'National Care Service' - Casey Commission

'Casey Commission tasked with producing plan for ‘national care service’ by 2026

Government remit also asks independent commission to consider services for older people and disabled adults separately and to ensure recommendations stick to government spending settlement

By Mithran Samuel on May 2, 2025 in Adults, Social work leaders

The Casey Commission has been tasked with producing a plan next year for delivering a “national care service” over the course of a decade.

The 2026 report will be followed by a further report, due by 2028, setting out longer-term recommendations for the sector, according to the Department of Health and Social Care’s (DHSC) terms of reference for the commission, published today.

The Independent Commission into Adult Social Care, headed by crossbench peer and renowned government troubleshooter Baroness (Louise) Casey, started its work this week.

The plan to set up the commission sparked criticism from social care organisations, after it was announced in January, due to its three-year timeframe being seen as far too long to develop a plan for a sector under under severe immediate pressures and facing significant future challenges.' 

continued...

https://www.communitycare.co.uk/2025/05/02/casey-commission-tasked-with-producing-plan-for-national-care-service-by-2026/

The Casey Commission

... so many people ...

Individual

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      INTERPERSONAL    :     SCIENCES               

HUMANISTIC  --------------------------------------  MECHANISTIC      

 SOCIOLOGY  :    POLITICAL 

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Group

... watching this space.

My prompt: Letters to the Editor, The Sunday Times. 12th January 20025. p.22.

https://www.thetimes.com/comment/letters-to-editor/article/sunday-times-letters-labours-national-care-service-proposal-ghx22kzt2

Understanding Mathematics + Domains towards Corridors

It is for others to judge - whether it is helpful or distracting; but I find concepts defined by other disciplines, or professions illuminating and insightful. Especially so, when it comes to 'domain'. In Hodges' model - all four of them. Five! When (not if), we include the spiritual:

'Greeno (1991) argued that students develop understanding when

"a domain is thought of as an environment, with resources at various places in the domain. In this metaphor, knowing is knowing your way around ir the environment and knowing how to use its resources. This includes knowing what resources are available in the environment as well as being able to find and use those resources for understanding and reasoning. Knowing includes interactions with the environment in its own terms - exploring the territory appreciating its scenery and understanding how its various components interact. Knowing the domain also includes knowing what resources are in the environment that can be used to support your individual and social activities and the ability to recognize, find, and use those resources productively. Learning the domain, in this view, is analogous learning to to live in an environment: learning your way around, learning what resources are available, and learning how to use those resources in conducting your activities productively and enjoyably. (p. 175)"

In particular, in chapter 8, Nemirovsky et al. use the metaphor of becoming familiar with a new place (e.g., a town, a train station) and the process of learning a new mathematical concept.' p.7.

Greeno, J. (1991), Number sense as situated knowing a conceptual domain.,Journal for Research in Mathematics Education, 22(3), 170-2 18. 

Understanding Mathematics and Science Matters. Edited by Thomas A. Romberg Thomas P. Carpenter Fae Dremock University of Wisconsin-Madison. EA LAWRENCE ERLBAUM ASSOCIATES, PUBLISHERS 2005 Mahwah, New Jersey London. (I hope there is a 2nd edition?)

(I will try to add the Nemirovsky et al. reference when I can.)

Previously: 'territory' : 'map' : 'vocabulary'

A Workforce Strategy for Adult Social Care in England

"For the first time ever, the adult social care sector has come together, led by Skills for Care, to develop the Workforce Strategy it needs. Adult social care needs a workforce strategy to ensure we have enough of the right people with the right skills to provide the best possible care and support for the people who draw on it. 

Development of this vital Strategy has been truly collaborative and it could not have been developed without the expertise, time and commitment of many stakeholders."

Estimated number of adult social care filled posts by individual job roles

Individual

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      INTERPERSONAL    :     SCIENCES                   

HUMANISTIC  --------------------------------------  MECHANISTIC      

 SOCIOLOGY  :    POLITICAL 

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Group

Job satisfaction Personalisation - Belongings Motivation Attitudes, Opportunities, Incentives Access to Training	Activities, Reablement Arts, Dance, Music Dental and other services Systems view - Demographics Collaboration / Liaison
Social Care: At home & residential care Job status Local community, schools Funding of Social Care Integrated & Person-centred Care	Workforce strategy Pay - terms and conditions Government policy Workforce recruitment & retention: National - International

Source: Email - Skills for Care and BBC Radio 4 Today.

