19/06/2011 The Politics Show East


19/06/2011

Similar Content

Browse content similar to 19/06/2011. Check below for episodes and series from the same categories and more!

Transcript


LineFromTo

Here: Can we afford to look after the region's elderly residents?

:00:22.:00:26.

Care homes tell us why they can't make ends meet. And why we may not

:00:26.:00:30.

see so many state of the art affordable homes like these in

:00:30.:00:40.
:00:40.:00:40.

Apology for the loss of subtitles for 2227 seconds

:00:40.:37:48.

Hello and welcome to the part of the programme just for us in the

:37:48.:37:52.

East. This week: The care for the elderly - big business or an

:37:52.:37:55.

essential service? We discover why some homes claim

:37:55.:38:02.

they cannot afford to look after old people. Care homes are

:38:02.:38:08.

providing 24 hour nursing care. There is no profiteering.

:38:08.:38:12.

At a bright future for this prospective tenant, but could

:38:12.:38:20.

developments like these soon be a harder to come by?

:38:20.:38:24.

But first, the number of older people living in the east is set to

:38:24.:38:29.

rise dramatically. The high-profile problems of care whole opera --

:38:29.:38:33.

care home operator Southern Cross have focused attention on the

:38:33.:38:37.

financial problems facing the sector. Crisis talks with landlords

:38:37.:38:40.

and banks have saved off the collapse of the company, which has

:38:40.:38:45.

four months to find a solution to its financial problems. In a

:38:45.:38:48.

statement, the Department of Health, which has been involved in those

:38:48.:38:58.
:38:58.:39:03.

However, there is still a question mark over the quality of care

:39:03.:39:07.

provided in Southern Cross homes. According to the Care Quality

:39:07.:39:12.

Commission, of the 60 homes in our region run by the company, 22 have

:39:12.:39:18.

failed to meet essential standards of quality and safety. Southern

:39:18.:39:26.

Cross has stressed... But with council budgets being cut and

:39:26.:39:30.

private providers saying there is no profit in the business, just who

:39:30.:39:34.

will be looking after the elderly in the future?

:39:34.:39:39.

There are two things that mum knows for certain. The first one is, no

:39:39.:39:45.

sugar in my tea, dear, and my room is number four. And now she will

:39:45.:39:51.

only know one thing, and that is so sad. This lady's bomb at Phillis

:39:51.:39:57.

will be 94 next month. She has death -- dementia but feels safe

:39:57.:40:05.

and secure after so many years abyss home. But it is closing.

:40:05.:40:10.

Lindsey says finding another home near by which is as good is proving

:40:10.:40:15.

impossible. They have all got waiting lists. We haven't been to

:40:15.:40:19.

one a single home where, even if it was appropriate for mum, they could

:40:19.:40:27.

take her. They are waiting - there are eight people in front. But

:40:27.:40:34.

another one, there were five. company says it is closing this

:40:34.:40:37.

home for several reasons - its ten- year contract with the local

:40:37.:40:42.

council runs out in November, but the rooms here are small and have

:40:42.:40:49.

no on suite facilities, as well. However, residents' relatives are

:40:49.:40:53.

sceptical. They say one of the company's other homes being

:40:53.:40:58.

recommended as an alternative has 55 rooms. Less than half of those

:40:58.:41:02.

are on speed. They feel that the reasons behind this closure are

:41:02.:41:08.

more financial. They say that the location is a prime site for

:41:08.:41:12.

redevelopment. The building is owned by the Sanctuary group which

:41:12.:41:16.

says there has been no decision about the future of the site but

:41:16.:41:21.

that it will be used to benefit the community. But that does not help

:41:21.:41:25.

Lyndsey. She faces a dilemma of keeping her mum close by and

:41:25.:41:30.

compromising on care, or moving her to another home which would mean n

:41:30.:41:35.

90 mile round trip to visit. It is along journey and it is also the

:41:35.:41:41.

price of the diesel and penned -- petrol. We are pensioners. It would

:41:41.:41:47.

mean once a week visiting whereas, now, if I have half-an-hour, I can

:41:47.:41:53.

pop up and see mum. What you call in on your way back from shopping.

:41:53.:41:57.

If more care homes disappear, this could be a reality for many others,

:41:57.:42:03.

leaving residents more isolated from families. At this nursing home,

:42:03.:42:07.

residents are largely unaware of the financial pressures but across

:42:07.:42:13.

the region, homeowners are more read. Council cuts have meant that

:42:13.:42:18.

fees paid to providers have been cut. National Insurance has gone up,

:42:18.:42:23.

the minimum wage has gone up, insurance is a huge problem. You

:42:23.:42:29.

can imagine how much it costs to heat and light the people we have.

