Brilliant analysis of the shortcomings of The Market Driven Economy and the damage it has done and will still do unless it is discontinued to the care industry and to the NHS.
I See A Bad Moon Rising. Now you should be really worried Prof Martin Green, Dr Chia Patel, Des Kelly and all the rest of The Peddlers of Doom.. The amounts of money that Care Home Providers have borrowed from banks over the last ten years could be coming back to haunt them. Borrowed so much they are only paying part interest; each year it gets higher. They call it subprime; remember the Lehman Brothers?
The hand of the clock is at One Minute To Midnight; the next economic storm is coming. Nemesis beckons.
I wish everyone remotely connected with the care industry would read this work by one of the most insightful of economists.
"The pressure of the competitive market has led to the de-professionalisation and casualisation of the social care workforce. The marketisation in social care services over the past two decades has had a significant impact on the social care workforce. Social care workers often receive pay below the minimum wage and a significant proportion – more than half of all home care workers according to one piece of research are operating on ‘zero hours contracts’. The estimated 1.4 million care workers in England are unregulated by any professional body and, according to Skills for Care, fewer than half have completed a basic NVQ2 level qualification. 30% have apparently not even completed any basic induction training. Yet despite this, the tasks which care workers are undertaking are becoming increasingly complex, whilst the needs of those that they are looking after are becoming more serious as a result of the growth in the number of people with Alzheimer disease, diabetes and dementia. And many home care workers are expected to deliver the required care in 15 minutes slots. From the perspective of care providers seeking to keep costs down in a competitive market, leads to reducing the terms and conditions of the workforce whilst expecting them to take on more complex tasks is a logical response."
"In conclusion, although the experience of markets in social care are not all directly transferable to the NHS, the issues and lessons that are highlighted here raise significant questions which at the very least call for public debate and the development of informed strategies to ensure that these outcomes are not repeated within the new NHS market in England." Marianna Fotaki