15/10/2012 Inside Out North West


15/10/2012

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Hull, this week we are in Blackburn. We will be finding out about the

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remarkable record of a past that has turned up in a local seller.

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Tonight: A special investigation into elderly care. They said they

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were far too busy to give my father a bath. I used to have to insist

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that it was not enough. We search for alternative ways of providing

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care for the elderly without relying on the state. It has been

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amazing and has given me my life back. Rediscover long-lost archive

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of a Lancashire orphanage. There is always stuff down here. This looks

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The ageing society is something that affects us all. And, as we get

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older, many of us are choosing to be cared for in our own homes. But

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the cost of providing this care is coming under increasing pressure.

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In a special investigation, Jacey Normand discovers a homecare system

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in crisis - and that things could get worse as further spending cuts

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The local authorities in our region have responsibility for providing

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elderly home care. 87% of this is now supplied by private companies.

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We investigated the home care system and found care workers under

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pressure, families receiving poor quality care and the body in charge

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of inspections failing to do their The whole system is a lot worse

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than what it's ever been. It's an embarrassment to us as carers. It's

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going down and down and not getting any better. They're putting profit

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before people, we just can't do this much longer. Elderly home care

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in the UK is regulated by the CQC - the Care Quality commission. We

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looked at their inspections for last year Of the 940 home care

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providers in our region, only 338 were actually inspected. That means

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two-thirds of home care providers have not been adequately assessed

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and approved to look after our elderly relatives. We found

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numerous examples of homecare agencies in the region that had

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failed to carry out proper criminal records checks or failed to provide

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adequate training for its staff. One company was even found to be

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employing criminals to look after the elderly. Also, six of these

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agencies had no follow-up inspection by the CQC after these

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initial failures were identified. The body that represents care

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workers is the UK Home Care Association. A third of the

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providers being inspected is disappointing. The Care Quality

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Commission is the regulator and should be a safeguard for all of us

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that registered home care providers are operating to standard, but at

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the end of the day it is the responsibility of the individual

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provider to make sure their services are of an acceptable

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standard - and to raise any problems with the local authority

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if it is simply to do with funding. We asked the CQC why they haven't

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carried out vital checks they claim they'll do on their website. They

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refused to give an interview but they did say... That said they only

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announced it would be inspecting home care agencies once a year in

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April this year. As we are only half way through the year, some

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providers will not have had an inspection yet. We asked them about

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the service providers in the North West who had failed their checks

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and still had not been reinspected. They said... Inspections are not

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the only way we check an agency has complied with standards and follow-

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up inspections for all these services have been planned. They

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said they would not hesitate to act should they find evidence that

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people using services are at risk. This means that some carers who

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work for private companies may have been allowed into elderly people's

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homes without their employers having to pass an inspection. This

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also means they may not have procedures in place for crucial

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staff training and the checking of criminal records. But we discovered

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that these are not the only concerns about the current system

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of elderly care. At present, 73% of home care visits in the UK are 30

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minutes or shorter. These care workers wish to remain anonymous

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for fear of losing their jobs. We're meant to wash them, dress

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them and give them breakfast and 15 minutes just isn't enough time. If

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we go over that time, we don't get paid. And only 10% of councils in

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the northwest make payments to care workers for travel time between

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jobs. There's lots of carers doing a 12-hour shift and only being paid

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for 6-7 hours because the rest is travelling time. You used to be

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paid it but now it's taken off. Janet Watson was reliant on home

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care for her father, Tom, earlier this year. She was disappointed by

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what she saw. One night a carer didn't have time to empty a urinal,

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the next day she also forgot so my dad was left sitting in his own

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urine. There was nothing he could do about it. There were two days

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where they didn't turn up at all. Now, if they let the family know,

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maybe you can do something about it. We had one carer who regularly said

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she was far too busy to give our father a bath. We used to have to

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insist. Once every two weeks is not enough when you're sitting in a

