Health provision

The opening ceremony of the Olympics including a celebration of the National Health Service.  Having experienced or heard about health provision in other countries I'm very grateful for the NHS in the UK but how long can it last?  In fact, is it already on the way out?  According to the media it is on the decline but then I'm trying not to be taken in by everything I hear in the media.

So how else can I judge?  Well, by my own observations!  I've had more contact with the NHS recently than I care to think about really.

The aim of the NHS and the Social Services is to safeguard the public health and get help to the people who most need it and support them through difficult times until they can stand on their own feet again.  Temporary help working towards a long term solution.  Or so I had always supposed.

My brother is primary carer for both of our parents.  He's been brilliant but recently suffered some health problems.  A scare in the middle of the night, a visit from the ambulance service, and news that although not life-threatening - thank God - he was too ill to look after them for a while and needed a well-earned break.

So, there we were, in need of help and support.  I work full-time so took three days compassionate leave to arrange respite care.  But what to do?  What could be done?  What help was there out there?  Where to look?  Where to START?

I started with the Social Services and to begin with they were very helpful, right up to the point where they investigated our finances.  Unfortunately, as it turned out, Dad had been saving for some work to be done on the house.  Because of this we're just over the border to be eligible for financial help.

So, there I was, part way down the process of finding two placements, pending a call regarding availability in the county, when I get a call to say we weren't eligible for funding.  Ok, those are the rules, we don't have to like them but we accept them.  I waited for the call back about availability of respite places in the county, fully prepared to pay, but it never came.  I phoned for an update to be told 'you're self-funding, we can't help any more'.  Oh, well that's all right then, if you're self-funding you obviousy know automatically what's available and where to go!

It was like a slap round the face.  I was desperately trying to organise some help, while coping with my parents needs, look after my brother and do some semblance of work from home to cover the sudden absence.  Luckily for me we have good friends who rallied round and between us we got it sorted and found places for my parents to stay while my brother was recovering.

So much for temporary support pending a long term solution!

Not a very good episode with the Social Services; how about the NHS?  While in respite care my father was taken ill and taken to hospital.  He nearly didn't get out of the ambulance, the electronic back door was broken.  He was admitted, finally, and spent four days there.  I went in one day to find he was still in bed, they hadn't got him into his chair that day for some reason, and was struggling to eat his dinner.  He has trouble with his arms and although fine when in a chair he couldn't get the fork to his mouth while in bed.  He'd given up after managing to feed some to his armpit and was trying to drink the juice from a small bowl of fruit when I got there, even though he couldn't get to the fruit itself.

I was fuming, I helped him eat while fending off an orderly who wanted to take his tray away.  I'd phoned earlier to see how he was but they won't discuss patients details over the phone, quite understandably for confidentiality reasons, they tell you to speak to the nurse when you come in.  I waited two and a half hours.  First you have to identify a nurse, not obvious from the different unifirms around.  Then it was...I'm on medication rounds, I'll come back in a minute; I can't find my notes from when I took over the shift, I'll come back to you;  she's with a new admission, she'll be with you shortly; she's in hand-over (shift change), at which point I realised I was going to be back to square one with a new nurse who's...just taken over, I'll find the patient notes and come back to you!

Yes, they're busy and yes, I'm prepared to wait but crumbs, there are limits!  Why were any notes so hard to find?  How did they expect to look after patients if they don't know their condition?  It's not very re-assuring. Eventually I was told to ring during the day and speak to someone then - I told them they wouldn't speak to me on the phone for confidentiality reasons, oh that's ok just set up a password and we'll talk to you!

I can't tell you how angry I was, as a family we've had too many admissions in the last few years and this is the first time anyone has mentioned a password, and then only because I told them I wasn't moving until I'd spoken to someone - politely I hasten to add, I was friendly and reasonable through it all, outwardly at least.

