Minister for Older People

Andrea Leadsom Excerpts

Thursday 28th June 2012 Commons Chamber

[Penny Mordaunt]

Thank you.

At the Cabinet table, Secretaries of State are jealous of their remit, ready to explain when another policy trespasses on their departmental interest. If there was someone with responsibility for older people, the implications for them of each policy presented to Cabinet could be considered. We have had forums, tsars, taskforces and champions but we are still a long way from where we need to be. We need to try something new. An older person is likely to get a better standard of care on a hospital ward if there is one nurse on the shift with particular responsibility for that patient. Someone who has responsibility and is accountable will speak up to protect the interests of those in their care.

In the days leading up to the debate, it was suggested to me that older people are doing rather well at the moment. The Government have introduced the triple lock on pensions, guaranteeing that the state pension will increase by the greatest of earnings, prices or 2.5%. Pensioners enjoy free bus travel and winter fuel payments, and the over-75s get a free TV licence. The DWP has done well, so it is not a shock that the Department is responding to the debate, and I am delighted about that. Against those arguments, however, we have to consider the disproportionate impact of cost of living increases on older people. Saga has shown that between 2007 and 2012, retail prices index cost of living increases affected the whole population by 16.5%, but for 50 to 64-year-olds, the figure was 19.1%; for 65 to 75-year-olds, it was 22.4%; and for the over-75s, it was 22.2%.

We would do well to consider the many reports on health and social care that do not paint a rosy picture. The Equality and Human Rights Commission report on domiciliary care, the Care Quality Commission report on hospital care, the Centre for Social Justice report on quality of life in isolation and today’s CQC report on medication management beg to differ from the optimistic view. There is huge unmet need. In my city, Portsmouth, the local authority has budgeted for an extra 200 social care clients over the next five years, due to an ageing population, but today 1,000 people in the city have dementia and no access to any services. Major policy issues such as pension reform, which I am pleased the Government have tackled, and social care reform, which we still have to tackle—I am pleased that we are to do so—have been left for too long.

We need to do better. There is an argument for additional responsibility for a Cabinet member, but such an initiative will be judged on the practical differences it makes. What might they look like? A YouGov survey on the attitudes of people over retirement age found that 14% of people aged over 60 live more than 100 miles away from their most significant family members, excluding their partner. Six per cent have to travel between 50 and 100 miles to family, 8% between 25 and 50 miles, and 12% saw or heard from their family less than once a month. Isolation and inactivity were recognised by the House of Lords Select Committee on Science and Technology as accelerating

“physical and psychological declines, creating a negative spiral towards premature, preventable ill health and dependency.”

How are those issues reflected in transport policy? In my area, Southern Trains has recently introduced on the Portsmouth to Brighton route—a journey of 80 minutes —rolling stock that has no toilets. In rail franchise agreements, there is no mention of comfort standards or the provision of toilets, so old age pensioners could have to travel in crippling discomfort. The impact of the subsidy on train fares for old age pensioners is blunted, because it does not matter if the ticket is free when the mode of transportation is unusable. Older people are left with a poorer quality of life because there is another obstacle for them to overcome to stay in a job that involves a commute, and inactivity leads to demands on the health and social care budget. Transport Ministers may be sympathetic, but the Department refuses to act. A Minister for older people could intervene.

Let us look at the Treasury. In July 2011, the Office of Tax Simplification was asked to review the system for pensioner taxation. The interim report, published earlier this year, identified pay-as-you-earn on the state pension as an area to explore. People would not be taxed more, but would pensioners have to fill out self-assessment forms? Would they cope? Would they simply end up paying more tax through inability to process the forms? Plans have been mooted to combine income tax and national insurance contributions. Old-age pensioners do not pay such contributions, so will there be a different tax rate for them, or will pensioners be taxed more?

Quantitative easing and low interest rates are right for the economy as a whole, but they are not good for older people who annuitise their pensions and live off their savings. Quantitative easing has reduced gilt yields, on which annuities are based. The level of that annuity is then locked in. Should not offset measures be considered? What about an extra individual savings account allowance? More thought is needed if fairness is to be upheld.

Looking at work, economic analysts SQW found that older people benefit the economy by £175.9 billion, including £34 billion in social care and £10 billion in volunteering. Projections show that by 2030, those figures will be £291.1 billion, £52 billion and £15 billion respectively. That affirms what Saga has found about the willingness of older people to participate, in and out of work. Retirement is not a retreat from the world. Turning Point has asserted that integrated work to enable older people to stay independent for longer could produce savings of between £1.20 and £2.65 for every £1 spent from the public purse. Saga’s research suggests that 71% of over-50s would like to work part-time after 65, and 7% already work past the age of 70. The Office for National Statistics confirms that 1.4 million pensioners already work.

