Minister for Older People

Dan Poulter Excerpts

Thursday 28th June 2012 Commons Chamber

[Dr Daniel Poulter (Central Suffolk and North Ipswich) (Con)]

It is a pleasure to follow my hon. Friend the Member for Southend West (Mr Amess), who made a fantastic speech, highlighting the human challenges that many older people face and rightly arguing that people who have worked hard for our country deserve to be properly looked after in their retirement.

I pay tribute to my hon. Friend the Member for Portsmouth North (Penny Mordaunt) for initiating this debate. She was absolutely right to say that we need a more integrated approach to elderly care nationally and locally. She was also right to highlight the importance of housing as part of that integrated approach. I am somewhat reassured that this Government have already taken great strides in the right direction properly to support and recognise the needs of older people. I am somewhat more reassured than my hon. Friend about the Government’s plans to reform the upper House. I look forward to speaking in support of those plans in the debate that will take place shortly.

Before the general election, Age UK set an important test on the key challenges facing elderly care in this Parliament. It is worth highlighting what those challenges were and measuring what the Government have done to meet them. We can be greatly reassured that the Government are already well on the way to dealing with many of the issues older people face today.

First, Age UK set out the problem of forced retirement, which it said must be ended by scrapping the default retirement age. The Government have clearly done that in their first few months. Older people should be allowed to work while they are able to work. The default retirement age discriminated against the valuable contribution older people can make and continue to make to the workplace. This Government should be proud—I am proud to be part of them—of scrapping that discrimination against older people. Government Members can all be proud of that.

The second test set by Age UK was that radical reform of the care and support system should be taken forward as an urgent priority. I am pleased to note the consensual approach across the House today, which, wherever possible, is an important part of that. I am greatly encouraged by the fact that the Minister with responsibility for adult care and social care will respond later this year to the Dilnot commission’s funding proposals and assess how we can better look after older people and better integrate care at the local level so that we can provide greater dignity in elderly care. We have heard a lot today about abuses and indignities and about variability in the care system, which was brought home to us very effectively by the hon. Member for Bolton West (Julie Hilling). It is important that the Government continue to support older people and improve the social care system.

The third test that Age UK set for the incoming Government before the election was that they should prevent the current system from collapsing, and introduce proper safeguards that would guarantee joined-up, integrated care through health-related spending. The Government have already committed themselves to investing £3.8 billion in the NHS to provide the necessary integration between the NHS and social care. My hon. Friend the Member for Portsmouth North rightly said that more joined-up care was needed at a local level. Only if that additional £3.8 billion is filtered into local NHS providers—hospitals and primary care providers—will we be able to secure the joined-up, integrated care, involving adult social services and health care providers, that we need so badly in order to focus on preventive care for older people.

Age UK’s fourth challenge was that the commitment to link the basic state pension with earnings must be honoured by 2012, and pension payments must be increased over time as and when that became affordable. The Government have already achieved that as well. The triple lock on pensions will ensure that, for the first time, older people will receive a meaningful increase in the basic state pension every year. That will help them to meet the rising cost of living, especially in these difficult economic times. The commitment in this year’s Budget to increase the basic state pension to £140 a week is a commitment of which the Government can be proud, and we know that it will become a reality in the future.

The fifth and final test was that NHS resources must be redirected towards community health services that sustain a good quality of life by preventing and treating common health conditions. As I have said, the Government have made a clear commitment to invest £3.8 billion in the NHS to support interaction with local social care services, but, in addition, a major element of their health care reforms was the establishment of health and wellbeing boards. For the first time, primary care practitioners, secondary care clinicians, nurses, housing providers such as Anchor—all the key players who are so essential to providing that joined-up, integrated care for older people—will be brought together.

As has already been said today, it can no longer be considered acceptable for older people to fall and break their hips because of poor housing conditions and poor lighting in their homes, and for the NHS to have to deal with the consequences. The challenge must be to provide more integrated care and better preventive care, and we will do so by ensuring that all the key players work together properly. The establishment of local health and wellbeing boards was a step in the right direction towards the provision of the joined-up, integrated care that we want, which will save the NHS money, but, more important, will provide dignity in elderly care.

