Thursday, December 30, 2010

Local Involvement Network Slave Volunteers Or Pathfinders ? Ask Yourself

LINKies Off To The Slave Market  - HSJ Mogger as Letterland Cat Witness  xx

Art By Art De Rivers & Silvis Rivers Dec 2010

The UK Dept of Health put out bulletin on 29th December based on moving the Govt "HealthWatch" policy forwards and woven into it is a 2008 - 9 UK wide Local Involvement Networks report that shows in some parts of the UK "LINks" as it called (lay monitoring and public and patient health engagements) supported by a DOH grant to Local Authorities did kind of , half-okay.

The great missing equation 1997 - 2010 in Labour's regime in health from the mental health UserWatch position was legal and equal rights to Patient Choice hidden away even as it now inside the strangulation of "secondary care regulations" that basically bars mental health patient choices whilst the DOH was busy making sure with the likes of the (Sainsbury's) Centre For Mental Health "stabilised" psychotics were given "choices" through the Direct Payment methods of eligibility for part service choice techniques, that dot Local Authority (LA) Social Care Services here and there in the UK, uneasily waiting for the recession promoted news of possible eligibility re-bandings.......

Seasoned UserWatchers in mental health, knew this LA Social Care "DP" Direct Payment method was not "real" Patient Choice in mental health but a skewered slimmed down rationed version of it that bought of a few well deserving Users, but rejected the rest as "Socially Include-able" and readied them up for the UK cannibal welfare stews because the unproductive classes in the UK cannot sell anything abroad very well and need to trade of the bones of any part of the welfare classes . Maybe you have not noticed. China has, but the fact it has all the jobs makes it shrug its large national shoulders .

Ahhh Cannibalism, with a bit of peppered press hate thrown in ...So UK ...

Don't get us wrong we applaud volunteers trying to make things better in Healthcare but the slip and slide of Govt's is not going to stop and in the great seas of acid and greasy social compromise , volunteers will simply be used up, and in terms of LINks evolving to HealthWatch we are not so sure the Local Authorities are the best place to hand over the HealthWatch budgets to , since they are both service providers and now the likely money keepers over the HealthWatch volunteers who may monitor them ... It appears the LA's will performance review too the very people monitoring them .. What bollox that is ..

Yeah all this right at time when the social shit of the under-performing bureau middle classes who exported very little but debt, is bailed out by everyone and the new class shifting sands has not yet resulted in a serious export led creative new basis and the net displacements of paying off the debts means the LA's have to cut services ... Oh dear, the temptation to gag monitors is going to be very high.

What it all means in HealthWatching terms is likely poor performance, or ritualistic performance , and a lack of cash we'll bet, to be given to the new HealthWatcher volunteers functions.

Accountability is a serious matter but it is not taken seriously by parts of Govt and some of their bureaucracies who see out-maneovering it, as simply part of their skill set tacitally nodded to by the politicians .

DOH quote 29th Dec 2010 :

"Healthwatch will usher in a new generation of patient champions with the resources and powers to support the needs of their local communities. I hope this report will act as a call to action for members of the public and LINks volunteers to lead the way in this reform and to become the first Healthwatch Pathfinders in England."

Watch out Volunteers for the new Local Authority master and slave trails inside HealthWatch .....


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