We were glad he came out after four days but a week or so later received a letter calling him to attend for a 24-hour ECG because they'd found some irregularities in his heart while he was there.  WHY NOT DO THAT WHILE HE WAS WITH THEM?  Why make him come back later?

There were other problems but hey, enough's enough in one post.  What rubs salt in the wound is all the notices advising patients and visitors there is a zero tolerance policy towards agression towards NHS staff.  Quite right, anyone who abuses someone verbally or physically who is trying to help them not only needs their head examined but should be shoved out the door without treatment.  The only problem is that some of the staff take this as carte blanche to be as rude and unhelpful as possible in the sure knowledge that we can't retaliate. 

Mostly the help is there but it is getting worse and ours are not the only bad experiences, I've learned about many others amongst friends and acquaintances. 

The media have been reporting on similar problems around the country and one of the things they highlight is that some people view the NHS and Social Services not as a temporary support but a lifestyle choice and entitlement.  Those of us who try and make our own way but call for help in emergencies find we are on our own.  It doesn't help that our health service seems to be available to all-comers, it means the funds aren't there to help legitimate needs.  Health tourists - those who come specifically for medical services with no intention of paying; immigrants - who have rights to health services and social services without having paid any money in.  The stories are seemingly endless and I don't just hear about them in the media, I hear of personal experiences.

Sadly I believe the reports in the media on this subject and I foresee lots of trouble if the Government doesn't get to grips with it, we're mugs.  I can fully understand the rage and frustration of people who are constantly giving but not receiving, seeing others benefit from services their own money is funding yet they are not able to access.

Please forgive the rant, it's not as though I've not submitted constructive ideas through the government website, I have, but there comes a time when all that's left is to complain!

Religious views

Today I had occasion to respond to someone's reaction to the bombing in Libya. The person was pretty upset, quite naturally, but spoke against the Muslim religion rather than the individuals. I've set out my response below. Any comments please? I believe I'm right in what I say but I'd be interested to know what other people think.

"I’ve been reading the papers and Chris Stevens seems to have been a remarkable man, I wish there were more like him in the world. I agree, what has been done is outrageous. It’s outrageous that someone who has worked so hard for peace and stability has been killed, along with his fellows. It’s outrageous that anyone would attack innocent people in the name of God, or Allah or any other. I don’t disagree with any of your comments on the appalling reaction to something that is frankly not worth the attention it’s been given. However, I can’t bring myself to blame the religion itself. Atrocities are committed by different religions for different reasons. I’m not a historian and my understanding of the world is naive to say the least. However, as I understand it the Crusaders invaded the Holy Land because they were convinced they had the right; southern Irish bombed innocents in London because the UK supported the Northern Irish in their decision to be part of the UK, a division originating in the differences between Catholics and Protestants. Everywhere in the world there are constant reports of one religion battling another in some way or another, even different sects within the same religion. I’m the only Christian in my family, the others are non-believers. One member is even antagonistic towards all religion believing they are all evil and most of the word’s ills are caused by religion. It’s hard to argue against it when you look at the News but I still believe it’s not the religions, it’s the individuals. I could have blamed the Irish for the fear I experienced working in London in the late ‘70s, ringing round friends to make sure they were safe after one bombing or another but I know some northern and southern Irish and they were as sickened, and scared, as I was. I also know Muslims, have known Jews and one or two of the less mainstream religions. Please, please don’t let hate into your heart. Fomenting hatred and division is something these madmen/monsters/idiots would like to do. I’m not a pacifist, I’ll fight if I have to – in fact I can be a pretty antagonistic person - but I like to fight the right people. I agree with you, appeasement is wrong and I wish I knew a better way but perhaps we can at least act carefully?"

'Work scheme is "slave labour" '

There's an idea currently touted for a work scheme for youngsters who have just left school.

'18-24 year-olds who have spent less than 6 months in employment since leaving school or college will have to work at least 30 hours a week to get their £56-a-week job-seeker's allowance. They will also get a guaranteed 10 hours a week help preparing their CVs and searching for a job'.

