Care Bill [HL]

Debate between Baroness Greengross and Baroness Hollins

Tuesday 16th July 2013 Lords Chamber

[Baroness Hollins]

My Lords, I would have added my name to this amendment because it is excellent and necessary. I, too, hope that the noble Earl will see the sense of it. Certainly, people’s fears that the Government would propose to set the national eligibility threshold too high have been confirmed. Rather than celebrating the achievements of councils that have been able to provide highly valued, innovative and low-cost services to people with low and moderate needs, we are instead to fall in line with the majority of local authorities, with the false hope of avoiding financial strain. Failing to provide services to people with moderate care needs is, at best, a missed opportunity to encourage preventive care and significantly improve the quality of life for a highly disadvantaged group of people. At worst, we are leaving a considerable proportion of people with a lifelong disability to fend for themselves.

Case reports of those recently excluded from receiving support are extremely troubling. We have heard some examples already today with some people losing all daycare provision and facing an isolated life at home. Other case reports demonstrate the importance of lower levels of support. I want briefly to give the example of Frances, a middle-aged woman with a mild to moderate learning disability who has always struggled to understand and manage bills. Since receiving a few hours support a week she has finally had relief from receiving constant threats and eviction notices. How long will her support survive before she is declared ineligible? Clearly the resources of the state are limited but they need to be used wisely, and I believe that our care system must encourage and incentivise local authorities to provide lower intensity interventions that can make a difference to the quality of life for many people.

On the face of it, opting for a moderate national eligibility threshold may sound as if it would require considerable additional funding, but providing these services to a group who by definition are often highly vulnerable and disadvantaged could result in great savings by avoiding more costly acute care later. I hope that the Government will rethink this amendment.

[Baroness Greengross]

There are vast numbers of older people—for whom this Bill is designed, in terms of quantity—who we know want to stay in their own homes in their community. Early intervention can make that possible. If we delay, the alternative is crisis-driven. It leads to many older people going into expensive care homes where they do not want to be and from which they do not emerge again or into hospitals, adding to the problems we know about with frail elderly people. I very much hope the noble Earl will reconsider and enable people with moderate needs to have access to services.

Enterprise and Regulatory Reform Bill

Debate between Baroness Greengross and Baroness Hollins

Wednesday 9th January 2013 Grand Committee

[Baroness Greengross]

My Lords, I appreciate the passion and commitment that my noble friend Lady Campbell brought to this amendment and I share her absolute commitment to the aims and objectives of the commission. I have just finished a six-year stint as a commissioner. I was there from the beginning, when the noble Baroness was a co-commissioner with me.

The commission’s aims are beyond dispute and I support them completely, but I share the view of the noble Lord, Lord Lester, that removing Section 3 is not of any great significance. There are things that are much more important in ensuring that the commission’s work will continue, improve and be clearer in the future. I do not think that the section does any harm, but I also do not think that it is terribly important if it goes.

A sad thing is the overriding view that seems to be around now, perhaps in government and perhaps everywhere else, that the commission has failed. I challenge that, as I think that the commission has done some excellent work during the six years that I have been there, in spite of enormous difficulties in trying to meld a whole lot of additional categories of people to be protected, as well as the original protected groups, with the people representing those groups feeling that they were going to be in some way diluted. That has made life very difficult in the commission, but I think that many of those difficulties have been overcome.

Society as a whole still has huge problems—I agree with the noble Lord, Lord Ouseley, about that. We still have racism and there is still a stigma attached to disability and so on. However, there have been major achievements in the recognition of that, in the ability to speak about it and in the protection of many people who were not protected before. There have been a lot of improvements. The work of the commission should not always be criticised as vague and not achieving anything, as there have been some significant achievements. I say that on behalf of colleagues and former colleagues who have done the majority of that work, which I think needs to be recognised.

The fact that the Joint Committee on Human Rights will in future scrutinise the commission’s business plan and there will be increased parliamentary involvement—for example, the pre-appointment scrutiny of the new chair—is a big improvement. We have been looking at all the things that still need to be done as if everything is totally negative, but having experienced six years of the commission I think that quite a lot has been very positive, including greater transparency about the Government’s funding decisions.

It will be sad if the general duty goes, as removing it is not a huge priority, but I do not think that it will affect the work of the commission. To that extent, I do not think that the Government have to worry too much. We have to work hard to ensure that the commission’s aims are met in the future. More specific duties and responsibilities ought to be useful in improving the situation and making sure that the aims are met. I am sorry if I am in a minority here, but I am passionate about what the commission stands for and I want to acknowledge some of the good things that have happened in the six years during which I have been involved in its work.

[Baroness Hollins]

My Lords, despite the legal view presented by the noble Lord, Lord Lester, I refer us back to some of the words spoken by my noble friend Lady Campbell of Surbiton. She said that the inclusion of dignity in the commission's general duty provides the glue to bind together anti-discrimination and human rights. I think I got that right. I agree with that and other important points that she made in her eloquent speech. Such an approach underpins the accepted goal of living with dignity and independence. As such, Section 3 is critical in providing coherence to the commission’s duties to promote equality and human rights. I was involved with one of the commission’s predecessor organisations, the Disability Rights Commission, in a major inquiry conducted into discrimination in access to health services by people with learning disabilities or mental illness. It indeed found discrimination; it was very effective and led to some improvements in access to healthcare for those groups. It is very important that such issues continue to be seen as a priority and investigated.

I worry that, without Section 3, that priority may be lost. I oppose the removal of Section 3. It has an important role in focusing the commission’s various duties, and I add my support to the amendments tabled by my noble friend.