Care homes

I barely recognised my mother when I saw her in the hospital bed the night she died. It had been many months since we were last able to meet, when she was still a force of nature. Now there was almost nothing left of her. The death certificate records that Elizabeth Carol Chamberlain died of dementia and kidney disease aged 88. But it was lockdown that really killed her. For my parents, like so many people of their generation living out their later years in care homes, lockdown offered not protection but imprisonment. ‘It’s cruel,’ Mam would say, over and over again, in the painful and awkward phone calls that

Taking care Sir: I agree completely with Leo McKinstry that care for parents should be paid out of their estate (‘Home economics’, 15 May). The costs of care are what people effectively work for, not for the passing on of wealth paid for by the taxpayer. My mother lived until she was 100, and was in care for almost 14 years. Although she had a property and shares, we funded her care until her cash/share balance was £15,000. After this time she was means-tested and between her pension and the rent from her flat, we were able to pay for some of the care, with the rest paid for by

The last patient I treated was 105 years old. She has lived through two world wars, a depression and at least five pandemics. It’s a real honour to treat centenarians. They teach me much about life: how it is and how it ends. I can also lighten the mood with my 80-year-old patients by telling them that they’re still young. It’s common to hear talk about an ‘ageing society’ being some kind of disaster befalling the country. Yes, people are leading longer, healthier lives now than ever before. Is this really a ‘demographic timebomb’? I’d call it the greatest achievement of our time. When my patient was born in 1915,

There’s a lot I don’t know about care home visits during this pandemic. I don’t know how straightforward it would be to find a way for close relatives to make proper and regular visits to the very frail. I don’t know details of the arrangements for staff in those care homes to work there and go home afterwards, as hospital staff do too. I don’t know the floor-plans of the thousands of care homes in the United Kingdom, nor how each could be adapted to allow high-priority visits from a relative. There are some 15,000 homes in England alone, and some half a million old people living in them. I

At a Conservative party conference fringe event last Sunday, Lord Bethell, a health minister, was asked where he thought Britain ranked in the world in terms of its response to the pandemic. ‘I think there have been some outstanding pieces of delivery that have not been fully appreciated,’ he said. ‘And I think it will be like the Olympics, that when it’s all over and we look back and reflect, we will actually be extremely proud of ourselves.’ A few hours later, Public Health England confessed that it had failed to include 15,841 people who’d tested positive for Covid-19 between 25 September and 2 October in the daily updates and

According to Jo Grady of the University and College Union, universities risk becoming the ‘care homes of the second wave’ unless students defy the government’s attempt to get them back in face-to-face education. She went on to claim that a return to campus ‘risks doing untold damage to people’s health and exacerbating the worst public health crisis of our lifetimes’ and could lead to a ‘silent avalanche of infections’. Are these fears justified, or are they an attempt by the union to get its members out of having to do any work (while presumably collecting their salaries)? Any large number of people getting together and mixing from across the country

Hong Kong’s future Sir: So we have a moral duty to protect the people of Hong Kong and guide them back to the golden world which existed before 1997 under British rule (‘Let them come’, 6 June)? Come off it. It is true that the hope behind the 1984 Joint Declaration was for HK to move gradually to stronger democratic forms, although under the direct authority of the government of the PRC, as it had been with the UK. What has destabilised Hong Kong and alarmed Beijing is digital grass-roots empowerment — the same thing that half the world’s governments are facing. In Hong Kong it appears in a particularly

Jobs for all Sir: Charles Bazlington championed Universal Basic Income in last week’s magazine (Letters, 9 May). It is welcome to see innovative ideas being discussed at a time of unprecedented economic crisis. Might I suggest that if we wish to empower citizens, not just pay them, we instead look to provide employment via a National Job Guarantee? A guaranteed job at the living wage backed by the state and administered by national and local government as well as the charity and private sectors. This crisis has proved that people need not only money but purpose, camaraderie with colleagues, and the pride of a ‘job done well’; they want to

The case for small homes Sir: Your editorial rightly highlights what must be one of the government’s priorities once the worst of this crisis abates (‘Call that care?’, 2 May). I have been the owner and manager of a small, five-bedroom care home for nearly 30 years and, having had a majority of privately funded residents, can recognise ‘the iniquity whereby residents with savings have found themselves cross subsidising those who are funded by local authorities’. The government should firstly allow the payment of care home fees to be tax refundable. It is only fair that those who are saving the state the money for their care should at least

As the NHS was preparing for the Covid onslaught, thousands of hospital patients were discharged to care homes in an attempt to free up beds. This worked: about 40,000 NHS beds are now unoccupied, four times the normal amount for this time of year. Attendance at A&E has halved. Almost half of all intensive care beds with mechanical ventilators lie unused. This is before the seven pop-up Nightingale hospitals, most of which are also empty, are factored in. The NHS was effectively protected in this crisis. Care homes were not. While those in hospital were being given the care one would expect from one of the world’s best-resourced health services,

Coronavirus is revealing many good things about our society: the number of people willing to volunteer to help tackle the outbreak and help the isolated, the number of former doctors and nurses keen to return to the front line, and the number of businesses that have switched to making equipment and protective clothing for those healthcare workers. But it has also revealed our ignorance about many matters that are still important outside of a pandemic. Today’s example comes, inevitably, from our general reluctance to think about what old age and end-of-life care look like. Care homes have expressed concern that residents and their families are being pressured into signing ‘do not resuscitate’