This is what happens in a market

Care homes are on the brink of collapse, as staff abandon jobs in favour of working in pubs and restaurants, the NHS watchdog has warned.

The Care Quality Commission (CQC) said that, without major reform, Britain was facing a “tsunami” of unmet need, with growing numbers of elderly people likely struggling to access the care they need.

The head of the inspectorate warned that the current system of health and social care was “not working” for staff, nor for those who depended on it.

Yea even in a labour market.

At which point worth treating it like a market. Pay what is needed, at the time and in the locality, to hire the number of people desired. Stop all this nonsense about national rates of pay for example…..

19 thoughts on “This is what happens in a market”

  1. Of course, it has nothing at all to do with forcing care home workers to be jabbed, oh no…..
    Totally the fault of the government and totally foreseen except by said government….

  2. Strange really. Care home jobs provide stable year-round employment, whereas hospitality is highly seasonal.

  3. Situation: System not working for staff or patients.

    My response: maybe we should consider changing the system

    Common Response to my response: how dare you consider privatising the NHS, you fascist monster! You just want to make money off suffering! Hitler! (Continues ad absurdum)

    No. We’re just going to have to sit back and let the system collapse under its own weight. This will be unfortunate for the people who have to suffer, but trying to change it just brings more clamouring about how good it is, and totally works, if only the evil Tories would just give it more money. Then it will totally work, promise.
    This would prolong the collapse, meaning more people suffer in the long run.

  4. What Adolf said. Despite £400bn of fresh state “investment” into the economy, the medical/care sector looks to be in a worse place than it was 2 years ago. And still some demand more Government.

  5. I know of two care homes. The first is private and gives excellent service, even under current conditions. They haven’t lost any residents to COVID. However they charge considerably more than the local authority are prepared to pay. I believe the staff are happy to work there.

    The second is run by a big company, is severely underfunded, useless managers come and go and the staff are generally shat upon both literally & figuratively, so they leave, ground down by it all.

    As for ‘paying what is needed’, for most clients that’s not an option. Local govt usually pays the fees, and they can’t afford it unless our council tax goes up considerably.

  6. Care homes are horrible places.
    I couldn’t even imagine working in one as a ‘carer’.
    Old, decaying people are not easy clients. Messy, too.
    TBH, I only have experience of one, where my dear old white-haired mama was incarcerated/chose to live; but that was enough.

  7. Given that we know the average length of stay in a care home, and what proportion of the population spends time in one it would be very easy to devise an insurance scheme to cover the costs. The insurance could be provided privately but having a policy might be compulsory, as health insurance is on the continent.

  8. Working conditions are appalling. Minimum wage and no sick pay. This leads to people coming in when sick. It doesn’t seem to occur to either the employers or government that people respond to incentives. Add to this, the risk of physical assault, which has happened to my sister and her colleagues, you wonder why anyone would do it. I wouldn’t under any circumstances. The enforced vaccination programme has forced some of them to think about what it is they are doing and they have decided that flipping burgers is an improvement and who can blame them?

  9. “Local govt usually pays the fees, and they can’t afford it unless” … they learnt to restrict their expenditure to statutory duties only.

    Does anyone know what %age of local authority expenditure is on non-statutory stuff?

  10. Dunno how much LAs spend on useless crap but a few years ago one of the green nutters in the next village wanted a couple of roads nearby marked as Green Roads or some such nonsense – they don’t have much traffic anyway. Because I couldn’t go to the meeting I wrote to the guy at the council, basically saying you must have all sorts of stuff that needs funding, why are you paying for the bureaucracy & signs for this?
    Needless to say we now have Green Road signs and presumably some legislative status.

  11. How dare you !

    You can’t divert all those essential funds away from the diversity managers and climate change consultants !

  12. @ Tractor Gent
    I just heard yesterday that the Care Home that my wife reckons to be the best* in our town (and the two adjacent) for patient care is closing down because the cost of meeting new regulations would be over £1m.

    Most Care Homes take a mixture of self-funding and LA-funded residents, with the self-funding residents subsidising the LA-funded ones because the LAs abuse their near-monopsonist position to demand the homes take patients at just above marginal cost and well below full cost.

    *She’s told me that’s where I’m gong if I get dementia. As it won’t be there I’ld better not get dementia

  13. @JuliaM

    Go to the Telegraph web page with the paywall, hit F5 (refresh) reasonably swiftly followed by Esc(ape) and – hey presto – no paywall (as the JS, or whatever it’s written in, fails to load).

  14. @philip – insurance won’t work. If you pay the premium onthe day you move into a care home, you have to find a lifetime’s fees in an instant. But if you want that spread over 20 years, then such a scheme cannot help until 20 years have elapsed since it started. We already have a scheme like that – taxes. The government is supposed to pay for this sort of thing by levying suitable tax. The timescales don’t magically vanish when it’s done by the government, so it’s too late now.

  15. We already have a scheme like that – taxes. The government is supposed to pay for this sort of thing by levying suitable tax.

    Just because the system is utterly fucked right now isn’t a good reason to not try and fix it.

  16. This is Baumol’s cost disease again. The cost of looking after old people is going to get very high, I can see. Equity release here we come…

  17. This is Baumol’s cost disease again. The cost of looking after old people is going to get very high, I can see. Equity release here we come…

    All very well for those with a house bought and paid for by themselves. Kinda falls down when you’ve got council tenants that have spunked away every penny down the pub or on holidays to Benidorm and then expect the state to cough when the time comes.

    My middle brother was one of these types and tried to use his PoA to sell my dad’s flat to his wife to avoid the care home fees. Fortunately, he needed my consent and that of my brother to attempt his scheme and we both said “No. If the flat needs to be sold to pay the care home then that’s what needs to happen”. Christ, was he pissed.

    As it was the £92,000 raised by selling the flat covered only about half the fees, but for myself and my elder brother it was a matter of principle.

  18. Small example that builds upon Tims observations on automation of care.
    % of care budget spent on carers going round OAPs houses or wiping their arses in homes i.e. the not-demented.
    Fit a Korean/Japanese toilet seat in their bathrooms ( they cost £350 and up) and hey presto – no flipping carer needed.
    You’ve just increased both carers time available for others and let the OAP who is otherwise competent retain a bit more dignity cos they don’t need someone to wipe their arse.
    There are sure to be other areas we could use a bit of innovation in.

Leave a Reply

Your email address will not be published. Required fields are marked *