Letter: Health and social care partnerships “not working”
11 January 2018
In regards to the letter from Andrew Walker, perhaps another way to look at the
Integrated Joint Board — created to have health care and social care work in tandem
— is to say that the NHS Western Isles is “back- door funding” the Comhairle.
all, if the council is not spending all it can to get patients - when ready to leave
hospital - back home, then the NHS is picking up the bill for this.
in most cases to be at home to recover, and they need a care plan with assistance
from both social care workers and nurses. If the council department cannot get a
care plan together, people stay in hospital at a much greater expense to the public
purse. They can become less mobile and physically more dependent. A spiral ensues
which is not good for either the patient nor the system of care.
Amid this under-spend by the Comhairle, is the news that they want to create a completely
new facility — rather than improving home care and fixing the existing provision
for institutional care — at a great expense (which they apparently cannot afford).
It appears to be a classic case of a council needing shiny new things to display,
in cooperation with the local developers and construction companies. It is not necessarily
putting people first.
Recently a columnist in the Glasgow Herald suggested that the
I.J.B.s across Scotland are not working as envisioned. That would seem to be the
case on the Western Isles, too.