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<DIV><STRONG>Published Date: </STRONG>26 October 2009 </DIV>
<DIV class=byline id=ds-byline>By Adam Morris</DIV>
<DIV class=ds-bylinetext id=ds-bylinetext></DIV>
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<DIV class=ds-firstpara id=ds-firstpara>MORE than 500 of Edinburgh's most 
vulnerable residents will have to get used to a new personal carer as part of a 
controversial council shake-up, it has been confirmed.</DIV>
<DIV class=va-bodytext id=va-bodytext>The re-tendering of contracts for 800 
severely disabled and elderly people in the city has left only 36 people with 
their original care package, while almost 200 have taken the employment of 
carers into their own hands under the "direct payments" sch
<DIV class=MPUTitleWrapperClass id=ds-mpuTitleWrapper>
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<DIV id=ds-mpu></DIV></DIV>eme.<BR><BR>The remainder face losing a carer they 
may have known for years as the service is switched to a private 
company.<BR><BR>It has led to strong criticism of the council by charities and 
opposition politicians, who say they are compromising the care of people in 
order to save cash.<BR><BR>Ian Hood, co-ordinator for the Edinburgh-based 
Learning Disability Alliance (LDA), said: "People are being told their services 
are to change, and some are even refusing to let new people through the door, 
that's how strongly they feel about it.<BR><BR>"This decision to re-tender the 
contracts was purely a financial one, and the council is even boasting now about 
how much money has been saved. <BR><BR>"But the people affected receive very 
intimate and specialised care, and they become so close to their carer that when 
they lose them, they say it feels like a bereavement."<BR><BR>Meanwhile, local 
authority chiefs have frozen applications for the direct payments process – the 
Scottish Government-endorsed scheme which allows those needing care to choose 
their own supplier. The Evening News reported earlier this month how there had 
been a surge of applications as people tried to ensure they kept the same 
carer.<BR><BR>The health spokeswoman for the Labour Party in Edinburgh, Cllr 
Lesley Hinds, said: "<BR><BR>It's doing irreparable damage to the 
service."<BR><BR>Cllr Phil Wheeler, the city's finance leader, said: "The 
proposed arrangements will improve the way we deliver care and support services 
for a number of people in Edinburgh.<BR><BR>"The organisations which tendered 
for the work were assessed against rigorous quality and cost criteria. As well 
as ensuring a consistent quality of service, the proposals would also allow the 
council to extend the services provided to a greater number of service users in 
the future."<BR><BR><STRONG>'THE UNCERTAINTY IS AFFECTING BOTH OF 
US'</STRONG><BR><BR>ONE woman who contacted the Evening News is concerned about 
the impact of changes on her grown-up daughter.<BR><BR>The woman, who did not 
want to be identified, said the uncertainty was affecting them both. They 
previously received a comprehensive care package from a local non-profit 
organisation, but this will now change with the re-tendering 
programme.<BR><BR>She said: "We'd considered direct payments but wanted to see 
how the re-tendering went. Now we want to go with direct payments, but can't 
because the council has frozen applications until next March."<!---<br />MPUMinCharsCutOff:210   PageLength:2676<br />MPUPositionFromStart:250   MPUPositionRange:1000<br />hasVideoOrImage:False<br />---><BR><!--- NO IMAGE OR VIDEO ---><BR><!--- MPU DONE ---><BR></DIV><BR><!-- Article End --><!-- google_ad_section_end -->
<DIV class=premiumoff id=divWordCount>The full article contains 476 words and 
appears in Edinburgh Evening News newspaper.</DIV>
<DIV class=ds-paging>
<DIV class=centre>Page 1 of 1</DIV></DIV><BR clear=all>
<UL class=viewarticle_info>
  <LI><STRONG>Last Updated: </STRONG>26 October 2009 9:38 AM 
  <LI><SPAN id=spanPub><STRONG>Source: </STRONG>Edinburgh Evening News </SPAN>
  <LI><STRONG>Location: </STRONG>Edinburgh </LI></UL></DIV>
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<DIV class=usercomment>
<DIV class=usercommentheader><A class=usercommentno title="Link to comment: " 
href="http://edinburghnews.scotsman.com/latestnews/Disabled-and-elderly-forced-to.5765626.jp?CommentPage=1&amp;CommentPageLength=1000#4550010" 
name=4550010>1</A> 
<H3>upthehill,</H3>Leith 26/10/2009 12:43:12 </DIV>
<DIV class=comment>Again the vulnerable are victims here - The contracts are 
untenable if to many service users transfer to direct payments. So the council 
are stopping applications until after the implementation of the contracts, so 
that when it goes wrong they can say it is the fault of the new 
