Covid earthquake strikes social welfare

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COVID-19 has hit England’s social welfare sector like an “earthquake”, according to Oxford professor of sociology and social policy, Mary Daly, revealing a sector in crisis and worrisome attitude toward the elderly and the vulnerable.

In a recent article titled “Covid CO 19 and Care Homes in England: What Happened and Why?” Professor Dali asserts that nursing home treatment during the first months of the pandemic “quickly generates a sense of scandal.” While the NHS was “at the forefront and center of the national response,” Professor Daly says, “Care homes were poorly targeted and in many respects neglected until late in the pandemic when the response was inevitable.”

In the report, Professor Daly revealed “wrong policy choices” and “many mistakes”. But she says the causes of the crisis are “more complex” and fundamental – a mixture of structural and political / sociocultural factors.

She says social care is striving to be seen as a priority, and has been exacerbated by the separation between social care and the health system, making management and supply methods difficult, especially in the event of an epidemic. There have also been “years of austerity and cutoffs of resources” which have exhausted the ability of local authorities to boost social welfare.

In her report, Professor Daly directly criticizes the long-term lack of political support for the sector, and with regard to COVID-19, the government calculates that care homes may be seen as less important than the NHS and, as a result, policy is less likely to “hurt” them than wrong. NHS. However, as Professor Daly emphasizes, “The sector’s weak regulatory tradition also contributes to explaining the inadequate response. Welfare and welfare homes in general are at the bottom of the policy chain and the majority of market providers see relatively little regulation.”

She says there were positives, “initiatives are coming forward to integrate health and social care.”

Professor Daly says that the government allocated about 600 million pounds to the sector in mid-May, and the families, who were prevented from seeing their relatives, were mobilized and made their voices heard.

But, speaking to the Arts Blog about the crisis, Professor Daly says: “It has exposed fundamental flaws in the sector. There are problems with financing but there is also a governance system. [regulation] And the shortcomings of the homes. “

Professor Dali confirms, “There are very few top-level care homes. Few of them are ‘cool’ homes.

Under the Care Regulatory System, which is governed by the Care Quality Commission, homes are rated “great”, “good”, “requiring improvement” and “insufficient”. Currently, on this metric, 4% of senior citizen homes in England are “cool,” while more than 2,000 nursing homes, one in five, fall into the substandard category. The system was intended to reverse Ofsted’s school inspection system, but about 20% of public high schools are currently “outstanding” with 14% substandard.

“Social welfare is a very difficult field for any government. It is a political hot potato [and no government has wanted to deal with it]Professor Daley adds: “Care homes needed protection before COVID, it was a signal error.”

But she asserts, “What all this says worries me about our appreciation for the elderly and the vulnerable. I fear they will be seen as acceptable victims.”

Professor Daly warns that there is a problematic flaw within the sector, “Privatization in care means that there is too much dependence on market provision in social care … Local authorities have gone out of supply and care home owners are now responsible for caring for the elderly and the vulnerable …. When care is about profit, we need to wake up. “

In concluding her report, Professor Daly calls for a “new paradigm for elder care. The large and diverse network of independent caregivers does not appear to be a flexible form of care delivery and is likely to become less flexible in the wake of the pandemic. Ultimately, the state will have to answer the question. About what is the acceptable way to care for the elderly and see the outcome of the pandemic as related not only to short-term failures of politics and political leadership, but also to a much deeper reduction of the family sector, caregiving activity and those in need of care.

It insists, “The long-term care policy must become a meaningful part of the British welfare state as the rights and entitlements of the people concerned are accorded a central place, thereby eliminating the most common risks and the need for views.”

Post-pandemic pathway to resolve the nursing home crisis More information: Mary Daly. COVID-19 and Care Homes in England: What Happened and Why ?, Social Policy and Management (2020). DOI: 10.1111 / spol.12645

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