Covid-19: Impact on Social Work

Gillian Keegan Excerpts

Wednesday 23rd March 2022 Westminster Hall

[The Minister for Care and Mental Health (Gillian Keegan)]

It is a pleasure to serve under your chairmanship, Mr Robertson. I thank the hon. Member for Lancaster and Fleetwood (Cat Smith) for securing the debate so close to World Social Work Day, and for using her excellent speech to highlight the excellent and varied work that social workers do day in, day out. I had the pleasure of attending the world social worker of the year award ceremony, which was held here in Parliament on World Social Work Day. I know that many Members from both sides of the House enjoyed going along, meeting their local nominees and celebrating the fantastic work of social workers, as well as congratulating the winners of the awards.

Social work is a highly valued vocational profession and we thank all social workers for their important work to support those who are hardest hit, especially during the pandemic when we really relied on their support. Social workers provide a critical model of practice for the health and social care sector. They undertake relationship-based engagement with individuals, their families and communities, and combine emotional support with practical help at a time of great need. Their strengths-based personalised approach in understanding what matters enables them to shape people’s care and support so that they can have the best possible lives. I pay tribute to them all, including the hon. Lady’s father, who obviously contributed to changing many lives during his career.

Importantly, social workers work across agencies and connect people to the resources and the services that they need. They span the boundaries of our health and care workforce, ensuring that people’s human rights are protected and that the individual’s choice and control of their care and support is respected at all times. The pandemic has taught us that co-operation and collaboration across the health and care sectors are absolutely critical, and social workers are central to embedding that way of working. They co-ordinate health and care planning and make vital links to ensure that people with care and support needs do not slip through the gaps in provision.

We have never needed the expertise and insights of social workers more than we do now. As we emerge from the pandemic—into fresh anxieties and tragedies born from the war of Ukraine, the cost of living crisis and other things that we will have to deal with—we will turn to the social work profession for advice, guidance, leadership and support. Covid-19 had a significant impact on health and social care services, including social work, and the response of our workforce was one of dedication and commitment to the people whom they support. Those were unprecedented and challenging circumstances and we stand by the entire workforce and thank them for their vital work to make a difference to people’s lives.

Our focus has always been on ensuring that the adult social care sector has the resources that it needs to respond to covid-19. Throughout the pandemic, we have made available more than £2.9 billion in specific covid support funding for adult social care, including £1.81 billion for infection prevention and control, £523 million for testing, and £583 million for workforce capacity—recruitment and retention—as we know that there are shortages across the sector.

The infection control and testing fund and the workforce recruitment and retention fund supported the care sector to prevent the transmission of covid and to support local authorities in working with providers to boost staffing and support existing care workers until 31 March of this year. Some of that funding helped to enable local authorities to provide continuous support to those in need of social care, including by delivering social work appointments virtually, as well as in person where it was appropriate and safe to do so.

Social workers went above and beyond during the pandemic and they deserve huge thanks for their tireless work. That is why continuing to help social workers manage their mental health and wellbeing remains a priority for the Government. We are determined that everyone working in social care should feel they have someone to talk to or somewhere to turn when they find things difficult. As many hon. Members have said, they deal with the most complex and difficult cases. We are committed to supporting social workers to recover from their extraordinary role in helping our country through the pandemic. We will deliver a listening service to help relieve immediate pressures, as well as talking therapies and coaching sessions for those with more intensive needs.

The chief social worker for adults, Lyn Romeo, has implemented a range of measures during the pandemic, including partnering with Tavistock and Portman NHS Foundation Trust to issue guidance to support the wellbeing of adult social workers and social care professionals. She meets regularly with the principal social workers in each local authority and NHS trust, advising and supporting them on practice and workforce support for their staff during the pandemic.

We have invested in increasing the number of social workers completing their approved mental health professional qualification for local authorities to increase their capacity in responding to the needs of people with mental ill health. An additional 228 social workers will be supported to complete their training. Social workers have been supported to improve their knowledge and skills in working with people with learning disabilities and autism.

