours of the reasons for these pushes towards the Eden of ‘Personalisation’.
While I have no doubt that for some people, as I keep saying, those with advocates, family or who are able to voice their own needs clearly, have and will continue to benefit enormously from having direct payments – it’s worth remembering that direct payments have been available and accessible for many years now.
Forcing everyone onto personal budgets has only discriminated against those with carers by reducing the amounts of money they are entitled to through the RAS (that’s my own experience of how our local RAS works) and has discriminated against those who lack capacity by promising all sorts of ‘creative’ ways of exploring third party management of support plans but without providing any real ways of accessing it (this is my current bugbear as I have been requesting assistance with this for months for service users I work with but have been told it is not possible for older adults yet as only those with learning disabilities have budgets large enough to make it cost effective – thereby clearing discriminating on the basis of age and type of disability).
I have changed from a fervent advocate of a system which was supposed to be so much better for everyone to a bitter opponent of a system which favours some kinds of disabilities over others, some kinds of service users over others, some kinds of carers (those who are willing to put a lot more time in to manage and support plan where necessary) than others and all to provide fewer services under the guise of choice.
No wonder Burstow is pushing everyone towards direct payments. He is pushing everyone towards a system which masks the way that payments are determined and discriminates openly against people who lack capacity or who have the ‘wrong’ kind of disability or family support.
Now we know that the local authorities can hide the way they make financial calculations, it becomes much more obvious to see behind the facade of the ‘Wonderful Wizard of Oz’ who promotes choice as the final goal to achieve at all costs.
I feel tricked and betrayed by the implementation of the personalisation agenda and the lack of any of the services around it to tackle directly with the problems at it’s heart.
I was deeply disappointed, for example, that the Mental Health Foundation’s ‘research’ and work with people specifically with dementia only focussed on people who either had capacity or had family. Their advice talks lovingly of setting up trust funds, appointing brokers – well, that is a fantasy rather than a reality and exists only on paper as a choice. They merely replicated a lot of work which was done when direct payments were rolled out around lack of take up for people with dementia and they hadn’t said anything new (I happened to write my dissertation about the lack of take up of direct payments for older adults so did actually do literature researches at the time..).
Anyway, I’m getting ahead of myself.
For now, I think it’s important that we who see through the cosy policy makers congratulating about a ‘job well done’ speak up and speak up loudly for those for whom the system is a further barrier for true individualised care because these self-same policy-makers see them as ‘too difficult’.
My title explains that the personalisation dream is dying but it isn’t dead yet. To be brought back to life, all those involved need to embrace the principles of honesty and openness and not blind themselves to their successes if they can’t see the continuing barriers.
I don’t have any grand or notable memories from 11th September 2001. I wasn’t connected to New York in any personal way but this last Friday, after work, I spent the evening by coincidence with the friend whom I spent the evening of the 11th September 2001 with.
We spoke about our collective and individual memories of that day. The interesting thing was how we remembered different aspects. She told me she remembered I seemed a lot more shell-shocked than her – but I’m getting a little ahead of myself.
I wasn’t at work that day. I was about to go on holiday and was at my dad’s house. My dad was out so I was just pottering around between packing up things I needed (I’d been staying with him) and well, just enjoying not working.
We’ve always been a family of news junkies and my dad had Sky (which I didn’t at the time) so I generally had the rolling news channel on as a default and indeed, I was watching the rolling news from the moment the very first news came in that a plane had hit the first tower. In fact, I was one of those people calling people I knew and telling them to put on the television because I couldn’t explain what I was seeing.
So there I was, watching the live television pictures when the second plane hit the second tower, and when the towers collapsed and for all the aftermath. It happened as I was watching and honestly, I felt scared. It’s interesting to recall because of course the distance was so great but as I was watching the rumours starting about how many planes there were, where the planes were going, what was happening – or then the wackier ones (retrospectively) like Canary Wharf being targeted.
My friend and I had been intending to go to the cinema that evening. We didn’t. I told her I really didn’t want to go out into central London. I can’t explain my feelings of the time. As we met this weekend, she said she thought because I had been watching the entire television coverage, I felt a greater immediacy and a greater link to what had happened. For her, she told me, they had been told at work and it didn’t quite seem real.
Regardless it felt as if the world was a different place. In the end, we met in a small local restaurant and chatted. It felt somehow more respectful in an odd way. I’d been to New York about a year previously and had been up the Twin Towers – I’d got pictures of me standing at the top and bought some of the usual tat I return from holidays with at the gift shop up there. I thought about the people who would have served me and who smiled at me. Then I tried not to. I didn’t though have any personal connection with New York. I didn’t know anyone who lived there or who might have been involved in the destruction that unfolded.
