Conservative Manifesto on Social Care: Wiggle Room Re-Discovered to Avoid Toxic Dementia Tax (BBC News)

Summary

Call it a re-balancing of emphasis, or call it a U-turn, there has been a welcome decision to consider setting an absolute maximum limit on the amount that individuals may have to contribute to their social care needs. The devil may be in the detail, still to follow.

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Reference

Conservative social care funding cap: Theresa May defends changes. London: BBC Election 2017 News / BBC Health News, May 22nd 2017.

An awkward, but brave and necessary last-minute concession. Further political analysis:

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Reference

Kuenssberg, L. (2017). Whiff of panic in Theresa May’s change of mind on social care. London: BBC Election 2017 News / BBC Health News, May 22nd 2017.

What was previously at stake?

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Reference

Jack, S. (2017). May’s social care pledge could be huge wealth tax. London: BBC Business News / BBC Health News, May 20th 2017.

Posted in BBC News, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Management of Condition, National, Person-Centred Care, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

No Evidence Vitamin E Benefits Persons With Alzheimer’s Dementia or Mild Cognitive Impairment (Cochrane Database)

Summary

There is no evidence that Vitamin E supplementation, in the alpha-tocopherol form, given to people with mild cognitive impairment (MCI) would help to prevent or delay the progression to dementia. Similarly, there is no evidence that Vitamin E supplementation improves cognitive function in people with MCI or dementia due to Alzheimer’s Disease.

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Reference

Farina, N. Llewellyn, D. [and] Isaac, MGEKN. [et al] (2017). Vitamin E for Alzheimer’s dementia and mild cognitive impairment. Cochrane Database of Systematic Reviews. April  2017, 18; 4: CD002854.

There is also an Executive Summary.

Note:

“…further research is quite likely to affect the results”.

Posted in For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Non-Pharmacological Treatments, Nutrition, Pharmacological Treatments, Quick Insights, Systematic Reviews, UK | Tagged , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Perhaps No Such Thing as Healthy Obesity? (BBC News / NHS Choices / EurekAlert!)

Summary

Analysis of UK GP records by researchers at the University of Birmingham indicates that otherwise “metabolically healthy” obese people do have a statistically higher chance of heart disease, stroke or mini stroke (transient ischaemic attack) and heart failure compared to healthy people of normal (recommended) weight.

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Reference

Mundasad, S. (2017). ‘Fat but fit is a big fat myth’. London: BBC Health News, May 17th 2017.

See also:

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Reference

‘Fat but fit’ still at higher risk of heart disease. London: NHS Choices; Behind the Headlines, May 17th 2017.

There is a press release, too, but as yet no formal publication:

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Reference

EurekAlert! (2017). Study of 3.5 million people shows ‘healthy’ obese people are still at higher risk of cardiovascular disease events than the general population. EurekAlert! European Association for the Study of Obesity; European Congress on Obesity (ECO2017), May 16th 2017.

Posted in BBC News, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, International, Management of Condition, National, NHS Choices, Nutrition, Person-Centred Care, Quick Insights, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Conservative Manifesto on Social Care: No Solution to Dementia Tax? (BBC News)

Summary

The Dilnot Commission’s recommendation, for a “cap” on each individual’s total care cost liabilities, appears to have been thwarted again. The looming probability of “catastrophic” care costs seems set to remain for persons with various long-term neurodegenerative diseases, as the Conservative Party’s 2017 Election Manifesto (i) merely tweaks with the minimum protected asset threshold (mercifully increased to £100,000) and (ii) extends liability for self-funders’ contributions to payment for home care (in addition to residential care).

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Reference

Triggle, N. (2017). Conservative manifesto: Why many will pay more for care. London: BBC Health News, May 18th 2017.

An Englishman’s Home…

The Tory Manifesto’s proposals on social care reforms represent an inexplicable mis-reading of grass-roots – small “c” conservative – public opinion and a fundamental political mis-calculation. Not too late for a U-turn?

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Reference

Conservative manifesto: social care plans spark criticism. London: BBC Election 2017 News / BBC Health News, May 18th 2017.

Lifting the veil on which groups are set to lose most:

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Reference

Reality Check: Who could social care changes affect? London: BBC News Election 2017 Reality Check / BBC Health News, May 18th 2017.

Political fall-out:

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Theresa May faces Tory opposition to social care plans. London: BBC Politics News / BBC Health News, May 20th 2017.

Shaky foundations:

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Reference

General election 2017: New warning over social care plans. London: BBC Election 2017 News / BBC Health News, May 22nd 2017.

Posted in BBC News, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, Models of Dementia Care, National, Non-Pharmacological Treatments, Patient Information, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Professionalism in Nursing and Midwifery (NMC)

Summary

The Nursing and Midwifery Council has published a guide to professionalism in the practice of nursing and midwifery, covering advice on applying the values from the Code (the code of professional conduct). This was launched on International Nurses Day, last week.

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Reference

Enabling professionalism in nursing and midwifery practice. London: Nursing and Midwifery Council (NMC), May 9th 2017.

Posted in For Nurses and Therapists (mostly), For Researchers (mostly), National, Northern Ireland, Person-Centred Care, Quick Insights, Scotland, Standards, UK, Universal Interest, Wales | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

King’s Fund Videos Explaining How Social Care Works and is Funded (King’s Fund)

Summary

The King’s Fund has produced three videos to raise awareness of how social care operates in England. The topics covered include:

  1. What is social care?
  2. Who provides social care?
  3. How is social care paid for?

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Reference

What is social care and how does it work? [Online]: King’s Fund, May 2017.

There is also a timeline presentation on social care funding:

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Reference

A short history of social care funding. [Online]: King’s Fund, May 11th 2017.

Posted in Charitable Bodies, Commissioning, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), Integrated Care, King's Fund, Management of Condition, National, Non-Pharmacological Treatments, Patient Information, Person-Centred Care, Personalisation, Quick Insights, Standards, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

On the Benefits of Supportive Social Networks (Journal of Alzheimers Disease)

Summary

Data from the English Longitudinal Study of Ageing (ELSA) has been used to demonstrate that positive social support from friends, family etc. is associated statistically with a reduced risk of developing dementia. Conversely, negative social support appears to increase the risk.

Positive support was taken to involve having “a reliable, approachable and understanding relationship with spouses or partners, children and other immediate family”. Negative support, on the other hand, was typified as the experience of critical, unreliable and annoying interactions with spouses or partners, children etc.

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Reference

Khondoker, M. Rafnsson, SB. [and] Morris, S. [et al] (2017). Positive and negative experiences of social support and risk of dementia in later life: an investigation using the English Longitudinal Study of Ageing. Journal of Alzheimers Disease. 2017; 58(1):99-108.

Posted in For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Universal Interest, Community Care, UK, Statistics, Quick Insights, Mental Health | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment