Liz Kendall (Leicester West) (Lab)
I start by thanking the Backbench Business Committee for enabling this important debate to take place, and I congratulate the hon. Member for Portsmouth North (Penny Mordaunt) on securing it. I know that she has been very committed to the issue and I am delighted that we have discussed it today. I also thank my hon. Friend the Member for Bolton West (Julie Hilling), the hon. Member for Stourbridge (Margot James), my hon. Friend the Member for Manchester Central (Tony Lloyd), and the hon. Members for Southend West (Mr Amess), for Central Suffolk and North Ipswich (Dr Poulter) and for Blackpool North and Cleveleys (Paul Maynard) for their speeches.
In particular, I thank Anchor for the superb Grey Pride campaign it has run and the 137,000 people who signed its petition, which made today’s debate possible. As hon. Members might know, the Leader of the Opposition created the post of shadow Minister for older people in the shadow Cabinet in October last year, and I feel privileged and honoured to have been appointed to the position. I hope the Government will follow suit and appoint their own Minister for older people in the Cabinet, and I will use my speech today to explain why.
My first point is obvious, but none the less important: older people are not an homogenous group. They have different views, needs and expectations, just as people in any other age group do. We would not treat everyone aged nought to 50 as a single group, yet this is exactly what we do for people aged 50 to 70, 80, 90, 100 or even beyond. Our discussions and debates about older people tend to be based on one image or stereotype, usually that of a very elderly person, frequently frail or dependent and in need of care and support. The need to develop a better, fairer system of care is a huge challenge and one that I will return to later, but the reality is that most people in their 50s and 60s are not frail or dependent and they want never to be so. Rightly, many do not regard themselves as old at all—my mum and dad certainly do not. Many older people are still in paid work, and local businesses and the economy benefit hugely from their skills, experience and incomes. They play a part in their local community, in voluntary groups or as councillors, and they help with local public services and in churches and faith groups. They also help to look after their grandchildren, and sometimes their own elderly parents; an increasing number do both.
Before I came to the Chamber, I was at a very interesting event organised by Grandparents Plus where I was told that 28% of grandparents have parents still living. They are a sandwich generation, helping out with the kids as well as helping their own parents. We have what I would call the young old as well as the older old, and the young old want to try new things, especially when they have retired, to develop new skills and to travel to different places. They want to enjoy their lives. They want to have fun, if they have time to do so after all the other things they are doing.
The aspirations of today’s over-60s are in many ways quite different from those of previous generations. My parents have quite different expectations from their parents of the kind of life they want. My expectations, those of my niece and those of the one in three babies born this year who will live to be 100 years old will be very different in the future too.
If older people are not an homogenous group, if they have different views, needs and expectations, why have a Minister for older people? The first reason is that despite all their differences, one thing that the young old and older old frequently say is that they too often feel invisible to politicians, businesses, public services and the media. That is a key reason behind the Grey Pride campaign: to ensure that the needs and views of older people are heard and understood at the highest level, so that we can change attitudes about older people, challenge the stereotypes and put older people at the forefront of British political debate. Of course, a Minister for older people could not do that on their own: local businesses, councils, public services, voluntary groups and the media all have a vital role to play, but the Government can and must take action. The previous Labour Government’s Equality Act 2010 will be crucial in helping to turn the tide on some of the age discrimination we see, including in goods and services, but Governments must also take positive steps to ensure that older people’s needs and concerns are actively promoted in every area.
That leads me to the second reason why we need a Minister for older people: to ensure that all Departments understand the issues facing older people and that work is properly co-ordinated across Government. Many hon. Members have discussed the different Departments that need to understand the views, feelings and expectations of older people. Let me repeat some of those and add some more.
The Minister of State, Department for Work and Pensions (Steve Webb)
I am listening to the hon. Lady with great interest and I congratulate her on her role. Does she think that because for 13 years the previous Government did not have someone in this role, they failed older people?
Liz Kendall
I think we made big improvements for older people, but far more needs to be done. One of the biggest challenges—transforming the care system for older people—requires action across Government. It is not something that a Minister for older people could do on their own. They would need the Treasury, No. 10, the Department for Work and Pensions and other Departments to be closely involved. It is a matter of having someone who can help to co-ordinate action across Government and provide a stronger voice at Cabinet level. That is the role a Minister for older people would perform.
Let us consider some of the other areas in which we need to make sure that older people’s needs and concerns are heard. Take education policy, which some might not think would be relevant. We need to understand that as people live longer and need to work for longer, lifelong learning is essential to help them to develop new and different skills. In family-friendly working, we need to understand that a quarter of all grandparents— 3.5 million in total—are still working as well as helping to look after their grandchildren.
