15/10/2012 Inside Out South


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Good evening. Here is what is coming up this evening: the true


cost of caring for their elderly. In a special programme I go behind


the scenes in a New Forest nursing home. I think it is terrible after


he has fought for his country, and in the take his money. And we find


some radical solutions to the problems of care in the warm.


rang not one day and said, how would you feel about a man? And I


said, why not? This is Inside Out for the South.


The good news we're living longer. A million people in Britain are now


aged over 85. And the bad - as we reach retirement, one in three of


us will get dementia. And many of us will end up needing care in a


home like this one in the New Forest.


But who pays what for their care is a lottery. If you're paid for by


social services, different councils will be prepared to pay different


rates. So here, Dorset pays more than Hampshire for its care. And if


you pay for yourself you could end up paying �500 a week more than


people without savings or assets, because private residents have to


make up the shortfall. It is very difficult, because depending on how


much money you have that is how much money you have to pay. It is a


real stretch because you are talking in terms of around �1,000 a


week from the family. That has a pension, a private pension and a


state pension, all of which goes to pay for hymns. Otherwise I could


not afford it, we do not have any rich relations. The pensions almost


cover it and then we make it up. Dad worries about his money, but we


reassure him by showing him a statement every time I come, but I


did not do it today. He is worried that we will go bankrupt. But we


are just on the right side. There is a fog of confusion and


misunderstanding about who pays for care. Many people mistakenly


believe that their NHS will pay for it. They have a nasty surprise when


they discover that they have more than 23,000 pounds in savings are


assets then they will have to meet the whole of the cost of the care


themselves. You do find that people who are paying for themselves are


paying more than people who are placed there by the local authority.


It is that this problem of not enough money in the system. -- it


is back to this problem. Birchy Hill Nursing Home says it


struggles to recruit local staff. They operate a scheme sponsoring


workers from India and the Philippines who work 12-hour shifts


for around the minimum wage. For one week only I'm joining them.


Can I try your hat on? Yes. year-old Ron has an advanced stage


of Alzheimer's. What is your wife's name? Sylvia. If you cannot be in a


situation where there is not a lot going on, then it is not for you.


Is that the same hat? Can I try your hat on? You get everything


done for you, whenever you want anything they get it for you, or


try to get it for you. They make you lovely and comfortable in urine.


-- in your room. We looked all over the place and we found this was the


best one to come to. I have your lunch for you. I have been told I


need to help cut your mate, is that alright? -- to cut your meat. Would


you like some chicken? I think so. Is that alright? I haven't been


able to walk properly, but I want to try it again.


Weekly music sessions bring a lot of joy, but many council-run homes


have had to slash budgets on entertainment like this. It makes


them feel happy and sometimes because they are living here they


might feel more at, so this will cheer them up and take away their


loneliness. I am inspired to work as a carer, looking after them so.


Brenda was 16 when she married Charlie, he is now 86. He worked


for 50 years in Southampton docks. In the end, you become the carer.


The husband-and-wife side of it gets very pushed out of the way. It


does not exist anymore. He becomes like a stranger, and your feelings


disappear as well. I know what is terrible, but it is just someone


that you come to visit. You feel guilty about it, but that is just


what happens after so many years of being parted. And when you were


together, the last few years were more or less getting upset and


running, so all you can think about is the bad times -- and fighting.


When you get that time when reality is that you cannot cope any more,


that must be so difficult to go through? It is. At the time you


think, what a relief, because at last you're not having to do that,


but then that isolation comes in and you are completely on your own


and it hits you that this is it for the rest of your life. It does not


just affect the person who has dementia or Alzheimer's, it


suspects -- it affects their family. Going to bed is a difficult one. I


am sorry, I did not think I would do this. I felt so tough. Frank is


83. Lashing out isn't uncommon. Everyone here knows it will pass.


To find out what it's really like working as a carer, I'm doing a


night shift. Eight till Eight. Putting people to bed, then back


again, numerous trips to the loo and medicine rounds. It is 3:20am


3:20am. Power was tall that people with dementia are sometimes


confused about their body clock. Whilst we mostly sleep through the


night, someone with dementia might not. They might want to get up to


have something to eat, or walk around. You think that a person has


gone, that they are still there. You see flashes of their


personality and their character come through. It is like there is


another jigsaw puzzle of them, but it is not the complete picture, or


one are two pieces are missing. It is jumbled up, or in the box, and


you have got to try and pick the jigsaw pieces together. If you


spend time with them then there is the chance that you will find


little sections of the cheques off. Good morning.. White mac -- little


sections of the Dukes of. You start interact with people like Frank.


