So what happens when a nurse, for very good reasons, has to ring in just before her shift to say she won't be able to get in? Well, in an ideal world there would be a contingency plan - and there is - and it doesn't work - again! This time we didn't step in to fill the breach ourselves, as usually happens. Because nobody told us it had happened - we only found out when we rang to see how he was. There was a fallback but in our view it was inadequate, so brown stuff hit fast rotating object again. Fortunately all was well and he behaved himself for once.
Our package of care predates the 'Personalisation Agenda' - it doesn't need things like Direct Payments to get a Person Centred Plan, even under the old systems - they just make it hard (translation - impossible). If we'd had Direct Payments we'd have had to organise all this as well as doing his care and I don't think we could cope with that level of admin. as well as the medical etc. care. There's no allowance for recruiting, staff admin., contingency cover organisation etc. - Personalisation for us would mean care on the cheap (for the authorities). It would save them money, because we'd have to do the extra work. The reality would be that we'd step in all the time - unpaid.