Before 1990, healthcare in the United Kingdom was provided by health authorities which were given a budget to run hospitals and community health services in their area. The National Health Service and Community Care Act 1990 introduced an internal market into the supply of healthcare in the United Kingdom, making the state an ‘enabler’ rather than a supplier of health and social care provision.
Care homes were then outsourced by local authorities to the private sector which employed large numbers of low-paid workers with weak representation by unions and professional organisations. Spending on social care is now below 2010 levels.
Gill Plimmer describes the way in which global private equity, sovereign wealth and hedge funds have piled into the sector in the past three decades, lured by the promise of a steady government income and the long-term demographics of Britain’s ageing population.
Three of the biggest chains — HC-One, Four Seasons and Care UK — are in the hands of buyout groups.
At the Four Seasons Whitchurch Care Home in Bristol (above), emergency buzzers went unanswered, some medicines were not dispensed and many of its frail and elderly residents had not been given a bath, shower or a wash for a month, an official inspector’s report found. A broken elevator meant residents on the second floor could not be taken to hospital appointments.
Problems are in part a result of:
- a long-term decline in fees paid to providers for social care,
- a state mandated rise in the minimum wage,
- a decline in state funding for local governments, which pay for 60% of their residents,
- short term investment and speculation,
- larger private equity-owned care homeowners have a short-term investment focus and complex structures, involving scores of subsidiary companies, many of which are listed offshore and
- the money to fund the trading coming from taxpayers or from middle class people running down their savings.
When Terra Firma (building better businesses) bought the Four Seasons chain in a £825m deal in 2012, there was still £780m of outstanding borrowings hanging over the business. Now around £1.2bn of interest-bearing debt and loans from unspecified “related” parties.
Nick Hood, analyst at Opus Restructuring & Insolvency, which has advised several care home chains, said “owners are playing with the debt and expecting returns of 12 or 14 per cent and that is simply unsuitable for businesses with heavy social responsibilities”
He adds that the watchdog — the Care Quality Commission — should require the entire corporate structure to be held within the UK
Jon Moulton, the private equity veteran who ran Four Seasons in the early 2000s recommends that care home chains should hold a certain amount of capital, just as banks are requited to do by the Financial Conduct Authority.
Toothless regulator/watchdog places all responsibility on Britain’s cash-strapped local authorities
Kate Terroni, chief inspector of adult social care at the CQC, says that for now it has no authority to introduce minimum capital requirements or to intervene to prevent business failure. “Our powers are to provide a notification to assist local authorities who are responsible for ensuring continuity of peoples care
Meanwhile, as Four Seasons “hurtles towards insolvency”, directors are paid lavishly and their care homes continue to close.
Media 104: The fight-back? Seriously flawed FT article on the next 30 years of fossil fuelled energy
The message from the article’s author, Nick Butler: “Loved or not, the energy companies will still be giving us products we need and they will thrive over the next three decades . . . Wind and solar power are of limited value in meeting industrial energy requirements”.
He stresses the continuing weighting of investment in favour of oil and gas against renewables and focuses on the latest long-term international outlook, which “paints a picture of the world to 2050, on the basis of current policy, reasonable expectations of economic and population growth across the world”.
Sounds good: but this report “comes from the US Energy Information Administration — an independent agency in September”. However, according to its hyperlink and Investopedia, the Energy Information Administration (EIA) is a government agency formed in 1977.
In addition to this incorrect information, the author attribution – ‘energy commentator for the FT and chair of The Policy Institute at King’s College London’ – fails to add his significant previous employment as Senior Policy Adviser in the Prime Ministers policy unit and BP’s Group Vice President for Strategy and Policy.
Not so: a scroll through the report saw no input from such companies and a word search of the report, using the names of three of the largest oil companies, found ‘no results’.
He concedes that the energy transition is indeed happening (see Bloomberg, above) but asserts that its impact is small and “on this analysis will largely remain focused on the generation of electricity”.
The report, Butler continues, gives a picture of two very different worlds.
“On the one hand, in the developed OECD countries energy demand in volume terms thanks to efficiency gains, minimal population growth and public policy — is static to falling and the supply is getting progressively cleaner. In the rapidly growing Asian economies, population increases and the desire to escape poverty are pushing up both demand and emissions shows an inherently unsustainable future. The trends it describes are a recipe for serious global warming and climate instability.”
As the website of UK Oil & Gas PLC (UKOG) reminds us, there is no alternative (TINA): oil is indispensable: it heats homes, provides fuel for water, air and road transport and is used in plastics, fertilisers, detergents, paints and medicines.
Is Butler unaware of research under way to redesign many of these products to eliminate oil use. The use of electric heating is growing and of electric road and waterway transport, mainly ferries? And though emissions will be reduced by increasing localisation of supplies, there will be some need for clean shipping; for nearly three years the first Chinese 2000-tonne electric cargo ship has been in business. Japan and Norway are also working in this sector, with Japan’s Komatsu Ltd developing its first electric-powered digger.
Many commentators see the need to phase out long-distance air travel, but there will always be the need for some air transport during emergencies and the BBC reports progress towards such a capability: July’s Paris Airshow saw the launch of the world’s first all-electric nine-passenger aircraft for which orders are now being placed
Years ago, Dave Lindorff wrote about ‘ecological cataclysm’: “it is useful to look at the hypocrisy of the energy companies when it comes to an even worse crisis threatening life itself on the planet – rapid climate change due to increasing carbon in the atmosphere”.
His advice is more reliable than Butler’s: Watch What Big Oil Does, Not What It Pays to Have Said.
