CARE
SERVICES
NO ONE SHOULD LOSE THEIR LIFE SAVINGS JUST BECAUSE THEY NEED CARE AT THE VERY END OF THEIR LIVES. PEOPLE'S LIFETIME SAVINGS ARE FOR THEMSELVES, THEIR FAMILIES AND THEIR INHERITORS TO ENJOY — NOT COUNCILS AND CARE HOMES.
OUR POLICIES — AT A GLANCE
GENERAL POLICIES
CARE SERVICES FOR THE ELDERLY
CARE HOMES FOR THE ELDERLY
CHILDREN IN CARE
CHILD PROTECTION
CHILDCARE
CHILD SUPPORT
OUR POLICIES
GENERAL POLICIES
All Care-Giving Or Social Services Made Part Of The National Health Service
In addition to efficiency savings from the ability to share buildings and personnel this will also make the transfer of patients from the care of health to social services and back again more streamlined and easier for vulnerable patients to understand. It will also reduce the stigma of 'needing help from the social' for those struggling to raise their children or growing old and infirm and needing personal assistance for the first time.
Social Care and Nursing Care Free To All Patients
As a normal part of health service provision, all care services will be free at the point of use — the disgraceful spectacle of people who have worked hard and saved hard their entire lives being forced to sell-off the family home intended as an inheritance for children in order to pay for care at the very end of life must be made a thing of the past. Individuals' lifetime savings are for themselves, their families and their inheritors to enjoy — not councils and care homes.
Most Care Homes To Remain Privately-Owned-and-Operated Assets
Whilst many smaller facilities do not need to be state-owned, large buildings and particularly expensive equipment will be made publicly-owned assets. All contracts will become short-term 2 year contracts. This will keep the service-providers constantly on their toes and enable a failing service-provider to be quickly replaced. And after an election, a new administration will be able to quickly begin reshaping services and fulfilling its manifesto commitments.
All Services — Including All Care Homes etc To Be Privately Provided.
It will be made very easy for suitably qualified people to set up and run their own care homes, home help service, meals on wheels service etc or provide care services — we will therefore make 50% £ for £ matching grants available towards initial set-up costs. The services themselves will not need to be under any local bureaucracy or accountable in any way to local hospitals or health authorities — they will however be subject to a strict and unannounced inspection regime, which will end the contract of any service-provider failing to meet minimum standards. It is hoped that these arrangements will enable very many ordinary women — who have not previously seen themselves as budding entrepreneurs — to feel able, with friends, to start and grow their very own professional care businesses.
Funding To Follow The Client and Popular Services Allowed To Expand
The basic funding structure will be for money to follow the client — so each institution and service provider will be paid a set rate for the number of clients served. The system will be designed to allow for popular services to expand, but with limits placed on the number of services a particular company is allowed to operate to enable a multiplicity of provision, enabling as many professionals as possible to fulfill their dream of starting and running their own business in this area.
Staffing Changes
To ease the burden on social workers many new posts of Social Work Assistant will be created. This will leave qualified personnel more time to concentrate on building the crucial relationships with vulnerable clients and carefully considering the almost impossibly difficult decisions that are the stuff of their daily working life.
To encourage a fully accountable professional approach and enable a wider peer review of decisions made, all case notes will be digitised and most aspects of client files made remotely accessible to qualified staff from a different area. When things go wrong, as they unavoidably do when dealing with very troubled individuals and families, the aim is to encourage an ethos from senior management and local politicians that supports capable social workers conscientiously doing their best rather than give way to pressure from local communities or the media just looking for someone to blame.
CARE SERVICES FOR THE ELDERLY
A Nationwide Network of Respite Day-Care Centres, Offering Care 2-days / Week / Person
Help needs to be offered to those struggling selflessly-on looking after sometimes very demanding relatives. A nationwide network of day-care centres should be established where carers can leave disabled elderly relatives for the day—ideally for 2 days per week — so they can continue to at least have some sort of life beyond caring for their relations. An alternative offer of 2 days per week respite care in people's own home should also be made available — in case of distress to some disabled people through being in the unfamiliar day-care surroundings.
