Covid-19

Andrew Gwynne Excerpts

Tuesday 1st September 2020 Commons Chamber

[Matt Hancock]

That is absolutely right. From the first nationally imposed local lockdown, in Leicester, we worked with the local authorities to decide what the appropriate geography was, and it is not necessarily the entire local authority geography. In the very first of those interventions, we worked with the Leicestershire leaders to decide what areas should be in it—the Minister for Health, my hon. Friend the Member for Charnwood (Edward Argar), who is one of the representatives of that area, is nodding away. Indeed, last week, in parts of West Yorkshire, we went down to a sub local authority geography. That is absolutely one of the options available. Sometimes it is at a local authority level, and sometimes it is at a sub local authority level. We are driven by the data.

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

The Secretary of State has always rightly claimed that he is guided by the science and data, so I welcome his decision to release Stockport from local measures. The data, the director of public health, the council and the borough’s four MPs support it, but I represent a cross-borough seat. Local measures have been tough for us, and we need confidence in them. Does he understand the interconnected nature of Greater Manchester’s boroughs? What is his message to my Tameside constituents on whether the decisions he has made to lift restrictions in Bolton and Trafford, where covid is now spiking, will keep the rest of us in lockdown for longer?

[Matt Hancock]

The detailed local nature of the question shows how important it is that we engage with local representatives, including colleagues in this House, so that the local intelligence that the hon. Member has can be brought to bear on this decision, for instance. The decision to take Stockport out of and leave Tameside in the measures was taken with the agreement of the leaders of both councils. I absolutely concur with the hon. Member that we should have as targeted an approach as possible, and local councils need to ensure that if it is appropriate for some of their area to come out of a local lockdown and some to stay in it, that is what we should do. We should be driven by the data.

Covid-19 Update

Andrew Gwynne Excerpts

Thursday 16th July 2020 Commons Chamber

[Matt Hancock]

I was heavily and personally involved in making sure there was that rapid increase in testing capacity back then, and I am determined to ensure that the testing that we need for this winter is available. We have plans in place to deliver it. Of course, that needs to be built; it is not there now, but it will be built. Even if there are no breakthroughs on testing technology that would make testing much easier to access, we have plans to ensure that the testing capacity that is necessary for winter will be available by winter.

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

I thank the Secretary of State for his statement. We know that distinct areas of the country are seeing local rises in the number of cases, so can he explain what urgent steps the Government are taking to increase testing in those areas? With his indulgence, as someone who is on week 17 of long covid viral fatigue, may I also ask the Secretary of State what additional resources he is committing to NHS support services for those who are, bluntly, struggling to recover from the virus?

[Matt Hancock]

I am very sorry to hear that the hon. Gentleman is suffering from post-viral fatigue. It is a significant problem for a minority of people who have had coronavirus, and my heart goes out to him because I know how debilitating it can be. I am glad to say that we have brought in an NHS service. I will ensure that he has access to that service, as should anybody who is suffering from the symptoms of the fatigue that comes to some. I have also put just under £10 million into research to ensure that we get the best possible treatment. It is an area that is very close to my heart.

Independent Medicines and Medical Devices Safety Review

Andrew Gwynne Excerpts

Thursday 9th July 2020 Commons Chamber

[Ms Dorries]

As I have just said, this is a two-and-a-half-year report: it is complex. It is a deep dive into issues relating to Primodos, sodium valproate and vaginal mesh. There is absolutely no way that I could come to the Dispatch Box today and do what my hon. Friend asks. We need to evaluate the report properly to do it justice—to do those brave women who came forward justice. As I say, we will return to the House with our recommendations and an evaluation of the reportj in full.

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

I welcome the Minister’s statement and, indeed, the Cumberlege report itself. The concerns we hear throughout the Chamber are justified; we absolutely have to right the dreadful wrongs of these health scandals. I pay tribute to all those groups that have campaigned for justice for so long, because women’s health issues have appeared to be repeatedly dismissed and deprioritised. The review found that research on patient safety was neither prioritised nor funded. Can the Minister explain why historically that has often been the case, and whether and how she intends that to change in future?

