Posts tagged ‘biopsychosocial (BPS) model of assessment’

Will UBI Be The Right Solution?


 

 

 

 

 

 

This Week Labour has been talking about the prospect of UBI if a Labour Government came to power.

A report by Guy Standing for the Progressive Economy Forum UBI Pilots who is deemed the expert in this field published his ideas on how the UK could make this work.  This blog will about that discuss this and the flaws in his argument.

Firstly his claims that other pilots have been successful is a matter of opinion, I cant see how this claim can be made,  given each of the pilots mentioned operated very differently so therefore are not comparable as they would need to be identical in operational terms. Many have been scrapped and reported as failures.This idea has been around since C 1200 yet none of the previous UK governments have implemented it , even though it has been discussed many times. Why because it was deemed it wouldn’t work.  Are Labour digging up a corpse?

The Pilots suggested by Guy Standing are as following:

Five types of basic income pilot that are
recommended:
• Model A. Under this variant, a sample of people – a whole community defined
as a locality – would be provided with basic incomes, with additional separate
benefits for those with special needs. The basic income would be provided
instead of existing means-tested benefits, with the exception of housing
benefit, which should be retained (or be replaced by an equivalent to
compensate for any loss of the housing element of Universal Credit).
Provisionally, it is proposed that every adult in a selected community would be
provided with £100, with £50 for each child, and with additional separate
benefits for those with disabilities. As indicated later, the selection of the
community should be random and be drawn from a group of low-income
communities.
Bearing in mind that existing benefit levels have been allowed to fall in real
terms and that there is nothing optimal about existing tax rates, this model
should be regarded as realistically aspirational, in that it the test would be to
see the impact on the population, recognising that funding such a scheme
nationally would involve a significant cost that would have to be met by tax
increases, diversion of public spending from other uses (such as subsidies and
tax reliefs) or the establishment of a national commons fund as described
earlier. A primary purpose of this Model would be to determine whether the
benefits of such a scheme – such as improved health, reduced stress, more
work and less crime, as found in pilots elsewhere – would merit consideration
of this option in the future.

• Model B. Under this variant, a sample of people – again, preferably all members
of an identifiable locality – would be provided with basic incomes of £70 per
week for working-age adults, and £20 per week for children on top of Child
Benefit. Tax codes for every recipient would become BR, thus imposing the
basic rate of income tax on all earned income below the higher rate tax
threshold. Means-tested benefits would be left in place, and basic incomes
would be added to the means taken into account in their calculation, so each
recipient household’s means-tested benefits would be automatically adjusted
downwards, and their means-tested benefits would also be automatically
adjusted upwards by the changes in net earnings brought about by the tax
code change. Administration of the scheme would be possible if the recipient
community were to be defined by postcode boundaries and the government
was able to instruct HMRC and DWP to make the necessary changes within
the recipient community.

• Model C. Under this variant, a sample of people – again, preferably everybody
in a local community – would be provided with basic income as a supplement
to their existing state benefits. This would be firmly in the spirit of common
dividends, and the per capita amount could be less than in the first case. One
option might be to provide every adult in a community with a tax-free £50 per
week for one year that was not taken into account in determining access to
means-tested benefits. This would strengthen income security and be
progressive, since the amount would represent a larger proportion of the
income of a low-income person than for others.

• Model D. Under this variant, a sample of welfare recipient adults would just
have existing conditions for entitlement to existing means-tested benefits
removed, so as to make the benefits closer to a basic income, notably by
removing forms of behavioural conditionality that permeate Universal Credit
and other benefits at the moment. This type of experiment is close to what is
currently being tested in The Netherlands and Finland, as described in
Appendix A. It would have minimal net cost, and might even save public money.

• Model E. A fifth type of experiment is very different from all the others. This is
sadly relevant to the austerity era, and would be a refinement of an approach
taken in the City of London some years ago. As described in Appendix A, the
gist of the policy was that a group of homeless were given a cash grant instead
of the various measures made available, and it led to most of them obtaining
places to stay, and thus actually saved the council considerable money over
the longer term. Given the horrifying growth of homelessness across the
country, this experiment should be repeated in a few other, randomly chosen
places. It should not be made a national policy, but the results could be taken
into account in formulating and implementing a national basic income system.

To make UBI work in the UK it would take some radical changes not just in thinking ,but with certain groups in society who cannot work such as Disabled People,Carers ,Elderly for a variety of reasons. One annoying trait with all governments is the focus on getting people into jobs, which isn’t a bad idea in itself if they can , but with total disregard to those who cannot, as if it is like some sort of Utopian world view where work is the be all and end all of life. With many on low wage zero hr contracts and not enough FT jobs or skilled workforce to fill current vacancies. Many people are working less than 3 hrs a week but classed as employed by government ,yet complaining about the welfare cost rising and counted as claimants too . Many are grandparents/ parents who are picking up childcare for example or carers which actually saves Governments an absolute fortune in service provision.

For any UBI scheme to work in the UK  these marginalized and demonized groups need to be included and additional bolt ons, like disability premiums,PIP, AA,Carers Premiums,Child Elements,Housing Benefit must be retained and set at a realistic level  and to cope with modern society after Brexit,  if that happens, with rising costs and inflation etc. The figures quoted by Standing are unrealistic in the modern world with AI creeping into the workplace and less than current payments on Universal Credit for some and in Scotland even less money.

