Tuesday 25th April 2023

(1 year ago)

Commons Chamber
Read Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
Rebecca Long Bailey Portrait Rebecca Long Bailey (Salford and Eccles) (Lab)
- Hansard - - - Excerpts

4. What assessment his Department has made of the impact of funding allocations for adult social care on charitable and not-for-profit providers.

Helen Whately Portrait The Minister for Social Care (Helen Whately)
- View Speech - Hansard - -

This Government back social care, which is why we are giving social care a record funding boost of up to £7.5 billion over the next two years. That extra funding will help local authorities increase the rates they pay to care providers, helping those providers in turn meet extra costs and increase staff pay.

Rebecca Long Bailey Portrait Rebecca Long Bailey
- View Speech - Hansard - - - Excerpts

Frontline charities, such as United Response and Age UK, have responded that the Government’s plan falls far short of what is needed, including holding back the promised £250 million in social care workforce funding. Can the Minister promise that will be revisited with urgency, given that one in five over-80s have some unmet care needs and we are facing the highest social care vacancy rates on record?

Helen Whately Portrait Helen Whately
- View Speech - Hansard - -

I can assure the hon. Member that not a penny of funding is being cut from adult social care. We are driving forward our reforms to the adult social care system, which have the workforce at their heart. We are introducing a new career path for the social care workforce, new care qualifications and new training, boosting the adult social care workforce and making sure people in that workforce get the recognition and rewards they deserve.

Lindsay Hoyle Portrait Mr Speaker
- Hansard - - - Excerpts

I call the shadow Minister.

Liz Kendall Portrait Liz Kendall (Leicester West) (Lab)
- View Speech - Hansard - - - Excerpts

The Minister says this Government back social care—I would love to see what the reality would be if they were against it. We already know that the Conservatives have completely failed to deliver their flagship policy of a cap on care costs, and over Easter we learned that they have broken the rest of their promises on social care too. The £500 million promised for the care workforce has been cut in half; the £300 million promised for housing in care has been slashed by two thirds; and as for the £600 million of other promises, your guess is as good as mine, Mr Speaker. They have not had the courage to announce this to Parliament or the nous to grasp that if people are not kept in their own homes, they end up stuck in hospital, with all the knock-on consequences for NHS waiting times and emergency care. Will the Minister tell us where all that money has gone? Why on earth should older and disabled people and their families ever believe the Conservatives on social care again?

Helen Whately Portrait Helen Whately
- View Speech - Hansard - -

Out of that, I can pick one thing we agree on: the importance of helping people to live independently at home for longer and social care as a part of that. I say to the hon. Lady, as I said a moment ago, that we have not cut a penny of funding from our commitments to adult social care, both on adult social reform and on the historic £7.5 billion of adult social care funding announced in the autumn statement. We are forging ahead with our reforms, with the workforce at their heart, because the workforce is crucial, hand in hand with the digitisation of social care, improving data, joining up health and social care, and supporting unpaid carers.

Mark Eastwood Portrait Mark Eastwood (Dewsbury) (Con)
- Hansard - - - Excerpts

5. What steps his Department is taking to encourage people to stop smoking.

--- Later in debate ---
Angela Eagle Portrait Dame Angela Eagle (Wallasey) (Lab)
- Hansard - - - Excerpts

24. What steps he is taking to improve access to in-home health and social care services.

Helen Whately Portrait The Minister for Social Care (Helen Whately)
- View Speech - Hansard - -

I want people to live independently in their own homes for longer with the care that they need. We are investing half a billion pounds annually through the disabled facilities grant to pay for housing adaptations, and supporting the home care workforce through our record social care funding increase and workforce reforms. Our new and expanded NHS virtual wards give people hospital-level care in their own homes.

Mike Amesbury Portrait Mike Amesbury
- View Speech - Hansard - - - Excerpts

My constituent, Ewan, recently lost his grandfather. His grandfather would have liked to have spent more time at home in his last few days, but he could not because of resources—the people were not there. What are the Government doing about that? There is a real recruitment and retention crisis in the social care workforce.

Helen Whately Portrait Helen Whately
- View Speech - Hansard - -

The hon. Member makes an important point about people spending their last days of life where they would like to spend them, which, more often than not, means at home. That comes down to supporting end-of-life care—hospices play a really important role in providing that care in people’s homes—and supporting the adult social care workforce. We are investing up to £7.5 billion in social care over the next two years and taking forward important reforms to support the adult social care workforce. As I mentioned a moment ago, we are increasing the amount of hospital-level care that people can get at home by expanding our virtual wards, which, by next winter, will mean that up to 50,000 people a month can be cared for to that level at home.

