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Impact of cuts on older people

THE OLDER PEOPLE’S COUNCIL - BRIGHTON & HOVE CITY COUNCIL BUDGET PROPOSALS - THE IMPACT ON OLDER PEOPLE

Older People’s Council (OPC) - The OPC currently has 11 members with a mixture of elected and co-opted members. Members serve a four year term and are volunteers who receive no allowances for the time and effort they give to the work of the OPC. Current OPC members range in age from the 60’s to the high 80’s with six men and five women. They are elected by older people living in Brighton & Hove. Any Brighton & Hove City resident over 60 years can stand for election and vote in the election.

The last election took place in 2011 and the next one is due to take place on the 2nd July 2015. Electoral services have been notifying residents of the need to register in “Your Vote Matters “ leaflet for some time. For the purpose of the election Brighton & Hove is divided into 9 electoral zones. Each zone is based upon a group of 2 or more wards. Each zone elects one member to the OPC. 1At a previous election over 28,000 older people across the City were registered to vote. Voting only takes place where there is more than one nominee for the same Zone. In 2011 this occurred in two Zones with Harry Steer (North Portslade,South Portslade & Wish) and Peter Terry (East Brighton & Queens Park being elected. Unfortunately Peter had to retire during his term of office due to ill-health. Participation in the postal votes in these areas was respectable with Harry Steer gaining 1194 votes, so demonstrating keen interest by older voters in contested elections to the OPC.

  • Zone 1 Rottingdean,Coastal & Woodingdean, Zone 2 East Brighton & Queens Park Zone 3 Hollingdean & Stanmer, Moulsecoomb & Bevendean, Zone 4 Hanover & Elm Grove, Preston Park, & St Peters and North Laine, Zone 5 Patcham & Withdean, Zone 6 Brunswick & Adelaide, Goldsmid & Regency, Zone 7 Hangleton & Knoll and Hove Park, Zone 8 North Portslade, South Portslade and Wish, Zone 9 Central Hove and Westbourne.

Because the OPC has many older people serving, it is sadly the case that during the last four year term one member has died and two have retired due to ill health. The Council has not been willing to fund any interim elections during the four year term, so the OPC has co-opted members to assist in the work. The OPC members sought to achieve a greater gender equality and skills mix to the work of the Committee through the use of co-options.

The OPC web site at www.olderpeoplescouncil.org.uk contains full details of the members and of our activities.It was created and is maintained by our Chair, Mike Bojczuk, a full time worker who commutes daily to London. His work for the OPC is principally done at weekends, evenings and by taking annual leave. Of the 11 members of the OPC only four are former City councillors. So the majority of members are not retired Councillors despite this being an old chestnut often repeated by our detractors such as Adam Trimingham in The Argus.

  • The Argus “Talking Shops that waste money could be scrapped" 14th January 2015.
  • "Budget Proposal to Dissolve the Older People’s Council" January 2015
  • "The largest council spend is on Schools & Education at £169.1m followed by Housing Benefit at £167.2 million"

The OPC have drawn up a point by point brief rebutting the assertions of the Green administration seeking to justify abolishing the Older Person’s Council. To add insult to injury, they propose creating an Older People’s consultative committee which will not be elected, has yet to be defined and will lack the independence of the OPC. It should not be forgotten that the OPC was established after extensive consultation with older people across the City who wanted an independent body, chosen by older people, that would not be in hock to any political party in the City. Current members of the OPC span a wide range of political views and steer away from party politics.

Budget Proposals presented to Policy & Resources on 4th December 2014

Hardly surprisingly not many residents have the time to read through a report of 178 pages issued just before Christmas which has buried within it drastic cuts to services which older people value and need. The OPC has been through the proposals and seeks to ensure that older residents become aware of these proposals before they are set in stone. We are currently in a consultation period whereby we can seek to influence these proposals but little effort was made to put them into an understandable format so that meaningful consultation could happen. What follows is an attempt to highlight some of the proposals, many of which in our view are contradictory and with little financial detail as currently set out in the December P&R papers.

BHCC’s income is £778.1 million with the largest part coming from fees, charges and rents ranging from parking charges to care costs at £112 million. Adult social care is the third largest expenditure element of the budget at £111.4 million and has the least grants. The amount of students in the City is an ongoing issue particularly as they and more importantly their landlords are exempt from council tax. There are also a high number of single people in the city - so that 40% of households get a council tax discount.Income from Council Tax makes up £106.8 million of income which is only slightly more than Government grants of £103m. Council Tax only forms 14% of total income for Brighton & Hove City Council. The budget gap is £26 million in 2014/15. If the Council have a referendum for a 5.9% increase in Council Tax it will still have a budget gap of £21.25 million. If Council Tax is increased by 2% then there will be a budget gap of £25.45 million.