A flat rate fits all approach will fail without doubt and plunge many into a worse situation than they are currently facing under Universal Credit. we shouldn’t throw the idea out altogether but if Labour wants this to work, it first needs to Listen to those on the receiving end of the policies put forward not just so called experts. Sanctions and Behavioral Conditionality,  the awful WCA/PIP assessment processes  that currently are costing a fortune both monetarily and with reported deaths of claimants should be abolished as promised and the rapid rise of homelessness. There should be a claw back process for those who gain employment set at a certain threshold ie: 50k.

Disabled people in particular have higher costs (500mth) because of disability and social care needs, we need to make it possible for those who can work to get jobs, keep mobility vehicles to enable them to get to work , eat healthy food, put clothes on their backs and pay their bills  and even a holiday which will all benefit long term costs in other areas as well as make them healthier both mentally and emotionally and  initial costings will in the  long term cut costs in other areas.

Critics on all sides make wild claims for and against this idea but if well thought out , it might just work! Piloting different approaches are not helpful in some ways as they are costly on both sides of the argument, but a well thought out UBI might work for the many and not the few .

I’m still wary of ‘False Prophetic’ claims of a brave new world of welfare state, in fact I may not live to tell the tale, but this has to be done properly for the generations to come who need support of a safety net just because they Can’t!

 

For those wishing to read Standings report: https://www.progressiveeconomyforum.com/wp-content/uploads/2019/05/PEF_Piloting_Basic_Income_Guy_Standing.pdf

 

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Independant Researcher Mo Stewart Challenges DWP Cheif Medical Officer


 

 

 

 

 

 

 

 

 

 

Independant Researcher Mo Stewart today challenged the Chief Medical Officer at the DWP Prof Dame Sally Davies in a letter  at the research that she and many others have done over many years, regarding the preventable harm committed by the state on disabled people in the UK.

 

The DWP are found wanting on many levels as the truth is becoming more transparent to many people who circumstances means they need state support, under the falsehood of Austerity.  After years of welfare reforms and the terrible consequences of these policies in the media cannot be hidden any longer,although the press have colluded in this failing to report such cases. Disabled people have taken to direct action and doing research which has been presented to the UN who were scathing of the Government reforms and treatment of disabled people In UK, stating ‘Grave and Systemic Violations of disabled people in the UK’.

 

Now Universal Credit the flagship policy  by Iain Duncan Smith is causing widespread criticism and hardship has hardly been out the headlines due to it endemic failures of administration which is cumbersome to say the least, let alone very costly to the public purse and the savings forecast at its launch will be unlikely to emerge  . The Government’s cavalier attitude ‘carrying on regardless’ attitude is a failure of the state to protect the very people they said would be protected and who thus far have born the brunt of savage cuts to welfare spending than any other group in society so far.

 

 

Link : Mo Stewart letter

 

Redacted Letter Prof Dame Sally Davies 3rd MAY 2019 by Gail Ward on Scribd

The Death of the Welfare State-Joining the Dots Series -Part 4


 

 

 

 

 

 

 

 

 

By blueannoyed and Paula Peters

Finally we get to to the next stage of government bullying via the NHS. How this links in to Social Security Claimants and their ability to keep some sort of financial security while fighting off the despicable onslaught of the Government who is out of control  , whom have sociopathic  tendancies.

Today I discussed the situation of the NHS  10 year plan , The new 5 Year GP Contract , Social Prescribing,and the  needs of claimants trying to get support or access to services they need to maintain their well being, in this survival of the fittest campaign launched by their government with Dr Bob Gill,  a GP who has spoken out against the great NHS heist of Privatisation.

I asked Dr Gill How he thought the relationship between patient and claimant could be damaged with the new GP Contract which every GP will have to sign up to in May 2019?

I also asked him about social prescribing and its potential impact on patients who need state support and claim Social Security?

 

He described to me that Patients are already coming to surgery with anxiety and depression or ill health due to hostile environment that austerity is creating, and the system is making people ill, or in a lot of cases more ill than they were.  Making it unlikely they will be able to manage their conditions in same way they currently do.

He stated that perverse financial incentives for ‘sociopathic ‘ assessors are leading to really bad outcomes for claimants and  pressures upon the public purse, as well as increased workload on GP’s whose patients need help with appeals etc. This contract will effectively making GP’s Gatekeepers which is not what they chose to be when studying medicine to become a GP.

He said the Government is driving a wedge between the patient and their GP and pitting them against each other,  and that will most likely mean the good GP’s will leave while those without no consciousness will reap the rewards offered by the Government and DWP .

Social Prescribing, is blaming the patient for their situation and the whole treatment process of being denied to the proper care that the patient needs. I asked him about the potential that with ‘patient coaches’ (aka work coaches) who have too much power could lead to those who most need support and are extremely vulnerable ,are likely to  disengage with their GP and fall through the cracks and could ultimately end in their demise which he agreed with my assumption. He stated that Patients/Claimants and GP’s are victims of a government who doesn’t care.

 

The definition;  Sociopathic tendencies in people are often marked by lack of conscience within the person. They just care about their own needs and desires

 

Video:

 

This is the tip of the iceberg of how it could impact on claimants needing further medical evidence support, getting a Fit Note if they are off work through ill health to claim state support, which under Universal Credit they would need to do so repeatedly.

