Panorama Crisis in Care on now

Two parter starting tonight BBC1. I am recording it.

I’m videoing it too - but don’t know whether I want to watch it.


Main thread … SOCIAL CARE : GREEN PAPER … already running with this … and a whole lot more :

Also , the prelude to the whole program posted yesterday so that all can see the fundamentals behind what you will be watching.

Said program should galvanise responses to the thread which has been posing questions for the past 13 months.

If anyone wants more information on the DILNOT report from a decade or so ago , shout … plenty on that in the CarerWatch
archives at the time.
UPDATE … Twitter extremely active , should get some good press in the morning.

Ironically , I will not be able to watch it unless someone uploads it to You Tube without the BBC IPlayer tag.

As someone who battled 99% of all the organisations who “cared” for my late Mother at times when she was really ill and needed goid safe care but didnt, I was interested in the Panorama and current news items about care.
However I just could not pluck up the courage to watch it all.
I still have my late Mother’s care for last 3 years of her life being investigated by the PHSO (the case keeps getting passed to different investigators so still hasn’t even started being looked at)
I really hope that issues raised by all the news and Panorama reports achieves the people in charge of vulnerable care taking action to make things safer

Am I allowed to post this?

Most definately … after Panorama , the tabloid press have finally woken up ?

Comments section … how are our Joe and Josephine Public reacting ???

Let’s hope they concentrate their energies on OUR cause … and just not use us to boost sales ???

Don’t lose sight of the main thread for the bigger issue … the forthconming GREEN PAPER ON SOCIAL CARE :

The acid test will be in the House … genuine support or merely using us to bash the Government ???

Review published in today’s Guardian :

**Crisis in Care: Who Cares ? Review – the horrors of austerity laid bare.

This devastating expose met the people in need whose lives are being ruined by government cuts. Anything slashed by two-thirds is no longer fit for purpose.** >


**_Hope I die before I get old,” sang the Who in 1965. What was written in the spirit of nihilistic affectation now sounds, for their generation and the aged cohorts behind them, like a heartfelt prayer.

Panorama’s Crisis in Care: Who Cares? (BBC One) is the result of the BBC social affairs correspondent Alison Holt’s 10-month investigation into the travails of four families in Somerset living with someone with complex care needs and the problems of the local council in fulfilling its duty to meet them.

I say problems, plural, but really there is only one – money. As a result of the government’s austerity programme, funding to Somerset council (which is no outlier) has been cut by two-thirds since 2010.

Anything cut by two-thirds is no longer fit for purpose. A meal. A roll of carpet. A film. And, very much, a social-care budget.

Compounding this already insurmountable problem is the (Tory-run, which may or may not be relevant) council’s decision to freeze council tax for six years, meaning that there is even less money.

We meet 37-year-old Martine Evans, confined to bed by the arthritis that has flared up since she had triplets a few years ago, and her uncomplaining husband, David, who is being ground down by the work, as constant as his wife’s immobilising pain, of caring day and night for her and their three children.

They need help at night, when Martine can need medication or turning several times an hour, but there is no money to pay for help. They need more help during the day, so David (a mechanic, self-employed now because companies won’t give him the flexibility his responsibilities require) can work further afield and not need to get home every two hours. But there’s no money for that.

Katey is fighting for her 58-year-old uncle, Paul, who has Down’s syndrome and a variety of other conditions that mean he really needed the specialised placement he was granted after his mother, who took care of him all his life without assistance, died a few months ago. But the placement was withdrawn, because, again, there is no money.

Michael Pike has dementia and the aftermath of encephalitis and requires round-the-clock supervision. Council carers come in for 42 hours a week – the rest is provided by his devoted partner, Barbara. Her health, too, is now suffering. She recently needed to be admitted to hospital, but wouldn’t leave him. There’s no money to help them.

Rachel Blackford’s mother has severe dementia and the one place that could manage her for two days a week is closing, because there’s no money. By the end of the year, the council is having to find savings of £13m out of its already meagre budget of £140m.