companies.<BR><BR>The services users will swap to direct payments though, as the 
"winners" of this tendering process are mainly "for profit" companies with Care 
Commission reports that are not comparable to the high standards provided 
currently by the voluntary sector in Edinburgh - who have mainly been sidelined 
by this process - as they know that to provide a quality service does cost 
money. <BR><BR>The talk from Cllr Wheeler of "rigourous quality" is laughable - 
it's like they took the Care Commission inspection reports and flipped the list 
upside down - awarding the less good services the contracts.<BR><BR>Or maybe 
they decided solely on price.<BR><BR>A quick google search for "domiciliary care 
scotland" gives an idea of the "rigourous quality" standards the Council are 
talking up...<BR><BR><BR></DIV>
<DIV class=usercommentremove id=divUnsuitable runat="server"><A 
href="http://edinburghnews.scotsman.com/MarkCommentUnsuitable.aspx?CommentUnsuitable=4550010&amp;ArticleID=5765626&amp;ReturnPath=%2flatestnews%2fDisabled-and-elderly-forced-to.5765626.jp">Report 
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href="http://edinburghnews.scotsman.com/latestnews/Disabled-and-elderly-forced-to.5765626.jp?CommentPage=1&amp;CommentPageLength=1000#4550065" 
name=4550065>2</A> 
<H3>alfonsa pedrosa,</H3>embra 26/10/2009 12:53:54 </DIV>
<DIV class=comment>Many people will blame the council in this case,butthe 
council do their best so see everyone is taking care of,so this will be no 
different.</DIV>
<DIV class=usercommentremove id=divUnsuitable runat="server"><A 
href="http://edinburghnews.scotsman.com/MarkCommentUnsuitable.aspx?CommentUnsuitable=4550065&amp;ArticleID=5765626&amp;ReturnPath=%2flatestnews%2fDisabled-and-elderly-forced-to.5765626.jp">Report 
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<DIV class=usercommentheader><A class=usercommentno title="Link to comment: " 
href="http://edinburghnews.scotsman.com/latestnews/Disabled-and-elderly-forced-to.5765626.jp?CommentPage=1&amp;CommentPageLength=1000#4550075" 
name=4550075>3</A> 
<H3>digestive biscuits returns,</H3>26/10/2009 12:56:17 </DIV>
<DIV class=comment>I misread the title of this article as "Disabled and elderly 
forced to find new careers in cost-cutting drive"<BR><BR>Which I thought was a 
bit harsh.<BR><BR>After reading the article I realise I was mistaken.</DIV>
<DIV class=usercommentremove id=divUnsuitable runat="server"><A 
href="http://edinburghnews.scotsman.com/MarkCommentUnsuitable.aspx?CommentUnsuitable=4550075&amp;ArticleID=5765626&amp;ReturnPath=%2flatestnews%2fDisabled-and-elderly-forced-to.5765626.jp">Report 
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href="http://edinburghnews.scotsman.com/latestnews/Disabled-and-elderly-forced-to.5765626.jp?CommentPage=1&amp;CommentPageLength=1000#4550214" 
name=4550214>4</A> 
<H3>Paul Voltaire,</H3>26/10/2009 13:24:42 </DIV>
<DIV class=comment>Zimmers</DIV>
<DIV class=usercommentremove id=divUnsuitable runat="server"><A 
href="http://edinburghnews.scotsman.com/MarkCommentUnsuitable.aspx?CommentUnsuitable=4550214&amp;ArticleID=5765626&amp;ReturnPath=%2flatestnews%2fDisabled-and-elderly-forced-to.5765626.jp">Report 
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name=4550336>5</A> 
<H3>uncle josef,</H3>about 26/10/2009 13:47:09 </DIV>
<DIV class=comment>yet again the council are trying to sell the myth that the 
new way to improve the quality of services to the vuneralble is to cut the staff 
wages of the front line staff and give the owners of these agencies a champaine 
lifestyle What happened to the old fashioned idea that we look after the most 
vunerable in society and those that do it on our behalf get payed a reasonable 
liveing pay not minimum wages<BR>i looked at care commision report "bunch of 
cowboys"</DIV>
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href="http://edinburghnews.scotsman.com/latestnews/Disabled-and-elderly-forced-to.5765626.jp?CommentPage=1&amp;CommentPageLength=1000#4550398" 
name=4550398>6</A> 
<H3>Pennywise,</H3>Edinburgh 26/10/2009 14:02:20 </DIV>
<DIV class=comment>I don't understand why the Council would give a huge contract 
to a care provider that has been investigated by Panorama and deemed by the Care 
Commission to have unacceptable standards of care. Choices Community Care, 
potentially one of the biggest winners of contracts from the Council, has just 
taken over DCS. This is what the BBC says about DCS, following th Panorama 
programme: <BR><BR>Britain's Homecare Scandal<BR><BR>Care of the elderly is a 
lucrative industry after the doors were opened to private companies in the 
1990s. Research from the London School of Economics, commissioned by Panorama, 
found that 70% of home care is provided by the independent sector today and is 
