Independent Commission on Adult Social Care
Debate between Baroness Blake of Leeds and Lord Laming
Baroness Blake of Leeds (Lab)
My Lords, I think the answer is partly in the question. There have been so many reviews and inquiries, but none of them has come forward and got total ownership from across the House; that is part of the problem. All the work that has been done through those reports will be built on. I would never underestimate the noble Baroness, Lady Casey. It has been my great privilege to work with her for decades. She was responsible for introducing ASBOs for troubled families, as noble Lords may recall. This situation is complex. It needs to be tackled in depth. There are things that can been done quickly, which she will address, but it is critical that we let her do the work and use her skills to reach consensus, which, frankly, has been so plainly missing in all the work that has been attempted in the past.
Lord Laming (CB)
My Lords, the Minister will know that, as many more people are, thankfully, surviving longer despite having severe disabilities or illnesses, and as we are all ageing, there are more people living in the community than in hospitals who need continuing medical care and social support. The department is not just the Department of Health; it is the Department of Health and Social Care. In the light of what the noble Lord, Lord Young, just set out, can the Minister assure the House that, until the noble Baroness, Lady Casey, reports, health and social care will be given equal weight, and that social care will not be treated as a mere add-on to the health service?
Baroness Blake of Leeds (Lab)
The noble Baroness, Lady Casey, is working towards setting up a national care service that can work alongside the National Health Service. The noble Lord raises critical points. Given that so many people live with frailty and need in the community, it is essential that not only the NHS and social care but the voluntary sector and the wider community are involved. We have seen incredible benefits for our most vulnerable in areas that have managed this successfully. There is an enormous amount to do, as the noble Lord suggests, but we are up for the job.
Social Care
Debate between Baroness Blake of Leeds and Lord Laming
Baroness Blake of Leeds (Lab)
It will come as no surprise to the noble Baroness that we are looking at the recommendations of the Health and Social Care Select Committee report and will come forward with our responses. It is of course vital to look at the impact of the model that we have now on society, on the people involved and on the economy. The various debates we have had in this House in the time I have been here have picked that up and recognised the valuable contribution that carers make to the economy. We have to start taking the holistic view moving forward. That is why we have the commission: to look at all the different aspects, improve the situation and make progress.
Lord Laming (CB)
Does the Minister agree that the Government will not achieve their ambitions for the National Health Service without also having a well-developed and successful plan of development to make social care services easily accessible, properly trained and well respected? Do the Government have a development plan in mind for social care?
Baroness Blake of Leeds (Lab)
The noble Lord raises such an important point. I am sure he will also be thinking about the vexed issue of hospital discharge and all the issues that are creating such difficulties in the system. I emphasise that adult social care is part of our vision for a neighbourhood health service, shifting care from hospitals to communities, with the NHS working alongside local authorities, social care providers and the voluntary sector. I am sure we are all looking forward to the announcement of the 10-year health plan, looking at how we can move healthcare from hospitals to the community but recognising that all agencies out in the community have a vital part to play to make this story successful.