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With the crisp pacing of a suspense novelist, veteran reporter Bill
Paul follows five high-school honor students and the dean of
admission at Princeton through each step of the college admissions
process. As the narrative unfolds, we watch the students' successes
and blunders as they ponder where to apply, write and rewrite their
essays, endure alumni interviews, agonize over early decision, and
anxiously await the April delivery of the hoped-for thick envelope
that means acceptance, or the dreaded thin envelope that contains a
curt rejection. What emerges is the clearest picture ever of this
complex, frustrating, and highly imperfect process, and how it
truly works.
The Government has not fully thought through the implications of
its social care reforms and may leave local authorities open to a
deluge of disputes and legal challenges. MPs and Peers warn that
without greater integration with health and housing, and a focus on
prevention and early intervention, the care and support system will
be unsustainable. The Committee also calls for a nationwide
campaign to educate people about the need to pay for their own
care, saying that adult care and support are poorly understood. Key
recommendations include: a new power to mandate joint budgets and
commissioning across health, care and housing, such as support for
the frail elderly, making it simpler for NHS and local Councils to
pool budgets; fast-tracking of care and support assessments for
terminally-ill people; new legal rights for young carers to protect
them from inappropriate caring responsibilities and ensure they get
the support they need; an obligation on the Secretary of State to
take into account the draft Bill's well-being principle when
designing and setting a national eligibility threshold; independent
resolution of disputes over decisions about care and support - and
costs that count towards the cap - through a Care and Support
Tribunal. In addition, the Committee makes a number of
recommendations to improve health research and the education and
training of NHS workers. The Committee also warns that restricting
support and care to those with the highest levels of need will
simply shunt costs into acute NHS care and undermines interventions
to prevent and postpone the need for formal care and support.
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