[Ms Dorries]

Apologies, but I am not sure what the hon. Member means in terms of patient safety in the past. All I can say is that patient safety is an absolute priority. My ministerial titled changed recently to Minister for Patient Safety, Mental Health and Suicide Prevention—patient safety is the first consideration in my title. I am the Minister of State for Patient Safety. That is a demonstration of the Department’s absolute commitment to patient safety going forward. It is a high priority in the Department of Health and Social Care. Everything we do in terms of health—from HSSIB and the CQC to NHS Improvement—and a number of measures that we have put in place in recent years demonstrates that commitment to patient safety. We want to make the NHS the safest healthcare system in the world. We continue to strive to achieve that.

Oral Answers to Questions

Andrew Gwynne Excerpts

Tuesday 23rd June 2020 Commons Chamber

The Secretary of State was asked—

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

What steps he is taking to tackle regional variations in the restoration of cancer services after the covid-19 outbreak.

[Mary Glindon (North Tyneside) (Lab)]

What steps his Department is taking to enable the resumption of cancer treatments delayed as a result of the covid-19 outbreak.

[The Parliamentary Under-Secretary of State for Health and Social Care (Jo Churchill)]

Essential and urgent cancer treatment has continued throughout the pandemic and cancer specialists, as always, are discussing the best treatment options with their patients. We are working to ensure that referrals, diagnostics and cancer treatment are back at pre-pandemic levels across the whole of England as soon as possible. Due to covid-19, the 21 cancer alliances in England have established hubs to ensure dedicated cancer care away from hospitals dealing with the virus. From the end of April, local systems and cancer alliances have continued to identify ring-fenced diagnostic and surgical capacity for cancer in line with issued guidance. Regional cancer senior responsible officers must now provide assurance that these arrangements are in place to help minimal regional variation.

[Andrew Gwynne [V]]

I thank the Minister for that comprehensive reply, but she knows that people living with cancer are experiencing cancellation and delays to treatment all over the country, and that is causing anxiety and distress to many families. In getting people urgently back into treatment, will she look at the 12-point plan for restoration, recovery and transformation of cancer services outlined by Macmillan Cancer Support, Cancer Research UK and 23 other cancer charities, to ensure that cancer does not become the forgotten C during the coronavirus crisis?

Covid-19: R Rate and Lockdown Measures

Andrew Gwynne Excerpts

Monday 8th June 2020 Commons Chamber

[Matt Hancock]

Like anybody who has a heart, I yearn for grandparents to be able to see their grandchildren. My own children saw their grandmother at a social distance, appropriately, rigorously according to the rules, for the first time this weekend, and it was a real joy—the first time in months and months—but they have not seen their other grandparents, and of course they are not allowed to hug them yet. I am with my hon. Friend and no doubt you, Mr Speaker, and everybody else in this House in wanting to see a restoration of that basic human contact for which we all yearn.

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

The concern over the R rate in Greater Manchester on one measure has focused attention on possible local lockdowns, which would have a financial impact on people who are unable to work from home. In those circumstances, will the Government consider a form of local furlough for people whose workplaces are closed down or who are unable to get to work?

[Matt Hancock]

I am sure that Treasury Ministers will have heard the hon. Gentleman’s suggestion, but we do not need such a scheme now, of course, because the full furlough scheme is in operation nationally.

Covid-19 Response

Andrew Gwynne Excerpts

Monday 18th May 2020 Commons Chamber

[Matt Hancock]

I would be very happy and honoured to join my hon. Friend in thanking the staff at Russells Hall hospital and at Mary Stevens hospice, at the care homes and the community pharmacists, and indeed the volunteers of Stourbridge, who have come together. There have been many terrible things about this disease, but there have also been some heartwarming things. The dedication of staff and volunteers alike to coming to the aid of others is one of the things that the whole nation has been proud to see.

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

The Secretary of State will know the concerns across northern England about the Government’s approach to easing lockdown, specifically those raised by the Greater Manchester Mayor and the combined authority about the risk of a second wave of coronavirus owing to different R values across our city region. What measures is he putting in place to ensure that, as lockdown is lifted across England, those areas behind London in the curve do not see all their hard work undone?

[Matt Hancock]

Of course we take the decision after looking at the information for the whole country, and we take into account the R rate and the level of new cases and all other data from right across the land when deciding what is the appropriate step to recommend and to take. We do this cautiously and carefully, and we make sure that everyone is taken into consideration. The safety of the whole population is right at the front of our mind.

