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Human rights and the care of older people: a UK perspective. UN Open-Ended Working Group on Ageing: fifth session 30 th July to 1 st August 2014 Ruthe Isden, Health Influencing Programme Director, Age UK. Plenty of reports…. And headlines…. - PowerPoint PPT Presentation
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Human rights and the care of older people: a UK perspective
UN Open-Ended Working Group on Ageing: fifth session 30th July to 1st August 2014
Ruthe Isden, Health Influencing Programme Director, Age UK
UK Parliamentary Joint Committee on Human Rights 2006/7 Inquiry into hospitals and care homes
• Malnutrition and dehydration (Articles 2, 3 and 8)
• Abuse and rough treatment (Articles 3 and 8)
• Lack of privacy in mixed sex wards (Article 8)
• Lack of dignity especially for personal care needs (Article 8)
• Insufficient attention paid to confidentiality (Article 8)
• Neglect, carelessness and poor hygiene (Articles 3 and 8)
• Inappropriate medication and use of physical restraint (Article 8)
• Inadequate assessment of a person’s needs (Articles 2, 3 and 8)
• Too hasty discharge from hospital (Article 8)
• Bullying, patronising, and infantilising attitudes towards older people (Articles 3 and 8)
• Discriminatory treatment of patients and care home residents on grounds of age, disability and race (Article 14)
• Communication difficulties, particularly for people with dementia or people who cannot speak English (Articles 8 and 14)
• Fear among older people of making complaints (Article 8)
• Eviction from care homes (Article 8)
Dignity and respect
• Weak regulation – inadequate information, ‘tick box’ inspections and inadequate expertise
• Process and target driven management and policy making
• Deeply embedded professional and institutional cultures that mitigate against dignity or a rights based approach
• Lack of emphasis on care of older people or a rights based approach to care within professional training
• Chronic lack of training for health and care assistant workforce
• Low awareness of rights amongst service users and front line staff – e.g. NHS Constitution
Poor access and inadequate processes
• Denying people rightful access to health and care services – e.g
- Low referral rates to specialist services- Limited access to primary care services within care homes- Failure to offer best practice treatments – i.e. talking therapies
• Inappropriate processes or failure to apply processes appropriately – e.g.
- Deprivation of liberty orders- Do Not Resuscitate orders
• Discriminatory decisions making – e.g.
- Clinical decision making based on assumptions about age and frailty
- Inappropriate medicating of dementia patients
National policy frameworks
• Care Act will introduce significant new legislation but challenges remain
• High bar for eligibility• Insufficient care provided• Failure to afford protection to private care users• Failure to tackle embedded age discrimination
• Explicit age ‘cut-offs’ embedded in national outcomes frameworks