The demographic shift requires us to work longer, and we are willing and able to do so, but have businesses and industry really caught up? The Chartered Institute of Personnel and Development suggests that 14% of managers do not believe that their organisations are ready for an older work force. The Government have responded to that need and willingness by abolishing the compulsory retirement age and increasing the state pension age, but those excellent policies have not been accompanied by moves really to help employers manage their older workers and recruit new ones. At the close of 2011, 189,000 over-50s had been unemployed for more than one year. Of unemployed over-50s, 43% are long-term unemployed, compared with 26% of unemployed 18 to 24-year-olds and 35% of unemployed 25 to 49-year-olds. Training is often denied to workers nearing state pension age, as is promotion. Flexible working, phased retirement and mentoring schemes are few and far between. We need to do more to help older workers and to encourage employers to take them on.

In social care, we could certainly make better use of what we already have. As chairman of the all-party group on ageing and older people, I often hear care home providers boasting about their wonderful new home—its facilities, hairdressers, spas and shops. Those care homes’ doors are often closed to the local community, yet a few streets away there will be an elderly woman who is still independent, but whose quality of life suffers for want of a social life and bathing facilities. How many bathing facilities lie unused in our hospitals, homes and hospices?

Another example of missed opportunity is that most local authorities do not direct self-funders inquiring about care home options to financial advice. Instead, they wait until those people have spent their savings and are a burden on the state. Schemes that enable people to offset the cost of their care and keep their property assets intact by renting their home to the local authority, thus easing pressure on housing waiting lists, are not widespread, despite the headache that such initiatives would cure.

[Andrea Leadsom (South Northamptonshire) (Con)]

Does my hon. Friend agree that there is another anomaly in that a person who works and cares for their partner receives carer’s allowance, but as soon as they retire, although they continue to care full time for that partner, they have to choose either their state pension or their carer’s allowance? That is a direct incentive for caring retired spouses to call on the state for help, although it would be far better for their loved one if they continued to care for them, with a bit of state support.

[Penny Mordaunt]

My hon. Friend is absolutely correct, and I know that she has made that and many other suggestions to the Chancellor and highlighted the administrative savings, as well as the improvements to the individual’s quality of life, that would result.

Finally, let us look at Government communications. On taking office, the Government froze their £540 million advertising budget, and over the following nine months, they cut £130 million from it. Every time we mail an older person about approaching retirement or a free television licence and we do not accompany that mail with a flu-jab leaflet, information on the winter warmth scheme, or anything else that we want to send them that week, we are wasting that remaining budget.

Those are just a few examples of the way in which better focus in the Cabinet on older people’s issues could lead to improvements in the quality of life for older people and save us money. Who might be the person for that important job? It should not be the Secretary of State for Health or the Secretary of State for Work and Pensions, because the heavy duties that they already have in relation to older people could militate against the panoptical approach that is required. There is an obvious parallel with the Home Secretary’s additional remit for women and equalities; a similar duty for older people may sit well there. Such are the financial possibilities of the reform that perhaps the youngest and emphatically least grey member of the Cabinet, the Chief Secretary to the Treasury, should take on the role.

The Deputy Prime Minister, it appears, was at a loss as to what to do with himself in quiet hours at the Cabinet Office, and took to doodling constitutional wrecking balls on the back of fag packets. He is now very busy indeed encouraging us to abolish the House of Lords, where many older people are to be found doing great work for this country. If he turned his attention away from that constitutionally destructive policy towards this economically and socially constructive proposal, we would be much better off. There would be many candidates for the job and, given the massive gains to be made in the quality of life for older people as a result of effective and efficient government, as well as a better return on investment, one would think that there would be a long queue to do the job.

Further evidence of the need for a co-ordinating role is shown by how difficult it was to agree the responsibility to respond to this debate. I congratulate the Minister of State on stepping forward, on the work that his Department has done to protect the interests of older people, and on his initiative better to understand their needs through the UK advisory forum on ageing. I hope that he will take away from this debate the ideas and aspirations that contributors will discuss, and consider how we might do a better job of spotting the opportunities and understanding the ambitions of this generation. There is no better mark of the values of a nation than the way in which it treats its older generation. This Government, I am proud to say, are going to address the issue of long-term care, which will have far-reaching implications, and there is no better time to ensure policy on older people is well co-ordinated across Whitehall.

It is perhaps appropriate that our debate takes place on the day on which, at long last, Bomber Command has received the recognition that it deserves for its immense achievement and sacrifice. I hope that the Arctic convoy veterans, too, will soon achieve the recognition that they deserve. Many of us are wondering why something so needed, right and obvious should take so long to do. Quite.