Social Care

Andrew Gwynne Excerpts

Tuesday 25th February 2020 Commons Chamber

[Matt Hancock]

I do not recognise those figures, because—

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

Because they don’t suit.

[Matt Hancock]

No, I do not recognise those figures because they are not the accurate representation of what is actually happening. There are many within that figure who are judged under legislation to need to pay for their own care, and they do. We have to start from a basis of fact and, frankly, until Labour Members start working on this from a basis of fact, it is very difficult to take their contributions seriously.

The critical thing is that, as life expectancy is increasing, more people are looking forward to ageing in comfort and dignity, and that is good news. Opposition Members may not like it. It is odd; they do not seem to want to think that life expectancy is going up. We have a duty to ensure that our social care system is equal to the task. There are many things we should be proud of in our social care system, although we would not have gathered that from the speech by the hon. Member for Worsley and Eccles South. Some 84% of providers of social care are rated as good or outstanding, and 90% of people who receive care are satisfied with its standard. The proportion of adults with learning disabilities living in their own home or with their family has increased every year since 2014-15. That is good news, which we should welcome.

--- Later in debate ---

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

Let me begin by welcoming the new Minister to her post. I sincerely hope that she enjoys her time in the role, and that at some stage in the future she will be able to look back and see herself as the Minister who truly transformed social care. That transformation is desperately needed, which is why we called today’s debate. I think it has been a thorough and thoughtful debate on both sides of the House.

We have had 16 Back-Bench contributions, including from my hon. Friends the Members for Leicester West (Liz Kendall), for Blaydon (Liz Twist), for Chesterfield (Mr Perkins), for Warrington North (Charlotte Nichols), for Dulwich and West Norwood (Helen Hayes), for Luton South (Rachel Hopkins), for Putney (Fleur Anderson) and for Liverpool, Wavertree (Paula Barker), as well as from the right hon. Member for Ashford (Damian Green) and the hon. Members for Thurrock (Jackie Doyle-Price), for Newton Abbot (Anne Marie Morris), for Bexhill and Battle (Huw Merriman), for Peterborough (Paul Bristow), for Bury North (James Daly), for Watford (Dean Russell) and for Meon Valley (Mrs Drummond). I also want to pay tribute to all who work in our social care services, whether they work in the national health service, for our local councils or for an agency, and whether they are paid or unpaid carers.

This is the third time I have closed an Opposition day debate on the crisis in social care. Someone on the Conservative Benches said earlier that they had a sense of déjà vu, and I have that same feeling myself. Just as I said last time in my closing comments, we have still seen no plan from the Government, despite the Prime Minister using his very first speech at 10 Downing Street to pledge to solve the social care crisis. I want to remind the House just what he said:

“I am announcing now, on the steps of Downing Street, that we will fix the crisis in social care once and for all, and with a clear plan we have prepared to give every older person the dignity and security they deserve.”

We have seen nothing. It is now 1,079 days since the Government announced their Green Paper on social care. That is 1,079 days in which we have been told that the Government have been working on their plan for social care. However, only a couple of months ago the Minister for Women and Equalities and Trade Secretary, the right hon. Member for South West Norfolk (Elizabeth Truss) was asked:

“Does the Green Paper actually exist?”

She shook her head and told the room:

“Not as far as I’m aware.”

After years of promises and failure to deliver, we can understand why many within the sector have very little trust in this Government, so will the Minister please clear this up now? Was the Trade Secretary misinformed, or was the Prime Minister not correct when he told the country that he had a plan for social care? If it is the former, surely the Minister will appreciate our concern that the Minister for Women and Equalities and her office have not been involved in the development of a policy that will impact on so many disabled and vulnerable people who depend on care, and on the predominantly female workforce who deliver it.

The Prime Minister might speak of levelling up as though he were playing a computer game, but his lack of action is having real impacts on real people. It is a national scandal, and the Government should feel ashamed that 1.5 million people are now not getting the necessary help to carry out essential tasks such as washing and dressing themselves. Millions are suffering because nobody cares for them. One in five people have gone without meals because of a lack of care. One in five people have been unable to work because of a lack of care. One in five people feel unsafe moving around their home because of a lack of care, and more than a third are unable to leave their home because of a lack of care.

