Social Care Funding

Debate between Caroline Dinenage and Dan Poulter

Tuesday 1st October 2019 Westminster Hall

[Caroline Dinenage]

I will make some progress, if the hon. Gentleman does not mind.

As a result of our investment in social care, 65% of local authorities were able to increase home care provision in 2017-18. Local authorities have increased the average fee paid for older people’s home care by 4.7% in 2018-19, bringing some much-needed stability to the provider market. I am very pleased that the Care Quality Commission has rated 84.1% of social care settings as good or outstanding.

I am delighted to say that in our most recent spending round we announced further investment in adult social care. We will provide councils with access to an additional £1.5 billion for adult and children’s social care next year, including £1 billion in new grant funding over and above the £2.5 billion of existing social care grants. In the spending round, we confirmed that all the existing funding streams would be maintained next year—hard-wired into the Budget, if you like. The Government will also consult on a 2% adult social care precept that will enable councils to access a further £500 million. This increase in funding is part of the biggest increase since 2015 in overall core spending power for local government: it will increase by 4.3% in real terms next year.

The new funding from the spending round will support local authorities in meeting the rising demands that they face, while helping them to continue to stabilise the wider social care market. This additional funding is the first step towards putting adult social care on a fairer and more sustainable footing. We have already started preparing for the multi-year spending round due next year.

The challenges facing social care are not purely financial, as hon. Members across the parties, including my hon. Friends the Members for Central Suffolk and North Ipswich (Dr Poulter) and for Newton Abbot (Anne Marie Morris), have said. It is important to point that out, because stakeholders across the sector tell MPs: “Even if money were no object, we would not necessarily continue to provide this service in the current system.” The current system is not working in so many respects, and it is not working properly for some of our most vulnerable citizens, which is why we are continuing to support the system through a programme of sector-led improvements to help councils to make better use of funding to deliver high-quality personalised service, with more than £9.2 million committed by the Department in 2019-20.

We are also breaking down barriers to encourage much better integration of health and care, and we are looking at what more we can do to support the workforce and carers, as I have mentioned. In terms of integration, the better care fund has helped to enable much better co-operation between health and social care partners at a local level. It has also been instrumental in reducing delayed transfers of care, which has been mentioned: they have decreased by 2,147 since February 2017. We are looking at how we can use the fund to drive better integration.

My hon. Friend the Member for St Ives (Derek Thomas) spoke about bed vacancies and people stuck in hospitals. There is a lot more integration going on between care providers and health settings that are using those beds to provide the step-down care and discharge to assess that we want to see.

[Dr Poulter]

The better care fund and how it is applied on the ground locally varies across the country. Overall, the impact has been disappointing in terms of the ambition for that fund. I urge my hon. Friend to look at why there are two different commissioning systems for the NHS and social care. Unless we get that right, we are not going to drive improved integration or more personalised care.

[Caroline Dinenage]

My hon. Friend is right to say there were teething problems, but in the most recent reporting cycle, 93% of local areas agreed that joint working had improved as a result of the better care fund. We want to use it to drive much better integration and to look at how we undertake more joint commissioning in future.

We are committed to working alongside all partners in adult social care to attract and support a growing workforce with the right skills and the right values to deliver quality and compassionate care. Earlier this year, we launched the “Every Day Is Different” national adult social care recruitment campaign to raise the profile of the sector. We have secured a further £3.8 million for the next wave of that campaign, which will start later this month. We fund Skills for Care to support the sector in recruitment and retention.

Mental Capacity (Amendment) Bill [Lords]

Debate between Caroline Dinenage and Dan Poulter

3rd reading: House of Commons & Report stage: House of Commons
Tuesday 12th February 2019 Commons Chamber

[Caroline Dinenage]

I beg to move, That the Bill be now read the Third time.

Our liberty is the most fundamental of our human rights. By passing this Bill, we can be proud that we have helped to promote the human rights of our country’s most vulnerable people and increased access to protections for the 125,000 individuals who are being deprived of their liberty and are not receiving the safeguards they deserve. That means 125,000 people whose families do not have the peace of mind that their loved ones are being protected, and 125,000 care providers who do not have the requisite legal protection.

