Social Care Reform

Duncan Baker Excerpts

Thursday 18th March 2021 Westminster Hall

[Duncan Baker (North Norfolk) (Con) [V]]

It is a pleasure to speak under your chairmanship, Dr Huq.

I am glad we are having the debate and thank both the hon. Member for Worsley and Eccles South (Barbara Keeley) and my right hon. Friend the Member for South West Surrey (Jeremy Hunt) for securing it. Simply, this is one of the most important parliamentary reforms in recent years. If we can do one thing in administration before the next general election that would mean more to my constituents, it would be how we reform the social care sector, fund it properly and meet the needs of our ever-increasing older population.

People might expect me to say that, given that I am the MP for North Norfolk, a constituency with the oldest demographics in the country, but my interest is deeper than that. There can be no one who has not been touched in recent times by having a friend or relative cared for in later life. I certainly have, when my aunt gave up literally everything to care for my grandmother. Throughout the pandemic, I have wanted to raise the profile of our social care workforce and our carers—one could call it a crusade—to get hundreds of carers and unpaid carers vaccinated in Norfolk. So many are just unidentified, despite the incredible work they do and the weight they lift off the NHS.

This is a huge topic, but I will deal with just two broad areas: first, how we fund the reforms, and secondly, how we shift the perception of our social care workforce, so that we can value and perceive the workforce as the care professionals they are. Funding is a deeply complex problem where care settings vary hugely, whether that be public or private care home settings for older people, or settings for those with complex needs. Every area needs a proper footing for funding.

I asked the Prime Minister at Prime Minister’s questions on 13 January about a long-term plan for social care—one that matches the NHS. I am pleased to hear that that is coming forward, but care is often misunderstood. We often perceive that it is just for older citizens, but it is not. Half of all social care expenditure is on working-age adults, and an estimated 1.5 million people work in adult social care across England. In Norfolk alone, there are 27,000 professionals in the sector.

The pandemic has taught us who is best at delivering those services, and I still think that that is local providers, such as through our county councils. They know the families and the individuals on the ground, they know their needs and how best to support people, but they need the funding to properly do that. I know that will be difficult, given the economic shock we are dealing with, but we cannot raise this topic without dealing with the secondary issue of the professional workforce themselves.

If we go and talk to any carer, they will tell us that they are not given the high esteem or value that they should be. That is not good enough in the 21st century. Wages, status and training should be more comparable with those of nurses if we are to properly reform the care sector and look after the growing needs of our country. How else will we be able to recruit the estimated shortfall of 120,000 carers?

Hon. Members might think that is a pipe dream, but why should it be? Twenty years ago, nurses were not esteemed as they currently are, but now it is a degree-level qualification and they are paid far better. Why should not caring be esteemed in the same way? The professionalism and skills required to care for someone with dementia or deliver end-of-life palliative care include patience like no other.