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"Rachel Reeves to make further cuts today to welfare benefits and government departments The government announced big welfare spending reductions last week but the chancellor will expand the cuts after being told reforms to the system would save *less than planned*. More pressure over the performance of the economy, with growth remaining sluggish despite being the government's top priority in order to improve living standards. Reeves says the UK has to "move quickly in a changing world" and will confirm a £2.2bn increase in defence spending. The Spring Statement will set out her latest botched plans for the UK economy, she will cite uncertainty surrounding the Ukraine war and US tariffs threatening to upend global trade. Ukraine and global trade, not the tories 14 years of failure to be blamed this time. " I remain unconvinced that "big welfare spending reductions" will "improve living standards" for many people who rely on what are already meagre benefits for a lot of people. J | |||
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"I’m very doubtful whether Labour will actually make any meaningful cuts to public expenditure or reduce the number of civil servants and public sector workers. My expectation is that by 2029 all of these will be higher than now. It’s just much easier for governments to continue with the status quo and kick the can down the road for someone else to deal with it." They'll never cut the number of nurses. Why? Because they can never fill all the vacancies  | |||
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"Rachel Reeves to make further cuts today to welfare benefits and government departments The government announced big welfare spending reductions last week but the chancellor will expand the cuts after being told reforms to the system would save *less than planned*. More pressure over the performance of the economy, with growth remaining sluggish despite being the government's top priority in order to improve living standards. Reeves says the UK has to "move quickly in a changing world" and will confirm a £2.2bn increase in defence spending. The Spring Statement will set out her latest botched plans for the UK economy, she will cite uncertainty surrounding the Ukraine war and US tariffs threatening to upend global trade. Ukraine and global trade, not the tories 14 years of failure to be blamed this time. " All this from the party that used to condemn such cuts when they were in opposition. | |||
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"I’m very doubtful whether Labour will actually make any meaningful cuts to public expenditure or reduce the number of civil servants and public sector workers. My expectation is that by 2029 all of these will be higher than now. It’s just much easier for governments to continue with the status quo and kick the can down the road for someone else to deal with it." I think you are correct, the civil service will become harder to take hold of than a hand full of jelly. 4 years later they may have got rid of Barry who was leaving next week any way. | |||
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"Meanwhile in other news,, the illegals and dinghy dickheads are walking around with brand new addidas trainers and £700 smartphones, well fed and money in there pockets laughing all the way to their offshore accounts. " Extremely doubtful | |||
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"It's obscene what they are doing, not explaining the range of other options that they have available and that would be morally preferable. The economy wasn't left in a good state but neither were millions of people who don't deserve such minimal or absent concern for their well-being. The country will face further costs imposed upon it, via people losing their abilities to support their working lives, care costs borne by local taxpayers and government, lack of taxes collected, due to inability to work and thousands of people's expenditure supporting businesses lost. This is not to mention the likely significant burden onto health services "Welfare cuts £5.5bn Civil service cuts £2bn Pensioners winter fuel £1.7bn Farmers iht £520M Nhs cuts £500M Private school fee vat £460M £10.7bn raised ( less redundancy and restructuring costs ) Equivalent to 35 days interest on the National debt. Peanuts raised and millions affected. | |||
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"In my career I've seen and visited so many patients so called "housebound" who actually are not. Some people do lie and cheat the system maybe that itself is a mental illness/stress. In a world where a few have so much can they be blamed." I'm not "wheelchair bound" either, but it doesn't stop doctors writing that I am, in the letters they send my GP. Being able to leave the house, with assistance and great difficulty, to attend, for example, a medical appointment, is hardly lying and cheating the system. When I applied for PIP and was mandated to attend the in person assessment, I was given two options: One - attend an assessment centre over 20 miles away and be interrogated. There is an assessment centre within 6 miles but they didn't invite me there. Two - don't attend but if I failed to attend then my claim would be cancelled. The arbitrators of whether any "refusal" to attend was genuinely because it was impossible to attend, would be made by DWP people on the end of a phone line. Rock/hard place. Or you go to the place 20 miles away, no matter how hard it is, then you get marked as "not that disabled" but if you don't attend, unless a DWP mandarin is feeling amenable, then your claim won't be progressed. How does that work? All these "professionals" claiming to see hoardes of disableds faking it just reinforces all my assumptions that when I roll into medical appointments and suchlike, they just think "oh no, not another one  " and proceed to judge the fuck out of me.
This past few weeks has been so very depressing. | |||
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"In my career I've seen and visited so many patients so called "housebound" who actually are not. Some people do lie and cheat the system maybe that itself is a mental illness/stress. In a world where a few have so much can they be blamed. I'm not "wheelchair bound" either, but it doesn't stop doctors writing that I am, in the letters they send my GP. Being able to leave the house, with assistance and great difficulty, to attend, for example, a medical appointment, is hardly lying and cheating the system. When I applied for PIP and was mandated to attend the in person assessment, I was given two options: One - attend an assessment centre over 20 miles away and be interrogated. There is an assessment centre within 6 miles but they didn't invite me there. Two - don't attend but if I failed to attend then my claim would be cancelled. The arbitrators of whether any "refusal" to attend was genuinely because it was impossible to attend, would be made by DWP people on the end of a phone line. Rock/hard place. Or you go to the place 20 miles away, no matter how hard it is, then you get marked as "not that disabled" but if you don't attend, unless a DWP mandarin is feeling amenable, then your claim won't be progressed. How does that work? All these "professionals" claiming to see hoardes of disableds faking it just reinforces all my assumptions that when I roll into medical appointments and suchlike, they just think "oh no, not another one " and proceed to judge the fuck out of me.
