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33 Million of Cost/Savings Per Annum


icepick239
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Folk at Viewforth are extremely vulnerable. Routine is the thing that keeps the residents happy. There have been many options thought about on how to deal with the upgrade. A complete new unit is the ideal option, though, very expensive. Any solution has to take into account the stability of the residents and the ensuing harm constant moving around could do.

What Viewforth offers, is a secure unit operated by a dedicated team from cleaners to management. The removal of this secure unit, which, is safe, could be instrumental in folk being sent south if no accommodation can house them and service their needs, that will not be the right move, it will mean that residents will not be able to keep daily contacts with folk they know, those who can still bring out that dim remaining light of their former self.

Scotland does not have laws in place under the Mental Health Act that can deal with end of life plans. That is, there is nothing in statute to allow someones wishes about their demise be followed, as is in England, that must terrify some folk, as does the diagnosis, especially if diagnosis is very early.

Another thing is that some residents pay for their social care, and, quite a sum of money.

I believe this extension was sanctioned before the cuts, though, I am not sure where all the money is coming from.

 

Care for our elderly must be right, especially in the cases of the residents suffering any form of dementia. As we are living longer, more of this type of service will be needed.

 

Perhaps it may be time to review the Mental Health Act in Scotland to provide folk with a dignified exit from the struggle that can be life.

 

http://www.compassionindying.org.uk/scotland

 

http://www.dignityindying.org.uk/

 

 

Slightly off topic, but useful info...

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Your gonna be old and infirm someday, hopefully bad karma gets you first./quote]

 

Dont see the need for that remark , but same to you.

 

./quote]

I say spend on the old ones, they are who made us ,unfortunately seems to have made a lot of us into money grabbing materialistic c**ts that dinna give two hoots about anybody else but ourselves.quote]

 

Speak for yourself. I agree spending on the elderly and infirm should be done , my only question , had you bothered , or had the wit to have seen , was the sheer cost of it in relation to the size of it. :roll:

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i agree peat sending south would cost more in the long run. Shetland also needs decent provision for acutely unwell mental health patients sending south is not always best. so a proper elderly mental health unit with a possible add on of a few beds for younger folks would be a gold standard for shetland. interestingly the staffing levels are higher in montfield than the hospital wards maybe that could be used as the unit

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Thanks for the comments.

 

It would be foolish to cut services now if it is only going to cause additional problems later. Dementia care is very specialised and it is the training that equips those who have to work with residents. I feel that the talk of keeping dementia patients in their home longer could have a worsening affect on their prognosis, social interaction is a must for many.

 

I do not think that splitting residents of Viewforth to separate extensions is viable as a humane thing to do. There will be a look at reducing cover, especially at night I would guess. I has been known for a resident to take up most of the time of the night shift, this cannot work if they are thinly spread and have to cover other parts of the home.

 

I feel, the cost will increase as folk and families suffer the stresses of caring for their kin, thus creating a need for another part of the Mental Health unit.

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ouch ive just seen the new charges for home care. they are high. upto 16 quid per hour for under 65s needing help. thats more than a staff nurse is paid.

 

5 quid per meal for the meals on wheels. are these the frozen ones. will point out you can get 4 for 5 pounds at tesco.

 

could go on but some of those charges are high like 50 odd quid per week for home care.

 

charges apply to those with more than 6000 so not just the rich.

 

yet the head of care can't explain why 200 jobs were created since 2009.

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ouch ive just seen the new charges for home care. they are high. upto 16 quid per hour for under 65s needing help. thats more than a staff nurse is paid.

 

5 quid per meal for the meals on wheels. are these the frozen ones. will point out you can get 4 for 5 pounds at tesco.

 

could go on but some of those charges are high like 50 odd quid per week for home care.

 

charges apply to those with more than 6000 so not just the rich.

 

yet the head of care can't explain why 200 jobs were created since 2009.

 

The "Head" of care is one of the main jobs that should be cut , considering the balls that has been made of all this. Vastly overpaid and certainly not up to the job.

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ouch ive just seen the new charges for home care. they are high. upto 16 quid per hour for under 65s needing help. thats more than a staff nurse is paid.

 

5 quid per meal for the meals on wheels. are these the frozen ones. will point out you can get 4 for 5 pounds at tesco.

 

could go on but some of those charges are high like 50 odd quid per week for home care.

 

charges apply to those with more than 6000 so not just the rich.

 

yet the head of care can't explain why 200 jobs were created since 2009.

 

Surely the up to £16 per hour includes the admin cost? I think Dad pays something like £10 per hour to an agency for his carer but the Local Authority wanted £13.

 

£5 per meal: does a meal include a starter, main course and dessert, and delivery? Can Tesco's match that?

