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Warning - some Care Homes 07:08 - Nov 2 with 5796 viewsonceablue

Are saying with the new NI Tax hike and increase in minimum wage they may be forced to close

GP’s are stating their services may also be affected by Job losses.

You didn’t really think this through did you Rachael - This really isn’t going to help the NHS

The Labour Party strikes again

Easier in opposition hey Kier!!!!!
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Warning - some Care Homes on 08:37 - Nov 2 with 1205 viewsGlasgowBlue

Warning - some Care Homes on 08:27 - Nov 2 by Mullet

Possibly, it depends on whether or not they can genuinely function or have been mismanaged etc. I don’t know the extent of GP surgeries who are run to maximise profits etc.

My local one seems to struggle to retain GPs because the money being a locum is so high it’s a better deal. That needs to change massively. Whereas in Suffolk you are less likely to get young GPs as people who move there are likely to be older and looking to retire there.

There is so much mess to fix under the Tories that it’s not going to be an easy or clear path. Health care is vital and probably requires the most exceptions because you can’t simply nationalise it overnight.


I don’t disagree with your point about the mess left behind by my former team, but the seeds of the GP surgery crisis were sown in 2004 when Tony Blair gave GP’s a 60% pay increase then allowed them to stop working evenings and weekends for a £6,000 salary reduction.

From then on it became a lottery trying to get a same day appointment. It’s pretty damn hard to get a same week appointment.

But I digress.

Hey now, hey now, don't dream it's over
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Warning - some Care Homes on 08:49 - Nov 2 with 1164 viewsRyorry

Warning - some Care Homes on 07:16 - Nov 2 by Zx1988

Remember when employers claimed that the introduction of a National Minimum Wage would force them to lay off millions?

Remember when that never actually happened?

Wealthy business owners love throwing their weight around and scaremongering when it's suggested that they might want to pay their way every now and then.


It certainly is happening for one domestic care agency owner who rang in to a R5l programme on the issue.

She pointed out that the problem is her business and other similar ones are on fixed contracts and fixed incomes paid by local councils. As those won’t raise their rates in light of the budget because they are already cash-strapped, the already skinny profit margins will disappear for the home-care givers altogether.

(Don’t shoot the messenger, a friend of mine was a caregiver for one of these agencies, a massively important job, but quit because of poor wages and conditions. The problem is structural. Ed Davey would have approached this much, much better I think).

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Warning - some Care Homes on 08:50 - Nov 2 with 1146 viewsFrimleyBlue

All those care homes with unviable business models.

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Warning - some Care Homes on 08:59 - Nov 2 with 1130 viewsBloomBlue

GPs should be paying more in employers NI, like all business owners

They earn over 100k, they're in the top 10% of high earners in this country. The NHS is broken, the top 10% need to pay more. They and judges were given special favours over pensions.
They need to pay as the rest of the rich to fix the issues. If that means less in their pockets tough. As the saying goes, GPs need to put up or shut up.
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Warning - some Care Homes on 09:04 - Nov 2 with 1115 viewsonceablue

Warning - some Care Homes on 08:36 - Nov 2 by mrshallisfit

I think onceablue would fully approve of that. Social care services run as the optimum capitalist adventure. Lovely.


Ok let’s take all Private Care Homes and put them into Public Ownership run by the government.

Do you think that would work?
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Warning - some Care Homes on 09:05 - Nov 2 with 1109 viewshomer_123

So...private businesses that run GP surgeries with GPs earning over £100k should be exempt from the NI rise?

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Warning - some Care Homes on 09:07 - Nov 2 with 1105 viewsRyorry

Warning - some Care Homes on 08:59 - Nov 2 by BloomBlue

GPs should be paying more in employers NI, like all business owners

They earn over 100k, they're in the top 10% of high earners in this country. The NHS is broken, the top 10% need to pay more. They and judges were given special favours over pensions.
They need to pay as the rest of the rich to fix the issues. If that means less in their pockets tough. As the saying goes, GPs need to put up or shut up.


GPs are leaving or retiring in droves and are not being replaced, not least because the stress and work overload aren’t attractive to newly qualified doctors.

Again, a structural problem, in this case due to 14 years of the Tories running the NHS into the ground with a view to privatising it.

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Warning - some Care Homes on 09:08 - Nov 2 with 1100 viewshomer_123

Warning - some Care Homes on 08:25 - Nov 2 by onceablue

Do you honestly think Rachael Reeve or any politician would now come forward admit she has got it wrong and ask to adjust the figures.


No different from any other MP then....what's your point caller?