This past few weeks has been so very depressing."I visited people who were fitter than me before I retired. One claiming she was agoraphobic but, could visit Butlins as she wouldn't know anybody ! | |||
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"In my career I've seen and visited so many patients so called "housebound" who actually are not. Some people do lie and cheat the system maybe that itself is a mental illness/stress. In a world where a few have so much can they be blamed. I'm not "wheelchair bound" either, but it doesn't stop doctors writing that I am, in the letters they send my GP. Being able to leave the house, with assistance and great difficulty, to attend, for example, a medical appointment, is hardly lying and cheating the system. When I applied for PIP and was mandated to attend the in person assessment, I was given two options: One - attend an assessment centre over 20 miles away and be interrogated. There is an assessment centre within 6 miles but they didn't invite me there. Two - don't attend but if I failed to attend then my claim would be cancelled. The arbitrators of whether any "refusal" to attend was genuinely because it was impossible to attend, would be made by DWP people on the end of a phone line. Rock/hard place. Or you go to the place 20 miles away, no matter how hard it is, then you get marked as "not that disabled" but if you don't attend, unless a DWP mandarin is feeling amenable, then your claim won't be progressed. How does that work? All these "professionals" claiming to see hoardes of disableds faking it just reinforces all my assumptions that when I roll into medical appointments and suchlike, they just think "oh no, not another one " and proceed to judge the fuck out of me.
This past few weeks has been so very depressing.
I visited people who were fitter than me before I retired. One claiming she was agoraphobic but, could visit Butlins as she wouldn't know anybody !"I'm sure Agoraphobic Angie is very much representative of the disabled community at large, yes. I can visit Sainsbury's. Sometimes. | |||
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"It's obscene what they are doing, not explaining the range of other options that they have available and that would be morally preferable. The economy wasn't left in a good state but neither were millions of people who don't deserve such minimal or absent concern for their well-being. The country will face further costs imposed upon it, via people losing their abilities to support their working lives, care costs borne by local taxpayers and government, lack of taxes collected, due to inability to work and thousands of people's expenditure supporting businesses lost. This is not to mention the likely significant burden onto health services
Welfare cuts £5.5bn
Civil service cuts £2bn
Pensioners winter fuel £1.7bn
Farmers iht £520M
Nhs cuts £500M
Private school fee vat £460M
£10.7bn raised ( less redundancy and restructuring costs )
Equivalent to 35 days interest on the National debt. Peanuts raised and millions affected. "But how do you pay the Debt if there is now slack in the budget. The money has to come from somewhere. | |||
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"It's obscene what they are doing, not explaining the range of other options that they have available and that would be morally preferable. The economy wasn't left in a good state but neither were millions of people who don't deserve such minimal or absent concern for their well-being. The country will face further costs imposed upon it, via people losing their abilities to support their working lives, care costs borne by local taxpayers and government, lack of taxes collected, due to inability to work and thousands of people's expenditure supporting businesses lost. This is not to mention the likely significant burden onto health services
Welfare cuts £5.5bn
Civil service cuts £2bn
Pensioners winter fuel £1.7bn
Farmers iht £520M
Nhs cuts £500M
Private school fee vat £460M
£10.7bn raised ( less redundancy and restructuring costs )
Equivalent to 35 days interest on the National debt. Peanuts raised and millions affected.
But how do you pay the Debt if there is now slack in the budget. The money has to come from somewhere. "Ask primary school children to wear a cartoon character t-shirt and bring a quid in. That'll see the National Debt brought down a touch AND spreads the pain to ALL citizens. No-one wants to see youth unemployment. | |||
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"In my career I've seen and visited so many patients so called "housebound" who actually are not. Some people do lie and cheat the system maybe that itself is a mental illness/stress. In a world where a few have so much can they be blamed. I'm not "wheelchair bound" either, but it doesn't stop doctors writing that I am, in the letters they send my GP. Being able to leave the house, with assistance and great difficulty, to attend, for example, a medical appointment, is hardly lying and cheating the system. When I applied for PIP and was mandated to attend the in person assessment, I was given two options: One - attend an assessment centre over 20 miles away and be interrogated. There is an assessment centre within 6 miles but they didn't invite me there. Two - don't attend but if I failed to attend then my claim would be cancelled. The arbitrators of whether any "refusal" to attend was genuinely because it was impossible to attend, would be made by DWP people on the end of a phone line. Rock/hard place. Or you go to the place 20 miles away, no matter how hard it is, then you get marked as "not that disabled" but if you don't attend, unless a DWP mandarin is feeling amenable, then your claim won't be progressed. How does that work? All these "professionals" claiming to see hoardes of disableds faking it just reinforces all my assumptions that when I roll into medical appointments and suchlike, they just think "oh no, not another one " and proceed to judge the fuck out of me.