I wonder if it is the watching of televisual events unfolding that brings some of the tragedy closer and I wonder how that will impact on the ways that these kinds of effects have a greater terror when we see up close, the faces of people affected and relate to them.
I know, the day that New York was attacked, I felt that we – myself, my country, the type of cosy life we had got used to, were under attack too. The world had changed. The world was a scarier place.
As an aftermath – I spent some time in the Family Support Centre after the London Bombings on the 7th July 2005. When I was there I had a few discussions with those in the various local authorities who had co-ordinated the response for families and victims and pulled together a joint London protocol. Apart from the fact that there are lessons that how can said to have been learnt from the inquest, many of the initial lessons were learnt in discussion with colleagues in the United States about coordinating post-disaster/attack. The impact was more than local it was international.
As for anniversaries, they are always difficult but today my thoughts are resolutely in New York, Washington and Pennsylvania – as well as those affected all over the work – just as they were ten years ago and many years in between.
There is more than unites us than divides us.
Please forgive the blatant self-promotion in this post but it’s Friday and I’m feeling a like I have a bit of a cold coming so I’m less ‘perky’ than usual.
Dorlee from Social Work Career Development has published an interview which she did with me and it concentrates on what I do at work and some of the ways it differs from Social Work in the United States. Excellent work, if I do say so myself – but joking apart, it is a good way for us to learn about social work in other countries.
Shirley Ayres has written a fantastic post for PSW, the BASW magazine (yes, I know.. ) and it includes some gems from myself. It’s a piece about social media use for social work specifically and is definitely worth a look. The PDF is available here
As for my twittering on last week about wanting to work collaboratively on more online social work conferences/learning/interaction – well, it’s VERY rudimentary, but I’ve set up a ‘holding site’ here
Feel free to nose around as the whole point is to emphasise openness, conversation and working together on something that can be led by social work and improve social work without having a cost barrier to entry and that allows all who want to learn and contribute to do so. I’ve also added a very basic forum just to collect ideas.
I don’t have any great desire to ‘run’ this project and if anyone with greater technical skills wants to volunteer them then please please do but it’s a start and I hope someone will – even if it isn’t me – because I think something that adds value to our collective, international knowledge base and moves learning out of universities and into practice will be a real ‘hook’ in convincing more practicing social workers to engage with social media and new technologies.
Enough from me, the forum is here. Do join and share ideas.
(Don’t be scared that there isn’t much there yet.. everything needs to start somewhere!)
I am not going to add anything to this post. After I wrote a post explaining why I left BASW, I was sent this as a response and agreed to publish it. I’ll leave the questions and comments for others and I have asked that someone from BASW respond to any questions or comments that arise from this post but obviously they are very busy so here’s their post. – cb
I’m disappointed that you are leaving BASW and, as head of communications for the Association and editor of PSW, I’m equally disappointed about your assessment of this magazine.
BASW is fortunate that more members have been joining than leaving for some time now but retention is just as vital as recruitment so any loss is frustrating.
Most members leave because their circumstances have changed – they might have lost their job, left social work or retired. On those occasions when someone contacts us to cite a specific issue for why they no longer wish to remain a member, someone from within BASW will usually correspond with them to at least try to respond to their concerns. Whether it makes any difference isn’t really the point – the main thing is to secure a grasp of what we’re doing wrong and how to do it better.
Your departure, inevitably more vocal and more public, is no different except that it seems appropriate to respond equally publicly, given the platform you have employed to air your views.
You cite BASW’s launch of the Social Workers Union (SWU) as the reason for now deciding to leave the Association. Clearly, the odd gripe apart, you are happy with your union and with your local representative. Fine. Really, fine, BASW has no intention of encouraging social workers who are happy with their trade union to up-sticks and join SWU instead.
We hope members in this position will still reflect on the range of member benefits being part of BASW offers, and will want to be part of their professional association, but in no sense is it making a play to poach you and others like you from other unions.
There are two reasons why SWU can be a good thing for the social work profession generally without impacting on the social work membership levels of Unison or any other union.
Firstly, there are well over 40,000 social workers in the UK who are not a member of a trade union or a professional association, so have little of the security such membership affords a practitioner in need of support – from basic advice to prolonged representation. By no measure can this be a welcome fact.
To date, a standalone BASW, acting solely as a professional association and without a union arm, has not attracted these people into membership. Nor too has any trade union appealed sufficiently for them to consider subscribing. BASW’s launch of the Social Workers Union offers these people something else, another option which some of them, just some, might choose to take.
