Social Care Strategy

Baroness Fraser of Craigmaddie Excerpts
Thursday 10th October 2024

(2 months, 1 week ago)

Lords Chamber
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Baroness Fraser of Craigmaddie Portrait Baroness Fraser of Craigmaddie (Con)
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My Lords, last week I was attending a conference—no, not that one. It was the Cerebral Palsy Scotland conference, where there was much talk about social care. I declare my interest as the chief executive of Cerebral Palsy Scotland.

The Government have a headline commitment, as I understand it, to create a national care service, but there is no detail about timescales or resources. Coming from Scotland, the mere mention of a national care service makes me shudder. The SNP’s plan for a national care service has already wasted £28 million. Parliamentary committees and NHS bosses have warned about its flaws. Council leaders and unions have pulled their support. It will cost more billions—that is just to set it up—and, despite this, not one person’s care across Scotland has been improved. I urge the Minister: please do not make the same mistakes down here.

At our conference last week, one of the sessions laid out a job description for unpaid carers. It included the provision of personal care, housework, mobility assistance, medication management, emotional support, transportation, advocacy, respite care, health monitoring, project management, financial support and advice. They do all this, and they remain invisible and unappreciated. The most common theme that comes up in any conversation with unpaid carers, or any carers, is: “I wish I had known about it sooner”.

As the noble Baroness, Lady Keeley, said in her excellent maiden speech, identification is key. Professionals already have a responsibility for this, but it does not seem to be working. Despite the effort put into carers’ resources, research by the King’s Fund found that it does not always translate into the support that carers want. A carers’ strategy could look at what could be done to improve this.

As the noble Baroness, Lady Tyler of Enfield, said in her excellent introduction, we must stop looking at social care through the prism of the NHS. We will never get it right if we view social care only as the application for the ill or the old. The people I spoke to at the Cerebral Palsy Scotland conference last week were neither ill nor old; they are just asking for some support to live their lives in the way the rest of us, who do not rely on assistance, take for granted.

What they need and want are good PAs, personal assistants, who help you do what you want, whether that is going to work or going to the pub. Such flexible outcomes do not fit easily into local authority care packages, and there are not enough PAs. Many of the agencies previously supplying staff did not survive Covid. People are resorting to permanent ads on sites such as Facebook and Indeed. It is a bit of a lottery who applies. People often do not turn up to interviews or trial shifts, and you are really stuck if your PA does not turn up or is ill. The challenges of becoming an employer, dealing with recruitment, PAYE and pensions, too often defeat people.

I recommend that the Minister looks at the PA model delivered by the charity Enable, which works with local authorities across Scotland. It deals with employer issues and provides a personalised service to people. It may be one example of good local practice that would benefit from support to extend it further afield. At any time, any one of us could suddenly become responsible for the care of another person, or any one of us might need to be cared for. It is time the Government moved social care up their priorities list.

Intergovernmental Relations Within the United Kingdom

Baroness Fraser of Craigmaddie Excerpts
Thursday 18th January 2024

(11 months ago)

Lords Chamber
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Baroness Fraser of Craigmaddie Portrait Baroness Fraser of Craigmaddie (Con)
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My Lords, I thank the noble Earl, Lord Kinnoull, for securing this debate and for his excellent introduction to the issues. Commuting as I do from Glasgow, I clearly have a Scottish focus on the issue of intergovernmental relations. I think that I will be in the minority today; the Welsh contributions will be more numerous. I note, once again, my disappointment at the lack of representation in this House from the party currently in government in Scotland. That is its choice, but one that I fear cuts off its nose to spite its face.

I declare my interests as laid out in the register. My work as a board member of Creative Scotland and as chief executive of Cerebral Palsy Scotland brings me into regular contact with the Scottish Government and their officials, and I currently chair the Scottish Government’s National Advisory Committee for Neurological Conditions.