The breakdown of trust between claimants and GP or other NHS staff has the potential to cause a rise in further deaths which have happened already under its predecessor ESA. That’s without the 120,000 who died due to poor care in NHS, etc as diseases previously eradicated are now making a comeback due to austerity measures and abject poverty.

This is Government Quackery on the cheap by unqualified people, dismissing medical opinion of professionals while eroding our NHS services and underfunding essential services that patients need and a NHS they can trust and flogging it to their mates. It beggars belief that the public would allow this to continue or collude with the government by being taken in about better services and cutting waste of NHS resources, or blaming migration, when they have slashed NHS budgets for decades along with New Labour who are not blameless in this re PFI acceleration under Blair.

Below Published with Kind Permission of ck999 Blog Page which has lots more  information,  link is  below in further reading.

Instead of caring for a few thousand patients, a primary care network will have anywhere between 30K-70K patients on its list. In order to provide out-of-hospital care, as hospitals are centralised and cut, it will “integrate” a range of services, provided by a “multidisciplinary team”.

 

A number of primary care networks will be linked to a “locality hub”. There are various versions of what this is, but the British Medical Association has endorsed locality hubs as “ alternative mechanisms to meet the urgent needs of patients when local practices have reached capacity”

 

 

A BMJ graphic shows other activities taking place at Locality Hubs, as well as handling GP “overspill”.

Only patients with complex needs will see GPs

Many GPs are not at all happy about this fundamental change to their role.

The way it works is that a care navigator signposts patients to other services, with no reliance on GPs. This has already been happening in GP surgeries for some time and as all GPs are forced to join Integrated Primary Care Networks, it will now become the norm.

Patients with complex needs – who are at risk of admission to hospital through A&E – will be identified through a process of “risk stratification” which segments patients into various categories.

Risk stratification requires the use of digital health technology (so called telehealth and telecare) and shared electronic patient records.

The concern of primary care networks is to cut the costs of the most expensive categories of patients

These are broadly:

  • Frail elderly with complex health problems
  • Mothers and babies
  • People suffering from the “modern epidemics” of obesity, diabetes, heart and respiratory problems
  • People with disabilities

However there is no real evidence that the “care models” designed to treat these categories of patients cut costs. Or give them better care.

Cutting most patients’ access to GPs will have extremely damaging effects on patients who need a Further Medical Examination for benefit claims, because they need access to a doctor to write letters. Without a Further Medical Examination, a disabled person won’t be able to claim benefits. This is about the destruction of the welfare state. It’s about taking rights away.

The DWP now have people in mental distress top of their target list to get back to work. Which is where Universal Credit will really come into play with this.

The mental health charity MIND won the Individual Placement Support contract – part of the DWP/NHS Health and Work Programme. Individual Placement Support is about the ‘health and work conversation’: Work is good for Anxiety and Depression. What barriers are there to you working?

This is where social prescribing link workers come into play – where they look at barriers to you working. And then prescribe self management. Self care. Via a behaviour change scheme most likely run by a cash-strapped 3rd sector organisation with no therapeutic skills.

The “work is a health outcome” programme – a dangerous partnership between DWP and the NHS – is creating a toxic environment that is compromising doctors’ ethics of Do No Harm.

This link between the DWP and the NHS needs to be broken once and for all.

But the NHS Long Term Plan has no such intention. It name checks Sheffield City Region’s “Working Win” large scale research trial.

It focusses on using a new type of Individual Placement Support to get people with mental health and musculoskeletal conditions into employment. (These are the two main conditions that prevent people from working.)

This list is in NHS England’s new Health Services Support Framework, which identifies approved suppliers that NHS commissioners and providers can hire to tell them how change to the way they work in order to fit the global corporate model of healthcare.

Unsurprisingly the approved suppliers include all the usual suspects and then some:

How did this happen?

The government and its quango NHS England – official name NHS Commissioning Board – have engineered this by drastically cutting primary care funding and driving hundreds of GP practices into bankruptcy, while GPs in droves have been taking early retirement or emigrating to places like Australia where the GP workload is far more manageable.

GP practices are folding at the rate of one a week. In the last year, tens of thousands of patients have found themselves losing a practice, or having it merged with some random practice more or less in the same neighbourhood.

Simon Stevens, the NHS England Chief Exec, has been saying for years that the corner shop version of family doctors has to go, to be replaced by a supermarket version of large scale integrated primary, community health and social care services.

Now he is making that happen.

 

Your NHS is on life support, welcome to the American style  health care system you allowed to happen, hope you got deep wallets or insurance which is the real end game , if not  you will be one of those unfortunate that will meet a early end of life because you happen to be poor and can’t afford Insurance.