Secondly, and most pressingly, there is one significant factor in BASW deciding to establish SWU that shouldn’t be ignored. A number of local authorities were increasingly unwilling to allow our Advice & Representation officers to attend internal disciplinary or conduct hearings. Although in contravention of ACAS guidance, this was leaving some fee-paying BASW members without access to the sort of expert representation they were entitled to have.
The ACAS guidance, it would seem, is just that, and if you are not a trade union then you don’t have guaranteed access to represent members with employers in the way we would want. By launching SWU, for no extra cost to members, we ensure, among other things, proper protection for local authority staff. This has to be a good development for social workers.
And let’s be very clear about which social workers. You describe BASW as ‘less relevant to me as a local authority social worker’ and ‘focused on either students and newly qualified social workers or independent social workers’. Yet SWU is, more than anything else, about ensuring we can support local authority social workers fully and properly in the increasing number of cases we are sadly being presented with where members are being poorly supported by employers.
You do allude to something very interesting though on the issue of how BASW represents local authority social workers and where we can do better. You suggest that the one thing you would really welcome is the chance for informal social networks – ‘safe’ places, physically and virtually, where like-minded people can discuss the future of social work. It’s a very strong concept and one BASW has recognised but could do far more in developing.
In this instance it is fair to say that we have gone much further down this road with independent members than local authority workers, as illustrated by the number of very successful independent groups holding regular meetings around the country. These aren’t controlled propaganda exercises – BASW staff usually only attend the first meeting to help get things off the ground – but informal meetings of independent social workers which BASW helps facilitate and that participants themselves then take forward.
We have staged a host of ‘tours’ within all UK countries over the past three years, many of which proved to be useful two-way discussion sessions, but facilitating networking groups within local authorities would be a good step for our members and should be explored further, and soon.
One of the most notable aspects of your blog, and the one I felt most keenly, was your assessment of PSW magazine. In particular, you referred to ‘pages and pages of propaganda’ and that there is ‘no space at all for any kind of dissenting or alternate views’. I will respond to this at some length but in brief I do not feel this is an accurate assessment of this magazine or BASW’s approach to dissent.
I have worked for a trade union where the members’ magazine became solely a propaganda device, where every editorial item was utterly patronising and where opportunities for dissent gradually dissolved to the extent it was untenable for me to remain with that organisation. I don’t miss it and I wouldn’t go back into that same environment or remain in an organisation that developed such a mindset. BASW is not that kind of organisation. Not even close.
Look at page 11 of this month’s PSW and you can see that one of the three letters is a direct attack on the magazine for publishing an article the correspondent loathed about lessons to be learnt from the Baby P case. I might disagree with the contributor but his was a valid member’s view which we published without hesitation.
Go back to March when we published a double page spread of comments posted by members online after BASW launched its own College of Social Work (as you will know, the name has since been dropped as BASW and the SCIE-sponsored College work to establish a single organisation for 2012) and you will see two sharply critical views and one far from convinced about the move. As a proportion of the 200 or so responses we received online this wasn’t just a fair reflection of dissent, it actually represented a higher proportion of opposing opinions than were actually posted.
Go back even further to the fall-out from BASW’s decision in early 2010 to hold a referendum of members on the kind of college members wanted to see. We carried letters from one BASW Council member who had resigned and another from a member at the end of his term, both of which were sharply critical of any move away from the SCIE college. No censorship, just publication.
It may surprise you but we actually don’t get a massive postbag of alienated members wishing to air their ire. Far more correspondents focus on something specific they have read, respond to requests for comment on a particular topical issue or, to my inevitable frustration, highlight minor errors of fact or grammar.
As for ‘reams of pages about how important BASW’ is, this is a tougher one because to some extent you have a point – we didn’t used to highlight the Association’s work that much in PSW at all. And people would complain that they didn’t know what BASW did.
People used to wonder why they were paying their membership fees if BASW wasn’t more publicly prominent, more vocal about the issues that mattered to them. BASW is definitely more assertive, more opinionated and, sometimes, more bolshy and for a lot of members that is a good thing.
Now, should that entail using the magazine for endless self promotion? No, in my view it should mean members get to read what BASW’s position is on key issues, whether on the riots in England, adult protection laws in Scotland, funding cuts in Northern Ireland or a consultation document on the future of social work in Wales.
As a monthly title PSW can’t present you, in print at least, with the very latest news, but it can reflect on the past month’s developments by offering the facts and adding a BASW view. This doesn’t change the facts but it does enable members to see what BASW is lobbying for, using the membership subscription fees they pay each year.
