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Simon Bottery

@blimeysimon.bsky.social
1.7K followers 1.6K following 310 posts

#Socialcare guy at The King's Fund. Early riser. Available in stereo on Twitter/X.

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Simon Bottery @blimeysimon.bsky.social · 13/09/2025
Fantastic headline. Too unusual (and too good) a story to look too hard for morals but there something here about the desire for independence, isn’t there? #socialcare www.bbc.com/news/article...
bbc.com
Defiant nuns flee Austrian care home for their abandoned convent in the Alps - BBC News
Sisters Bernadette, Regina and Rita needed a locksmith to get back into their convent, defying Church leaders.
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Simon Bottery @blimeysimon.bsky.social · 08/08/2025
Fair Pay In Social Care Is A Fine And Progressive Policy – But Who Is Going To Pay For It? | The King's Fund www.kingsfund.org.uk/insight-and-...
kingsfund.org.uk
Fair Pay In Social Care Is A Fine And Progressive Policy – But Who Is Going To Pay For It? | The King's Fund
There are lots of unknowns about the government’s proposed fair pay agreement in social care, says Simon Bottery, but the biggest is who will have to swallow the cost.
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Simon Bottery @blimeysimon.bsky.social · 07/07/2025
Interesting to see in print the government's three 'core objectives' for adult #socialcare. They are sensible and coherent, even if they do skip over the key issue of eligibility. A surprise, though, to see them at all after a year when social care strategy was largely avoided.
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Simon Bottery @blimeysimon.bsky.social · 18/06/2025
Central government has focused too much on monitoring relatively small grants and too little on working out what impact our overall spend on adult #socialcare has on the lives of people. That’s one key finding of MPs in a new report today. committees.parliament.uk/publications...
committees.parliament.uk
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Simon Bottery @blimeysimon.bsky.social · 16/06/2025
Despite the dramatic headline, it seems that Casey has simply decided to meet the parties separately at first and bring them together later. It should be quite hard to work up to a ‘fury’ about that. #socialcare www.telegraph.co.uk/politics/202...
telegraph.co.uk
Fury as Labour drops cross-party talks to fix social care crisis
Gathering with health representatives from opposition political parties called off at last minute branded a ‘missing opportunity’
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Simon Bottery @blimeysimon.bsky.social · 11/06/2025
If you want to know how today's spending review affects #socialcare, you are going to have to wait. There is no clear sum to fund a fair pay agreement and promises of 'over £4bn' for social care in 2028/29 are unclear. Puzzled, frustrated thread > news.sky.com/story/spendi...
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Reposted by Simon Bottery
Global Observatory of Long-Term Care @goltc.bsky.social · 09/06/2025
NEW COUNTRY PROFILE: #England 🌍 In this system profile, @blimeysimon.bsky.social (@thekingsfund.bsky.social) and @natashacurry.bsky.social (@nuffieldtrust.org.uk) unpack the country's long-term care system. 🔍 Read now: goltc.org/system-profi...
LTC Care System Profile: England
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Simon Bottery @blimeysimon.bsky.social · 09/06/2025
This is the sort of news story care homes need. While it is of course nice to read about exotic animal visits (and there are lots of those stories in local newspapers), this is the one that makes people reassess their image of residential care. #socialcare www.chroniclelive.co.uk/news/north-e...
chroniclelive.co.uk
'We moved into the same nursing home and found the friendship of a lifetime'
Peter and Kathleen met at Archers Court Nursing Care Home in Sunderland and are now inseparable
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Simon Bottery @blimeysimon.bsky.social · 21/05/2025
Fed up with headlines claiming #socialcare is responsible for specific - and usually high - numbers of delayed discharge? After crunching the data we can say that… we just don’t know the true figure, because we stopped asking. Time to start again, though. www.kingsfund.org.uk/insight-and-...
kingsfund.org.uk
Delayed Discharges: Why It’s Hard To Say How Many Are Due To Social Care Capacity | The King's Fund
We don’t know how many delayed discharges are due to lack of social care capacity, say Simon Bottery and Sarah Arnold, and that’s because we stopped counting.