 

 

Gp Contract 2019 by Gail Ward on Scribd

https://www.scribd.com/embeds/403999299/content?start_page=1&view_mode=scroll&access_key=key-Jj5snwwqSUkSKkijC8SX&show_recommendations=true

 

Further reading can be found below: Also check out my Social Prescribing Blog

 

 

http://www.hcbgroup.co.uk/is-there-a-cure-for-the-healthcare-and-wellness-marketplace-confusion/

https://www.kingsfund.org.uk/sites/default/files/media/commission-appendix-uk-private-health-market.pdf

https://www.nhsconfed.org/resources/key-statistics-on-the-nhs

https://www.thetimes.co.uk/article/benefits-staff-want-permission-to-trawl-through-patient-records-qgfx3qwv6?fbclid=IwAR2_NnYlbY30iDY0R7A5g1kDduyMYQyz3jSVSEtwvuHDauSi2qFIBjQT7GI

https://www.digitalhealth.net/2019/01/hancock-gp-it-systems-shake-up/

https://digital.nhs.uk/services/gp-systems-of-choice?fbclid=IwAR17Oz6RjrDf3JwafPgYKoYNZpZaer6PccQ6CAfpp3F1UCILUbM0yM_NQ5Y

Scotland : https://bjgp.org/content/67/660/294

https://www.hsj.co.uk/policy-and-regulation/all-gps-expected-to-sign-up-to-network-contracts/7024128.article?fbclid=IwAR2n3-PhhNIqkIyk7koL68UUJgbjRvwfUk7oozFRn0r9sKT4j6a4hqkuQl4

https://calderdaleandkirklees999callforthenhs.wordpress.com/2019/02/16/large-scale-integrated-primary-care-networks-what-lurks-beneath-the-buzz-words/?fbclid=IwAR1UKBhGpV9lrEyZNHJAlrbIUhn4gyf1LTZzUhzwgXZY2zBeUDDl5RKvhDI

https://www.gov.uk/government/news/nhs-can-move-towards-more-coordinated-and-continuous-care?fbclid=IwAR1dV1Lsx0UW-eryC0hphKqR9H_kV8g7urVdcWRBRo8eMI14U1oueyonVi4

https://www.gov.uk/government/news/nhsx-new-joint-organisation-for-digital-data-and-technology?fbclid=IwAR2ekyJayhEU-K3qMZWBETmBEnj3JpLWxEDbhfjOADCSL-MrM85Fdu0nH9E

https://www.telegraph.co.uk/news/2019/02/12/nhs-ends-block-smartphone-gps/?fbclid=IwAR2UprOiA8MK8gTpJtKHcKw2wzFj4XZYvCVvVXFx5i67dCuiacfXBxMSVUk

https://www.theregister.co.uk/2019/02/19/dwp_health_data_tool/?fbclid=IwAR1fIqnGW0naqOcwRhVigQvi7RELPmbsnkcL58r8_dKMY8R9r-rhbqEKFvY

https://www.telegraph.co.uk/news/2019/02/12/nhs-ends-block-smartphone-gps/?fbclid=IwAR2UprOiA8MK8gTpJtKHcKw2wzFj4XZYvCVvVXFx5i67dCuiacfXBxMSVUk

https://www.england.nhs.uk/2016/11/back-to-work-support/

https://kittysjones.wordpress.com/2019/02/15/the-dwp-is-trying-to-co-opt-gps-in-forcing-ill-people-into-work/?fbclid=IwAR1DcTZFX3tIyJ4ogkvYaSf-p-y3zktL7W1mPqUYcRYVlZcmWotLlJe2I30

http://www.pulsetoday.co.uk/news/hot-topics/gp-contract-2019/20/all-the-headlines-from-the-2019/20-gp-contract-at-a-glance/20038181.article?fbclid=IwAR3mfOnFVg97TfSd0z2MwbdC_3SlFDzhi45MX350SynIJihZl3Ij7GpCw5U

https://www.independent.co.uk/news/health/tory-austerity-deaths-study-report-people-die-social-care-government-policy-a8057306.html?fbclid=IwAR2A_EzuW0s_CCrblXJMqvI5MlVwj6aT8Ca5GVeXiyGmp53lqvSz6aJNBKA

http://www.pulsetoday.co.uk/physician-associates-can-do-gps-work-more-cheaply/20009818.article#.XGgjirXD-vI.mailto

The Death of the Welfare State-Joining the Dots Series -Part 3


 

 

 

 

 

 

 

 

 

 

By blueannoyed and Paula Peters

So here we are  with the Tories in power and the many Welfare Reform Bill’s that have been passed  in full swing including the introduction of a further change called Universal Credit in 2013 , which was to be rolled out later across UK  to those on certain Income related benefits, including story after story of people being denied benefits unlawfully and their hardship or worse still the fatal consequences in some cases being highlighted across the HOC by MP’s from all sides. This caused outrage  except with the general public who had not a clue what was happening  thanks to the Tory propaganda machine hiding it all and the media colluding in it except for a few exceptions of some journalists, like Frances Ryan,Patrick Butler, Amelia Gentleman,Sonia Poulton and a few others. to those claiming it was like living in a Orwellian nightmare they had no chance of escaping.

DPAC collected stories and sent them to the UN  asking for help and intervention to bring this to the attention of the public and others highlighting it by taking the Government to the High Court.  This UK Government is only one in history to be found guilty of ‘grave and systemic violations of disabled people’ and further visits by the UN rapporteur Philip Alston condemned them in further reports.   Meanwhile many were distracted by the fact that David Cameron called a referendum which would divide a nation  and privatization of the NHS accelerated to bring it all together to remove the welfare state under the NHS Five year Forward View,and the  Work & Health Programme which is part of Universal Credit, In 2016  The Dept of Health and DWP joined forces  the message was to cut the disability gap for disabled people to be able to work  and remove barriers to work in the green paper Improving Lives-The future of Work,Health, Disability. The catch phrase was ‘Work is a Health Outcome’  This replaced the 2010 work programme’s.

