The National Health Service in North East Lincolnshire is
looking to take £1 million out of its funding for the care of the elderly.
Last week, four days after the General Election, it put out
a consultation. It appears to it that several
years of pre-election cuts have exhausted what can be achieved by efficiencies
and reorganisation. So three things seem
to it to be unavoidable now.
Reduce the numbers using Day Centres by reassessing all
users to see how many of them might have their needs met by suitable community
group alternatives; a reduced number of Centres could then care for the most
vulnerable.
Reduce the numbers for whom transport is provided when
accessing this sort of provision; those with transport benefits will mainly be
expected to use these for their own travel and a reduced level of provision could
then be needed for those with particularly specialist transport needs.
Remove any subsidy for meals-on-wheels provision; people
should meet the full costs of their own.
This obviously ties in with my last post suggesting that the
level of cuts in local services which we will face in the next five years will
dwarf those of the last five years and that individuals, including those much less
prosperous than me, will have to pick up costs.
I wonder whether or how this also ties in with the first initiative
the newly re-established North East Lincolnshire Voluntary and Community Sector
Forum has been exploring.
The successful model elsewhere has been GPs making net savings to health
care budgets by prescribing participation in things like lunch clubs and social
events.
But will any budget have provision for what is called 'social prescribing' in the new situation? And what are the implications of the question I asked in another recent post when saying I wonder whether anyone in authority really appreciates how the national shift in provision depends on the availability of... venues and who is to fund the sorts of provision or improvements these need.
Meanwhile, we saw the angel carrying the grid-iron symbol of
St Lawrence (who faces another carrying the cross-keys symbol of St Peter) at
St Lawrence and St Peter’s, Wickenby when we visited some of the West Lindsey
churches specially open to visitors on Saturday.
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