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Warning - some Care Homes on 09:08 - Nov 2 with 1101 viewshomer_123

Warning - some Care Homes on 09:07 - Nov 2 by Ryorry

GPs are leaving or retiring in droves and are not being replaced, not least because the stress and work overload aren’t attractive to newly qualified doctors.

Again, a structural problem, in this case due to 14 years of the Tories running the NHS into the ground with a view to privatising it.


The NHS is already privatised.

Ade Akinbiyi couldn't hit a cows arse with a banjo...
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Warning - some Care Homes on 09:14 - Nov 2 with 1081 viewshomer_123

Warning - some Care Homes on 08:21 - Nov 2 by GlasgowBlue

There is an argument to be had regarding private care homes, though it’s not one I would debate in favour of. However, I don’t think there is regarding GP surgeries. The should be exempt from the rise in NIC’s.


Taking my surgery in isolation.

Awful service, impossible to get appointments, incorrect prescriptions.

It turns a profit though and that's in top of the hefty salaries being paid.

Oh and it's open from 8 to 6.30 and not on weekends.

So...no they should not be exempt from the NI rise.

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Warning - some Care Homes on 09:15 - Nov 2 with 1070 viewsDJR

Warning - some Care Homes on 08:21 - Nov 2 by GlasgowBlue

There is an argument to be had regarding private care homes, though it’s not one I would debate in favour of. However, I don’t think there is regarding GP surgeries. The should be exempt from the rise in NIC’s.


It was suggested on the BBC last night that GP practices would be given more money under their contracts to deal with the additional costs.
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Warning - some Care Homes on 09:23 - Nov 2 with 1051 viewsBasuco

The care system has been completely broken, the care provided in the current model is not fit for purpose. Anyone that either works in or around social care or has to find care for a relative will have first hand knowledge and experience of how bad it is. Too many private care providers are making massive profits while we the tax payers / users suffer. I wouldn't spend too much time worrying about the very small extra cost's, they are just protecting their high margins.
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Warning - some Care Homes on 09:54 - Nov 2 with 1010 viewsMullet

Warning - some Care Homes on 07:54 - Nov 2 by mikeybloo88

Ah, the socialist mantra which has been readily trotted out this week...anyone who dares to suggest there could be sone flaws in that budget is simply rich and bitter.


The stats back that up though. So how do you square that.

The celebrity land barons cosplaying as farmers like Clarkson and Lowe are trying to whip up a storm because they lose out, trying to dodge paying their share. The stats show it’s the top 10 - 14% of farms affected. Most of which are mega farms anyway.

Same with buy to let merchants and the like. If you’re being squeezed by this budget, chances are you can a) afford it and b) have been too used to having too much. That doesn’t make it perfect but it’s surely a damn sight better than continually making the rich richer and telling us all it’s someone else’s fault?

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Warning - some Care Homes on 09:55 - Nov 2 with 1013 viewsredrickstuhaart

Warning - some Care Homes on 09:23 - Nov 2 by Basuco

The care system has been completely broken, the care provided in the current model is not fit for purpose. Anyone that either works in or around social care or has to find care for a relative will have first hand knowledge and experience of how bad it is. Too many private care providers are making massive profits while we the tax payers / users suffer. I wouldn't spend too much time worrying about the very small extra cost's, they are just protecting their high margins.


Indeed.

Worth noting that the cost for an average low wage employee is going to be about 25 quid a month. You would need 30 of those for the increase to add up to the cost of one employee.

Of course, had the last government not unreasonably reduced NI when the country's finances were already in crisis, none of this would even be necessary.
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Warning - some Care Homes on 10:00 - Nov 2 with 982 viewsMullet

Warning - some Care Homes on 08:37 - Nov 2 by GlasgowBlue

I don’t disagree with your point about the mess left behind by my former team, but the seeds of the GP surgery crisis were sown in 2004 when Tony Blair gave GP’s a 60% pay increase then allowed them to stop working evenings and weekends for a £6,000 salary reduction.

From then on it became a lottery trying to get a same day appointment. It’s pretty damn hard to get a same week appointment.

But I digress.


I think that’s a good example of something they could have fixed and chose to do the complete opposite because it appealed to their likely voter base. Rampant privatisation and the culture of Maggie to this demon brood raised to worship her have really screwed us.

The intervening Blair years weren’t perfect but much of the social good it did (eg Surestart etc) has been long buried and in its place gaping holes were left. This is going to take a generation or two to fix.

The right wing rags and their boot licking sheep piling all the blame on Labour the second they crossed the threshold is like blaming the clean up team for the nuclear explosion, they’re stepping into.