"163 Days"

 INDIVIDUAL

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 INTERPERSONAL    :     SCIENCES               

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GROUP

	163 Days - Hannah Hodgson
Poetry in [not in] motion

“Hannah Hodgson takes us to the paradoxical heart of poetry itself: to be held inside a pain both intensified and soothed by the sheer brilliant presence of the poet’s mind.” – Caroline Bird

Hannah Hodgon is an award-winning poet and a palliative care patient. In her compelling debut collection 163 Days, she uses a panoply of medical, legal, and personal vocabularies to explore what illness, death and dying does to a person as both patient and witness.  

163 Days is the length of Hannah’s longest period of hospitalisation to date. In this long poem, she probes various truths, personal and medical; truths which clash like a tray of dropped instruments in a silent operating theatre.

The speaker is a teenager on the cusp of adulthood. Doctors struggle to diagnose her complex conditions. Through daily, diary-like poems we see the children’s ward through Hannah’s eyes. It is decked out in primary colours. Volunteer clowns visit. At seventeen she is ‘too old’ to be here, ‘too young’ to move to the adult ward.

The mundanity of hospital life is marbled by a changing landscape of mood, hope and loss. Her symptoms are painful. She has numerous tests and procedures to keep her alive long enough to figure out what’s wrong. A gap yawns between the person she is, and the person in her medical notes.

In ‘Aftercare’, Hannah navigates the worlds of both nightclubs and hospice care as she embarks on a new version of her life as a disabled adult. 163 Days is an important collection, in which Hodgson’s true voice takes poetry into difficult places.

Listen to the BBC radio play adaptation of 163 Days on the New Creatives website here.

163 Days by Hannah Hodgson, Seren Books ISBN-13: 9781781726471
Publication Date: Monday, March 28, 2022

My source:
Hannah's book in Kirkby Lonsdale, The Book Lounge 17th February 2023.

Book: Stories from Care Experienced Adults to Inspire Change

 INDIVIDUAL

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 INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

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GROUP

"In this poignant book, Lisa Cherry brings together a collection of candid and personal reflections on the care system in the UK, offering alternative ways of thinking about the care experience, supporting better ways of working, and providing justification for a trauma-informed lens to be applied to all forms of work with those in care. Through personal insights and reflections, the book brings often-unheard stories vividly to life, beginning with the author’s own. These are stories about love and pain; hurt and isolation; the depth of lived experience that makes up a life; how we live our lives through our relationships with others and where we feel we fit in. In this thoughtfully compiled third edition, original contributors look back on their own reflections from the lives that they live now, new stories bring new perspectives, and discussion points provide the opportunity to consider the realities of the care experience as well as life beyond."

The Brightness of Stars: Stories from Care Experienced Adults to Inspire Change

Stories from Care Experienced Adults to Inspire Change

"Whilst each story is unique, shared themes reveal the truth of the care system and, coming at a time where there is a real opportunity for change, the narratives in this book are ultimately stories of hope and connection. This is crucial reading for policy makers, those working in social work, education and adoption, as well as care experienced adults." [Text c/o Routledge]

Lisa Cherry (2022) The Brightness of Stars: Stories from Care Experienced Adults to Inspire Change
London: Routledge. ISBN 9781032191584 

https://www.routledge.com/The-Brightness-of-Stars-Stories-from-Care-Experienced-Adults-to-Inspire/Cherry/p/book/9781032191584#

My source:

https://twitter.com/CareExp_Culture/status/1606208952437420032?s=20&t=nacOiLCrUFCCuNQiEY4dKw

World Drowning Prevention Day

INDIVIDUAL

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 INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

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GROUP

I can learn to swim? Yes, you can - it's fun too!  Even if you can swim: Respect the water! Be aware - of water depth, the water's temperature and your body's reaction to cold, what lies beneath, and the effect of alcohol and substances, and that recent meal... Be safe - while having fun!
Local Community Knowledge of local risk	Policy Facilities Development aid/funding

Book: "A Theory of Legal Personhood"

     Self - INDIVIDUAL - Person

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 INTERPERSONAL    :     SCIENCES               

HUMANISTIC -----------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

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Community - GROUP - Population   

person personhood (clinical / legal) Reflective Equilibrium extensional beliefs definitions interest [theory] will [theory] responsibility [mental] capacity	objects nature / natural 'West' - 'East' legal systems [ More to follow FROM here Re. BIOSPHERE ECOCIDE ... ] Whanganui River -
newborn children adults of sound mind slaves corporations foetuses nonhuman animals Orthodox View west - culture - east Social contract	agreement Legal personhood Jurist Hohfeldian understanding of rights (non-Hohfeldian?) non-incorporated organizations Corporation as artificial person

 

See also:

Law 'in' Hodges' model (Discuss?)