The Impact this will have now and in the future is going to see many people moving into work that can and those that cant forced into impossible situation of mandatory schemes  to get them back to work.The Work and Health Programme is a Welfare to Work programme commissioned by the Department of Work and Pensions (DWP). It is designed to improve employment outcomes for people with health conditions or disabilities and those unemployed for more than two years.

The rollout of UC has to say the least been controversial  the media stories of hardship forced many changes under various ministers (8 to date) who came and went faster than a windy day due to its failings, yet this government still refuses to scrap this dangerous policy to save face , even when it has been pointed out it wont work for so many and is cruel and twisted ideology behind it is flawed.  Even the media have called for it to be stopped, and it has been subject to the making of a few programmes which have shocked even the hardest critic of those claimants ‘Sitting on the Dole’ ‘Something for Nothing Culture’ screaming about their taxpayers money being spent on ‘Dole blaggers’! The huge increase in hate crime and towards anyone that didn’t work , homeless, disabled and the hostile environment created by this Government has had even some of its supporters  say enough is enough and it must change or stop and fix the problems, but No this government carries on regardless with claims its working and employment rates are highest they ever been which doesn’t bear scrutiny .

 

Further reading;

 

https://kittysjones.wordpress.com/2015/10/28/the-government-plan-to-nudge-sick-and-disabled-people-into-work/

https://kittysjones.wordpress.com/2017/10/22/the-connection-between-universal-credit-ordeals-and-experiments-that-electrocute-laboratory-rats/

https://www.england.nhs.uk/2016/11/back-to-work-support/

https://www.shaw-trust.org.uk/Services/Work-and-Health-Programme

https://blueannoyed.wordpress.com/2018/11/14/panorama-universal-car-crash/

https://blueannoyed.wordpress.com/2017/11/30/iapt-the-governments-magic-cure-for-mental-health/

https://blueannoyed.wordpress.com/2017/11/04/health-work-programme-universal-credit/

https://blueannoyed.wordpress.com/2019/02/09/health-work-programme-part-2/

 

The next blog will be how the NHS changes will affect the many and how all this will link together and the effects of patients and those who will be affected by Universal Credit such as Social Prescribing , access to GP and a Interview with Dr Bob Gill who has been telling us all about the privatisation of the NHS for some years.

The Death of the Welfare State-Joining the Dots Series -Part 2


 

 

 

 

 

 

 

 

 

 

By Blueannoyed  and Paula Peters

So lets look at the next stage of where it all went badly wrong and joining up a few more dots.

Private Finance Initiative (PFI) schemes were introduced to the UK under the John Major Government in the 1990s, with the first project Skye Bridge https://www.youtube.com/watch?v=rDDTu7kZUjA .Tony Blair’s New Labour Government significantly expanded PFI as a convenient way of funding public infrastructure “off balance sheet.” Despite frequently calling for an end to “Labours flawed PFI program” whilst in opposition, in 2011 Chancellor George Osborne re-branded and continued the PFI gravy train under the “PFI 2” banner. NHS Trusts owe £80bn in PFI loan repayments and “unitary charges,” the technical term describing the extortionate ongoing running costs of maintaining PFI hospitals via PFI – where private contractors are granted 30-year monopoly rights to deliver maintenance and services.

https://www.opendemocracy.net/ournhs/joel-benjamin/seven-things-everyone-should-know-about-private-finance-initiative

In recent years reform of the welfare system in Britain began with the introduction of the New Deal programme  introduced by the Labour government in 1997. The aim of this programme was to increase employment through requiring that recipients make serious efforts to seek employment. The Labour Party also introduced a system of tax credits for low-income workers. The Welfare Reform Act 2007 provides for “an employment and support allowance, a contributory allowance, [and] an income-based allowance.”. The objectives of the Welfare Reform Act of 2007 were to increase the employment rate to 80% from 75%, to assist 300,000 single parents find employment, to increase the number of workers over 50 by 1 million, and to reduce the number of people claiming incapacity benefits by 1 million.

In the 2009 Welfare Reform Bill This welfare reform proposed an increase of personal responsibility within the welfare system. The reform eliminated Income support, and allocated funds over to the Jobseeker’s allowance, to encourage employment. It also encouraged increased parental responsibility by amending child support laws, and requiring births be registered jointly by both parents. This is basically how we got to David Cameron In power with the help of the Lib Dems. Building on Thatchers Legacy they all equally promoted on the capitalist world stage.

Disability campaigners saw this coming this is how the main groups in 2010 like DPAC (Disabled People Against Cuts) Black Triangle Campaign in Scotland and Spartacus Campaign,Pats Petition,WOW Debate MHRN (Mental Health Resistance Network)and many others were created to fight against the forthcoming erosion of the welfare state and austerity measures in the pipeline that was to be foisted onto the most vulnerable in society in the hope there would be little opposition, well they got that wrong! Disabled people started to take to the streets warning of what the end game was yet they were often dismissed as scaremongering by the general public but that did not deter them. When people start to die you just cannot sit and do nothing and boy did they take to social media too,  all working together behind the scenes collectively to raise awareness of what was happening to people under these new reforms .  The campaigns that hit headlines were Spartacus twitter  campaign ‘I Am Spartacus’, DPAC ‘s  Independant Living Campaign (ILF) 2010  one thing for sure disabled people were not going to suffer in silence they were going to take this fight to the government and still are! DPAC disruptive direct actions are notorious and they took their concerns to the UN over deaths that were occurring as people slipped through the cracks, while others produced hard evidence of what was going wrong and how to fix it by lobbying ministers to their plight.