This neglect does not only hurt those who need the care. As my hon. Friend the Member for Leicester West set out, and as my hon. Friend the Member for Luton South said when she spoke so passionately about Barbara and Ray, it is important to remember the 7.6 million unpaid carers who have stepped up to look after family and friends. One of those people, Frances from Harrogate, told the Care and Support Alliance:

“Dad has now passed away but his needs, with two broken hips and pneumonia, were not met in the slightest by either the NHS or social services. I feel if care had been better he would still be alive. Mum is in a care home and I have had to give up my job to care for them and I have received very little acknowledgement of this.”

At the very least, I hope we will hear from the Minister today how she plans to give unpaid carers the support they deserve.

We are yet to hear a Minister properly acknowledge the scale of the crisis. Instead, we heard once again from the Secretary of State in his opening speech the Government’s claim that they are addressing the problems in the system by investing £1.5 billion into social care this year. That has to be shared between adult and children’s services and winter pressures, and it is one tenth of what this Government have cut, according to the Health Foundation. In 2018, the Local Government Association warned that the funding gap for adult social care alone would grow to £3.5 billion by 2025, and the LGA revealed yesterday that pressure on children’s services has pushed overspending to £3.2 billion over the past five years.

We also know from LGA research that the new funding will not even be enough to cover the increasing costs that will come from the rise in the national living wage from April. Unfunded increases in the national living wage in social care have been shown by the Low Pay Commission to lead to an increase in failing businesses, insecure working conditions, and a reduction in care quality. Professor Martin Green, chief executive of Care England, has called on the Government to take responsibility for this situation, saying:

“If government fails to support this uplift then services may close, jobs will be lost and support to people in need will be reduced at a time when more people need social care. The social care system has endured chronic underfunding for many years and we call upon the government to fund not only the increases in the Living Wage, but the sector’s long term sustainability.”

Instead of the Government taking responsibility and recognising the scale of this crisis, their recent immigration announcement threatens to make it even worse. I endorse the words of my hon. Friend the Member for Leicester West, who said that we need to recognise the value of migrant labour to the social care services on which our constituents rely. Care roles fall below the salary threshold. The Minister knows that. The Government’s reluctance even to fund the costs of the increases in the national living wage does not give me much hope that they will fund the obvious solution—valuing and paying careworkers more for their vital work. It was worrying that the Home Office’s policy statement outlining the new migration policy failed to mention social care.

Councils led by all parties are facing a funding crisis, with devastating effects on key public services for children at risk, disabled adults and vulnerable older people. The services we all rely on, such as clean streets, libraries, children’s centres, street lighting and pavement repairs, are being cut back to pay for those people-based services. This is not a party-political issue. The issues are self-evident. In the recent state of the sector report by the Local Government Information Unit and the Municipal Journal, only 3% of councils said that they are happy with Government progress on local finances and only 2% said that they were happy with the Government’s work on social care. That is near-universal disappointment from council leaders and chief executives. Seventy-six per cent. said that they lack confidence that the Government are taking this problem seriously and prioritising a solution.

The Government’s delay is already costing lives. Last year, 2,000 people a day died while waiting for a decision on their application for social care. That should shame us all on whatever side of the House we sit, and there is only so much longer that this sector can wait.

This is the reality. Unless this issue is given the attention it demands, more councils will fall under financial pressure, more social care providers will fail and more of the most vulnerable people we are all here to represent will go without the support they need. It cannot go on like this. We need a plan, and I commend this motion to the House.

Stepping Hill Hospital

Andrew Gwynne Excerpts

Tuesday 21st January 2020 Commons Chamber

[Mr Wragg]

Absolutely. I congratulate my hon. Friend and constituency neighbour on the work that she has undertaken with me and others from across the region in securing additional funding. I will touch on that later. She is absolutely right, because Stepping Hills’ emergency department is overstretched and facing those rising demands. It was built to treat about 50,000 patients a year but is currently on track, as she says, to exceed 100,000 patients this year.

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

I congratulate the hon. Gentleman on securing this Adjournment debate. Is it not also important to impress on the Minister the demographic nature of the borough of Stockport, which we all represent? Stockport is a microcosm of the whole country in that it has its own north-south divide. There are real health inequalities between those living in the north of Stockport and those living in the south. In the south of Stockport, people tend to live longer and stay healthier longer, but when they do reach old age, they often have very complex needs.

