LACK OF INFORMATION
After a 10-month investigation, the
Office of Fair Trading found vulnerable OAPs
battling against a lack of information and
bewildering prices and contracts when they go
into nursing homes. Residents pay an average of
£380 a week but charges range from £280 to
£700 and it is often not clear what residents
are paying for because many do not have contracts
of terms.
The OFT watchdog found that one in 10 homes did
not give basic information on prices even when
pressed, others did not stipulate which services
cost extra and nearly 75% of contracts analysed
by OFT researchers contained either unfair or
unclear fee related terms. In 40% of those it was
unclear who should pay what, either the resident
or the state and a fifth charged people paying
their own fees more than those who got state
help.
Top-up fees paid by residents or their families
for services over and above the Government
minimum standard ranged from £4 to £200 per
week and 40% of local authorities suspected more
top-ups were being paid in their area than they
knew about. Also, a third of homes did not
provide contracts or statements of terms.
The OFT wants homes to make it easier for
residents to complain if services and charges are
not right and wants an end to hidden costs and
fairer contracts. It also called on councils to
publish directories of private care homes with
details of their prices and services alongside
information about their own old people's
accommodation. More than 400,000 old people are
cared for in 15,700 care homes which is a
business worth £8billion a year. (Source: Daily Mirror) |
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FAIRER CHARGING SCHEME
Derby
City Council has begun a consultation process which could
leave some older and disabled people paying more for help
they receive in the home. The council is writing to 3,800
people who currently use its home care service to explain
what the proposals being considered under the Fairer
Charging Scheme would mean for them. The Government has
told the council to change the way it charges for
services such as home care, laundry and shopping, and to
consult on the changes with the people who use those
services. Because the proposed charging options are based
on people's ability to pay, the council believes that
more people will receive a free service but those who do
pay are likely to be charged more than at present.
Two proposals include an hourly charge of £4.50 (based
on the minimum wage), with a maximum weekly charge of
£31.50, or an hourly rate of £8 with a maximum weekly
charge of £35, which the council believes is necessary
to maintain the current level of service. At the moment,
a person receiving 20 hours of help a week pays £13.30.
Under the proposals, if they are assessed as being
eligible to pay, their contributions would be capped at
£31.50, although 20 hours at £4.50 an hour should be
£90; or at £35, although 20 hours at £8 an hour should
be £160. The criteria for someone having to pay would be
if their income was at income support level plus 25 per
cent. Savings would also affect whether or not they would
have to pay.
Councillor Roy Webb, the city council's cabinet member
for social care, said, "The Government-imposed
Fairer Charging Scheme means that, if we want to maintain
the current levels of home care services, charges must be
increased as no extra money has been made available by
the Government for this scheme." Harold Cox,
chairman of Southern Derbyshire Pensioners' Association,
said that he felt that the scheme was at odds with other
Government policies to encourage people to save money and
invest in pension schemes ready for when they retire.
He said, "We feel that all health services should be
free of charge. It could be worse but I feel that it
won't encourage people to make provision for their old
age if they use the policy that, if you've got money, you
pay for it and, if you haven't, you don't."
Councillor Webb added, "Firstly, it is not the city
council which wants to introduce these changes to our
home care charges, it is a Government initiative. We have
no choice but to bring it in without any extra
funding." He then added to the confusion by saying,
"It has been left to the council to decide, after
consultation, how much to charge, how to treat capital
and whether to charge at all. These are the issues we are
consulting about."
So is it up to the council to decide whether to charge,
or not?
The council is replacing its current
provider of day care for severely disabled people, the
Leonard Cheshire Foundation, with the Winged Fellowship
Trust (WFT). The new contract would cost the council
nearly five times as much as it currently pays for day
care at the Rycote Centre in Parker Street, and more than
twice as much as is currently paid for short breaks at
respite centres.
Councillor Chris Williamson, leader of Derby City
Council's Labour opposition group, said, "As a
council, we have a duty to secure value for money, we're
talking about public money. I'm not saying we shouldn't
be providing high-quality services for vulnerable people
in this city. But it's no good saying that, because we're
dealing with vulnerable people, we can't put the costs of
such services under scrutiny."
The cost for the day care service would be £150 per
person per day, compared with about £30 currently. The
respite care cost would increase from £369 per week to
£759. Councillor Evonne Berry, the cabinet member
responsible for social care, said that the costs of the
new and old services could not be compared. "This is
not a like-for-like service," she said. "The
commission apparently did not listen to the information
they were given. This is a personalised service, not a
general service."
I have just been approved and given monies
under the Direct Payment Scheme to buy in my own care.
This is great cause you can have carers come when you
want them, and gives greater control over your life.
Which being disabled you do not often get. I was told I
would pay £11 + max every week toward the costs. I
thought this quite fair. Now I get a letter stating I am
having a financial review, and from the 6th Dec the
charges for those on certain disability benefits are
going up to £31 + per week. Now in the real world people
budget like I do, and may have financial responsibilities
as a result. So what bill of any able bodied persons
would go up just under 200% overnight. I have only just
started getting Direct Payments.
I pay 7 weeks under the old system and from 6th December
the new amount (which from the web page info of the city
council, I will pay). Does Derby City Council have any
action on poverty? Well if it does could they act
someplace else and not near the elderly or disabled. And
for calling it Fairer Charging how can it be fair a 200%
increase. I will not be continuing with the scheme if I
am charged at full rate. Which the council wants. So when
I am unable to get dressed and out of bed half the week I
will of course, with fondness look back to the days when
I was clean and food came at regular intervals. Or I
could send my mobility scooter back to Derby Mobility.
Well, if your in a wheelchair its not like you can run
from a Bailiff, is it? Ah well, the freedom was nice
while it lasted. Anon
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