Social Care

Debate between Helen Hayes and Dave Doogan

Tuesday 25th February 2020 Commons Chamber

[Helen Hayes (Dulwich and West Norwood) (Lab)]

In June this year, it will be 10 years since the Dilnot commission began its work to look at long-term funding of the care system. That anniversary also marks 10 years of Tory austerity and 10 years of abject failure on social care, during which time the cuts to local council budgets, combined with the growth of our older population and an increase in the number of working-age adults living with support needs has created a full-blown crisis in our social care system. It is a crisis that is being lived out day-to-day by the 1.5 million people who are eligible for support but not receiving any and by the families fighting for the support that their loved ones need. It is an utter disgrace that people with learning disabilities and autistic people are trapped in hospitals and care staff face intolerable pressure for too little pay. Careworkers are low-paid, but they are not low-skilled. The crisis in our care systems will be deepened by the loss of highly- skilled workers from overseas as a consequence of the entirely misplaced points-based immigration system the Government have just announced.

I was a member of the Select Committee on Housing, Communities and Local Government in the last Parliament, and it was striking that the number of councils, of all political persuasions, including Tory-run county councils such as Kent and Somerset, describing a crisis in their ability to deliver on meeting the social care needs of their local communities with the resources they had available kept growing with every call for evidence the Committee put out. Faced with this crisis, affecting millions of families every day, the Tory manifesto simply promised cross-party talks. We have had a decade of cross- party and independent work on this issue, by Select Committees in the Commons and Lords, by Sir Andrew Dilnot, by many different all-party groups and by the Local Government Association. The challenge of social care is quantifiable and quantified: £3.5 billion just to meet current needs; and more to deliver a system that can guarantee dignity for everyone who needs support. The menu of options to provide this funding is also known. The Government cannot keep prevaricating. Now is the time to bite the bullet and act to solve the crisis.

As co-chair of the all-party group on adult social care, I attended a meeting yesterday with about 150 stake- holders from the social care sector: social workers; carers; and people receiving care, who are experts by experience. We heard about many examples of good practice in care. There are carers going above and beyond the call of duty every single day to deliver excellent person-centred care, but we also heard about the intolerable pressures. Where social workers are assessing someone in the certain knowledge that the funding is not there to deliver the support they need, that is an unacceptable and unsustainable compromise of their professional practice, yet it happens every day. The care sector is desperate to get beyond the conversation on funding to a discussion about the detail of a care system that can deliver dignity and the highest quality of life for everyone who needs support; and how we make co-design and co-production the basis of all social care delivery, recognising that people who need care and support are as diverse as the wider population at large.

[Dave Doogan (Angus) (SNP)]

The hon. Lady is giving an excellent speech. She is putting forward a proposition for a co-produced model of care that is integrated with health, housing, and community care and services. Does she agree that substantial progress has been made in the past four years on that in Scotland? I say that in all honesty; it is far from perfect yet, but we are on the road to a far more inclusive, cohesive system. Does she agree that the Government might want to discuss this with the Scottish Government to see what lessons can be learned?

[Helen Hayes]

I thank the hon. Gentleman for his intervention. I agree that in many parts of the country, including Scotland, there are examples of good practice from which the Government can learn.

We need a system that recognises the individuality and diversity of people who need care. We need one that recognises that mental health support needs are completely different from physical needs, and that everyone who needs support will have a different version of what a good day looks like for them. We cannot get to that conversation until the funding is there to deliver such a system and until the workers in the care sector are properly paid, with access to training and career progression. The Government are playing a completely cynical game with social care, offering council tax increases, which hit the poorest hardest and raise only a fraction of the funding needed, and offering in this Parliament less than a third of the funding required just to meet current needs—and just for one year only.

In the meantime, delayed discharges from hospitals are going up, care homes are continuing to close and care companies are continuing to hand back contracts to councils. Millions of people are left with care that does not fully meet their needs or are having to fight to receive any care at all. The Equality and Human Rights Commission is taking the Government to court over the failure to properly house autistic people and people with learning disabilities. This is unprecedented and it is a disgrace. All of this places intolerable pressure on the relationships that keep the care sector going, the value of which is never captured on the public sector balance sheet. The Secretary of State spoke today with bravado about the current situation, but with no emotional intelligence about the day-to-day reality of the broken system that his Government are meting out or the urgency with which this crisis must be fixed. He will not give confidence to those who rely on the system every single day, and to those who work hard to deliver care, with the approach he is currently taking.