[Mr Wragg]

The hon. Gentleman, my constituency neighbour to the north of my constituency, is entirely spot on. His remarks are incisive and to the point, because the demand for emergency care in our area has risen by about 5% in the past year, and in the three months to December alone it increased by 6%. It was previously rare for Stepping Hills’ emergency department to see more than 200 patients a day, but now it is not uncommon for over 300 people to seek treatment per day. Indeed, in Christmas week, over 1,700 patients were seen by the department.

Bed capacity is also a problem at Stepping Hill. A hospital bed system should ideally run at about 85% occupancy to make way for new patients, but at Stepping Hill beds have been frequently running at over 99% occupancy. Having support in place to enable people to return home as quickly as possible once they no longer need acute hospital care is also key to achieving the national standard by improving the flow of patients through the hospital and its emergency departments. As the hon. Member for Denton and Reddish (Andrew Gwynne) says, Stockport has the highest proportion of elderly people in Greater Manchester, with 19.5% of the population being 65 or older. While increasing longevity is of course to be celebrated, our local population is living longer, often with complex and multiple health conditions, and they place a particular demand on the emergency department that is not seen to the same degree elsewhere in the region.

The hospital has implemented a number of short-term initiatives to try to fix and improve the situation in A&E, particularly to address the extra winter pressures due to influenza and the cold weather. The trust recently spent £1.2 million provided by NHS England to expand the number of consulting and treatment rooms in the existing emergency departments. This winter, Stepping Hill implemented its winter plans two months early, opening an extra 30 beds in the hospital. Even so, concerns this year were so great that they were recognised by the Greater Manchester health and social care partnership. In December, the hospital received an extra £2 million of funding to enable it to open an additional 51 beds until after the end of March this year, increasing staffing and supporting seven-day working.

However, I want to ask a number of questions of my hon. Friend the Minister, for whose consideration this evening I am very grateful. First, despite all those steps and extra beds, in December, alarmingly, 200 people waited for 12 hours or more in the department before a bed could be found for them. I wish therefore to ask him what more can be done by the Government to help Stepping Hill to improve its A&E performance in the short term.

[Mr Wragg]

First, may I congratulate my hon. Friend on his election in High Peak, which is next door to me, and for working as closely as possible with me on this issue as soon as he was elected? Like him, I welcome the investment that is coming, as I am about to outline.

Opening more temporary beds is not the answer to the pressures on our health and care system. A radical long-term solution is needed if Stepping Hill is to improve its A&E performance. That is why I, the hospital and all Members across the House with an interest in it have called for greater investment. The new £30.6 million of funding will enable the organisation to construct a three-storey, purpose-built emergency care campus. It will include an urgent care treatment centre, a GP assessment unit and a planned investigation unit, as well as a new ambulance access road and improved waiting areas.

The emergency care campus will not be simply a new accident and emergency; it is intended instead to care for patients who require a slightly lower grade of emergency care, thus relieving the pressure on A&E by improving the flow of patients through the hospital from the emergency department. Patients who need resuscitation or emergency care will still be seen in A&E. This much-needed investment will relieve the pressures on accident and emergency by implementing a better triaging system for patients, meaning that they get the right care in the right place. Patients who do not require full A&E emergency care will be seen in one of the three new services at the urgent care campus.

The urgent care treatment centre will provide an alternative for those who do not need resuscitation or emergency care. It is expected to triage about 45 patients a day away from accident and emergency. The GP assessment unit will support patients who are referred by their GP for hospital care, ensuring that they have quick access to the acute and medical specialists they need to see without going through the emergency department, thereby reducing A&E admissions by a further 25 patients a day. The planned investigation unit will improve the time in which patients are returned home with a care plan when they no longer need to access acute care services.

[Andrew Gwynne]

The hon. Gentleman is being incredibly generous; I am very grateful. I associate myself and my hon. Friend the Member for Stockport (Navendu Mishra) with the proposals the hon. Gentleman has outlined.

May I offer the hon. Gentleman some reassurance from across the boundary in the neighbouring borough of Tameside, which my constituency also covers? Fifteen years ago, when I was first elected to this House, the reputations of Stepping Hill Hospital and Tameside Hospital were almost in mirror image. Tameside was not the best place it could be. With great focus and new management, that hospital has been transformed. Does he share my confidence that better days are ahead of Stepping Hill, and my trust in the staff and the management to take the hospital back to where it needs to be?