Angela Eagle Portrait Dame Angela Eagle
- View Speech - Hansard - - - Excerpts

Despite ministerial complacency, Age UK has pointed out that, nationally, there are currently 165,000 vacancies in social care, which is a 50% increase on last year. In the Wirral, vacancies run at 16%, which is despite the Wirral paying the real living wage. That means that only 26% of hospital patients are currently being discharged from Wirral University Teaching Hospital when they are actually ready to go. Does the Minister agree that the neglect and underfunding of social care by this Government is costing more money through wasted provision in hospitals, when social care, if it were properly provided, could give a much better experience for people who are ready to leave hospital?

Helen Whately Portrait Helen Whately
- View Speech - Hansard - -

I thank the hon. Lady for giving me another opportunity to talk about what we are doing to support adult social care: an extra £7.5 billion was announced at the autumn statement to support adult social, an extra £700 million was spent on supporting discharges into social care over this winter, and we have already announced £600 million to support discharges to people’s homes with the provision of social care over the coming year, because we recognise how important it is for people to get the care they need at home. The workforce are crucial to that, which is why we are taking forward our reforms to the adult social care workforce as announced a couple of weeks ago.

Rupa Huq Portrait Dr Rupa Huq (Ealing Central and Acton) (Lab)
- Hansard - - - Excerpts

T1. If he will make a statement on his departmental responsibilities.

--- Later in debate ---
Sara Britcliffe Portrait Sara Britcliffe (Hyndburn) (Con)
- View Speech - Hansard - - - Excerpts

One of my constituents, Bethany Whitehead, suffers from functional neurological disorder, which often presents with a number of debilitating symptoms. Bethany has often been left waiting two to three years before seeing a consultant. Will the Minister meet me to discuss this further?

Helen Whately Portrait The Minister for Social Care (Helen Whately)
- View Speech - Hansard - -

My hon. Friend makes a really important point. I can say to her here and now that functional neurological disorder was previously regarded through a diagnosis of exclusion. It now has a rule-in diagnosis with available treatments, which is a major step forward in destigmatising the disorder. I am very happy to meet her to discuss this further.

Lisa Cameron Portrait Dr Lisa Cameron (East Kilbride, Strathaven and Lesmahagow) (SNP)
- View Speech - Hansard - - - Excerpts

T5. As chair of the all-party parliamentary health group, I have heard from UK patients who struggle to access GP appointments from chain GP practices. Many of those practices have very low ratios of GPs to patients, including, in one case, only two GPs registered for 30,000 patients. Will the Department meet the APPG to address these grave concerns?

--- Later in debate ---
Andy Carter Portrait Andy Carter (Warrington South) (Con)
- View Speech - Hansard - - - Excerpts

St Rocco’s Hospice in Warrington provides invaluable palliative and end-of-life care for families. However, the charities that run hospices around the UK are finding it incredibly difficult to raise funds. Will the Minister give us an assurance that she is working very closely with the sector to ensure that those services continue to be provided?

Helen Whately Portrait Helen Whately
- View Speech - Hansard - -

My hon. Friend makes a really important point about the very important work that hospices do in our communities, and I fully support hospices as a sector. The funding for hospices generally comes through the NHS and the local integrated care boards that commission the services they provide, as well as, of course, from their own fundraising efforts. I am speaking to NHS England about the support it provides to hospices, because I am very keen to make sure that they get the support that they need.

Tim Farron Portrait Tim Farron (Westmorland and Lonsdale) (LD)
- View Speech - Hansard - - - Excerpts

T8. I have in my hands the draft business case for a satellite radiotherapy unit at the Westmorland General Hospital in Kendal. If it is approved and commissioned, residents in my community who have cancer will no longer have to travel two, three or four-hour round trips every day to get lifesaving treatment; they will be able to get it closer to home. Will Ministers meet me and the clinical specialists who helped draft the business case, so that we can make it come to fruition?

Helen Whately Portrait Helen Whately
- View Speech - Hansard - -

Yes, I am very happy to meet the hon. Member.

Maggie Throup Portrait Maggie Throup (Erewash) (Con)
- View Speech - Hansard - - - Excerpts

Building on the novel approach to clinical trials that was so successful for the covid-19 vaccines, what more is the Department doing to capture that success and the willingness of volunteers to come forward, as well as to streamline processes across participating bodies for clinical trials of future medicines?