(7 years, 8 months ago)
Commons ChamberI understand my hon. Friend’s core point. The Government have taken action to ensure that the NHS has the funding it needs by increasing its annual budget by £10 billion above inflation by 2020-21. We are mindful of the long-term challenges. The issues were recently highlighted by the Office for Budget Responsibility, which laid them out quite starkly in its latest fiscal sustainability report. On depoliticising the debate, I would say that backing the NHS’s own plan for its own future in the way we have done is the best way of doing that.
Back in 2010, to meet the rising costs of social care I proposed a compulsory care levy on all estates. From memory, the Conservatives produced an election poster with gravestones on it and called it a death tax. I read in The Times today that Ministers are now considering exactly the same proposal. Can this possibly be true?
(7 years, 12 months ago)
Commons ChamberI absolutely agree with my right hon. Friend and I am grateful for her comments. I passionately believe that business should be engaged at the heart of this process—that is the right way to do it—and local enterprise partnerships and area-specific project organisations are a good innovation for delivering it. However, this is also part of meeting the challenge of regional imbalance, which as I said earlier is not just a social problem, but an economic problem. When we look at our productivity gap when compared with other advanced economies, we should logically look for the things in our country that are different from those in our comparators. The gap between our capital city and our other cities and regions is one of the defining features of the UK economy. By working with businesses from across the country and the regions, in particular by promoting our regional cities, we can at last start to address the problem.
The north of England is crying out for a plan for investment in rail, and people will be left asking today, “Where is it?” It is also crying out for investment in social care. It is quite frankly unbelievable that the Chancellor could find no place to mention it today. Six years of cuts to social care have left a record number of older people trapped in hospital and the NHS on the brink. With a dangerous winter now facing us, can he say a little more about how he came to the judgment that new grammar schools are a higher spending priority than the funding of care for older people?
I am a little surprised that the right hon. Gentleman—a former Chief Secretary to the Treasury—is not actually able to distinguish between capital and resource, because the funding that we are talking about for grammar schools is capital spending. I said in the course of my statement that the Department for Transport will continue the discussions on northern powerhouse rail with Transport for the North and will make announcements in due course.
The right hon. Gentleman also asked specifically about social care. Opposition Members are fond of talking about cuts to social care budgets, but local authorities have to manage their budgets as they think best. They have to manage the envelope of resource that they are given. We have created a better care fund that will be delivering £1.5 billion a year into social care by the end of this Parliament. We have allowed local authorities to raise a social care precept, which will be delivering another £2 billion a year by the end of this Parliament. That is £3.5 billion a year of additional funding into the social care system. I accept that there is an issue that local authorities are raising—we have heard what they are saying—about profiling and how this large amount of additional money ramps up. My right hon. Friends the Health Secretary and the Communities and Local Government Secretary are extremely aware of the issue and I am discussing it with them.