News is only a small part of the magazine though, so too is The Chief, where the chief executive is free to write what he wants to the BASW membership. Elsewhere you can read content including features, book reviews, advice columns and interviews, none of which offers a BASW view or seeks to evangelise.
Incidentally, though not without relevance, 345 members replied to a survey on our communications output in early summer and 92% said PSW was either a welcome or very welcome member benefit. It’s not scientific and there are plenty of members who haven’t expressed a view but it’s not a bad statistic considering it is an anonymous poll and I haven’t stood behind anyone’s back twisting their arms.
And just to go back to the issue of self promotion, only a couple of days ago, after reading your blog, I noticed a comment within a Guardian story about research it was co-sponsoring into the causes of the riots, in which the editor-in-chief waxed lyrical about the ‘great strides in the field of data journalism’ The Guardian was continuing to make. Possibly true but certainly self promotional.
BASW is an active, growing organisation that is constantly developing new services. We need to talk about this if we are to sustain our growth as, to borrow from your blog, there is ‘strength in numbers’ and the more members we have the more we can represent the interests of the social work profession – whether you are a student, local authority worker, independent or anyone else.
As for those Annual General Meeting numbers you wanted. Around 230 people attended the Practice Symposium in the morning and 164 remained for the actual Annual General Meeting. Of these, 134 supported the launch of SWU, 21 opposed the motion and eight abstained. Proxy votes totaled just nine, with five opposed to the launch of SWU and four in favour.
Would we like more members to take part in the decision about the future of their organisation? Absolutely and we are trying to learn lessons from our attempts to promote the AGM in May. Several advertisements and e-bulletins actually attracted the biggest turn out at a BASW AGM in my time at the Association, around five years, but we must continue to try and up the numbers further as clearly those who attend the event are clearly a minority of our overall membership – though this isn’t particularly unusual for any union or association.
Considerable effort will be made to alert members to the next opportunity to shape the future of BASW on 1 November when an Additional General Meeting in Birmingham will be asked to determine whether BASW should transfer its assets into a new College of Social Work. This will commence in earnest once BASW Council meets on 21 September to consider the latest position ahead of the Additional General Meeting.
Magistrates and crown court judges could be asked to dock benefits from convicted criminals under preliminary proposals being drawn up by the government in response to the riots, the Guardian can reveal.
Ministers are looking hard at how benefits, or tax credits, could be taken away to show criminals that privileges provided by the state can be temporarily withdrawn.
Under the proposals anyone convicted of a crime could be punished once rather than potentially facing separate fines – first by a magistrates court and then a benefit office. By giving powers to the courts to strip benefits, the Department of Work and Pensions would not be required to intervene in the criminal justice system.
Yesterday, a little tardy, I know, I listened to the podcast of Pienaar’s Politics which I tend to really enjoy and I did except for the presence of Kelvin McKenzie and an odious interview with Iain Duncan-Smith in which he discussed this.
(Iain Duncan-Smith who, incidently, laughingly claimed at his constituency of Chingford and Woodford Green was ‘inner city’. Really? Waltham Forest is inner city? Really? Have I missed something? Anyway, back to the programme).
Let me explain why it is so odious if I need to.
Firstly there are the assumptions that all those who rioted are claiming benefits. Yes, I know there are links to poverty but will how will there be an equivalent punishment for someone who commits a crime and does not claim any money from the State. This is an intentional scapegoating and targeting of poverty.
The riots were awful but the causes run much much deeper and broader than ‘gangs’ and ‘benefit fraud’.
Duncan-Smith in a truly odious and preaching manner seemed to make links between ‘generations of joblessness’ and the feckless claimants. He emphasised his joy in ripping away support for those who received Invalidity Benefit and while me gave a cursory nod to those who might have caring roles – he mentioned them solely in terms of the money that they save the government.
How about truly visionary leaders that display integrity and leadership rather than those who pander solely to the lowest common denominator of cheap ‘kicks’ at those who need to claim money for support and those who are not able to afford the lives they see the privileged lead.
This week we have seen our millionaire cabinet members talk about the ‘feral underclass’ (Kenneth Clarke who was one of the few Tories I had a smidgeon of respect for previously). Really?
Yes, the people involved in the riots may well have been some of the poorest and most disengaged but that doesn’t mean the cause of the riots needs to look solely at those who were out on the streets looting. If it does, it allows the cosy middle classes to look on from the suburbs (or in IDS language ‘inner cities’) to preach from their own comfortable positions of superiority.
These riots, this inequity, it is the problem of ‘other people’.
