NHS: Targets

Baroness Wilcox of Newport Excerpts

Thursday 6th February 2020 Lords Chamber

[Baroness Wilcox of Newport (Lab) (Maiden Speech)]

My Lords, to begin at the beginning, I thank the doorkeepers who have guided me more than once along different corridors, parliamentary staff who supported my induction, my party colleagues and the Front-Bench team who patiently explained the rules and regulations of this House. I have been shown great kindness and I appreciate the privilege that it is to be here. My parents are no longer here to share this day, but I have a wonderful partner who has always made sure that our life together over 30 years has allowed me the freedom to pursue a political career, which is not always conducive to family life. I will always be grateful to her for her love and support.

A girl from the Rhondda, I attended the Central School of Speech and Drama and then had a teaching career in London and south Wales that lasted almost 35 years. I was an elected member of Newport City Council from 2004, the first woman to lead that council and subsequently the first woman to lead the Welsh Local Government Association. I am immensely proud of the work of local government, running public services day in and day out despite all the difficulties, and working in such ventures as city deals. I now look forward to the future of the ground-breaking collaboration across both countries and both Governments, with the innovative Western Gateway project that stretches from Swindon in the east to Swansea in the west, bringing breadth and depth to the model of economic growth.

I thank my noble friends Lord Hain and Lady Morgan of Ely for supporting me through my introduction on 4 November, the day that marked the 180th anniversary of the Newport Rising at the Westgate Hotel. We owe the Chartists an enormous group debt of gratitude for their immense bravery and sacrifice in fighting for the vote for ordinary people. I was keen to have my introduction on that day and to remember that Newport is indeed the UK’s city of democracy.

I am pleased to make my first contribution to the House on the NHS. Wales is the inspirational source for this great institution and I feel entirely comfortable offering personal reflections. But I intend to do this through the prism of well-being and, in particular, as the former leader of Newport City Council, I will concentrate on the crucial impact of social care. Noble Lords will know that the additional NHS funding will be wasted if we do not deal with the continuing and growing problem of social care. I am from that tradition of socialism that seeks workable answers to people’s problems. Social care has been subject to a plethora of reports, commissions and solutions. The promised government Green Paper was postponed at least six times and Simon Bottery, a senior fellow at the King’s Fund, has described it as the

“zombie of modern policy debate, stumbling unsteadily around in circles.”

All Governments of various hues and all political parties have failed our communities on this issue. If we are to solve the problem of what amounts to the most pernicious means test in the welfare state, a new political consensus is required. Genuine attempts by recent political leaders of all hues to do something different blew up in the face of blunt political onslaughts.

The Prime Minister announced in his first speech last August that

“we will fix the crisis in social care once and for all with a clear plan we have prepared to give every older person the dignity and security they deserve”.

A fully worked-up plan is desperately needed, not another rough draft. No one doubts the difficulty of delivering a solution. Contextually, those in local government have had to deal with a decade of austerity. I can testify to the day-to-day grind of trying to protect the public realm—which libraries and leisure centres do I cut to protect the looked-after children’s budgets? Can we afford to maintain those CCTV cameras and at the same time sustain direct payments for disabled adults and young people?

In Wales, our Welsh Government and Welsh councils resolved to protect social care. We put in place the Social Services and Well-being (Wales) Act 2014 with all attention aimed at supporting those who rightly desire independent living. Furthermore, in Wales, no one who is eligible for care at home is expected to pay more than £90 a week towards it. But I am not claiming that we have solved the problem. Huge efforts are under way to find new funding models, including a common social insurance scheme. A report by the economist Gerry Holtham is looking at an emerging preference from that work for a simpler social care tax in Wales to pay for social care. Indeed, the idea that there is a magic solution that does not involve paying more tax is disingenuous. In a statement to the Assembly just this week, the Health Minister told Assembly Members that the cost of care is expected to grow between £30 million and £300 million by 2023. If the Government seriously want to improve the quality and reach of care, it will require more funding. If Members say they do not want to raise more taxes, they have to identify where the money will come from. Raising money from elsewhere will target other areas for cuts. After a decade of austerity, there is little more that public services can absorb.

Our responsibility as politicians is to tell the truth on this. My plea is simple: let us work together to find a solution. It will not happen overnight and it will cost billions, but it is the greatest political imperative we face since the founding of the NHS over 70 years ago. More delay or failure is not an option for those who need that care.