My source: @OUPAcademic

 

Nursing: The Adult Patient 1966

"To the Student"

"To the Teacher"

individual

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INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

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group - population

"The ways in which the nurse helps people are infinitely varied, and she is being called on constantly to exercise the very delicate judgment." p.xiii "Nurses respond to pressure in many different ways. Some withdraw, going as far from patients as possible. (They clean the medicine cabinet; it does not complain.) Some go about their work mechanically, refusing to get involved emotionally because involvement brings too much worry." p.xiv "The  particular aim of the authors of this book is to assist you in understanding and helping each individual patient for whom you care. ...

"For a particular patient at a particular time, one aspect of nursing care may outweigh all others in importance." "We believe that nurses need to develop a broad orientation to the care of patients, wherever the patient may be." p.xii "All divisions in the study of nursing are arbitrary. There is unity of nursing, regardless of whether it is practiced at home, in a hospital, in a jungle or a desert; whether the patient is a child or an adult; whether the illness is physical, mental, or both." p.xiii "Neither the "intercom" system nor the monitoring device that indicates the patients' vital signs was meant to supplant the nurse. ... In the future there will be more machines to perform mechanical tasks, but no machine can establish the creative, sustaining relationship with people that helps them to get well." p.xiv.

... Whatever their differences in social and economic background, temperament or relative state of health, your patients will have in common certain basic human requirements - skilled care, understanding and respect." p.xiii  "Some try old social skills in new situations. These may or may not be applicable. Social chit-chat may make the nurse feel at ease but may be one way to avoid learning abount the patients' needs. Some nurses manage t ofind a a formula that is exactly right for them. They become involved enough to be concerned about helping patients, while continuing to grow and learn." p.xiv

"The nursing situation today is far from ideal. Many nurses face a staggering workload - not only in relation to the number of patients for whom they are responsible but also because of the greater responsibility that is being delegated to them as advances are made in medical science." p.xiv. "Chapters on disaster nursing and world health problems have been included in the conviction that the profession of nursing has an important role to play during any disaster." p.x-xi

There is a definition of 'health' in this book (p.53), but no specific reference to nursing theory or models of nursing. Reading the references, the definition of health is neither derived from nursing or a WHO source. The definition does refer to health being more than the absence of illness.

Addressing acute contemporary issues, Chapter 59 'Nursing in Accident Disaster' includes Nuclear Disaster pp.1103-1114; while Chapter 60 on 'World Health Problems' is more comprehensive than I expected in such a book and at this time. Although the Cuban missile crisis was only fours years prior to publication.

Smith, D. W., & Gips, C. D. (1966). Care of the adult patient: Medical-surgical nursing. Philadelphia: Lippincott.

Study: Measuring Different Types of Relationship Styles in Psychosis

Division of Psychology and Mental Health
2nd Floor, Zochonis Building
The University of Manchester
Brunswick Street
Manchester
M13 9PL

Participant Information Sheet

Measuring Different Types of Relationship Styles in Psychosis

You are being invited to take part in a research study developing a questionnaire to measure different types of relationship styles in psychosis. Before you decide whether or not you would like to take part in the study, please read the following information carefully so that you can understand what taking part would involve for you. Then click the button at the bottom of the page to continue. If you have any questions or queries about taking part in the study, please contact the principal investigator, Catherine Pollard (catherine.pollard AT postgrad.manchester.ac.uk). You do not have to make a decision straight away, so if you have any doubts or feel unsure please take some time to think it over.

What is the study about?

Our early relationships have been linked to the development of psychosis, a mental health problem that means people interpret things differently from those around them. Psychosis involves experiences such as hallucinations, where a person hears, sees and in some cases feels, smells or tastes things that are not there; or delusions, where a person has strong beliefs that are not shared by others.

When people are young, they develop a sense of how they relate to themselves, others and the world. This includes how others relate to them. Some people grow up seeing their parent/guardian as fearful. Research suggests that when these young people grow up they are more likely to report hearing voices and feel paranoid. However, it is not clear how this happens.

At the moment, it is difficult to understand why these people are more likely to hear voices and feel paranoid. Therefore, more research needs to be done. We aim to develop a questionnaire that measures whether people have grown up feeling scared of their parent/guardian so that we can use this in research to help us understand the link between feeling fearful in early relationships and the development of psychosis.

This study will not directly offer you any benefit, but the study addresses a gap in psychosis research. Our work will help to understand the development of unusual experiences and help us develop more treatments for distressing experiences.

