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care in the uk - a disgrace

Anurse has accepted that she did not provide appropriate medical care to a diabetic prisoner who died after being left on her cell floor for 21 hours after being restrained by four officers.

Lesley Watts was the duty nurse on call on the morning when Annabella Landsberg was taken to hospital from HMP Peterborough.

An inquest into the 45-year-old’s death heard that, after an urgent call to assess Landsberg, Watts arrived without medical kit and told her to “stop playing games”.

Alison Gerry of Doughty Street Chambers, representing the Landsberg family, asked Watts why she had not provided better care.

“You did not shake her. You did not say, Annabella, are you OK? You did not crouch down. What you did is remained standing and used your foot to push her. Is that a medically recognised way to assess a patient?

On Friday, the inquest heard claims that Watts had said Landsberg was “pathetic” and “clearly faking medical issues” – claims that Watts denies.

Watts did accept that she had accused Landsberg of “playing games” while she lay unresponsive on the floor and that she believed Landsberg to be “pretending”.

Asked by the coroner Sean Horstead whether she was already convinced Landsberg was feigning injury or illness when she arrived, Watts replied: “It is possible, yes.”


Nurse criticised at inquest into diabetic prisoner's death
 
Tuesday 28th May

Who cares? - Justice and Campaigning for Human Rights in the Care System

Venue: The Women's Organisation

Time: 6pm (Doors at 5.30pm)

Tickets: £8/£4 (Students/Over 60s/Unemployed)


The respect of life and dignity of people with learning disabilities at the hands of the state is in peril.


This event brings together Sara Ryan, Mark Neary and Deborah Coles - three riveting authors and leading lights of campaigns promoting the rights to life and dignity of people with learning disabilities when they are detained, often unlawfully, at the hands of the state.



Tuesday 28th May
 

“Giuseppe ‘Joe’ Ulleri fractured his pelvis, wrist and neck at his care home and was taken to Manchester Royal Infirmary. But medics failed to spot the injuries until he was brought back the following day because he could not swallow properly.

His difficulty swallowing continued for several days, leading to staff deciding to make him nil by mouth and put him on a naso-gastric feeding tube to prevent him choking. But he found the tube uncomfortable and it was removed a day later.

The inquest heard poor communication between medical staff and delays over deciding how best to feed him left him without nutrition for 19 days, causing him to ‘waste away’ before he died on March 20, 2016.

A jury at Manchester Coroner’s Court found that he Joe had been neglected by hospital staff.”


Jury Rules Hospital Staff Neglected Man With Downs Syndrome After he Died When he Was Deprived of Food for 19 Days
 
Britain’s cruel care system shames us all


“The death of a teenager at a Priory hospital is tragically just one example of a national crisis

The details are shocking. A troubled girl just 14 years old, sent for the first time into a place of supposed sanctuary for her psychiatric problems. She was subjected to the terror of physical restraint by four adults on her second day, then many more times over subsequent weeks. She was forcibly injected with drugs. She was bullied. And then she killed herself, despite warnings about her safety.

Amy El-Keria died within three months of arriving in the “care” of the Priory Group, Britain’s leading private mental health provider. She was inside a specialist child unit in East Sussex, the subject of a shocking undercover ITV investigation last night. I spoke recently to one mother whose autistic daughter left the same centre covered in scars from self-harm. In a sickening scene from the Exposure documentary, this teenage girl is ignored by staff as she bangs her head against a wall.

The Priory won fame by treating celebrities for drink and drug problems. But the group, bought by an international healthcare giant three years ago for £1.3 billion, earns most of its money from taxpayers. The latest accounts reveal payments of £720 million from local authorities and the NHS. It was fined £300,000 for allowing Amy’s death: a pathetic sum for a company that made operating profits of £62.2 million in 2017 and just handed one director of its parent company almost £8 million in severance pay. Meanwhile, many frontline staff earn little more than the minimum wage.

This corporate giant was held to account only by the persistence of a grieving family, forced like others to fight providers seeking to shroud tragic events in secrecy. Yet Priory, despite its grim record, is far from alone in profiteering from misery. Private outfits have moved on the mental health sector like sharks smelling blood, relying on a flow of patients to fund expansion. Some are run by big global players, others backed by hedge funds or private equity firms. One dire performer is a charity, which handed its former boss almost £1 million over two years.

