In the Shadows of the Institution
10:04
Пікірлер
@RufiSiddique-t7k
@RufiSiddique-t7k 2 ай бұрын
This was quite helpful. Thank you sir!
@angie6649
@angie6649 3 ай бұрын
Thank you, professor Scheppele. I learned some facts today with your lecture that I should have learned long time ago. Well, as they say, it's never too late to learn. I am going to keep searching for more educational material that can help me understand better this world we live in, and politics.
@alexfinnan
@alexfinnan 6 ай бұрын
this is adorable!
@eleanorwilliamson9926
@eleanorwilliamson9926 6 ай бұрын
lewis you’re fit what’s your snap? xx
@AmyPollard-yl7ny
@AmyPollard-yl7ny 6 ай бұрын
This video has been super helpful! I was going to be a pe teacher but now I’ve applied to cardiff. Hoping to meet you in the near future x
@imogenclark7146
@imogenclark7146 6 ай бұрын
hi there 👆 what course are you going to do at Cardiff? 😃
@imogenclark7146
@imogenclark7146 6 ай бұрын
thank you! this video has helped me decide to apply to Cardiff and Im going to do sociology 😁
@imogenclark7146
@imogenclark7146 6 ай бұрын
also your makeup slays 😍😝
@Eternal-p8r
@Eternal-p8r 6 ай бұрын
Eat well. It will help you get through it all.
@Eternal-p8r
@Eternal-p8r 6 ай бұрын
I feel that. That overwhelming phase. Give yourself sometime. Remain focused on yourself. The pontcana woods are a good place to breathe.
@KZ-vj6km
@KZ-vj6km 6 ай бұрын
Just wondering if this information is still relevant 9 years later? Has much changed?
@CharlieAnteby
@CharlieAnteby 7 ай бұрын
I appreciate this video and the intelligent conversation.
@susanelliott1912
@susanelliott1912 Жыл бұрын
Wow. Thank you so much for providing the evidence for me to be able to articulste my thoughts and opinion re health / nursing care v social care and the CHC DST . I'm an early retired RN with elderly parents who have dementia and health needs related to other longterm conditions.
@margaretjulina1149
@margaretjulina1149 Жыл бұрын
Promo SM
@nigelduckworth4419
@nigelduckworth4419 2 жыл бұрын
Immensely helpful. As a lawyer with no experience in this field and with a father in law who is a present in care with severe cognitive and behavioural impairment, I gleaned little from the government website on CHC with regard to the status of the National Framework and Decision Support Tool and also the relationship between the law and practice, i.e. the Government Guidance. All is now crystal clear.
@thebeneficiary
@thebeneficiary Жыл бұрын
Further legal pointers would be helpful, if you can add more value to this great video that would be greatly appreciated...👍👍👍
@nigelduckworth4419
@nigelduckworth4419 Жыл бұрын
@@thebeneficiary I can't give any legal advice on this matter simply because, as I say above, I have no specialism at all in this field. and I have yet to progress beyond point 0 on the CHC ladder since, despite writing to the director of Adult Care asking for the CHC procedure to be carried out, I have had no reply. I shall complain and appeal. However, I have by now spent many hours on research and one or two things stand out. The tests to be applied in the National Framework for CHC are not definitive but merely guidance. Even if the threshold required is not reached in the Checklist and the Decision Support Tool and the complexity, unpredictability, nature and intensity tests (each is separate) are not satisfied, the law in R v Coughlan and other cases must take precedence. So only if the nursing care is incidental to the social care AND (not OR) is of a type which a local authority could be expected to provide can CHC funding be denied. If the nursing care is not incidental, then the second leg of the definition does not apply. So in theory, even if you fail all the Framework tests but satisfy the Coughlan test, funding should be granted. However, those responsible for conducting the procedure are likely to take the Framework tests as gospel and mark the patient down on those alone, so say the top websites. They should be reminded that the overarching test is the legal one and the definition should be spelt out. I would like to say a lot more but unfortunately have run out of time and probably space.