This past few weeks has been so very depressing."I'm assuming the poster meant housebound as in the case of need for community nursing. The service is abused. | |||
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"In my career I've seen and visited so many patients so called "housebound" who actually are not. Some people do lie and cheat the system maybe that itself is a mental illness/stress. In a world where a few have so much can they be blamed. I'm not "wheelchair bound" either, but it doesn't stop doctors writing that I am, in the letters they send my GP. Being able to leave the house, with assistance and great difficulty, to attend, for example, a medical appointment, is hardly lying and cheating the system. When I applied for PIP and was mandated to attend the in person assessment, I was given two options: One - attend an assessment centre over 20 miles away and be interrogated. There is an assessment centre within 6 miles but they didn't invite me there. Two - don't attend but if I failed to attend then my claim would be cancelled. The arbitrators of whether any "refusal" to attend was genuinely because it was impossible to attend, would be made by DWP people on the end of a phone line. Rock/hard place. Or you go to the place 20 miles away, no matter how hard it is, then you get marked as "not that disabled" but if you don't attend, unless a DWP mandarin is feeling amenable, then your claim won't be progressed. How does that work? All these "professionals" claiming to see hoardes of disableds faking it just reinforces all my assumptions that when I roll into medical appointments and suchlike, they just think "oh no, not another one " and proceed to judge the fuck out of me.
This past few weeks has been so very depressing.
I'm assuming the poster meant housebound as in the case of need for community nursing. The service is abused."My Dad, before he ended up in the care home, had home GP and nurse visits. He COULD leave the house - he used to wander at all hours of the day and night, but he couldn't keep specific appointments at specific places because of his dementia (and I couldn't take him to appointments). Obviously this only applies to GP and community nurses and he missed a few hospital appointments because there appears to be no mechanism for such an individual to be accompanied and transported to hospital appointments, if a family member has PoA (even if the family member can't attend her own hospital appointments without help). Dad was classed as house bound for the purposes of his GP but would potentially be found wandering the neighbourhood at 02:00 looking for his mother. | |||
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"It's obscene what they are doing, not explaining the range of other options that they have available and that would be morally preferable. The economy wasn't left in a good state but neither were millions of people who don't deserve such minimal or absent concern for their well-being. The country will face further costs imposed upon it, via people losing their abilities to support their working lives, care costs borne by local taxpayers and government, lack of taxes collected, due to inability to work and thousands of people's expenditure supporting businesses lost. This is not to mention the likely significant burden onto health services
Welfare cuts £5.5bn
Civil service cuts £2bn
Pensioners winter fuel £1.7bn
Farmers iht £520M
Nhs cuts £500M
Private school fee vat £460M
£10.7bn raised ( less redundancy and restructuring costs )
Equivalent to 35 days interest on the National debt. Peanuts raised and millions affected.
But how do you pay the Debt if there is now slack in the budget. The money has to come from somewhere. "Stop wasting money The right to buy scheme has cost the state £75bn in discounts alone, add the increase in property values it’s £350bn, add the housing benefit cost now going to private sector landlords it’s £600bn, add the social housing rents lost over 40 years it’s well over a £1trillion. Similar examples could be cited for all aspects of governments policies and wastefulness. | |||
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"In my career I've seen and visited so many patients so called "housebound" who actually are not. Some people do lie and cheat the system maybe that itself is a mental illness/stress. In a world where a few have so much can they be blamed. I'm not "wheelchair bound" either, but it doesn't stop doctors writing that I am, in the letters they send my GP. Being able to leave the house, with assistance and great difficulty, to attend, for example, a medical appointment, is hardly lying and cheating the system. When I applied for PIP and was mandated to attend the in person assessment, I was given two options: One - attend an assessment centre over 20 miles away and be interrogated. There is an assessment centre within 6 miles but they didn't invite me there. Two - don't attend but if I failed to attend then my claim would be cancelled. The arbitrators of whether any "refusal" to attend was genuinely because it was impossible to attend, would be made by DWP people on the end of a phone line. Rock/hard place. Or you go to the place 20 miles away, no matter how hard it is, then you get marked as "not that disabled" but if you don't attend, unless a DWP mandarin is feeling amenable, then your claim won't be progressed. How does that work? All these "professionals" claiming to see hoardes of disableds faking it just reinforces all my assumptions that when I roll into medical appointments and suchlike, they just think "oh no, not another one " and proceed to judge the fuck out of me.
This past few weeks has been so very depressing.
I'm assuming the poster meant housebound as in the case of need for community nursing. The service is abused.
My Dad, before he ended up in the care home, had home GP and nurse visits. He COULD leave the house - he used to wander at all hours of the day and night, but he couldn't keep specific appointments at specific places because of his dementia (and I couldn't take him to appointments). Obviously this only applies to GP and community nurses and he missed a few hospital appointments because there appears to be no mechanism for such an individual to be accompanied and transported to hospital appointments, if a family member has PoA (even if the family member can't attend her own hospital appointments without help).
Dad was classed as house bound for the purposes of his GP but would potentially be found wandering the neighbourhood at 02:00 looking for his mother. "He met the criteria. I've had patients moaning that they'd been waiting in all day for the nurse who didn't turn up, and they wanted to pop to the shops on their mobility scooter. Discharge! | |||
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"In my career I've seen and visited so many patients so called "housebound" who actually are not. Some people do lie and cheat the system maybe that itself is a mental illness/stress. In a world where a few have so much can they be blamed. I'm not "wheelchair bound" either, but it doesn't stop doctors writing that I am, in the letters they send my GP. Being able to leave the house, with assistance and great difficulty, to attend, for example, a medical appointment, is hardly lying and cheating the system. When I applied for PIP and was mandated to attend the in person assessment, I was given two options: One - attend an assessment centre over 20 miles away and be interrogated. There is an assessment centre within 6 miles but they didn't invite me there. Two - don't attend but if I failed to attend then my claim would be cancelled. The arbitrators of whether any "refusal" to attend was genuinely because it was impossible to attend, would be made by DWP people on the end of a phone line. Rock/hard place. Or you go to the place 20 miles away, no matter how hard it is, then you get marked as "not that disabled" but if you don't attend, unless a DWP mandarin is feeling amenable, then your claim won't be progressed. How does that work? All these "professionals" claiming to see hoardes of disableds faking it just reinforces all my assumptions that when I roll into medical appointments and suchlike, they just think "oh no, not another one " and proceed to judge the fuck out of me.
