(3 years, 6 months ago)
Commons ChamberI gently say that I disagree entirely with the hon. Lady’s pessimism about the ability of improvements in the health service to assist in the closing of health inequalities and the provision of care. As a Greater Manchester MP, she will understand better than most the benefits that come from that sort of integration. The idea that we should fail to act on what the NHS has itself asked for because of the challenges it is facing is completely the wrong way round. I see it entirely the other way round; it is incumbent on us to act in order to deliver the improvements that the NHS is calling for.
During the last Parliament, I sat on a joint Health and Housing, Communities and Local Government Committee, and I am pleased to be re-joining the latter Committee. That Committee commissioned a report on the future of adult care, which left open care insurance-type options to spread the financial burden, so as not to create an ever-larger NHS versus the critical local government role, and, crucially, with enhanced choice and flexibility for a 21st century care system. How will those aspirations fit into the plans that my right hon. Friend has described today?
The White Paper takes forward parts of those proposals relating to the integration between health and social care, and ensuring that it is those on the ground delivering health and social care who can decide the best way to provide that for their population. We are committed to taking forward funding reforms, as set out in our manifesto. Those funding reforms are not part of this Bill, but the Prime Minister has committed to bring those forward this calendar year.
(5 years, 5 months ago)
Commons ChamberI am afraid that I profoundly disagree with the hon. Gentleman, who used to be so sensible. Antimicrobial resistance is a global problem and we contribute to global funds, because only by coming together as a whole world will we be able to tackle it— and that is what we are going to do.
(5 years, 10 months ago)
Commons ChamberThat need not necessarily be the case. It was slightly disappointing that the hon. Lady, who is normally a great champion of cross-party working, did not welcome the £780,000 extra for Grimsby, but you can’t win them all. The people of Grimsby need to know that we are there to support them and to support their local NHS.
I now turn to the long-term funding pressures. The lifetime care costs of a 65-year-old today are about £45,000 on average, but those total average costs that people face are not distributed evenly. Some people face no care costs at all, whereas the care costs for someone with dementia who lives into their 90s can run into hundreds of thousands of pounds. As a society, that is the challenge we face, yet right now there is no way to predict or insure this potential financial burden. We are committed to ensuring that everyone has access to the care and support they need. However, as has always been the case, that must be based on the principle of shared responsibility. With sensible planning, people should not have to fear the risk of losing everything. The adult social care Green Paper, which will be published later this year, will bring forward a range of ideas to address the long-term challenge. We want to learn from what has been proven to work, with one example being the auto-enrolment pension reforms, which have been taken forward on a cross-party basis over a decade. The rate of opting out has been remarkably low, and this has put in place the foundations for the strengthening of our pensions system over time. The Green Paper will propose a range of options and ideas, learning from both the UK and from around the world.
The Secretary of State has said that he wants this debate to be based on fact, not partial fact, so may I have his assurance that research behind the Green Paper has taken full account of overseas options, which provide insurance models and choice, taking us well beyond these simplistic more tax solutions to address this complex problem?