Car Parking: Care Workers

Andrew Gwynne Excerpts

Thursday 16th March 2023 Westminster Hall

[Andrew Gwynne (Denton and Reddish) (Lab)]

It is a pleasure as always to serve under your chairmanship, Sir Robert, and to speak on behalf of the shadow Health and Social Care team. I thank the hon. Member for Southport (Damien Moore) for securing this important debate and for all the work he has done to raise awareness and champion the cause, which I do not think anybody can have any issue with. I very much support it—let us get it over the line.

We have had a small but perfectly formed debate today. As well as thanking the hon. Member for Southport for securing the debate from the Backbench Business Committee, I also thank the hon. Member for Strangford (Jim Shannon) for always giving the Northern Ireland perspective in these debates. It is really important that we learn from different parts of the United Kingdom, because no one home nation has the right answer to all these things. It is good to learn from one another and have the perspective from other parts of the United Kingdom as we deliberate on what we should be doing here in England to support our care workers.

I thank my hon. Friend the Member for Erith and Thamesmead (Abena Oppong-Asare) for her contribution. She is absolutely right about how we need to come together across party lines and support care workers. Parking is a big issue and a pressure on those who work in our health and care system. I also place on the record my thanks to care workers, because they do an extraordinary job, as has been highlighted throughout the debate. We should never take their efforts for granted, because they are the linchpin in ensuring that the most vulnerable people in society are cared for and looked after in their time of need.

I am not making a party political point, but we know that the care sector is in crisis. It is under enormous stress and strain; the demand far outstrips the ability for us to meet many expectations. Primarily, a recruitment and retention issue in the workforce is at the heart of that. As a consequence of those pressures, many staff feel undervalued, overworked and underpaid, and it is our duty as parliamentarians to try to resolve those issues. We will support the Government on the measures they introduce; we have our own ideas as well, which the next Labour Government can hopefully introduce, but while the current Government are in office we will work with them to try to resolve these issues.

Problems such as parking charges put additional financial pressure on carers already going above and beyond and compound the stress that many of those people are under. That is demonstrated by the difficulty in retaining domiciliary care staff. As Nuffield Health points out, more than one in three domiciliary care workers left their roles last year, and many opted to work in sectors that offer better working conditions and pay.

Two issues are at play here. There is, of course, the specific issue of car parking changes, but that speaks to the question of how we treat our social care staff in general. Some good points have been made, mainly by the hon. Member for Southport in opening the debate, about free parking for domiciliary care workers—what the charity Engage Britain refers to as a green badge scheme for care workers. As the charity points out, several local authorities already operate a similar scheme, but a bit of a postcode lottery in provision seems to be developing. At the heart of the issue are care workers who are just trying to do their job.

I want some clarity from the Minister on a few questions. First, have the Government considered the green badge proposal? There is a huge problem here. It cannot be right that care workers are effectively being priced out of doing an essential job. They are desperately trying to care for vulnerable individuals, rushing between houses and having to worry about whether they will be able to afford the parking. I am not comfortable with that being a calculation that care workers have to make in 21st century Britain, and I sincerely hope and expect that the Minister feels the same. Will the Minister set out whether the Government are in conversation with care leaders and staff on what support can be offered?

Secondly, in the absence of a national free parking scheme, what steps is the Minister taking to engage with care agencies to incentivise companies to pay their staff back for the money that they have to spend on parking? It is not right that staff can accrue personal costs in the day-to-day administration of their employment and not be fairly recompensed by their employer. There needs to be a clear message from the Government that that is not an acceptable business practice.

Engage Britain provided my office with a good quote from a care support worker on a zero-hour contract, who said that with free parking,

“social care workers will be able to make appointments on time, with less stress, less rushing around”

and would be able to

“provide more attention and better support to the vulnerable people we are visiting”.

