Adult Social Care in Shropshire: Government Funding

Caroline Dinenage Excerpts

Wednesday 22nd January 2020 Westminster Hall

[The Minister for Care (Caroline Dinenage)]

It is a great pleasure to serve under your chairmanship, Mr Stringer. I congratulate my hon. Friend the Member for Shrewsbury and Atcham (Daniel Kawczynski) on securing this important debate on the funding of adult social care in Shropshire. He is a strong and consistent champion for both his county and his constituency on a range of issues but, particularly today on the subject of adult social care. As he mentioned, he and his colleagues hunt as a pack; they work very effectively together, and I am pleased to see him joined by his colleagues. I do not know what the collective noun is for a group of Shropshire MPs, but it is clearly something very robust and effective. I am pleased to see them all here, and grateful for all the points they have raised.

Clearly, adult social care is one of the biggest challenges we face as a country, but it is not just our country that faces it; it is a global issue. How do we face the challenges of an ageing population? We have to preface this by saying it is not a bad thing that people are living longer; we should be celebrating that. This is not doom and gloom, but we need to make sure that we are equipped to support people in later life. People are also living longer with much more complex conditions. Over half of local authority budgets are spent on working-age adults; although that cohort includes a lower number of people, it is also more expensive, and we need to make sure that we are looking after those people sufficiently as well and supporting local authorities to do so properly.

Successive Governments have wrestled with the challenges of how to deal with the issues caused by an ageing population and of adult social care. Frankly, they have all then put those challenges in the “too difficult” pile, because the solution is very difficult and potentially very expensive. Unfortunately, the sand has run through the hourglass and we no longer have the luxury of being able to put those issues aside; we now have to face the challenges of an ageing population and of adult social care head on. That is why the Prime Minister, on the steps of Downing Street on his very first day, committed to tackle them. We will therefore set out much more on this issue in due course.

My hon. Friend is absolutely right to highlight the fact that by 2040, one in four people in the UK will be aged 65 or over. However, it is important to remember that this is not just about older people, as the number of those aged below 65 who access long-term support is growing year on year. Central to all our thinking are all those magnificent adult social care professionals, the social care workers, social workers and nurses, as well as the army of unpaid carers—loved ones, friends and family—who do so much in Shropshire and the whole country to look after their loved ones.

[Daniel Kawczynski]

The Minister has just reminded me of one thing. Of course, we should pay tribute to the millions of citizens out there who are carers and who look after their elderly relatives in a voluntary capacity, as we looked after my beloved grandfather in the latter stages of his life. It is very important to acknowledge what they do. It is true, is it not, that the way in which a country treats its senior citizens is an indicator of what sort of society and culture prevails in that country?

[Caroline Dinenage]

That is absolutely right. It is because of the army of paid and unpaid carers that my hon. Friend mentioned that there are many reasons to be positive about the care people receive in Shropshire.

As of 1 January, 86.5% of care home beds in Shropshire were rated good or outstanding by the Care Quality Commission, which is much better than the national average, and 90.3% of care home agencies in Shropshire are good or outstanding. Moreover, in the 2018-19 adult social care survey of users, more than 90% of people receiving care in the county reported that they were satisfied with the care and support that they received. However, we know that there is still a long way to go.

My right hon. Friend the Member for Ludlow (Philip Dunne) spoke about how Shropshire leads the way in technology. If we are to face the challenges of adult social care and tackle what might be regarded as a crisis, we need to look at not just funding but harnessing all modern technology. We need to look at the workforce, and at modern models of care and methods of housing to make sure that we are harnessing the best in all those areas. He was a fantastic Health Minister and a brilliant co-chair of the all-party group on adult social care.

Last autumn, the most recent spending round announced further investment in social care for 2020-21. That will give councils access to an additional £1.5 billion for adult and children’s social care, which includes an additional £1 billion of funding and a proposed 2% council tax precept that will enable councils to access a further £500 million specifically for adult social care. The £1.5 billion is over and above the existing £2.5 billion of social care grants that were rolled over in the spending review and is part of the biggest increase in overall core spending power for local government since 2015—an increase of 4.4% in real terms in 2020-21. A key stakeholder, the Local Government Association, said that it was delighted that the spending round

“has delivered a funding package of more than £3.5 billion for our vital local services...This is the biggest year-on-year real terms increase in spending power for local government in a decade”.

For Shropshire, the settlement puts considerable new resources into social care. It will receive an additional £7.9 million in funding from the new social care grant and £11.5 million through the improved better care fund, which will drive the integration to stop pressure being put on acute health services. Shropshire will also have the opportunity to raise an additional £15.1 million through the dedicated adult social care precept. That additional funding is an important step towards putting adult social care on a fairer and more sustainable footing. We recognise that it is important for local authorities to have security, predictability and certainty about future funding for social care, which is why the funding beyond 2020-21 will be set out at the next spending review.

On Shropshire Council’s wider funding, my hon. Friend the Member for Shrewsbury and Atcham set out beautifully the challenges facing local councils up and down the country. All Government Departments and local authorities had to make tough decisions to deal with the parlous finances and extremely high borrowing that we inherited from the last Labour Government. He is right to say that that put huge pressure on local authorities, which were also trying not to put up council tax to deal with the problem. That is why the Government are committed to undertaking a review of the relative needs and resources.

The review will consider the drivers of local authorities’ needs, the resources available to them to fund services, and how to account for them in a way that draws a more transparent and understandable link between local circumstances and local authority funding. In the my hon. Friend’s area, for example, the rurality and the relative size of the ageing population would have to be taken into account. The Government are working closely with local government representatives and others to examine all elements of the review, including adult social care. The aim is to share the emerging results with the sector shortly, followed by a full consultation in the spring. I hope that he will find good news for Shropshire Council in that.

I finish by assuring my hon. Friend that my Department and the Government are by no means complacent. Fixing the issues with adult social care is a huge priority for us. As the Prime Minister said, the Government will deliver on their promises and bring forward a plan for social care this year. There are complex questions to address, but we have been clear on two things: everybody will have dignity and security, and nobody will be forced to sell their home to pay for their care.

Question put and agreed to.