This week, LGCnet will exclusively provide all the copy on this thorny issue from both magazines.
Threats of fines for delayed discharges have been hanging over councils for the past year. Mithran Samuel finds out what those who will be affected really think. More
SOCIAL CARE CHIEFS PAN BED FINES (an LGC exclusive by Mithran Samuel, 9/1/04)
Bed-blocking fines for councils are unnecessary, bureaucratic, and could threaten partnerships with health bodies and care providers, social services directors have warned. More
TIME'S UP - IMPLEMENTING DELAYED DISCHARGE FINES (8/1/04)
HSJ assesses the likely impact of the Community Care (Delayed Discharges etc) Act here.
LGCnet has also provided its subscribers with the following items on bed-blocking in recent weeks:
BIRMINGHAM'S LEADING CONSULTANTS WOEFULLY UNDER-BRIEFED ON HOW BED-BLOCKING FINES WORK (LGCnet, 7/1/04)
Birmingham's leading consultants in elderly medicine gathered earlier this week to discuss workload as their hospital geared up to full capacity after the Christmas lull. More
BED-BLOCKING FINES MAY NOT BE BENEFICIAL (Nursing Times, 6/1/04)
Older people could find themselves in care homes miles away from their families if bed-blocking fines are introduced. Researchers from University College, London warn in this week's British Medical Journal that patients would have little choice over where they were place if social services were given, as planned, just two days to find places once they are fit for discharge.
PUBLIC EXPENDITURE ON HEALTH AND PERSONAL SOCIAL SERVICES 2003 (5/1/04)
The House of Commons health committee has published a memorandum received from the Department of Health containing replies to a written questionnaire from the committee. This is available here.
SOCIAL SERVICES CHIEF PLEDGES TO END BRUM BED BLOCKING IN TWO YEARS, 5/1/04
Hospital bed blocking in Birmingham will be wiped out in two years, a social services chief pledged today. More
New community care regulations mean that older people may not be able to choose where they are treated
NEW COMMUNITY CARE REGULATIONS MEAN THAT OLDER PEOPLE MAY NOT BE ABLE TO CHOOSE WHERE THEY ARE TREATED (British Medical Journal, 3/1/04)
According to the health secretary, John Reid, a patient centred NHS driven by the principles of choice and competition will improve equitable access to health care in particular for the poor and disadvantaged. The patient, and not the provider, will be king while NHS provision will still be provided on the basis of equal treatment for equal need. But it is difficult to reconcile this vis ion of choice and equity with the Community Care (Delayed Discharge) Act, which comes into force in January 2004. More
CUMBRIA CC'S STATEMENT ON THE COMPREHENSIVE PERFORMANCE ASSESSMENT, 18/12/03
In his statement about Cumbria CC's comprehensive performance assessment rating, leader Rex Toft said: 'Bed-blocking is down to an all-time low.'
RSG: COUNCILS' REACTION - 'GOVERNMENT STEALS£4M GRANT FROM WEST BERKSHIRE', 21/11/03
'West Berkshire is one of 31 local authorities, predominantly in the south-east of England, who could only achieve government targets for education funding, if they were to pass over more than 90% of their additional grant to schools. This would leave nothing for the effects of inflation, the growing demands of care budgets, 'fines' for bed-blocking from the health service, the urgent needs of the environment and the many other additional demands that government is passing on to local authorities.'
(Scottish Executive) TACKLING PROBLEM OF DELAYED DISCHARGE, 20/11/03
Deputy health minister Tom McCabe today met with frontline staff from across Scotland working to tackle the problem of delayed discharge. More