:42:29.:42:34.

We said but we reject the reduction, we could not live with it. There

:42:34.:42:38.

will be huge problems in the care sector. They came back and said but

:42:38.:42:44.

that was the way it was. This is not the only voice of concern. This

:42:44.:42:48.

man heads up a national Nursing Home Association and says the days

:42:48.:42:53.

of care being a money spinner have long gone. Day today, care homes

:42:53.:42:58.

are providing, at �70 a night, 24 hour nursing care. There is no

:42:58.:43:04.

profiteering in that. You need to ask why people have stopped

:43:04.:43:08.

providing. The reason is that they cannot do it any more at the fees

:43:09.:43:14.

that they want it done at. A bit is predicted that in 25 years from now,

:43:14.:43:21.

the number of over 60 fires in the East will have risen by 750,000.

:43:21.:43:30.

The Avon 90s will make up one in 10 of them. -- the over the 90s.

:43:30.:43:34.

see it happening now and even more in the feature that people will not

:43:34.:43:39.

be assessed as needing residential care because it is too expensive.

:43:39.:43:44.

People will not take funding in their own homes because it will

:43:44.:43:48.

ruin their businesses. The warnings are that the care home sector is

:43:48.:43:53.

reaching crisis point - that, like the economy, after a period of boom

:43:53.:43:57.

at the industry is now heading for bust.

:43:57.:44:03.

Joining me is Baroness Angela Smith, former Labour MP for Basildon,

:44:03.:44:06.

Colin Noble, a Conservative councillor who is responsible for

:44:06.:44:12.

adult services for Suffolk Community Council. And from Norwich,

:44:12.:44:19.

we have a Conservative MP Chloe Smith. Let me start with you. We

:44:19.:44:25.

head of boom and bust there. Why has such an essential service come

:44:25.:44:32.

down to a business proposition? think, first of all, it is

:44:32.:44:37.

acceptable to have private provision. I don't think it is the

:44:37.:44:40.

right thing for the Times for the public sector to run care homes

:44:40.:44:46.

alone. It comes down to sustainable businesses. If you take Southern

:44:46.:44:50.

Cross as an example, it is down to them to make sure they have a

:44:50.:44:54.

sustainable business model. What happens in the meantime is that the

:44:54.:44:59.

staff at those homes are absolutely dedicated to care. It is about

:44:59.:45:02.

staff doing their jobs superlatively well, while the

:45:02.:45:07.

business around them finds the right way forward. But we are

:45:07.:45:11.

talking about very vulnerable people. What happens if private

:45:11.:45:15.

homes stop taking those people that can't pay for themselves? The buck

:45:15.:45:23.

stops with the council, doesn't it? A absolutely, and it always should.

:45:23.:45:27.

We sat down with Hillary and her colleagues and discussed our issues

:45:27.:45:31.

and why we had to cut their rates. While they made a number of

:45:31.:45:35.

comments, they have not happened as yet and they are still accepting

:45:35.:45:40.

people that we support. It is an ongoing thing that we have a duty

:45:40.:45:45.

to get the best value for money for council tax payers. We sit down and

:45:45.:45:50.

look at all the aspects. We have cut their rates by 4% but that is

:45:50.:45:53.

money we can go and spend supporting other people. But what

:45:53.:46:00.

is best for the old people? That is who we are talking about. You have

:46:00.:46:05.

to think - the family makes a decision that somebody in their

:46:05.:46:09.

family has to go into residential care. That is a big decision for

:46:09.:46:14.

them. It is hard. You want the best possible care, and what is

:46:14.:46:19.

happening now does not give that confidence. A lot of people have

:46:19.:46:23.

taken a lot of money at a southern cross that should have been spent

:46:23.:46:30.

on the people who need care. We are right to think that we need every

:46:30.:46:35.

structure. We can get health and social services and social care

:46:35.:46:38.

working better together for a lot more preventive care, and support

:46:38.:46:43.

for people who care for families at home. The idea that a private

:46:43.:46:48.

company can do what they want with their company when they are caring

:46:48.:46:53.

for our all the citizens it is completely unacceptable. Country is

:46:53.:46:57.

a acceptable, clearly Smith? Yes. If they were taking the wrong steps,

:46:57.:47:02.

that would be an acceptable. Bat is whether Care Quality Commission

:47:02.:47:05.

have to do their job very well which is to step in and do the

:47:05.:47:15.

right thing. The other important thing is how we fund social care as

:47:15.:47:20.

a model in the economy and the overall level. There has to be away

:47:20.:47:26.

in the future, with larger numbers of old people... How do we do it?

