Local Government and Social Care Funding

Debate between James Cartlidge and Baroness Keeley

Wednesday 24th April 2019 Commons Chamber

[Barbara Keeley (Worsley and Eccles South) (Lab)]

Today, we have heard from many hon. Members about the disastrous impact of the Government’s relentless and short-sighted cuts to council budgets from Hull to Westminster North, from York to Nottinghamshire, from West Ham to Lewisham, from Birmingham to St Helens, from Sheffield to Exeter, Burnley, Hartlepool, Tyneside, Chesterfield and many others. Nowhere, as we have heard in the debate, has that disastrous impact been felt more acutely than in social care. I congratulate my hon. Friends the Members for Kingston upon Hull West and Hessle (Emma Hardy) and for Crewe and Nantwich (Laura Smith), whom we heard from in the past hour, on presenting such powerful stories about family carers and the role of care staff, the absolutely vital two parts of the backbone of social care.

Social care is one of the most important pillars of support for vulnerable people up and down the country. I pay tribute to all our dedicated and hard-working care staff, many of whom are in the dilemma my hon. Friend the Member for York Central (Rachael Maskell) just talked about. It is sad that the cuts mean we are in a situation where care staff have to go on strike for their pay, because many of them go above and beyond in the most difficult of circumstances to make sure that older people and disabled people get the help they need. We think a lot about NHS staff, but let us face it: without our 1.4 million care staff the care system would simply collapse. My hon. Friend the Member for St Helens South and Whiston (Ms Rimmer) raised the crucial fact that there are 110,000 vacant posts in the care workforce. That vacancy rate is deeply concerning, because it makes the situation for the staff who are doing the job much, much worse.

The Government should be shouting from the rafters about the value of social care, but most of the time there has instead been a wall of silence. It is only by securing this Opposition day debate today that we have been able to raise this issue. There is very little coverage of the issue elsewhere. My hon. Friend the Member for Redcar (Anna Turley) talked about the vacuum around Government policy on social care, and she was right to do that. Ministers seem not to want talk about a vision for social care. That is not surprising, I guess, following the Government’s litany of broken promises about reform. Let me just touch on some of them.

The Government dropped the cap on care costs, due to come into effect in 2016—we had legislated for a cap on care costs—leaving thousands of people unexpectedly having to pay for their own care. Then, at the general election in 2017 we had the so-called dementia tax, a disastrous proposal which lasted only four days before being abandoned. I have met family carers who are still desperately worried about that policy, because they think it is still around. Now, more than two years after promising a social care Green Paper, with the hope of better support for families across the country, the Government are still no nearer fixing the crisis that they have made. Let there be no doubt about it: this crisis has been made so much worse since 2010. We were told there would be a Green Paper in summer 2017 and then by the end of 2017, but it never arrived. It was then delayed till summer 2018 and then autumn 2018. Winter came and still no Green Paper. The Secretary of State told us at the start of the year that it would arrive by 1 April. It has not arrived and there is still no sign of the Green Paper. Perhaps the Minister will tell us when we are going to see it.

Now, when councils need an extra £1.5 billion to close the funding gap, the Government have offered derisory short-term funding. Last winter, the Government offered a measly £240 million for adult social for winter pressures. That would pay for only three months of home care for the older people the Secretary of State said it would help, but that is not enough. That was hardly enough for the harsh conditions of last winter, which, if you remember Mr Speaker, lasted very much more than three months. This year, councils will receive a further £410 million to be shared between older adults, working-age adults, and children’s social care services. The Secretary of State is leaving councils and councillors to make the invidious choice between caring for the most at-risk children, vulnerable adults with disabilities, and our most frail and isolated older people. Throwing small, one-off pots of money at this problem every year will not deal with the crisis in the long term. As my hon. Friend the Member for St Helens South and Whiston said, it is a sticking plaster on a gaping wound.

[James Cartlidge]

Will the hon. Lady set out her preference for how we should pay for long-term care?

[Barbara Keeley]

We get this every time we have a debate on social care—although we do not have many such debates—from Government Members who have no ideas whatsoever. I have just run through all the abandoned ideas and the abandoned promises that the Government have made on the Green Paper. I am really surprised that any Government Member actually has the cheek to stand up and ask Opposition Front Benchers what we would do. We laid out what we would do in 2010. We had a White Paper, not a Green Paper. We laid out all our proposals in our manifesto. We are the side with ideas and proposals on taking forward social care. This Government have no ideas and no vision, and I am amazed that an hon. Member really has the cheek to do that.

[James Cartlidge]

It is very kind of the hon. Lady to give way. I spoke in the debate and said that we have some very difficult decisions to face. We need to be open with the public, and I said that we need to look at, for example, equity in residential property. I think that is unavoidable. Does she think we should do that?

[Barbara Keeley]

We have laid out our proposals and we said how we would fund them. As I say, most of what we are debating today relates to the short-term crisis. Once we got past the short-term crisis, I think the hon. Gentleman would have difficulty. There has been talk about involving the public in this. At the moment, the public are faced with the type of care that my hon. Friends have discussed and debated and with the care staff and workforce in the situation that they are in. At no point, in the middle of a crisis, would we be saying to the public, “Use the value of your property. Let’s go for this type of funding or that type of funding.” That is cloud cuckoo land. I wonder whether the hon. Gentleman listened to my hon. Friend the Member for Kingston upon Hull West and Hessle talking about that absolutely crucial example. What would he say to those people who need care? That is the question for him to answer.