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Simon Bottery @blimeysimon.bsky.social · 21/05/2025
In your lifetime, you are more likely than not to develop #dementia or care for someone with it, a new @CareQualityComm report reminds us. That’s a strong, self-interest argument for a fairer, better funded #socialcare system, isn’t it? www.cqc.org.uk/publications...
cqc.org.uk
Health and social care support for people with dementia - Care Quality CommissionFacebookTwitterYouTube
A review of the experiences of people with dementia and how health and care services are responding
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Simon Bottery @blimeysimon.bsky.social · 19/05/2025
Interesting @thefabians report which - for me - begs questions about the extent to which pay should be the immediate #socialcare priority. Crudely, should you ‘blow the budget’ on it or accept more limited change and investment in other areas? Thread🔽 fabians.org.uk/publication/...
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Simon Bottery @blimeysimon.bsky.social · 18/05/2025
“For a moment I understand why, despite everything, so many here seem to love their job.” Sympathetic portrait of working in #socialcare www.thetimes.com/uk/healthcar...
thetimes.com
What’s it like to work in a care home? I joined a shift to find out
Ministers want Britons to fill more of the sector’s 130,000 vacancies. Could you wipe, feed, smile and log every moment for £12.84 an hour?
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Simon Bottery @blimeysimon.bsky.social · 15/05/2025
Valuable new @HealthFdn report on the potential cost of improved #socialcare. It considers three ‘levels’ of improvement and finds cost rises of between £3.4bn and £8.7bn in 2028/29 (all figures are real terms). Quick summary and some thoughts below 🔽 www.health.org.uk/reports-and-...
health.org.uk
Adult social care funding pressures: 2023–35
We project the costs of meeting growing demand for adult social care in England and making some improvements to care up to 2034/35.
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Simon Bottery @blimeysimon.bsky.social · 13/05/2025
Care providers may struggle to win over the public on new immigration rules, suggests this large @YouGov poll. Nearly half (47%) support the govt reducing the no. of people migrating to work in #socialcare while a third (33%) oppose it. Big differences by politics/age though… 🔽
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Simon Bottery @blimeysimon.bsky.social · 12/05/2025
The issue here is not so much the principle as the timing. It’s right we should end reliance on overseas #socialcare workers and improving pay, which the govt plans to do, should help achieve that. But that potential pay increase is a long way off… www.theguardian.com/society/2025...
theguardian.com
Labour axing care worker visa will put services at risk, say unions and care leaders
White paper proposes banning new recruitment from abroad despite care sector relying heavily on foreign workers
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Simon Bottery @blimeysimon.bsky.social · 05/05/2025
The new @CommonsHealth report is a robust critique of the ‘do nothing/delay’ approach to #socialcare reform. It finds too little data to answer its own exam question - what is the cost of doing nothing - but points to some ways forward. V short thread 🔽 www.bbc.co.uk/news/article...
bbc.co.uk
Doing nothing on social care is untenable, MPs warn
The report says failure to fix England's social care system carries an unknown human and financial cost.
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Simon Bottery @blimeysimon.bsky.social · 02/05/2025
The terms of reference for the Casey #socialcare commission are published today (though staff have been working for a while). There are concerns, particularly timing, but they should offer the scope Baroness Casey needs to do a thorough job. Thread below ⬇️ www.gov.uk/government/p...
gov.uk
Independent commission into adult social care: terms of reference
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Simon Bottery @blimeysimon.bsky.social · 30/04/2025
Despite being 40% of a typical council's spending, adult #socialcare often seems missing in local election debate. So credit to @Kent_Online for asking each party what they'd do about it locally - the results are fascinating (summary in the thread below). www.kentonline.co.uk/kent/news/pa...
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Reposted by Simon Bottery
Global Observatory of Long-Term Care @goltc.bsky.social · 29/04/2025
HAPPENING TOMORROW! 📣 Join @adelinacohe.bsky.social, @blimeysimon.bsky.social, Janine Dizon, Nicky Baker, and Sarah Gilbert for this exciting session on care #Workforce retention. 💼 REGISTER NOW to join at 9am BST: lse.zoom.us/meeting/regi... #CareWorkforce #WorkforceRetention #Webinar
lse.zoom.us
Welcome! You are invited to join a meeting: GOLTC webinar: Care Workforce Retention – what factors are critical and how they change with worker age. . After registering, you will receive a confirmatio...
Recruitment is a critical issue for most care sectors internationally, but stemming the loss of highly experienced workers through successful retention strategies must equally be a priority. The prese...
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Simon Bottery @blimeysimon.bsky.social · 28/04/2025
Terms like ‘my love’ serve a valuable purpose in communication, says this new research in care homes. #socialcare theconversation.com/dementia-car...
theconversation.com
Dementia care: are terms of endearment like ‘sweetheart’ comforting or condescending?
