(10 years, 10 months ago)
Lords ChamberMy Lords, very briefly indeed, I lend my support to this amendment. As the noble Baroness, Lady Lister, said when she moved it so eloquently, it is a modest amendment, asking for a review in this very important area.
I do not intend to detain the House any longer—other than to say that from 2017 the number of older and disabled people needing long-term care is predicted to outstrip the number of family members able to provide it. Given that, with an ageing population, we are expecting people to work for longer, they are also going to find themselves trying to care for longer, with more family members and loved ones with more, increasingly complex, long-term conditions. Against this backdrop, it is essential that we have the review that this amendment talks about and see what more we can do to help people who are trying to face the challenge of both working longer and caring longer.
My Lords, very briefly, I thought that both my noble friends made very coherent arguments in favour of this and raised some very important issues. We heard yesterday from the noble Lord, Lord Nash, that he was going to do some more work on parent carers, so obviously some of these issues around carers are already going to come back at Third Reading. There will be ongoing discussions around those issues and I therefore urge the Minister, perhaps in the context of those discussions, to widen it out a little more and consider the issues that have been raised in this amendment at the same time, so that we can bring all these issues back at Third Reading and have a full debate at that stage. I hope that he will consider that seriously.
(11 years, 1 month ago)
Grand CommitteeMy Lords, I am speaking to Amendment 224, to which we have added our names, and to Amendments 225, 226, 227, 228, 229 and 230, as well as to government Amendment 241. I echo the comments already made—that this is a very welcome breakthrough in the Government’s approach to young carers. I am very pleased at this unusually effective twin-track approach, with the Department of Health and the Department for Education coming together to address these issues from both aspects. That is a welcome development.
Without rehearsing all the arguments, we can all identify with the overwhelming evidence that there are an increasing number of children and young people caring for a family member, parent or sibling and that that is affecting their education, their chance to socialise and their health. We have not had the processes in place to identify these young people and give them the help they need, but I am pleased to say that we are now moving forward.
The key to this new requirement is the duty on local authorities to identify young carers. As we know, they are often hidden from view. Our amendment places parallel duties on schools, social care and health providers to play their part in finding these young people, and in putting in place co-ordinated support packages for the children and for those for whom they care. Our amendments spell these out in some detail. Amendment 225 also specifies a duty to provide sufficient resources to improve the well-being of all young carers in the area.
We have now had an opportunity to consider the government amendment to the Bill, and I appreciated the chance to attend the meeting with the noble Lord, Lord Nash, and the noble Earl, Lord Howe, and with representatives of young carers’ charities. As the Minister has said, there was a strong welcome for the steps that have been taken and for the Government’s recognition of the importance of this issue. We feel that the government amendments provide a useful outline framework to address the issue. We also accept that some of the detail will inevitably have to be spelled out in regulations. However, our amendments go one step further in stipulating the specific duties required of health, social care and FE institutions. I would be grateful if the Minister could explain how his amendments—which impose a much more general duty—relate to all those different aspects of the combined package that is meant to apply to young carers in future.
We have acknowledged previously that you can only go so far in driving change from the centre. There also has to be the political will at local level. Concern remains about the appetite of local government for embracing these extra duties. Their representatives were noticeably absent from the meeting we attended, though at the time we were assured that they were supportive of the changes. Would the Government look again at Amendment 225? This goes one step further than simply putting in place whole family assessments—it places a duty on local authorities to provide a range and level of service sufficient to improve the well-being of young carers. We are not just talking about the structure; we are talking about the resources as well. Without the sorts of amendments that we have put forward, there would be a concern about the level of resources made available locally. In other words, we would ensure that the resources were in place to make a real difference to these young people’s lives. Could the Minister clarify whether he agrees that there is merit in such a duty?
We also have residual concerns about the split between adult and children’s services in local government and their inability to work together in a co-ordinated fashion. These structural problems still need to be addressed going forward. How, if not in legislation, might we make some progress on these issues so that all sides of local government are talking and working together?
