Health and Social Care Levy

Imran Hussain Excerpts

1st reading
Wednesday 8th September 2021 Commons Chamber

[Dame Angela Eagle]

The right hon. Gentleman makes an important point, especially given the effect on those young people who are having to repay their student loans, which takes their effective marginal tax rate close to 50%. We have to look at the fairness of that.

This is not a plan to reform social care. A mere 15% of the extra £36 billion raised in the next three years is earmarked for social care and the mechanisms by which that will be dispensed are unclear, but vital to any prospect of an improved outcome. Indeed, they are so unclear that the Minister could not give us any insight into them during his opening remarks. This new money will not be available until 2023 and it will therefore not help a single family struggling now with the catastrophic cost of paying for their loved ones to access social care. It is far from certain that the NHS will not simply swallow up all the money allocated from the tax increase to try to tackle the backlogs in the NHS caused by Government cuts and exacerbated by the effects of the covid pandemic.

This new money will not make up for the huge cuts that this Government have been responsible for making to the social care system in the past 11 years. Age Concern estimates that 1.5 million people in need of care have been denied it as a result of the 7.5% per head cut in funding that this Government have delivered since they were first elected in 2010. The burden has fallen on family members and unpaid carers, many of whom have had to put their lives on hold to deliver care to loved ones with little or no support. The huge cuts to local authorities over the same period have stretched the care system beyond breaking point, yet the Prime Minister had nothing to say about any of that yesterday.

[Imran Hussain (Bradford East) (Lab)]

Will my hon. Friend give way?

[Dame Angela Eagle]

No, because I would run out of time.

This is not a plan for social care, even though the Prime Minister is claiming that it is. The system needs fundamental reform, but this is tinkering at the edges. A real reform of social care would involve wholesale change from top to bottom. It would deal with those who require care now, not ignore them and their needs as the Government have done. There is nothing for them in the Prime Minister’s announcement. A real reform would have a plan for care workers and their future, with training, career progression, decent pay and an end to zero-hours contracts, to low minimum wage remuneration, to 15-minute appointments with no pay for the time it takes to drive from one client to another and to fragmented contracts that wreck lives.

At the moment, there are 112,000 vacancies in the care sector, and staff turnover is 34% a year. That indicates the need for fundamental reform. The pay for working in an Amazon warehouse or a supermarket is higher than the pay for caring. Surely that is wrong. The covid pandemic and the shameful betrayal of care workers and those who require care, which unfolded during the first wave of covid-19, told us all we needed to know about the ramshackle nature of a system that this Government have allowed to teeter on the verge of collapse for the past 11 years.

The Prime Minister’s announcements are totally inadequate to the scale of the task, if there really is a plan to fix social care. All that those who work in care got out of his statement was a tax rise and no pay increase. Those trying to access care now got nothing. Those trying to provide domiciliary care were not even mentioned, and nor was the growing army of carers. Protecting the assets of those needing to access care for long periods is not a substitute for fundamental reform of the system; it is not a plan for social care. It is a sign that the Government are dodging a long overdue and necessary reform. The Prime Minister’s so-called plan breaks election promises. It is half-baked, inadequate and unjust.

--- Later in debate ---

[Mr Clive Betts (Sheffield South East) (Lab)]

It is pretty obvious that there has been a major funding crisis in local government over the past 10 years. Local councils have had bigger cuts to their budgets than any other part of the public sector, around 30%.

[Imran Hussain]

My hon. Friend is right to highlight the importance of local government, unlike the Minister, who barely acknowledged its existence. Does he agree that the last decade of ideological austerity and cuts by this Government has meant that local government budgets have been slashed by up to 50%, directly contributing to this crisis?

[Mr Betts]

I have made my position clear on the extent to which local government has been unfairly cut compared with other parts of the public sector.

Across the piece, local councils of all political persuasions have done a brilliant job of protecting their communities over the past few years. They have done it by giving priority to social care, but that has still meant real-terms cuts due to the demographics, with more older people, with people with learning disabilities living longer and with increased costs and demand for children’s social care—demand for the latter two has gone up faster than the demand for elderly care over the past few years.

In protecting social care, there have still been real-terms cuts. There are 1 million more elderly people not getting care who would have received it in the past. Other services, such as parks, libraries, buses and highway safety, have all been cut by up to 50% in local authorities across the country. We are repeatedly asking our constituents to pay increased council tax, often for care services they are not receiving, when the services they do receive are being cut to shreds. That is the reality.

As representatives of both parties in the local government sector said to the Select Committee on Housing, Communities and Local Government, we cannot sort out the funding problems in local government without sorting out the funding problems in social care. That is the reality.

We are in the middle of a Select Committee inquiry, and we will be taking evidence from Ministers. I hope they will start to explain to us how the care plan will solve that problem. The Housing, Communities and Local Government Committee and the Health and Social Care Committee have received estimates that the funding gap for social care alone is between £2.5 billion and £4 billion a year, which does nothing to restore services to the level they should be at or to address the real problems of low pay, which will eventually destroy the service because it will not be able to recruit people as alternative jobs, such as at Amazon, pay so much more. That is simply the reality.

How much money will come from the levy? Paragraph 30 is the only bit that talks about money: £5.5 billion over three years. The gap is between £2.5 billion and £4 billion a year, yet we know the £5.5 billion has to fund: the cap and floor system, which will be at least half of it, maybe more; and the £500 million for workforce training, which is welcome. The money goes nowhere near funding the current gap, let alone bringing about any improvements or bringing people into the social care system who are currently excluded. It just does not do it.

The Government have said they will

“ensure local authorities have access to sustainable funding for core budgets at the spending review”.

All will be revealed in the spending review, but the key bit is that the Government say they expect

“demographic and unit cost pressures”

will be met

“through council tax, social care precept”.

We have had 5% council tax increases year on year, and a lot of it has been to fund social care, so we are going to get above-inflation council tax increases again, are we? If we say national insurance payments are regressive, council tax is now regressive, too. That is the reality.