You learn that he used to love fishing and he used to be a builder.


Just knowing those two things, you can get through to them. Those two


keywords to trigger something and their eyes light up. You look at


and sometimes with his shouting, and the dementia is making him


quite cross, but underneath all of that he is the most lovely man who


would talk about fishing and building and his life until the


cows come warm. -- come home. The cost of care is a huge pressure on


families already struggling with the illness of a loved one., other


times you can have sometimes he is definitely. -- sometimes he is


talking nonsense, other times you I feel it is unfair that people


work all their life hard and all the sudden they need care and care


comes at a cost and they need to sell their house to pay for their


care. It is not very nice to talk. For Julie, dementia has robbed her


of financial security. My income does not cover my expenditure. If


you're on the Hampshire rate to have to contribute the state


pension and a half occupational pension so I now only get half his


occupational pension plus a minimal state pension because I did not


work when the children were small. My income does not cover my


expenditure. I have to pay for everything in the House, the


running of the House, the car. If you sell the property and make a


profit, the state will take that profit towards his upkeep. So, at


the moment I can't contemplate moving into somewhere which would


be more economical to run. There are days when I need to be on my


own to catch up with things. And I think I am all on my own and people


are doing things and you long to go out and be part of things. It is


lonely. Sweet-toothed Ron came here in 2001. I came to get an


experience here, I have three years and I get experience and I go back


home and work there. It is a different experience than working


in India. Do have carers in India? No, we keep our elderly people at


home. I will put it in a cup of tea. That's enough, no more.


government says it has increased spending by 71 �4 billion over four


years. It is working on a long-term reform including a cap on how much


individuals must spend. Everyone seems to be here apart from one


individual, Ron. Ron has a habit of when everyone is in one room, he


goes walkabout. He has a look for stuff in other people's rooms!


Hello, Ron! How are you? What are you eating? What of those?


Shortbread many biscuits. Is this your room? It might be. This is so


leaners room. -- Selina's room. That's not you! They think I am the


strawberry man. They say the strawberry man has been. He has


worked all his life and a try and take his money. We used his pension.


That's how close to the line it is. It is terrible after he has paid in,


for for his country abroad and at home, was injured in the war,


hospitalised during the war and they take his money. It chokes me


up. I get so annoyed when I think about it. It's so unfair. If there


was me, it would be different. My dad has lived in England all his


life. When he needs some help, we are just on the right side but only


just. We will call today for today. God bless. See you tomorrow. God


bless. See you tomorrow. Goodbye Most people agree the system is not


sustainable, people who have resources and own their own home or


who have savings can end up with a catastrophic costs if they have


high needs for a long time. They can lose everything. And you don't


know who it will be until it arrives. It is very random in its


nature, it is a big risk in life and is difficult to insure against.


The other issue is that there is rising levels of need for older


people and people with disabilities that needs to be publicly funded


that public funds are not rising cost of council funds are reducing.


This is an issue that has been in the long grass for decades. This


government is actually getting to grips with it and I am absolutely


determined to see this through to a conclusion. And that real sense of


unfairness people feel that you have worked hard through life,


budgeted carefully, you get old age and you get an inch and lose


everything you have worked for. That unfairness has to be addressed


and I am determined to see it Geoff and Jean have been married


for 56 years. Health Why's she has been good. But she can't


communicate with a. She recognises me when I can't usually. She smiles


at me. She smiles at the nurses' though. It was a typical decision


but it was getting -- she was getting aggressive in the mornings


and it was difficult. She is 81. It's amazing how strong she was.


This is dreadful. You have lost them but they are still there, if


you know what I mean. You have to lose than twice. The population is


getting older, people are living longer because of the NHS, in a way.


It is a victim of its own success. This problem is going to grow, I am


afraid. More people will suffer. The last time Andrew came I got


some oblique photographs of her laughing. I went home on a real


And many thanks to all of the staff and residents at Birchy Hill before


opening their doors to us. Is that it, does it mean more of us will


need help in later life? A lot of work is being carried out to try to


find alternatives to what can be some expensive and challenging


choices. I wonder what it's like to be 80.