@thebeneficiary
@thebeneficiary Жыл бұрын
@Nigel Duckworth Thank you for your response, your response is shadowbanned on my device, I’ve had to improvise to read it, although I’m not legally trained i came to the same conclusion as you in that the coughlan case takes precedence the problem is we have got ccg/icb and the LA’s in bed together and they are will fully acting unlawfully IMO, I’m going to try an initiate a checklist tomorrow with the district nurse, and then push for a full assessment for chc, if you get the time would love to hear of any updates you may have in your position......👍👍👍
@nigelduckworth4419
@nigelduckworth4419 Жыл бұрын
@@thebeneficiary Hi. I'm not exactly sure what shadowbanned is but glad you managed to make some sense of it. One thing about your application is that the Health Ombudsman on his website says that if you think your relative MAY be entitled to CHC, then you can ask for a checklist. To me that indicates that one ought to be done barring exceptional circumstances. I'm paraphrasing this from memory. The other point is that the Framework says that the checklist presents a low bar to success and so again, that suggests that getting one done should be straightforward. I agree about the NHS and LA being in cahoots, but I wonder if it might be different if it was the LA who were paying rather than the patient. The main thing to do is to be able to remember the Framework backwards-all 180 or so pages of it- so you have the advantage.
@thebeneficiary
@thebeneficiary Жыл бұрын
@Nigel Duckworth shadowbanned is basically censorship , I couldn’t see your initial reply on my device, so read it from someone else’s internet... When my mum was in hospital I asked if a checklist had been done, for chc the reply was we haven’t done one for 4 years, i was then fobbed off that my mum won’t qualify because she’s not fast track I had two meetings at the hospital, first time they agreed a package of 4 carer visits by two carer’s per day and a roving night, i stated at that meeting the nightcare is an issue as my mum at the minute can’t do anything herself, was told it was maximum, so then at the second meeting they increased the nightcare to three roving nights, which we aren’t getting due to no care firm having the resources. Family is filling the gap on temporary basis, Then the social worker at the second meeting said that there may be a contribution to which I replied if your funding is taking you above your legal limit, which I think it is because you are asking for a contribution then the care should be referred back to the NHS, ( I didn’t mention that this also puts them into an illegal position ) i was then told she would do her best so as mum would contribute bare minimum, which again missed the point that if the care needed pushes the LA over there legal limit as to how much they are able to fund, then if doing their job lawfully the care should get passed back to the NHS... Thanks again for your input...👍👍👍
@jsmandrake
@jsmandrake 2 жыл бұрын
extraordinarily on point thank you!
@richardterrell5309
@richardterrell5309 2 жыл бұрын
As having been an Informal Carer and 4 deaths occurring since the year 2000, with needs not correctly assessed, my local authority refutes all I endeavour to explain…to such extent, serious consequence in each case follows with possible early death that actually occurs, when matters could have been dealt. With respect, your lecture certainly is relevant to all I have year on year pleaded with reasonable explanation in countless emails. Thus, I am forwarding this URL, as not even the Counsellor’s, nor MP's it constituency concerns want to listen. The matter has been so serious, it has resulted in family division, a non-attended Cremation, and other consequence, I consider serious breech of human rights. Thus I am sending this URL, that someone will listen, as what has happened is unforgivable, and in appreciation Professor Luke Clements is spot-on, of the difficulties I personally have encountered.
@nicholasmcvey5871
@nicholasmcvey5871 2 жыл бұрын
Very informative, I have shared it many times on Facebook
@bernardmarengereke8282
@bernardmarengereke8282 2 жыл бұрын
Your knowledge is unrivaled Professor. Your lecture helped me with my interview. I'm very grateful 🙏
@MrDaiseymay
@MrDaiseymay 3 жыл бұрын
I wish I could HEAR IT
@gooomaaal
@gooomaaal 3 жыл бұрын
33:07 here I strat to read Derrida.
@mikemascren
@mikemascren 3 жыл бұрын
Fantastic Lectures, Only wish I found out about them earlier---Brillant series
@kratos.8151
@kratos.8151 3 жыл бұрын
Barely tells you anything insightful.... disliked.
@yesitwasme5116
@yesitwasme5116 3 жыл бұрын
Kim Lane Scheppele is a plain lieralfascist!!!
@stelladonnelly2832
@stelladonnelly2832 3 жыл бұрын
Society really does need dissent ( peacefully !) Sick people need to be looked after for whatever they suffer from whether it's stroke, heart disease, viruses etc but otherwise we need to be responsible for ourselves and not be micro managed by a govt. which consists of ordinary people like ourselves. No govt. should have these kind of powers - Hitler would have been proud of these measures for control ! Not a popular opinion. Something fishy going on methinks.
@shaungilmartin1505
@shaungilmartin1505 3 жыл бұрын
It would appear that something being against the law is not an obstacle to some bodies.
