The link between hospital overcrowding and the availability of care homes is clear.
Local authorities used to run these as not for profit facilities.
Have a look at the profits that the big care homes providers are making, they would make the water companies blush!
The whole issue of care homes should be a wake up call in respect of “money men “ entering a sector. 20 years ago care homes were largely individual family small homes, standards in some were undeniably poor, so goverment steps in and slowy legislates these small homes out of existence, we the. Entered a period of there being a huge shortage of capacity, so the venture capitalists step up and now there are purpose built large homes popping up all over, in my area they start at £1700 a week and want to see that you have liquid funds available for 2-3 years of care.
Veterinarian services are going the same way, the small practices bought up and morphed into large companies, the fees then rocket.
The same is starting in respect of the private rented sector, the upcoming renters rights bill will put a further nail in the current PRS, before long the corporate Built to Rent Brigade will roll in en masse to save the day, bringing with the. hugely inflated rents or pernicious part rent part buy schemes. Local to me a (admittedly nice new) 2 bed house is £1420 a month from the “profit for purpose” arm of a registered provider, local incomes cannot match that.
The trend seems to be that these types of large scale entrants to the markets are going to rip the savings and earnings from the middle classes over the next couple of generations, forever changing the social structure of the UK.
As for the NHS it has 2 main problems
1) it’s funded for the official population estimates and as such is mot funded for the 7 million or so people that are actually using it over and above that estimate. You’ve only to look at the estimate for european citizens expected to apply for the right to remain agains the numbers that actually did to see that population figures are fanciful in the extreme. Same can be said for all public services and infrastructure spending.
2) The nations attitude to excess weight and fitness, i was talking to the overall manager of orthopaedics at my local hospital, the average age for hip and knee replacements is falling fast, the common factor being excess weight / obesity amongst patients , not only do they need doing earlier but the patients need longer stays in hospital, more physio and the operations are more complex , anaesthesia being a particular concern in terms of the extra drugs required and impaired heart / lung function of a substantial number of larger patients.
The area has some of the most deprived wards in the country , and has a complicating factor of larger numbers of migrants who speak no or very poor english but expect the nhs to deal with this rather than bring someone from their own community to translate, right or wrong the nhs doesn’t spend anymore than it needs ( ie the minimum )to on such services.
All issues that i’d guess were never really expected in a relatively wealthy nation and rather begs the question as to how much personal responsibility a population should be expected to carry.