The intention is to try to enourage a routine of work so they don't become used to a 'benefits lifestyle'. Benefits will be with-held if they don't comply.

There is the usual outcry of 'slave labour'.

Good grief! Slaves are made to work without pay, these youngsters are simply being asked put something back into society in return for benefits in a way that will benefit everyone else while imparting a work ethic. Why is that so wrong?

If the proposal were for them to work for commercial business I would not be so supportive (I believe there was such a proposal but it seems to have foundered) because there are too many employers out there who would abuse the system. However, the proposal is for the youngsters to work for charities or community groups. This is otherwise unpaid work and not taking paid employment away from anyone else. It may not be their dream job but how many of us are in our dream jobs?

One stated objection has been that it would be preferrable to spend the money on courses to give them marketable job skills. Ahem, what exactly is the point of the education system we already have in place if not to provide this? These people have already, supposedly, been through the system and are now as educated as they are going to get, highly qualified or otherwise. They are now out the other side and out of work. Why would we want to spend yet more money on yet more courses, effectively deferring the problem, without any return?

Preparation for life cannot go on indefinitely, eventually life has to be lived.

Frankly, I would like to see this work-for-benefits system extended to other groups of unemployed people, not just school-leavers. It just needs to be thought through and set up properly in the first place.

So long as they have enough time free each week to search for paid employment and attend job interviews where is the downside? Perhaps there is one but I haven't found it yet.

Any thoughts out there?

Pleased to be wrong

There are times when I'm pleased to be wrong. I've been one of the Olympic-skeptics. I still think we can't afford it and for some reason I can't even explain to myself I'm only vaguely interested in the sports themselves, unlike previous Olympics that I've followed closely, probably just a personal phase. However, I was really worried that we were going to make fools of ourselves over the Opening Ceremony.

I'd actually paid attention to the reports in the papers, on television and word of mouth! When will I ever learn? An idyllic 'green and pleasant land' including fluffy clouds and rain? A layout of fields with idyllic scenes? What were they thinking of? Hah, what was I thinking of? I actually made up my mind before I'd even seen it!

Having seen it, I loved it, perhaps all the more for having expected the worst. Yes, it was chaotic, sometimes confusing, occasionally irritating but then so are we. It was also funny, sometimes moving, always entertaining. When we Olympic-skeptics discussed it between us before the event we were disgusted to think we would be presenting a sugar-sweet, self-absorbed version of the UK to the world. We believed we should not be presenting ourselves at all, that we should be showcasing the ideals of the Olympics. We needn't have worried.

Yes, it was about us but it was us not taking ourselves seriously. The ideals of the Olympics were upheld. I loved the symbolism of the 'petals' coming together to make up the cauldron as the various countries were coming together to compete. I hear there was some dissent abroad about the handing off of the lighting of the cauldron to young athletes. I thought that was great, celebrating the established sporting heroes yet showing it's not just about individuals' achievements but about sporting continuity and the future.

But the thing I enjoyed most? The thing I thought was so great about this ceremony? It was that it was fun and allowed the competitors to relax and enjoy the experience. Did you notice their faces? The absolute joy, the excitement, the sheer pride in representing their countries.

Little beasts!

As a family we're very fond of runner beans so I grow them and I try to be organic about it.

Sadly, blackfly are very fond of runner beans too so I've planted marigolds round the beans this year because blackfly don't like the smell of marigolds. Sadly, those voracious little beasts, slugs, are very fond of marigolds and they've stripped the marigolds back to a central stalk.

So I've been looking up an organic solution. The best one seems to be to surround susceptible plants with chives because slugs don't like the smell of chives.

So, I plant a barrier of chives to protect the marigolds, within that I plant a barrier of marigolds to protect the beans, within that I plant ...er... the one bean plant I've still got room for!

Hmm...

The party's over

It's over. It's been a hectic and exhausting four days. Lots of work and oh so worth it. I'm incredibly proud to be British but this little Brit needs her sleep ready for work tomorrow. I'm going to forget the snarky remarks from the the anti-Royalist party-poopers I've just read online and get my head down.

