Supporting hospital discharge: Discharge to Assess part 1

This should really have been the first in my hospital discharge series, this being the most far-reaching of the policies I have explored. But its taken me a while to order my thoughts on this, and I’ve ended up breaking this into two posts. In this one, I’m going to talk ‘broad brush’ principles andContinue reading “Supporting hospital discharge: Discharge to Assess part 1”

Supporting hospital discharge: halfway hotels

This is the second in my series of posts about supporting hospital discharge during the pandemic. It will explore the as yet unnamed proposals for discharge hotels in all their complicated, vague glory. The first of those posts discussed designated settings for covid positive patients, and the complications involved in the creation of such settingsContinue reading “Supporting hospital discharge: halfway hotels”

Supporting hospital discharge: Designated settings

There are lots of bright ideas floating around at the moment about what social care can do to help ease pressures in NHS services. I’m going to talk through a few of them, because they are being made to seem much more straightforward than they actually are. Let’s begin with designated settings. When I talkedContinue reading “Supporting hospital discharge: Designated settings”

A response to the government’s Christmas present to us all

Just a quick post today that as far as I can tell, the provisions enabling respite that I referred to in my previous post about those in supported accommodation visiting family during the pandemic continue in the latest iteration of the coronavirus regulations in all tiers (even tier 4). My previous post is here. SoContinue reading “A response to the government’s Christmas present to us all”

Coronavirus lockdown: do all planned visits to family homes have to stop?

The answer, in short is, in my opinion, no. However, there are a number of issues to consider before a weekend with the family, or some formal respite, is supported. In this post, I’ll talk about 3 big issues, 2 legal, 1 practical. But before we get started, I just want to detail the kindContinue reading “Coronavirus lockdown: do all planned visits to family homes have to stop?”

Visiting in care homes

This continues to be a hot topic, understandably. And pressure seems to be mounting, with an overdue policy shift towards enabling visits beginning to develop. And rightly so. A ban for a few weeks was one thing, but it’s been months now, and there is no real end in sight. So this post will talkContinue reading “Visiting in care homes”

Winter is coming – a brief word on the adult social care winter plan

There is so much guidance coming out at the moment that it is almost impossible to keep on top of it. I’m not even going to try to comment on every bit of it as it comes up. And I’ve already read Alex Ruck-Keane’s walk-through of the latest MCA guidance, I’m sure most of youContinue reading “Winter is coming – a brief word on the adult social care winter plan”

Human rights and the Coronavirus Act 2020

If you haven’t seen it yet, the Joint Committee on Human Rights has published a report exploring the human rights implications of the Coronavirus Act 2020 and its available here. It makes for interesting reading, and if you are the kind of nerd I am, then I do encourage you to read it. If not,Continue reading “Human rights and the Coronavirus Act 2020”

When everything hinges on a capacity assessment

I want to talk to you today about an issue that I am coming up against more and more at the moment in my day to day practice. Let’s refer to it as the ‘unco-operative patient’ issue. I am finding this to be a particular issue in personality disorder cases, where mental illness and personalityContinue reading “When everything hinges on a capacity assessment”

Sometimes the pieces don’t fit together

I started off with high hopes for today. I set myself a manageable list of tasks and intended to finish early and recalibrate myself after a fairly jarring return to the office. How foolish was I? And instead I am left feeling utterly deflated and quite demoralised, having spent most of my day trying toContinue reading “Sometimes the pieces don’t fit together”