This past few weeks has been so very depressing.
I'm assuming the poster meant housebound as in the case of need for community nursing. The service is abused.
My Dad, before he ended up in the care home, had home GP and nurse visits. He COULD leave the house - he used to wander at all hours of the day and night, but he couldn't keep specific appointments at specific places because of his dementia (and I couldn't take him to appointments). Obviously this only applies to GP and community nurses and he missed a few hospital appointments because there appears to be no mechanism for such an individual to be accompanied and transported to hospital appointments, if a family member has PoA (even if the family member can't attend her own hospital appointments without help).
Dad was classed as house bound for the purposes of his GP but would potentially be found wandering the neighbourhood at 02:00 looking for his mother.
He met the criteria.
I've had patients moaning that they'd been waiting in all day for the nurse who didn't turn up, and they wanted to pop to the shops on their mobility scooter. Discharge!"Maybe the shops are close enough to go by mobility scooter, but not the GP or hospital? My hospital appointments are generally 15+ miles away. I ain't going by wheelchair or mobility scooter but I CAN get to the shops that are 0.9 miles away. In fine weather only though, I'm not getting piss wet through and muddy. | |||
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"In my career I've seen and visited so many patients so called "housebound" who actually are not. Some people do lie and cheat the system maybe that itself is a mental illness/stress. In a world where a few have so much can they be blamed. I'm not "wheelchair bound" either, but it doesn't stop doctors writing that I am, in the letters they send my GP. Being able to leave the house, with assistance and great difficulty, to attend, for example, a medical appointment, is hardly lying and cheating the system. When I applied for PIP and was mandated to attend the in person assessment, I was given two options: One - attend an assessment centre over 20 miles away and be interrogated. There is an assessment centre within 6 miles but they didn't invite me there. Two - don't attend but if I failed to attend then my claim would be cancelled. The arbitrators of whether any "refusal" to attend was genuinely because it was impossible to attend, would be made by DWP people on the end of a phone line. Rock/hard place. Or you go to the place 20 miles away, no matter how hard it is, then you get marked as "not that disabled" but if you don't attend, unless a DWP mandarin is feeling amenable, then your claim won't be progressed. How does that work? All these "professionals" claiming to see hoardes of disableds faking it just reinforces all my assumptions that when I roll into medical appointments and suchlike, they just think "oh no, not another one " and proceed to judge the fuck out of me.
This past few weeks has been so very depressing.
I'm assuming the poster meant housebound as in the case of need for community nursing. The service is abused.
My Dad, before he ended up in the care home, had home GP and nurse visits. He COULD leave the house - he used to wander at all hours of the day and night, but he couldn't keep specific appointments at specific places because of his dementia (and I couldn't take him to appointments). Obviously this only applies to GP and community nurses and he missed a few hospital appointments because there appears to be no mechanism for such an individual to be accompanied and transported to hospital appointments, if a family member has PoA (even if the family member can't attend her own hospital appointments without help).
Dad was classed as house bound for the purposes of his GP but would potentially be found wandering the neighbourhood at 02:00 looking for his mother.
He met the criteria.
I've had patients moaning that they'd been waiting in all day for the nurse who didn't turn up, and they wanted to pop to the shops on their mobility scooter. Discharge!
Maybe the shops are close enough to go by mobility scooter, but not the GP or hospital?
My hospital appointments are generally 15+ miles away. I ain't going by wheelchair or mobility scooter but I CAN get to the shops that are 0.9 miles away. In fine weather only though, I'm not getting piss wet through and muddy."There are genuine cases out there waiting to be seen by Community nurses (we are in lieu of practice nurses). You can try and defend abusers of the service if you like but it won't wash. We also accept temporary housebound status. Should we say yes to someone who can use a scooter or get in a taxi and then have to turn down the end of life patient? | |||
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"In my career I've seen and visited so many patients so called "housebound" who actually are not. Some people do lie and cheat the system maybe that itself is a mental illness/stress. In a world where a few have so much can they be blamed. I'm not "wheelchair bound" either, but it doesn't stop doctors writing that I am, in the letters they send my GP. Being able to leave the house, with assistance and great difficulty, to attend, for example, a medical appointment, is hardly lying and cheating the system. When I applied for PIP and was mandated to attend the in person assessment, I was given two options: One - attend an assessment centre over 20 miles away and be interrogated. There is an assessment centre within 6 miles but they didn't invite me there. Two - don't attend but if I failed to attend then my claim would be cancelled. The arbitrators of whether any "refusal" to attend was genuinely because it was impossible to attend, would be made by DWP people on the end of a phone line. Rock/hard place. Or you go to the place 20 miles away, no matter how hard it is, then you get marked as "not that disabled" but if you don't attend, unless a DWP mandarin is feeling amenable, then your claim won't be progressed. How does that work? All these "professionals" claiming to see hoardes of disableds faking it just reinforces all my assumptions that when I roll into medical appointments and suchlike, they just think "oh no, not another one " and proceed to judge the fuck out of me.
