Social Care Reform

Jeremy Hunt Excerpts

Thursday 18th March 2021 Westminster Hall

[Jeremy Hunt (South West Surrey) (Con) [V]]

It is a pleasure to serve under your chairmanship, Dr Huq, and to follow such excellent contributions from the hon. Member for Worsley and Eccles South (Barbara Keeley), my hon. Friend the Member for Northampton South (Andrew Lewer) and the hon. Member for West Lancashire (Rosie Cooper). I completely agree with the comment just made by the hon. Member for West Lancashire: it is now or never.

Over the last two decades, we have had 12 White Papers, Green Papers and consultations, and four independent reviews and commissions. I am ashamed to say that a number of them happened when I was Health Secretary for nearly six years, and we were unable to make the progress that I wanted. In the last decade, we have had five Select Committee reports from both the Commons and the Lords.

This time is different, however, because we have just had a pandemic that has shown the whole country how amazing our care staff are and how dependent we are on a group of people who do extraordinary work on very low wages. If we are not going to fix it now, I do not think we ever will. At the same time, the ageing population has continued to age, and last year was the first in human history with more over-65s in the global population than under-fives.

The Health and Social Care Committee undertook a report on this subject last autumn. We are clear that there are three core elements to the reforms. We have to address the catastrophic care costs that see one in 10 people pay more than £100,000 and the terrible dilemma people face of losing their entire life savings to pay for their care home, when they want to leave those savings for their loved ones after they have gone. We should not be forcing people to make those choices in modern Britain.

We have to do more for the workforce, where turnover is about a third. A third of social care staff leave their jobs every year—up to 40% in domiciliary care. Many of them do not get the minimum wage because they are not paid for the time between appointments, yet we know how amazing they are.

We need more funding; we cannot duck that now. The Select Committee thinks a minimum of £7 billion is needed to deal with the catastrophic care issue, the growth in the demography and the minimum wage. We should look at models in Germany and Japan, as my hon. Friend the Member for Northampton South rightly said, when thinking about the best way to fund that.

This is a big ask, but the country was bankrupt after the second world war in 1948 when, with cross-party support, we had the vision to set up the NHS. This is the equivalent challenge for today. It is in tune with the values of the British people. We are a kind country, but our social care system is not kind to the older people who depend on it and get 15-minute slots. It is not kind to the people who work in it.

My message to the Minister is that I know that she cares about this and that behind the scenes she is doing everything that she can, but what is the point of being in Government if not to grasp the nettle on difficult decisions that can transform the lives of ordinary people? Now is the moment to rise to that challenge.