It is especially harrowing to see these rapacious outfits muscle in on the cruel trade of locking up people with autism and learning disabilities, despite ministerial pledges to stop sending such people to secure units that can destroy their lives. This can be highly lucrative, with fees of up to £730,000 a year for people shut in psychiatric units despite often not having a mental illness. I have spoken to scores of parents weeping as they tell me horror stories of seeking help, trusting experts and then seeing beloved children put in solitary cells, fed through hatches like animals, injected with powerful drugs, bloated through inactivity and brutally restrained.

This flawed, floundering system seems little better than Bedlam. Some families are legally silenced. Yet the cash pours into the pockets of private companies even as community services are slashed. I have long supported the use of private providers within the NHS, uncontentious elsewhere in Europe, so it is disturbing to see these abusive practices and untrained staff. One Priory official in the Exposure film is caught complaining about making too little profit. Yet this problem goes far deeper than simplistic protests about privatisation.

Certainly there are grave concerns over inadequate regulation and there is an urgent need to change our health laws. We need to prevent organisations that might have vested interests having influence beyond an advisory role on decisions to detain citizens who lack mental capacity. We have also seen again the failure of the Care Quality Commission, a watchdog that keeps failing to bark until prodded into action by journalists, patients, families or whistleblowers.

Yet the NHS is guilty also of similar, and sometimes fatal, failings towards people with autism, learning disabilities and mental health problems. Indeed, the aforementioned mother of the autistic teenager said that the worst of the five units holding her daughter was run by the NHS, where the girl was held in seclusion with only a plastic mattress and food dumped on the floor. Another father told me that his autistic son was held in an NHS hospital for five years in a room 10ft by 7ft that lacked even a toilet or washbasin.

Many of these people display challenging behaviour. But these cases give glimpses into a secretive system. It is a scandal that private companies can earn so much money from the state yet fail so often to stop suicide and self-harm. Six months ago, Priory was criticised by a coroner for falsifying logs to cover up a failure to check a teenage boy who had killed himself. Autistic girls often mimic those around them to fit in, so many learn self-harm and eating disorders in these grim places. It is not just a question of cash either. Decent community support is not only kinder and more effective but can be cheaper too.

What does it say about us that these grim practices still occur in 2019? Why is there such shameful political inaction? Why does the state sanction abuse, bullying and failure? The answer is simple, yet scary for a father like me of a daughter with learning disabilities. For it is not an issue of private versus public. It is a far more frightening issue about a nation that seems not to care about people who are different and patients who are distressed — even when they are being tormented, traumatised and die in the care of those who are supposed to protect them.”
 
Would you want to go around cleaning people up when you only get paid when at a clients and no pay when travelling between clients. This is an utter disgrace, dont get old or infirm...

Another tragic case ...

Carer Molly Frank died after being 'hit by aggressive 95-year-old dementia patient'

Holloway carer’s death ‘due to natural causes’ ruling

image.jpg


Rest in Peace
 
In this case, initial reports suggested that Ms Frank was thought to have been "bludgeoned about the head" by the 95-year-old dementia patient.

In any event, it was determined at an early stage in the investigation that Ahmed Seddiki lacked the capacity to be interviewed by police as part of any criminal investigation.

All very tragic.
 
Investigation into learning disabilities services run by major NHS contractor after police brought in over ‘abuse’ of patients



An investigation has begun into a major care provider after police were called in over alleged psychological and physical abuse of patients with learning disabilities at one of its homes.


The Care Quality Commission (CQC) said inspectors would be reviewing these and similar services run by the NHS contractor Cygnet Health Care across the country – and appealed for anyone with concerns to come forward.


The Independent revealed on Friday that Durham Police had received reports of abuse at Whorlton Hall, a live-in facility for people with learning disabilities and complex needs near Barnard Castle, County Durham.


It has suspended 16 of the 85 staff at Whorlton Hall over the abuse claims and it has now stopped taking in new patients.


Cygnet has come under increasing scrutiny in the past year after deaths at two of its mental health facilities and investigations by the CQC.


It acquired Whorlton Hall, alongside 25 other hospitals and care homes after a takeover of private care provider Danshell Group, in 2018.


“Durham Constabulary can confirm that, this week, they have launched a criminal investigation regarding concerns raised about alleged physical and psychological abuse by staff at Whorlton Hall, near Barnard Castle,” a police spokesperson said.


A Cygnet Health Care spokesperson said: “We acquired the Danshell Group a few months ago and allegations have been made against members of staff at one of the group’s hospitals, Whorlton Hall, regarding their treatment of service users earlier this year.


