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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To think it’s not fair that we cut public services so that older adults pay less for care?

159 replies

Bristol2021 · 03/11/2023 13:58

I work in a local authority which is facing an unprecedented budget deficit, like most councils across the country. Most of the deficit is due to the government demanding that councils pay the ‘fair cost of care’ - demanding they negotiate with local care providers so that the same rate is charged to councils as to people paying out of pocket (who are not eligible for free care). This brings the cost to private payers down a bit, but raises the cost to most councils by £tens of millions. As a result all councils are having to cut hundreds or thousands of jobs, and cut back any services (things like arts and leisure, homelessness prevention, remaining children’s centres) to what is required by law, and lower standards of what’s left. This is all so that relatively affluent older adults pay less out of pocket for care. Those people still get the lifetime cap on care costs regardless of what they pay per week of care. This is the main reason so many councils are facing bankruptcy (with a few exceptions where there’s been serious financial mismanagement). It seems to me that most tax payers are going to see far worse public services, all so that some older adults can pass on more inheritance at the end of their lives. They’re not going to spend much on themselves once they’re dependant in care, so I find it unbelievable that the ‘injustice’ of paying more than a local authority (who are a bulk purchaser) for a care package is being used to justify driving councils to bankruptcy and decimating services for everyone else. Do people not realise this is happening, or do people just care more about their inheritance than they do about schools, rubbish collection, roads, child protection, public health..?

OP posts:
StopRainingOrElse · 04/11/2023 09:45

Do all care homes offer LAs places? I'm just thinking like a lot of dentists don't do NHS patients anymore, do all care home have to offer some LA funded places?

ilovesooty · 04/11/2023 09:50

StopRainingOrElse · 04/11/2023 09:45

Do all care homes offer LAs places? I'm just thinking like a lot of dentists don't do NHS patients anymore, do all care home have to offer some LA funded places?

@BIossomtoes said her parents' home only took self funders.

grottyb · 04/11/2023 09:54

I'm just thinking like a lot of dentists don't do NHS patients anymore

Care homes are closing at quite a rate, things aren’t going to improve without masses of cash. There isn’t the staff.

grottyb · 04/11/2023 09:56

And i’m pretty sure some only take self funders, I think this model will increase so it’s certainly not going to get any cheaper for self funders.

As I said my relative paid a ton for private care in the home, she wanted continuity of care & reliable, good care. The state model wasn’t offering this.

grottyb · 04/11/2023 10:02

“Figures compiled by CSI Market Intelligence also showed that 247 care homes closed their doors last year, while 123 new businesses opened. It was the lowest number of new entrants to the market since 2015.“

“Some care providers saw fuel bills soar by as much as 1000% this winter, while also having to deal with spiralling food inflation and a shrinking workforce.”

“Staff shortages in the sector increased by 52% last year to 165,000 vacancies, according to Skills for Care.”

Why on earth would someone want to be a care worker on minimum wage when they can get paid more & have far less stress in a supermarket etc. I wouldn’t do it, but again many would balk at paying more so wages go up.

Care provider Sheffcare says energy bills will be 11 times higher than normal - and may force homes to shut down

It is not just energy bills that are putting the care sector under unsustainable pressure - staff recruitment and retention is a real issue. Many care workers have been forced to leave poorly paid jobs to find better-paid and less stressful work in the...

https://news.sky.com/story/care-provider-sheffcare-says-energy-bills-will-be-11-times-higher-than-normal-and-may-force-homes-to-shut-down-12687228

CatusFlatus · 04/11/2023 10:08

BIossomtoes · 03/11/2023 20:11

the house would be disregarded as she still lives and joint owns it I assume

His half won’t be disregarded and her living there is irrelevant if she’s under 60.

His half will definitely be disregarded and the over 60 rule does not apply to partners, only other relatives.

https://www.ageuk.org.uk/information-advice/care/paying-for-care/paying-for-a-care-home/do-i-have-to-sell-my-home-to-pay-for-care/

https://www.ageuk.org.uk/information-advice/care/paying-for-care/paying-for-a-care-home/do-i-have-to-sell-my-home-to-pay-for-care

chillpizza · 04/11/2023 11:13

A friend works as a care 1-2-1 provider. His client lives in a care home type facility not all the time though they can go out and about and visit suitable friends/family houses for stays too but still provides his own careers as well as having access to those on site there are no council spots in that facility.

It costs quite the pretty penny but his getting the exact care he wants at a price luckily he can very well afford to pay, it’s quite the place also very picky on who it accepts as to not distress/annoy already residents.

Your typical owns one home even in London type person wouldn’t be affording this type of place or care however.

Quisquam · 05/11/2023 08:52

@grottyb

No, I can’t link anything, because as I said, I was in a workshop. It was oral information.

I have always supported the idea of a progressive tax system to provide the welfare state, and think individuals being forced to subsidise privately pockets of it, is fundamentally unfair. The progressive tax system is based on the ability to pay, private subsidies aren’t.

However, do you think that 25% of child care fees go to subsidies for others on free child care hours? I don’t know.

However, having a DD living in a non-profit making care home, I know that a pp, who thinks £1 k a week care home fees should provide 1:1 care and gourmet meals is being totally unrealistic!

Hotcuppatea · 05/11/2023 08:58

Youve got this wrong OP.

My mum is currently paying £1800 a week for her care. Her money is about to run out and then she'll be LA funded. The LA funding kicks in when her money is gone and not before.

She is never going to pay 'less for her care'.

This sounds as though its about LA spending more for their funded places. It would be great if this extra money went towards staff pay, numbers and resources amd not into the bank accounts of care home providers. But either way, old people won't be paying "less".

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