Councils need sustained investment that undoes the damage of years of austerity and cuts, but the Government’s choice—[Interruption.] The hon. Gentleman is sitting there smirking at me at the moment. The Government have made a choice to pursue ideological cuts to council budgets that have seen £7 billion lost from adult social care spending since 2010. Let us think about what that has meant: 400,000 fewer people getting publicly funded social care between 2010 and 2015; 100,000 fewer people getting taxpayer-funded social care in the last four years alone; and 90 people a day dying before they receive the public social care for which they have applied.

It is not simply the most disadvantaged who are losing out either. Many of those who are having to foot the bill for their care are being exploited by a broken care system where private care providers can act with impunity and where vindictive care homes can evict older people whose families dare to complain about their standard of care. That is a very serious matter, as we discussed in the debate, given the level of closures of care homes and the loss of care home beds we have had, as touched on by my hon. Friend the Member for Chesterfield (Toby Perkins). The hon. Member for Totnes (Dr Wollaston) also talked about being in a part of the country where it is impossible to get care. That is the position we are in. If care home owners can evict older people, that is a drastic situation. Opportunistic home care agencies are overcharging vulnerable people for care visits that are too short and endangering their health by forcing staff to work when they are sick. We heard about the care staff who are too scared to take time off sick.

I want to make clear to hon. Members the human impact of not getting the right amount of support, although those who have bothered to attend this debate—I am thinking particularly of Government Members—might have heard some examples. Simply put, it means people going without the support that they need to live with basic dignity. Not having needs met means going unwashed and undressed. It can mean waiting for hours to go to the toilet because no help is available. It can mean a person going thirsty because there is no one to pour them a glass of water and going hungry because there is no one to prepare them a proper meal. This is the experience of many thousands of older people who are going without care or who have insufficient care. I am glad that many hon. Members have talked about a care visit being the only contact that many older or vulnerable people have in the day.

The consequences of inadequate support in the community for working-age people are also horrifying. In recent months, we have seen many reports of vulnerable autistic people and people with learning disabilities left to languish for years in private in-patient units—vulnerable, detained, secluded and neglected in long-stay units. These units, many of them private, are funded by the NHS at great cost to the taxpayer because councils simply have not been given the money to move people from these units to be supported closer to home. My hon. Friend the Member for Stroud (Dr Drew) and the right hon. Member for North Norfolk (Norman Lamb) both raised that issue. I have stood at this Dispatch Box before and called this a national scandal, and I make no apology for doing so again.

Back to Government promises: after Winterbourne View in 2011, the Government promised to close inappropriate units for good within three years—by 2014. It did not happen. Indeed, eight years later, there are still 2,260 people detained in hospital settings when they need not be there. The number of adults trapped in these units has fallen by only a fraction. Worse still, the number of children in these units has actually increased.

Where this Conservative Government have done nothing, Labour will act: rather than years’ more cuts, we will invest £8 billion in social care; rather than 90 people a day dying waiting for care, we will provide more people with the support they need; rather than care staff being pushed to the brink, we will pay them a real living wage; and rather than more delay, we will build a national care service that supports older and disabled people when they need it. This is our message to people across the country, young and old, desperate for care and support: a Labour Government will give you the support you need and deserve. That is why I urge Members to support our motion tonight.

Social Care Funding

Debate between James Cartlidge and Baroness Keeley

Wednesday 17th October 2018 Commons Chamber

[Barbara Keeley]

Indeed. As I said, it is now coming up to a year since that was promised and it is about time that we started to see some plans. However, we have to bear in mind that a Green Paper is only the first stage of change—and a very early stage at that, really.

I want to pay tribute to the care staff I just mentioned. There has been a lot of talk recently about low-paid staff and how they will fare in terms of migration policies. Being low-paid does not mean that caring roles are low-skilled. Caring staff are highly skilled. They are a credit to this country, and without their dedication the problems facing social care would be immeasurably worse. Unfortunately, their efforts cannot paper over the cracks that have emerged because of this Government’s hammer blows to council budgets. I will come on to talk about the impacts that social care cuts have on people.

[James Cartlidge (South Suffolk) (Con)]

The hon. Lady talked about the Green Paper and how we will fund this in the long term. Obviously, we all have to contribute to that. I was interested that in the last debate she said her party was looking at such things as a wealth tax. I wonder whether she has developed her thoughts on how we should pay for this and whether it will be considering a wealth tax.

[Barbara Keeley]

We have indeed been doing more work on this, but we laid out in our manifesto—the hon. Gentleman’s party did not—what our future plans for social care funding were. We said what the three options for funding social care were and that it would either be one of those three options, or perhaps a combination of all three—I think that the party that is being left behind here is his.

The impact of social care cuts means that less care is now available for older and younger adults alike. Four hundred thousand fewer older people got publicly funded care in 2015 than in 2010, and 1.4 million older people now have unmet social care needs. Put simply, that is over 1 million people who are not getting help with washing, dressing, going to the toilet, making meals or taking medication.