worth £1.5 billion. The figure was just 2% in 1992. English local authorities 
spend around £22 an hour providing elderly care, but the independent sector 
provides it for around half that.<BR><BR>Secret filming showing people in a car 
park<BR>One company assigned carers their jobs in a car park every 
morning<BR><BR>Panorama went to South Lanarkshire in Scotland where an online 
auction decided the council's new care provider. Domiciliary Care won the 
auction which saw bidders bidding down, not up. It's one of Scotland's largest 
care providers looking after more than 1,500 people. While it won with a bid to 
provide care for £9.95 an hour, South Lanarkshire says the decision to award the 
contract was based only 40% on price with 60% based on quality of 
care.<BR><BR>Is the Council sacrificing quality of care for the most vulnerable 
to make savings? Why have they not stayed with local providers who have a proven 
track record?</DIV>
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href="http://edinburghnews.scotsman.com/MarkCommentUnsuitable.aspx?CommentUnsuitable=4550398&amp;ArticleID=5765626&amp;ReturnPath=%2flatestnews%2fDisabled-and-elderly-forced-to.5765626.jp">Report 
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href="http://edinburghnews.scotsman.com/latestnews/Disabled-and-elderly-forced-to.5765626.jp?CommentPage=1&amp;CommentPageLength=1000#4550709" 
name=4550709>7</A> 
<H3>The Ayrshire Bard,</H3>26/10/2009 15:29:35 </DIV>
<DIV class=comment>Direct payments, or as it is otherwise known, person centred 
planning is a disaster waiting to happen.<BR>The disabled person will then 
become an employer and have responsibility for the cash, an impossible situation 
if they have learning difficulties. If things get harder on the economic front 
the council will be forced to reduce the level of payments thus also reducing 
the number of hours care that will be available. This is a very bad 
idea!!!</DIV>
<DIV class=usercommentremove id=divUnsuitable runat="server"><A 
href="http://edinburghnews.scotsman.com/MarkCommentUnsuitable.aspx?CommentUnsuitable=4550709&amp;ArticleID=5765626&amp;ReturnPath=%2flatestnews%2fDisabled-and-elderly-forced-to.5765626.jp">Report 
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href="http://edinburghnews.scotsman.com/latestnews/Disabled-and-elderly-forced-to.5765626.jp?CommentPage=1&amp;CommentPageLength=1000#4550849" 
name=4550849>8</A> 
<H3>Disabledperson,</H3>Edinburgh 26/10/2009 16:15:50 </DIV>
<DIV class=comment>The City of Edinburgh Council is lying when it says it has 
awarded these contracts based on quality of service. Choices Community Care is a 
private company with a poor track record who were only graded 3, or 'adequate' 
by the Care Commission. Meanwhile some of the losers from this decision are 
reputable voluntary sector organisations who have been providing high quality 
services to disabled people in Edinburgh for decades and are rated by the Care 
Commission as grade 5 or 'very good'.<BR><BR>The council has also put a stop on 
people applying for Direct Payments which the Disabled People's Movement has 
campaigned for over many years. Direct Payments give disabled people choice, 
control and dignity over their own lives. Direct Payments might have enabled 
disabled people in Edinburgh to choose their own care provider and if they had 
wanted to stay with the organisation that has been providing their care for 
years and the staff know them, then they could have.<BR><BR>Instead the council 
has left hundreds of disabled people without a choice about who is coming into 
their homes to provide their care, taken away funding from reputable voluntary 
sector organisations, jeopardised the jobs of many dedicated support workers and 
care staff. And all in the name of saving money. <BR><BR>What happened to 
service users having choices or being consulted? Did the City of Edinburgh 
Council carry out an impact assessment on disabled people? Did they consult any 
of the disabled people affected? What criteria did they use in awarding the 
contracts to private companies over the charity sector?<BR><BR>I think someone 
should challenge this legally in the courts.</DIV>
<DIV class=usercommentremove id=divUnsuitable runat="server"><A 
href="http://edinburghnews.scotsman.com/MarkCommentUnsuitable.aspx?CommentUnsuitable=4550849&amp;ArticleID=5765626&amp;ReturnPath=%2flatestnews%2fDisabled-and-elderly-forced-to.5765626.jp">Report 
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href="http://edinburghnews.scotsman.com/latestnews/Disabled-and-elderly-forced-to.5765626.jp?CommentPage=1&amp;CommentPageLength=1000#4550894" 
name=4550894>9</A> 
<H3>beegoo,</H3>26/10/2009 16:32:49 </DIV>