In preparation for today, I turned to the Scottish Parliament Information Centre’s most recent briefing on intergovernmental relations, which outlines, as the noble Earl touched on, how many different bodies have wrestled with this issue, including parliamentary committees, academics, independent commissions and the excellent Dunlop review. The majority of these criticised the previous Joint Ministerial Committee for a number of reasons, including ineffective dispute resolution, the role of the UK Government and a lack of transparency. The question, surely, is whether the three-tier system implemented by this Government since 2021 has fared any better. The noble Earl asked the Minister for very specific responses on some of these issues, and I look forward to her replies. I am afraid the sticking point is that, whatever this Government may do, as Michael Gove, the Minister responsible, points out in his foreword to the IGR annual report for 2022,

“this is not a one-government job”.

For over two-thirds of the Scottish Parliament’s 25 years, the SNP—which is, by definition, opposed to devolution—has been the party in government in Holyrood. The SNP’s raison d’être is independence, and everything it does and says is measured through that lens alone. As long as there is devolution, there is no independence. Humza Yousaf has already confirmed that independence will be “page one, line one” of the SNP manifesto at the next general election.

In the early years, day-to-day relationships could be managed through informal political channels by representatives from the same party, relying on good will. Any pretence that this Scottish Administration have to good will or co-operation between Holyrood and Westminster is long gone. Over the past 25 years, much has changed. We have devolved yet more powers to the Scottish Parliament—tax raising and social security, for example. We hoped they would contribute to Scotland taking more responsibility over its own affairs, but we did this without implementing any additional accountability or scrutiny.

So, the Scottish Government make their choices. Scotland is the highest-taxed and most complicated tax area of the United Kingdom. Its health service is close to breaking point; its education system has plummeted down the rankings; and business and enterprise are treated with contempt. Public spending in Scotland amounts to 50% of GDP. Making different choices, though, is the whole point of devolution.

What should this Government do about the state of intergovernmental relations with Scotland? I agree with Michael Gove, who said in an evidence session to the Constitution Committee that, from a Westminster perspective,

“on a day-to-day and week-to-week basis Ministers have very good relationships with their counterparts in the devolved Administrations”.

I also welcome the devolving of civil servants away from London and across the UK, including to Scotland. However, Mr Gove recognised in that same evidence session that

“Ministers in the Scottish Government have a different constitutional vision, so there is an incentive for them, when a political platform is provided, to try to amplify what they perceive to be weaknesses … and to downplay the day-to-day effectiveness of our arrangements”.

This was clearly in evidence during Covid, with competing daily press conferences, and continues today with the opening of Scottish government offices and ministerial meetings abroad.

The hypocrisy of the SNP, on the one hand barely tolerating our monarchical structure in Scotland while Angus Robertson was quick to offer to host the new King and Queen of Denmark due to her “strong Scottish connections”, is breath-taking but unsurprising. It is just another way to find every opportunity to push the limits of the Scotland Act.

We will not have any real opportunity for change until the next Scottish Parliament elections in May 2026. Until then, I urge this Government and any future Westminster Administration not to fall into any of the SNP’s traps. Whether it is regarding equalities and gender recognition, recycling or foreign affairs, all are painted to the Scottish public as examples of the “democratic deficit”. They are staging posts on the “journey” to independence. If the SNP loses those elections then, as its MP Tommy Sheppard put it,

“the debate on independence stops”.

Hooray, I say.

Perhaps then we can focus on what we should change. Perhaps we could agree on what thresholds need to be reached before any future constitutional referendum is contemplated. Perhaps we need to revisit the Scotland Act to impose some much-needed scrutiny on the woefully incompetent legislation emerging out of Holyrood. Perhaps that is why the SNP disapproves of your Lordships’ House so much—it fears the scrutiny of a second Chamber.

