Social Care Reform

Andrew Lewer Excerpts

Thursday 18th March 2021 Westminster Hall

[Andrew Lewer (Northampton South) (Con) [V]]

Thank you, Dr Huq; it is a pleasure to speak under your chairmanship.

The pandemic has shone a light on the pivotal role that social care plays in our communities. It has, however, laid even more bare the huge pressures that the sector has been facing for the past two decades. Having been in local government since close to the start of this century, I recall papers saying how urgent reform was then, including the 1999 royal commission on long-term care, and it was a constant theme throughout my time as a county council leader. Such is the urgency now that, although a desire to get cross-party consensus on this is a welcome aspiration, it must not be used as a reason for delay.

At a time when, for all the wrong and tragic reasons, public understanding and awareness of the care sector has hugely increased, this should be harnessed to perhaps achieve a positive legacy from this pandemic, and to achieve the long-sought parity of esteem between our hard-working care sector workers and their colleagues in the NHS. Having spoken about this many times before in the House, through several Prime Minister’s questions and work on joint Select Committee reports discussing what reform should look like, I think that there needs to be an emphasis on a joined-up approach between health and adult social care, not only nationally but locally.

Throughout the pandemic, local government has stood shoulder to shoulder with the NHS in tackling coronavirus, and the Local Government Association, of which I am a vice-president, has done tremendous work in highlighting this. However, too often the two services have been placed on different footings. The past 12 months have shown, perhaps more than ever, the need for closely integrated health and social care, and I have seen the hugely positive impact that such an approach can have in my own constituency, through Northamptonshire Health and Care Partnership’s innovative Integrated Care Across Northamptonshire programme.

I therefore urge caution to any colleagues who wish to see the social care sector cut from the local authority remit and subsumed within an ever-expanding NHS. This is an overly simplistic and short-sighted approach. It is not wrong to have varying models of social care provided by different local authorities working with NHS services. That flexibility allows local services to be better through both parts of the demos: demography and democracy.

In the last Parliament, I sat on the Select Committee on Housing, Communities and Local Government, which commissioned a joint report with the Health and Social Care Committee on possible long-term funding models for social care. That report, which I commend to colleagues, specifically left the door open for insurance-style funding solutions to the issue, which have been used in countries such as Germany and Japan. It is a better approach than the usual “rising taxes will fix this issue,” especially when we bear in mind the important, if sadly unfashionable, fact that rises in tax rates do not always lead to rises in tax takes. Having recently been re-elected to the Select Committee, I am very keen that this option should be looked at once again, and I would welcome comments from the Minister on the Government’s consideration of these elements of such proposals in their final plans.