There is also a big training need. For example, schools and other education institutions, which often have no knowledge that their pupils are carers, need training to identify the symptoms of young carers and in the skills needed to champion their needs. As we have previously identified, teacher training has a big role to play here. Could the Minister address the issue of training, particularly at school level?
Finally, an issue came up in the Care Bill: that of parent carers. It was raised by my noble friend Lady Pitkeathley. On Report, in response to her concern the noble Earl, Lord Howe, said that it was the Government’s view that the main provision for assessing and supporting those caring for disabled children should be in the children’s legislation, so that the family’s need for support could be looked at holistically—in other words, it should be in this Bill. It feels as if we are addressing everybody’s needs in this wonderful new holistic arrangement apart from the parents of disabled children. How has that read-across from what happened in the Care Bill to this Bill been followed through?
Nevertheless, we feel that the Government are on the right track and support their amendment. We accept that this is a unique opportunity to improve the lives of young carers. Obviously, we should grasp that. I very much welcome the steps taken so far but would like answers on the points I have raised with the noble Lord this afternoon. That could help to make a lot of difference to young carers, in terms of the reality of their experience on the ground.
My Lords, I speak to Amendment 224, to which my name is attached. I will also make some comments about government Amendment 241.
I agree with other noble Lords who think that today is a landmark moment in what has been a very long journey for young carers to get the support that they need. More than a year ago, the Government announced new rights for adult carers. Those were extremely welcome but no equivalent provisions were put forward at the time for young carers. I pay tribute to the Government today for the very hard work they have done over the summer, across government and working with the sector, to get to this situation.
Like many other commentators at the time, I was particularly surprised a year ago at that omission, given what we know about children and young people who care for someone. They are particularly vulnerable to poor outcomes and life chances. Obviously, the reasons for that are straightforward. It was clear that for far too long young carers had not been sufficiently protected by the law. Indeed, very few young carers had received statutory assessment and support. Where they did, they often continued to undertake inappropriate levels of caring, simply because the adult that they were looking after continued to have unmet needs. The law was so confusing for young carers that it often was not even clear who had responsibility for them.
These are critical points in what we are looking at today because young carers’ well-being was directly affected by how far the adult they looked after was supported. That is why the whole family approach to assessment, which we have heard about already from the Minister, is so important. If this is to make a difference in practice, it is absolutely critical that children’s and adult services are able to work together. That sounds obvious but any of us who have been involved in the sector know that in practice it is often quite the reverse.
As my noble friend Lord Storey said at the beginning, the two Bills are scheduled at the same time. Originally when I saw that, I thought “Oh my goodness, I do not know how I will cope running between the two”. Actually, I think the opportunity provided to link the Bills is rather important. It has felt quite a complex process at times but I think we are almost there.
I have a final couple of points to make. What it really comes down to now is regulations. In addition, the Government have made it absolutely clear in various briefing sessions that the Care Bill provides a whole family approach to assessment, and this will need to be set out in the regulations. I would very much welcome any further assurances the Minister can give today that all those loose ends will be tied up so that the jigsaw is absolutely complete. One of the reasons that I attached my name to Amendment 224, before the government amendment was tabled, was to make it clear that adults’ support needs should be met in order to protect children. I would particularly welcome assurances that the Government intend to look at how regulations relating to the Care Bill will make this crystal clear. I, too, commend all the collaborative work that has taken place. I pay particular tribute to the expert advice and real-life experience that the National Young Carers Coalition has fed in.
The only remaining point I would like to highlight concerns the respective roles and responsibilities of other agencies, particularly health and education agencies but social care as well, in identifying young carers and knowing how they can best be supported. That is also something I would like to see picked up in the guidance. These amendments, particularly the government amendment, together with the provision in the Care Bill, provide an excellent opportunity to set new standards for identifying young carers and approaches to supporting the whole family. Regulations and good practice guidance on these new standards would be a very good place in which to take the provision forward.