The Moral State We’re In. Julia Neuberger
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† Beverley Malone, RCN General Secretary.
* Jamie Doward, ‘I don’t want to plan my death…’, The Observer (19 September 2004).
* GMC News (December 1992).
* E. Roberts, J. Robinson, and L. Seymour, Old Habits Die Hard–Tackling Age Discrimination in Health and Social Care (King’s Fund, 2002).
* Seshamani, M. and Gray, A. (2004).
* Williams, A. (1997).
* Grimley Evans, J. (1997).
* Chris Price, ‘Who Pays for Grandma?’ The Stakeholder (1999); the Royal Commission on Long-Term Care (1999).
* Liz Phillips, ‘Does nobody care?’, Daily Mail (7 July 2004).
* Gary Younge, ‘Grey power bites back’, The Guardian (5 June 2000).
† ‘The battle for the older voter’, The Economist (18 September 2004), 37.
* Peter Riddell, ‘Getting the Grey Vote’, Parliamentary Monitor (November 2004).
† Responding to Elder Abuse (Community and District Nursing Association, 2004).
‡ Liz Gill, ‘Abuse is a wicked secret’, The Times (1 January 2004).
* ‘Who Cares for Granny?’, Channel Five, a MacIntyre UK Undercover documentary (October 2003).
* Jenkins, G., Asif, Z., Bennett, G. (2000).
† Action on Elder Abuse press cuttings, April 2002–March 2003.
* Tony Robinson, ‘This shameful neglect’, Daily Mail (13 January 2004).
† Daily Express (5 November 2003).
‡ K. Leason, Community Care (6-12 November 2003).
* Sue Clough, Daily Telegraph (15 August and 9 September 2000).
* Yorkshire Post (5 June 2003).
† Evening Press, York (11 June 2003).
‡Yorkshire Post (11 June 2003).
§ ‘This is Lancashire’, BBC News (30 April 2004).
* Maureen Paton, ‘A veteran fights a new battle’, The Times (27 April 2004).
* CHI News (October 2003).
† ‘Not because they are old’: An Independent Inquiry into the Care of Older People on Acute Wards in General Hospitals (Health Advisory Service, 2000).
* Better Regulation Task Force, Bridging the Gap (2004).
* Melanie Henwood and Eileen Waddington, Home and Away: Home from Hospital and the British Red Cross, Progress and Prospects (2003).
* Wanstead and Woodford Guardian (20 November 2003).
* Janet Street-Porter, ‘I’ll do anything except go into a care home’, The Independent (6 February 2004).
† Yasmin Alibhai-Brown, ‘Age of Respect’, Community Care (10–16 December 1998).
* The Future of Health and Care of Older People: The Best is Yet to Come (Age Concern, 1999).
In my years of chairing a large community and mental health trust in central London, Camden and Islington Community Health Services NHS Trust, I became sadder and sadder at what was happening to people with mental illness who accessed our services, and, still worse, to those who for some reason or other were not accessing the services they wanted or needed. I remember being taken to see the best of our then three main adult inpatient units. One of the (male) consultants said to me that in the first few weeks of being a trainee psychiatrist you cried and cried; if you did not do so, then you would be no use as a psychiatrist.
In some ways, the issue of mental health is at the heart of this book. For we are not–in the way we structure and think about the services we provide–kind. Kindness is not what we value most, nor does it drive the system. If it did, the services would look quite different and be far more responsive to what users say they want. We would be providing decent housing and trying to provide employment, or at least some kind of daytime activity that makes sense and has meaning; we would be helping with money, with food, with the normal things of life, with talking and engaging with the issues that those with mental illness say bother them. Instead, over centuries now, we have provided a service that is largely based on fear and containment, on a view that those with enduring mental illness are worthless and do not deserve the level of public expenditure that running a series of responsive high quality services would entail.
This