Budget for 40 new NHS hospitals faces real-terms cut of £700m, say Lib Dems

Capital budget of £12bn a year to shrink to £11.7bn, putting Tories’ claim 40 hospitals in England will be built or renovated in doubt

Plans by the government to construct and renovate 40 hospitals in England could be delayed because of new analysis suggesting the health and social care department’s capital spending budget faces a real-terms cut of £700m next year, according to the Liberal Democrats.

With some hospitals said to be in dire need of repair, the health secretary twice refused to say on Sunday that the NHS was functioning properly and instead admitted it was under “severe pressure”.

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Woman groomed and abused in care gets apology after 30 years

Leeds city council letter accepting responsibility believed to be the first of its kind

Carrie* is no stranger to a legal challenge. In 2018, alongside other women, she won a landmark case against the Home Office when she challenged a requirement that prostitution offences, including those acquired below the age of 18, be disclosed under criminal record checks.

While Carrie, now 49, was giving a detailed statement to her lawyer dealing with this case, she described her time in care. Her childhood was dominated by neglect, sexual abuse and exploitation. It became clear to her lawyers that there was a second case – against the body responsible for the child protection services that failed her so badly: Leeds city council.

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Raising council tax to fund social care will deepen inequality in UK, experts warn

Jeremy Hunt’s plans criticised for delay to reform, shifting burden to local authorities and ‘skewing the system’

Jeremy Hunt’s decision to fund more social care through increases in council tax will deepen inequality and undermine the cause of “levelling up”, the architect of the government’s planned reforms said last night.

The criticism from Andrew Dilnot, the economist whose blueprint for reform was delayed by another two years in Hunt’s first budget on Thursday, was echoed by senior figures in local government who said it would leave poorer areas at a disadvantage and was not the answer to the social care crisis.

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Energy firms accused of profiteering with ‘horrendous rates’ for care homes

Exclusive: Care England calls for Ofgem investigation into suppliers’ practices in letter seen by the Guardian

Energy suppliers have been accused of profiteering by charging “horrendous and financially crippling rates” to care homes facing huge bills this winter.

The chief executive of Care England, the largest body representing independent providers of adult care, has accused gas suppliers of being “unduly onerous” in their practices.

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UK set for new wave of strikes as civil servants and train drivers vote for action – politics live

Around 100,000 civil servants, working in multiple government agencies, have voted to strike in a dispute over pay, pensions and jobs.

According to Pat Leahy, political editor of the Irish Times, the Irish government is doubtful about the prospect of a breakthrough in the coming weeks in the talks on the Northern Ireland protocol.

In his Sky News interview Chris Heaton-Harris, the Northern Ireland secretary, also suggested that large number of politicians in parliament are voting for Matt Hancock to perform “grim” tasks on I’m A Celebrity. My colleague Aubrey Allegretti has the story here.

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State of social care in England ‘never been so bad’, social services boss warns

Councils receiving 5,400 new requests for help each day while capacity has reduced significantly

The state of social care in England has “never been so bad”, the country’s leading social services chief has said, with half a million people now waiting for help.

Sarah McClinton, president of the Association of Directors of Adult Social Services (ADASS), told a conference of council care bosses in Manchester: “The shocking situation is that we have more people requesting help from councils, more older and disabled with complex needs, yet social care capacity has reduced and we have 50,000 fewer paid carers.”

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Child sexual abuse inquiry’s findings fall short for many victims

Lawyers criticise ‘loopholes’ in call for mandatory reporting in England and Wales

Managing the seven-year inquiry into child sexual abuse to a set of conclusions will itself be seen as a triumph for Prof Alexis Jay. Its findings, however, have not gone far enough for many victims.

Lady Jay took over in November 2016 amid concerns the inquiry would have to be abandoned. She joined after three high-profile resignations of previous chairs over a three-year period.

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Why global investors are piling into the UK’s luxury care home sector

With people aged 65 and over controlling 51% of Britain’s wealth, the logic for investors is simple

Canadian owners of care homes avoided UK taxes, researchers claim

With a spa, cinema and wood-panelled hall, Reigate Grange in Surrey, where Ann King was abused, is part of a growing trend for luxury care homes. Fuelled by global investors’ desire to capitalise on older people’s property wealth, luxury care applies a cruise-ship sheen to the grittier reality of dementia and the end of life.

The logic for investors is simple. People aged 65 and over in the UK now control 51% of Britain’s wealth, up from 42% in 2008, the year of the financial crash, according to the Resolution Foundation. A large minority of older people can afford £100,000-a-year care home fees because they have houses worth far more that they no longer need. A person in a £1m home who survives for the typical two years of a care home resident would still leave £800,000 in their will.

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England’s social care workforce shrinks for first time in 10 years

Experts say loss of 50,000 workers exposes ‘absolute crisis’ facing system still reeling from impact of Covid and Brexit

The social care workforce has shrunk for the first time in almost a decade despite rising demand and bed congestion in hospitals fuelled by a lack of care places.

England is projected to need close to 500,000 more care staff by the middle of the next decade, but last year there was a net fall in the workforce of 50,000 people, leaving about 165,000 jobs vacant, according to new figures from Skills for Care.