A Commitment To Expand Home-Nursing / Home Helps / Meals on wheels and Dial-A-Ride Services
Working with the local authorities, we are committed to the provision of a full range of good quality and affordable home care services — from affordable door-to-door transport services and home helps, right through to at-home nursing for the terminally ill. This will help ensure that older people and those with long-term conditions can remain independent in their own homes for as long as possible, and, for those that want to, be allowed to die at home in familiar surroundings (to reduce the distress of being uprooting in the final months and years).
Care Staff Required To Have Online Video CVs For Perusal By Prospective Customers
Due to the personal nature of caring services, we will make it possible for prospective customers to make a choice from all available local care staff by browsing video CVs provided online.
Customers Allowed To Choose The Gender of Those Providing Intimate Care
For many women, receiving care procedures of an intimate nature from a male carer — no matter what the personal qualities of the male carer and no matter how professional their approach — can be deeply distressing. And this at a time of great emotional vulnerability. Today, in this era of 'creative modern lifestyles' — and the inevitable impact this has on the expression of a 'personal vibe' — a not insignificant proportion of male customers too, would probably much prefer to only receive intimate care from a member of the opposite sex. We will therefore look to progressively implement changes to recruitment, care delivery and staffing schedules within the care sector to enable this increased quality of care to be offered to everyone that wants it.
CARE HOMES FOR THE ELDERLY
It is completely unacceptable that people who have worked hard all their lives, saved and sacrificed over many years to pay for their own home and who always planned to leave it — their only significant asset in all the world — to their children as an inheritance, find themselves, instead, forced to sell it to pay for nursing care very late in their lives. This situation is made all the more unjust, when others who have not saved in this way, receive the same nursing care for free — how unfair, and what a disincentive to ever bother saving again. We will therefore make all nursing care completely free to disabled and elderly alike — it is an essential part of healthcare provision. The likely cost of this is likely to be no more than £3bn/p.a.
Each Care Home Allowed To Run Its Own Admissions Policy
Each care home allowed to completely run its own admissions policy and encouraged to be mindful of the need to try and match people up with similar backgrounds and personality-types to make things as stress-free as possible at an already difficult time.
Each Resident Allowed Their Own Mini-Apartment Within The Care Home Setting
The transition from independent adult living to living in a home is made considerably worse by each resident only having a little room with little space for their own possessions and by unnecessary and patronising restrictions being placed on residents — often more for the convenience of the staff. Within each home, the norm should therefore be for each resident to have their own little independent mini-apartment within the home — with visitors able to come and go at any time (provided they are quiet and do not disturb other residents).
No Last Minute Moving of Residents Due To Financial Issues
The eventual goal should be for the elderly resident to spend the rest of their lives at the home (where they have become acclimatized, and where they know the staff) to avoid the distressing last minute uprooting to be transferred to another home or to hospital. In this regard, we will seek to improve provision to the point that the resident's own little mini-apartment, for the final weeks and months of life, could effectively become a luxurious private hospital bed, where the resident would be able to receive family and friends in complete privacy and with full medical provision available within their familiar residential home setting.
Persistently Aggressive Residents Removed To Specialist Care Homes
Each area should have specialist care homes for people who are aggressive towards staff and other residents — such people must not be allowed to make others' lives a misery at these very difficult times.
All Care Homes Subject To An Unannounced Inspection Regime
All care homes should be subject to unannounced on-the-spot checks, with inspectors having sweeping powers to demand immediate change.
A New Care Homes Nurse Qualification Established
Recent exposés of some care homes have highlighted the vulnerability of people at this time in their lives and the need for the proper control of those looking after the elderly. We will therefore work with the nursing profession to create a new nursing position of Care Homes Nurse — qualification to entail a 1 year course of practical experience and in-class attendance. Any member of staff found to be abusing patients will be permanently struck off and be unable to work within any care home setting or with vulnerable people again.
