Covid-19: Social Care Services

Baroness Bowles of Berkhamsted Excerpts

Thursday 23rd April 2020 Lords Chamber

[Baroness Bowles of Berkhamsted (LD)]

My Lords,

“Adult social care in England is inadequately funded.”


That is the opening line of a strong report from the House of Lords Economic Affairs Select Committee, of which I am a member. Right now, that strained system is dealing with a virus that strikes at vulnerability, the very heart of care services. The Government’s response seems to have inadequate intelligence about how care work operates. How else could the “care homes not at risk” advice have come about, or low-paid care workers be expected to travel more than 200 miles for a test?

The virus shows how much we rely on workers in essential services. Care workers rank highly among them in terms of both society’s need and the risks the workers face. The NHS has high recognition, equipment, donations and worker visa extensions, and the care sector deserves the same. It is time to level up. Just like the NHS, care needs could affect anyone. Half the adult care budget goes on working-age adults, and that percentage is rising.

Many care provider businesses are now financially at risk, including some employee-owned and mutual businesses. I am told that some local authorities rapidly made three-month forward bookings and advanced payments, taking the financial risk if those places are not used, to help providers keep afloat for the future. Local authorities have suffered from lacking and late information in a situation that has moved faster on the ground than government decisions. New funding is welcome, but it lags behind the progress of the virus in terms of rising operational and care costs and loss of income from rates, rent and car parks. The knock-on effect of the virus will take a higher toll on the vulnerable, including the working vulnerable, which translates in the long term to a need for more care.

The rulebook on government expenditure has been torn up to support many people and businesses during lockdown. An equally open mind and a long-term approach are needed post coronavirus. Investment for growth must trump austerity, and social care underfunding must still be addressed. One good-faith way in which the Government could start right now would be to put care providers on the same VAT footing as the NHS. Be innovative—it can be done if the will is there.