A hard look at long-term adult social care in UK – John Gelmini

There is simply not enough money in the system to care for the present numbers of old people requiring long-term Adult Social Care let alone the 1.25 million woman over the age of 65 who have early stage dementia and the growing numbers of diabetes sufferers and obese people who are going to need it later.

Part of this is down to lack of Government finances due to excessive numbers of civil servants, too many councils,  constabularies, fire commands, quangos and people engaged in non jobs.

Part of it is down to poor diet on the part of Adult Social Care recipients, drug taking and drinking during earlier life, chemicals and pollutants in the environment,poor cooking skills,junk food and the lack of willingness of the UK’s population to look after elderly parents.

What can and must be done is to face the problem and discuss it openly in an adult fashion,something the public seems to be incapable of doing.

Then we must take action because if we don’t we are going to have a lot of dead old people on our hands.

The action needs to include all of the following:

1) Merge the Adult Social Care and NHS budgets and clear out duplication

2) Cut the public sector down to an affordable size

3) Introduce variable taxes on foods

4) Pay doctors to keep people well not for the size of their patient lists

5) Transfer all Adult Social Care recipients without relatives nearby or at all,to India and Thailand where they can be looked after at minimal cost

6) Reduce, sugar, salt and fluoride content from food and drink

7) Ban the use of aluminium foil and aluminium saucepans

8) Plant air cleaning trees near motorways and factories

9) Ban Bisphenol A and pesticides which cause obesity, have gender bending effects and which are carcinogenic

10) Introduce German style Rife technology to the NHS and encourage people to acquire these devices for their own use so that they can cure their own afflictions(A modern Rife machine built to German standards can cure most cancers,Aids and up to another 2,500 diseases) yet the BMA and the NHS plus the drug companies refuse to use or consider them.

11) Promote healthy eating,diet and exercise

12) Make people responsible for their own health and promote Tai Chi,Pilates and Yoga along with Ayuvedic medicine

13) Make long-term care insurance fully tax-deductible

14) Make the tax system more competitive and use part of the money brought back onshore to fund better food in hospitals and preventative healthcare regimes

15) Promote vitamin and mineral supplementation via food manufacturers

16) Use aggressive re-enablement to stop the downward slide into a zero range of movement for Adult Social Care recipients

17) Use Asimo robots in care homes for lifting, showering, toileting and turning Adult Social Care recipients

18) Abolish overseas aid, the Barnett Formula and unwarranted military adventurism and use the money saved to reform and re-engineer public health in the NHS and in the country at large.

This will impact beneficially on productivity and enable the country to become more prosperous

19) Promote St John’s Wort(Hypericum) as an anti-depressant 4 times stronger than Prozac to combat depression and S.A.D both of which cause people to retreat into their shells,become gloomy/remorseful and not exercise.

John Gelmini

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Ageing Britain needs more immigration – Case Against – John Gelmini

Speaking at the NHS Confederation Annual confe...

Speaking at the NHS Confederation Annual conference and exhibition in Manchester on 8 July 2011 (Photo credit: Wikipedia)

Yesterday, I re-blogged a very interesting article in the Spectator newspaper arguing in favour of more immigration to redress the challenges of the UK’s ageing population.

Below is a comprehensive response from John Gelmini. Whilst, I do not agree with all of John’s suggestions, I respect his views and candid opinion:

Sadly no!

The country already has 61.5 million people in it plus 4.5 million illegal immigrants and about 250,000 new people coming here every year, plus more illegal immigrants on top of that brought in brought in by Triads and criminals from Albania and Turkey who make their money from people smuggling.

This occurs because too many of the indigenous population want to remain on the dole and in the black economy paying no taxes.

The issue is not being tackled because to do so would reveal just how many people were really out of work.

The issue first of all is a shortage of 9.9 million houses and not enough construction workers to build them or the mortgage finance to enable people to buy them even if they could be built.

The Government has been offered solutions on factory built housing from Ikea who can build a nice 4 bedroomed detached house out of wood for about £7000 gbp and by ICF Firms like the American firm Polysteel, who can build safely on floodplains, but chooses, as did the former Labour Government to do nothing.

The old, unproductive and essentially economically useless, people without money, their own houses or other assets represent a growing burden which has to be dealt with.

Essentially, they have to be kept by a diminishing number of taxpayers who on average per family of 4 have £97 gbp in monthly disposable income and the 80% of the population who have bank accounts who have less than £500 gbp in them at any one time.

The average stay in an old people’s home is 3 years, at a cost of £152000 gbp, hence Andrew Lansley‘s proposals for a death tax for those elderly people who do have property.

In my own county (Hertfordshire), SERCO are going to run a call centre for Adult Social Care applicants and have told the authority that they intend to weed out 50% of these people and either refer them to Charities or deny them Adult Social care. A further 20% to 30% will be “re-enabled” after 6 weeks of intensive therapy leaving 20% who qualify for Adult Social Care. These people will not be left alone but will be targeted periodically for re-enablement at 6 month intervals with progressively tougher assessments designed to pressure them off Adult Social Care.

Social workers under this regime are given strict targets for “re-enablement ” of Adult Social Care recipients and can be reprimanded or sacked if they fail to meet them. The process will trigger lawsuits and trouble but Hertfordshire County Council sees this as the way forward.

Also SERCO have failed to consider the impact of the new dementia patients coming on stream but  under the re-enablement regime nothing much short of an assassin’s bullet will be enough to stop the re-enablement process being forcibly applied or the recipient being denied benefit if they refuse to comply.

My suggestion of copying the Japanese and Germans and using ASIMO robots for feeding, cleaning, bathing, toileting etc, in homes is very mild. Similarly shipping them to India where they can be cared for at a fraction of the cost now makes a lot more sense than this very harsh regime.

Far from needing more people the country needs to reduce its population to 35 million through getting more people to migrate to Canada and Australia  via a new assisted passage MacMillan style selloff of surplus population, or after language training, some of the BRIC countries.