What is striking throughout is how little people are asking for. They just want enough to keep their loved ones at home, to continue caring for them without wrecking their own health and strength in the process. So much suffering caused for the lack of a tiny – relative to what is spent almost anywhere else – amount of money. Again, perhaps that’s the wrong word. You could equally well call it a withholding of money as a lack.

That, perhaps, was the one weakness of Holt’s film. It interleaved the stresses on the groups – council and client – most affected by the impossibility of making a pint of resources fill a hogshead of need, but barely mentioned those responsible for damming the supply in the first place. Any questioning of (let alone response from) the government was conspicuous by its absence.

There was no suggestion that it had been contacted by the makers and declined to reply, which left us going round in circles. Horrifying, heartbreaking circles. But the sense that the problem had been identified early on and simply illustrated and reillustrated thereafter became frustrating.

Like David Attenborough’s decision to stop simply presenting the wonders of the natural world in the hope that humanity will stop destroying them and instead actively speaking out against environmental destruction, > I wonder if we are not now at the point when social affairs programmes must go beyond raising consciousness of the latest horror and start calling the perpetrators to account. There are precious few other ways, it seems, for their increasingly vulnerable victims to fight back._**

Real question is … the reaction from the general public , and those in the House ???

A " Cathy Come Home " moment or … a damp squid ???


Review in the Daily Telegraph :

Crisis in Care: Panorama, episode 1 review : This crucial report laid bare our social care crisis. >


As funds, focus and manpower continue to be sucked into the Brexit vortex, other worsening national imbroglios are sidelined or ignored. The first episode of a profoundly bleak but absolutely necessary two-part Panorama, Crisis in Care (BBC One), highlighted just one of them: the adult social care system on the brink and in dire need of reform after years of austerity.

BBC social affairs correspondent Alison Holt spent a year in Somerset, a county with one of the UK’s fastest ageing populations. There, the council spends 42 pence in every pound of council tax on funding adult social care. Smartly, Holt took the perspectives both of four families in desperate need of support and of those charged with providing it.

In the former camp: Martine, a 37-year-old mother of triplets with crippling arthritis since the age of two, cared for by her partner; Michael, an elderly man with dementia and encephalitis, looked after by his partner; Paul, a 60-year-old with learning difficulties and stuck in a patently inadequate care home since his mother’s recent passing; and Rachel, denied respite for her dementia-suffering mother as the local day centre faced closure.

Pain, exhaustion and despondency had become ways of life and the details were heartbreaking: Michael talked about ending it all while his wife tried to laugh it off; Martine’s husband had to work after nights of hourly wake-up calls; Rachel dealt good-humouredly with the psychological toll of conversations with her mother.

On the other side, the understaffed, demoralised social workers had to make potentially life-and-death choices, juggling a shrinking budget to prioritise between these and other similar cases. With central government funding to councils cut by almost two-thirds since 2010, the NHS – not itself a model of financial good health – picked up the tab with alarming regularity.

It’s worth noting that Somerset council had hardly helped itself, having frozen council tax for six years. As it voted through swingeing cuts to everything from citizen’s advice bureaus to children’s centres, libraries and, yes, adult social care, it smacked of deckchairs and sinking ships.

And this was just one branch of the care system, in a single county. Crisis in Care put a human face on the price of austerity, underlining the simple impossibility of cutting taxes, slashing funding and adequately supporting essential public services.

The government has promised to publish its plans for the care system “at the earliest opportunity” but, with attention elsewhere, this opportunity may come too late for some. As this excellent documentary made abundantly clear: there simply has to be a better way than this.




Early doors but … if one had to judge from the media reaction so far … a damp squid ?

CUK’s FaceAche followers … comments now upto to 23 as I type … Twitter ? … unknown.

Watched it last night. I suspect those unaffected by caring (yet,) are relieved it’s not them. Part two is next week, I hope it looks more at the points you raised Chris - but suspect it won’t.


One can only hope … for the sake of 7.8 million family / kinship carers ?

Over 8 million before very long as " Support " continues to dry up and / or totally unaffordable.

Bad enough everyone else leaving us to sink or swim … and now the media ???