That quote raises an important point. Has there been any assessment of the impact that parking charges are having on quality of care? If care workers are scrambling around trying to find a parking place, there is a risk that they are unable to do their work to the standard that they want. Indeed, it has been brought up in the debate that, in an emergency in which a care worker has to stay with a very ill person until a blue-light response can arrive, the worker may incur not just additional parking costs but, potentially, fixed penalty notices and fines. That is totally unsustainable. It is little wonder that the care sector is asking for the Government sincerely to look again at this measure and provide more support.

That all speaks to a point that I made at the beginning of my contribution: social care staff feel that they have been neglected for many years and that they have been a bit of a Cinderella in the health and care system. We desperately need staff to feel more love from Government and to be better paid and supported in their careers. Vacancy rates are at a record level—up by 50% in the last year alone—and we now have a record 165,000 vacancies in the sector. That is totally unsustainable and we cannot just sit on our hands and wait for the system to collapse.

Labour has committed to a new deal for care workers, which would focus on recruiting and retaining the staff we need by ensuring fair pay and terms and conditions, and by improving training and career progression. We would change the remit of the Low Pay Commission, so that, alongside median wages and economic conditions, the minimum wage would reflect the cost of living. That would have a transformative effect across all sectors, but particularly on social care, where problems are especially acute. We would also ensure that new contracts for care are given to ethical providers—to providers who will provide fair pay, fair conditions and training for staff. Parking may well be part of that equation, in the terms and conditions, or through the reimbursement of costs incurred by agency staff.

The Chancellor could have used his Budget yesterday to announce a long-term workforce plan for the NHS and to reform pay for social care. He did not, even though we offered him Labour’s plan—we would have been very happy for him to pinch it. Instead, he handed a tax cut to the very wealthiest. That says all we need to know about the priorities of this Government. The next Labour Government will improve and invest in social care. At the very heart of that ambition will be ensuring that our incredible social care staff receive the pay and terms and conditions that they so deserve.

On the issue before us today, I implore the Minister to do the right thing. As the hon. Member for Southport so eloquently set out in his opening speech, this would be a small improvement, but a game changer for so many hard-pressed, social care staff. I urge the Minister to do the right thing.

[The Minister for Social Care (Helen Whately)]

It is a pleasure to serve under your chairmanship, Sir Robert. I congratulate my hon. Friend the Member for Southport (Damien Moore) on securing this debate on free parking passes for care workers. I know it is an issue close to his heart and I commend him on his speech.

Improving adult social care and supporting care workers is one of my highest priorities, and I am delighted that my hon. Friend shares my enthusiasm, particularly for supporting domiciliary care workers. In his compelling speech, he spoke about the difficult job they do and the skills necessary for their work, as well as some of the practicalities of the job, such as the many short journeys that some care workers will be making and the challenges that result, including parking. He also spoke about the vacancy rate in social care, particularly in domiciliary care.

Recruiting and retaining staff is a particular challenge for many care providers, especially following the reopening of the economy after the pandemic. Many people had come from the hospitality or travel sectors to work in social care during the pandemic, which was hugely helpful in those difficult times, but many then often returned to those sectors. Not all did; some had found their vocation in social care, and that has been wonderful, but others, understandably, returned to their previous sector, making it harder for the social care sector to retain and recruit staff as the economy opened up. I am hearing some positive news about recruitment at the moment, but that does not mean that it is easy. It remains a real challenge, particularly with domiciliary care and in rural areas.

As my hon. Friend also said, we are seeing a growing demand for social care, as people live longer—that is a positive for us all to remember, but it does mean more people living with health conditions, and more frail and elderly people, who need people to come in and care for them. The hon. Member for Strangford (Jim Shannon) talked about the importance of living independently. We want people to be able to live longer in their own homes. There is a time when it is better for people to live in residential care—that can be the right thing for some people—but most of us want to stay living in our own home behind our own front door for as long as possible. Domiciliary care workers, who go to someone’s home, are absolutely crucial.