Surely the riots, the way that culture has become so consumerist in its nature, the dishonesty and the lack of censorship of anything other than ‘getting away with it’ the lack of inherent understanding of right from wrong in any other terms – that is not a problem of the poor and it is not a problem which is solved by taking away ‘benefits’. That merely pushes all the problems of a society onto one particular class that will match with the photofit of ‘problems’ that rest most easily in the middle-class heads. By looking at analysis of ‘who rioted’ or rather ‘who was caught‘ and looking at lists from magistrate’s courts we provide a very narrow view of what was responsible in our society for creating a moment when people thought they could ‘get away with it’. The riots were not about who was rioting. They were about what is and has been happening within our society from top to tail and by concentrating reasons and solutions on the lower end, we allow those more privileged to get away with all kinds of poor behaviours and excuse the problems that their behaviours have caused which have led to such strong feelings of disillusionment.
Personally and I base this on no research base other than my gut feeling, I think the problem and the problems in society must be examined in a much deeper and more fundamental way. In England, at least, we have seen successive scandals and betrayals from the finance services through the collapse and deceit in the banking system, the MPs fiddling expenses compulsively, the Press through the phone hacking scandals and the police for bribery.
While politicians lament of a world where people loot ‘because they can get away with it’ and only refrain from crime not because of an inherent ethical desire but because they will not be caught, it is impossible to separate those who loot shops from those who loot the public purse. Those who sit in their comfortable suburban (sorry, inner city) homes.
How can we, as a nation, allow our poorest people to be scapegoated by an establishment (financial/political and media) that has been equally deceitful but who will never feel ‘benefits’ being taken away because they are all wrapped up in each others’ collective pockets. They will never be evicted from their council houses because of the behaviour of their children because they are fortunate enough to own their own homes and they will never suffer from having child benefit withdrawn when their kids truant because they aren’t reliant on child benefit and their children have trust funds.
How can we allow this to be the voice of ‘reason’ in the country?
I truly can’t understand it but I know it makes me angry.
- Response: It’s wrong to blame fatherless families for Britain’s ‘moral collapse’ (guardian.co.uk)
- We must become ‘nation of the second chance’, says Iain Duncan Smith (guardian.co.uk)
- Kenneth Clarke says broken prison system which failed to stop ‘feral underclass’ to blame for riots (telegraph.co.uk)
A truly national health service as conceived in the post-war years has been tottering on the brink for a number of years. As the previous Labour government sowed, so the Liberal Democrats and the Conservatives will reap today as the NHS and Social Care Bill reaches its last stages in the House of Commons and the Conservative Party institute their idealised version on a market-led health service which will deliver profits into the hands of investment companies and will place efficiency above effectiveness in treatment delivery methods.
Yes, I feel bitter, very bitter. I don’t see the Labour Party hauling us out of the mess that the both the Liberal Democrats and the Conservative Parties have conspired to leave us with because the Labour Party in their previous guise very much laid the groundwork for this to be done.
I find it hard to believe the audacity and the incompetence of our political elite as they push through a hugely unpopular bill tonight but then, as I pause, I wonder if it is truly incompetence as they are ‘getting away with it’.
We have been confused by details and have been tricked into believing a ‘consultation’ process has taken place. It has taken place very much on the government’s own terms and the listening that has been done has been very selective.
I try not to have a blanket opposition to the ‘private sector’ and ‘profit-making’ in the health and social care sectors but I’ve been burnt by experience. There are some companies that may well be able to improve some aspects of service delivery and I completely accept we all need to move away from the blind public/private being good/bad depending on where you stand on the political spectrum. That’s quite hard for me to ‘get my head around’ as I feel instinctively that profit should not be made from ill-health but equally the government’s obsession with public being bad is equally short-sighted and damaging.
What really sticks is the way that Cameron has blatantly misled the country in the quest for votes. ‘No top down reorganisation of the NHS’ he said, lying openly to the nation and yet we have to accept the mishmash garbage that he is now leading through Parliament as the Health and Social Care Bill and it moves towards it’s Third Reading in the House of Commons today.
I feel angry at the way that language has been turned and stolen from us.
‘Choice’ has become a catch-word but as I have discovered through the ill-spirited and contemptuous way that ‘individual budgets’ have been delivered in social care – choice mostly a luxury of the ‘worried well’ or the more affluent middle classes – in whose ranks sit all those MPs who vote on these changes today.
Choice means very little if you are not in a group that can cost a company money rather than increase their profits.
We have been hoodwinked into believing that ‘choice’ will genuinely exist when these private companies rip up our public services to deliver profit to their shareholders? I think we should ask whose ‘choices’ is it that the government and the health companies that support then, they will be?
