Queen’s Speech

Baroness Pitkeathley Excerpts

Monday 17th May 2021 Lords Chamber

[Baroness Pitkeathley (Lab) [V]]

My Lords, the Public Services Committee on which I sit, so ably chaired by my noble friend Lady Armstrong, published its first report, A Critical Juncture for Public Services: Lessons from Covid-19, in the autumn of last year. That juncture was about the importance of recognising the effects of the pandemic on communities as well as on public services. I will focus on two parts of those communities: the charity sector and unpaid carers.

Since the beginning of the pandemic, charities have faced a double whammy, with a huge increase in demand and a vast drop-off in their income, as charity shops, street collections and fundraising events stopped overnight and led to reduced donations by the public. On the plus side, there were huge innovations. Things which would have taken months were organised overnight and rigid rules became relaxed. Process was replaced by greater trust and collaboration. The intimate knowledge that voluntary organisations have of their clients and users suddenly became a thing of value, and charities report being consulted by local public services about the best way to provide those services. This acknowledgment of the special skills, knowledge and experience of local charities must not be allowed to retreat and slip back into the old meaning of consultation with the local voluntary sector. All too often that has meant post hoc consultation, telling the sector what it is to do once policies have been decided, instead of very early involvement. If the failure of track and trace means anything, it is surely that you must rely on local networks and local knowledge, rather than a top-down approach.

Across the United Kingdom, local community organisations, often working closely with local authorities and primary care providers, have recruited volunteers to support those who are vulnerable by organising food banks and helping in vaccination centres. This volunteering response to the pandemic has the potential to create a legacy that will make civil society stronger. Local authorities in the charitable sector want these good experiences to inform their relationships going forward, but this will need support by local authorities, which are so cash-strapped that many can fund only the very highest level of need and are unable to fund the vital preventive work and early warning systems at which charities are so good. Voluntary organisations are very good value, but they are not cost-free. They need support so that the public duty ethic can flourish, as we have seen it do during this last year.

When it comes to public duty, there is no better example than that of unpaid carers. Until the Government set out concrete measures for social care reform, the reality for millions of families is that they have no choice but to take on more and more care for their older or disabled relatives, costing them their livelihoods and relationships, and at the expense of their own physical and mental health. Unpaid carers could not be clearer that they are worn out and overwhelmed; 81% have been providing more care for relatives during the pandemic and 64% have been unable to take any breaks at all for more than a year. A huge majority have seen their loved ones’ health deteriorate.

Without the United Kingdom’s millions of unpaid carers, our health and social care systems would have collapsed in the last year. While the Government have committed to social care reform proposals being brought forward, we have been hearing this for far too long and further delays cannot be tolerated. We need to see detailed plans for reform which ensure that unpaid carers get the practical and financial support that they need to care.

The NHS White Paper failed to mention unpaid carers at all. Support for them must be a core part of the health Bill which we will be scrutinising over the next year. We must see a duty on the NHS to have regard to unpaid carers, to promote their health and well-being, and to ensure that they are identified, supported, and included across the NHS and social care. That is a goal to which everyone should be committed. Social care can work only if unpaid carers are visible, recognised and counted.

Finally, I remind the Minister that we are still waiting for the Government’s response to the consultation on carers’ leave and need to see, as soon as possible, concrete plans about how this will be taken forward.