@mylizstick
@mylizstick 3 жыл бұрын
My relative has severe dementia shes 96 I cant even get a checklist assessment done for my aunt shes 96 with no mental capacity ive been told by the CCG she needs this checklist before they will do anything the care home are denying my aunt needs it the hospital have returned her to the care home without doing 1 even though i asked everyday for it to be done whilst in there with yet again another broken hip kept telling me before it can be done a full financial assessment for care would have to be carried out over my dead body will it nosy bastards ? She was admitted to hospital with a broken hip she stayed in after surgery where she developed a chest infection and a blood clot on the lung not once was this checklist done she was then discharged back to the care home with a huge pressure sore which was found on her return she needs daily injections to be given by a district nurse the home rang today to say the district nurse has been but my aunt has no nursing needs so a checklist has not been done wtf do they understand what continuing healthcare is or are these district nurses brainwashed morons theres a difference to nursing needs and continuing heathcare needs The whole scam is predicated on medical interventions - it’s absolutely incorrect she has no cognitive skills When the person is completely reliant they are classed as severely disabled and she needs 24/7 care hourly nightime checks shes deaf has fraility wont eat or drink without prompting needs help with all personal care shes double incontinent she needs 24/7 care including hourly nightime checks but none of the above is healthcare needs apparently !!!! I have proof of all of this from her deprivation of liberty paperwork wrote by the carehome manager and the dols team less than 2 months ago apparently according to all these so called professionals they are all social care needs i keep being told its like having to deal with robin hood nothing but thieves of the elderly and disabled disgusting i will continue to fight this in my aunts best interests
@jillsnell43
@jillsnell43 4 жыл бұрын
It has helped me so much, I have a daughter with very complex needs, it was the best help that I found when surfing the net. I have told anyone with disabled children/adults to go to his site for help when I see them struggling, and I know it has helped them to get the help they need. Thank you Luke
@TheNemocharlie
@TheNemocharlie 4 жыл бұрын
A truly amazing video - comprehensive and well delivered. A shining light in the world of CHC and care generally which can get far fouler than most could imagine. Essential viewing if you are thinking of applying for it. I'm actually annoyed I haven't if before because the section on extras resources at the end is something I've spent 18m putting together
@wheelchairtony8287
@wheelchairtony8287 4 жыл бұрын
Hello can you be kind enough to update your wonderful youtube videos regarding NHS Continuing Health Care. Thank you.
@gulugulu364
@gulugulu364 4 жыл бұрын
Urfan elie
@gulugulu364
@gulugulu364 4 жыл бұрын
14
@sovereign_paul
@sovereign_paul 4 жыл бұрын
Thank you so much for making this recording. I am currently going through this problem at the moment and your video has been immensely helpful, reassuring and provides most of the ammunition I need to escalate my Aunt's case. Her situation is almost identical to the Wigan & Bolton Health Authority E.420/00-01 case upheld by the Leeds Ombudsman in 2004. It not very nice to know the NHS is defrauding my elderly Aunt and Social Care is acting illegally by accepting her care without a CHC assessment being carried out by a CCG. This systemic fraud needs sorting out.
@michaelodowd4807
@michaelodowd4807 4 жыл бұрын
Very informative and helpful for anyone fighting for CHC for someone. Unfortunately professor Clements does not highlight the 4 key indicators Nature,Unpredictability Intensity, Complexity which are the CHC trump cards. Anyone fighting a case needs to get acquainted with these so called key indicators and think about how they apply to an individual. Just read the National Framework and what is says about them, unfortunately they can be applied very subjectively by assessors so important to have examples, where in your opinion the key indicators apply to someone, not that difficult for someone for example with severe dementia as obviously it is unpredictable by its very nature, also usually a carer will have plenty of examples of intensity if they give it a bit of thought ,but it is imperative to study the Framework and of course the test cases which supercede the Framework.
@nigelduckworth4419
@nigelduckworth4419 4 ай бұрын
The worst of theses is unpredictability which the NHS use against you to say that you are stable. But Pam Coughlan was stable and had been for donkey's years as were the two featured ombudsman cases highlighted by the prof. So this part of the DST is a scam, since it requires yo to show that you are unpredictable. This is not the law.
@mayhampson4896
@mayhampson4896 4 жыл бұрын
Well I do agree with you , your mother paid into the national health system she should get the benefits .What I disagree with the people who have not.,who come from a round different parts of the world and get free access , who have not,paid in but get the same benefits. Our standard of living (the working class ) and theirs concerning the N H S has become equal we have to go on a bigger waiting list at the hospitals , doctor’s surgery, etc. It may be a different way a certain age group in this country think now . But is it really fair to myself ( I am 85yrs ) or my children who are in their late sixties , who have bad health now to endure all this unfairness , I don’t think others countries would be so unfair to there elderly seeing we have paid into the N H S system. Old people have had irb
@aab2678
@aab2678 5 жыл бұрын
I am going through the arduous appeals process for my 86 year old mother. She comes under Cambs & Peterborough CCG. Every stage feels like a kangaroo court where they've already made up their minds and try their hardest to cherry pick facts and ignore others to fit their narrative. They are now finally accepting 1 severe and 4 high domain scores, but still make the leap from there of stating there is no primary care need with nothing to back it up.