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chair all day. 90% of the actual carers are brilliant and do their

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level best but they are on a race against time and never know what

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they're going to face wherever they visit. With an increased workload,

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this leads to stressed and rushed workers on little more than minimum

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wage who have less time for care. In the morning, there's meant to be

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a file which tells us what the clients needs are - but sometimes

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there's no proper information to say what they need and we have to

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go off our own initiative. Sometime we have to give out medication, but

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the information isn't up to scratch. We're going off instinct. I've

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worked for a long time but if a new carer comes in and the information

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isn't there, care gets missed and medication can get missed. I've not

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got the heart in it anymore and I do cut corners. I didn't used to.

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At one time, I loved my job and I was always doing overtime but now,

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it's just not worth it. You're not appreciated. Not by the service

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users, but by the bosses. They're just in it for the money. The UK

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Home Care Association says that council cuts are having an impact

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on companies. There are a lot of people in this sector working very

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hard to try and get this right and there is still a lot of very good

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care. This is a very real problem at the moment. There is very little

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money around, as we all know. The money available to local

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authorities has been cut back. A number of local authorities are

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employing what I call a knee-jerk reaction, which is panicking and

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saying "oh, my goodness, we've got to get the same level of care for

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the same number of people for less money." To get the local council

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perspective we spoke to Lorraine Butcher from Cheshire East Council,

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they wrote to all their care providers asking them to reduce

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their costs in order to make savings. This is the big challenge

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of the 21st century in my view. Certainly of 2012 moving forward,

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major demographic changes of people staying alive longer, fabulous,

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look forward to it myself, touch wood. But how we safeguard

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vulnerable adults going forward at such volumes is a real challenge

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for the country as a whole. We have written to all our care providers

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asking to say can we look at our cost base, review our fees and can

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they volunteer any areas where they think they can reduce costs to

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assist us in continuing to meet the care demands of cases going forward

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and interestingly very positively some of those care providers have

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responded to us in a very positive vein saying yes, we're happy to

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talk to you about this. solution is not to squeeze and

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squeeze and squeeze until the system collapses - the solution is

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to find creative ways around it to ensure at the end of the day the

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client gets the support he or she needs. So with pressure increasing

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each year as to the best way of paying for our elderly we spoke to

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the minister responsible for care, Norman Lamb. We know for example,

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sometimes care is commissioned, domiciliary care, care in people's

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homes is commissioned in quarter of an hour slots and you have a race

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to the bottom with the cheapest provider winning the contract. That

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sort of thing is not appropriate, we should be commissioning buying

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services in and encouraging, incentivising providers to promote

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health and wellbeing to extend independence and to improve

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mobility. These are the things we ought to be doing with the money

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and if you use the money more effectively you can make it go

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further and critically, improve care. Across the region, we've

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found care workers struggling to cope in a failing system, we found

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government organisations ill- equipped to deal with the growing

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numbers of care agencies in the market and we've found family

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members concerned about the level of care received by their elderly

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Coming up, tracking down the With council services being slashed

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back, it's getting harder to rely on the state to look after us when

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we're old. The problems with funding raise some tough questions.

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Can we find new and imaginative ways of caring for elderly people?

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Can we do this without being dependent on state assistance? And

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will this require us to change the way we actually live our lives? BBC

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home editor Mark Easton went on a I wonder what it's like to be 80.