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Warning - some Care Homes on 10:11 - Nov 2 with 962 viewscressi

Absolute rubbish employers want something for nothing a lot of the time. In these difficult and expensive times working people should get a minimum of £14 pounds a hour. Reference care homes they charge residents 1500 pounds a week minimum.
Get the medication for free. Dearer than a 2 week all inclusive in Europe.
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Warning - some Care Homes on 10:15 - Nov 2 with 951 viewsGuthrum

Warning - some Care Homes on 07:34 - Nov 2 by onceablue

I get it the Doctors and care homes are lying.

I think I would trust the word of my Local GP over Rachael Reeves every day of the week.

Did you realise only 7 labour MP’s have experience of running a Business

Labour are the fantasy Party but in reality their polices just don’t work and this will be proven


Cuts to an image of Premier League footballer rolling on the floor screaming his leg has been ripped off when he was barely touched by the defender.

In the same way, business owners want to maximise their advantage and profit margins by any means possible. They care nothing for society except where it provides a framework and protections to help their aims. Thus are going to wail excessively at anything which touches that.

And yes, I do run my own business.

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Warning - some Care Homes on 10:15 - Nov 2 with 951 viewsredrickstuhaart

Warning - some Care Homes on 10:11 - Nov 2 by cressi

Absolute rubbish employers want something for nothing a lot of the time. In these difficult and expensive times working people should get a minimum of £14 pounds a hour. Reference care homes they charge residents 1500 pounds a week minimum.
Get the medication for free. Dearer than a 2 week all inclusive in Europe.


As I said the other day, any business making a profit which allows the owner a reasonable wage (25k plus perhaps) which is paying minimum wage, is not paying its way. That profit is being subsidised by the state. It is coimpletely unreasonable to take that profit whilst expecting the state to top up employees so they can pay their rent.

If proper wages were paid, in time, the benefits bill would significantly decrease and we could tax less...
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Warning - some Care Homes on 10:30 - Nov 2 with 912 viewsChurchman

Warning - some Care Homes on 08:32 - Nov 2 by SuperKieranMcKenna

Social care of our elderly and vulnerable shouldn’t be in the for-profit sector anyway. The way these care homes treat their staff and patients in many instances is appalling. The NI part is irrelevant they’ll just pass on the cost since it’s a service that if you need it you’ll have no choice. Given the aging population we probably can’t afford to nationalise the system, but we should be looking at providing care at a cost (not for profit) basis.


We can afford to nationalise the care system if we want to, just as we found £billions for garbage PPE, contracts for all sorts of Covid stuff much of it for Johnson’s mates.

You either have a Welfare state that functions or you don’t. If you want it, pay for it and control it. Anyone who’s had to navigate the care system knows just what a minefield it is. You have to understand every aspect of it if you are not to get the worst of it, which is very difficult when you are trying to find the most suitable place for a loved one.

Old people in need are not to be treated as bits of rubbish; a nuisance. They are entitled to respect and care and that includes from governments. Invariably these people have paid in all their lives. They should be looked after until that ends and not have all their assets stripped off them.

Beverage’s idea was cradle to grave, not cradle to when you are past your usefulness you can p£ss off and make your own arrangements. I saw how keen the GPs in particular were to see my parents towards the end. They couldn’t have been less interested until in my dads case ‘end of life care’ referral was completed by the GP. I know it’s because of health care rationing, but that didn’t make it any easier.

So how to pay for it? This will cause debate, but whilst I am retired my income is sufficient to pay income tax. I’d be more than happy to pay NI too because I can afford it and that’s the key. Those that can afford it should continue to pay it. It’s just a thought and probably an impractical one.

The easy solution to the last para is to scrap NI and just have people paying one rate of income tax. It’s doable. However when talking about this with some people in the Treasury years ago they went bananas telling me that any politician agreeing to that is signing his political death warrant. The last thing the people need to know is the rate they are being taxed.

I know times are tough, but we can do better. The variance of care in NHS and care sector from brilliant to woeful is there. I’ve seen it. Wonderful people in almost every instance doing their best on the ground and a far more important/ better job than I could ever do. They are repeatedly failed by inept corrupt politicians and systemic, organisational failure. I met people who were high up in NHS England through work. Frankly I wouldn’t have trusted them to run a bath
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Warning - some Care Homes on 10:42 - Nov 2 with 898 viewsRyorry

Warning - some Care Homes on 10:30 - Nov 2 by Churchman

We can afford to nationalise the care system if we want to, just as we found £billions for garbage PPE, contracts for all sorts of Covid stuff much of it for Johnson’s mates.

You either have a Welfare state that functions or you don’t. If you want it, pay for it and control it. Anyone who’s had to navigate the care system knows just what a minefield it is. You have to understand every aspect of it if you are not to get the worst of it, which is very difficult when you are trying to find the most suitable place for a loved one.