“We take these allegations extremely seriously. All members of staff who have been specifically mentioned have been suspended.”


Cygnet added that it had informed all relevant authorities of the allegations, and said it was committed to ensuring its high standards and culture were maintained across all of the Danshell Group’s facilities.


The Danshell Group acquired Whorlton Hall alongside around 20 properties after the collapse of its rival in 2013.


Earlier this year the CQC revealed allegations of abuse at another former Danshell Group property, Thors Park in Essex, which cares for men with learning disabilities, following an inspection in February.


Cygnet said it had acknowledged the issues raised in the CQC report on Thors Park and had acted immediately following the inspection with a new manager and operations director to oversee changes.


“Cygnet Health Care’s own portfolio does not have any inadequate rated facilities and as an organisation patient care remains our top priority,” a Cygnet spokesperson added.


The CQC said it took “immediate steps” to ensure the safety and wellbeing of people currently at Whorlton Hall and was considering what further action was needed.


“This provider manages many hospitals and care homes across England some of which provide care for people with a learning disability and autism,” a spokesperson added.


“Our inspections show that these vary in quality. We are currently reviewing information about other services of this type operated by this provider, and would urge anyone who has concerns about care to contact us on 03000 616161 or via www.cqc.org.uk/sye.”


The CQC holds information from regular inspections and calls to its whistleblowing line. When asked, they said it was too early to say if any other facilities would be require further action.


Dan Scorer, head of policy and public affairs at Mencap, said: “These allegations are deeply shocking and disturbing. It’s now nearly eight years since the horror of the abuse of people with a learning disability at Winterbourne View was exposed. Yet the health and social care system is continuing to fail people with a learning disability.


“Alongside the police investigation, it is crucial that people with a learning disability and their families directly affected by these allegations are getting support and are safe”


NHS Durham Dales, Easington and Sedgefield Clinical Commissioning Group declined to comment.


Investigation into learning disabilities services run by major NHS contractor after police brought in over ‘abuse‘ of patients
 
So Whorlton Hall mentioned in the post above by someone i can't tag due to their enforced holiday (I think) is the subject of tonights Panorama expose

Hospital 'abused' vulnerable patients

For fans (in the loosest sense of such things). Cygnet Healthcare is owned by Universal Healthcare Services (big US Health Corp), which bought Cambian's Adult Services (another troubled business). Cygnet has recently acquired Danshell, who were formed by Efi Hershkovitz and (at one point) was run by a bunch of ex Israeli forces guys on it's board. Danshell was in turn formed from the rump of Castlebeck. Castlebeck were the owners of Winterbourne View, which was the subject of the first of these exposes on Panorma 8 years ago, kicing off the Transforming Care Programme which hasn't really transformed much, who then were forced to close due to tumbling occupancy levels and the viable bits of the business were sold off.

I hope the show (which I am not sure I can bear to watch) joins those dots of profit before people... This isn't to let Govt or NHSE off the hook here by any means, but it demonstrates that 8 years later private equity etc. is ever more embedded in supporting our most vulnerable people in the most restrictive way possible.

makes my piss boil

woefully ineffective statement from the regulator here - Statement on Panorama: "Sickening abuse of vulnerable people" | Care Quality Commission
 
and while i am on the subject, CQC landed it's Interim Report: Review of restraint and seclusion* for people with MH/LD and or autism. This report focuses on children and young people in 'hospitals'

Interim report: Review of restraint, prolonged seclusion and segregation for people with a mental health problem, a learning disability and or autism | Care Quality Commission

report here https://www.cqc.org.uk/sites/default/files/20190521b_rssinterimreport_full.pdf

I defy anyone to read the case study in the intro and not be emotional. I had to stop reading it at work as it made me angry and upset.

these things are all linked, people have been campaigning about this since the first Panorama and here we still here with interim reports, talks of task forces etc and fuck all action.

*the current word for solitary
 


Social care is a slow-motion car crash. Watch out, it’s heading for you

Social care is a slow-motion car crash. Watch out, it’s heading for you | Roger Graef


The Social Care Crisis is again covered by Panorama tonight and a second programme, is getting huge coverage across all BBC media, some horrendous stories, and they are rightly showing it is not just older people, though of course they are suffering badly in many cases.

Thing is, these programmes on basically disability issues have largely no real impact, its like the people are invisible, why no mobilisations/solidarity actions, like for other groups.