CHILDREN IN CARE
In this world of spurious and often superficial victims, the nightmarish plight of the parentless child — bereft of both parents in formative years, lost, annihilated, paralysed with fear and utterly, utterly alone and passed permanently into the care of strangers and institutions for the entire duration of childhood and adolescence — demands our utmost compassion and relentless determination to do all we can to make the burden that life has placed upon their young shoulders that much easier to bear. The care of orphans — the most vulnerable people of all — is no place for experimenting with trendy new social or behavioural therapies or, worse, for engaging in political point-scoring in support of dubious alternative lifestyles. The interests of the child don't merely come first, all other considerations come nowhere at all.
At present, care is provided through either adoption, fostering (formal and informal), residential care (for children under 16) and hostels (for 16-18 yr olds) — and many of those passing through the system and many of those working within it agree that in many ways it is a horrible mess. It is not all bad by any means and the staff are amongst the most attentive and committed of those working within the caring professions, but with children in care accounting for a frighteningly high proportion of those dropping-out of school, becoming very young teenage mums, falling into drug and alcohol abuse, getting into trouble with the police and winding up in prison, for the sake of the valuable young people in care, new approaches must be tried, and fast. And it is a core duty of government to ensure that those trying new approaches in this area are not 'hung out to dry' when pilot-schemes fail, sometimes miserably.
In government we will trial the following changes :
At The Child's Request, Extraordinary Measures Employed To Allow Some Contact With Parents To Continue
Even after abuse has occurred, any child wanting to still see their natural parents must be allowed to do so — even if all manner of steps need to be taken to enable this to happen safely and responsibly. The vital thread that joins the child to their real, natural parents could be kept alive by merely talking on the phone, seeing one another from a distance, having only occasional supervised and tightly controlled meetings, exchanging videos of one another or merely corresponding. And no matter what has occurred in the past, it is that thread that gives the child a sense of where they have come from and so who they are, and no matter how bad that has been it is something that is real so can then be acknowledged, targeted, helped, healed and then built upon — whereas 'no contact' scenarios can tend to create a void and inculcate a sense of 'never knowing' rootlessness, which can lead to aimlessness, apathy, frustration, anger and the descent into destructive behaviours.
Part In-Care, Part Living-With-Parents Options Developed
Rather than an all-or-nothing approach, the emphasis would be on maximising the contact with natural parents (if that is what the child wants) and only taking the child into care at the times of day, days of the week or weeks/months when the parent(s) is/are unable to cope.
As Far As Possible, Children In Care Allowed To 'Choose Their Authority Figure'
One significant meeting each week with an authority figure that a troubled child can really relate to, is better than 7 days a week contact with someone they, for whatever reason, are quite unable to 'connect with'. A dating-agency approach should therefore be tried where all children in care can view video CVs of all the youth care workers within reasonable travelling distance of their location to see if they can find someone they feel they could 'connect with'. Wherever possible, regular meetings with the worker in question could then be arranged even if it meant travelling many miles.
The emphasis and spirit in which care professionals work to be not that of replacement parents, but merely informal role model and adult friend, there to try and affirm the child's genuine inner personality, help them discover their natural abilities and enthusiasms and teach necessary practical life skills.
As Far As Possible, Children In Care Allowed To Choose What Other Children They Have Contact With
Children in care have enough emotional issues of their own to deal with without having to deal with those of other children too (many of whom may simply want to vent their anger and frustration and otherwise dump all their emotional baggage onto someone else their own age rather than face up to it themselves). No child should ever be expected to endure this kind of thing, least of all a parentless child in care. Residential homes and hostels should therefore be required to take the most strenuous steps possible to ensure that children only live in close proximity to other children they are happy with. Children should have access to a childline-style telephone number where they can report their concerns if their wishes have gone unheeded by local caseworkers.
Sheltered Accommodation-Style Independent Living Quarters Made Available From Age 11-21
One of the most devastating emotional aspects to being orphaned or separated from parents is the powerlessness, so allowing children to have their own self-contained flatlets could be trialled within a larger sheltered accommodation setting (very similar to sheltered accommodation for the elderly). An on-site warden could supervise and intervene parent-like regarding any inappropriate activities/visitors etc and yet the young people would have their own independent space as a base for themselves. This would empower the older children and young adults in a non-trivial way and help prepare them for life outside care, and hopefully too, dilute the tendency within some care hostels for dysfunctional behaviours to be reinforced through being lumped-in with similarly dysfunctional young adults. This measure would also enable children in care to develop life skills in some areas ahead of children from stable backgrounds, increasing personal confidence.