Members of both Houses have contributed to the discussions and debates on this Bill, for which I am extremely grateful. We have made changes in both Houses to ensure that the liberty protection safeguards system introduced by the Bill does everything possible to protect human rights—to give a voice to the person and those close to them—while also ensuring that the system is targeted and not cumbersome to people, their families and our health and care sector. I committed from the outset that we would collaborate on this Bill, listen and take on board all the ideas and feelings of stakeholders and Members from both Houses, and many of the amendments we have put forward today are exactly in that collaborative spirit.

[Dr Poulter]

I thank my hon. Friend for the conciliatory way in which she has gone about dealing with this Bill, engaging with colleagues on both sides of the Houses, and putting forward some good and sound amendments to get the Bill to a better place. However, on the issue of funding, which was raised during the debate earlier, if we are going to make social care legislation or legislation of this sort appropriate and have the right safeguards in place, we need local authorities to have a better funding settlement. Is that something she can take away and raise with the Secretary of State for Housing, Communities and Local Government?

[Caroline Dinenage]

My hon. Friend raises a very important point. I am grateful to him for all his feedback on this Bill, because it is very helpful to be able to speak to somebody from a medical background to understand how such a Bill will work in practice at the sharp end. We have given councils access to £10 billion over this three-year period, which just shows the scale of the issues we are facing in adult social care. The Green Paper that will be published shortly will go further in setting out the long-term sustainability of the sector.

As we have heard today, there is no question but that the current DoLS system is failing. In 2014, a House of Lords Committee identified the system as being complex and bureaucratic, and since then the situation has only got worse. An increased number of cases means that local authorities are unable to process all the applications. With more than 48,000 people now waiting over a year, we cannot risk people being subject to overly restrictive health and care practices. This new system will enable quicker access to safeguards, meaning that we can ensure less restrictive practices are being used.

The Government tasked the Law Commission with reviewing the DoLS system and recommending improvements. After more than three years of careful work and consultation, it published its report, which stated the urgent need for reform. That was followed by a report from the Joint Committee on Human Rights, which also recommended having a more targeted system by focusing resources on those who are the most vulnerable or those who have the most complex circumstances, and on cases where objections have been raised. Coupled with this, we have ensured robust safeguards in the system, including independent review and oversight, alongside access to representation and support.

I am grateful to all our partners who have worked with us on this Bill. The input of third sector groups, those who work in the health and care sector and of course those who receive safeguards themselves has all helped to shape our Bill for the better. The Law Commission was absolutely right when it said that DoLS needed to be replaced as a matter of urgency, and that is why we have brought this legislation forward now. We cannot continue with the current system. We are proud to bring forward the Law Commission’s recommendations in this Bill, and we are proud to reform the system and introduce a less bureaucratic, more personalised approach that will work better for people, their families and professionals. I commend this Bill to the House.

Statutory Sex and Relationships Education

Debate between Caroline Dinenage and Dan Poulter

Tuesday 31st January 2017 Westminster Hall

[Caroline Dinenage]

The input of parents on this subject is fundamentally important, as is the input of teachers and other professionals. The Government are fully committed to exploring all the options to improve the delivery of sex and relationships education and PSHE. We want to ensure the quality of delivery and the accessibility of teaching so that all children can be supported to develop and thrive in modern Britain.

[Dr Poulter]

On that point, I am sure the Minister is aware that many young people find it difficult to talk to their parents about these issues. There is good evidence to suggest that young people sometimes find it difficult to talk to austere parents with a strong religious background about such issues as homosexuality, particularly if they are coming out about their own homosexuality. I hope she will factor those issues in and feed them back to her colleague when he comes back from paternity leave.

[Caroline Dinenage]

That is why it is fundamentally important that we get it right. We have to proceed taking all views into consideration. The existing legislation requires that sex education be compulsory in all maintained secondary schools. Academies and free schools are also required by their funding agreement to teach a “broad and balanced curriculum”, and we encourage them to teach sex and relationships education within that. The Government believe that transparency and consultation between parents, teachers and pupils are vital in the effective delivery of SRE. When developing their SRE policy, all schools should consult pupils’ parents and make the policy available to parents on request and at no charge.

