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Doped! Over-prescribing of anti-psychotic drugs to people with learning disabilities

September 15, 2015
The news that people with learning disabilities are being prescribed anti-psychotic medication inappropriately reminds me of the ‘chemical cosh’ situations of the bad old days. We need to ask questions…
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Micro-enterprises: Small fry?

September 10, 2015
I was speaking to a commissioner recently about the difficulty she had negotiating with some providers over fees, because nobody at a local level was able to make decisions. Inevitably,…
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Movement without medication

September 7, 2015
I have long had a ‘thing’ about the unnecessary use of laxatives. Its time to stop assuming these are a necessary fact of life for those with profound and complex…
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Skills Gap – an excuse to profit?

September 1, 2015
Most care service managers will tell you that when it comes to nursing staff, there is a small pool of talent and a huge amount of competition. As a consequence…
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A change is the benefit of a rest

August 21, 2015
In the middle of the holiday season, the real benefits of a short break can be remarkable Always when I speak to staff returning from holidays with service users, the…
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Dysphagia – Hard to swallow

August 16, 2015
For many people with severe learning and physical disability, eating and drinking can be distressing and risky. If you support people with very profound and complex needs, you may have…
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CQC inspections: falling down on the stairs

August 6, 2015
A provider I know has had the inspectors in, and they are definitely not happy bunnies. You see, there have been issues about the safety of the staircase in one…
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Health and Social Care – How it should be done

July 30, 2015
Today the new draft model for commissioners of health and social care services is published. Providers with an eye on the future would do well to have a browse. If…
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