My Lords, the Government do not agree with either the NAO analysis or the LGA analysis because neither takes into account the better care fund or the public health fund. On stress testing, local government has certainly proved itself well capable of delivering good services, with satisfaction remaining the same or increasing. In terms of delivering their statutory functions, there is no evidence at this stage that they are failing to do so.
I am sure that the noble Baroness is aware of the discussions we have had in this House on the NHS; she has just mentioned the better care fund. Is she aware of the effects of the Government’s local government cuts on social care, which mean that people are occupying beds in hospitals longer than they need to or want to, which is causing great delays in A&E?
I certainly do, my Lords. I want at this point to congratulate councils in Greater Manchester, where I was formerly one of the leaders, not only on the steps that they have taken during the past 30 years in doing just that but on the confidence that the Government have placed in them in devolving power and funding to them.
My Lords, does the Minister accept the implications of local authority cuts for health services? We know from evidence that has come out today, and will continue to come out, of the number of local authorities that have cut beds in the community, ensuring that older people stay in hospital longer. This is affecting my not only own area of Milton Keynes, where I am chair of the Milton Keynes foundation trust, but all over the place. Local authorities are saying outright that this is why they cannot cope with having more beds, so they are closing beds in nursing homes.
The noble Baroness brings up a very valid point. There needs to be a joined-up approach in both health and social care. It is to be hoped that in due course a better care funding package will deliver this so that there is a seamless transition from hospital to intermediate care to care at home.