[Mr Wragg]

I absolutely concur with the hon. Gentleman. The leadership of the hospital is excellent. I think that, as he says, better days are very near. May I take this opportunity to welcome the hon. Member for Stockport (Navendu Mishra), who has come to take part in this debate?

Social Care Funding

Andrew Gwynne Excerpts

Wednesday 17th October 2018 Commons Chamber

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

I begin by thanking hon. and right hon. Members for their contributions from across the House. It is the convention to mention Members by their contributions. I apologise that, because of the time restrictions that have been put in place, that is not possible.

I pay tribute to all who work in our social care services, whether they work in the NHS or our councils or are paid or unpaid carers. We have been here before. I have a sense of déjà vu. It was in April that we called for immediate action from the Government to address the crisis in social care, yet here we are, months later, and no progress has been made. Since then, we have had a new Health Secretary and a new Communities Secretary, but still no new ideas and still no Green Paper. There is only so much longer this sector can wait.

Given the lack of support from the Government, and in the face of year-on-year cuts, local government has been forced to step up. With the Cabinet too busy squabbling among themselves and in the absence of any Government action, the Local Government Association has published its Green Paper on social care. It is worth the Government considering some of the responses that the consultation received. According to the District Councils Network, the

“adult social care crisis is the single largest problem facing local government services and their financial sustainability”.

[Karin Smyth]

The Green Paper commends Bristol City Council for its Well Aware project. Will my hon. Friend join me in congratulating Bristol on that online and telephone advice and guidance service, which has proven so popular, and will he or the Minister visit to see how it works in practice?

[Andrew Gwynne]

Absolutely. I am always happy to visit my hon. Friend’s city of Bristol and to see the great work it is doing in very difficult circumstances—Labour local government leading the way and making a difference where it matters.

The LGA estimates that adult social care services face a £3.5 billion funding gap by 2025—just to maintain existing standards of care—but councils in England receive 1.8 million new requests for adult social care a year, the equivalent of almost 5,000 extra cases a day. It is a national scandal. The Government should feel ashamed that 1.4 million older people are now not getting the necessary help to carry out essential tasks, such as washing themselves and dressing. That is 20% more people without care than only two years ago. One of the people experiencing adult social care said of their provision:

“I haven’t washed for over two months. My bedroom floor has only been vacuumed once in three years. My sheets have not been changed in about six months and my pajamas haven’t been changed this year. My care workers don’t have time for cleaning, washing or changing me”.

Those words were taken from a report by the Care and Support Alliance into the state of care in the UK, and it makes for heartbreaking reading, but we have yet to see a Minister even acknowledge that a crisis in local government funding even exists. “We introduced the social care levy,” said the Secretary of State. No, they enabled councils to raise more council tax in a limited way, but a 1% increase in his council’s council tax raises a very different amount from a 1% increase in my area. That only widens the inequalities and the unfairness.

The Secretary of State’s big announcement at the Conservative party conference of an extra £240 million of emergency funding for adult social care should not be celebrated; it should be a source of shame. The Conservative leader of West Sussex Council summed up the response to the announcement:

“I am not skipping round—I am really cross about it. It’s half a crumb. It’s not even a crumb.”

Earlier this year, the former Secretary of State for Health made a candid admission to the British Association of Social Workers, when he accepted his share of responsibility for the lack of progress since the Tories entered government in 2010. The crisis is a result of this Government’s policies. Our Prime Minister has given up and our councils are at breaking point, but the Government remain committed to their programme of cuts, taking £1.3 billion extra funding out of local government next year. Let that sink in for a moment. It is now being reported that nearly 50% of council heads are seriously worried about impending bankruptcy in their councils, which should send shivers down the spines of members of the Government. One of the chief executives surveyed by the Local Government Chronicle said:

“The next three years are secure if we can manage the demand in adults and children’s services...a complete lack of policy means that even with a well-run council and relatively strong local economy we are likely to start to significantly struggle in 2021/22.”

That is the reality, and that is why I commend our motion to the House.