‘Elderspeak’ can serve important functions in conversations between healthcare professionals and patients with dementia.
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Simon Bottery @blimeysimon.bsky.social · 25/04/2025
Interesting from @HSJnews (£): hospitals 'increasingly using' fast track CHC to speed up discharges while awaiting #socialcare packages. Yet fast track is typically for end of life care and so may well be the wrong option for many people. www.hsj.co.uk/integrated-c...
hsj.co.uk
‘Unaffordable’ care spending driven by rush to clear hospital beds
The rush from acute hospitals to "free up beds" is probably behind an "unaffordable" rise in an integrated care board's social care spending, it has been told.
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Simon Bottery @blimeysimon.bsky.social · 24/04/2025
"Failing to recognize that a person may consider some states of impairment worse than death is not resident centered or evidence-based". This is thought-provoking research for care homes. #socialcare jamanetwork.com/journals/jam...
jamanetwork.com
Cognitive and Functional Decline Among Long-Term Care Residents
This cohort study investigates the incidence of severe cognitive and functional impairment and survival after impairment among long-term care residents in Canada.
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Simon Bottery @blimeysimon.bsky.social · 22/04/2025
"If you do work in the care system - please know you are massively appreciated and the role you play in the lives of families is huge." #socialcare www.mirror.co.uk/3am/celebrit...
mirror.co.uk
Radio 2's Jo Whiley shares new health update on sister after move to care home
BBC Radio 2 star Jo Whiley discussed the family's tough decision to place her sister Frances into a Mencap-run home, as well as her worries about Frances' wellbeing
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Simon Bottery @blimeysimon.bsky.social · 15/04/2025
There are some positives in the new @DHSCgovuk survey on the #socialcare workforce, conducted in autumn 2024. While 71% of providers found recruitment a challenge, most thought it hadn’t deteriorated and 1 in 5 thought it had improved, as had retention and morale.
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Simon Bottery @blimeysimon.bsky.social · 13/04/2025
Went to the Freud Museum yesterday and discovered that the post box outside the house has been covered with visitor stickers, presumably through the process of transference.
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Simon Bottery @blimeysimon.bsky.social · 10/04/2025
This raises the familiar question of whether we need more care coordinators to help people navigate a complex health and #socialcare system. Alternatively, maybe we need a simpler health and #socialcare system. (Probably we need both.) www.hssib.org.uk/patient-safe...
hssib.org.uk
Workforce and patient safety: primary and community care co-ordination for people with long-term conditions
This is the fourth of five investigation reports that consider how working conditions in the NHS can be optimised to support patient safety, while maintaining and improving staff wellbeing.
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Simon Bottery @blimeysimon.bsky.social · 09/04/2025
The over-enthusiasm of this headline (the story is about nothing more dramatic than a new qualification for care workers) came on the same day as a report by @TunstallHealth said preventative technology is hamstrung by failure to integrate health and #socialcare budgets. 1/4
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Simon Bottery @blimeysimon.bsky.social · 07/04/2025
A pity there’s nothing about #socialcare in this interesting piece about ‘door-to-door’ NHS services. Crucially, how can a free, universal service work effectively when home care is means-tested and rationed? Now, if you had Scotland’s free personal care system… www.telegraph.co.uk/gift/6ab8f2a...
telegraph.co.uk
NHS sent door-to-door to tackle sickness crisis
Radical scheme tipped to transform healthcare with house calls likened to return of the family doctor
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Simon Bottery @blimeysimon.bsky.social · 05/04/2025
Macro-level news might be terrible but there’s the occasional heartening story lower down the page www.bbc.co.uk/news/article...
bbc.co.uk
Excel Parking ordered to pay £10,240 in five-minute parking rule row
Excel Parking had demanded £11,390 from driver Hannah Robinson, but lost a court case against her.
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Reposted by Simon Bottery
Global Observatory of Long-Term Care @goltc.bsky.social · 03/04/2025
Another webinar to get excited about! 🎉 Care #WorkforceRetention: what factors are critical + how they change w/ age? 💼 Join us on Wed 30 April w/ @blimeysimon.bsky.social (@thekingsfund.bsky.social), Janine Dizon, Nicky Baker (ARIIA) + Sarah Gilbert (Skills4Care):👉 lse.zoom.us/meeting/regi...
GOLTC webinar: Care Workforce Retention – what factors are critical and how they change with worker age.
