Adult Social Care

Debate between Baroness Laing of Elderslie and Baroness Keeley

Wednesday 8th March 2023 Commons Chamber

[Barbara Keeley (Worsley and Eccles South) (Lab)]

I was not going to speak, but I have been drawn by some of the speeches that I have heard to add some comments, particularly on autistic people and people with learning disabilities and their care. One of the worst aspects of the chronic underfunding of adult social care is that it has led to a reliance on inappropriate in-patient care for autistic people and people with learning disabilities, 2,000 of whom are in that situation. The Government seem chronically unable to get that number down; there have been all kinds of targets to reduce it, but it has not happened.

That care is often expensive and far from home. The hon. Member for North Shropshire (Helen Morgan) told us about people in a care home far from their homes, but when the care is in in-patient units, it is often unsuitable. We know from scandals at units such as the Edenfield Centre, most recently, and Winterbourne View—there have been 10 years of scandals in those in-patient units—that they are frequently found to use restraint and seclusion as a punishment.

There have been inquiries and reports into the level of social care funding, such as that chaired by my hon. Friend the Member for Sheffield South East (Mr Betts), who made an excellent speech. The Health and Social Care Committee, of which I was a member, also looked into the issue and made recommendations. The squeeze on local authority funding means that local authorities feel that they have to put the bill on to the NHS—it becomes easier for a local authority to let the NHS pick up the bill for an autistic person or a person with learning disabilities.

Those placements can cost hundreds of thousands of pounds a year—up to £1 million. In one case that we have spent a lot of time talking about in the House, the NHS was funding a placement that cost £1 million a year. Clearly that makes no sense, because the money could go into housing or care for that person, but there does not seem to be any way to passport the money from the NHS, which is shelling it out every year, to the local authorities that would need it if they were to house and provide care for those people.

However, we had a solution years ago. When people were moved from long-term mental health institutions into the community, a dowry went with them from the NHS to the local authority. When I was the vice-chair of social services as a councillor, if we picked up somebody who had been in a long-term mental health institution to move them to the local authority, they came with a dowry that might be as much as £1 million. If a local authority were to buy a property or pay for care for a number of years, that system would work.

I urge the Minister to look at the recommendations made by the Health and Social Care Committee when we looked at this, but also to take account of what the hon. Member for North Shropshire said about how we cannot leave this in an unsatisfactory and precarious situation. It is good that some solution was found in the case she mentioned, but too often people end up in in-patient care and then will be there for the rest of their lives. There are people in these institutions who have been there 10, 20, 25 or 30 years, and it is tragic, because once someone has spent that long in an institution, it is very difficult to find a way back to the community. I wanted to mention that because it has been raised in the debate.

I want to mention one other thing. The right hon. Member for Ashford (Damian Green) and the hon. Member for North Devon (Selaine Saxby) talked about support and recognition for carers, and they are right to do so. We should all think about how we support unpaid carers. However, I want to say that I think the thing that is missing is that we do not have a proper national carers strategy. The last national carers strategy we had in this country was under the last Labour Government, and it came out in 2008. That would solve the problem, which my hon. Friend the Member for Sheffield South East talked about, of there being no respite care breaks for carers. That national carers strategy had a commitment of £255 million specifically to support carers, including £150 million for respite care breaks. We now find that there is no money we can identify or point to that is specifically for respite care breaks. Given the squeeze on local authority funding, it just does not happen.

What this Government have had is a carers action plan, which is a weak document. The last one, which covered 2018 to 2020, had no funding commitments and was very short of ambition. I know that carers organisations very much campaign for us to go back to having a national carers strategy, which in the case of the Labour Government had the commitment of the Prime Minister and each of the Secretaries of State responsible for services used by carers. I think the key thing, as we have heard in this debate—I really stress this point—is that we have to go back to having some money that is kept separately for respite care breaks for carers, otherwise they will be pushed and pushed, and they will not get the support they need.

I just wanted to speak on those two points, Madam Deputy Speaker, and I join everyone else in saying what a pleasure it is to see you back in your place.

[Madam Deputy Speaker (Dame Eleanor Laing)]

Thank you. I call the shadow Minister.

Health and Social Care Update

Debate between Baroness Laing of Elderslie and Baroness Keeley

Thursday 22nd September 2022 Commons Chamber

[Madam Deputy Speaker (Dame Eleanor Laing)]

Order. I was about to draw matters to a close, it being 17 minutes past 2, but I appreciate that those on the Opposition Front Bench might point out that the people for the next debate are not yet present. Therefore, I will extend the statement for a very short while, but I should note that it is not very good practice not to be here.

[Barbara Keeley (Worsley and Eccles South) (Lab)]

As one exasperated constituent put it, having not been able to get a GP appointment,

“It seems there are too many patients and not enough doctors and this has gotten worse over the last few years.”