A view from " The Other Side " … Community Care ( Social Workers Mouthpiece ) :

" This is real life social work, you should film this " – practitioners on letting Panorama’s cameras
in Somerset social workers talk about their experience of being filmed for 10 months and why more councils should
follow their lead in promoting sector challenges.


While social work with children appears misunderstood by large sections of the public, its adults’ counterpart is often invisible, despite practitioners playing a vital role in supporting people with care needs to lead independent and safe lives.

Amid the challenges of applying legislation and promoting human rights under significant budget pressures, adult social workers are given precious few opportunities to share the challenges they face at work.

However, a two-part Panorama documentary focusing on the pressures faced by people needing care and support in Somerset – and the professionals striving to provide this – shines a light on the realities of social work with adults.

The first episode of Crisis in Care, which aired on BBC One last night, featured Somerset adult social care staff exploring how stretched finances are affecting their ability to provide support to older and disabled people.

Community Care spoke with practitioners, managers and director of adult social services Stephen Chandler about their decision to go in front of the cameras and highlight the realities of working in social care.
Financial woes

The documentary was filmed against the backdrop of the enormous financial challenges the council was facing in 2018, driven by significant overspends in children’s services.

Its external auditors, Grant Thornton, concluded in July 2018 that: “The inability of the council to deliver against its budget is now pervasive to the whole council and without urgent actions could result in it running out of money in the next two to three years.”

Facing an overspend of £11.4m on its £318m budget, the council initiated sweeping reductions, much of it in adults’ and children’s services, in September 2018. By March 2019, it was projecting an underspend of £1.4m for 2018-19.

But with the council and its services already attracting attention from the media last year, the thought of inviting BBC cameras to film social services at work may not have been many council leaders’ first choice.

However, Chandler, who was approached by the BBC along with all other directors of adult social care in England, says he believed it was time for social care to “stand up and be counted”.

“It was difficult from my point of view because I knew the programmes weren’t going to be about all the fantastic stuff the council is doing,” he says.

“The purpose of the film was to look at the impact of social care on people’s lives up and down the country, for good or bad – that was a compromise we had to live with.

“It’s a very realistic portrayal of what our life is like here in Somerset, but it’s no different to other councils across the country.”
Initial anxiety

Adult social care locality manager Chris Denovan admits she was initially unsure about having cameras in the office. With her staff already under huge amounts of pressure, she says she had to carefully consider what was in the best interests of her team, who had shown some anxiety at the proposal.

In particular, Denovan says team members were worried about how the profession would be presented on film, especially during difficult moments.

“It would be true to say that there wasn’t a staff member across the whole county [who didn’t have doubts about the films], asking questions like, ‘Will it be taken out of context? Is it going to show us in a bad light?’ – all of the usual anxieties”.

But after speaking with Chandler and the director of the series, Denovan says she felt confident that going ahead with the films was “safe to do”. The task now was convincing her team.

Adult social care locality lead Sharon Gibbs was one of the staff members who Denovan had to bring round to the idea. She was “quite worried” about the prospect of being followed by cameras, but her attitude soon changed once filming began.

“The crew were so friendly and when they come in the office, everyone took to them. They weren’t in your face and people sometimes didn’t even know that they were here filming. They were very respectful of the service users and, they didn’t film bits that the service users weren’t comfortable with”.
Honest footage
On the issue of capturing a true representation of social work professionals, newly qualified social worker George Bray describes how spontaneous filming helped to ensure the programmes captured honest footage.

“I think it was important that we had planned and unplanned filming. Because our world changes so quickly, I think it was useful for the production team to see it how it is honestly,” he says.

“For example, something would happen, a conversation or a serious meeting, and we would be brought together, and they would ask if they could film and that was important seeing that, for us, it wasn’t all staged and it wasn’t produced.

“It was very much, ‘this is our world’ and they are being given an insight into that. Again, everyone was quite anxious about how it would be portrayed, but I think people wanted to show what day-to-day work really entails.”

" Social workers in tears "

In one of the most poignant scenes of the first episode, Denovan calls a crisis meeting with her team when she realises some of them are struggling to keep up with their workload.