Wed 30 April
9-10am BST
Join on Zoom
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Simon Bottery @blimeysimon.bsky.social · 02/04/2025
Public satisfaction with adult #socialcare remains at an all-time low, with just 13% of people saying they are very or quite satisfied, according to the new British Social Attitudes survey. But we’re still at least 2.5 years away from promise of reform. Short thread ⬇️
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Simon Bottery @blimeysimon.bsky.social · 31/03/2025
Tomorrow, 780,000 #socialcare staff will get a pay rise to bring them up to the new level of the minimum wage. That’s great news for them but also a marker of how poorly paid they were before. And it masks other pay-related issues showing the weakness of the sector. Thread ⬇️
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Simon Bottery @blimeysimon.bsky.social · 24/03/2025
'We're not going to be able to make the NHS hum beautifully unless we sort out the #socialcare system'. There's a big focus on care in this excellent @AlisonHoltBBC #bbcpanorama special airing tonight, including an interview with @wesstreeting 1/3 www.bbc.co.uk/iplayer/epis...
bbc.co.uk
Panorama - Fixing the NHS: What Will It Take?
Alison Holt speaks to the doctors, researchers and frontline staff transforming their parts of the NHS to deliver better care.
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Simon Bottery @blimeysimon.bsky.social · 13/03/2025
“This government has certainly started something. But I don’t know how this is all meant to end. And more worryingly, I’m not sure who does.” Siva Anandaciva on the abolition of NHS England. www.kingsfund.org.uk/insight-and-...
kingsfund.org.uk
The Reshaping Of NHS National Bodies Has Only Just Started. How Will It Finish? | The King's Fund
Following the announcement that NHS England is to be abolished, Siva Anandaciva considers the implications and why at the moment there are more questions than answers.
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Simon Bottery @blimeysimon.bsky.social · 13/03/2025
Health and #socialcare often seem like they are going in different directions: here we have @NHSEngland functions being brought in-house to @DHSCgovuk at the same time as #socialcare policy is being outsourced to an independent commission. www.bbc.co.uk/news/live/cx...
bbc.co.uk
Keir Starmer to abolish NHS England and bring health service back under 'democratic control' - live updates
The PM says abolishing
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Simon Bottery @blimeysimon.bsky.social · 13/03/2025
"The most important question is how will the abolition of NHS England make it easier for people to get a GP appointment, shorten waits for planned care and improve people’s health?" The King's Fund response to today's announcement www.kingsfund.org.uk/insight-and-...
kingsfund.org.uk
The King's Fund Responds To Government Plans To Abolish NHS England | The King's Fund
Responding to today's announcement, Sarah Woolnough, CEO of The King's Fund, says that the government must be clear why this significant structural change at this time is necessary, and how it fits in...
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Simon Bottery @blimeysimon.bsky.social · 08/03/2025
It’s a strange old world when this is how we fund #socialcare www.thetimes.com/article/7a31...
thetimes.com
Shoppers hit by £2bn packaging tax ‘to prop up failing councils’
Ministers have been accused of bankrolling cash-strapped local authorities as the levy is no longer ring-fenced for improving recycling services
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Simon Bottery @blimeysimon.bsky.social · 07/03/2025
I can still vividly remember having a session on toothbrushing at primary school in the 1960s. What most stuck in my mind was advice that, if you don’t have toothpaste you can use salt or - cue howls of disgust from class - soap. And on occasions I have. www.thesun.co.uk/health/33727...
thesun.co.uk
Supervised school toothbrushing starts in weeks as kids' tooth decay soars
A NATIONAL program of toothbrushing at schools and pre-schools will start next month in a bid to stop dental decay. Three, four and five-year-olds will get free brushes and paste donated by Colgate…
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Simon Bottery @blimeysimon.bsky.social · 03/03/2025
Loading unfunded costs on care providers ultimately leads to a ‘doom loop’ in which fewer people receive #socialcare support. That’s the key lesson in this year’s Social Care 360 report. Here’s a short thread on the key findings ⬇️ www.kingsfund.org.uk/insight-and-...
kingsfund.org.uk
Social Care 360 | The King's Fund
Explore the key trends in adult social care in England in our latest 360-degree review.
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Simon Bottery @blimeysimon.bsky.social · 01/03/2025
For #socialcare people wanting to understand what’s going on at the top levels of the NHS, this is a must read www.kingsfund.org.uk/insight-and-...
kingsfund.org.uk
What Will The Relationship Between Ministers & The NHS Be In Future? | The King's Fund
Following the recent announcement of changes to the top of NHS England, Nicholas Timmins and Professor Sir Chris Ham take a look back at the chequered relationship between government and the health se...