Old people in need are not to be treated as bits of rubbish; a nuisance. They are entitled to respect and care and that includes from governments. Invariably these people have paid in all their lives. They should be looked after until that ends and not have all their assets stripped off them.

Beverage’s idea was cradle to grave, not cradle to when you are past your usefulness you can p£ss off and make your own arrangements. I saw how keen the GPs in particular were to see my parents towards the end. They couldn’t have been less interested until in my dads case ‘end of life care’ referral was completed by the GP. I know it’s because of health care rationing, but that didn’t make it any easier.

So how to pay for it? This will cause debate, but whilst I am retired my income is sufficient to pay income tax. I’d be more than happy to pay NI too because I can afford it and that’s the key. Those that can afford it should continue to pay it. It’s just a thought and probably an impractical one.

The easy solution to the last para is to scrap NI and just have people paying one rate of income tax. It’s doable. However when talking about this with some people in the Treasury years ago they went bananas telling me that any politician agreeing to that is signing his political death warrant. The last thing the people need to know is the rate they are being taxed.

I know times are tough, but we can do better. The variance of care in NHS and care sector from brilliant to woeful is there. I’ve seen it. Wonderful people in almost every instance doing their best on the ground and a far more important/ better job than I could ever do. They are repeatedly failed by inept corrupt politicians and systemic, organisational failure. I met people who were high up in NHS England through work. Frankly I wouldn’t have trusted them to run a bath


Absolutely bang spot on, POTD 👍

What really disappoints me about this Budget is the apparent lack of joined up thinking, both for the health and care aspect; and the food security/farming/environmental point of view.

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Warning - some Care Homes on 12:17 - Nov 2 with 828 viewsjaykay

i wonder which government opened up private care homes up in the 80s . many made a fortune then, they a private business like private hospitals.

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Warning - some Care Homes on 12:21 - Nov 2 with 823 viewsCheltenham_Blue

How anyone has the gaul to criticise the first Labour budget after the last 14 years of lying, scheming, self serving, deliberate running down of vital services claptrap we’ve just endured is beyond me.

But still, all those conservative supporter run Care Homes eh? You know the ones who don’t pay their staff properly, but still cream off huge profits. Yeah them.

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Warning - some Care Homes on 12:21 - Nov 2 with 822 viewsRadlett_blue

Warning - some Care Homes on 12:17 - Nov 2 by jaykay

i wonder which government opened up private care homes up in the 80s . many made a fortune then, they a private business like private hospitals.


And do you think that the state can afford to pay for long term care, given the longevity & ageing of our population? Please calculate what this would cost annually & how much income tax would have to increase to fund it. My mother in law is 91 & has dementia. We would all like better long term social care to be available, but the problem is who pays for it because it is very expensive as it is so labour intensive.

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Warning - some Care Homes on 12:28 - Nov 2 with 802 viewsNedPlimpton

Warning - some Care Homes on 08:07 - Nov 2 by onceablue

Are you serious?

Being in Government is very similar to running a business.

They collect money from members of the public and decide what to do with it.

If you wanted to Invest some money and visited a financial advisor and his reply was I have never really done this before but I will give a go would you have confidence in them?

If I was Kier Starmer or the PM of any political party I would get the best Business minds around a table and ask them how we make this country work.

Unfortunately most of the Political Parties are too arrogant to do this and think they know best and so we have this continual problem of balancing the books regardless of who is in power


Yeah, because the "best business minds" are notorious for putting ordinary working people first! Just ask Amazon employees

What a ridiculous post
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Warning - some Care Homes on 12:34 - Nov 2 with 788 viewsChurchman

Warning - some Care Homes on 10:42 - Nov 2 by Ryorry

Absolutely bang spot on, POTD 👍

What really disappoints me about this Budget is the apparent lack of joined up thinking, both for the health and care aspect; and the food security/farming/environmental point of view.


Thank you Ryorry. Re lack of joined up thinking, you are spot on. Seeing it close up, joined up it most certainly isn’t, but neither is much else including food security/farming. It’s part of the problem and one of the reasons for so much waste in effort and resources.

The sadness is that the majority of people are excellent and really care, particularly in the health/care system. You’d never do what they do if you didn’t, but they are only in position to work with what they have in a system not of their making.

As for food provision, it’s an extremely complex area and I worry about both governments interest in it and the competence of the agencies dealing with it. When I was working we had a lot of involvement with DEFRA and how can I put this - it was a little scary what they didn’t know.
[Post edited 2 Nov 2024 12:43]
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