My hon. Friend for Southport referred to our 10-year vision for social care, which I am truly passionate about. The shadow Minister, the hon. Member for Denton and Reddish (Andrew Gwynne), talked about the challenges that social care faces. Those challenges have been around for many decades, so we are not going to fix this overnight. I share the impatience of my hon. Friend the Member for Southport. That is one reason why I try to do things in the here and now. However, I am also realistic, and some social care reforms that we want to do will take time, hence that long-term vision.

My hon. Friend spoke very specifically about the cost of parking and rightly about the stress of looking for a parking space when the clock is ticking. He also spoke about unexpected situations, such as when care workers need to stay longer and call an ambulance. The hon. Member for Erith and Thamesmead (Abena Oppong-Asare) also spoke about that in her intervention.

I heard that my hon. Friend the Member for Southport called on his local council to fix that in his area during the pandemic. He welcomed our free parking scheme during the pandemic, so I am glad that he saw it taking good effect. That was one of many things that we tried to do to help key workers through that difficult time. That ended, and I absolutely hear his argument for a new national scheme, particularly to help care workers with parking while they are on duty.

I thank the hon. Member for Strangford. It is a pleasure to be in Westminster Hall with him at any time in the week, but particularly on a Thursday; we do this not infrequently. He spoke powerfully, if I understood him correctly; sometimes I do not pick up every word he says. He spoke about his brother, Keith. He said that, following a brain injury, Keith might well have lived in a care home, but has in fact been able to live independently with the support of family, including his mother and the hon. Member, but of course with care workers visiting. He brings a very personal perspective on the important role of care workers in our communities.

The hon. Gentleman also spoke about us working across the parts of the United Kingdom. I am always happy to talk to colleagues in other parts of the Union, because I think we can all learn from each other to try to get the best for our constituents.

Taking a step back, I want to say that I am incredibly grateful to all health and care staff. I recognise the extraordinary commitment and hard work, particularly of our care workers and domiciliary care workers, who are less frequently spoken about in Parliament. I want to ensure that care workers gain the recognition they deserve from society. I truly thank them for all the vital work they do every single day, whether in care homes, people’s homes or beyond.

Many people want to work in care because they want to make a difference to the lives of others. In my conversations with care workers, many have told me that they find their work truly rewarding. Just a few weeks ago, I had a wonderful conversation with a home care worker, who told me that she loves her job. That is great to hear, but there is no denying that it can be a very demanding job, both physically and emotionally. Domiciliary care workers play a crucial role in providing care and support to people who need it within their own home, enabling them to continue living independently even when they have substantial care needs. From going on the rounds with care workers and speaking to them, I know how committed and passionate they are about what they do.

Turning specifically to parking, I heard the points made by my hon. Friend the Member for Southport on free parking for care workers, and I am sympathetic to them. I have had many conversations with those who provide care in people’s homes about some of the challenges they face, including travel and parking costs. For instance, I share the concerns about underpayment for travel times, which is a live issue within the sector.

All social care workers are entitled to be paid at least the minimum wage—I should say, the national living wage—for the work they do. The Government are clear that time spent caring for clients, travelling between appointments and waiting to start the appointment must be included in pay calculations. I labour that point because I hear accounts, usually anecdotal, of whether travel and waiting time is being paid for. It may not be within the care worker’s control if they turn up for an appointment when, for instance, another health worker is visiting somebody and they have to wait. If they are having to wait as part of their job, of course they should be paid for that working time.

Responsibility for setting the terms and conditions for parking permit schemes and delivering social care is devolved to local authorities. Some local authorities, such as Cornwall and Devon, already run health and care parking permit schemes. I am glad to be talking about this important issue today and it is right that, at the very least, the national Government support the sector by raising awareness of and driving forward innovation and best practice. I therefore encourage local authorities who are not already undertaking similar projects to look and learn from those areas that have implemented their own parking schemes, especially as we know about the recruitment and retention challenges in adult social care. I also commit to working with my colleagues across Government, in particular in the Department for Transport and the Department for Levelling Up, Housing and Communities, to consider what more can be done to help care workers with the cost of parking.

More broadly on the adult social care workforce, the Government recognise the current workforce challenges in social care.