My constituents can grasp the workforce issue, but it seems that the Secretary of State cannot. I agree with my hon. Friend the Member for Wirral South (Alison McGovern) that it is deeply worrying that the new Secretary of State did not mention the pay of care staff, when that is the crucial issue if we are to tackle the 160,000 vacancies in the care sector. Will the Secretary of State tell me why the Government are choosing not to tackle the shortage of doctors, nurses and care staff, which is leading to such long wait times for my constituents?

Ukraine Update

Debate between Baroness Laing of Elderslie and Baroness Keeley

Wednesday 9th March 2022 Commons Chamber

[Madam Deputy Speaker (Dame Eleanor Laing)]

I will protect the Secretary of State from the temptation to stray outwith his own territory.

[Barbara Keeley (Worsley and Eccles South) (Lab)]

I, too, give my thanks to the Defence Secretary for his work and that of his team and for his compassion. I am afraid that I am going to raise another visa issue with him. My constituent is trying to get his young niece to the UK after she fled her home in Ukraine. After endless bureaucratic checks and delays, they have been told today that she has to travel nearly 300 km across Poland to get the decision on her visa. The Defence Secretary will understand that refugees such as my constituent’s niece have already made long and challenging journeys from Ukraine to Poland and now have to make more journeys just to get the decision. My constituent calls the Government’s approach to people fleeing the war in Ukraine “inhumane”. Given the meeting on the visa process that the Secretary of State mentioned, can he press on the Home Secretary the need to offer a compassionate and human response to refugees fleeing the war in Ukraine?

[Mr Wallace]

I do not want to run the risk of making you angry, Madam Deputy Speaker, so I will say that I would be delighted to pass that case to my Parliamentary Private Secretary and press the Home Office to resolve it. If I indulge myself here, Madam Deputy Speaker will rule me out of order, because this is a question about the Ukraine situation through Defence.

Points of Order

Debate between Baroness Laing of Elderslie and Baroness Keeley

Wednesday 1st December 2021 Commons Chamber

[Madam Deputy Speaker]

I thank the hon. Gentleman for his point of order. Once again, it is wrong that questions have been asked and they have not been answered within a reasonable time. Of course, the Chair is not responsible for the content of Ministers’ answers but, again, I suggest two courses of action to him. One is to draw the matter to the attention of the Procedure Committee—I have a bit of a feeling it is going to be busy in this respect because I think this is the sixth point of order of this kind that I have taken in the past few days and I am sure my colleagues have taken more. He also, of course, has the option of consulting the Table Office about ways in which he can bring Ministers to the Chamber to answer the questions. His point is made and I am sure it will have been noted.

[Barbara Keeley (Worsley and Eccles South) (Lab)]

On a point of order, Madam Deputy Speaker. I want to correct the record. The Minister for Care and Mental Health, who has now left her place after the statement, persistently said that there was no White Paper from the Labour Government in 2010. That is patently not true. Our March 2010 White Paper “Building the National Care Service” came out just a few months before the general election. We can send her a copy—I will find one—but it is not accurate to say, when we are talking about these important things, that the Labour Government did not have a plan for social care because we did and it was an excellent plan.

[Madam Deputy Speaker]

I thank the hon. Lady for her point of order, which, as she knows, is a point of debate. She says that the Minister was wrong in her answer and the Minister thinks she was right in the answer. I am so happy to tell the House that it is not for me to decide who was right or who was wrong, although in this case it does seem that the facts speak for themselves.

Fire Safety Bill

Debate between Baroness Laing of Elderslie and Baroness Keeley

2nd reading & 2nd reading: House of Commons
Wednesday 29th April 2020 Commons Chamber

[Barbara Keeley (Worsley and Eccles South) (Lab) [V]]

I want to begin by welcoming this long-overdue Bill. We all know what the consequences can be—[Inaudible.] Nobody here will ever forget the tragedy of Grenfell Tower, but only last autumn a block of student accommodation called The Cube, just over the border from my constituency in Bolton, caught fire. There were no casualties that time, but—[Inaudible.]

[Madam Deputy Speaker (Dame Eleanor Laing)]

Order. I have to interrupt the hon. Lady because the sound quality is not very good. Let us try again for a few seconds, and if it does not improve, we will leave the hon. Lady and come back to her later.

[Barbara Keeley]

Thank you, Madam Deputy Speaker. Although this Bill is overdue, it does not guarantee action immediately. I understand that the current crisis makes it difficult—[Inaudible.]

[Madam Deputy Speaker]

Order. I am very sorry, but I have to interrupt the hon. Lady again. Those in the Chamber, and presumably those listening in other ways, cannot make out what she is saying, so we will interrupt her speech for the moment and hopefully come back to her shortly.

I am glad to see that in the Chamber we have, without any sound difficulties, Meg Hillier.