Social Care

Andrew Gwynne Excerpts

Wednesday 25th April 2018 Commons Chamber

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

We have had a very wide-ranging debate with 16 Back-Bench contributions. I pay tribute to my hon. Friends the Members for Redcar (Anna Turley), for Luton North (Kelvin Hopkins), for Weaver Vale (Mike Amesbury), for Leicester West (Liz Kendall), for Blaydon (Liz Twist), for Warrington South (Faisal Rashid), for Keighley (John Grogan), for Stretford and Urmston (Kate Green), for Crewe and Nantwich (Laura Smith) and for Bedford (Mohammad Yasin) for their passionate, powerful and well-informed contributions. I also thank the right hon. Member for Ashford (Damian Green), and the hon. Members for North Cornwall (Scott Mann), for South West Bedfordshire (Andrew Selous), for Cheadle (Mary Robinson), for Solihull (Julian Knight) and for Redditch (Rachel Maclean) for their contributions. We might not always see eye to eye, but there is consensus that we have to fix the problem in adult social care, although how we go about that will always be up for debate.

[Kevin Hollinrake]

Is the hon. Gentleman aware of the very constructive cross-party, collegiate visit of the Communities and Local Government Committee to Germany, where we looked at its social insurance scheme, which could provide the perfect, sustainable and scalable solution to the adult social care conundrum?

[Andrew Gwynne]

The Government need to decide their position, but there are examples across the world of how adult social care can be funded. We need to make sure we get a system that works for England.

I also pay tribute to the workforce and carers. They do not just need platitudes from us in the House; they need the Government and politicians on their side.

This is the second time we have had to call an Opposition day debate on this issue, following the Government’s lack of action on social care. In our debate last October, there was broad agreement across the House, as there has been more or less today, that reform of social care was a priority, but here we are, six months later, and little has changed. Last month, we heard the Secretary of State for Health and Social Care tell the British Association of Social Workers that he accepted his share of responsibility for the lack of progress since the Conservatives entered government in 2010.

The social care Green Paper, due this summer, has faced substantial delays. We need a commitment from the Government that it will not be delayed any further. There is only so much longer that the sector can wait. Let us remember that in January there was hope that the Government would place an extra focus on social care after the Department of Health was rebranded, but then, shortly afterwards, in what sounded like a tribute act to the Prime Minister, the Secretary of State for Housing, Communities and Local Government told a packed LGA conference—I was there—that

“nothing has changed, nothing has changed”.

Confusion still reigns, and it is true: nothing has changed. This confusion means that 1.2 million people are being denied the support they need.

Let us look at what the cuts mean. According to its director of adult care, social care provision in Northamptonshire County Council—a Conservative council —is

“on the verge of being unsafe”

as a result of the cuts. That council has effectively been the first in England to declare insolvency. According to the director, the additional funds in the local government finance settlement will have “little impact” on the county’s problems, and I fear that that is right, but the Minister will be aware of the widespread fear that what has happened in Northamptonshire could happen again elsewhere. Mark McLaughlin, who was appointed from the Department for Environment, Food and Rural Affairs in December to oversee Northamptonshire’s finances, has warned that all top-tier local authorities will soon face similar issues. Then, only last week, we heard that Worcestershire County Council, the Conservative-run local authority in the constituency of the Secretary of State for Housing, Communities and Local Government, had buried a report expressing urgent concern after rising costs, including the cost of adult social care, had forced the council to use more than half its reserves in the past five years. The Chartered Institute of Public Finance and Accountancy expects the growth in demand to result in a budget deficit of £60.1 million by 2020-21.

[Rachel Maclean]

Will the hon. Gentleman give way?

[Andrew Gwynne]

No, I will not. Well, I will, because it is the hon. Lady’s local council.

[Rachel Maclean]

Worcestershire County Council covers the whole of my constituency, and I am aware of the concerns that the hon. Gentleman has raised. I want to respond to them, because I too have been worried about the position, as many other people naturally are. I met the chief executive and the leader of the council to address this very issue, and I can assure the hon. Gentleman that they have a sustainable plan to deal with it. However, I will of course keep it under review, and I thank the hon. Gentleman for raising it.

--- Later in debate ---

[Andrew Gwynne]

I am grateful to the hon. Lady for providing me with a nice segue. On Monday, Paul Robinson, the chief executive of her council—Tory Worcestershire County Council—said that

“there comes a point where cost-cutting can’t go any further—there has to be a solution”.

He is right too, but we have yet to hear a Minister even acknowledge that this crisis in social care funding in local government is as serious as it is—and it is a crisis that has its roots in Downing Street. Let us be clear: austerity and cuts in local government budgets have been a political choice by this Government since 2010.