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If I live that long, who's going to be there to care for me when I

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can't manage? And who is going to pay the bill? They're questions we

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all ask, because none of us can know how much it's all going to

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cost and you can spend almost everything before the state steps

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in. But I'm here in York because in this city, some of the elderly have

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clubbed together to share the risk. It's a simple idea. Before you get

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too decrepit you can apply to live out your days at Hartrigg Oaks - a

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community run by the Joseph Rowntree Foundation where residents

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know that if or when they need nursing care, it's available on

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site at no extra charge. It's not easy to get in, though. You have to

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pass a medical. And one of the leasehold bungalows needs to be

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vacant. It pays to apply early. I'm 53 and you made the decision to

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come her at 61! Well, it was quite easy for us, cos we came here

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because my parents had died, and suddenly we were the oldest people

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in our family. We came here and suddenly we were the youngest! So,

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there were people 40 years older than me! Hartrigg Oaks offers peace

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of mind to those who can afford it. Residents pay into a communal pot -

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something like �170 a month for a sixty-year-old - a little bit more

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if you join later. In return they can be confident that whatever

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happens to them, they won't get clobbered with care fees they can't

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afford. You're paying effectively care insurance. You pay the same

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sum, effectively year on year, with small increases which covers your

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care however much you need. So when you're fit, OK, you pay over the

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odds, when you need major care you don't pay a penny more for it. All

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those worries that everybody has about what happens - you've

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answered them? We know where our care will take place. Where we'll

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live when we're crumbling and probably where we'll die. And to me

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that's great - we've ticked that Seems to me that Hartrigg Oaks is a

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local solution to what many would argue should be a national, state

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responsibility - paying for the care of our elderly. But the plain

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fact is that at a time of cuts to public services the politicians

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right now simply cannot agree on where they're going to find the

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money. So the issue just keeps getting kicked into the long grass.

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The truth is that, despite the recession, Britain is still many

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times richer in real terms than it was when today's pensioners were

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born. We can afford to look after them, but in Westminster, seasoned

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politicians will tell you that priorities lie elsewhere. Is it

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just too ridiculous to imagine that the answer to this is just to put

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taxes up so we can actually pay to look after our elderly? It isn't

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ridiculous to suggest that we should use the tax system

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progressively to look after and care for people in old age. It's

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ridiculous politically because nobody will touch it with a barge

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pole. Why not? Because people are scared of arguing about tax and

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spend. They're scared of the consequences at the moment of the

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economic impact of course - in terms of further depression of our

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economy. So with taxpayers apparently unable

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or unwilling to pay for the increasing care demands of the

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elderly, the search is on for ways to provide help without the need

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I've come to Wickford in Essex to see one of the country's hundred-

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or-so homeshares' in action, an idea already very popular on the

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continent. My husband died in 2002. I've had rheumatoid for about 20

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years. And then gradually I found I was getting worse. My daughter did

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some research and came up with Share and Care' - she rang up one

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day and said how would you feel about a man? And I thought - a man?

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A man? Well, why not!? 80-year old Iona was matched with 45-year old

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Graham - an NHS worker. For the last two years they've lived

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alongside each other here in Iona's home. The deal is that he lives

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rent free in return for spending around 10 hours a week helping out.

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You see the advert and it says OK, this is not going to be a flatshare

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with another NHS worker, this is going to be living with an older

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person. Live-in carer, taking care of the chickens, doing some

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shopping, mowing the lawn, a few repairs and bits and bobs, a bit of

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company. It's allowed you to stay here in your own home? Exactly. I

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desperately wanted to stay here. I love my house, I intend to be

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carried out in my coffin from here. You don't have a free board and

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lodging in return for some chores' relationship. You've become

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friends! We're friends. He has been absolutely amazing - he's given me

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my life. My quality of life has risen like that, we laugh, he makes

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me roar with laughter. You know it's so nice when you see something

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that clearly works as well as that does. It's not for everybody.

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Clearly the older person needs to have a spare room and their needs I

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think can't be too severe and thirdly, and perhaps most

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importantly, the characters have to be right to get that kind of

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special relationship. So it is an answer, but it's not the answer.

