In our times of austerity, with LA budgets so tight, there isn’t support for family carers, beds, or equipment, benefits are slashed to £62.50 per week for 24/7 care, and DLA reduced to £103.
Our government provides 136 million to transfer 3000 LD/autistic from NHS public hospitals to private, increasingly venture capital backed monopoly corporation ‘ community living’ residential care, replacing public, but not private hospital admissions of the autistic/LD and/or behaviour challenged
So this 136 million goes straight in USA Universal Health Services who now own Cambian and the other mainly three monopoly providers. .
Siphoning off NHS/LA funds to private profit has been planned for years, Laing and Bouisson, specialist consultants in care development, produced this report on care provision back in 2011.
Commissioned by the Director of Learning Disabilities NHS under the ‘Valuing People now’ initiative.
How is enforced removal for life from family friends and community to ever more profitable care, of all learning disabled’ and autistic in anyway Valuing Them ?
It is the exact opposite, it is writing them off and removing them from sight and controlling every facet of their existence.
And why is there not even a ‘costs consideration’ for the much much cheaper option of them remaining with their parents in a real community ?
The answer is, the huge unaccountable Profit to be gained, £4,500 + per week from their incarceration.
Now five years later, this plan is can come to fruition.
Learning Disability Today featured an article this month entitled,
‘Local Plans To Transform Care for People With Learning Disabilities Launched’.
And as always the National Media followed
A national implementation plan to develop ‘community services’, and close inpatient facilities was published in October 2015 by NHS England, the Local Government Association (LGA), and the Association of Directors of Adult Social Services (ADASS).
‘Building the right support set an ambition of empowering individuals and their families to have more say in their care’
But did not say how ‘community services’ empowered them.
The service users and their families still had no rights, or choice and any ‘community services’, which are owned by monopoly corporations like USA Universal Health are enforced by the Court of Protection, and families gagged for life.
The article continues;
‘by developing and strengthening good quality support options in their communities.’
There are no ‘options’, as no choice is given, there is only one provider, one community placement.
Where has this ‘good quality’ support suddenly come from ?
Who and how has the quality been judged ?
If it does exist, why has it not been utilised before?
What is meant by ‘their communities’ ?
As residents are subject to 24/7 surveillance, and deprivation of liberty order and now community deprivation of liberty orders, it can only be the deemed disabled will live and go on accompanied outings to a planned venue in the area they originated from.
Which meant the disabled, and where they originated from, had to be audited, so in 2013 the Health and Social Care Information Centre published a Learning Disability Census.
Stating it was to deliver action 17 in ‘Transforming Care’.
A national response to Winterbourne View’.
How could this be a response to Winterbourne, when ‘community living’ is the same for profit, living arrangement as Winterbourne View, owned by similar venture capital like Castlebeck.
The only reason for the move back to their locality ,was to give the campaign a purpose, but the real purpose was that the local Health and Social Care Trusts could have the money devolved to them and commission their care.
This was the first audit of inpatients in the NHS, or independent care and assessment Units.
Governments had not even counted the number of ‘Winterbourne type residents’, but had paid out millions of public money for their care for decades.
The audit was needed, to shear up the remaining public health provision, between the chosen venture/private capital providers and to ascertain which Local Authority, NHS payments for past/present treatment could be reimbursed from- see Sunday Times 2014 http://www.thesundaytimes.co.uk/sto/news/uk_news/Health/article1478483.ece
And to achieve the only change to care services- treating inpatients in the area they originated from rebranded as ‘community living’.
The last general audit of the total number of LD/Autism/CB was in 2011.
This 2013 audit hyperboles that it per se, ‘marks a significant progression in enabling transformation of care’.
How could it ?
The Article continues
‘and, as a result, reducing the number of people with a learning disability and/or autism in England who are in hospitals ( public NHS )by up to half over 3 years’.
A third of the ATU 3000, have been there 5 years or more, and will be zomibified from their polypharmacy ‘treatment’, and in need of rehabilitation, so likely to be moved to community living’s ‘specialist hospitals’, but likely to be medicated on release, as 74% are chemically coshed like Thomas Rawnsley.