It gets worse. Behind every statistic that I can quote are real people working in the service, real people receiving services, real people requiring services, and families worried about how to support their loved ones. Funding cuts, poor pay, recruitment problems and a lack of support for the sector have hit the quality and availability of adult social care support. In the past year, one in five local authorities has seen more of its care homes rated “inadequate” or “requires improvement”. In some areas, as many as one in two care homes is now rated inadequate.

For some of the most vulnerable, even gaining access to any form of support is difficult. Vulnerable older people with conditions such as dementia and motor neurone disease are being denied support because there is a postcode lottery for treatment. According to Which?, where people live can make them 25 times more likely to receive social care support. South Reading paid care costs for 8.7 patients per 50,000 people, while Salford funded 220.3 per 50,000. In Stockport, people are nearly seven times less likely to receive the funding than those just a few miles away in Salford, and patients in Richmond are more than three times more likely to receive it than those in Ealing.

Ministers cannot hide the terms of a social care levy behind flexibilities on council tax. They know, as we know, that in the areas with the greatest need, a small increase in council tax will never make up the shortfall in funding caused by cuts in grants from central Government, which have been slashed by an average of 50% since 2010. That has exacerbated inequality, as poorer areas, which often have many needs, have struggled to raise the funding that they so desperately need. I will use a local example for the Minister. Tameside, one of two local authorities that cover my constituency, will face a £33 million funding gap in adult social care in the next three years, yet a 1% increase on council tax raises just over £700,000—never, ever enough to plug that gap.

The news that Allied Healthcare, one of the biggest providers of home care, has fallen into financial difficulty shows the impact that is being felt in the sector. The fact that 150 councils rely on Allied Healthcare should send shivers down the spines of Ministers. We got no real answers or any assurances from the Government that they were taking these developments seriously or putting in place emergency contingency measures to ensure that we do not see a repeat of the Carillion collapse.

There are four reasons that people now give for their dissatisfaction with social care: staff shortages, long waiting times, a lack of funding, and Government reforms. That is coming not just from the Opposition; the same concerns that we have raised today are being raised in living rooms and care homes across England. The Government have a duty to respond, and I commend our motion to the House.

--- Later in debate ---

[Jackie Doyle-Price]

To be frank with the hon. Lady, one of our priorities is to make sure that disabled people can live independently for longer. That is very much a central part of our approach and we are making more money available for it. [Interruption.] She can sit and smile, but that informs our approach.

I should also like to associate myself with the comments made by a large number of colleagues in paying tribute to the hard-working, committed people who make up our social care workforce and to the informal carers who play such a vital part in our health and social care system. Central to the points made by the hon. Members for Stretford and Urmston (Kate Green) and for Keighley (John Grogan) is that we all collectively need to send a clear message that the work that those people do is valued. We are working with Skills for Care to put more value on this as a profession. People who work in the care sector do so because they are personally motivated and money actually matters less to them. We ought to give them a clear message that we really appreciate all the efforts that they make.

Many Members have raised the issue of funding cuts to council budgets. That subject obviously informed the comments from the hon. Member for Denton and Reddish just now. I will not run away from the fact that there have been challenges for councils in recent times— [Interruption.] Opposition Members mention cuts, but the bottom line is that we can only spend what we collect from taxpayers. That is the reality of the situation. I will be first in the queue to pay tribute to those councils that have stepped up to the challenge, coped well with the reductions and worked hard to become efficient. They have shown real innovation in rising to the challenge.

[Andrew Gwynne]

I fully appreciate the Minister’s point that we can only spend the money that we raise from taxes, but this is a question of priorities. Why did she vote for a £5 billion cut to the bank levy in the Budget? Is that not the wrong priority?

[Jackie Doyle-Price]

I think the hon. Gentleman will find that we actually have a very progressive tax paying system none the less.

I want to celebrate those areas that have continued to deliver their social care responsibilities in challenging circumstances. We have heard a lot about what has gone wrong, but let us just remember this statistic: 81% of people in care homes are in homes that have been rated good or outstanding. I think that is an achievement, and something to be celebrated. I also want to compliment those councils that have really stepped up to the plate to deliver an improved performance on delayed transfers of care. Stoke and Trafford in particular have cut their delayed discharges by more than half. This comes down to leadership and determination. Where councils show real leadership, that will deliver improvements and change—[Interruption.] I have just named those councils: Stoke and Trafford.