One social worker, who calls into the meeting via Skype, tells the team that she may quit the profession as she is unable to help service users in the way she would like.

Although showing the pressures of the job, Denovan says she encouraged the BBC team to record the meeting in order to portray reality.

“The scene with all of us having a discussion around the table wasn’t planned. The crew were due to film a peer forum, but I was dealing with social workers in tears, telling me they couldn’t do the job anymore and that they were going to give up the profession.

“We put the peer forum on hold for half an hour and asked my social workers if they were alright to be filmed. I said to them, if you’re telling me you’re stressed, I want the world to know because this is what we are dealing with.”
Wrestling with recruitment and retention problems

Denovan, who has been working in social work for over 40 years, says this type of incident is not uncommon, with the council having major problems in both retaining and recruiting staff.

This is reflected by the latest statistics on the social care workforce from NHS Digital, which show that Somerset’s vacancy rate for adult social workers as of September 2018 (17%) was more than double the national average (8%).

“I’m struggling to recruit social workers,” she says. “In this team alone I have four vacancies that I ran for a whole year, well that was more than 25% of my social work team and that’s huge! So, the cameras needed to listen”.

Following the filmed discussion, Denovan says she was able to use the footage captured by the BBC to show senior managers the pressure her team were under and push for a recruitment drive.

“Straight after that scene I got permission to find a locum social worker, and he’s supported the team and we’ve managed to get our waiting list down in the last six months.

“I’ve recruited other staff as well, so we are in a much better position then we were six months on but it’s all very wobbly. You only need one to go sick, or another one to go on maternity leave or one to go on a big training course and suddenly it seems like the Mary Celeste. That’s how fragile it is.”

" Emotional labour "

Bray hopes the programme will make viewers more aware of the “emotional labour” that social workers take on board.

“The job does take a lot out of you and there are a lot of pressures,” he says. “We try and give the best service we can, but when we are short staffed or have a high amount of work, the stresses show, just as they did during that scene.

“The scene showed that social workers are desperate to do their best for everyone, but we just couldn’t manage that”.

Gibbs suggests that one of the reasons the pressures on social workers may not be well known to the public is professionals’ insistence on keeping a stiff upper lip and not sharing their concerns with service users.

“Social workers are very good at hiding their stresses from the general public because we are going out there to help people in crisis, not make their situations worse.

“Workers are working a lot of hours above and beyond, cancelling holidays because they are prioritising their work.”

Placing social work in context

Although the team agree that the film could have done more to show the pressures on frontline social workers, they say it was important that viewers were able to see how service users were being affected by a lack of social care funding.

“I think we knew the programmes had to be mostly about the service users and their families, the crisis they are in and what’s causing it,” says Gibbs.

“However, it did need to have us in it to give viewers a balance as to why we are making those decisions and how difficult it is for us making those decisions.”

Denovan agrees that it was important to show the wider workings of the council in order to demonstrate how social workers are influenced by decisions that are made higher up in the council.

“I think the bit with the councillors and the chief executive, I think that was really important as it put social work and our team in context of where we sit.

“It shows that the pressures financially are coming from wider government and they then filter down to us. It’s not just social work teams that haven’t got the money, it’s very much a wide-scale issue and I think that’s very important to see and hopefully it will give the general public wider context.”

Public education

With one episode still to air, Chandler says he hopes the films will “bring to life” the pressures being faced by social workers in Somerset and educate the public on the role they play in providing services.

“I think the programme will help people understand what social workers are in a place where they are having to deliver a difficult message that isn’t necessarily their personal message, but they are having to do it on behalf of the service or the council, which is why in some ways I sometimes tend to take those really difficult situations”.

He adds that, in proving that the council had been able to work alongside a camera crew and build up a relationship with the media, he would like to see other councils follow suit.

“I think the social work profession is very wary of a film crew coming in and being in their space for a while because often social workers are portrayed in the media when things go wrong, whether that’s childcare or adult protection.