Several hon. Members have mentioned housing policy. We must ensure that there is a range of good-quality options for people as they get older, so that they are not given a choice between living in their own home or a care home; there should be various stages in between. Transport policy is also very important. I am sure that many hon. Members find that bus services are a big issue in their constituency. Making sure that services are linked up is a big challenge. Our energy policy must also take into account the needs of older people, many of whom have very high energy and heating bills, particularly if they have long-term health conditions.
Having a Minister for older people in Cabinet would help to ensure that all Departments were more aware of the issues and concerns I have raised, but the final and most important reason why we need the role is that, as a society and a country, we need to face up to the major economic and social challenges of demographic change. That is a key issue behind Grey Pride’s campaign and is highlighted in the motion. Many hon. Members have spoken about pensions, and I am sure the Minister will speak about them too, but I will focus on care and support.
That must be one of top priorities for the Minister for older people because it is one of the biggest challenges facing Britain today. That is why one of the options would be to have the Minister for older people in the Department of Health, because the key to transforming the care system is in transforming the NHS. Social care budgets have been under increasing pressure for many years, but the care system has now reached breaking point. Adult social care makes up around 40% of local council budgets—up to 60% in some areas—and it is their biggest discretionary spend. When the Government are cutting local council budgets by a third, it is inevitable that services for older people will suffer. Figures from the Department for Communities and Local Government show that more than £1 billion has been cut from local council budgets for older people’s social care since the coalition Government came to power. The result is that councils are raising their eligibility criteria: 80% now provide care only for those with substantial or critical needs, up from 50% only four years ago.
The Minister of State, Department for Work and Pensions (Steve Webb)
There were just eight contributions—but eight high-quality ones, from Members on both sides of the Chamber—to this debate on an important issue. The unanimous view of all those who took part was that we should congratulate my hon. Friend the Member for Portsmouth North (Penny Mordaunt), who introduced the topic in a very effective way. I also congratulate her on the work of the all-party group on ageing and older people, which she chairs, and I congratulate the Backbench Business Committee—some of its eminent members are here today—on making sure that we had the time to discuss the crucial issue of how we best ensure that older people have an effective political voice. That would be the united perspective.
We have heard diverse views. We heard a suggestion that the Minister for older people should be an additional role for the Home Secretary. We heard it suggested that it should be the Chief Secretary to the Treasury, or perhaps another Cabinet Minister. My hon. Friend the Member for Central Suffolk and North Ipswich (Dr Poulter) suggested that the Government were doing pretty well without a Minister for older people, although the post might be a welcome addition.
I assure the House, from my now extensive experience—two years—in government, that the idea that the views and priorities of older people are not in every room, in every discussion, is not something that I have ever encountered. To give just one example, the Department for Work and Pensions had to make some very difficult decisions as part of the comprehensive spending review, but if we look at the areas where savings were made—at the reduction in the growth in the budget for disability living allowance for people of working age; at the local housing allowance; at the employment and support allowance; at child benefit, tax credit, and social housing; and at the benefits cap—virtually without exception, those changes apply wholly or predominantly to those of working age. The benefits of those above pension age were protected, almost exclusively. As we have heard from a number of hon. Members, crucially, the basic state pension has been enhanced through the restoration of the earnings link and the triple lock. I assure hon. Members in all parts of the House that the political priorities of pensioners and older people more broadly—as we all know, they are the people who turn out and vote—are very much in the Government’s mind at all times.
My hon. Friend the Member for Portsmouth North suggested that there had been some discussion about who should reply to the debate, and she is correct. Part of the reason is that so many Ministers have a keen interest in the concerns of older people. There were many potential candidates, but I fought them off. I want to respond to some of her particular points, and in doing so, reassure my hon. Friend the Member for Southend West (Mr Amess), who was sceptical—I was shocked by this—that there is still joined-up government when it comes to older people. As I run through my response to some of the concerns of my hon. Friend the Member for Portsmouth North, I hope that it will be apparent that I am giving a litany of examples of joined-up government.
My hon. Friend raised the very important issue of loneliness. A number of people mentioned nobody visiting the care home, but everyone coming to the funeral for the reading of the will. That was a powerful point. There is a powerful cross-departmental partnership between the DWP and the Department of Health. The Minister of State, Department of Health, my hon. Friend the Member for Sutton and Cheam (Paul Burstow), the Minister responsible for care services, has pioneered work on loneliness. We have worked with the Campaign to End Loneliness. There was a summit on 15 March that I attended, which my hon. Friend chaired, on how Government and local government can act effectively on loneliness. Something that has emerged from it is the importance of equipment for local authorities that want to tackle loneliness in their area, including “how to” guides, websites and so on. We take the issue very seriously: too often, we talk about care, transport, health or pensions, but the fundamental issue of whether someone sees anyone from day to day and whether anyone cares whether they are there or not is a vital one, and I am grateful to all the hon. Members who mentioned it.