Oh, and its made by the great documentarist Roger Graef.
 
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Have waited to try and calm down before posting. A few days ago I took an alarm call from a carer who said she need my help. From what she told me I told her she needed
an ambulance. I told her THREE times she needed an ambulance. I visited the client. When I arrived, the carer had gone and the client was clearly in pain and could not tell
me what had happened. Ambulance called. A short while later, the ambulance and clients daughter arrived and she still couldn't describe what had happened. I suspect she
had fallen and the carer had got her up from the floor but can't be certain. Anyway, I followed the call up next day with the daughter to find out the woman had gone to
hospital and had an operation already for a broken hip! However much pressure carers are under, how could they ever walk off and leave a client like this and without calling
an ambulance, it just beggars belief. I gather, quite rightly, that the carer has been reported for neglect. :(:mad:
 
Has someone woken up and discovered that a lack of social care has a massive impact on the NHS? People don't get the care they need and they get health issues and end up going to hospital.
People don't get the care they need when discharged from hospital and end up going back. A lack of care also has a massive impact on peoples mental health.
The social care crisis is killing the NHS

The social care crisis is killing the NHS

Lets not forget it's just the elderly that need help, it's not.

Wake up, politicians! Disabled people rely on social care too – not just older people | Frances Ryan
 
PS. "Sorry We Missed You" touches on the trials and tribulations of being a carer and how they try to care and can't. There are of course many other issues
which are not covered in the film, but at least there is some recognition.
 
I have just had an agency cancel my care today, i went out without support and had a fall, i had three cancellations last week, i have had 8 hours care out of the 23 i fought for, I previously set up a group to challenge the council on direct payments.It is having a huge impact on my MH, the quality of care has overall been very poor, there just doesn't seem to be any accountability, the social service directors, etc, just fob you off or ignore you,despite us telling them of stories of neglect, and disabled and sick people going bankrupt paying towards their care, then, at a CLP meeting, the Board cllr for social care, just kept going on about when we get a labour govt, but what if we don't? The group has had little help from the wider left, civil society, churches, etc, just like benefits it doesn't seem to be a big priority.
 
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This is where all the money is going. Stealing from those that need our help, and the workers that provide the care.

Care home operators accused of extracting 'disguised' profits

Care home operators accused of extracting 'disguised' profits

At our last CLP, there was a consultant pedetrician speaking in the discussion about social care, which i had argued for, , this was his big thing, he was very angry telling us how many of the care companies are shell companies with the profits going to tax havens.
 
Has someone woken up and discovered that a lack of social care has a massive impact on the NHS? People don't get the care they need and they get health issues and end up going to hospital.
People don't get the care they need when discharged from hospital and end up going back. A lack of care also has a massive impact on peoples mental health.
The social care crisis is killing the NHS

The social care crisis is killing the NHS

Lets not forget it's just the elderly that need help, it's not.

Wake up, politicians! Disabled people rely on social care too – not just older people | Frances Ryan

No comments allowed yet, mmm.
 
I have just had an agency cancel my care today, i went out without support and had a fall, i had three cancellations last week, i have had 8 hours care out of the 23 i fought for, I previously set up a group to challenge the council on direct payments.It is having a huge impact on my MH, the quality of care has overall been very poor, there just doesn't seem to be any accountability, the social service directors, etc, just fob you off or ignore you,despite us telling them of stories of neglect, and disabled and sick people going bankrupt paying towards their carw, then, at a CLP meeting, the Board cllr for social care, just kept going on about when we get a labour govt, but what if we don't? The group has had little help from the wider left, civil society, churches, etc, just like benefits it doesn't seem to be a big priority.

Sorry to hear that mate, no insight to add but hope you're ok
 
I don't get why people move into the world of care and they clearly don't. That's just horrible.
its the perfect time to spare a thought for carers, what with poor pay, zero hours etc. And not Corona and self isolation on top of everything. The pressures of their work have just gone through the roof.
 
This emergency lock down is bringing extra media scrutiny to the area of care and the practical, polical funding disconnect between NHS and care.

They are talking about social care on r4 this morning, questions about the difficulties and the true number of deaths in care homes. Some calling for the sector to be represented by a cabinet minister - no one asking why the hell it isn't already?
 
It sounds like there have been a high number of deaths in care homes, also many suspected cases of C19. The staff are probably under enormous pressure to carry on working and are not getting PPE :(
 
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