My hon. Friend the Member for Ruislip, Northwood and Pinner (David Simmonds) mentioned the vital work that social workers do to support people with learning disabilities. The chief social worker for adults commissioned the British Association of Social Workers to develop a capability statement for social workers working with adults with a learning disability in 2019. That supports best practice in this important area, especially considering the impact of the pandemic on those with learning disabilities and/or autism.

As well as our focus on wellbeing, we know the importance of building and strengthening our social care workforce. A number of hon. Members mentioned that it is vital to strengthen the social care workforce so that we can meet demand now and in the future. It is encouraging to note that the number of child and family social workers in the workforce is increasing every year, up from 28,500 in 2017 to 32,500 in 2021. That is 2% more than in 2020 and 14% more than in 2017.

The hon. Member for Strangford (Jim Shannon) rightly focused on recruitment and strengthening the workforce. The Government invest over £130 million a year on recruiting, training and developing social workers to ensure the social care workforce has the values, capacity, skills and knowledge to perform its roles. This includes investments in bursaries for undergraduate and postgraduate social work degrees. A new and very popular addition, which I am very proud of, because I worked on it in my last role, is degree apprenticeships.

We have education support grants to support practice placements in organisations delivering social work services. That is vital to build that experience that was mentioned by the hon. Member for Strangford and the hon. Member for Glasgow East (David Linden). We also have a range of postgraduate fast-track training programmes for those wanting to work in children and family social work or mental health social work. Our attention is not just on training our social workers of the future; we also invest a significant amount in leadership and development programmes for qualified social workers. That includes leadership programmes for social workers and the assessed and supported year in employment for newly qualified social workers. That provides high-quality support for every newly qualified social worker by sharing best practice and quality-assuring provision.

We have announced record investment in developing the social care workforce. In our recent White Paper, “People at the Heart of Care”, we set out our workforce development strategy and plans for the investment of £500 million over the next three years. I am sure we will be discussing that many times as we develop those plans. The investment will help us to realise our vision for a workforce of people experiencing rewarding careers with opportunities to develop and progress in the future. That includes a focus on how we can develop new training routes for people who want to become social workers.

We will also work with the adult social care sector, including providers and the workforce, to co-develop a universal knowledge and skills framework and careers structure. As well as supporting the development of our care workforce, we will help those wanting to progress into regulated professions such as social work. I am also delighted that the number of people taking part in the new social worker degree apprenticeship programme continues to increase, with 660 starts in 2019-20 alone. That is only the second year for which it has been available, so that is phenomenal growth.

Looking forward, we have commissioned Health Education England to work with partners to develop a robust long-term strategic framework for workforce planning. For the first time ever, the framework will include regulated professions working in social care, such as nurses, social workers and occupational therapists. That work will look at the key drivers of workforce supply and demand as well as careers, as has been mentioned, and will inform the direction of the health and care system over the next 15 years.

The framework will help identify the main strategic choices facing us, develop a shared and explicit set of planning assumptions and identify the actions required at all levels of using all our system levers. That will ensure that we can plan for a workforce that is skilled, confident and equipped with the right support to deliver the highest quality health and social care in the future. It will also form the basis of our next phase of work to develop a long-term workforce strategy, led by NHS England and NHS Improvement in partnership with Health Education England and the Department of Health and Social Care.

[David Simmonds]

I very much welcome what the Minister is sharing with us today. Does she agree that it would be worth considering how to develop the finance function of health and social care? The recent Competition and Markets Authority report highlighted that a lot of the provision the private sector has brought into the care market, both in children’s homes and adult social care, is, frankly, quite an astonishing rip-off for the taxpayer. Profit margins of 30% and more are not unusual and these are complex structures that are extracting resources that could be spent on care. Does she agree that there is an opportunity both strategically and in developing the skills of social workers and others involved in those decisions locally to bring more focus to the issue so that we can ensure we procure the best possible care with an eye to value for money for the taxpayer?