Although all children should have the right to leave care at the age of 16, they should also have the right to stay in their familiar care environment until the age of 21 — allowing those who wish it, a few extra years to grow the temperament and skills needed to steer a successful course in life.
In-Care Ethos To Be More Practical, Structured Living and Less Psychobabble
When dealing with troubled youngsters needing to overcome huge emotional challenges (through no fault of their own) it will always be necessary for professionals to have occasional deeply personal discussions with them. However, to make these types of psychoanalytical conversations a regular occurrence can be overly invasive for a young child and cause older children (trying to play-up to adults apparently committed to a pychobabble ethos) to try and address their emotional issues in an unproductive, superficial or insincere way. Caseworkers should therefore encourage a new emphasis on continuing with the normal structure of life — no matter how bad the children may feel emotionally — and reserve heart-to-heart discussions for the times when they are naturally most meaningful, such as immediately after some emotional issue has surfaced in genuine emotional upset or disruptive behaviour.
Adoption Possible After 9 Months
At present, due to the understandable desire to give (a) struggling parent(s) a chance to 'sort themselves out', the decision to put a baby in care up for adoption is delayed so long that it cuts across the baby's critical bonding period which occurs between 6-18 months. The delay in putting toddlers and younger children up for adoption also increases the likelihood that behavioural problems will develop in the child. The interests of the baby and child must come first, so whilst not removing the all-important (and only fair) extension of a second chance to parents struggling with life and struggling to hold onto their child, the government should reduce the maximum time from a child being taken into care and being available for adoption to 9 months.
Informal Foster Carers Paid
For every child in a formal foster care setting, there are 5 (currently totalling approx. 300,000) raised in the informal foster care of grandparents, extended family or friends. Although performing an invaluable service to the child, the mother and the state, whereas formal foster carers currently receive £250/week, informal foster care currently remains unpaid and carers often struggle financially as a result. The government should therefore remunerate informal carers at the rate of £125/week on an approximate pro rata basis for the hours of care actually provided (with any benefits claimed by the child's natural parent(s) reduced pro rata).
CHILD PROTECTION
Recent headline stories have highlighted the failings and near-impossible task of social workers when faced with the dreadful decision of whether to take an at-risk child into care. The traditional emphasis of the social work profession that keeping the child with the parents if at all possible is the much-preferred option in these fraught and tremendously difficult situations. However, the following changes are suggested :
Piloting of 1/2 In-Care, 1/2 At-Home Options
Pilot the trial of 1/2-in-care-1/2-at-home options, as a way of keeping the fundamental relationship between parent and child going through daily contact, yet restrict that contact to a few hours each day, and supervised-at-a-distance contact. Such an arrangement would provide a welcome respite for a struggling parent and give the younger child experience of other, hopefully more positive, relationships with adults, and for older children enable them to feel empowered to 'renegotiate' their relationship with an abusive parent.
'Get Tough' Approach on Child Protection Record-Keeping
We will implement a get tough policy with social services departments over record-keeping practices which so often seem to figure in subsequent investigations into what went wrong — such basic routines of office life are an eminently solvable aspect of the problem.
To Ease The Burden on Social Workers, New Posts of Social Work Assistants Will Be Created
To remove the burden of bureaucracy on social workers allowing them more time to deal with the crucial inter-personal aspects of their work, we will increase the administrative staffing within social work departments with admin-only support personnel who will also act to ensure that social workers comply with legal record-keeping requirements. We will also work with the social work profession to make the career more attractive to prospective recruits — not primarily through offering more pay, but by trying to reduce the pressures and frustrations inherent in the day-to-day work..