Already, two years into the current Parliament, the Government have passed all five of the tests set for them by Age UK. We look forward to the proposals for meaningful reform of the social care system and proper funding that the Government will present later in the year, but I am reassured that they are already making great strides in relation to elderly care. What they are doing for older people has already surpassed what has been done by many Governments in the past.

Although I consider the appointment of an older people’s Minister to be a laudable notion, I think that the Government are doing very well already.

--- Later in debate ---

[Liz Kendall]

I did say that social care budgets had been under increasing pressure for many years, but local councils are now facing cuts of a third in their overall budget. Adult social care is their biggest discretionary spend, so they face real challenges and are moving their criteria from modest to only substantial and critical need.

Preventive services have all but disappeared in many areas. Fewer older people get free care; more end up having to go into hospital, or are unnecessarily stuck in hospital or more expensive residential care. Charges are increasing across the country and vary hugely depending on where people live. It is not just older people who are suffering, but their families. Carers suffer ill health and some have to give up work because the right services are not available. There are costs to the taxpayer if they are not in work and contributing financially. There are also increased benefit bills.

The fundamental problem, and another reason why a Minister for older people is important, is that our welfare state was established in a very different age. In 1948, average life expectancy was 66 for men and 71 for women; now, it is more than 78 for men and 82 for women. Some health conditions that are now common amongst older people, such as dementia, were almost unknown back then, and many disabled children died at a young age. Social expectations were very different. Disabled adults had fewer rights, and people automatically assumed that women would stay at home to care for their families.

[Dr Poulter]

Will the hon. Lady give way?

[Liz Kendall]

I have a little more to get through, but I will take the hon. Gentleman’s intervention.

[Dr Poulter]

I am going to be supportive. The hon. Lady is making some good points. Does she agree that not only the welfare state was set up for a previous era, but also the NHS? It is a crisis-management system built around acute hospitals, and the challenge has to be to deliver more care in the community.

[Liz Kendall]

I thank the hon. Gentleman. I meant welfare state in its broadest sense, including the NHS. That is the big challenge for us. We have to make a fundamental shift in the focus of services—out of hospitals, into the community and towards prevention and early intervention to help keep people as fit and healthy as possible for as long as possible. Services need to be more joined up and personalised to meet individual needs.

The previous Government made big improvements. We backed integrated care, including care trusts such as the one I recently visited in Torbay, which has made huge progress. We invested £230 million in extra care housing projects, which have made a big difference in older people’s health and physical condition, and we introduced personal budgets and direct payments. I hope that this Government will build on many of those developments in their long awaited White Paper, but we shall not be able to tackle the care crisis unless we reform care funding.

Several Members have talked about the Dilnot commission, which represents the best opportunity in a generation to reform the way care is funded. It is an opportunity that politicians in all parties must grasp with both hands. We tried to get cross-party agreement on social care funding at the last election. We did not succeed, but we are determined to try again now. That is why my right hon. Friend the Leader of the Opposition initiated cross-party talks when Dilnot’s recommendations were published.

I am concerned about the fact that the Government have backtracked on their promise to legislate in this parliamentary Session for new legal and social frameworks for social care. The Queen’s Speech included only a draft Bill on reforming social care law. The Opposition want legislation on a new system for funding social care in this Parliament, and we are pressing for that in the cross-party talks, but that can only come about if there is commitment at the highest level—not just from a Minister or shadow Minister for older people, but from No. 10, No. 11 and other members of the Cabinet.

Our ageing population is something that we should celebrate. Older people make a huge contribution to their families and our society; I see that in my constituents’ lives, and in mine—as often as I get to see my parents. However, our society has barely begun to understand the implications of this vast demographic change. A Minister for older people would make a big difference, but it is incumbent on all politicians—local and national—across the spectrum to understand that we must work together to deliver a better, more dignified life for people, so that they can live a long, fulfilling life, and have more life to their years, as well as more years to their life.