Social Care Funding

James Cartlidge Excerpts

Wednesday 17th October 2018 Commons Chamber

[Barbara Keeley]

Indeed. As I said, it is now coming up to a year since that was promised and it is about time that we started to see some plans. However, we have to bear in mind that a Green Paper is only the first stage of change—and a very early stage at that, really.

I want to pay tribute to the care staff I just mentioned. There has been a lot of talk recently about low-paid staff and how they will fare in terms of migration policies. Being low-paid does not mean that caring roles are low-skilled. Caring staff are highly skilled. They are a credit to this country, and without their dedication the problems facing social care would be immeasurably worse. Unfortunately, their efforts cannot paper over the cracks that have emerged because of this Government’s hammer blows to council budgets. I will come on to talk about the impacts that social care cuts have on people.

[James Cartlidge (South Suffolk) (Con)]

The hon. Lady talked about the Green Paper and how we will fund this in the long term. Obviously, we all have to contribute to that. I was interested that in the last debate she said her party was looking at such things as a wealth tax. I wonder whether she has developed her thoughts on how we should pay for this and whether it will be considering a wealth tax.

[Barbara Keeley]

We have indeed been doing more work on this, but we laid out in our manifesto—the hon. Gentleman’s party did not—what our future plans for social care funding were. We said what the three options for funding social care were and that it would either be one of those three options, or perhaps a combination of all three—I think that the party that is being left behind here is his.

The impact of social care cuts means that less care is now available for older and younger adults alike. Four hundred thousand fewer older people got publicly funded care in 2015 than in 2010, and 1.4 million older people now have unmet social care needs. Put simply, that is over 1 million people who are not getting help with washing, dressing, going to the toilet, making meals or taking medication.

--- Later in debate ---

[James Cartlidge (South Suffolk) (Con)]

In light of that, Madam Deputy Speaker, I will be as quick as I can. I will make two quick points.

One point that has to be made—I am sorry—is that in every debate on this issue, those on the Labour Front Bench bang on about cuts to local authority spending in the 2010 Parliament, which we accept, and which have been followed up, since 2015, with higher spending. But what did the Labour manifesto promise in 2010? This is absolutely critical. It promised to:

“protect frontline spending on childcare, schools, the NHS and policing”.

It did not promise to protect local government spending. It went on to say:

“We will drive forward our programme to strip out all waste…We recognise that investing more in priority areas will mean cutting back in others.”

Labour would have cut local government spending, the same as we did. And what did it say about how it would pay for its reforms to social care? It said that they would be paid for

“through savings and efficiencies in the health budget and in local government.”

There is no parallel universe in which where would have been billions more to spend on local government under Labour.

On a far more positive and constructive note, I have one key point on long-term spending that I would like to make to my hon. Friend the Minister. I agree with my hon. Friend the Member for Thirsk and Malton (Kevin Hollinrake), who has made the point many times about the German system. He has said that we should have more of an insurance-based system for those in the working population. The key issue relates to those who are retired and have assets. My request would simply be for there to be a choice. For example, there should be a choice between relying on your assets if you wish to take that risk, or paying some kind of lump sum or similar insurance fee, which could even be taken from your estate, so that you would be covered. You either share the risk or take the risk. I think that that is a very fair principle. I am not going to say any more than that or take any interventions, because of the time and because I know that others wish to speak. We need to have choice in the system for those with assets.