Care Crash? NCA Questions Vision of NHS-run Care Homes

Covert rationing is endemic in care provision. Different rules apply if different jurisdictions.. An e-mail gives the text below but not the website..

NCA (National Care Association) Questions Vision of NHS-run Care Homes

Reports of the Government’s latest announcement on the ongoing Carter Review on Operational Productivity in NHS Providers have sparked debate in the Care Sector. According to reports, Lord Carter suggests hospitals should build their own care homes to look after elderly patients after they have been treated to make it easier to discharge patients and prevent ‘bed-blocking’.

The National Care Association points out that it has, at length, reminded the government that patients requiring care homes are needlessly being kept in hospitals at greater expense while the care homes sector remains underfunded.    National Care Association Chairman Nadra Ahmed OBE, has responded to the Review by identifying continuing disparities in the current approach: ‘Long-stay geriatric wards can cost as much as £2,000 a week per patient, yet local authorities are unwilling to pay the private care sector somewhat less than a third of that sum for a similar standard of care due to rigid adherence by councils to chronic underfunding. Words are not deeds,’ Mrs Ahmed reminds Lord Carter. ‘While the Review’s recommendations are laudable, getting an “ideal” put into practice is quite another matter, given the reluctance by Local Authorities to fulfil the Government’s Manifesto Pledge that vowed “to give councils more flexibility to support local services.”      ‘The standardisation of practices that Lord Carter proposes for the NHS should, in our view, extend to local authority funding of social care provided by the care homes sector. There remains a critical shortfall in average council funding of about 8% for a typical care home placement. So until our sector is granted realistic funding there exists a strong probability that the independent social care market will continue to shrink, a UK support service which remains essential to local government and NHS care provision.’   ENDS


Editorial note: Lord Patrick Carter is advising Health Secretary Jeremy Hunt on how hospital budgets can be better spent, identifying a number of measures that could, the Review suggests, save £5bn a year by 2019-20.

. . . and the facts behind the crisis in care, which point to an imminent major market crash that the National Care Association believes will spell the end of the road for many independent care homes unless increased funding from local councils reflects the true cost of care.


Care Crash! Residential care provision crash warning.


This entry was posted in A Personal View, Commissioning, Post Code Lottery, Rationing, Stories in the Media on by .

About Roger Burns - retired GP

I am a retired GP and medical educator. I have supported patient participation throughout my career, and my practice, St Thomas; Surgery, has had a longstanding and active Patient Participation Group (PPG). I support the idea of Community Health Councils, although I feel they should be funded at arms length from government. I have taught GP trainees for 30 years, and been a Programme Director for GP training in Pembrokeshire 20 years. I served on the Pembrokeshire LHG and LHB for a total of 10 years. I completed an MBA in 1996, and I along with most others, never had an exit interview from any job in the NHS! I completed an MBA in 1996, and was a runner up for the Adam Smith prize for economy and efficiency in government in that year. This was owing to a suggestion (St Thomas' Mutual) that practices had incentives for saving by being allowed to buy rationed out services in the following year.

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