Adult Social Care

Budgetary pressure has been building up in Adult Social Care over recent years. Basically, demand from the vulnerable and unwell elderly is greater than the resources allocated. Hence there has been an overspend of £4 million this year due to pressures to meet the needs of those that are unable to continue caring for themselves Many elderly people live alone, do not have close family and when frail or with dementia cannot carry on safely living alone. At present the philosophy is to close residential homes and keep people in their own homes. However, many elderly in Brighton & Hove live in poorly heated accommodation on a limited budget. Being kept in your own home with insufficient home care is not a desirable choice and often leads to emergency hospital attendance due to falls or illness.

The NHS and the Council are jointly seeking to reduce A&E attendance and have less people in residential care. Because of the growing pressures they need to get people out of hospital quickly and into care but end up paying more because of the pressures on care in the community. Because of reduced income from central government BHCC is seeking to get the NHS to pay for services that were once clearly funded by Adult Social Care. The budget proposals specifically acknowledge that it is expected that further funding or savings may be needed over and above current assumptions. The value for money savings target of £2.9 million has not achieved any such savings to date and it is uncertain if it can be achieved.

The glaring contradiction comes in the budget proposals which repeats the mantra that we need to reduce the number of people going into residential/ nursing care and get them back home. Anyone who has dealt with elderly relatives that are unwell will know that there is often a critical need for interim care before they are ready to return home. Yet the budget proposals suggest cutting £1 million from resource centres for older people at Craven Vale, Knoll House, Ireland Lodge and Wayfied Avenue. With the growth of dementia and the need for family carers to have access to respite care, this proposal makes no sense. The report also refers to unachievable (p119) previous year savings against Extra Care Housing.

A cut of £400,000 is proposed for Home Care which is the service needed for those unable to cope without help in their own homes. This cut is described as providing a “Potential to invest in the community rather than in beds.” It is difficult to understand how the help needed for frail, vulnerable elderly people is going to come from. The budget proposal goes on to state “Reduce service and agree funding with NHS”. The OPC suspect that the NHS locally will be under pressure with their own budgets and conflicts over budget allocation will be a theme of the future.

Bed shortages not bed blocking by older people

An oft repeated rather unpleasant phrase describes older people in hospital as “bed blocking” . However, a recent OECD5 review of 34 countries showed that the UK had below the OECD average number of physicians at only 2.8 per thousand compared for example to Germany which has 4 per thousand.

A worse pattern emerges with hospital beds per 1,000 population. The UK had 2.8 per thousand which left them 28th out of 34 countries surveyed where the average was 4.8.6 Fundamentally, we have a major shortage of hospital beds in the UK. Older people are being scapegoated and spoken of as a problem but in reality there is a chronic lack of hospital bed availability and this has reached crisis point in the City. The budget is travelling in the opposite direction to the rhetoric with the projected £4 million overspend and talk of decommissioning or reducing some services to include bed based services to older people which will only exacerbate the problem.

  • 5 OECD Health Statistics 2014 - How does the United Kingdom compare? www.oecd.org/health/ healthdata. See also www.oecd.org/unitedkingdom/
  • 6 Data for 2011 showed France 6.4, Germany 8.2, Latvia 5.9, Monaco 16.5, Poland 6.5, Switzerland5.0, UK 2.9, Slovenia 4.6 . These are just some of the countries in the survey used to illustrate the poor position of the UK with regard to bed numbers per 1,000 population.

The language of savings opportunities

The language used in the budget proposals is almost Orwellian. It speaks of “saving opportunities” and “opportunities for efficiencies through better alignment of functions” and then at a stroke identifies major savings with no indication of how this will really be achieved. This is why there are budget over spends each year because the need outstrips the “savings” identified year on year. But with no details many of the figures cited as “savings” are fairly meaningless and unlikely to provide a saving. Overall, a total cut of £6 million is identified from the Adult Services budget. To suggest that this can be achieved without real distress to older people in the City is to stretch credibility beyond breaking point.

Overview & Scrutiny

One of the key reasons for the proposal to dissolve the OPC is because we are currently serviced by the Overview & Scrutiny team. The staff in scrutiny and hard working & helpful. But, the budget proposes to delete the Overview & Scrutiny function in the Council. So, if the staff are to be made redundant there would be no one to support the OPC and hence the need for us to disappear.