This past few weeks has been so very depressing.
I'm assuming the poster meant housebound as in the case of need for community nursing. The service is abused.
My Dad, before he ended up in the care home, had home GP and nurse visits. He COULD leave the house - he used to wander at all hours of the day and night, but he couldn't keep specific appointments at specific places because of his dementia (and I couldn't take him to appointments). Obviously this only applies to GP and community nurses and he missed a few hospital appointments because there appears to be no mechanism for such an individual to be accompanied and transported to hospital appointments, if a family member has PoA (even if the family member can't attend her own hospital appointments without help).
Dad was classed as house bound for the purposes of his GP but would potentially be found wandering the neighbourhood at 02:00 looking for his mother.
He met the criteria.
I've had patients moaning that they'd been waiting in all day for the nurse who didn't turn up, and they wanted to pop to the shops on their mobility scooter. Discharge!
Maybe the shops are close enough to go by mobility scooter, but not the GP or hospital?
My hospital appointments are generally 15+ miles away. I ain't going by wheelchair or mobility scooter but I CAN get to the shops that are 0.9 miles away. In fine weather only though, I'm not getting piss wet through and muddy.
There are genuine cases out there waiting to be seen by Community nurses (we are in lieu of practice nurses). You can try and defend abusers of the service if you like but it won't wash. We also accept temporary housebound status.
Should we say yes to someone who can use a scooter or get in a taxi and then have to turn down the end of life patient?"Again, it depends what kind of appointment they're supposed to have and how far they would otherwise have to travel. If it's close by and a taxi isn't going to cost a bomb, then fair to expect people to attend a clinic or surgery. But taxis 15+ miles each way is massively expensive and not affordable for many. You can't get mobility scooters into the boot of most vehicles so that person would not be able to use their scooter on arrival at the clinic or surgery. There are no wheelchair accessible taxis to book in my area at all, so I can't pre book a taxi to get me to appointments of any kind. If I go to an appointment on my own, I need someone at both ends to lift my wheelchair in/out of the car. You can book ambulance transfers but because they don't guarantee sticking to timings, some clinics refuse to accept people who come by ambulance. My neurology appointment in December was held at my house because the clinic refused to accept me as an ambulance transfer. They said they'd come to me, despite the fact I could have gone by ambulance. Also, if you do go by ambulance, there's a potential wait of 3-4hrs for a return home. I waited 4.5hrs after an MRI at the end of November to be collected and returned home. These were times when I couldn't drive because of my flare ups. So, I was theoretically housebound then, but not as much now (so long as I have help with my wheelchair at each end or get an ambulance transfer). It's not as straightforward as you might think. | |||
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" There are genuine cases out there waiting to be seen by Community nurses (we are in lieu of practice nurses). You can try and defend abusers of the service if you like but it won't wash. We also accept temporary housebound status. Should we say yes to someone who can use a scooter or get in a taxi and then have to turn down the end of life patient?" I wonder if there's NHS knock on if decisions are overturned in court. If assessors get decisions overturned due to medical evidence, should it mean job losses for those assessors due to negligence/duty of care, it'd be funny if true. The argument 'the NHS doesn't have enough staff so any we think are swingling lead we sign fit and routinely discharge'. I bet unions would be up in arms should Matron get fired for that. | |||
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" There are genuine cases out there waiting to be seen by Community nurses (we are in lieu of practice nurses). You can try and defend abusers of the service if you like but it won't wash. We also accept temporary housebound status. Should we say yes to someone who can use a scooter or get in a taxi and then have to turn down the end of life patient? I wonder if there's NHS knock on if decisions are overturned in court. If assessors get decisions overturned due to medical evidence, should it mean job losses for those assessors due to negligence/duty of care, it'd be funny if true. The argument 'the NHS doesn't have enough staff so any we think are swingling lead we sign fit and routinely discharge'. I bet unions would be up in arms should Matron get fired for that." You're conflating the job of nhs community nurses to privately employed nurse assessors. Community nurses treat housebound patients who cannot get to the GP practice to see practice nurse for woundcare, injections, EOL and other stuff. We discharge them when treatment is complete. If we find they can get to the practice we discharge them back to the GP. This is the simplistic version. | |||
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"In my GP seen and visited so many patients so called "housebound" who actually are not. Some people do lie and cheat the system maybe that itself is a mental illness/stress. In a world where a few have so much can they be blamed. I'm not "wheelchair bound" either, but it doesn't stop doctors writing that I am, in the letters they send my GP. Being able to leave the house, with assistance and great difficulty, to attend, for example, a medical appointment, is hardly lying and cheating the system. When I applied for PIP and was mandated to attend the in person assessment, I was given two options: One - attend an assessment centre over 20 miles away and be interrogated. There is an assessment centre within 6 miles but they didn't invite me there. Two - don't attend but if I failed to attend then my claim would be cancelled. The arbitrators of whether any "refusal" to attend was genuinely because it was impossible to attend, would be made by DWP people on the end of a phone line. Rock/hard place. Or you go to the place 20 miles away, no matter how hard it is, then you get marked as "not that disabled" but if you don't attend, unless a DWP mandarin is feeling amenable, then your claim won't be progressed. How does that work? All these "professionals" claiming to see hoardes of disableds faking it just reinforces all my assumptions that when I roll into medical appointments and suchlike, they just think "oh no, not another one " and proceed to judge the fuck out of me.
