Public Health

Debate between Baroness Laing of Elderslie and Marie Rimmer

Tuesday 14th December 2021 Commons Chamber

[Ms Marie Rimmer (St Helens South and Whiston) (Lab)]

In St Helens, 99% of care home staff are vaccinated, and at Whiston Hospital, the best one in the country, 91% have had the first vaccine, 89% the second vaccine and 64% the booster. That has all been done with persuasion, not with the threat of the sack. These people are in a vocation. It is not just a job to them; they believe in the patients. We must not get to the stage where we are threatening people. The GPs have even been involved in persuading the care home staff. Everyone has been involved for some considerable time and that is the way to do it—

[Madam Deputy Speaker (Dame Eleanor Laing)]

Order. Let me just make this clear: more than 40 people wish to speak this afternoon and if people make interventions, it is simply not fair on those at the end of the list who will be trying to speak later on. The hon. Lady is only one of many. The shadow Secretary of State is being very fair, as was the Secretary of State, in answering all the questions, but I must ask people to be reasonable.

Strength of the UK’s Armed Forces

Debate between Baroness Laing of Elderslie and Marie Rimmer

Wednesday 14th April 2021 Commons Chamber

[Ms Marie Rimmer (St Helens South and Whiston) (Lab) [V]]

The British military is currently engaged in its biggest ever—[Inaudible.]

[Madam Deputy Speaker (Dame Eleanor Laing)]

Order. We cannot hear the hon. Lady. Shall we try audio only?

[Ms Rimmer]

[Inaudible.]—proving once again that they are the ultimate emergency service.—[Inaudible.]

[Madam Deputy Speaker]

Order. I am sorry, but we will try to come back to the hon. Lady later, because the sound quality means that we cannot hear what she is saying.

Education and Local Government

Debate between Baroness Laing of Elderslie and Marie Rimmer

Tuesday 14th January 2020 Commons Chamber

[Ms Marie Rimmer (St Helens South and Whiston) (Lab)]

I congratulate the hon. Member for Eastleigh (Paul Holmes) on his speech, which gave much laughter. I wish him luck on receiving those cheques, and I hope that those of us on the Opposition Benches will get some as well.

One of the most important responsibilities of any Government is the protection of society’s most vulnerable people. It is not some utopian ideal to believe that we must protect our young and look after our elderly. It is, in fact, a basic measure of a just and compassionate society, as well as a statutory duty for local councils. Sadly, in both those respects, this nation is falling short. In the past decade, we have seen the number of children in care increase by 28%. There are now more than 78,000 children in care in England alone, and as of 31 December last year a total of 529 young children were in the care of St Helens local authority—63 more than the previous year and approximately double the national average. It is an unfortunate reality that there will always be children in need of care. However, I am sure that Members would agree that those numbers are far too high. Demand is outstripping provision and resources.

Another fundamental reason why care is so pressured is a lack of funding right across local authorities, affecting youth services and education. Support staff are no longer in schools to help keep children in mainstream education, which drives them out. Last year, councils had to overspend by £800 million to keep children safe. In St Helens, the greatest financial pressure on the council is children’s social care costs, and particularly looked-after children. In just 10 years, expenditure on those children is expected to have risen from £10.5 million to £25.5 million this year. That is an increase of £15 million—143%. I ask Ministers to consider the challenge presented to that local authority, and there are many more like it.

Often we are not necessarily speaking about good-quality care, as more and more councils are being forced to rely on unregulated care, care not registered with Ofsted and out-of-borough care, away from the child’s support network. I have spoken about these issues before, so I will not go into too much detail; Members can look at what I have said. But those young people who are being placed in unregulated or unregistered care because of a lack of other provision, many of whom have learning difficulties, are far more likely to be vulnerable to predatory groups such as county lines gangs, which are so prevalent in communities like mine. This situation has worsened since I last spoke.

It is not just our youngest who are being let down by a lack of funding. On the opposite end of the spectrum, our adult social care system is on the brink of collapse. Vulnerable adults are also facing the impact of austerity policies. Some 44% of expenditure by Knowsley Council is on adult social care and adult services budgets, and in St Helens we have seen a 40% net reduction in available resources due to austerity cuts. Every £1 million of shortfall equates to 62,500 hours of domiciliary care. In the past two weeks, an additional 52,000 hours of domiciliary care have been commissioned by St Helens Council—not far off £1 million—which can be at between £12 and £20 per hour. This shows an increase in demand as finances are being cut, with more pressure on the care system and people not receiving the care they need.

Without this care, many are driven into hospitals, leading to increased pressures on hospitals. Just on one day last week, Whiston Hospital pleaded with the public not to go to A&E. It had 35 ambulances parked outside waiting for space—space, rather than beds, because the corridors were filled with patients receiving inappropriate care on stretchers. It is now applying to install a two-storey Portacabin to create 60 beds. And this is in an outstanding hospital in this country that has been built for only 10 years.

Councils continue to see their responsibilities increase, with the deprivation of living safeguards, the independent living fund, the Care Act 2014 and transforming care—to name a few. Despite this increase in responsibility, local councils have not seen their funding increase in line. In fact, much more they have seen it decrease. Knowsley, which is one part of my borough, has seen £100 million in cuts in its budget since 2010, with St Helens making £90 million of cuts. The increase in social care funding recently announced for 2020-21 is welcome, but it is not enough to meet current, let alone future, demands. However, there is no news on 2021 onwards. How can local authorities properly plan to meet this statutory duty?

We have heard declarations from Members on the Government Front Bench, including the Prime Minister and the Chancellor, that austerity is over. The Queen’s Speech refers to cross-party consensus on social care reform. I therefore call on Ministers to put this into action. The Government must release the long delayed Green Paper on the future of social care funding. They must also begin a bottom-up review and restructure the way in which we fund social care for children, young people and adults. We must also see an end to austerity and an increase in local government funding that matches the ever-growing responsibilities and pressures that it is facing. It is councils that are looking after the public, not us. They are facing the problems, and we have to provide the resources and structures to enable them to do so.

[Madam Deputy Speaker (Dame Eleanor Laing)]

I now call, to make his maiden speech, Jonathan Gullis.