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We need an imaginative, joined-up holistic answer that mobilises and

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supports families with caring, that gets the community involved, that

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gets younger older' people who are still active as part of the

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solution. And over on the Isle of Wight, there's a unique social

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experiment being piloted that aims to do just that. It's called Care 4

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Care and, again, the idea is simple. For every hour of voluntary care

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that people put in for their elderly neighbours, they build up

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an hour's worth of care credit that they can keep in a timebank and

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then use for their own care later in life. One of the youngest of the

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150 or so members who've signed up for the pilot scheme is 36-year old

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Lewis, who's been helping out 87- year-old Pearl. I've been coming to

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see Pearl for about 6 months now. I've notched up 20 hours and I

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would like to think that those hours are banked to go towards

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either helping my mother or helping myself if and when I need it. And

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it can encourage you so much to actually get out there and do

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something. I spend quite a lot of time talking to him and he talks to

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me but that's a big help to me because people don't come. Care 4

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Care is the brainchild of Professor Heinz Wolff, who hopes it will play

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a key part in solving the care crisis. I hope that over the next 3

:17:53.:18:03.
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years or so we will build it into quite a large national scheme. I

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hope there might be a million members. The problem is whether the

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next generation is sufficiently keen to ensure safety in the own

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age to invest the hours which would buy them their care pension. Here

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in Westminster, of course, the talk is all about cuts and austerity -

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not spending billions more caring for our elderly. So the

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responsibility falls on wider society, on communities, on

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neighbourhoods, on families - to fill that gap and help all of us

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feel more confident about the prospect of growing old. We would

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all love it to find a lost family heirloom in the back of a cupboard,

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so imagine how they felt at his charity office in Blackburn when

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they found the complete archive of a local orphanage in the cellar. --

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in the basement. These pictures provide a glimpse into the past - a

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past which has had a profound effect on the lives of thousands of

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Lancashire children. But it's one which has remained hidden for years.

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This wonderful old building is on the main road through Wilpshire, a

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village just north of Blackburn. Today it is the headquarters of the

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local charity Child Action North West - but behind these doors lies

:19:34.:19:44.
:19:44.:19:48.

an extraordinary history. They were founded 120 years ago and their

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headquarters is in the original building that was the girls'

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orphanage started by James Dixon. The walls here pay homage to the

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past. But over the years the building has been renovated and

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reconfigured so it's hard to imagine what it was like when it

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was home to orphans. Until now. Like so many good stories, the

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secret was in the cellar. Staff were aware that the basement had

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been used as a storage area for years but it was only when they

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decided to explore it properly that they struck gold. They found a

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complete archive of the orphanage stretching all the way back to 1891

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- the year it was founded. Although there's still plenty to explore,

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most of the important material has now been removed to a special

:20:32.:20:42.
:20:42.:20:46.

archive room'. There is almost a complete set there. We have the

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archive, the letters, architecture plants. This is the lost treasure

:20:58.:21:08.
:21:08.:21:15.

of James Dixon. James Dixon was a marvellous man. He was 23 when he

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came to Blackburn and was a devout Christian. He was struck by the

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poverty he saw. He started off building a ragged School and he

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went on with his vision of an orphanage. Dixon's archives reveal

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a man who did things properly. is amazing, there is a complete

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record of every one that passed through the doors of the orphanage.

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We had the specially printed up. There were two pages for every

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child. The first page he would record the age and name of the

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child, when they were admitted and what their last -- what their

:21:55.:22:05.
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history was. Also found in the cellar was a mysterious roll of

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cine film which included colour and black and white footage. The film

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was on an enormous real and we had no idea what was on it. There was

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film of some body's wedding day and also one of the orphanage sports

:22:26.:22:32.

days. Wonderful as it was, the film had thrown up more questions than

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answers. But fortunately help was at hand. Because of the archives,

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people we did not know about have come back to last and that is

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really exciting. We have found residents who have come back as

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ambassadors. Now former residents and staff hold regular get-

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togethers, to discuss old times, or to piece together missing fragments

:22:58.:23:08.
:23:08.:23:11.

of the past. We were trying to find out about my grandfather. This is

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plugging a gap because we didn't know at the circumstances behind

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how he came to be in the orphanage. The staff there to shield around us.

