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Care, Quality and Commissioning or what a difference a year makes…

Care, Quality and Commissioning or what a difference a year makes…. Jill Manthorpe 7 th November 2011. About us…. http://www.kcl.ac.uk/schools/sspp/interdisciplinary/scwru/. What the papers say. ‘Hospital suspends staff following BBC Panorama investigation’, Nursing Times, 1 June, 2011.

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Care, Quality and Commissioning or what a difference a year makes…

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  1. Care, Quality and Commissioning or what a difference a year makes… Jill Manthorpe 7th November 2011

  2. About us…. http://www.kcl.ac.uk/schools/sspp/interdisciplinary/scwru/

  3. What the papers say... • ‘Hospital suspends staff following BBC Panorama investigation’, Nursing Times, 1 June, 2011. • ‘CQC finds older people not assisted at meal times’, Nursing Times, 3 June 2011. • ‘DH review will consider national lessons from Winterbourne’ Nursing Times, 27 June 2011. • 'Box-ticking care home watchdog put elderly at risk': MPs say commission is more interested in paperwork than safety’, Daily Mail, 14 Sept 2011 • ‘Hit squads to swoop on 500 care homes to root out neglect and tackle abusive treatment’ Daily Mail, 26 October 2011

  4. Care in the community • ‘100,000 elderly and disabled victims of suspected abuse’ Daily Telegraph 3 November 2011 • ‘Sheltered housing residents living in fear as addict returns’ Hull Daily Mail 5 November 2011 • ‘Behind The Headlines: Justice for the disabled victims of hate crime’ Birmingham Mail, 15 Sept 2011 •   ‘Evil pair tortured disabled victims’, The Shields Gazette, 5 Nov 2011

  5. giving people names • David Askew • ‘case of vulnerable adult’ • Keith Philpott • Shaowei He • Christopher Foulkes • Colin Greenwood • Steven Hoskin • Laura Milne • Michael Gilbert • Brent Martin

  6. 2011 Care oppositions • Southern Cross v the righteous • Care quality v easy to identify abuse • Care inspection - fit or unfit? • Care funding – someone else’s problem

  7. ambivalence • Needing to address ambivalence or ‘rust from within’ • Who they house • What they mean • If avoided - a form of paralysis Long Term Care Meeting

  8. Holding ambivalence • Do we want and need care homes? • Are they homes? • Care or nursing? • Are they businesses? Institutions? Or Big Society? • Who is it we want to work there? Long Term Care Meeting

  9. Moving from normal and neurotic ambivalence (Freud 1912) ‘A permanent co-existence of a high intensity of irreconcilable love and hate is only possible through the ‘involvement’ of a different psychic register, the unconscious’. Dagmar Lorenz-Meyer 2001

  10. Meaning? • Being less miserable • Naming ambivalence • Not sorting • Peer counselling • Being aware of the feelings of others • Thinking of scape-goating risks • Not ending of ambivalence but thinking about the real oppositions Long Term Care Meeting

  11. Acknowledgements • We acknowledge Department of Health funding of the Unit. The views expressed in this presentation are not necessarily shared by the DH

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