The Great British motto: Always Have a Plan B

Yesterday our family joined in the nation's Diamond Jubilee celebrations with a little do of our own with a few friends. It was more sedate than past celebrations.

I celebrated the Silver Jubilee as a teenager working in London. I remember walking along Knightsbridge arm in arm with some friends, singing. In my tone-deafedness there's a part of Streets of London that leads naturally, for me, into the 23rd Psalm and such was my enthusiasm I took the others along with me. We'd started out in a couple of local pubs and were heading back to the bank we were working in for some serious partying.

For the Golden Jubilee our family hosted a formal meal. I decorated the house in red, white and blue, we dressed up in red, white and blue and I cooked a sit down meal for eight of coronation chicken starter followed by crown roast of lamb and ending with cherries jubilee.

For the Diamond Jubilee we aimed for something more informal and relaxed, a barbecue! No-one can say we're not optimists but we had a plan B. If it was dry we'd barbecue the meat and serve it with salad outside. If it was wet we'd grill it and serve it with salad inside. I've spent hours in the garden over the past few weeks getting it looking good for just this occasion so I was keeping everything crossed for fine weather to eat outside.

Come the day it was pouring all morning but it dried up by midday and although it was too cold to sit out we had hopes of barbecued meat. The barbecue was lit, with some difficulty, the meat cooking away nicely and then...OF COURSE, it started to rain. Gently at first, ok...then the heavens opened and we participated in another great British tradition...barbecuing under an umbrella! My brother manned the barbecue, brolly in hand, and I dashed between him and the kitchen transferring the meat to a warming pan in the oven as it finished cooking. It was a hoot! It gave us all a good laugh and didn't detract one iota from the fun we all had.

I'd had the foresight to put all the decorations up indoors, just in case, so we were surrounded by red, white and blue bunting, spinners and a wealth of balloons. Not to mention the Union Jack flying outside the house, another pinned over the fireplace and Union Jack tablecloth, plates, napkins and cups on the table. Totally and completely over the top and no doubts whatsoever as to what WE were celebrating!

It was great, we watched the Thames Pageant on television, laughed over our barbecue and the vagaries of our weather, enjoyed our meal and toasted our Queen.

HM Queen Elizabeth II

So, here we are, the Jubilee weekend. There's been a lot of royalty-bashing over the years but I'm not alone in finding comfort in the continuity our royal family brings to our lives. Presidents come and go, politicians are power-hungry, self-interested...oops, sorry, getting sidetracked. Anyway, the fact is I like them, well, most of them, no family's perfect.

Considering there are only a few of them and millions of the rest of us it's rather surprising that my family has seen or had contact with four of them, even if the contact was only second hand. Or maybe not, considering how much work they do.

When I was in my 20's, working in London, I was about to cross the road when the lights changed from red. As I paused there on the pavement with another girl, a stranger, we both noticed the big black car just about to drive off. Sat in there was the Queen Mother! As soon as she saw we'd spotted her she waved and smiled at us, just the two of us!

About the same time a neighbour of ours was working as a camerman. One of his jobs included a special about Princess Anne. He was full of praise for her, she started work earlier than the crew, went out of her way to make sure they got what they wanted and was still working as they knocked off for the day.

Many years later my mother was strolling down a country lane with a friend. A horse came towards then and they stepped to one side to let it pass. It was Princess Anne and she gave them a smile and wished them a good morning.

A few years back Mum spotted Miss Zara Phillips at a spa. She says she seemed a really nice person, smiling and taking time to pass the time of day as she wandered around.

The point is, if they were more available, meeting them, seeing them just wouldn't be special. Because they're apart, live a life so different from us, belong to a family known to all of us but not part of our daily lives it's thrilling to have sight of them, to have the chance to say with pleasure and surprise 'she was really nice, she was just like everyone else!'.