ATOS  was the main contracted  outsourced provider of new Biopsychosocial model assessment regime designed by the likes of Mansell Aylward , Gordon Wadell,  (The biopsychosocial approach systematically considers biological, psychological, and social factors and their complex interactions in understanding health, illness, and health care delivery.)  Iain Duncan Smith and Lord Freud,Frank Field et al  grabbed this flawed research with gusto and turned it into something brutal and unrecognizable removing the safety net of the welfare state for those who need it. This government have created a hostile environment for anyone who needs state support with lies about claimants taking taxpayers money while they are working hard to pay taxes. The demonisation started by IDS et al all feeds through to the general public  via the media that those needing support via his scrounger rhetoric, lazy ,feckless , money for nothing,hard working people are just a few of the soundbites used harking back the the victorian days of blaming the person rather than state failures to provide jobs in a failing economy since the 2008 global crash.

 

Iain Duncan Smith (Center for Social Justice)  -Between 1997 and 2001, he was Shadow Secretary of State for Social Security and then Secretary of State for Defence. From 2001 to 2003, he was leader of the Conservative Party and then from 2003, having stepped down as leader of the Conservative Party, he set up the Centre for Social Justice (CSJ). The CSJ was an organisation dedicated to focussing on the problems facing those in the lowest income groups in society. It published a series of reports, perhaps the most significantly, “Breakthrough Britain: Ending the Costs of Social Breakdown”, focusing on the five pathways to poverty and a Conservative way to implement social justice and improve the quality of the poorest in society. It is also worth noting that in 2013, the CSJ published the paper on modern day slavery, “It Happens Here: Equipping the United Kingdom to Fight Modern Slavery”, which subsequently led to Theresa May enacting legislation on this matter. In 2010, Iain Duncan Smith became Secretary of State for Work and Pensions, a position he held until he resigned in a dispute with the Chancellor over his determination to reduce his expenditure on disability benefits by over £1 billion. During his time as Secretary of State for Work and Pensions, he undertook the most significant programme of welfare reform in modern times, transforming the benefit and pension systems, as well as employment services and support. Perhaps the most significant reforms were the introduction of Universal Credit, (bringing together the six unemployment and sickness benefits), the Work Programme, for the first time bringing together private and voluntary sectors to get unemployed people back into work, and the introduction of the Single Tier Pension simplifying the State Pension.

https://www.centreforsocialjustice.org.uk/

 

Many battles have been fought since then and the Labour Government started to listen and ministers started to support disabled people in their fight and Ministers from all parties started to have their surgerys full of cases where this regime change was causing preventable harm. Meanwhile the Tories continue to ignore it and dismiss it as ‘work as a health outcome’ and disabled people as scaremongering despite extensive evidence to the contrary.

Further reading:

https://dpac.uk.net/research/

http://www.welfareconditionality.ac.uk/2017/07/demonising-disabled-people-public-behaviour-and-attitudes-during-welfare-reforms/

https://truepublica.org.uk/united-kingdom/killed-by-the-state/

https://www.inclusionlondon.org.uk/campaigns-and-policy/facts-and-information/independent-living-social-care-and-health/ilf-one-year-on/

https://kittysjones.wordpress.com/2016/11/29/rogue-company-unum-had-a-profiteering-hand-in-the-governments-work-health-and-disability-green-paper/

https://kittysjones.wordpress.com/2015/07/18/a-brief-history-of-social-security-and-the-reintroduction-of-eugenics-by-stealth/

Spartacus Reports:

http://www.ekklesia.co.uk/search/node/spartacus?fbclid=IwAR0oZ4h1GCEG62yOm4M1V8ir_UnEPN-Oq0jJuhlXBpzLHIPgxko3Luy4H6U

https://spartacusnetwork.wordpress.com/?fbclid=IwAR1uGHwGNaggW9dMo7cbdG1WCT33SJK979fd99uQ4lENhKvi1v5bW-KLA3E

 

Social Prescribing -Whats Next at your GP Surgery


 

 

 

 

Image Courtesy of Social Prescribing Network

 

 

 

 

 

 

 

 

 

Social Prescribing  in the NHS is a part of NHS 10 yr Plan. How will it affect you?

Well here is a video and documents to explain what it is  but one thing it is leading to is Privatization on  ‘speed ‘ as the Government  implement  STP and ICS throughout NHS  and a reworking of the GP Contract. will it affect us all of course it will under this regime who are flogging the crown Jewels of to leave us with an Americanized welfare system of two tier. The insurance lobbies are waiting patiently to make a killing while many wont be able to access quality health care as under the NHS that was created as part of the Welfare State delivered to us by Nye Bevin.

 

My Interview with Dr Gill:

22/2/19

I asked Dr Gill How he thought the relationship between patient and claimant could be damaged with the new GP Contract which every GP will have to sign up to in May 2019.

I also asked him about social prescribing and its potential impact on patients who need state support and claim Social Security.

