The NHS has struck a dilemma - how to attract care staff without their families??

VaughanJB said:
Jeez. I'm so glad it worked for you, but it doesn't mirror my own experience. From places that refused incoming phone bills, to a place that was far more interested in claiming monthly fee's, it's been rough. But not as much for me, as it has the patient involved. The patient has dementia, so it's all a bad trip. Police got involved, mental states got scrambled, and up until yesterday getting a phone call into the woman was impossible.

Placement was very difficult. Doing due diligence - ie. visiting places before admission - was difficult.

No details. I'm exhausted by the whole thing. In short, those with money, as is always the case, will have found things easier. But when the person in question is poor, no-one seems to give a damn, and standards are zero.

Things are a little better now, but only by bringing in extended family.
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Medicaid cuts are being considered right now (literally - as in today), so people who can't pay privately may soon be dealing with worsening nursing home care, increased hoops for Medicaid eligibility, and fewer available Medicaid beds.
Quoted from today's Washington Post:
“Their coverage will be at risk,” said Katie Sloan Smith, president and chief executive of LeadingAge, a Washington lobbying association for operators of nonprofit senior-care facilities. “Either the home itself will have to make up for that loss in some way or they will simply have to say, ‘We can no longer support people on Medicaid’ and close those beds.”

https://www.washingtonpost.com/health/2025/05/12/medicaid-cuts-nursing-homes-eldercare/

Note: I'm not a WaPo subscriber but could access the full article.
 

StarSong said:
Medicaid cuts are being considered right now (literally - as in today), so people who can't pay privately may soon be dealing with worsening nursing home care, increased hoops for Medicaid eligibility, and fewer available Medicaid beds.
Quoted from today's Washington Post:
“Their coverage will be at risk,” said Katie Sloan Smith, president and chief executive of LeadingAge, a Washington lobbying association for operators of nonprofit senior-care facilities. “Either the home itself will have to make up for that loss in some way or they will simply have to say, ‘We can no longer support people on Medicaid’ and close those beds.”

https://www.washingtonpost.com/health/2025/05/12/medicaid-cuts-nursing-homes-eldercare/

Note: I'm not a WaPo subscriber but could access the full article.
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Jeez, man, I don't know. Governments saving money is a good thing, but why start at the poorest? How much can they really grab back from people with nothing? What a sad world we live in.
 

StarSong said:
Medicaid cuts are being considered right now (literally - as in today), so people who can't pay privately may soon be dealing with worsening nursing home care, increased hoops for Medicaid eligibility, and fewer available Medicaid beds.
Quoted from today's Washington Post:
“Their coverage will be at risk,” said Katie Sloan Smith, president and chief executive of LeadingAge, a Washington lobbying association for operators of nonprofit senior-care facilities. “Either the home itself will have to make up for that loss in some way or they will simply have to say, ‘We can no longer support people on Medicaid’ and close those beds.”

https://www.washingtonpost.com/health/2025/05/12/medicaid-cuts-nursing-homes-eldercare/

Note: I'm not a WaPo subscriber but could access the full article.
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I will worry when it is past a lobbyist having something to claw at.
 
I suspect a lot of it is about education. A few years ago you could always get a plumber or a builder because there were so many Polish citizens trained in those roles living in the UK. Now it's more difficult. If we actually trained people to do the tasks that are needed it wouldn't be an issue.
 
Wontactmyage said:
I have not seen a reply about the families taking care of their own kin. Here in USA they do have a program where a family member can be paid to care for their elderly and also can have professional care come in for meds and general check up. I know this is opening a can of "whoas me" worms but just did not see this in any conversation. Poor boomers did not think they would get old.
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Similar system available here in Australia. There are programs when relatives receive a carers payment and also systems where elderly are assigned carers who come to the home to clean, take clients out to the shops or medical appointments as well as personal care such as showering, getting them out of bed and seeing that they are eating well.

The amount depends on the financial means of the person needing care and the level of care provided.
 
Doste said:
Maybe working visas should be 25 years or so. For many people it isn't worth the effort to move to a whole different country for a five-year visa that might not be renewed, in which case they'd have to move again.
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Let's play! By the time you have a degree in nursing and some work experience you are 25+, add job search/visa, add 25 years on the job. Someone 50-55 has worked 25 years in a specific system, expects pay ranges, has built family and social circle. Now it is pack up and immigrate back to a place you have probably sent money to and maybe visited a few times.

What about retirement, family raised? Who raises children not only bilingual but immersed into culture and accepting it as destination? I came across one. Vietnamese, second wife, exquisitely gifted daughter was trained as concert pianist and was married off for family benefits.
 
Twostep said:
Let's play! By the time you have a degree in nursing and some work experience you are 25+, add job search/visa, add 25 years on the job. Someone 50-55 has worked 25 years in a specific system, expects pay ranges, has built family and social circle. Now it is pack up and immigrate back to a place you have probably sent money to and maybe visited a few times.

What about retirement, family raised? Who raises children not only bilingual but immersed into culture and accepting it as destination? I came across one. Vietnamese, second wife, exquisitely gifted daughter was trained as concert pianist and was married off for family benefits.
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by the time that period is over they'd qualify for citizenship. The visa is essentially open-ended.
 
Warrigal said:
Similar system available here in Australia. There are programs when relatives receive a carers payment and also systems where elderly are assigned carers who come to the home to clean, take clients out to the shops or medical appointments as well as personal care such as showering, getting them out of bed and seeing that they are eating well.
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This is less costly to the govt and generally strongly preferred by the the clients and their families. I can't comment on other states, but know from friends it's an option in California, New Jersey and Florida.
 
Twostep said:
It all depends on the visa they are on. Open ended visa? That means no oversight. Do you see that happening? What about immediate and extended fami!y?
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further o n this - I'm not really seeing how it is different to working visas now - and after a period of time (pretty sure in Australia it is 4 years) one can apply to become a permanant resident.
Permanant residents have most, but not all, of the benifits of citizens - and of course are paying taxes etc into the system too.
 
January said:
further o n this - I'm not really seeing how it is different to working visas now - and after a period of time (pretty sure in Australia it is 4 years) one can apply to become a permanant resident.
Permanant residents have most, but not all, of the benifits of citizens - and of course are paying taxes etc into the system too.
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Those on work visa pay taxes. Quite a few will not receive retirement benefits due to time paid in.

Australia does everything to keep immigrant non immediate families from coming in. So a lot of talent leaves when the old folks need help and they actually have to settle. We picked US over Europe or Australia.

Your system for permanent residency is tied into time served on work visa, age, .... . Citizenship is another kettle of fish.

We have a professional couple in Australia. Their early 40s, he is at 350-400 income. Target is Spain in the Schengen market with German passports to retire at 55.
 
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