Parents have the right to withdraw their children from any parts of sex and relationships education except the aspects included in the statutory science curriculum at each of the key stages. Many schools choose to cover issues of consent within SRE, and schools are both able and encouraged to draw on guidance and specialist materials from external expert agencies. For example, Ofsted publishes case studies on its website that efficiently highlight effective practice in schools, including examples of SRE as taught within PSHE. We are actively encouraging schools to use the Ofsted case studies as a resource when they are tailoring their own programmes to meet the specific needs of their pupils. Members have spoken about the support available for teachers, and that is the support. In addition, in 2014 the PSHE Association, Brook and the Sex Education Forum produced a supplementary guidance document on sex and relationships education for the 21st century, which provides specific advice on what are unfortunately increasingly common risks to children in the modern world, such as online pornography, sexting and staying safe online. That very useful guidance provides teachers with the tools to support pupils on these challenging matters, developing their resilience and their ability to manage risk.

We are actively considering calls to update the guidance on SRE, which was issued back in 2000. Feedback we have received indicates that the guidance is clear, but we understand the argument that it is now 17 years old and needs to be updated, and we are exploring options for doing so. We are fully committed to improving the quality and accessibility of SRE and PSHE. Our intention is to follow a responsible and dynamic approach that engages a wide range of views, including those of parents, teachers and young people. We know that SRE is a developing and vital area of education and we need to do all that we can to ensure that our guidance is fit for purpose and can equip our children with the skills they need to be safe in modern British society.

More broadly, the Government have already shown an understanding of and initiative on the issues that are affecting children and young people today. The advent of social media and other online services has provided great opportunities for young people, but we are very aware that they can also compromise young people’s safety and expose them to a number of risks. The Government expect online industries to ensure that they have appropriate safeguards and processes in place, including access restrictions, for children and young people who use their services.

We have published a guide for parents and carers, which includes practical tips about the use of safety and privacy features on apps and platforms, as well as conversation prompts to help start conversations about online safety. We have also funded the UK Safer Internet Centre to develop new resources for schools, including guidance on understanding, preventing and responding to cyberbullying, and an online safety toolkit, to help schools deliver sessions about cyber-bullying, peer pressure and sexting.

The hon. Member for Rochdale (Simon Danczuk) spoke powerfully about his ex-wife’s experience of abuse in childhood. He might be interested to know that the Government Equalities Office and the Home Office jointly funded a £3.85 million campaign, which was the second phase of the “This is Abuse” campaign, called “Disrespect NoBody”. That ran until May last year and asked young people to rethink their understanding of abuse within relationships. It addressed all forms of relationship abuse, including controlling and coercive behaviour and situations, including in same-sex relationships. Some of it contained gender-neutral messaging; other elements depicted male victims and female perpetrators. It also had an online toolkit that provided advice, guidance and real case studies on issues around pornography, controlling behaviour, consent and rape. It was targeted at 12 to 18-year-old boys and girls, with the aim of preventing them from becoming either perpetrators or victims of abuse.

We welcomed the comprehensive report by the Women and Equalities Committee on sexual health and sexual violence in schools. I was privileged to be able to give evidence to the Committee. The report was published on 13 September last year and contained a number of recommendations, including proposals relating to SRE and PSHE.

I emphasise that we are unanimously in full agreement that sexual harassment and sexual violence in schools, in any form, is absolutely unacceptable and should not be tolerated. The Government’s aim is to ensure that our schools have the tools they need to deliver outstanding sex and relationships education that meets the needs of all pupils in our education system. As I have said, my hon. Friend the Minister for Vulnerable Children and Families has committed to update Parliament further during the passage of the Children and Social Work Bill. This is an important issue, and we are serious about the need to use any and all effective means to remove sexual harassment and sexual violence from the lives of young people, to equip them with the confidence to know what healthy relationships look like and to have respect for themselves and others, and to prepare them for the various challenges they might face in modern Britain.