Oral Answers to Questions

Debate between Gillian Keegan and David Simmonds

Monday 27th February 2023 Commons Chamber

[David Simmonds (Ruislip, Northwood and Pinner) (Con)]

2. What discussions she has had with Cabinet colleagues on the provision of eye testing for children in special school settings.

[The Secretary of State for Education (Gillian Keegan)]

The NHS long-term plan will give children with special needs in residential special schools access to sight checks. In addition, my Department trialled a new scheme in mainstream schools last year, Glasses in Classes, which provides a spare pair of glasses for every child who needs one. I look forward to hearing from Durham University and the University of Bradford, which will be publishing their findings on that in due course. The Under-Secretary of State for Education, my hon. Friend the Member for East Surrey (Claire Coutinho), who is responsible for children, families and wellbeing, will continue to work closely on this issue with her counterpart in the Department of Health and Social Care.

[David Simmonds]

I thank the Secretary of State for that answer. My recent visit to the Eden Academy in my constituency illustrated the importance of vision to achieving educational outcomes. What plans are there across Government to ensure the availability of sufficient and appropriate eye testing, so that children in SEND day schools are able to achieve the best possible educational outcomes?

[Gillian Keegan]

I thank my hon. Friend for his question, as this issue is really important. My nephew has Down’s syndrome and wears glasses, so I know of its importance, and it was a privilege for me to support the Down Syndrome Act 2022 when I was in my previous role. Free NHS sight tests are available for all children under 16 or under 19 and in full-time education. Children can be supported to access high-street services or referred to the local eye service. The NHS is evaluating its proof-of-concept sight testing programme in special schools, and that evaluation will inform decisions about the funding and delivery of any future sight testing model.

Reform of Children’s Social Care

Debate between Gillian Keegan and David Simmonds

Thursday 2nd February 2023 Commons Chamber

[Gillian Keegan]

Just so that everybody is clear, the actual amount that we spend on children’s social care is £10.8 billion—a lot of funding goes into children’s social care. As I said, Josh MacAlister has welcomed today’s announcement and the foundations that we are putting in place, but this is a two-year pathfinder to lay the foundations; his recommendations cover a five-year period. We intend to bring the recommendations forward quickly, and kinship carers are very much a priority.

[David Simmonds (Ruislip, Northwood and Pinner) (Con)]

I very much welcome my right hon. Friend’s statement, particularly the focusing of the Government’s efforts on what will make the biggest difference to the largest number of children. The Government’s intention is to go with the grain of the work done in the sector, which has led to the vast majority of English local authorities getting an above-the-line judgment from Ofsted. Does my right hon. Friend agree that one of the most important things we can do is use the evidence, particularly from Government-funded What Works centres, so we know that money is being spent on things that will definitely make a difference in the lives of the most vulnerable children? With Sure Start, for example, a great deal of money was unfortunately squandered on things that did not make a transformational difference in children’s lives.

[Gillian Keegan]

My hon. Friend makes an important point. There have been many attempts to do this, but the evidence gathered from Sure Start showed the programme was not always well directed and its interventions did not work very well. The What Works programme is important because it is not just about spending money or about buildings. It is about being led by the evidence of what works, and that is what we will be putting together.

Covid-19: Impact on Social Work

Debate between Gillian Keegan and David Simmonds

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.