This past few weeks has been so very depressing.
I'm assuming the poster meant housebound as in the case of need for community nursing. The service is abused.
My Dad, before he ended up in the care home, had home GP and nurse visits. He COULD leave the house - he used to wander at all hours of the day and night, but he couldn't keep specific appointments at specific places because of his dementia (and I couldn't take him to appointments). Obviously this only applies to GP and community nurses and he missed a few hospital appointments because there appears to be no mechanism for such an individual to be accompanied and transported to hospital appointments, if a family member has PoA (even if the family member can't attend her own hospital appointments without help).
Dad was classed as house bound for the purposes of his GP but would potentially be found wandering the neighbourhood at 02:00 looking for his mother.
He met the criteria.
I've had patients moaning that they'd been waiting in all day for the nurse who didn't turn up, and they wanted to pop to the shops on their mobility scooter. Discharge!
Maybe the shops are close enough to go by mobility scooter, but not the GP or hospital?
My hospital appointments are generally 15+ miles away. I ain't going by wheelchair or mobility scooter but I CAN get to the shops that are 0.9 miles away. In fine weather only though, I'm not getting piss wet through and muddy.
There are genuine cases out there waiting to be seen by Community nurses (we are in lieu of practice nurses). You can try and defend abusers of the service if you like but it won't wash. We also accept temporary housebound status.
Should we say yes to someone who can use a scooter or get in a taxi and then have to turn down the end of life patient?
Again, it depends what kind of appointment they're supposed to have and how far they would otherwise have to travel. If it's close by and a taxi isn't going to cost a bomb, then fair to expect people to attend a clinic or surgery. But taxis 15+ miles each way is massively expensive and not affordable for many. You can't get mobility scooters into the boot of most vehicles so that person would not be able to use their scooter on arrival at the clinic or surgery. There are no wheelchair accessible taxis to book in my area at all, so I can't pre book a taxi to get me to appointments of any kind. If I go to an appointment on my own, I need someone at both ends to lift my wheelchair in/out of the car. You can book ambulance transfers but because they don't guarantee sticking to timings, some clinics refuse to accept people who come by ambulance. My neurology appointment in December was held at my house because the clinic refused to accept me as an ambulance transfer. They said they'd come to me, despite the fact I could have gone by ambulance.
Also, if you do go by ambulance, there's a potential wait of 3-4hrs for a return home. I waited 4.5hrs after an MRI at the end of November to be collected and returned home. These were times when I couldn't drive because of my flare ups. So, I was theoretically housebound then, but not as much now (so long as I have help with my wheelchair at each end or get an ambulance transfer).
It's not as straightforward as you might think."We get referrals from hospitals and GPs. We don't do "appointments" and expense to the patient is irrelevant. If someone doesn't need a practice nurse, they wouldn't meet the criteria for us. | |||
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" There are genuine cases out there waiting to be seen by Community nurses (we are in lieu of practice nurses). You can try and defend abusers of the service if you like but it won't wash. We also accept temporary housebound status. Should we say yes to someone who can use a scooter or get in a taxi and then have to turn down the end of life patient? I wonder if there's NHS knock on if decisions are overturned in court. If assessors get decisions overturned due to medical evidence, should it mean job losses for those assessors due to negligence/duty of care, it'd be funny if true. The argument 'the NHS doesn't have enough staff so any we think are swingling lead we sign fit and routinely discharge'. I bet unions would be up in arms should Matron get fired for that. You're conflating the job of nhs community nurses to privately employed nurse assessors. Community nurses treat housebound patients who cannot get to the GP practice to see practice nurse for woundcare, injections, EOL and other stuff. We discharge them when treatment is complete. If we find they can get to the practice we discharge them back to the GP. This is the simplistic version. " Oh and the assessors do not make the decision. | |||
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" There are genuine cases out there waiting to be seen by Community nurses (we are in lieu of practice nurses). You can try and defend abusers of the service if you like but it won't wash. We also accept temporary housebound status. Should we say yes to someone who can use a scooter or get in a taxi and then have to turn down the end of life patient? I wonder if there's NHS knock on if decisions are overturned in court. If assessors get decisions overturned due to medical evidence, should it mean job losses for those assessors due to negligence/duty of care, it'd be funny if true. The argument 'the NHS doesn't have enough staff so any we think are swingling lead we sign fit and routinely discharge'. I bet unions would be up in arms should Matron get fired for that. You're conflating the job of nhs community nurses to privately employed nurse assessors. Community nurses treat housebound patients who cannot get to the GP practice to see practice nurse for woundcare, injections, EOL and other stuff. We discharge them when treatment is complete. If we find they can get to the practice we discharge them back to the GP. This is the simplistic version. " You understand the premise though. The way you've (and others) put things across on this thread specifically, reads as though there's a perception narrative and fairly bleak outlook in respect of future assessments. Whether public or private, Reeves said yesterday they will be well trained professionals... so, if they get decisions wrong, losing pay checks shouldn't be an issue, they'd be fit professionals so could probably find work easily. | |||
