HSE Nursing Homes can charge over €2,000 per week

And what of our Elderly?

And what of our Elderly?

Nursing homes run by the HSE are charging weekly fees of up to €2,139, it emerged yesterday, according to the Irish Independent.

However, it remains unclear how much an elderly person who needs to be admitted to one of these homes will have to pay if they have not been approved for a State subsidy under the Fair Deal scheme.

Confusion reigned yesterday after it emerged that the HSE, which has a budget of over €1bn to fund long-stay care this year, said this was only enough to cater for the existing 22,908 patients who were in public and private nursing homes under the scheme.

Under the Fair Deal scheme, nursing-home residents pay 80pc of their income and 5pc of the value of their assets annually for up to three years. The payments can be made either in their lifetimes or deducted from their estates after death.

But the HSE said it had drained its funding for 2011 and all new applicants would have to go on a waiting list.

Asked what would happen if an elderly person needed an emergency admission to a nursing home, a spokesperson for the HSE said they were likely to be admitted to an acute hospital or respite bed. Up to 700 long-stay patients are currently in acute beds.

The average weekly cost of a public nursing-home bed is €1,245, but it can be much higher. The weekly cost of private nursing-home care is €875 but it can be as high as €1,344.

The HSE said yesterday that 11,836 people had so far been cleared for financial support under the Fair Deal scheme and another 4,225 were receiving a subvention or were in a contracted bed. The remaining 6,400 were outside the scheme, paying 80pc of their pensions or allowances.

The HSE said the average weekly support under Fair Deal scheme per resident was €675 a week but a combination of rising demand and costs has led to it having to put a cap on the numbers it can accept for the subsidy.

However, Tadhg Daly of Nursing Homes Ireland said yesterday he estimated at least €200m had been paid by nursing-home residents to the HSE, on top of the €1bn funding.

Anxiety

“The cost drivers are coming from the public rather than the private sector,” he said. “Public-home costs are 40pc higher than the private homes. This crisis needs to be addressed quickly — there is huge anxiety out there.” Most elderly people in residential care are in private nursing homes.

Minister for Health Dr James Reilly said he was notified of the crisis in the middle of last week and was having urgent talks to try to resolve the situation.

He questioned why costs were so much higher for running public nursing homes and was gathering the facts with a view to coming up with a plan of action

A Fair Deal?

A Fair Deal?

A Fair Deal?

A Fair Deal it seems will now end up costing more than originally planned according to the latest Performance Report from the HSE.

In May, there was a trend showing a marked increase in Private Nursing Home payments.

A total of €16.6 million was spent on this scheme in May bringing the then year to date figure to almost €50 million.

If this rise is spending continues, the Report states, the costs will be higher than originally planned.

The application process for ‘A Fair Deal’ is now being closely watched to determine the possible trends for the remainder of 2010 according to the HSE.

The Board will be advised should the limit of funding be reached, according to the Report.

A large number of Nursing Home beds are now being left vacant as clients move towards the Private Sector with the launch of this ‘Fair Deal’

The outcome of this is that HSE Local Health Offices may have their budgets reduced as funding moves over to the ‘Fair Deal’

Healthcare Associated Infection (HAI’s)

Right now there are 1.4 million people worldwide suffering from Healthcare Associated Infections (HAI’s).

What is a HAI?  Healtcare Associated Infections are infections that are picked up while receiving treatment for some other condition.  This is usually in a hospital setting, but is not confined to hospitals alone.  Doctors Surgeries, Nursing and Care homes and Clinics are all prone to spreading infectious diseases.

You will be familiar with the names of Healthcare Associated Infections.

  • MRSA
  • VRSA
  • C.Diff
  • Pneumonia (VAP – Ventilator Associated Pneumonia)

What they all have in common is that they can be picked up in Healthcare settings and are difficult to treat.

They are also relatively easy to prevent.  It all comes down to Hygiene.  Top of the Hygiene list is Hand Washing.  It is such a simple thing, but a lack of proper hand washing by patients, relatives and healthcare professionals is attributed to a high percentage of HAI cases.

The above handwashing demo is aimed at kids.  What it pointed out to me is that there really is no excuse for us growed ups to be spreading HAI’s as a result of improper hand washing.

Are Healthcare Associated Infections really that serious?  Well in 2002 98,987 people died from them in the United States.  Here in Ireland we do not have good or accurate figures.  So yes, it is an extremely serious.

Kimberly-Clark have started a campaign called “Not on My Watch“, which is a prevention and education campaign.  Follow the link and I will update this post when I have more details about the campaign in Ireland.