 

“He described to me that Patients are already coming to surgery with anxiety and depression or ill health due to hostile environment that austerity is creating, and the system is making people ill, or in a lot of cases more ill than they were.  Making it unlikely they will be able to manage their conditions in same way they currently do.

He stated that perverse financial incentives for ‘sociopathic ‘ assessors are leading to really bad outcomes for claimants and  pressures upon the public purse, as well as increased workload on GP’s whose patients need help with appeals etc. This contract will effectively making GP’s Gatekeepers which is not what they chose to be when studying medicine to become a GP.

He said the Government is driving a wedge between the patient and their GP and pitting them against each other,  and that will most likely mean the good GP’s will leave while those without no consciousness will reap the rewards offered by the Government and DWP .

Social Prescribing, is blaming the patient for their situation and the whole treatment process of being denied to the proper care that the patient needs. I asked him about the potential that with ‘patient coaches’ (aka work coaches) who have too much power could lead to those who most need support and are extremely vulnerable ,are likely to  disengage with their GP and fall through the cracks and could ultimately end in their demise which he agreed with my assumption. He stated that Patients/Claimants and GP’s are victims of a government who doesn’t care.

This is the tip of the iceberg of how it could impact on claimants needing further medical evidence support, getting a Fit Note if they are off work through ill health to claim state support, which under Universal Credit they would need to do so repeatedly.

The breakdown of trust between claimants and GP or other NHS staff has the potential to cause a rise in further deaths which have happened already under its predecessor ESA. That’s without the 120,000 who died due to poor care in NHS, etc as diseases previously eradicated are now making a comeback due to austerity measures and abject poverty.

This is Government Quackery on the cheap by unqualified people, dismissing medical opinion of professionals while eroding our NHS services and underfunding essential services that patients need and a NHS they can trust and flogging it to their mates. It beggars belief that the public would allow this to continue or collude with the government by being taken in about better services and cutting waste of NHS resources, when they have slashed NHS budgets for decades along with New Labour who are not blameless in this re PFI acceleration under Blair.

Your NHS is on life support, welcome to the American style  health care system you allowed to happen, hope you got deep wallets or insurance which is the real end game , if not  you will be one of those unfortunate that will meet a early end of life because you happen to be poor and can’t afford Insurance.

 

.Dr Bob Gill speaks out : https://youtu.be/l4wQ577Me30

 

Below is the Video of Tim Owen Jones in Bromley

 

 

 

 

 

 

 

 

Link to Making Sense of Social Prescribing

 

 

For more info  :

 https://www.westminster.ac.uk/patient-outcomes-in-health-research-group/projects/social-prescribing-network

 

UC part 4 -Specialist Employment Support


 

 

 

 

 

 

 

 

 

Well folks you have all heard Amber Rudd talk about Specialist Employment Support for those who need it and are furthest away from the Labour Market. Well bless my soul here are more documents to read at your leisure because if you go on Universal Credit you need to read all these .

 

The support comes from a new £40 million fund and is expected to benefit 10,000 people.

The Intensive Personalised Employment Support programme will provide highly personalised packages of employment support for people who are at least a year away from moving into work.

People will get coaching to help build their independence, confidence and motivation, as well as work experience to help boost their career prospects.

Secretary of State for Work and Pensions Amber Rudd said:

Everyone, no matter what their background is, should have the opportunity to thrive in the workplace, and having the right support in place for disabled people is one of my greatest priorities.

To truly help people transform their lives, there can be no one-size-fits-all approach.

That’s why this new programme is designed to offer people, who may think they will never move into work, tailored support to help them overcome any personal barriers they may have in the first instance, and then to focus on boosting their skills.

There are also huge economic benefits to improving disability employment rates. More than half of disabled people are in work, but in order to realise the full potential of disabled people in Britain we want to go further and see one million more disabled people in work by 2027.

People on the scheme will get a dedicated key worker who will work with them to overcome complex barriers which may be preventing them from entering work, ensuring they have a personal support network in place.

The voluntary scheme will be rolled out across England and Wales in 2019, and applicants will receive support for up to 21 months, including 6 months of in-work support for those who get a job.

Neil Heslop, Chief Executive of Leonard Cheshire, said:

Many disabled people with complex needs face significant barriers in accessing the workplace. It’s crucial that specialised employment support is available and the government responds to the challenges people often encounter.

A more tailored approach can help reach those who are not currently receiving any employment support or skills development. The experiences of disabled people must be central for this support to meaningfully build confidence in an ongoing way, reflecting their individual circumstances and aspirations.

The Intensive Personalised Employment Support programme will support people living with a disability who are unlikely to move into work within the next year or longer and may need additional support.

https://drive.google.com/open?id=1Un4-ZVV9KqyzAUmR35nUpcoSlc9JePoW

 

UC Part 3-Health & Work Programme Provider Guidance


 

 

 

 

 

 

 

 

 

In this blog we will look at Provider Guidance for the Health & Work Programme. This information is for you to read and understand how this all works  as part of Universal Credit Programme as very few are talking about the structure and behavioural ideology behind it all. I will load slides and links to documents for people to download. Please read them ….

