Outside the marginals

A commentary on the politics that followed the UK 2010, 2015 & 2017 elections (and THAT referendum)

Archive for the category “Elderly Care”

First 100 Days

We are currently 71 days into this government and beginning to see its true colours. The “100 days” mark will occur during recess, so possibly it is worth reviewing how this “One Nation” government is doing.

Read more…


What about the Elephants?

This (2015 UK) General Election seems to consist of lots of minor and pretty irrelevant skirmishes. The major issues seem to be un-addressed in the election.

So what are these elephants in the room? Read more…

Currying Favour with the Electorate

Downing Street then issued a statement: “To be clear, it is entirely false to suggest the Prime Minister would advise people they should wear jumpers to stay warm. Any suggestion to the contrary is mischief-making.”
BBC News Website 18 October 2013 Jumpergate – the story that wasn’t

Now the Tories have got into trouble with this sort of thing before with Edwina Curry advising people to use a cap (or take similar precautions). Read more…

Lobbying and Consultations


The government has denied claims it has caved in to the tobacco industry after plans to introduce plain cigarette packaging in England were put on hold.

He [The Health Secretary, Jeremy Hunt – the scourge of Murdoch] said a public consultation on the issue, the details of which have been published on Friday, had shown that the debate was “highly polarised” with “strong views” about the effectiveness of the policy on both sides.
BBC News Website 12 July 2013 Government rejects Labour’s cigarette ‘U-turn’ claim


The government has shelved plans to introduce a minimum price for a unit of alcohol in England and Wales.

He [Minister Jeremy Browne] said 34% of those who responded backed a 45p minimum unit price – but 56% had disagreed: “We consulted on it and we heard what people say.”
BBC News Website 17 July 2013 Minimum alcohol pricing plan shelved

End of Life Care

The government has ordered hospitals to carry out immediate reviews of their practices and announced the Liverpool Care Pathway will be phased out.

The review, which took evidence from patients and health staff as well as reviewing literature, said a “deeply distressing” picture had emerged.BBC News Website 15 July 2013 End-of-life care to be overhauled

Who takes part in these consultations and reviews?  I suspect that in many cases it is “consultation by invitation”; manage the invites right and you get the answer you want with the “validation stamp” of “consultation shows …” Read more…

Clinicians for the Elderly at Home

“So the challenge today is to provide integrated, co-ordinated, out of hospital care. Something where the NHS, with our tradition of family doctors and primary care, could lead the world.

“But to do that we need to know that there is a clinician accountable for vulnerable older people in the community, just as there is a consultant responsible for them in hospital…

“They should be named so that patients, families and carers all know where the buck stops.”
Our Health Secretary quoted on BBC Website 5 July 2013 Elderly patients to be assigned named clinician

I thought that was the role of your “general practitioner” – but of course I forget, so silly of me, they now have a contract that allows them to be virtually office-based working office hours and we have stupidly not learnt to be ill during office hours.

The Government has chosen a “reform path” – they should follow it to its logical conclusion. Read more…

The health of the NHS

Basically not good, and for the elderly – in many places – diabolical.  But is this the inevitable result of wanting Swedish style public services but not being willing to pay Swedish style taxes?

Problems (to this observer who has had to effectively project-manage the final decline of both parents) seem to include: Read more…

Home truths about old age

People seem to be up in arms about the elderly having to sell their homes to pay for care.  “Selling your home” is not necessarily a scandal – but a proper way to provide for your care.  The key exception would seem to be if you have a partner who needs to continue to live in that home.  The fact that the home is “the children’s inheritance” is irrelevant.  To suggest that the state should subsidise the “children’s inheritance” of the well-off would be scandalous. Read more…

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