Let me turn to the social care sector again because that’s an area I am familiar with. I am very familiar in the ways that privatisation has worked or rather, not worked and the way that ‘choice’ has been promoted – falsely – as the achievable outcome for all end users.
The pushing of the public sector from social care delivery has decreased ‘choice’ in many instances. In the areas I’m familiar with, local authorities have been pushed out as providers of residential and home care services to be replaced by companies such as Southern Cross (RIP), Bupa, Care UK (always worth repeating that they donated to fund Andrew Lansley’s private office) and homes have closed, block contracts have been signed to provide care at the cheapest costs which increases profits for the private companies of course and limits choice for individuals who need these services.
Anyone who claims that the roll out of personal budgets has or will change this and has increased ‘choice’ I will point to those who have capacity issues – those without family or friends to support them – those who are more marginalised have far fewer choice than the ‘mainstream’ who are able to engage in the process and that suits the government and the propaganda machine just fine.
That is what I fear for with the Health Bill (I am not sure why it’s even called the Health and Social Care Bill as Social Care is so obviously a troublesome ‘aside’ for the government).
Choice may well be nice for making decisions about which hospital is most convenient for a scan but what is being done to assist, support and advocate for those who are not able to make choices?
We are all in this together? Really? I doubt it.
As for me, I’m off to the vigil outside the Houses of Parliament tonight with my local Unison branch.
The TUC have also organised an ‘online vigil’ to oppose the passage of this Act.
And then.. to the Lords. But I will take careful note of the voting as it happens tonight. And I won’t forget.
I’ve made my position clear about ‘benefits’ over the year. ‘Benefits’ are not really benefits at all.
I decided to look at the meaning of the word ‘benefit’ and found (according to dictionary.com)
[ben-uh-fit] noun, verb,ben·e·fit·ed or ben·e·fit·ted, ben·e·fit·ing or ben·e·fit·ting.
1.something that is advantageous or good; an advantage:
2.a payment or gift, as one made to help someone or given by a benefit society, insurance company, or public agency:
3.a theatrical performance or other public entertainment toraise money for a charitable organization or cause.
4.Archaic . an act of kindness; good deed;
Perhaps our national failing is that we still mentally see ‘benefits’ as a gift and not a right. The payments given to those who have some form of need should not be considered as an ‘act of charity’ by government. It is money necessary to live not money in the gift of the government.
Sometimes language is and can be important.
By Cameron and his Conservative-led coalition like spreading the rhetoric that ‘benefits’ as well as ‘public housing’ should somehow be related to ‘good behaviour’.
This article for example as a case in point which explains
David Cameron wrote in a Sunday newspaper that he wanted to look at going further in welfare reforms, calling for the child benefit payments of parents who play truant from school to be withdrawn.
He suggested a more ambitious welfare reform programme when he posed the question of whether the government should be “asking much more of people on benefits who should be looking for work – or imposing even stricter penalties on those who refuse job offers?”
Cameron moves in a no-doubt electorally pleasing but morally questionable path.
Calling for the removal of child benefit payments to the parents of children who play truant is morally repulsive. It further impedes those who rely more heavily on those child benefit payments. Lets not forget that child benefit will be means tested soon (in a pathetically haphazard way but no matter). Where is the proposal for penalties for those parents who don’t receive child benefit and whose children play truant? Or do they really think truancy only affects ‘poor children’.
It insults our intelligence to make these proposals but they play very well to a public crowd that has been increasingly weaned to divide our own population into an ‘us/them’ dichotomy between those who work and those who do not work.
The government (and the previous government too) persist with a ‘divide and rule’ policy of presenting those who are not able to work against those who do work – well, we should never forget that for those us who aren’t party to the millions in trust funds that most of our government members grew up with – there is a extremely tenuous link between being a have and being a have-not.
The Guardian article goes on to quote Cameron saying
“What about welfare? The old something-for-nothing system we had under Labour had a poisonous effect on responsibility in our society. Again, we’ve already taken bold action – we’re in the process of moving hundreds of thousands of people who are fit to work off incapacity benefit and are imposing sensible limits on the amount of benefit people can take. But again, given the scale of the problem, can’t we go further? Say by asking much more of people on benefits who should be looking for work – or imposing even stricter penalties on those who refuse job offers?”
Something-for-nothing? Really? Personally I believe that people are entitled to a level of support from the state in order to live and that Cameron is playing games with words and assumptions when he appeals to the ‘Daily Mail’ reading crowd. He makes much reference to ‘benefit cheats’ as talks about ‘taking away benefits’ as if it is a reward that we had to well-behaved dogs and it is insulting in the extreme.