 

I think the Head of Care did explain why 200 jobs were created since 2009 if my memory of the press report is correct; they followed the policy agreed to by councillors or was that just related to the increase in the expenditure for that department?

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I try not to go with the knee- jerk anti-management 'rhetoric' often spouted here - I know the pace of change in the SIC must be putting a huge burden on managers. However, Orkney council has done a full restructure and ended up with 18 senior officers.in the SIC there are approx 35 directors and "executive" managers. There are things that we maybe have to do that Orkney doesn't, so I'm not saying the same number is appropriate, but I can't believe that, 2 years after our restructure, they cannot now identify more management streamlining. I am not saying all these managers are not working very hard, but the pace of change and cutting of staff below them doubtlessly means they are having to juggle a lot of operational work that should be done by someone on a lower grade. When we are doing ridiculous things like 'saving' a few thousand by shutting public toilets, structure needs looked at again. One higher manager's salary can probably fund a few toilets. With 2 directors leaving, it's time to look at restructure again. I don't know the council in detail, but I'm sure you could, if you allowed them to stick to purely higher strategic matters, get some of these executive managers to cover a couple of departments. Bump the rest down a few grades, and keep them to an operational role. Instead, I understand some depts are taking on more managers to handle the cuts!

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a very fast cost saving hand over all care to the nhs. this would result in a very reduced wages bill. let the nhs bill the council for the social care aspect. you then could eliminate a lot of management posts and admin would be simpler.

 

i know for a fact with these new charges that people are not going to use the services that they need. this will result in more hospital admissions and a worse out look for the client.

 

unlink at the moment you can get a meal deal for 6 quid starter main desert. wait until the charges are published if they are there will be lots of shouting.

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^ There's been one of those outside my door for over 18 months, after it blew down in the December '11 gale barely missing the OH's car - it was rusted right through. No blame on the lampost, it had been there probably nearly 40 year, but this seems how its going to be done, just don't replace them as they fall down, as nobody has touched the stump since a man in a yellow van gaddered up da brucks the day after it fell.

 

I live in hope of seeing the light again someday though, as the several yards of widden fence doon bye that blew in the same gale, and lay where it fell was finally gaddered up a couple of weeks ago....and, three MIB that came in two vans were having a seriously meaningful look in to the hole where it should have been only a few days ago.

 

The galling thing about the fence though, is had they come and dealt with it within a few weeks of it going down, about half the length would have been salvagable and re-usable as it was only a few years old. It only came down on account of being joined to the other bit, which was much older and very likely past its sell by date. However, having left it to grow in to the grass and blow in the weather for nearly two winters of doing it no good, its all going to have to be new, with the added expense that raises.....

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DIRECT PAYMENT RATES - SIC COMMUNITY CARE SERVICES 2013/14

Service Direct Payments Rate Payable

Personal Care per hour £16.18

Domestic Tasks per hour

(including Laundry and Meal preparation)

£11.37

Day Care per day – All age groups £56.80

Residential Short Breaks per week £503.00

Short Breaks at Home per hour £10.33

Personal Assistant per hour £10.33

SIC COMMUNITY CARE – CONTRIBUTING to YOUR SUPPORT 2013/14

Service CYS Full Contribution Chargeable

Supported Living Service

(Per Week) £53.00

Transition Experience Flat

(Per Overnight) £11.00

Personal Care (Under 65s)

(Per Hour) £16.18

Domestic Home Care

(Per Hour) £11.37

Day Care Charge

(Per Day) £5.00

Day Care Meal Charge £5.00

Meals on Wheels £5.00

Community Alarm Response Service

(Per week) £1.02

Short Breaks at Home (per hour) £10.33APPENDIX 5 – CC-15-13

 

so say you need the maximum package of 4 visits. 1 to get up dinner tea and to get back to bed your looking at £55 a day so £385 in new charges a week. plus either 5 or 10 quid a day for meals on wheels. and if you need respite care thats going to cost £500 per week.

 

what they should be doing is looking at the costs of the service they offer. the care centres are way over priced.

 

The Council is obliged to charge the full economic cost of 

the service provided.  The maximum charge in any of the  care homes  operated by Shetland  Islands  Council  in  2013/2014 will be £1037 per week. 

 

here is the average charge per region last year. note our is double these.

m Care Home Fees

East Midlands

£26,312

East of England

£29,328

London

£31,096

North East

£24,492

North West

£24,336

Northern Ireland

£24,232

Scotland

£28,860

South East

£30,888

South West

£28,652

Wales

£25,532

West Midlands

£25,740

Yorkshire & Humber

£24,076

 

so our service is charging 20 grand more than the average one in london. and some of the centres are well over 2k a week then that is a massive 70,000 more. and also remember that these centres don't provide nursing home levels of care.

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