The whole unspun truth is given briefly in the FT: “a ban on charges for paying via credit or debit card comes into force across the EU from Saturday, making it unlawful for retailers to charge customers additional fees for paying on plastic”.
Though the whole truth is too tall an order in matters of diplomacy, the government wold have been well advised to emulate the FT’s delivery.
No longer confined to the mainstream media, adventures with the truth are mercilessly mocked on social media and more radical media:
See Steve Walker’s shot of the official Conservative Twitter site:
The Independent’s gentler account quotes British MEPs who criticised the Government for claiming responsibility for the move, “which comes as part of a broad range of new payment regulations based on an EU–wide directive that was spearheaded by left-wing politicians in the European Parliament”.
We expect a jaded public response to this ‘business as usual’ spin. No longer has financial or political dishonesty the power to surprise.
May the British public one day routinely hear the truth – or would that be electoral suicide?
Is Mr Critchley (Violence is already present in the Koran) aware that software engineer Tom Anderson processed the text of the Bible and the Koran to find which contained the most violence?
Using Odin Text analytics software, he analysed both the New International Version of the Old and New Testaments as well as an English-language version of the Quran from 1957.
This found that killing and destruction are referenced slightly more often in the New Testament (2.8%) than in the Quran (2.1%), but the Old Testament clearly leads—more than twice that of the Quran—in mentions of destruction and killing (5.3%).” Details here.
See also requests for vengeance (smiting the enemy) in the Psalms still used in Anglican churches.
And huge numbers of innocents have already been slaughtered during this young century at the behest of Anglo-Saxon, nominally Christian, governments.
Much of the media is taking its usual stance referring to Jeremy Corbyn’s ‘handlers’ as though he were a pit bull terrier. The Times has determined that he was making a bid to relaunch his leadership which has been derailed and Jim Pickard in the FT, author of many hostile articles, focusses on pay caps but not pay ratios.
It is good to turn to sane and rightminded commentators such as Peter Burgess (Times comments) and Maisie Carter (recent article). Peter spells out the Corbyn message with absolute clarity and rather more bluntly than JC:
- It is very clear he wants top execs pay to reflect that of the lowest paid worker for them to earn more and not rely on tax payers to boost their salaries and for the top execs to earn a decent salary but nor one that is obscene (sadly so many Tories want to see the poor get poorer and the rich richer).
- He also wants to ensure that we continue to bring in workers when needed but ensure they don’t depress wages for British workers.
- Of course those at the top getting obscene salaries want to disgrace Corbyn because the last thing they want is for their salaries to fall under £500,000 a year.
- There’s big and there’s obscene especially when they are telling others to tighten their belts, can’t afford to pay you more then handing themselves 7 and 8 figure salaries and bonuses.
- What shows double standards are all those commenting on here who think salaries of over £100,000 a year are too much if somebody is running the NHS, a local authority or running a Union.
- I do find it difficult to understand how anybody can find the policies which have allowed so many workers to have their wages and working conditions deteriorate whilst CEO’s are paying themselves up to 700x the salary of their employees as being fair and something they’d support.
- I would add that labour to their shame played an important part in allowing these obscene differentials since Maggie was in office. Some of them thought £500,000 a year for them and their friends was not enough.
- Yes Corbyn needs to keep shaming all those, including some labour MP’s who’ve happily supported the policy of “austerity” that have hit the poorest whilst allowing the richest to continue to get richer.
- I’d support a return to the differentials back in the days of Maggie. Top execs back then were hardly struggling. 20x / 30x acceptable 700x isn’t!
Endnote: Maisie Carter’s appeal
“Unite around Jeremy Corbyn’s ten point programme, which proposes the building of one million homes in five years, a free national education service, a secure, publicly provided NHS, with an end to health privatisation, full employment, an end to zero hours contracts, security at work, action to secure an equal society, a progressive tax system, shrink the gap between highest and lowest paid; aim to put conflict resolution and human rights at the heart of foreign policy. On the last point, as the wars waged or aided by the West are the cause of mass immigration, we must step up foreign aid and instead of spending £37bn a year on foreign wars as our government does, invest in helping to rebuild these war torn countries”.
Read Maisie’s article in full here.
Corbyn ‘decamping’ to ‘gilded enclave’ – over the shop
Yesterday Jim Pickard, aka chief political correspondent, tried to make capital out of the Labour Party’s forced relocation to premises above the Habitat shop in Kensington.
The party has been searching for a new base because Anquila Corporation, which owns the building, decided to redevelop it next year – ordering workers out by Christmas. Labour’s attempts to find appropriate accommodation near Parliament were unsuccessful: a large number of small offices have been converted to residential use in recent years.
Pickard reports that one Labour insider said the move to Kensington High Street – to a cheap “shell” building – was only temporary while the search for a permanent headquarters continued. It could be as little as four months, he said.
Before rehashing allusions to disunity in the ranks of the Labour MPs he endeavoured to convey the impression that Jeremy Corbyn’s Labour party had lost its head and principles – moving to W8, ‘the most expensive postcode in the country’ and worse: ‘decamping’ to the ‘gilded enclave of Kensington’
This, though.“Mr Corbyn came to power this summer on a wave of old-fashioned leftwing policies, calling for an end to injustice and inequality” – implying at best double standards and at worst a decline into a dereliction of those principles, won over – like many other politicians – by the political gravy train.
He ends, not with a bang but a whimper:
“The idea of an increasingly leftwing Labour party being housed in one of London’s most affluent neighbourhoods will still raise eyebrows, however, given Mr Corbyn’s commitment to tackling poverty.
What small news item will be seized on and ‘embroidered’ next?