“I would hope this programme helps provide some reassurance that it is possible to work with the media in the context of showing what the role is without being subject to criticism, and have it presented in a positive, realistic and accurate way.”

Meanwhile, Gibbs encourages social work teams from other authorities to be honest about their situations in order to help bring about change.

“I think other local authorities need to be honest and put their hands up and says, ‘yes, this could be us or this is us’ and not just to bury their heads and think we don’t want other people to know we’re in such as mess as well.

“They have to stand up and say that’s us too.”

It is not often that we and social workers have the same problem … but from a different perspective.

Put the two together and … the bigger picture really does emerge.

Time for a real " Unholy Alliance " against the common enemy ?

Defeat that enemy , and normal relations can continue … tearing each other to bits ?

One saving grace so far … The Daily Chuckle ( Mail ) … no sign.

Fingers crossed … they might miss Part 2 as well ?

Keeping council taxes static for six years must demonstrate how much the council cares…

The cynic in me would reply … " Saves 3 in 7 or even higher of those with the least financial resources being in constant arrears ? "

Funding social care through a regressive tax … like Council Tax … and not a progressive tax … like Income Tax ?
( A couple of threads expand on that one … GREEN PAPER : SOCIAL CARE one most relevant to this thread. )
Trouble is , where does cynicism end … and actual reality begin … in 2019 ?

With one episode still to air, Chandler says he hopes the films will “bring to life” the pressures being faced by social workers in Somerset and educate the public on the role they play in providing services.

I hope the second episode takes a different direction/ perspective.

I thought that too, Rosemary and wanted to compare council tax rates in Somerset with other areas, but life took over… Chris …if you have time?


Me ?

The forum’s genie … just bring out a bottle of Adnams Broadside and I miraculously appear ???

( Also comes in barrels … hint , hint ? )

Done … now 2 wishes left for today !

Best source … and easiest to understand ?

Property Data web site … and the info is upto date :

Council Tax Index 2022/23 - PropertyData

Images … to save reading ?

Very few … a good general one ?

'Ave a butchers … I will add some thoughts if needed.

One aspect already stands out … level of CT when comparing rich / poor areas … hardly any difference … and yet , the
services provided do not differ by much ?

No wonder 'ere in Worksop , 2 in 5 now in arrears … and Band A accounts for 4 in 5 properties !

( Band A … upto , around £ 125k in Worksop … upto £ 300 / £ 400k in richer manors ???

And yet , the level of CT payable is roughly the same ??? )

Perhaps all those who took to the streets of London to celebrate the arrival of Thatcher’s Poll Tax … The Poll Tax Riots …
are now wishing they stayed at home ?

The introduction of CT was NOT planned … it was a back of a fag packet substitute for the Poll Tax !

We see families buckling under the strain of caring, with support whittled away as services close due to budget cuts. And we are prompted to consider what it must be like working in this environment – forced to reconcile a commitment to acting in people’s best interests with options that are patently inadequate but all the council has the money to pay for.

Most of this overlaps with the thread on Green Paper for social care. To keep it in one place, as was previously mentioned above somewhere, we can merge the 2 topics. There is so much information though so those of you that posted here, do you want them separate or together?


I don’t know if these tweets are available to read to non members. Can you let me know as if not, I can post a few examples later


Yep … able to access … I follow my beloved O’s games on it !

Seems like a few have nicked bits out of me threads !

Oh well , at least others are getting the facts and messages.

A lot like Compass , R ?

Plenty of hot air but no real answers ?

Weekend suits and academics … boy , have we had our fill of those over the years ???

Still , they can leave that to us … can’t they ?


Overlapping threads on social care ?

Could have copied / pasted several from our old CarerWatch archives to provide even more background.

Dilnot Report … Frances with a real bit between her gnashers springs to mind … albeit faint one given the passage of time ?

That really would have raised the temperature on the forum … a couple of degrees above absolute zero ???


I wouldn’t merge them Rosemary, different readers are attracted to different threads/ different headings.

Very interesting Chris, thanks for that. Somerset is the bottom 10 …
(How come council tax in those London boroughs is so much lower?)