Devolved Administrations: Intergovernmental Relations

Baroness Fraser of Craigmaddie Excerpts
Tuesday 8th November 2022

(2 years, 1 month ago)

Lords Chamber
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Baroness Scott of Bybrook Portrait Baroness Scott of Bybrook (Con)
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I do not agree with the noble Lord. I think it is. We have clear arrangements between the UK Government and devolved Governments about how they work together, the frequency of those engagements and what they talk about. This is not just at Prime Minister level but right the way through, through the Ministers and down to the officials. The work done between the four areas of the United Kingdom is good and works well.

Baroness Fraser of Craigmaddie Portrait Baroness Fraser of Craigmaddie (Con)
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My Lords, the Minister will be aware that the Scottish Government plan to publish their budget for 2023-24 on 15 December. Is she aware of any discussions or considerations the UK Government have had with the devolved Administrations on the Chancellor postponing the Autumn Statement until 17 November and the corresponding ability of the devolved Administrations to plan for their budgets, less than a month later?

Baroness Scott of Bybrook Portrait Baroness Scott of Bybrook (Con)
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The Treasury considers a range of factors when setting fiscal events, including the impact on the devolved Administrations. The Scottish Government’s agreed fiscal framework sets out that funding will normally be finalised in the autumn prior to each financial year. Delivering the Autumn Statement on 17 November is therefore in line with these normal arrangements. The fiscal framework also recognises that normal arrangements sometimes need to be delayed, so sets out alternative arrangements in such a scenario. However, I do not think that delivering this on 17 November is such a case; for example, I think what it is thinking of are abnormal events such as when we had a general election close to Christmas.

Constitutional Commission

Baroness Fraser of Craigmaddie Excerpts
Thursday 9th June 2022

(2 years, 6 months ago)

Grand Committee
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Baroness Fraser of Craigmaddie Portrait Baroness Fraser of Craigmaddie (Con)
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My Lords, I thank the noble Lord, Lord Wigley, for securing this debate. I was moved to speak as I felt it was important that there is a Scottish voice. It is a lost opportunity that, unlike Plaid Cymru, the SNP does not feel moved to send representatives to our House. There is nothing the SNP wants more than a new constitutional relationship with England, Wales and Northern Ireland.

The recent local elections and the subsequent council administration pacts illustrate again how divided Scotland remains along constitutional lines. I take issue, however, with the interpretation of the results of the noble Lord, Lord Wigley. The unionist vote is split among the three unionist parties, hence the SNP always seems biggest. The SNP has a woeful record at both local and national level, but its relentless promise of a second referendum, the politicisation of our flags and, frankly, the othering of those who do not share its constitutional view plays to its supporters but continues to divide us.

I led a debate on Scotland in the Chamber on 9 December last year. I commend to noble Lords the contribution that afternoon by my noble friend Lord Dunlop, he of the report. His key message was about getting the tone right. If we want to see a cohesive and co-operative union, he urged

“a culture change from a Whitehall used to issuing directives”.—[Official Report, 9/12/21; col. 2029.]

This Platinum Jubilee weekend was a good time to consider the cohesiveness of the union. I find myself drawn to the New Statesman and a very good article by Helen Thompson, who says:

“Like the Union, the monarchy works”


best when it is allowed, “in all its complexity”, simply to carry on. The monarchy is a shining example of how to successfully navigate the differing nuances of the four nations, celebrating our distinctiveness while acting as a unifier.

Whatever our differences, most Scottish people want the Scottish and UK Governments to work together to ensure the best possible outcomes for everyone. I therefore urge the Minister and Her Majesty’s Government to look first to Westminster. I would like to see a “union filter” applied to every bit of legislation and policy published, but I fear this does not always happen in practice. Too much centralised power is as dangerous in Westminster as it is in Edinburgh. We cannot do anything about the unrelenting focus of Edinburgh on pursuing constitutional change, but let us not do the SNP’s job for it.

We do not need to open the Pandora’s box of a constitutional commission. As Covid and the vaccine rollout demonstrated, the structures for co-operation are already in place; it is just politics that is getting in the way.