The Scrutiny team maintain our email address but we answer all the queries, they have a phone number for the OPC but members of the OPC answer this on a rota basis.We organise our own web-site and correspondence. However, staff minute take at our committees and public meetings, book rooms, liaise with speakers, arrange for the printing of our Annual Report and act as a link to the OPC for the outside world. They are very helpful to OPC members seeking to find the right person in the Council to challenge or seek information about an issue of concern to older people. This can relate to housing, planning, transport, public health, sporting activities or our work on the OPC initiative for Brighton & Hove to become an Age-Friendly City. Councillors were happy to be associated with our bid to the World Health Authority (WHO) for age friendly city status but seem less keen to recognise our crucial role in initiating and contributing to this process. Indeed, by proposing that a consultative committee would do a better job than the OPC is not about saving money. This is because the amount to fund this “consultative committee” is identical to our current budget i.e. £9,000 in officer time. It is rather to remove an independent group of older people and replace them with a less independent who are not elected and is to denigrate the contribution that many OPC members ( some now deceased) have made over the years.

Other reductions in services that will impact on older people

City Clean (p36) - the budget proposes yet another service redesign which will require fundamental changes to how the service operates as well as reducing service levels in some low priority areas. This is supposed to save £600,000. Given the debacle with the refuse in recent years this can only spell big trouble and watch out if you are in a “low priority area”

City Parks (p37) - a proposal to save £80,000 due to ceasing planting any new or replacement trees. They acknowledge in the impact section that stopping planting new trees will gradually erode the number of trees in the city which will have an impact on the street scene. Is this a Green Council?

Planning (p39) - Staff cuts which will impact on the ability to manage planning applications promptly and stop proactive heritage work. How will older people have an opportunity to input into the planning process with less staff to advise them?

Housing (p43) - Review the use of discretionary decorating and gardening schemes. A reduced number of tenants will be eligible for gardening or decorating of their homes. The service will be for those in priority need - over 75 and /or disabled tenants and in receipt of housing benefit. Saving identified as £38,000. This will affect the oldest and most vulnerable with just enough income not to be eligible for benefits.

Housing benefits outreach worker (p48) - this post supports extremely vulnerable people. Given that 20% of households in the City are on housing benefit those most in need of support will be told to go to the voluntary sector. But will there be anyone there to give them the advice they need?

City Services (Revenue & benefits) (p49) - the saving opportunity defined in this proposal is classic. The implementation of a completely online claiming system. “The change enforces a behavioural change to customers similar to that anticipated for universal credit”. I don't think that many older people in the City, many without access to a computer or with the inclination, eyesight,money, mental or physical capacity to go on line will appreciate this suggestion. However, clearly another marvellous saving opportunity for the Council but a reduction in support and service for older people who want to deal with humans rather than machines when they access a Council service. The average 85 year old with early stage dementia and no local support will be frightened and confused by this proposal. Which apparently will in the event only save £10,000.

Graves maintenance (p49) - the plan is to prioritise maintenance in cemetery areas where there are more visitors. It is acknowledged that this will be a reduction in service and will be a visible decrease in standards of upkeep in the cemeteries. For those with loved ones in less frequented areas this reduction in service will hit hard and seems such a mean proposal.

Public Conveniences (p55) - a map identifying the location of toilets across the City is on the OPC web site. This proposal is quite stark. Reduce opening times and reduce cleaning frequency and close sites where there are alternatives. The proposal is blatant and states :- “Toilet provision would be focussed on areas with high visitor numbers such as the seafront and destination parks. Closing toilets in more suburban areas would have a more significant impact on the elderly population and people with medical conditions which mean they need to access public toilets more frequently”.

"Toilets for Tourists" and "fewer Loos for Locals" seems to be the message. A saving of £160,000 is identified with these reductions in facilities. This will mean a dramatic decline in facilities for residents in the future.

Bus Service Cuts - Cuts to weekend and weekday evening services for the 21, 38A,21A.21B, 81A and weekly limited service for 84. These reductions need 12 months notice to achieve savings from December 2015.. It is recognised that the cumulative impact of these service reductions may lead to other services becoming unviable and their further termination by the Bus Operators. This indicates a potential for a spiral of decline if these go ahead.

Private Sector Housing Team - providing advice and guidance to help improve housing conditions in the private rented and owner occupied homes through improving energy efficiency, thermal comfort and reducing fuel poverty and CO2 emissions. This cut is estimated to save £74,000. Given the rise of fuel poverty and the problems of heating poorly insulated homes this reduction is singularly inappropriate in Brighton & Hove.

The OPC ran a “Keep Warm & Save Money this Winter” partnership event at the Brighthelm on the 22nd January at the Brighthelm centre. However, one event, no matter how useful, cannot replace a 7 continuous service helping older people. Again, a cutback on energy efficiency support is being proposed at a time when it has never been more needed. Fuel poverty is a major issue for the UK, unlike many other countries that have colder climates but do not understand the concept of fuel poverty.

 

This page was last updated by Ted on 09-Mar-2015
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