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We were allowed to be children. remember Christmas when you were

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really spoiled. This room was magical on Christmas Day. The joy

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of opening the presents. Many years ago two young residents appeared on

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the orphanage Christmas card - now they're reunited again. And I had

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:23:52.:23:52.

another surprise for them. That is the original. They were happy times.

:23:52.:23:56.

With so many former residents now back on the scene, there was a

:23:56.:24:01.

chance for me to find out more about the mystery cinefilm. Whose

:24:01.:24:05.

wedding did it show? And what year was the sports day? Trevor Booth

:24:06.:24:09.

has lived in the area most of his life - ever since he arrived at the

:24:10.:24:17.

orphanage as a toddler back in 1933. I always knew there was a film

:24:17.:24:24.

because I have seen it. Do you remembered being filmed? I remember

:24:24.:24:31.

it. I remember them showing it in the school. Let's have a look at

:24:32.:24:35.

the sports day. Not only did he know about it - it turned out he

:24:35.:24:43.

was in it! I can see myself, the little blonde one on the left.

:24:44.:24:53.
:24:54.:24:54.

sort of races that they have? The wheelbarrow race? Yes. I was born

:24:54.:24:59.

in 1933 and I was only about five or six on that film, that must have

:24:59.:25:05.

been about 1938. Trevor was also able to give me some very valuable

:25:05.:25:13.

information about the wedding film. The people we got married, that was

:25:13.:25:19.

Gordon and Iris. I am still in contact with their doctor. She

:25:19.:25:25.

would be a good person to see it. My next stop was the home of Linda

:25:25.:25:28.

Haddon - now Linda Black - who, ironically, ended up living in the

:25:28.:25:38.

orphanage. That's my mother in the wedding dress, my father. That's my

:25:38.:25:48.
:25:48.:25:49.

grandfather and grandmother. Look at that. It must be great to see

:25:49.:25:59.
:25:59.:25:59.

this. It is really lovely. My father was put in the orphanage at

:25:59.:26:05.

the age of nine, because his stepmother did not like him. My

:26:05.:26:13.

mother was the doctor of the superintendent of the orphanage. I

:26:13.:26:17.

was only three when my mother died and when my father died when I was

:26:17.:26:23.

14, I then went to live with my grandparents permanently until I

:26:23.:26:27.

left there to get married. Linda was also able to clear up the

:26:27.:26:34.

mystery surrounding the date of the colour film. The marriage took

:26:34.:26:44.
:26:44.:26:52.

place on March 24th, 1945. We have proof. Next, I discovered that

:26:52.:27:01.

James Dixon's legendary fund- raising day has been restarted. He

:27:01.:27:06.

invited the wealthy to give �1 of cash. Now it is a fun day out for

:27:06.:27:10.

all the family. Among the guests is a celebrity patron who grew up over

:27:10.:27:17.

the road from the orphanage. In my school, there were two girls in my

:27:17.:27:23.

class who lived here, and we would go to each other's houses 40, I

:27:23.:27:27.

came here for tea. It was like a big happy family and it had a

:27:27.:27:33.

lovely atmosphere. It is part of my heritage. And completing my journey,

:27:33.:27:38.

I was able to meet up with James Dixon's grand-daughter. This has

:27:38.:27:43.

been a super day, I remember coming here when I was a child, and I

:27:43.:27:49.

think it is a great idea. They have reinvented it. You must be very

:27:49.:27:54.

proud of what your grandfather did. Indeed, I am not only proud of what

:27:54.:27:59.

he did, I am glad it has survived all these years as a living

:27:59.:28:07.

organisation. The spotlight this has given us, the spotlight and the

:28:07.:28:11.

story, it has brought people together and reminded people we are

:28:11.:28:21.
:28:21.:28:38.

here. His legacy is continuing. That's all for now, goodbye. Next

:28:38.:28:44.

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