The nursing homes have now disappeared and it is now the turn of the nursing homes? Not that they will all be abolished immediately, but the number of beds will remain the same while the aging population increases and more people need nursing.
The staffing problem is not only noticeable in nursing homes. The same is true in district nursing. The minister also wants to cut another 400 million euros on nursing home care. This is extremely strange, because that way you don’t solve the ‘care stroke’.
SAMEN, with more than twenty branches in the Koop van Noord-Holland, an important player in elderly care in our region, takes the staff shortage as a given and will organize nursing home care differently. How? By offering nursing care in people’s homes. For example, withdrawals must be drastically reduced. But providing nursing care in homes is not efficient because travel time costs money.
The main background to the demand for nursing home care is deteriorating health (physical, cognitive, psychological). Arranging constant close support at home is difficult; and family and friends cannot provide sufficient help. The choice for inpatient care also has to do with the fear that something bad will happen when no one is around to help.
SAMEN opts for a different strategy. She is going to teach the sick self-reliance, what else can they do, rather than what they can’t do. Prevention should encourage older people to live healthier lives and SAMEN wants to digitize healthcare in order to reduce patient contact. SAMEN will also coach informal carers to ensure that they can also perform medical procedures. This saves staff and is very cheap. Care for the elderly must become more efficient and cheaper. Technocratic too.
SAMEN assumes that people with dementia can stay in their own home. To achieve this, SAMEN is counting on other healthcare institutions to participate in this concept. But SAMEN does not have these institutions on a string. And many homes are not suitable for nursing care. That is going to be a piece of cake.
Samen is inspired by the Scandinavian model, where this method has been in vogue for some time. But you cannot compare our country with, for example, Denmark. Care is organized differently there. There are also no health insurers and much fewer different health care providers. There is also a form of area-oriented financing that we are not aware of.
There is hardly any part-time work there, while the Netherlands is champion in this area. If all part-timers in healthcare would work an hour more, the staff shortages in healthcare would have virtually disappeared. And if the bureaucracy is subsequently cleared up and the salaries are paid in accordance with the market, SAMEN does not have to turn things upside down.
In a small area like the Noordkop with barely 160,000 inhabitants, there are a lot of care institutions. They call each other colleagues, but in reality they are competitors due to market forces. Buurtzorg works differently than the Omring. SAMEN paints a too rosy picture of elderly people who are trying to shift care to the streets. What do the elderly think? After that you will not be asked.
It is remarkable that SAMEN does not follow the line of the ActiZ umbrella, which believes that Minister Conny Helder does not comply with the agreements made about 25,000 additional nursing care places until 2026. This will increase the waiting lists even further. ActiZ does not resign itself to this and is going to battle with the minister. SAMEN chooses differently and that is not to the advantage of the elderly who need nursing. While her adage should be: even better care, less bureaucracy and more job satisfaction.