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Simon Bottery @blimeysimon.bsky.social · 28/02/2025
Which #socialcare staff have the highest wellbeing at work? According to this newly released @DHSCgovuk survey, it’s personal assistants. Care workers and - perhaps more surprisingly - social workers/nursing associates are at the bottom. Lots more in the report : thread here ⬇️
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Simon Bottery @blimeysimon.bsky.social · 25/02/2025
It was always going to be a tough ask to get cross party support for #socialcare reform but this difficulty, according to ⁦‪@BBCNews‬⁩, is administrative rather than ideological. www.bbc.co.uk/news/article...
bbc.co.uk
Social care: First cross-party talks on reforms postponed
The five largest parties in England were due to meet this week - but the BBC has learned the talks have been cancelled.
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Simon Bottery @blimeysimon.bsky.social · 24/02/2025
Here’s the classic error of assuming that what applies to the NHS must also apply to #socialcare. Yet you can’t simply apply the planned NHS ‘shifts’ described here - hospital to community, sickness to prevention and analogue to digital - to social care. 1/5 www.standard.co.uk/news/politic...
standard.co.uk
Social care must be ‘modernised’ to help councils on brink of bankruptcy - minister
London’s boroughs have warned that they have faced ‘rocketing demand for social care’
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Simon Bottery @blimeysimon.bsky.social · 22/02/2025
Whether or not you’re religious, this is good on community action in #socialcare. It draws on @annadixonmp.bsky.social #reimaginingcare report, which made a critical point about the need to agree the roles of individuals, families, communities and govt in care. www.thetimes.com/article/b56f...
thetimes.com
Churches can help solve the social care crisis
It is about attending to people’s physical, social and emotional needs so that we can all live a full life
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Simon Bottery @blimeysimon.bsky.social · 19/02/2025
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Simon Bottery @blimeysimon.bsky.social · 18/02/2025
Big contrast here with drugs treatments for #dementia - this is a personalised behavioural programme, delivered by non-clinicians e.g. carers or #socialcare staff. The cost saving claims need scrutiny but are a welcome attempt to quantify value. www.thelancet.com/journals/lan...
thelancet.com
Cost-utility of a new psychosocial goal-setting and manualised support intervention for independence in dementia (NIDUS-Family) versus goal setting and routine care: an economic evaluation embedded wi...
NIDUS-Family is the first personalised care and support intervention to show both cost-effectiveness from the perspective of the quality of life of people with dementia as well as clinical effectivene...
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Simon Bottery @blimeysimon.bsky.social · 17/02/2025
We know that council tax is a bad way of funding adult #socialcare because it raises less money in areas with highest demand for publicly-funded care. But here’s another reason from @resfoundation - council tax puts more of a burden on low income families than wealthier ones. 1/3
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Simon Bottery @blimeysimon.bsky.social · 13/02/2025
This seems to me a helpful way of considering the value of disease-modifying drugs for #dementia - to what extent do they reduce loss of independence? It suggests a delay in lost independence of between 10 and 13 months. #socialcare alz-journals.onlinelibrary.wiley.com/doi/full/10....
alz-journals.onlinelibrary.wiley.com
Assessing the clinical meaningfulness of slowing CDR‐SB progression with disease‐modifying therapies for Alzheimer's disease
INTRODUCTION For many patients and caregivers, a major goal of disease-modifying treatments (DMTs) for Alzheimer's disease (AD) dementia is to extend independence in instrumental and basic activitie...
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Simon Bottery @blimeysimon.bsky.social · 05/02/2025
This @TheIFS analysis of the 2025/26 local government finance settlement calculates it’s a 6.4% real terms increase. While substantial, it will still be a stretch to fund extra #socialcare costs, driven especially by the NICs increases for care providers. ifs.org.uk/articles/ifs...
ifs.org.uk
Response to the final English local government finance settlement | Institute for Fiscal Studies
2025–26 will continue the substantial above-inflation increases in funding for English councils, but their costs have also been outpacing inflation.
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Simon Bottery @blimeysimon.bsky.social · 04/02/2025
I saw this and just had to look up the numbers: councils in fact spend 34 times as much on adult #socialcare as they do on streetlighting. Yet streetlighting is - literally - a more visible service so you can understand its equivalence in the headline. inews.co.uk/news/politic...
inews.co.uk
Streetlighting and social care at risk as councils warn of 'severe' cuts
County councils warn of cuts to frontline services despite council tax rise
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