This weekend our family's going to celebrate our Queen's Diamond Jubilee. Unashamedly British, proud of our Queen and thankful for someone we can respect on the throne.

No, I've not forgotten the fourth person. Last but not least was the Queen, Mum & Dad were thrilled to receive an anniversary card on their Diamond Wedding anniversary last year.

The Queen and the Queen Mother's dedication to their roles is legendary, Princess Anne carries out her duties quietly, doing more than people are aware, the younger members of the family are growing into their roles, taking their lead from the Queen and becoming fine role models. So, no matter how tenuously, we feel lucky to have had 'connections' to four generations of our royal family. A family headed by a lady who has commanded our respect for so many years.

Long Live the Queen!

Let the EU wind down

In January I published a post called 'Differences' that included my views on why the EU couldn't work at this time. Yestewrday I read a newspaper article that brought that post to mind.

The article was slanted towards breaking up the EU and quoted a...

'Nobel Prize-winning economist, Milton Friedman...in 1997: "Europe exemplifies a situation unfavourable to a common currency. It is composed of separate nations, speaking different languages, with different customs, and having citizens feeling far greater loyalty and attachment to their own country than to a common market or to the idea of Europe". As he hardly needed to point out to his American readers, currency in the US took place after, and not before, political union, the right way round.'

Interesting..so close to my own ideas! At some stage in our lives I expect most of us make discoveries that we think are unique but in fact are common knowledge. I can remember as a young child making the discovery that if I filled the bath too full it overflowed when I got in - I had "displaced" the water. I was a little put out to learn that not only had some long-ago Greek already made the discovery but he'd taken it a step further with some mysteriously clever calculation or other. These days I'm happy to accept that if others are thinking along the same lines then maybe my ideas hold some water after all.

The EU and the single currency are in a woeful state at the moment. However we get out of it it's going to be messy. So, if there's a chance we're right about it being the wrong time for the EU to develop perhaps it would be a good idea for our illustrious leaders to rein in their ambition and work towards a loosening of ties in a considered and careful manner until we're in a situation we can all live with.

It's going to hurt one way or another, let's do it quiety and amicably or at least ensure we end up with a good solid basis on which to build a better arrangement - slowly!

The ties that bind us

The lovely, serene and beautiful aunt I mentioned as dying in a previous post has died. There was no blood link, no family link but she was still my aunt. Because neither of our families had much money when I was a child, my parents sent me and my brother to stay with my aunt and uncle for a couple of weeks holiday during the summer and they sent their daughter to stay with my parents. It was great! We lived in the London suburbs, it was green enough but my aunt and uncle had a small-holding on the coast. Auntie took us cockling down in the cove and afterwards I can remember standing at the kitchen sink helping her wash them before boiling and pickling them. Delicious! I picked up a small shell from the beach and gave it to her. She kept that shell for the rest of her life, in her purse, took it with her abroad on holidays, everywhere! It's still in her purse and her daughter is going to keep it, in her own purse from now on. A couple of years ago she laughingly reminded us of the chickens she kept. There were two enclosures and my bother and I were each given responsibility for one of the enclosures. It involved feeding the chickens and collecting the eggs. We were so excited about this we virtually followed the chickens round with our hands out waiting for them to lay an egg. It wasn't all fun, I can also remember crouching on the corner of their stairs crying my eyes out with home-sickness. Auntie just came and sat with her arms round me before taking me back to bed with the promise to ring my parents the next morning. Of course, everything was great and exciting again the next morning. Dad and uncle have been friends since they were youngsters and the families have remained close down the years. Holidays, family celebrations, even now we live hundreds of miles apart we stayed in touch. Mum rang auntie regularly during her final illness, Dad's ringing uncle regularly now she's gone. So there's no blood link but so what? Shared history, shared experiences, memories of a kind, smiling lady who brought pleasure and happiness to all who knew her. Those are good, strong links that will never break and why I claim her as my aunt. I love you auntie.