Read here, the huge amounts per week, being claimed by public NHS ATUs- up to £12,000 per week, this will be transferred by the Lamb campaigns, to private venture capital ‘specialist hospitals’ Priory Group, Cygnet, those like Cambian’s in ‘community living’ settings, and St Andrews Hospital.
The Article continues;
‘To this end, 48 local Transforming Care Partnerships (TCPs) – which are made up of people who use services, their families, ( without rights ) providers of services, clinical commissioning groups, local authorities and NHS England specialised commissioning hubs – are tasked with taking forward these intentions and designing new, high-quality, community-based services ( big player monopolies Dimensions/Cambian/Hesley commissioned, and overseen by these TCPs, so a conflict of interests.) https://www.theguardian.com/social-care-network/2014/sep/05/personal-services-support-adviser-learning-disabilities
that reflect the wishes and circumstances of local residents. (I assume this refers to local residents and not the vulnerable residents who have no choice).
‘The first awards from a £30 million, 3-year NHS England revenue fund to help TCPs where there is a need to speed up the delivery of new services have now been finalised.
Funding of almost £6.5 million has been designated to 23 TCPs on a match-funding basis to help get new services up and running while older models of care are still in place, ( unclear what these are) allowing for safe and effective transition between the two.
NHS England has also confirmed that £100 million of funding will be available over five years to support Transforming Care projects – up from the £15 million announced at the time of Building the right support. Investment of more than £20 million has already been provisionally earmarked for schemes across the country in 2016/17, including new housing and services.’
136 million of public money paid over to private, chosen, often venture capital backed service providers to establish ‘community living’ facilities .
These services are untested, monopolised and for profit, and commissioned by the state with no effective input or choice from the service providers or their families.
The LGA’s community wellbeing portfolio holder, Cllr Izzi Seccombe, said:
“Councils remain absolutely committed to supporting people with a learning disability and autism to live close to family and friends, in good quality accommodation with support from highly skilled staff. On occasions when a person’s mental health needs does require an admission to hospital, steps must be taken to ensure it is properly managed with the individual discharged in a safe and timely way.’
Public NHS Adult Treatment Units have merely been replaced by private for profit ‘specialist hospitals’, owned by the ‘community services’ provider.
The number of beds commissioned in NHS public, is to be reduced by up to 70%,replaced by the community living provision for life, enforced if necessary by the MCA..
In England, 24,000 people who have a learning disability and/or autism are classed as ‘being at risk of admission.’
It is unknown what ‘risk of admission’ means, or, how this figure was arrived at.
Admissions, can be triggered by meltdowns, inappropriate behaviour, violent outbursts, parents unable to cope, reaction to medication or its withdrawal, or assessments.
Or simply a call for help to police, GP , Social Services .
A family with an autistic/ mentally ill member, can only contact the police in a crisis, the intensive HSCT, has no crisis facility call out system, and GPs will not come out, unless a physical problem, and even then will not examine, if impossible/ refused, as it will normally be if a patient has behavioural issues.
On contacting the police, the autistic/LD/mentally ill is taken to an assessment centre and detained under the MHA he is unlikely to be returned home for life and can earn on average over £4,000 per week for private profit.
Now it triggers ‘community living’, and this, unlike hospital admission under the MHA, is under the MCA for life and held in secret with parents gagged, and prevented from even seeing their adult children ‘in the community’, if in their childrens ‘best interests’.
These projected 24,000 a year will now be fed into the ‘community living’ industry, and be made a valuable commodity with an increasing income potential of at least £4000 per week, guaranteed for life.
Plans for a large autistic village community living has already caused concern.
And those at ‘risk of admission’, and the 3000 ATU, are in addition to all other LD/Autistic, whose only adult support service is now ‘community living’ .
So this is a huge rounding up of lifetime captive consumers.
So, other than the financing and setting up of local bodies, and chosen, private monopoly providers, receiving millions of public money, and billions of future guaranteed income, and the LD/ autistic/CB living being incarcerated in the area they originated from, how else has this transformed care ?
Already cottage style care villages built in eighties are being demolished to build cheaper smaller units to factory farm the disabled for ever more profit.