Social Care Reform

Apsana Begum Excerpts

Thursday 18th March 2021 Westminster Hall

[Apsana Begum (Poplar and Limehouse) (Lab) [V]]

It is a pleasure to serve under your chairmanship this afternoon, Dr Huq.

The covid pandemic has thrown light on a number of holes in social care provision. That is a pressing issue not only because of the pandemic but also because an ageing population will be a huge challenge for the post-covid future. The key issue facing social care is the privatisation of so many contracts. That has led to private companies being paid by local authorities with public money, but being unable to provide an adequate amount of care for those in need.

The need for a more robust social care system was felt most acutely in my constituency during the first wave of the pandemic. It has been reported that at Aspen Court care home, 21 residents died last year between 28 March and 24 April. The loss of life during that significant period was so substantial that it needs to be investigated at a national level. My condolences are with the families of those who have been lost, who have been impacted directly by this tragedy. The care home is run by HC-One, a private company that runs many care homes across London. Staff at those care homes are delivering care in a privatised system. Questions have been raised about the level of pay, hours being worked and the quality of training available to staff.

This month, I learned that HC-One will sell 52 homes and move into more specialist care. I support the calls from GMB and other unions for the HC-One homes being sold to be brought under local authority control, and for the Government to fund the transition costs. Aspen Court is one example of the national issue of the outsourcing of adult social care, which has exposed the financialisation of chains and larger providers, often funded by private equity firms that dominate contracts across adult social care provision.

A key concern of the charity Inclusion London is that in many cases, those of working age who receive disability benefits have to use those benefits to pay for adult social care. For those whose disability is making it hard or impossible to earn money, it is completely unjust that disability allowance should be utilised to pay for care. That is why Inclusion London and others, including me, believe that we need a robust social care system provided by the Government and through our NHS.

In my constituency, the need for proper funding of social care at this time of the crisis is felt acutely. Many constituents rely on extended care offered through charity and voluntary organisations. Organisations such as Neighbours in Poplar and food banks such as First Love Foundation are filling the gaps left by the fragmentation of the social care offer. That will be compounded by the closure of a number of day care centres, which are integral to the well-being of the communities they serve. The suggested care that would replace them would rely further on the voluntary sector, which is utterly inadequate.

The overhaul of social care is needed now. The pandemic has highlighted such issues, and it is important that the Minister addresses how they will be dealt with going forward.