This year, I’m talking to people in different parts of the country about the ways that welfare changes, NHS reform and council cuts and charges (particularly in social care) are affecting lives.
Most of the people I’ve spoken to use a range of services and are affected by changes across the board – ESA and DLA assessments, council social care cuts and charges and NHS reform. Apparently, only 12% of the government’s cuts have been implemented. People are on edge waiting for the rest.
Extracts from these articles are appearing the Guardian here and in the Society Guardian.
This first report is from the Northwest.

“A lot of people have got to be in this position…forced to finish work in one way or another and unable to get any money…it’s a threatening prospect.” Richard Atkinson, Cheshire (photograph: Charles Shearer)
I start to understand that care cuts and costs might be leading people to take risks with themselves when I go to Lisa Henshaw’s* house and find her front door unlocked. I knock, hear her call out, and I try the door, which is open.
“Wow,” I think, brilliantly. “That’s not very secure.” I wander down the hall to find her. Then I get it.
Henshaw, 48, has rheumatoid arthritis (she was diagnosed when she was two). She has limited use of her hands and does not walk easily. Mostly, she must use her electric wheelchair to move. This morning, she woke up feverish and “very, very shivery.” That’s how I find her – a small figure lying on her bed next to a red plastic container that her carer left out in case Henshaw needed to be sick.
She’s alone, because “I’ve run out of carer hours,” she says, grimly. Direct payments from her local council fund about five carer hours a day (starting with a couple of hours in the morning, to help her to bathe and dress) and her carer had to leave at ten for another job.
She didn’t want to ask another carer to come, because “I have to preserve my [care] hours… for an emergency.” The front door was unlocked, because Henshaw was waiting for medicine to be delivered and was worried about missing it. So – I end up waiting for the drug and signing for it and making Henshaw her mid-morning hot drink.
Then, I leave her to her problems.
She has plenty of them – “it isn’t always gloomy like this,” she says, “…but I never had to worry like this before.” Henshaw faces an ESA work capability assessment (which will cost her – she’ll have to pay a carer to fill in her forms for her) and a Disability Living Allowance assessment. She was given a lifetime DLA award as a child, but will be reassessed as the personal independence payment replaces DLA.
There’s also the ongoing issue of Henshaw’s living arrangements. Henshaw wants to keep living in her own home, but will need extra care for that as she ages.
She isn’t too sure that funds will be available, though, and worries that her local council will put her in a carehome. It’s easy to see why she wants to stay. She’s made her housing trust bungalow a magical place. Each room is a riot of retro – flowered walls, bright surfaces, lustrous curtains and winking lamps. You want to follow the lights and explore it.
Henshaw just wants to stay in it. Her concern is that her council will look at her requests for more carer hours, decide that it can’t afford them, say that she’s at risk alone and move her to a carehome. So, she needs to fight for extra care hours without drawing her council’s attention to the fact that she needs extra care hours. There isn’t an answer to this, but that hardly helps. Henshaw torments herself trying to find one.
The irony is that there might not be a carehome, either. Council officers told Henshaw recently that they didn’t have suitable spaces. So, in Henshaw’s mind now is an end-scene where she is stuck in her beautiful home without enough help. Doors are shutting wherever she looks. The Independent Living Fund has closed (people with disabilities were once able to apply to the ILF for extra money for care). In some parts of the country, councils are, incredibly, capping spending on high-cost care. On her bad days, Henshaw imagines how those chapters of the story might play. Continue reading
