Social Care Funding

Debate between Fiona Bruce and Sarah Newton

Thursday 10th November 2011 Westminster Hall

[Sarah Newton]

I am sure that that is right. It is certainly a point that the Dilnot commission and people who have responded to it have made. They are very supportive of the Government’s plans to integrate social care with the health service.

It is a major worry for most families that they cannot protect themselves against the very high costs of care. As my hon. Friend the Member for Montgomeryshire (Glyn Davies) pointed out, looking after people with dementia can involve very considerable costs. However, the availability and choice of financial products to support people in meeting care costs is limited.

[Fiona Bruce (Congleton) (Con)]

Does my hon. Friend agree that one of the highest priorities for the allocation of funds should be to support those families who care for elderly relatives at home? They often make great sacrifices and incur great costs. We must ensure that we give them the recognition and appreciation that they deserve, and one way in which we can tangibly do that is by ensuring that they have clear access to support from funds. Often, a very small amount of funding can make a big difference to those families and can ensure that they are able to continue caring for their relatives in their own homes for much longer. Should we not be treating that as a priority?

--- Later in debate ---

[Sarah Newton]

I agree. My hon. Friend makes that important point extremely well. Local authorities and the NHS have had a silo mentality on commissioning. Undoubtedly, funds that could have driven up the quality and choice of care to support people have been wasted. I hope that the reforms that the Government are setting in train will overcome those issues. When the health and well-being boards come into play, if they link up properly all the providers in a community and set the agenda for commissioning services to improve health outcomes, they could have a powerful impact and achieve some of the things that my hon. Friend has highlighted.

In this debate, when we are talking about the budgets of the NHS and of local authorities, we must never forget that it is families who care for their grown-up children with disabilities or for elderly family members. Informal carers provide more support than any Government could ever afford to pay for. The most recent research from the charity, Carers UK, estimates that there are more than 6 million carers in the UK. The care and support that they provide to help people remain safely in their own home are valued at a staggering £119 billion per year, which is far more than the annual cost of all aspects of the NHS. Support to carers must be central to the future provision of services. It is informal carers, families and, in the majority of cases, women who worry most about cuts to services that enable them to help and care for their elderly and young family members.

Who pays for care is just one of the questions that the Government’s reforms of social care must address. There are issues of quality and regulation of services, training and pay for those working in this sector, as well as choice. The Government’s reforms need to look at finding solutions that work for different generations. Young people who will be saving for their old age and auto-enrolled into pension schemes could be incentivised to make an additional contribution each month to an insurance policy that will pay for their care later in life should they need it. The package of reforms developed by the commission has been welcomed by the financial services industry, which sees opportunities to develop new products to enable people to pay for their contributions towards the costs of their care.

The Dilnot commission’s package of reforms to support families in their caring responsibilities will require an extra £1.7 billion a year—a figure that will rise with an ageing population. Whether or not the commission’s reforms are implemented in part or in entirety, it is clear that more money needs to be found for social care and NHS integration. While I do not underestimate—I am sure none of my colleagues in the Chamber do—how difficult it will be to find that sum during this Parliament, constructive ideas have been given to the Treasury on how that spending commitment could be achieved without increasing taxation or borrowing more money. Consideration should also be given to removing the upper age limit on national insurance contributions, which could raise £3 billion a year, and to further reform to pension tax relief for higher-rate taxpayers.

[Fiona Bruce]

Should consideration not be given to reviewing the planning regulations when families seek to build extensions to their homes? There are far too few multi-generational homes in this country, yet there are some pedantic planning regulations to which local authorities strictly adhere without recognising the wider value to the community that such extensions can bring.

[Sarah Newton]

That is a good point and it should definitely be considered by those responsible for reforming planning policies.

We all have an important role to play in building momentum for change, contributing constructive proposals and trying to build consensus for vital change. I hope that this debate provides the Minister with a welcome opportunity to hear the concerns and constructive ideas of hon. Members from all parts of the House as he develops his White Paper.

I was particularly pleased when the Backbench Business Committee allotted me this date for my debate. It is the eve of Armistice day, when we remember all those who have served their country and made the ultimate sacrifice. As there are so few survivors remaining from the first world war, our thoughts and prayers naturally turn to those who are serving in conflicts around the world, particularly in Afghanistan. Many of us will also be thinking of the survivors of the second world war. There are some 11.7 million people living in England today who survived the second world war, and they make up 22.5% of the population. We owe a great debt to that generation for our freedom and for the way of life that we enjoy today. Rationing ended in the 1950s, so that generation really understands what an age of austerity means. For those of us who were born after the war, it is our turn to show not only our respect for them but that we have not forgotten their sacrifice. We must take care of them as they grow older.

Over the 50 years in which we have enjoyed peace in most of Europe and a growth in prosperity, we have singularly failed to make preparations for the care of that generation. The welfare state was a great post-war legacy. However, there are gaps in funding in the main provisions—the NHS and pensions—as increases in life expectancy have been consistently underestimated. It is essential that we make lasting reforms to the welfare state so that it can deliver on the promise made to the generation that created it.

Disadvantaged Children

Debate between Fiona Bruce and Sarah Newton

Thursday 20th January 2011 Commons Chamber

[Fiona Bruce (Congleton) (Con)]

Hon. Members have highlighted the importance of ensuring that we improve the life chances of children growing up in underprivileged circumstances. This is a timely and important debate, and I am glad to be able to contribute.

I shall highlight two issues. First, we should recognise, encourage and support the good work that already takes place in local communities to help parents nurture and care for their children. Secondly, we should recognise the importance of stable parental relationships in the life of a child.

Whatever people say about our society today, I know from the immense amount of community work in my constituency that there is really good work out there. Home-Start East Cheshire, part of the Home-Start network that has already been mentioned, is one such excellent example. Volunteer youth workers do detached work on the streets and on deprived estates; grandparents care for grandchildren so that parents can hold down one or even two jobs; and women organise mums and tots groups at the local churches to provide mums—and dads—with a morning’s precious breather and a chat.

I recognise, however, that the level of volunteering is lower in deprived areas, and we should seek to address that important challenge.

[Sarah Newton (Truro and Falmouth) (Con)]

My hon. Friend makes an excellent point about the importance of voluntary organisations and their work to support disadvantaged families. Does she agree that the Government need to tackle urgently the problems with the Criminal Records Bureau checks that need to be made before people can volunteer? Would it not be a good idea if, for example in my constituency, we had a Cornwall volunteers card, with an annual check? People who volunteer—often for several groups in their community—could have an annual check and be enabled and supported in their volunteering.

[Fiona Bruce]

I do so agree. In fact, that was the subject of my very first question in the House, some months ago, and I look forward eagerly to hearing the Government’s response to the idea of such a scheme being put into action. I thank my hon. Friend for raising it again; that is a timely reminder.

As the mother of two teenage boys with the benefit of a supportive wider family, I want to promote and encourage the role of parents and grandparents in helping children to grow up to be all that they can be. In the report by the right hon. Member for Birkenhead (Mr Field), I welcome his statement:

“We imperil the country’s future if we forget that it is the aspirations and actions of parents which are critical to how well their children prosper.”

He is absolutely right. Children flourish with support and encouragement from the care giver or care givers with whom they have, ideally, a long-term, stable and loving relationship. So do parents.

If parents never had continuing close care and nurture as they grew up, or the example and experience in their lives of caring parents, how difficult it must be for them to be good parents themselves. We have to address that key issue. How can we break the inter-generational cycle of poverty in families where parents themselves have not had a good parenting model?