I those doubt that reforms are needed but the language in itself in invidious and pushes our thoughts to regard ‘benefits’ and ‘benefit claimants’ in a particularly unfavourable light.
And as an aside, as was pointed out to me, the photo in the Guardian article – well it has a picture of Charles and Camilla. Now THERE’S a family existing on benefits with absolutely no public gain and I think their social housing should be taken away for the genuine good of the nation. But that’s another question for another day..
I’m on a theme at the moment so run with me. I have through various conversations that I’ve hooked into among Occupational Therapists come across this programme OT4OT (Online Technology for Occupational Therapists)
It is a proposed, international educational programme using occupational therapists internationally to provide and support web-based learning or as they call it a ‘virtual exchange schedule’ to promote learning and understanding and uses of technology to grow international knowledge about occupational therapy internationally.
It’s a fantastic model but I’m desperately jealous. Where is the social work equivalent? How about an international ‘virtual exchange schedule’ of free programming that social workers internationally can both contribute to and participate in? Why do we leave these things to those who organise and charge fees which are too large for individual interested practitioners to attend?
I’d love to find out more about this model and see if there’s a way of pursuing a similar experience in social work internationally but I’d need people to come on board. Is there anyone firstly who would contribute their expertise to run virtual sessions or discussion groups throughout a ‘day’. Any social work departments willing to help with technology aspects and providing an educational ‘oversight’ to the quality of submissions? The idea would be for an international event to broaden international experiences of social work. I think it could be a fantastic resource and opportunity.
An opportunity for ‘people like me’ who are not linked directly to universities to run ‘events’ online, it could also be an opportunity for those who teach to share some of their information globally and gain experience and exposure of running online events.
I need to do a bit of work behind the scenes regarding technical aspects and how that might work but I don’t think it needs to be complicated.
Anyone interested? I can put together some kind of mailing list or group on Google to discuss further. I just want to know if I’m shooting into the wind or not! I’ll do a bit of investigating regarding hosting and technological needs over the weekend and will write up posts as I find out information. I think it could be something really exciting.
(just as an aside – wouldn’t it be a wonderful world if this was something our ‘College of Social Work’ or BASW were to put together without nudging – that’s the kind of innovation and progressive thinking I’d like to see from a professional association rather than messing around and replicating unions that already exist).
I was interested in this article on Community Care website yesterday that more than half local authorities did not comply with the twelve week period for consultation when setting their adult social care budgets for 2011-12.
I had to stop and think whether the authority I work for did this. I think they did. I have vague recollections of something like a consultation being circulated but we’ve been subject to a number of different consultations for a whole variety of things and I’ve lost track of which were for what.
I’ve probably been directly party to more consultations over the past 18 months than I have at any other point in my career and to say I’m disillusioned is an understatement.
Consultations, in my experience, are never about actually consulting. They are about presenting decisions that have been made in smoky rooms, behind closed doors as a fait accompli.
These ‘management consultants’ who are engaged at high cost to produce these consultations only do so to meet statutory guidelines about what ‘consultations’ should be but I’ve been party to consultations which seem to arrive during the Christmas period, at Easter, over the summer holidays – whatever time seems to be the least convenient to actually gain the opinions of those directly affected and in whatever way seems to stymy any kind of criticism the most.
Do I sound cynical? Well, maybe just a teeny bit. It’s because we’ve been blasted by some massive changes presented through consultations-that-are-not-real-consultations and I’m bitter. I’m very bitter.
One of the major issues I’ve noted is the short periods of time between the ends of the consultations and the publishing of proposals as if, by magic, all the submissions could be judged within a week.. oh, not many responses? Well, that’s awfully convenient.
I’ve seen documents accompanying the consultations which don’t even try to disguise what the final outcome to the so-called consultation will be.
I have no doubt whatsoever in my mind that consultation is about the most misused term in local government and the NHS that I have ever come across and that’s saying a lot.
Large organisations don’t want to consult. Or rather, they want to consult with their own consultants. They want to consult with the same group of people whom they can explain and describe to at detail. Thinking about creativity, if there was a real desire to consult about changes rather than impose them, the organisations should be forced to use more creative means to garner responses. Questionnaires don’t always work. Public meetings attract the same time-rich people who will always attend. What is done in a consultation to seek out those who are least likely to respond? Is three months really sufficient time for this?
As I said, I’m a cynic. I can’t see the work ‘consultation’ without laughing cynically and reading the end of the document to see what is proposed and what will, no doubt happen.
I’d love more openness in the process of putting together proposals and garnering ideas rather than being given consultation documents which appear to be vastly resourced ‘fait accompli’ type documents justifying why ‘we’ are changing what ‘we’ are changing.