 

Link:

 

The following links are to the Guidance Documents

 

https://drive.google.com/open?id=14RdipcgDJ70-IOCHt9m51pwOSM7DU4yu

 

 

 

Health & Work Programme Part 2


Well Folks as with my previous blog on Universal Credit there are 4 stages to this training programme so I am just going to put the shit shows on this blog so you can see for yourselves the behavioral science behind this horror of a policy. Apologies for its length.

 

Introduction;

About Me;

My 4 Steps;

My Values;

My Action Plan;

Panorama -Universal Car Crash


 

 

 

 

 

 

 

 

 

 

BBC  Panorama Highlighted some of the issues with Universal Credit  with the focus on Housing Benefit Direct Payment process. While this may have been a overall a shock for those who watched the programme who may have never even heard of it, It wasn’t a shock to Disability Campaigners and those who need to make a claim!  The Media has been in full swing recently highlighting the many issues this controversial benefit failings, forcing the Government to make significant changes to the managed migration process as MP’s,charities,many DPO’s including CPAG (Child Poverty Action Group) and SSAC (Social Security Advisory Committee) all advising the Government that changes must be made before the next cohort is transferred Secretary of State Ester McVey made considerable concessions to appease the outrage,which combined with fact the UN Rapporteur Philip Alston was visiting the UK looking at Welfare Reform and Poverty felt like a PR stunt to fend off recent criticism.

They focused on 3 Groups of the many that will be affected Unemployed,those who are Sick, and Low Income families. Using Government rhetoric of ‘making work pay’ more than benefits which the government has successfully ingrained into the mindset of many in society through the scrounger rhetoric since 2010.

Anthony the first  man lost his job is 63 so found that while he thought work was out there couldn’t secure employment and had 4K of rent arrears and had had been sanctioned losing 200mth just because for whatever reason  he had failed to comply because no phone or computer skills to manage his claim, and facing eviction, and even when he did make contact was sanctioned again as the advisor was not in the Jobcentre. One can only assume while he was doing everything required to look for work this was due to failed appointments which are generally online or via text notifications. Many in society will most likely exclaim well he was smoking roll ups and not attract much sympathy such a sly move by BBC to present him in this manner, saying well he can afford fags although I’m certainly they will defend this as usual.

Second Guy James Dade was single dad reliant on the food bank for survival but very little was said about his circumstances.

We then saw a Councillor state when people have limited choices they will choose to feed their kids and stay warm than pay their rent  nugget dropped into the programme implying reckless budgeting decisions. even though across the UK the average rent arrears is £663 compared to £263 on legacy benefits which on average is 2 and half times higher and recently over 1/2 claimants found online process difficult hinting yet again that its the claimants fault rather than a design fault.

The next couple Richard and Rita  claimed the benefit as Richard had a car accident  and consequently lost his job telling the public they were forced to sell things in the home to manage due to the fact the design features within the system were paying them less than they should have got, and being taken to court for council tax arrears while they tried desperately to sort their claim out leaving them in debt. they both eventually found Jobs.

Keith  the next claimant was a fellow suffering depression who admitted he was hopeless budgeting relying on the local food bank had lost his job, and faced eviction in November,due to rent arrears and without support unable to cope with system.

Professor Paul Hickman was interviewed  saying that direct payments to claimants rather than landlords as the previous system did was ignored by the DWP. Alok Sharma from the DWP was then interviewed spouting the same Tory script they must have learnt verbatim just like the actors they are, and displayed typical indifference to the plight of those on the receiving end of this vile policy claiming 90% of social sector will soon be signed up to the Landlord Portal which is being rolled out.

With 5821 evictions in the UK and many already homeless on the streets struggling we then had the council highlighting cuts from central government have left councils UK wide unable to pick up the slack and find homes due to lack of Social Housing properties that the country so desperately needs. Councils have seen their landlord lists plummet as many private landlords  refuse to let to those on social security and those needing Alternative Payment Arrangements such as Domestic Violence  victims  unable to get this arrangement and councils unable to help as the agreement has to be done via the landlord not a third party.

 

This programme really barely scraped the surface of the design faults within this policy, many things are changed as an after thought because the policy wasn’t properly thought through and administration is so bad and training is so bad that even those who should be helping haven’t a clue about the constant changes and are mis -informing claimants causing further chaos with long waits on the phone which campaigners call the ‘Vivaldi Line’.

In July 2019  as the Government rolls out a pilot sample of approx 10,000 claimants with many transferring in November 2019 in tranches this chaotic policy is only going to cause considerable harm to many families across the UK. The government knows fine well many of these  families will face hardship and tells them to stand on the beach looking at the wave that is a reality a tsunami waiting to hit them and their children. Yes done properly with support people could transition more easily hence the CAB contract of Universal Support recently announced will help many navigate the complex process of doing so, but support is soon going to be difficult to get appointments due to the volumes involved.

The most severely disabled will if they don’t have change of circumstances will start this process in 2020.

One thing is for certain is the noise about Universal Credit will get worse and louder as this government tries its best to hang on bloody mindlessly instead of scrapping it and admitting this policy should never have been introduced without making sure it was robust,practical to implement and the structure was sound. Now it is only fit for the waste basket of many government projects which has wasted Billions of Taxpayers money while UK citizens find themselves back in Victorian times and seen by the elite as undeserving and feckless poor who situation is their fault, absolving themselves of any responsibility for this total failure ,while the architects have long since retired with a golden peerage  and a hefty financial handshake.

If you missed it here it is;

 

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