<DIV class=comment>it is hard to find someone who is ideal. i have had a few who 
were not ideal so i can understand losing someone who is good at their 
work.</DIV>
<DIV class=usercommentremove id=divUnsuitable runat="server"><A 
href="http://edinburghnews.scotsman.com/MarkCommentUnsuitable.aspx?CommentUnsuitable=4550894&amp;ArticleID=5765626&amp;ReturnPath=%2flatestnews%2fDisabled-and-elderly-forced-to.5765626.jp">Report 
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href="http://edinburghnews.scotsman.com/latestnews/Disabled-and-elderly-forced-to.5765626.jp?CommentPage=1&amp;CommentPageLength=1000#4550896" 
name=4550896>10</A> 
<H3>me150,</H3>26/10/2009 16:33:09 </DIV>
<DIV class=comment>Properly run state care homes are the answer. Get them all in 
one place and it would slash costs whilst improving standards of care.</DIV>
<DIV class=usercommentremove id=divUnsuitable runat="server"><A 
href="http://edinburghnews.scotsman.com/MarkCommentUnsuitable.aspx?CommentUnsuitable=4550896&amp;ArticleID=5765626&amp;ReturnPath=%2flatestnews%2fDisabled-and-elderly-forced-to.5765626.jp">Report 
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href="http://edinburghnews.scotsman.com/latestnews/Disabled-and-elderly-forced-to.5765626.jp?CommentPage=1&amp;CommentPageLength=1000#4551273" 
name=4551273>11</A> 
<H3>Artemis,</H3>26/10/2009 18:46:24 </DIV>
<DIV class=comment>#10 - absolutely, let's institutionalise everyone and deny 
them the opportunity for family life in their community</DIV>
<DIV class=usercommentremove id=divUnsuitable runat="server"><A 
href="http://edinburghnews.scotsman.com/MarkCommentUnsuitable.aspx?CommentUnsuitable=4551273&amp;ArticleID=5765626&amp;ReturnPath=%2flatestnews%2fDisabled-and-elderly-forced-to.5765626.jp">Report 
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href="http://edinburghnews.scotsman.com/latestnews/Disabled-and-elderly-forced-to.5765626.jp?CommentPage=1&amp;CommentPageLength=1000#4551289" 
name=4551289>12</A> 
<H3>Dvid R,</H3>Edinburgh 26/10/2009 18:59:57 </DIV>
<DIV class=comment>As a social care worker I am expected to sign up to the 
Scottish Social Services Council's Code of Practice as are all staff working in 
social service. <BR><BR>Pt 1.3 of the code requires Social Service workers to 
support service users' rights to control their lives and make informed choices 
about the service they receive. Pt 1.2 Respecting and, where appropriate, 
promoting the individual views and wishes of both service users and carers. 
<BR><BR>The Council's actions riding roughshod over this any Social Service 
staff involved could be seen to be breaching the code and the local authority 
breaching its responsibility not to do anything that would put its staff with 
the code at risk (see employers section of the code 2.4)<BR><BR>Council 
officials have failed to consult service users and carers often informing them 
of what was going to happen rather than offering any real choice. What choice 
there was i.e. to choose to have a Direct Payment has been curtailed and 
distorted by the Council's decision to freeze Direct Payments till after the 
tender has been completed. This denies individuals choice and control. </DIV>
<DIV class=usercommentremove id=divUnsuitable runat="server"><A 
href="http://edinburghnews.scotsman.com/MarkCommentUnsuitable.aspx?CommentUnsuitable=4551289&amp;ArticleID=5765626&amp;ReturnPath=%2flatestnews%2fDisabled-and-elderly-forced-to.5765626.jp">Report 
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href="http://edinburghnews.scotsman.com/latestnews/Disabled-and-elderly-forced-to.5765626.jp?CommentPage=1&amp;CommentPageLength=1000#4551329" 
name=4551329>13</A> 
<H3>Dvid R,</H3>Edinburgh 26/10/2009 19:25:03 </DIV>
<DIV class=comment>re 7: Direct Payments and Person centred Planning are two 
very different things. Direct payments is a method by which an employer is geven 
control of funds so they can either employ their own staff, contract with 
agencies or contract with a local authority. <BR><BR>Person Centred Planning is 
a process by which an individuals choices and needs are identified and a plan 
geared towards them as an individual is designed and implemented.<BR><BR>Many 
people with learning difficulties have made use of Direct Payments for years 
with differing degrees of support to manage the package.<BR><BR>The cost of 
managing a Direct Payment does not need to be higher or different to that of 
services purchased directly by the local authority. Indeed it would be a breech 
of Direct Payment guidelines to put DP recipients at a disadvantage this way. 
The highest hourly rates are probably those when support is provided by local 
authority services which I might add were not included in the tender.</DIV>
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