Author Page

Author Archives: Lenin Nightingale

When considering the mandatory reporting of patient abuse in the UK, it may help to consult the American system, as the  dilemmas and legal considerations are similar in both jurisdictions. A caveat to this is that although there is an office of Adult Protective Services (“APS”) in all 50 states, each state’s legislation may differ. In Colorado, on and after July 1, 2014, for instance, a very comprehensive list is given of those who have a mandatory duty to report serious harm or injuries. Indiana: An individual who believes or has reason to believe that another individual is an endangered […]
Read More

Tagged |

Deception is sometimes a slow process, not achieved by a sudden, outright lie, but by gradual increments that subtly lead the deceived to a point from which they can not return. In this way, the British public are being prepared for the complete privatisation of the NHS by whichever political party runs the country on behalf of their corporate paymasters. Politics is nothing but a game of language manipulation, and all politicians have a PhD  in its art. It is naive to claim that the British public would not tolerate the full privatisation of the NHS, for it is easy […]
Read More

The unemployed are treated as if they have moral shortcoming: they lack individual responsibility. As a result of constant government propaganda, many agree with this argument. They may also agree that it is the individual responsibility of (‘sepatated’) fathers to contribute to child support. In either case, the advantages to government of such beliefs are rarely considered by the believers, who, by and large, do not read  political philosophy books. Theirs is not to reason why, theirs is but to believe the lie. Yet, people only believe in the principle of individual responsibility in areas of policy which do not […]
Read More

Tagged |

The truth about the quality of care provided by some private hospitals has been well documented: “Investor-owned hospitals have higher costs, despite spending less on clinical personnel than do non-profit facilities. Death rates and postoperative complication rates also are higher at investor-owned hospitals, and nurse staffing levels are lower. Investor owned health maintenance organizations have worse quality scores and spend less on care and more on administration and profits than do not-for-profit plans” (Harrington et al. 2001). Then, why the much repeated myth that care in a private hospital is necessarily superior to that given in a public facility? This […]
Read More

Tagged |

Care Homes in the UK are increasingly being controlled by private equity businesses, as witnessed by the acquisition of Four Seasons Health Care by Terra Firma, a private equity group which agreed a £825m takeover. Four Seasons had debts which totalled £1.6bn in 2009. The Royal Bank of Scotland took a 40% stake in the company in return for nearly halving its debt.  Acting on behalf of pension funds, insurance companies, and rich clients, private equity groups manage companies on behalf of their investors. Why should nurses, patients’ relatives, and the taxpayer be concerned by such developments? After all, the […]
Read More

Tagged |

Any attempt to improve care of the elderly in private care homes will be utterly futile if such care remains in the hands of debt-ridden private equity funds. The Swedish experiment with privatisation mirrors that in the UK, which does not see a week without a report of serious abuse and neglect of the elderly. ‘Certainly one of the most extreme examples of market-optimism and anti-statism comes from the Stockholm County Council. Between 1998 and 2002, when a centre-right alliance controlled the county, public property for SEK 30bn has been sold off in the region of Stockholm and 25% of the […]
Read More

A study of 350 Florida nursing homes, conducted between 2000 and 2007, published in the Journal of Health Care Finance, showed that nursing homes run by private equity groups have more deficiencies and fewer registered nurses than other for-profit facilities. Private equity-run homes had a 9% higher pressure sore risk, and  had a (probably related) 29% lower registered nurse hours per-patient, per-day. Private equity groups target ‘underperforming chains’, which they buy with bank loans secured with the money of private investors. The new management company receive a management fee (often 20% per anum), and the private investors receive a high […]
Read More

Tagged , |

A recent report  quoted Attorney General Eric T. Schneiderman: “Nursing home residents are among our state’s most vulnerable citizens, and the perpetual neglect in this case is shameful”, whose comment pertained to 8 nurses and 9 certified nursing assistants who were sacked following a New York state investigation that showed neglect of duty and making false records. The investigation used hidden cameras to show that a highly dependent 56-year-old male resident, who suffered from Huntington’s chorea, was not routinely given pain medication, liquids, and incontinence care at Highpointe on Michigan Health Care Facility, with charts and nursing notes routinely claiming […]
Read More

Tagged , |

In the UK, the Living Wage is set at £8.55 per hour in London and £7.45 elsewhere. The national minimum wage is £6.31 for people over 21 years of age, which compares with a suggested Federal minimum wage in America of £5.90-£6.00, allowing for exchange rate fluctuations. However, the UK is a dearer place to live for the working poor, who spend more of their money on essentials like groceries, utilities, and rent/mortgage. Grocery prices in the UK were 14.24% higher than in America in June 2014, utilities 53.37% higher, rental charges (outside of city centres) 27.17% higher, and apartment […]
Read More

Tagged |