Please CONTINUE READING...

individual

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INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

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group

SELF beliefs early relationships  lived experiences sensory experiences - hear, see, feel, smell, taste ... hallucinations, delusions psychosis, distress, trauma Confident with	WORLD Involved in major accident antipsychotic medication Diagnosis  Evidence-base Measures
English language OTHERS social environment parent(s), guardian, significant others fear, traumatic loss of other  Therapeutic input: CBT, Psychologist	WORLD Treatment in a Mental Health Unit / Hospital Input from Community Mental Health Team or Early Intervention Service

subjective ------------------------------------------------------------------------------------- OBJECTIVE

qualitative -------------------------------------------------------------- QUANTITATIVE

My source:
@HearingVoicesUK & @RSInPsychosis
https://twitter.com/HearingVoicesUK/status/1073647206685663232

Representation of the People

individual

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INTERPERSONAL : SCIENCES

humanistic --------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

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group

Representation  of the  People   An act to unite  "The Representation of the People Act 1918 meant that a greater number and a broader mix of voices could now be heard at the polls. 100 years later, we mark the centenary of this historic Act with this UK 50p coin range. "

2018 ...

Representation of the People's 

health and social care...?

My source and image: The Royal Mint

"Here I Stand" Stories that Speak for Freedom

individual

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INTERPERSONAL : SCIENCES

humanistic ---------------------------------------  mechanistic

SOCIOLOGY : POLITICAL

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group

	"HERE I STAND" 12+

Book cover: Walker Books

Amnesty International

1 in 3 will be older adults by 2025 in Japan

In June Dr Mayumi Hayashi described Japan's vision of 'total care' for its older population in HSJ. The article that prompts this post follows another with lessons for England.

Referring to a "2025 vision" this forward thinking has its roots in established systems of healthcare set up in 1961 and social care established in 2000 (p.25).

Care integration is not new as a fundamental issue in health and social care. It is for me a career legacy issue. As a student nurse it was discussed and debated, closely allied with multidisciplinary and holistic (joined up physical and mental health) care. Even now 37 years later it will drive many arguments and policy deliberations in the run up to the next election here.

Many nations are faced with stark demographics. As the population ages and works its way through wooden blocks, Rubik cubes, it is the population pyramid that takes on increasing significance.


Dr Hayashi lists the need for inclusion, integration and continuation of four components that are essential to the realisation of this vision:

• maximising the integration of healthcare and social care;
• promoting policies for prevention and outreach together with safeguarding;
• embedding supported living programmes and dementia friendly community initiatives; and
• addressing “late life specific” housing needs.

I have mapped these to Hodges' model below:

individual
INTERPERSONAL : SCIENCES

humanistic ------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

group

embedding supported living programmes and dementia friendly community initiatives	integration of health and social care
"late life specific" housing needs (integration of health and social care)	promoting policies for prevention and outreach, together with safeguarding

It becomes clear to see in Japan, China and other nations how telecare and smart homes have a role to play. Getting the basics of integrated care resolved firstly is the prerequisite whatever the culture.

Where achieved the integration of health and social care can act as a diagonal brace as it straddles two care domains. Perhaps the model also reflects the ongoing challenges of parity in esteem in mental health care and physical care; and the funding ambiguity for people living with dementia as opposed to other medical conditions?

In January 2014 the FT Weekend magazine also featured an article on ageing in Japan.

Hayashi, M. (2014) Japan's vision of a 'total care' future looks bright, Health Service Journal, 124, 6404, 25-27. 

FT magazine cover image:
https://www.facebook.com/financialtimes/photos/a.10150157857040750.297340.8860325749/10152119294570750/?type=1

Sensing Spaces: Care architecture - memories of choice

Good architecture is often invisible,
but it allows whatever is happening in that space to
be the best experience possible.

Pezo von Ellrichshausen

Good architecture may have something in common with good health; it is something that can be taken for granted. When things go awry and are wrong then architecture and health suddenly impose upon us, a major intrusion.

As I may have mentioned before, in the past I've been asked how I've managed entering such and such care facility for so long. Within health there is recognition of heartsink patients. There are still heartsink buildings too. Not purpose built, seemingly either all narrow dark corridors, interrupted when doors let in shafts of light and assault dignity and privacy; or large 'lounges' that still invite armchairs to be flung against walls.

Architecture like this is not invisible. Walls are walls, blanc, flat and solid. Pictures removed due to safety concerns. Two holes and exposed plaster testify to what? Now, after six months....?

Even for the confused there are few potential found spaces, spaces to sit, stand, be; spaces towards which some personal impetus might have a person gravitate. A space of relative quite, looking out on some-thing relaxing even if not a small garden feature.

"Where's Joan, her friend's here to see her?"

"It's OK, I know where she'll be."

Royal Academy: Sensing Spaces
Education guide