Does anyone have any positive experiences of consultations? I’d really be interested in hearing.
Since I’ve been employed as a social worker one of the constants in my working week has been the presence and existence of ‘panels’ in many different forms. There was a brief stage when we were told not to refer to them as ‘panels’ but rather meetings but it’s all the same thing at least, in the setting in which I’ve been working. They are groups of managers and professionals of a variety of provenances making funding decisions on behalf of the local authority or health service. Of course sometimes they say it is about joint decision making (which is why the word ‘panel’ is frowned upon now) but that’s really a facade. I make recommendations but I have little authority over funding decisions.
Different local authorities often have different mechanisms so my explanations of the panels that I might attend come with the proviso that things are arranged and organised in a variety of ways.
We have panels which primarily make decisions about packages of care that exceed a particular baseline cost. That baseline has changed a variety of times but generally managers in each team are given a certain ‘threshold’ to which they can approve funding requests but above that and any application for funding for residential or nursing respite or long term care have to navigate a ‘panel’.
We have separate panels for high cost personal budget packages which would be provided for care at home and those which approve residential and nursing care/respite and continuing health care (which authorise applications for long term payment for care by the NHS )
Going to panel generally involves the transfer of reams of paperwork. I’d probably say it’s the most obvious way though that I provide the function of advocating for a particular service user or family member when I ‘present’ the situation to those who make the ultimate funding decisions.
Contrary to what some people might think, I have absolutely no vested interest in the local authority or NHS ‘saving’ money by not agreeing to a particular package – indeed, I won’t tend to bring something to the panel if I don’t wholeheartedly agree with it myself. I am a great advocate of money being spent where it is needed. I have a general wish to see public money well-spent of course and I understand the need to ration resources but if I bring something to the panel and authorise an assessment, it is because I believe that that is what is needed according to my professional judgement and as far as that’s concerned, balancing the rest of the local authority’s budget is not an issue I consider (which is obviously why these panels exist!).
Similarly with the Continuing Health Care Panels I cannot conceive of a situation where I would bring someone to that panel if I didn’t absolutely want and believe that they should get that funding. If I attend and collate a report it is because I and the multi-disciplinary team behind the report, believe in it. I absolutely want people to get what they are entitled to and have no ‘secret instructions’ to try and deny the funding. The rules though are not altogether clear but it suits the funding parties and the governments to keep the rules complicated and unclear. There’s a lot of money at stake.
The panels are open to service users and carers but for me, personally, it’s very rare that service users or carers attend with me.
I have more often had family members attend Continuing Health Care Panels with me and found it is a much better way of working as it allows a lot more transparency and removes one of those bars between me trying to put the words of others in my mouth.
By now, I know the people who sit on the panels and they know me. That’s a massive advantage in being able to persuade and cajole. It makes me realise how useful it is to have built up links and a reputation among the more senior management. I like to think that a trust develops.
Panels used to scare me because I’d be questioned, often in detail about the proposals that would have a substantial monetary implication for the local authority. My paperwork and assessments are examined in great detail and a level of scrutiny applied. Now that I’m more confident, I tend to take pride in presenting my reports and welcome the questioning as I know what to prepare, what to highlight and what to expect.
I’ve had panels where paperwork alone is assessed and where we are not required to attend in person. I prefer being there ‘in person’ especially when there are any question marks that I feel I can clarify.
One of my favourite tasks in my work is feeling that I am genuinely able to advocate and navigate a person or family through the muddy mired waters of local authority funding streams and decisions. I wouldn’t say I enjoy the panel process although there is a satisfaction in having something approved especially if it is something you feel might be hanging in the balance, but I don’t dread them as much as I used to.
As for now though, it’s just another part of the process of seeing a paper ‘plan’ through to fruition. I know they work differently in different areas – indeed, I’ve seen them in different forms in the local authorities I’d work for – but that’s how they work – whether they are called meetings or panels, the effect is the same.
And that’s the explanation of what the panels are – the other side of each discussion I have and each decision that is made by the faceless ‘management’ that I sit in front are that they are desperately important decisions to each person who is reliant on the authorisation of that funding to allow them to life their lives more fully, to allow their family to have access to respite services. My job as I see it, is to bring the paperwork and paper assessments ‘to life’. I am not only writing about a person on a pro forma, but I’m able to flesh out the requested questions and documents with a person, with a family, with relationships.
That’s why I don’t mind attending these panels as much as I used to. I’m not frightened of them anymore. I see them as an opportunity to take a crucially important role in someone’s life and to speak for them and not just about them.