Showing posts with label nhs. Show all posts
Showing posts with label nhs. Show all posts

Sunday, 4 March 2012

Compassion matters however old you are.

A commission into care for the elderly by the NHS Confederation has revealed that the importance of compassion and dignity is often undervalued in the way care is delivered.

The report recommends that an emphasis be put on respecting the dignity of the elderly and that carers should avoid using patronising language. It also recommends that more should be done to improve the quality of life for older people, such as helping them to keep in touch with relatives, take part in activities or just having someone there to keep them company.

Sir Keith Pearson, one of the authors of the report told the BBC’s Today programme that whilst the NHS and the care home sector provided ‘excellent care’ in most instances there are small pockets in which ‘dignity has broken down’. There needed to be, he said, a culture change where people who deliver care are recruited for their values and then trained in the necessary skills.

I could not agree more, nothing so shames our society more than the shameful way we treat older people. Agreement that something must be done crosses the political divide and yet what we actually do is nothing very much apart from filling a library with reports telling us the same things over and over again.

Why could this be, are we stupid or insensitive? Have we bought wholesale into the baby boomer fiction that growing old is some sort of failing on the part of an individual rather than the destination we all arrive at unless some misfortune intervenes? Maybe; all those elements are certainly present in our attitudes to the elderly, but there is another, simpler answer to the question we always seem to overlook.

We fail to show older people the compassion they deserve because we fail to realise that compassion along with trust and respect is something people should expect from the society they live in over the whole course of their lives, not a benefit to be, grudgingly, given as their lives draw to a close. When people lives closer, less materialistic lives this was something they understood implicitly; in our atomised modern world it is a thing we have forgotten at the most dangerous of costs.

All our best impulses are rooted in promoting trust, compassion and respect from fighting the most brutally oppressive prejudices to putting works of fine art on display in galleries where they can be appreciated by the masses rather than leaving them in palaces to be ignored by aristocrats. Over the past thirty years these values have been under systematic attack from cynical politicians, a witlessly one dimensional popular culture and, it has to be said, the ignorance and complacency of people like you and I.

We recruited our leading figures in politics, business and culture precisely because they were skilled at telling us what we wanted to hear. Greed is good, because you’re worth it, there is no such thing as society; a litany of seductive selfishness with a scorpion’s sting in its tail.

Now that times are hard, harder than they have been since the thirties in some parts of the country, these same leaders don’t have the values necessary to keep people together. Instead they play on the same cynical themes that divide communities and stoke feelings of disenchantment because they have no answers and nothing of value to say.

It is right that something finally should be done about the shocking way elderly people are treated by a tiny minority of carers. Good conscientious care workers deserve to be paid properly and values for the service they deliver; cruel or incompetent ones deserve to be caught and punished, but treating a single symptom will not cure the wider disease.

The time has come for our society as a whole to bite the bullet of realising that we need to ensure that everyone regardless of age or origins has a decent quality of life. That may mean being a little less materially affluent, but in the longer term we will all be happier and healthier.


Cheese for Europe

Veteran lounge singer Englebert Humperdinck will sing the UK’s entry in this year’s Eurovision Song Contest. I doubt it will do much to improve our chances of winning.

This is no reflection on the talents of Mr Humperdinck, he might not be my particular cup of musical tea, but his album sales and longevity mean he must have something the fans like.

Instead it is recognition of the fact that British performers are able to sell their records globally, ABBA aside most other European artists, even the ones who win Eurovision, are unknown outside their country of origin.

Since they will probably get nul points on the night Mr Humperdinck and his fans should just get on with enjoying taking part.


A horse; a horse….

According to evidence given to the Leveson inquiry this week former News International executive Rebekah Brooks was ‘loaned’ a retired police horse called Raisa by friends at the Met. If that wasn’t bizarre enough it turns out our own dear Prime Minister rode said horse on a number of occasions.

I can just picture him rising to the trot as his good friend Rupert sinks his claws into the country’s media. Tally-ho!

If some enterprising theatre company turns the Leveson inquiry into a stage play they are going to have to get Brian Rix in to do the script because it is rapidly turning into a total farce.

Saturday, 22 August 2009

Tory education reforms are bottom of the common sense league.

Over the past week or so much has been made of the attitudes of David Cameron’s new model Tories to the dear old NHS. While he’s been at pains to distance himself from the comments made by publicity hungry MEP Daniel Hannan there is a lingering suspicion that outside its Notting Hill branch most of the party would happily see it consigned to the dustbin.

Naturally this is a cause for concern, however bureaucratic and wasteful it may be the NHS does at least ensure that people get medical treatment regardless of their ability to pay up front, not something that can be said for most of the alternatives on offer. Can the Tories be trusted with the NHS? Up to a point, if only for the reason that dismantling it would be a public relations disaster from which the party would be unlikely to recover.

Let’s ask ourselves another, equally important, question. Can the Tories be trusted with Britain’s education system? Based on their performance over the past week I doubt it.

The normally sensible Michael Gove this week announced that an incoming Conservative government would give schools extra league table points for steering students towards ‘hard’ A Level subjects such as maths and the sciences and knock points off for students enrolled to study ‘soft’ subjects such as media studies et al. Striking a resolutely populist note he told the BBC that the current A Level system had been ‘dumbed down’ and that league tables were largely to blame.

Too much pressure, he said, was being placed on students likely to get a C grade in hard subjects to take easier options in the hope of getting an A and thereby improving the school’s place in the league tables, as a result potential high achievers aren’t being stretched and students who are struggling were being pushed to one side.

This position is based on a report written by Richard Sykes, a former rector of Imperial College London and contains, as most muddled thinking does, a germ of common sense. League tables have gone from being a useful measure of a school’s performance to being an opaque public relations exercise that confuses parents, students and schools alike. A point highlighted in a report from the Teaching and Learning Programme this week, which called for school league tables to be published with a ‘health warning’ because they often have the potential to be so misleading

Handing out extra points to schools on the basis of pushing students into studying subjects that are perceived to be harder will do little to address the problems inherent within the system, and may even make things worse for schools if the drop out rate increases. The plan is also flawed because along with the government’s failed diplomas it ignores vocational courses altogether.

Unsurprisingly a group of Oxbridge educated conservative politicians has, yet again, made the mistake of believing the only test of educational success is whether or not a student makes it into university. While we do need more graduates we also need to educate the next generation of trades people, but if schools are actively discouraged from providing vocational courses because there are no ‘points’ to be gained from doing so that simply isn’t going to happen, much to our national cost.

Tinkering with league tables isn’t going to improve the life chances of the kids who won’t be amongst the 26.7% of students celebrating getting top marks at A Level; neither is downgrading the vocational training that offers them a chance to get ahead in a tough jobs market.

What might improve things is killing off the AS Level that has turned A Levels from a time when students can explore the world of learning and even read a few of those funny papery things called books that haven’t been cut into chunks to be regurgitated in an exam room into just another hurdle on the educational obstacle course, and having done so placing it on an equal footing with vocational courses so that the age old divide between academia and ‘trade’ is finally done away with.

So long as they continue to play to the gallery and perpetuate prejudices that should have been rejected long ago the Conservatives cannot do more that pretend to be equal to one of the greatest challenges that faces any government, educating the next generation of workers.