National Carers Week

Debate between John Howell and Nickie Aiken

Thursday 8th June 2023 Commons Chamber

[Nickie Aiken (Cities of London and Westminster) (Con)]

I thank my hon. Friend the Member for Gosport (Dame Caroline Dinenage) for securing this debate. She is passionate about ensuring that we highlight the challenges carers face, and that we recognise the contributions they make to families and communities throughout the UK. I pay tribute to her excellent work as chairman of the all-party parliamentary group on carers.

In National Carers Week, it is only right that we reflect on and appreciate the 5.7 million carers in our country, while exploring what more we can do to support them both financially and practically. We also have to recognise that the number of carers will only increase. Life expectancy continues to increase as more people live longer with more health conditions and as children survive with conditions that, in previous generations, might have meant they never survived the womb, let alone birth—they are now living for maybe decades, and their parents have to provide most of the care.

Yesterday I was honoured to meet Age UK, the Carers Trust, Oxfam GB, the Motor Neurone Disease Association, Rethink Mental Illness and the Lewy Body Society at the National Carers Week parliamentary reception. These organisations are vital in supporting carers across the UK, and I pay tribute to their professionals and volunteers for the support they provide.

I understand, on a very personal level, the difficulties that being a carer brings. So many women, as my hon. Friend mentioned, have caring responsibilities—we know that women make up the majority of carers. Many of us are employed and keeping down jobs, and we often had our children later in life, so our caring responsibilities come at a time when our children need us, particularly as teenagers, and our parents need us because they are reaching an age at which they may have health issues. We are the sandwich generation, as is now well known. Believe me, I know it is not an easy task to juggle all these responsibilities.

I have personal experience, as I supported my mum when she was looking after my father after he was diagnosed with Alzheimer’s, and I saw the mental, physical and financial toll it took on her. What I take away from that personal experience is that caring is really, really lone, and it was particularly lonely during covid. I cannot imagine how it was for the millions of people who were isolated at home and having to look after a family member with a condition such as Alzheimer’s. The thing about Alzheimer’s is that we lose our loved one twice. We lose them as the Alzheimer’s and dementia progress, and then we lose them when they die.

I remember looking after my father for a week in August 2021, when my mum had a week of respite care. It was one of the hardest things I have done in a long, long time. I was trying to juggle my parliamentary work at the same time. Thank goodness for test cricket and the Hundred, because my father was an avid cricket fan all his life. When I was looking after him, we had the India test during the day and the Hundred in the evening, so that kept me sane. I do not know how the amazing carers across the country cope.

Because of my own experience, and because of speaking to so many carers across the Cities of London and Westminster, I was proud to support the Carer’s Leave Act 2023, which was introduced by the hon. Member for North East Fife (Wendy Chamberlain). I was delighted to sit on the Public Bill Committee, and I congratulate her on the Act receiving Royal Assent. It will make such a difference, as it means unpaid carers will now be entitled to at least five extra days off a year, helping more carers to stay in employment. According to Carers UK, 600 people a day leave work due to care duties, and the Act recognises that those people need the flexibility to take time off work for their loved ones.

In 2020, more than 7 million people in employment had the added responsibility of unpaid caregiving. Of course, those combined work and care responsibilities can lead to people getting very little rest, which explains why 71% of carers report having poor physical or mental wellbeing, according to the Mental Health Foundation. That is why I fully support the Government’s “Next steps to put People at the Heart of Care” report, which includes a £25 million funding package for unpaid carers, although I would obviously like to see that funding increase.

We must also remember that many carers are too young to be employed. I take this moment to recognise the role played by young carers, of whom there are approximately 800,000 across the UK, which is a staggering number. These children—they are often very young children —and young adults embody compassion, responsibility and maturity beyond their years. On average, young carers devote around 17 hours a week to their caring duties, according to Carers UK. Just imagine the sacrifices they make. Their selfless acts of love go unnoticed by many.

I was first exposed to this issue when I worked at the Children’s Society and was responsible for publicising a report on the lifetime effects of being a child carer. The report’s findings remain with me, because being a young carer has not only an immediate effect but a long-term effect on things like education, attainment and even personal and social confidence. I remember speaking to people who had taken part in the report—they were men and women in their 30s and 40s—and they still lived with what they called the shame of not being able to take friends home because they were embarrassed about what might be at home if their mum, as it usually was, had mental health issues, or of not being able to go to birthday parties or be proper teenagers with their friends because of their caring responsibilities. It has a lifetime effect on people’s confidence and life chances.

That being said, I am proud of the Government’s work to support young carers. Obviously there can always be more help, but through the extension of education, health and care plans to 19 to 25-year-olds, for example, thousands of families across the country have seen increased support.

I, like many Members in the House today, have spoken of the incredible sacrifice made by so many unpaid carers, whether financially or personally, but in National Carers Week we must not forget the professional care sector. We often speak about NHS doctors and nurses, who are so important, but the value of social care sector workers cannot be overestimated. I take this opportunity to thank our professional carers who support our loved ones in care settings and in their own homes. I saw that directly in how the outstanding carers looked after my father with such respect, love and devotion at the Bellavista care home in Cardiff bay before he passed away last year. My mum was a hairdresser working in care homes and day centres, and I used to help her in the summer holidays, so I saw the vital respite care that the Ely day centre in Cardiff gave to so many families.

Across the country, we see fine examples of sacrifice, love and selflessness every day, which is why it is so important that we have such debates—again, I thank my hon. Friend the Member for Gosport for securing it—to recognise and thank the carers, and particularly the unpaid carers, across the UK. It is also why I fully support the Government’s new support for carers such as the 2023-24 better care fund, with £327 million earmarked to support local authority health and care services, including providing carers with advice, support, short breaks and respite services. It is so vital to ensure that we provide respite for carers.

I know at first hand how important this extra funding will be. When I was a council leader, approximately 40% of our annual budget was spent on adult social care, so we need to continue funding councils in this vital work. I also note what my hon. Friend said about the need to undertake care assessments a lot quicker and in a much more caring way. I hope the Minister has taken note of that comment, too.

[John Howell (Henley) (Con)]

I hear what my hon. Friend said about young carers. Does she recognise that there is a problem in identifying all young carers and that we must do more to identify all those who are providing that care service but going totally unnoticed in society?

[Nickie Aiken]

I thank my hon. Friend for his intervention and completely agree with him on that. Part of the problem, particularly for young carers, is that they are embarrassed, but they may also think that they could be taken into care—I fear for them on that. They think that because they are having to look after a parent, a social worker and local authority will perceive that they cannot cope. That is the last thing that any family needs to think about. When I was the children’s services lead at Westminster City Council, I did a lot of work with young carers and we had an amazing support network in Westminster for young carers. They can be so young—as young as eight or nine—and it is therefore important that we identify them. We must also give them and their parents assurances that this is not about taking them away, but about giving the children and the parents the support they need.

I am also glad to see that the Minister is due to hold a cross-Government roundtable with other Ministers to make sure that carers’ needs are recognised not just in social care, but in every aspect of their lives. That is a theme we have discussed today. This is about not just the daily grind of caring—the responsibilities and the tiredness—but the financial and other help that is needed.

Making sure that carers are recognised in health, social care and education is a priority, along with helping people to recognise themselves as carers so that they can tap into local carers networks and apply for the financial support that is available. That will be crucial for carers across the UK. That is why I look forward to continuing my work with the Government to ensure that all adult unpaid carers and young carers across not only the two cities of London and Westminster, but the whole country, are supported financially, emotionally and physically. We owe them all a huge debt.