[Gillian Keegan]

My hon. Friend raises an important point that we will address as part of the White Paper, “People at the Heart of Care”. It is important that we equip local authorities with the skills and tools they need to commission well in the market and to get the balance right between paying a fair cost for care while making sure that they get value for money for taxpayers.

[Cat Smith]

I welcome quite a lot of what the Minister is saying, and I hope that I am not straying beyond her brief. The complex issue with social work, of course, is that it crosses many Government Departments. While she is talking about the recruitment and retention of social workers, I would like to invite her to put on record her thoughts about why, particularly in child protection, a social worker tends to burn out a lot faster. People tend to go into child protection and then progress to different parts of social work. Would she share her thoughts on why child protection in particular seems to lead to such quick burnout for social workers?

[Gillian Keegan]

The hon. Lady makes an excellent point. Anyone who has met social workers doing that vital job, particularly in child protection, has nothing but admiration for the job they do. It is an incredibly difficult job with incredibly difficult choices that are highly complex and have a massive impact on families and individuals. It is a highly stressful job, but we need to do more to support people in the workplace so that they can deal with their mental health, talk to people and share their experiences. There is no doubt that it is an incredibly difficult job and one that is done very well, but every day they face enormous challenges and big decisions.

Finally, last November we announced a review of leadership in health and social care, led by Sir Gordon Messenger. The review will report in early 2022 and is considering how to foster and replicate the best examples of leadership. Strong leadership in health and social care will help to ensure the best outcomes for our key priorities, including, most importantly, improved care for patients and service users. The review aims to ensure that the necessary leadership behaviours, strategies and qualities are developed to maximise these efforts. We all know that leadership is vital in these key professions.

The hon. Member for Lancaster and Fleetwood mentioned the work of the British Association of Social Workers and the “Homes not Hospitals” campaign to help more people to get the support that they need in their community, so that they can leave hospital. I completely agree with the desire to get more people out of hospital and getting the right care in the community. Indeed, we have an action plan, “Building the right support”, which we will be publishing in the not-too-distant future. I will be delighted to meet with representatives of the British Association of Social Workers to discuss this further.

Once again, I thank all hon. Members who have provided valuable contributions and insights today. It is important for the sector that we have this debate. We know, in our role as Members of Parliament, the work that we can do to highlight the fabulous work that people are doing. That does not always get highlighted, so this is a fantastic opportunity to highlight the complexity of the social work role and the variety of the role—the many different areas in which social workers provide vital support and the link to ensure that people get the right services from a load of different public services and get the wraparound care necessary for them.

The measures that I have set out today show that the Government are fully committed to supporting and developing the social work workforce—it is vital, and recognised as vital—as well as the wider health and social care sector. I thank everybody for their contributions and I look forward to continuing to work to celebrate this fantastic profession.

--- Later in debate ---

[Cat Smith]

Thank you, Mr Robertson. I had actually forgotten that I would get to wind up, but I will take the opportunity to thank all hon. Members for taking part in this important debate. I know that it will be reported on in various publications and read by social workers across the four nations of the United Kingdom, and I think that the contributions by the Members present will be appreciated. It is fair to say that social workers often feel invisible or unrecognised and that the only time they get the spotlight is when, sadly, things have gone horribly and tragically wrong. However, this has been an opportunity, so close to World Social Work Day, to highlight the good work that social workers do.

I thank the Minister for agreeing to meet with the “Homes not Hospitals” team at BASW. If she would not mind, I would be delighted if I could join her at that meeting.

[Gillian Keegan]

indicated assent.

[Cat Smith]

There has been such a lot of agreement and consensus in this debate, and it has been an absolute pleasure to hear so many positive things said about social workers right across the United Kingdom.

Question put and agreed to.

Resolved,

That this House has considered the impact of the covid-19 outbreak on social work.