Something that has come out of our work is the age action alliance, which brings together more than 200 organisations, including Government Departments, private sector bodies, charities and voluntary groups. The alliance operates under the umbrella of Age UK, and is supported by the Department for Work and Pensions. It tackles a range of issues affecting older people in a joined-up way across sectors. Loneliness is one of the key themes that it is looking at.
My hon. Friend the Member for Portsmouth North mentioned taxation and older people. Let me say on the record that if tax and national insurance were brought together in a single operation, national insurance would not, I can assure her, be applied to pensions. There is no proposal to bring pensioners into that higher combined tax rate. In an example of joint working, the DWP and Her Majesty’s Revenue and Customs are working together on the recommendations from the Office of Tax Simplification. I can assure her that, as Pensions Minister, I will scrutinise exceptionally closely any suggestion that tax might be withdrawn at source from the state pension.
My hon. Friend and my hon. Friend the Member for Central Suffolk and North Ipswich raised the abolition of the default retirement age, and the position of older workers more generally. As I mentioned in oral questions this morning, that is something of which the coalition Government can be resolutely proud. There were years of talk about abolishing mandatory or forced retirement, but we have done something about it. There is still more to be done: employer attitudes to older people still need work, which is why the DWP and the Department for Business, Innovation and Skills work jointly on that. In fact, BIS-led legislation has been introduced. We have worked with employers and business organisations on the “Age Positive” initiative to challenge outdated assumptions about older workers and to encourage improvements in the employment and retention of older workers as part of a mixed-age work force.
Older workers are good business. I said this morning in the House that research evidence from McDonalds has found that McDonalds restaurants that employ over-60s have on average higher customer satisfaction than those that do not do so. Some people might find that surprising, but it is an example of enlightened employers who get it, and who do well as a result. We shall certainly spread the word.
My hon. Friend the Member for Portsmouth North raised the issue of someone who goes into a care home and wants to be able to get something from the value of their home. I think she referred to the Redbridge “FreeSpace” pilot, and spoke about it very positively. I can assure her that my hon. Friend the Minister for Housing and Local Government has encouraged other local authorities to look seriously at that innovative project, and is trying to promote it, as she suggests.
My hon. Friend suggested that we do more to communicate with people and that it was important to piggyback messages. I agree, which is why the DWP is working with the Department of Energy and Climate Change on a pilot scheme to promote the green deal. When we write to people about winter fuel payments, we take a target sample of 1.2 million letters, and those recipients will receive a separate flyer in the envelope promoting the green deal to encourage them to take up energy efficiency schemes. My hon. Friend the Member for Stourbridge (Margot James) mentioned excess winter deaths which, she is absolutely right, remain a scandal. It is not so much about giving people an extra pound to pay an exorbitant fuel bill but about trying to make sure that their home is properly insulated. She will know, as I do, that in Scandinavia, excess winter deaths are almost unknown, not because it is warmer—it obviously is not—but because people have properly insulated homes. We must make sure that there is more action across government on that issue.
The hon. Member for Manchester Central (Tony Lloyd) raised an important issue, and mentioned the very recent report on hospital care and the management of medicines. His home city is recognised as a World Health Organisation centre of excellence for the way in which it approaches older people—he will be aware of that—and that is something that has come out of cross-government working. He is right that the issue of medicines management in care and nursing homes is important, which is why early last year, the Department of Health agreed to fund a project to improve medicines management in residential care. The project is driven by the sector and led by the national care forum. The goal is to design and test a set of practical tools to help care-home staff, doctors, pharmacists and nurses to provide safer care and reduce the incidence of medication errors and what are known euphemistically as “near misses” in care and nursing homes. The hon. Gentleman is right to raise that issue, which the Government take seriously.
Coming back to the point made by my hon. Friend the Member for Stourbridge about excess winter deaths, she will be aware that in December 2011 the Department of Health published a cold weather plan for England and identified up to £20 million for 2011-12 to support local authorities to reduce levels of deaths and morbidity during cold weather. It is designed so that local government —again, a partnership approach—working with voluntary and community sector partners can address the risk factors of cold weather for vulnerable older people. I accept my hon. Friend’s point that we need to do more work on the issue.