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" There are genuine cases out there waiting to be seen by Community nurses (we are in lieu of practice nurses). You can try and defend abusers of the service if you like but it won't wash. We also accept temporary housebound status. Should we say yes to someone who can use a scooter or get in a taxi and then have to turn down the end of life patient? I wonder if there's NHS knock on if decisions are overturned in court. If assessors get decisions overturned due to medical evidence, should it mean job losses for those assessors due to negligence/duty of care, it'd be funny if true. The argument 'the NHS doesn't have enough staff so any we think are swingling lead we sign fit and routinely discharge'. I bet unions would be up in arms should Matron get fired for that. You're conflating the job of nhs community nurses to privately employed nurse assessors. Community nurses treat housebound patients who cannot get to the GP practice to see practice nurse for woundcare, injections, EOL and other stuff. We discharge them when treatment is complete. If we find they can get to the practice we discharge them back to the GP. This is the simplistic version. Oh and the assessors do not make the decision." No, but possible bias in perception they have is recorded for those that do to make it. | |||
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" There are genuine cases out there waiting to be seen by Community nurses (we are in lieu of practice nurses). You can try and defend abusers of the service if you like but it won't wash. We also accept temporary housebound status. Should we say yes to someone who can use a scooter or get in a taxi and then have to turn down the end of life patient? I wonder if there's NHS knock on if decisions are overturned in court. If assessors get decisions overturned due to medical evidence, should it mean job losses for those assessors due to negligence/duty of care, it'd be funny if true. The argument 'the NHS doesn't have enough staff so any we think are swingling lead we sign fit and routinely discharge'. I bet unions would be up in arms should Matron get fired for that. You're conflating the job of nhs community nurses to privately employed nurse assessors. Community nurses treat housebound patients who cannot get to the GP practice to see practice nurse for woundcare, injections, EOL and other stuff. We discharge them when treatment is complete. If we find they can get to the practice we discharge them back to the GP. This is the simplistic version. You understand the premise though. The way you've (and others) put things across on this thread specifically, reads as though there's a perception narrative and fairly bleak outlook in respect of future assessments. Whether public or private, Reeves said yesterday they will be well trained professionals... so, if they get decisions wrong, losing pay checks shouldn't be an issue, they'd be fit professionals so could probably find work easily." They allege that the current assessors are "well trained professionals". They are mainly trained in how to make shit up and avoid awarding any points. You can drive? That means you have zero disabilities affecting your hands or arms. Apparently. You can drive? That means you don't need help to use intermittent catheters. You need catheters for urinary retention rather than incontinence? Doesn't count. Etc. | |||
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" There are genuine cases out there waiting to be seen by Community nurses (we are in lieu of practice nurses). You can try and defend abusers of the service if you like but it won't wash. We also accept temporary housebound status. Should we say yes to someone who can use a scooter or get in a taxi and then have to turn down the end of life patient? I wonder if there's NHS knock on if decisions are overturned in court. If assessors get decisions overturned due to medical evidence, should it mean job losses for those assessors due to negligence/duty of care, it'd be funny if true. The argument 'the NHS doesn't have enough staff so any we think are swingling lead we sign fit and routinely discharge'. I bet unions would be up in arms should Matron get fired for that. You're conflating the job of nhs community nurses to privately employed nurse assessors. Community nurses treat housebound patients who cannot get to the GP practice to see practice nurse for woundcare, injections, EOL and other stuff. We discharge them when treatment is complete. If we find they can get to the practice we discharge them back to the GP. This is the simplistic version. Oh and the assessors do not make the decision." They write the reports on which the decisions are made. My first PIP assessment, it was crystal clear the assessor was barely listening to my answers and couldn't wait to get to the next question and get the interview over and done with as quickly as possible. I knew 10 minutes in my application would be declined. J | |||
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" There are genuine cases out there waiting to be seen by Community nurses (we are in lieu of practice nurses). You can try and defend abusers of the service if you like but it won't wash. We also accept temporary housebound status. Should we say yes to someone who can use a scooter or get in a taxi and then have to turn down the end of life patient? I wonder if there's NHS knock on if decisions are overturned in court. If assessors get decisions overturned due to medical evidence, should it mean job losses for those assessors due to negligence/duty of care, it'd be funny if true. The argument 'the NHS doesn't have enough staff so any we think are swingling lead we sign fit and routinely discharge'. I bet unions would be up in arms should Matron get fired for that. You're conflating the job of nhs community nurses to privately employed nurse assessors. Community nurses treat housebound patients who cannot get to the GP practice to see practice nurse for woundcare, injections, EOL and other stuff. We discharge them when treatment is complete. If we find they can get to the practice we discharge them back to the GP. This is the simplistic version. Oh and the assessors do not make the decision. They write the reports on which the decisions are made. My first PIP assessment, it was crystal clear the assessor was barely listening to my answers and couldn't wait to get to the next question and get the interview over and done with as quickly as possible. I knew 10 minutes in my application would be declined. J" My first pip report the lay person assumed that community nurse meant working in hospital for 12 shifts. He thought my high intellect meant I would always understand written and verbal word - so very wrong. The decision wasn't based on doctors evidence or what I stated. Back then it came out assessors were taught to trick people into saying stuff (and lie, in my case).