:47:26.:47:31.

we will have to accept that we will need to pay a bit more when my

:47:31.:47:41.
:47:41.:47:41.

generation gets to that age. If you look at Sandwell. They took the

:47:42.:47:49.

local authority staff on the same pay and conditions, and they are

:47:49.:47:54.

caring for our older people. But on the minimum wage? I don't like that

:47:54.:48:00.

at all. Through social enterprise and that working with the local

:48:00.:48:05.

council, we can care for our older citizens probably. But the private

:48:05.:48:12.

market can work. In Suffolk, of the 2,800 people that we support, 2,300

:48:12.:48:18.

of those are in the private sector. They are in the same standard of

:48:18.:48:22.

homes. You are selling off the remaining 16 council-run homes - or

:48:22.:48:27.

what is driving that decision? Is it money or a belief that that

:48:27.:48:33.

decision will create better care? am charged with making sure that we

:48:33.:48:37.

support people in residential care and in their own homes and across a

:48:37.:48:42.

range of preventative services. We spend more money in Suffolk are

:48:42.:48:45.

providing a care bed in our own homes than we do when we buy

:48:45.:48:50.

exactly the same standard in the private sector - and that is money

:48:50.:48:57.

I am not so bending on other people or on preventative services. It is

:48:57.:49:00.

right and proper for councils to look at every aspect of their

:49:00.:49:05.

spending, to get the best value for money. We have run out of time but

:49:06.:49:11.

thank you very much indeed, all of you.

:49:11.:49:16.

From homes for the elderly to housing in general, and fears that

:49:16.:49:20.

newly-built affordable homes could soon be few and far between. But

:49:20.:49:25.

coalition has pledged to increase the supply of social housing, but

:49:25.:49:29.

cut the budget for new affordable homes by roughly half. And figures

:49:29.:49:32.

obtained by the BBC revealed that the Supporting People budget, which

:49:32.:49:37.

helps vulnerable people find a home, will drop across the region this

:49:37.:49:41.

year. The councils say they will do their level best to cut

:49:41.:49:45.

inefficiency rather than frontline services. But figures show that in

:49:45.:49:53.

Essex, the budget is down by 16%, and by 12.5% in Hertfordshire. In

:49:53.:49:58.

central Bedfordshire, the budget is 11% lower, while Suffolk and

:49:58.:50:02.

Southend authorities will see a 6% drop. In Norfolk and Cambridgeshire,

:50:02.:50:11.

the cut is around 4%, and in Milton Keynes around 1%. Just what does

:50:11.:50:19.

the future hold for affordable homes in our region?

:50:19.:50:23.

These houses seem one answer to their housing drive. The in post-

:50:23.:50:27.

war Britain, housing was at the forefront of government policy. A

:50:27.:50:31.

decent home two we rent was a welfare ride along with free

:50:31.:50:35.

education and health care. By the 1980s, many of them were being

:50:35.:50:40.

bought up. In Essex, the Pattison family were given the deeds to the

:50:40.:50:45.

council flat they had rented for more than 20 years. Now tenancies

:50:45.:50:50.

could last as little as two years if financial service --

:50:50.:50:58.

circumstances improve. When you make a tenancy dependent on income,

:50:58.:51:05.

you disincentive eyes people from going out to work to improve their

:51:05.:51:11.

income because they may be at risk of losing their home. Today, one in

:51:11.:51:16.

five of us live in social housing paying below market rents. But

:51:16.:51:24.

there is concern some people are met -- taking advantage. We have to

:51:24.:51:26.

make sure that those who are the most vulnerable are not paying

:51:26.:51:30.

their taxes to support the wrong people living in social housing -

:51:30.:51:33.

those who are not in need but are in a position of comfort and

:51:33.:51:37.

convenience. We are making sure their housing goes to people who

:51:37.:51:42.

actually need it, rather than, as has sometimes been the case, people

:51:42.:51:47.

who needed it at some point but don't currently. Despite that,

:51:47.:51:52.

there are 153,000 people on the waiting list in the east. This

:51:52.:51:56.

woman is one of the lucky ones. She had been living in cramped

:51:56.:52:00.

conditions with their six children but has recently moved into this

:52:00.:52:06.

four-bedroomed house. Me and the two little ones work slipping on a

:52:06.:52:09.

safer but we could not all sit together and eat - there was not

:52:09.:52:15.

enough room. In these houses, there is so much room. By it it is not as

:52:15.:52:20.

large families that mead and affordable home. Andrew Martin has

:52:20.:52:23.

come to look round a new social housing complex just finished in

:52:23.:52:28.