[Andrew Gwynne]

I want to take the Minister back to where she rightly said that terms and conditions are matter between the employer and the employee. She was, rightly, very robust on the expectations of the national living wage being paid for waiting to do work. Does she also take a strong view that employers should reimburse their staff for any incurred parking costs?

[Helen Whately]

The hon. Gentleman will allow me to pause, because I do not want to find that I have unintentionally misled anybody. I am very happy to write to him on that specific question. What I am completely happy to do here and now is reiterate the importance of social care workers being appropriately paid for the work they do. At the very least they should be paid at the legal level to which they are entitled and reimbursed for the expenses of the job they do. I hope the hon. Gentleman is happy with that response.

As I said, we recognise the recruitment and retention challenges in the social care workforce. The Government are supporting local authorities and providers with the recruitment, from both home and abroad, and retention of workers. For instance, we have been running a national recruitment campaign with continuous activity across job boards, video on demand, digital audio, radio and social media to encourage people to come and work in social care. That campaign will run until the end of this month.

In addition, in February last year we made care workers eligible for the health and care visa, and added them to shortage occupation list. The latest data published by the Home Office shows that a total of 56,900 visas were granted for care workers and senior care workers in 2022. I do not suggest for a moment that international recruitment is the whole answer to our recruitment challenges in social care, but given that we have such a substantial need for care workers, it is really important to help boost our care workforce. I have heard from many care providers who really welcome it, as it helps them to recruit and fill vacancies, and bring valuable staff into our workforce.

More broadly, the Government are making available up to £7.5 billion over the next two years to support adult social care and discharge, with up to £2.8 billion available this coming financial year and £4.7 billion the following year. That is an historic funding boost to put the adult social care system on a stronger financial footing and help local authorities to address waiting lists, low fee rates and workforce pressures in the sector.

Another way councils are able to support their adult social care workforce is through the market sustainability and improvement fund. At the autumn statement, the Chancellor announced that £400 million of new ringfenced funding would be made available for adult social care in the next financial year. We have combined that with £162 million of fair cost of care funding to create the fund. We are allowing councils to use the new funding flexibly on three target areas: support for the workforce measures; increasing fee rates paid to providers; and improving social care waiting times, which will improve adult social care market capacity and sustainability. My hon. Friend the Member for Southport might be pleased to know that Sefton Council will receive £3.6 million through that fund. Many local areas have chosen to use a significant proportion of the adult social care discharge fund on measures that support the adult social care workforce, including those who work in home care.

The hon. Member for Denton and Reddish talked about the importance of commissioning—I think he referred to ethical commissioning. I assure him that I think how local authorities commission care is really important, because it influences the terms and conditions on which care providers employ their workforce. That is one reason why, in April—just a couple of weeks away—we are starting the Care Quality Commission assurance of local authority social care provision. That will increase oversight of how local authorities are implementing the Care Act 2014, and part of that is very much about how they commission care. It will enable us to identify local authorities that are doing a really good job and will give us more information about those whose commissioning does not support their market or leads to some of the practices that we have been talking about.

As I said at the beginning, we want quick answers. My hon. Friend the Member for Southport wants change here and now, and so do I, but we also have to look to the longer term for our social care reforms. People at the heart of care must set out a longer-term vision for social care. I will shortly be publishing a plan setting out our next steps for the reforms. It will include substantial reforms to the adult social care workforce to strengthen careers and opportunities, and make adult social care a better sector to work in. That will help attract more people to work in social care and retain those valuable staff members.

I thank my hon. Friend for making the case and other Members for showing support for domiciliary care workers. I share my hon. Friend’s aspiration to support his care workers. In fact, I believe I have shown that in practice—for instance, through the support I put in place during the pandemic for the social care workforce; things I am doing right now with the funds such as the market sustainability and fair cost of care fund; and things that I will do in the future, including with our adult social care reform. I am happy to consider his proposals further as part of the work I am doing to boost our support for the care workers our constituents depend on.