Second assessment, I'm waiting for the date for the tribunal. 18months currently. | |||
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" There are genuine cases out there waiting to be seen by Community nurses (we are in lieu of practice nurses). You can try and defend abusers of the service if you like but it won't wash. We also accept temporary housebound status. Should we say yes to someone who can use a scooter or get in a taxi and then have to turn down the end of life patient? I wonder if there's NHS knock on if decisions are overturned in court. If assessors get decisions overturned due to medical evidence, should it mean job losses for those assessors due to negligence/duty of care, it'd be funny if true. The argument 'the NHS doesn't have enough staff so any we think are swingling lead we sign fit and routinely discharge'. I bet unions would be up in arms should Matron get fired for that. You're conflating the job of nhs community nurses to privately employed nurse assessors. Community nurses treat housebound patients who cannot get to the GP practice to see practice nurse for woundcare, injections, EOL and other stuff. We discharge them when treatment is complete. If we find they can get to the practice we discharge them back to the GP. This is the simplistic version. Oh and the assessors do not make the decision. They write the reports on which the decisions are made. My first PIP assessment, it was crystal clear the assessor was barely listening to my answers and couldn't wait to get to the next question and get the interview over and done with as quickly as possible. I knew 10 minutes in my application would be declined. J My first pip report the lay person assumed that community nurse meant working in hospital for 12 shifts. He thought my high intellect meant I would always understand written and verbal word - so very wrong. The decision wasn't based on doctors evidence or what I stated. Back then it came out assessors were taught to trick people into saying stuff (and lie, in my case).
Second assessment, I'm waiting for the date for the tribunal. 18months currently."12 hours, oops | |||
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" There are genuine cases out there waiting to be seen by Community nurses (we are in lieu of practice nurses). You can try and defend abusers of the service if you like but it won't wash. We also accept temporary housebound status. Should we say yes to someone who can use a scooter or get in a taxi and then have to turn down the end of life patient? I wonder if there's NHS knock on if decisions are overturned in court. If assessors get decisions overturned due to medical evidence, should it mean job losses for those assessors due to negligence/duty of care, it'd be funny if true. The argument 'the NHS doesn't have enough staff so any we think are swingling lead we sign fit and routinely discharge'. I bet unions would be up in arms should Matron get fired for that. You're conflating the job of nhs community nurses to privately employed nurse assessors. Community nurses treat housebound patients who cannot get to the GP practice to see practice nurse for woundcare, injections, EOL and other stuff. We discharge them when treatment is complete. If we find they can get to the practice we discharge them back to the GP. This is the simplistic version. Oh and the assessors do not make the decision. They write the reports on which the decisions are made. My first PIP assessment, it was crystal clear the assessor was barely listening to my answers and couldn't wait to get to the next question and get the interview over and done with as quickly as possible. I knew 10 minutes in my application would be declined. J My first pip report the lay person assumed that community nurse meant working in hospital for 12 shifts. He thought my high intellect meant I would always understand written and verbal word - so very wrong. The decision wasn't based on doctors evidence or what I stated. Back then it came out assessors were taught to trick people into saying stuff (and lie, in my case).
Second assessment, I'm waiting for the date for the tribunal. 18months currently."Not trying to be obtuse but can you work as a nurse if you cannot always understand written and verbal word, as you put it. Surely that's an essential requirement for the role, coming from a lay person but isn't that just common sense. It's precise work but if you cannot comprehend communication couldn't that lead to problems. I'm thinking prescriptions, doses, Mar sheets etc? Mrs x | |||
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" There are genuine cases out there waiting to be seen by Community nurses (we are in lieu of practice nurses). You can try and defend abusers of the service if you like but it won't wash. We also accept temporary housebound status. Should we say yes to someone who can use a scooter or get in a taxi and then have to turn down the end of life patient? I wonder if there's NHS knock on if decisions are overturned in court. If assessors get decisions overturned due to medical evidence, should it mean job losses for those assessors due to negligence/duty of care, it'd be funny if true. The argument 'the NHS doesn't have enough staff so any we think are swingling lead we sign fit and routinely discharge'. I bet unions would be up in arms should Matron get fired for that. You're conflating the job of nhs community nurses to privately employed nurse assessors. Community nurses treat housebound patients who cannot get to the GP practice to see practice nurse for woundcare, injections, EOL and other stuff. We discharge them when treatment is complete. If we find they can get to the practice we discharge them back to the GP. This is the simplistic version. Oh and the assessors do not make the decision. They write the reports on which the decisions are made. My first PIP assessment, it was crystal clear the assessor was barely listening to my answers and couldn't wait to get to the next question and get the interview over and done with as quickly as possible. I knew 10 minutes in my application would be declined. J My first pip report the lay person assumed that community nurse meant working in hospital for 12 shifts. He thought my high intellect meant I would always understand written and verbal word - so very wrong. The decision wasn't based on doctors evidence or what I stated. Back then it came out assessors were taught to trick people into saying stuff (and lie, in my case).
Second assessment, I'm waiting for the date for the tribunal. 18months currently.
Not trying to be obtuse but can you work as a nurse if you cannot always understand written and verbal word, as you put it. Surely that's an essential requirement for the role, coming from a lay person but isn't that just common sense. It's precise work but if you cannot comprehend communication couldn't that lead to problems. I'm thinking prescriptions, doses, Mar sheets etc?
Mrs x""Assumed would ALWAYS understand". Excellent brain but incredibly reduced capacity to function like that. Once used up I'm a blob until recovered, struggle even to climb stairs, eat properly and so on. | |||
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"Meanwhile in other news,, the illegals and dinghy dickheads are walking around with brand new addidas trainers and £700 smartphones, well fed and money in there pockets laughing all the way to their offshore accounts. Extremely doubtful" Who believes this shit? Oh, wait.  | |||
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