If I live that long, who will be there to care for me when I can't


manage? And will pay the bill? The questions we ask because none of us


know how much it will cost and you can spend everything before the


state steps in. In York, some of the elderly have clubbed together


to share the risk. It's simple idea, before you get too decrepit you can


apply to live that your days as a commuter each run by the Joseph


Rowntree Foundation were residents know if and when they need nursing


care is available on site at no extra charge. It's not easy to get


in. You have to pass a medical and one of the Leasehold bungalows has


to be available. It pays to apply early. I am 53 and you make the


decision to come here at 61. It was quite easy for us. We came here


because my parents had died and we were the oldest people in the


family. We came here and suddenly we were the youngest. So, there


were people 40 years older than me. It offers peace of mind to those


who can afford it. Residents pay into a communal pot, �170 a month


if you are 60, more if you are older. They can be confident that


they will not get clobbered with care fees they can't afford.


are paying care insurance, you say in the pay amounts year-on-year


which covers the care. When you are fit, you pay over the odds but when


you need major care you do not pay more. So all of those worries about


what happens, you have answered them. We know where our care will


take place. We know where we would die. That's great. We collected


that boxing get on. -- tick that box the stock as residents get


older, they are more likely to use the facilities. This year, his wife


spent six weeks in a care home and while she was looked after, he also


dipped into the communal pot for the first time. I was offered and


found to my surprise it was welcomed her in a bungalow. So, you


have been paying in all this time, effectively paying over the odds


when you're well but now you get some back. It seems there wasting


It seems to me it is a local solution to a national state


responsibility, paying for the care of the elderly. But the fact is at


a time of cuts to public services, the politicians simply cannot agree


on whether -- where to find the money. The issues keeps getting


kicked into the long grass. The truth is despite the recession,


Britain is still many times richer in real terms than it was when


today's pensioners were born. We can afford to look after them but


in Westminster politicians tell you priorities lie elsewhere. Is it too


ridiculous to imagine the answer is to put taxes up so we can pay to


look after the elderly? It is ridiculous to suggest we should use


the tax system progressively to look after and care for people in


old age, it's ridiculous put it this -- politically because no one


will change it -- touch it with a bargepole. People are scared of tax


and spend and the consequences up the moment of the economic impacts


in terms of further depression of our economy. With tax payers


apparently unable or unwilling to pay for the increasing care demands


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


the need for large amounts of public money. I've come to Essex to


see one of the countries home shares in action. The idea is


popular on the Continent. husband died in 2002, I have had


rheumatoid for two years and I was getting worse. I did some research


and came up with a share and care. My daughter said how would you feel


about a man? A man? Why not? wrote Iona was much with Graham, an


NHS worker whose 45. For the last two years, they have lived


alongside each other in her home. The deal is he its rent free in


return for spending 10 hours a week helping out. You see the advert and


it says this is not a flat share with an NHS work, it is living with


an older person. Taking care of the chickens, doing some shopping,


mowing the lawn and a few repairs. A bit of company. It's a lounge


suit to stay here in your own home. I desperately want to stay here. I


left my house. I intend to be carried out in a coffin. You don't


have a free board and lodging for chores relationship. You become


friends. We are friends. He has been amazing. He's given me my life,


my quality of life has risen. We laugh, he makes me roar with


laughter. And sometimes I make you fall with laughter. When you tell


dirty jokes! It is so nice when you see something that works as well as


that does. It's not for everybody. The older person it needs a spare


room and there needs -- the needs Cup be too severe. The characters


have to be right to get that kind of special relationship. So, it is


an answer but it's not the only answer. We need a joined-up


holistic answer that mobilises and supports families with caring, the


community is involved, younger and older people as part of the


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


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


for care, the idea is simple. For every hour of voluntary care people


put in for their neighbours, they built up in and was worth of care


credits they can keep in a time bank and used for Terrin care later


in life. One of the youngest of the members who have signed up for the


scheme is 36-year-old Lewis he has been helping out 87-year-old girl.


I have been coming to see pile every six months. I notched up 20


Alice and I would like it think those hours will help my mother or


help myself if and when I needed. It can encourage you to get out


there and do something. My fingers, the top joint doesn't go over.


Therefore, I can't pick things up properly. I spend a lot of time


talking to him and he talked to me. There is a big help to me because


people don't come. Careful care is the brainchild of a professor who


hopes it will pay eight he part in solving the care crisis. I hope


over three years or so we will build it into a large national


scheme the stock I hope there might be a million members to stop the


problem is whether the next generation is officially keen to


ensure safety in the rain gauge to invest the hours which will by then


their care pension. In Westminster the talk is all about cuts and


austerity, not spending billions more caring for the elderly. The


responsibility falls on wider society, and communities and


neighbourhoods and families to fill the gap and help all of us feel


more confident about prospects of growing old. That is it for tonight.


We are back next week with more stories from close to home. Next


Monday, the trail of the South's rarest plants with an orchid Hunter.


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