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Society – Being good neighbours or giving social care?

February 2018

Jackie Doyle-Price MP
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Ethnic minorities are better at ‘social care’ and we should learn from them, said Jackie Doyle-Price, the Health Minister at the Conservative Party Conference recently (The Times, 4-10-17).

She was echoed by Dr Phillip Lee, a GP who is also a justice minister. He told Age UK that British society has become ‘atomised’ and selfish, and ‘quite sick’ (http://www.telegraph.co.uk/news/2017/10/05/britain-has-become-sick-society-has-outsourced-duties-old-tory).

Ethnic communities

They both believe that families and neighbours should do more to help their elderly and that ethnic communities are an example of how it should be done.

A report by Age UK says that depression is a huge problem amongst the over 55s, because of a number of issues, including loneliness. The report said that ‘talking therapies’ helped a good deal. Of course they would! We all need someone to talk to. And this is where being a kind neighbour can make the world of difference.

It’s true that we see fewer elderly from ethnic communities in care homes. But could this be because families in ethnic communities tend to be larger, so care doesn’t depend on a solitary single carer, who is often isolated and desperate for help? A report by Carers UK found that almost one-third of long-term carers have not had a day off in five years.

Recently, I attended the Wesleyan Ladies UK retreat, with around 60 or so ladies, including a handful who were in their 80s and 90s. The blessing for me, was to see not just the respect, but the depth of affection for the older ladies. It felt so right, so normal, so as it should be. There seems to be a depth of warmth in ethnic communities that we seem to have lost in the UK, even here in Wales.

Dr Philip Lee MP
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So what’s gone wrong with the rest of us, and how can we put it right? The care minister thinks that solving the social care crisis would require ‘a culture shift for every individual’. And the Justice Minister, Dr Lee, says that we all need to step up.

Social care

Sounds morally right, doesn’t it? But, if you listen closely, you may detect the sound of the proverbial brush sweeping the real issues under the carpet, hiding the real nature of ‘social care’, for being a good neighbour is not the same as providing social care. It’s more than keeping in touch and helping with shopping and building kind relationships. Social care is more than befriending.

Social care involves helping with the daily acts of living that a frail older person can no longer do, like getting someone out of bed in the morning, helping them to shower and get dressed, and taking them to the toilet. It often calls for heavy lifting and hoists, something neighbours are not trained to do. And neither are family members.

The needs of older people in communities aren’t being overlooked by Christians. All over the country I encounter churches who are reaching the elderly and lonely by bringing them in to church events and befriending them in their own homes.

Also, the fact is that residential care homes are often best for a frail, older person, especially those with dementia. But care homes are closing all over the country, because of lack of funding. ‘Which?’, the consumer group, published research showing that over one-quarter of people looking for a place will be unable to find one. It costs a lot to train staff and pay them a good wage.

Difference

Jackie Doyle-Price says that older people should be prepared to sell their homes to pay for their care. She doesn’t think it’s ‘fair for the next generation of taxpayers to pay for this generation’s long-term needs’. But isn’t that just what this older generation did all their working lives? So, yes, we do all need to be better neighbours. But we need to see the difference between being good neighbours and being social carers.

Louise Morse is media and communications manager for the Pilgrims’ Friend Society, a 210-year-old Christian charity supporting older people. She is a cognitive behavioural therapist and author of several books on issues of old age, including dementia.