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Health secretary sets up £500m fund to discharge medically fit NHS patients

Thérèse Coffey announces measure aimed at freeing up beds in hospitals in England before winter pressures

Ministers are setting up a £500m emergency fund to get thousands of medically fit patients out of hospital as soon as possible in an attempt to prevent the NHS becoming overwhelmed this winter.

Thérèse Coffey, the new health secretary, unveiled the move in the Commons on Thursday as part of her plans to tackle the growing crisis in the health service, especially patients’ long delays for care.

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Adult social care in England is in crisis, say Tory council leaders

Warning of £3.7bn funding shortfall over next 18 months piles pressure on Liz Truss after campaign pledges

Adult social care in England is in serious crisis, Tory council leaders have warned the government, as it faces a £3.7bn funding gap and a growing staffing shortage that has brought many local care providers to the brink of collapse.

The intervention by the County Councils Network, which represents 36 mainly Tory-run authorities, comes amid widespread local government concern over the increasing fragile state of social care. Care costs have accelerated recently, fuelled by unexpected wage and energy inflation.

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Ministers to make it easier for foreign nurses and dentists to work in NHS

Exclusive: change to registration process will pave way for thousands of staff trained overseas to come to UK, says government

Ministers will introduce legislation as soon as parliament returns on Monday to tackle the NHS’s worsening staffing crisis by making it easier for overseas nurses and dentists to work in the UK.

The move is part of a drive by the health secretary, Steve Barclay, to increase overseas recruitment to help plug workforce gaps in health and social care.

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Medically fit patients waiting months to be discharged from England’s hospitals

Charities say social care crisis is ‘crippling patient flow’ in hospitals and has created a ‘miserable situation’

Patients are waiting up to nine months to be discharged from NHS hospitals in England despite being medically fit to leave, according to “shocking” figures that will pile pressure on ministers to tackle the social care crisis.

Health experts say the incredibly long-delayed discharges are yet more evidence of the impact of the shortage of social care beds and provisions to get patients home safely.

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Live-in care workers ‘have pay docked by agencies to cover accommodation’

New report says policy changes are needed to protect ‘hidden workforce’ from exploitation

Live-in care workers recruited from overseas to care for disabled and elderly people in Britain are being exploited by “unscrupulous” agencies who dock their pay to cover “accommodation costs”, according to new research.

The workers, who live with clients to provide round-the-clock care, in some cases had their pay reduced by hundreds of pounds a month despite being paid only the minimum wage to begin with.

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Brexit realism? The NHS? Some of the key issues ignored by Sunak and Truss

Tory leadership candidates have clashed bitterly but many pressing matters have been overlooked

Rishi Sunak and Liz Truss have clashed vehemently over tax and spending, immigration and the UK’s stance on China in their acrimonious battle to become prime minister – but have had little to say about many other pressing issues. Here are some largely overlooked key issues of the contest so far.

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Labour to aim to launch national care service inspired by creation of NHS

Exclusive: shadow health secretary says service in England would be brought in over several parliaments

Labour will aim to bring in a national care service in England with just as much ambition as the 1945 government that brought in the NHS, the shadow health secretary has said, launching a review of how it would work.

In an interview with the Guardian, Wes Streeting said he had asked the Fabian Society to look at how the service would be funded and structured, with a view to bringing it in over the course of several parliaments.

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‘Serious failings’ left children exposed to abuse in Oldham, finds damning review

Report singles out failings by police and council and suggests senior officials may have misled MPs

Vulnerable children were left exposed to sexual exploitation in Oldham because of “serious failings” by the police and council, a damning independent review has found.

The report found there were multiple missed opportunities to prevent abuse stretching back to 2005, including offences committed by a council welfare officer who was later convicted of 30 rapes.

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Revealed: Migrant care workers in Britain charged thousands in illegal recruitment fees

Exclusive: new visa scheme to attract staff to ease the chronic shortages in the sector has left many open to exploitation

Read full story: Migrant workers trapped in debt bondage

Care workers recruited from overseas to look after elderly and disabled people in Britain are being charged thousands of pounds in illegal fees and forced to work in exploitative conditions to pay off their debts.

An Observer investigation has uncovered a network of agencies supplying workers to care homes and homecare agencies that charge recruitment fees to candidates.

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Migrant care workers came to help the UK. Now they’re trapped in debt bondage

Investigation: Britain called out to workers around the world to ease a staff crisis. But many have to pay thousands in illegal fees to recruitment agencies

Read exclusive story: Migrant care workers charged thousands in illegal fees

Meera Stephen came to Britain with a big suitcase and even bigger dreams. The 27-year-old had left Kerala in south India to work at a care home in Manchester, one of thousands of migrant workers to come after a government recruitment drive to fill more than 100,000 vacancies in social care.

The job would pay £10 an hour – just above minimum wage. But it came at a price. In exchange for securing her employment, she would pay a recruitment agent 1.3m rupees – about £13,700.

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‘Shocking’ rate of sexual abuse against aged care residents barely changed since royal commission

Peak rights group for older Australians demands urgent change after 530 incidents of sexual abuse reported in last quarter of 2021

More than 500 cases of sexual abuse against aged care residents were reported in the last three months of 2021, a rate largely unchanged since the royal commission dubbed the prevalence of sexual crimes in residential care a “source of national shame”.

Experts say victims, many of whom live with dementia, are still being failed by systems not equipped to recognise or respond to crimes against those with serious cognitive impairment.

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