Just for interest - for a child with social care needs, are there any differences in the way funding is arranged due to e.g. the crossover with education? Or is it just that they don't tend to have savings / assets?
These are the main possibilities usually:
- say a child with a severe speech and/or language disorder and there are no schools in the county, which have the expertise to educate them. In theory, children are legally entitled to have their special educational needs met by the local authority. In reality, parents probably have to pay to go to court and ask for a placement in a residential speech and language school. Its a 38 week (ie term time) placement from Monday to Friday, and the child comes home for weekends and school holidays. Education pays.
- If the child has say autism with challenging behaviour, the parents and siblings can't cope any more. The parents may again have to go to court for a residential placement in a specialist school for autism for 38/48/52 weeks - as there are educational and social care needs, there can be joint funding of the placement by education and children's social services, where social services pays for the cost of the residential care bit.
- If a child has say a severe medical condition, which impacts on their education (like causing learning disabilities) and behaviour, then there may be tri-partite funding for a specialist residential school placement, which may be 38/48/52 weeks, where education, children's social services and the NHS agree to pay the fees in a ratio say 55%:39%:16%.
- If the child is still at home, but the parents need an additional carer after school and in the school holidays because of their behaviour arising from autism, etc, or respite then that is paid for by children's social services.
- if the child is still at home, but the parents need an additional carer after school and school holidays, or respite, because of complex medical conditions, then they may get children's continuing healthcare funding from the NHS
headstone - Wiping bums and spoon feeding has never been paid for by the nhs though unless the patient is in hospital.
That is not true, if the needs are arising from a primary health condition! If the person has CHF, arising from a primary health care need, then it would be paid for by the NHS in a care home; it does not have to be in hospital. I have a DD, with uncontrolled epilepsy due to a brain abnormality, which also causes complex learning disabilities and meets the DST criteria under altered states of consciousness as a priority - which in itself means she qualifies for CHF iirc, although she is severe and high for quite a few of the other domains too. Normally, she can feed herself and go to the toilet, but when she is having lots of seizures, she may need spoon feeding, and be doubly incontinent - this is funded by the NHS in a specialist epilepsy care home; not a hospital.
As for OP, ITA that the cost of all social care should be spread across the population through a progressive tax system - otherwise its a lottery, whereby 1 in 4 can pay 100% of everything they own, while 3 in 4 don't, thereby rewarding the feckless. However, I would also tackle high house prices by banning foreign investors from buying property here; and having a proper social housing building scheme.