CHILDCARE
Many women who would like to stay at home with their children are forced out into the workplace. Placing their child in a nursery is not their preferred option and denies the fundamental needs of the young child. A policy of masive state-funding of childcare services shifts resources just to the minority of women who prefer to work whilst placing their children in nurseries. Suggested policies in this area start from the perspective — supported by recent evidence — that the best people to look after babies and toddlers during their critical formative years are their parents and the following changes are proposed to make this possible :
Widely Available Work-From-Home Jobs and Total Flexitime Working Would Make Government-Funded Childcare and Pre- and Post-School Clubs Unnecessary So These Could Be Abolished
Policies on totally flexible working hours and amount of working would mean that both parents would always be able to work nearly full-time hours (away from the home) and simply take it in turns to look after their pre-school child throughout the day by coordinating their work start and finish times for each working day. Once their youngest child starts school, the pre-school start-time and post-school finish time hours could again be covered by co-ordinating their respective working start and finish times — with both parents easily able to do full-time jobs if they wish to and still both have time with their child during the day. Alternatively, either parent could opt for one of the work-from-home type jobs that we are committed to making available. These proposals will mean that work requirements will no longer create a need for childcare or pre- or post-school clubs for children, so these could be abolished.
Widely Available Work-From-Home Jobs and Total Flexitime Working Would Make Government-Funded Maternity and Paternity Pay Unnecessary So these Could Be Abolished
These arrangements would also mean that since both parents can have near-full-time (away from the home) jobs (or even full-time jobs if working-from-home) and still spend fully 1/2 a day each day with a new-born baby or toddler, the need for maternity and paternity benefit is removed. Employers' unwelcome involvement in the details of their employees' private and matrimonial lives will therefore also be unnecessary.
All Registered Childminders Required To Have Video CVs
To enable parents to have nights-off, evening childcare should be made easier to arrange by requiring all registered childminders to have little video cvs of themselves online enabling parents to check them out before enlisting their services.
Youth Night At The Local Event Amphitheatre Could Serve As A Safe, Massive Drop-Off Centre
A policy of building large event amphitheates near to town centres across the country will enable parents unable to find babysitters to still go-out for the evening by simply leaving their child at the centre on the dedicated youth-only night each week — safe in the knowledge that the child would be constantly supervised, prevented from leaving and be able to take part in a wide range of fun youth-oriented activities with other local youngsters.
CHILD SUPPORT
At present, some parents are required to pay an unrealistic amount for maintenance, whilst other payments are never enforced. We will therefore retain the Child Maintenance Service (formerly the Child Support Agency), but with the following changes:
Mothers Claiming Extra Benefit For Children Must Identify The Father
If a woman is claiming extra benefit from the taxpayer for maintenance of children, then the father must be identified — if for any reason he is not, then extra payments for the child should be halved.
Identified Fathers' Financial Contribution Capped At 15% of Earnings
If the father is identified, then an attachment of earnings order should be placed on his earnings, but only up to a maximum of 15% of his net earnings.
Paternal / Maternal Financial Responsibility Without Visitation Rights Limited To 5 Years and Visitation Rights Enforced
AN ONGOING COMMITMENT TO FINANCIALLY SUPPORT A CHILD YOU NEVER SEE (EXCEPT WHEN THEY ARE OUT ABOUT WITH YOUR EX-PARTNER AND HER NEW BOYFRIEND) IS AN APPALLING, INHUMAN INJUSTICE PRESENTLY BEING PERPETRATED AGAINST FATHERS AND AGAINST MEN.
We will therefore :
Visitation Exchange Centres Established — Providing Safe, Supervised 'Neutral Ground' For Dropping-off and Collecting Children
On visitation days, at the request of either parent or the child, handover will take place at designated exchange centres providing a safe, supervised, fun environment for the child as they wait to be collected, and a reassuring, impersonal 'neutral ground' for both parents who will be able to drop-off and collect their children without so much as seeing or hearing their ex-partner (or their friends or new partners).
In the event that either parent is late arriving to collect or late returning a child, trained staff at the exchange centre will make immediate enquiries and record evidence for any subsequent proceedings in Family Court.