We heard some powerful contributions, including a very moving one from the hon. Member for Bolton West (Julie Hilling). It sounds as though her mother is rather well known. My hon. Friend the Member for Southend West mentioned that he had met her on the Terrace, on an outing to see the flotilla, as I understand it, so she is becoming quite a celebrity. The hon. Lady spoke powerfully about both the excellence and, shall we say, the lack of excellence in the care that her mother had received. There is indeed too much variability in the quality of care. The hon. Lady also talked, rightly, about wrong attitudes to older people, which others mentioned as well. That is something we need to challenge, which we are trying to do in Government.
My hon. Friend the Member for Central Suffolk and North Ipswich mentioned Age UK’s five tests for a Government taking office, and he was generous enough to point to a number of things that the Government have already delivered on and others on which we are trying to make further progress. My hon. Friend the Member for Blackpool North and Cleveleys (Paul Maynard) mentioned that it was important that what happens is not fluffy or soggy. I want to assure him that there is a lot of unfluffy and unsoggy work going on, and to highlight the UK Advisory Forum on Ageing, which was set up just before the last election. It meets quarterly. I attend every meeting. The Minister of State, my hon. Friend the Member for Sutton and Cheam who has responsibility for care services, is a regular attender as well.
We co-chair the forum and it is attended by about 30 representatives of advisory forums for older people from the regions of England, the Welsh Commissioner, the Northern Ireland Commissioner, organisations that are not great fans of the Government, such as the National Pensioners Convention, Age UK and others. We come face to face with these groups once a quarter. I have attended every meeting since the election, and that group sets its own agenda and decides what it wants to talk about. One possible fruit of this debate might be that that work, which has been extremely effective, might be expanded and might bring in other Government Departments more systematically and perhaps other Ministers. That might be a response to some of the concerns that have been expressed.
I should mention that the Home Office is finally—in the sense that these things have been talked about for many years—bringing forward legislation to ban discrimination in goods and services for older people, which is long overdue and very welcome.
I was interested to see that Age UK had commented ahead of our debate. Its position on the proposal for a Cabinet Minister with separate responsibility was, perhaps, more nuanced than we might have expected. Although Age UK obviously welcomed the debate, it said that the appointment of a Minister would not be a panacea, which I do not think anybody suggested. It also suggested that it might create risks as well as opportunities. For example, it says that there is the potential that other Departments might decide that they are no longer responsible for thinking about older people. It says that there is a further potential risk of confusion over the responsibilities of the Minister for older people vis-à-vis those of other Ministers.
I was interested to hear my Labour shadow, the hon. Member for Leicester West (Liz Kendall), say that the important issues all related to care, and that what we need is a Minister in Cabinet responsible for those issues. The Minister of State, my hon. Friend the Member for Sutton and Cheam, who I am pleased has been able to join us at this point in the debate, is doing an excellent job. We do not need two Ministers doing the same job. The hon. Lady said that the issues needed to be discussed at the highest level in Government. I can absolutely give her the assurance that on a regular basis the very issues that she identifies are discussed round the Cabinet table with the principal players of the Government.
Liz Kendall
What I said was that, although a Minister for older people would make a big difference, responsibility must lie at the highest levels of Government—with the Prime Minister, the Chancellor and other members of the Cabinet. I am glad that the hon. Gentleman put that on the record.
Steve Webb
I am sure the House would expect the Prime Minister to take a very close interest in these matters.
Age UK says that a weak and ineffective post of Minister for older people could do more harm than good. None of my ministerial colleagues are weak or ineffective, so that is not something we need to worry about. It is clear that all Cabinet Ministers, even the Chief Secretary, have a pretty full inbox at present. It was generous of my hon. Friend the Member for Portsmouth North to give him an extra role. I will have a chat to him about it. The worry would be that if an additional role is given to an already stretched Minister, either it becomes marginal and is not done properly, or it ends up being duplicated. That is the challenge for us.
Responding on behalf of the Government to this important debate, I very much welcome the terms in which the whole debate has been conducted. We are united in the view that older people need a proper voice right at the heart and right at the top of Government. We need to think very hard about how we deliver that.
I welcome the terms of the motion, which proposes that the Government should consider—we certainly should—whether that role would best be done by a Cabinet Minister with additional responsibilities. My proposition is that one response might be for the UK Advisory Forum on Ageing to have a more cross-government role. There are plenty more things we could do, but I stress that there are plenty of cross-government and co-ordinated things already being done. I hope that I have been able to give the House some reassurance on that point.
I can confirm that the Government are very happy to support the motion and look forward to further discussions, because I have a feeling that, if we do not make sure that older people have a proper voice right at the heart and at the top of Government, my hon. Friend the Member for Portsmouth North will not let us hear the last of it.