John Redwood
Main Page: John Redwood (Conservative - Wokingham)(7 years, 11 months ago)
Commons ChamberI always take very seriously what the Chair of the Select Committee on Communities and Local Government has to say, and I know that he considers such matters carefully. To answer his questions, he may recall that at the spending review last year the LGA asked for, I think, £2.9 billion of extra funding for adult social care by the end of the Parliament. The spending review provided more than that—£3.5 billion—and the changes that we have announced today add another £900 million on top of that £3.5 billion. That is a significant increase, and even more so when we look back at what the LGA was considering just last year.
The hon. Gentleman asked about the allocation of the £240 million that would otherwise have gone into the new homes bonus. He will know that the allocation of the improved better care fund, which is worth £1.5 billion by the end of this Parliament, takes into account the council tax-raising powers of each local area. The £240 million is allocated based on relative need, and I think that that is the best way to do it.
I quite agree with the Government that we need more money and reform. The two local authorities serving my constituency were short-changed in the past, which is a separate issue. On the general question, what can be done about the perverse incentive created by the fact that if a council does not come up with a timely care package, a person will stay for longer in an expensive hospital bed, where they do not want to be and which is needed for other purposes?
My right hon. Friend highlights the vital issue of more and better integration between the healthcare system and the adult social care system. I referred in my statement to places where we are seeing good practice. I mentioned Manchester and Northumberland, and there are some other such areas. Many areas can learn from that, especially on things such as delayed transfers of care. We want to see more work in this area. That is why the Department has already started to work with the Health Secretary on a set of principles that we expect to be implemented as local authorities access the additional funding.