Norwich. He hopes that by paying less rent now, he can save up to

:52:28.:52:32.

buy the property in the future. is really difficult for people to

:52:32.:52:37.

get mortgages because of the deposits you have to have. This is

:52:37.:52:42.

just a way of in a year or two years' time, I will be able to get

:52:42.:52:47.

on the housing ladder. Board and Housing built this scheme with

:52:47.:52:52.

almost �2 million of budget if -- government funding. They fear that

:52:52.:52:59.

it could be a lot harder in the future. This will increase our

:52:59.:53:03.

private finance borrowings. That means, in the future, we can't

:53:03.:53:08.

build as many. There is only a finite amount of fear money we can

:53:08.:53:17.

raise. I can see in the future, the list increasing in size. Another

:53:17.:53:21.

victim of spending cuts could be supported housing. This scheme in

:53:22.:53:26.

Suffolk is for people with mental health problems. The government has

:53:27.:53:31.

already cut grants to provide the service by 12%. Now that money is

:53:31.:53:35.

no longer ring fenced of a cash- strapped councils could see it as

:53:36.:53:40.

an easy target though it is proving cost-effective. People come here

:53:40.:53:50.
:53:50.:53:50.

and start to use their service, and it could be very costly for

:53:50.:53:55.

community health teams providing that visiting support if we are not

:53:55.:53:59.

here any more. The impact of that would be that regular visits and

:53:59.:54:03.

in-patient stays might occur. Critics say all these changes

:54:03.:54:08.

together will hit the vulnerable the hardest. So, could the biggest

:54:08.:54:12.

shake-up of social housing in a generation create more issues than

:54:12.:54:19.

it is trying to solve? Chloe Smith, let's try and answer that question.

:54:19.:54:23.

There is the coalition in danger of creating more problems than it is

:54:23.:54:28.

trying to solve? Social housing and affordable housing are incredibly

:54:29.:54:33.

important and no one underestimates that. The second thing to say,

:54:33.:54:38.

however, is there simply is not enough money any more to do what we

:54:38.:54:43.

want to do. If you raise money, you have to pay it back. The former

:54:43.:54:46.

government should be ashamed of themselves for having left us in

:54:47.:54:52.

such a situation. Angela Smith, you should be ashamed of yourself.

:54:52.:54:56.

Their housing waiting list did grow under Labour. It did and the

:54:56.:55:04.

recession led to a greater waiting list. It is very difficult to get

:55:04.:55:07.

everything together but what worries me is what the minister

:55:07.:55:12.

said there - the idea about having short-term tenancies. I understand

:55:12.:55:16.

that if you prove you are a good tenant, we are not worried about

:55:16.:55:20.

you. But to the idea that if you are a couple that marry and have

:55:20.:55:24.

children and mum goes out to work while that children are at school,

:55:24.:55:27.

if their income goes above a certain level they could lose their

:55:27.:55:37.
:55:37.:55:39.

home. Let's put that 0.2 Chloe Smith. Introduce this tenancy idea

:55:39.:55:42.

and you do not encourage people to go out and earn money because they

:55:42.:55:49.

think they will lose their homes. This is a reflection of what has to

:55:49.:55:53.

happen in the private sector housing market, as well. People

:55:53.:55:56.

have to live within their means, just as the country does, and with

:55:56.:56:00.

that many people on the housing waiting list, we can't afford to

:56:00.:56:06.

have people living in a home they may no longer need. But it is their

:56:06.:56:10.

home! They do need a home. You can't suggest that because somebody

:56:10.:56:14.

gets a promotion or gets another job to better themselves, they are

:56:14.:56:24.

not entitled to their home. But how do you afford it? This is

:56:24.:56:30.

not about cuts. It is about a different attitude to housing. Bass

:56:30.:56:34.

is the key thing - getting houses built - about getting people into

:56:34.:56:38.

homes. But cutting the very basic need that somebody has for their

:56:38.:56:43.

home is not about money at all. It is about a different attitude to

:56:43.:56:47.

housing from this government to previous governments. People have a

:56:47.:56:53.

right to rent and a afford housing, but they do not deserve to be

:56:53.:56:57.

chucked out of their home because they get a pay rise. Angela would

:56:57.:57:01.

have to justify that to those people who pay their taxes, and

:57:01.:57:04.

everyone else who pays their taxes. It is about putting scarce

:57:04.:57:08.

resources where they are most needed and most people agree with

:57:08.:57:14.

that. He will have to agree to disagree. Thank you are both very

:57:14.:57:21.

much indeed for joining us. Don't forget, you can watch the

:57:21.:57:29.

Download Subtitles

SRT

ASS