@fourcandles1659
@fourcandles1659 5 жыл бұрын
May I ask were you successful with CCG funding? [email protected] I have a MDT meeting today at 2pm!
@ec2860
@ec2860 5 жыл бұрын
petition.parliament.uk/petitions/238047
@ec2860
@ec2860 5 жыл бұрын
It's time to start a public enquiry
@flemingianr
@flemingianr 5 жыл бұрын
Sign and share petition.parliament.uk/petitions/238047
@flemingianr
@flemingianr 5 жыл бұрын
please sign and share petition.parliament.uk/petitions/238047?fbclid=IwAR2TklUkSp4BAux7l_B7OJOcXocTTnYMJfnvbLKpATdxbC3pCRY8IWInCbQ
@whitefields5595
@whitefields5595 5 жыл бұрын
Thanks so much for this, extremely valuable. My mother has just had CHC funding removed so I will be using this information extensively
@JC-zz1uw
@JC-zz1uw 5 жыл бұрын
Very interesting
@tulsisevadasi
@tulsisevadasi 5 жыл бұрын
I came here from the carers uk website. Very informative. Thank you
@gwynethsweatman3890
@gwynethsweatman3890 6 жыл бұрын
Well done Cerith!
@andreadavisart
@andreadavisart 6 жыл бұрын
Incredibly helpful and informative. Thank you!
@hazel38ish
@hazel38ish 6 жыл бұрын
wow how brilliant.
@ccw1961
@ccw1961 6 жыл бұрын
I complete CHC and DST processes for my social service department. Not only do Find myself in constant disagreement with my health colleagues and the CCG regarding decision making. I practically never see recommendation for continuing care being ratified by CCG commissioners. It is now extremely difficult t even attract the FNC component of car if the case is returning too social care for consideration of funding. a travesty when you realise that at the point of hospital discharge the individual was deemed clearly health or nursing pathway and 28 days later at the assessment stage it is generally not upheld. Its a diabolical situation and a process riddled with tension and discord for all involved. There has to be a better way.
@richardtimson1361
@richardtimson1361 6 жыл бұрын
Thank you for posting this well reasoned and presented information that highlights the inadequacies of Continuing care funding , I particularly like your emphasis on the inadequacies of the Decision Support tool that is clearly being used as a gate keeping facility for CCGs.
@marisatirone1064
@marisatirone1064 6 жыл бұрын
Very interesting and informative - gives us all hope when fighting for our loved one's rights without making you feel guilty. Thank you.
@doctorgeorgejamesmcglashan6671
@doctorgeorgejamesmcglashan6671 6 жыл бұрын
Sewing
@andrewmw83
@andrewmw83 6 жыл бұрын
Like Clements - what a guy! His resources are an amazing tool for social workers who have to battle all types of systems both in health and social care. Thanks for your continuing commitment to our profession.
@katcankan7129
@katcankan7129 6 жыл бұрын
Wow what an education you've given me. Thank you
@suemcnaughton7859
@suemcnaughton7859 7 жыл бұрын
Being a parent of a disabled adult, was not a career by choice. I and other parents alike are at a huge disadvantage as we have not studied in this area, we have had to hit the ground running, whilst being thrown in the deep end of our world of disability. These talks have been invaluable in clearly stating what our rights as carers and those of our children are. This knowledge will help to make it a much fairer playing field. Thank you.
@TheNemocharlie
@TheNemocharlie 4 жыл бұрын
Sue, I couldn't agree with you more. The disability isn't an issue, it is what it is and we must get on with it, the real problems are caused by those who exist in theory to help us, but customarily ignore the law and make everything so much harder.
@beejh6206
@beejh6206 8 жыл бұрын
As a migrant to Australia - now regularly needing to visit my Mum in UK (who is in early stage dementia) with over 20 hours of current home care a week this video puts all the pieces on the table for me - NHS v Social Services or working in cahoots together - I really couldn't pick which one previously....the council house capital purchase in the 90's too thanks Prof Clements this helped a lot - appreciated the clear, concise presentation of the materials as well