Social Care Funding

Julian Knight Excerpts

Wednesday 17th October 2018 Commons Chamber

[Matt Hancock]

Part of the social care system is, of course, tax payer-funded, but I also value the contributions that people make to social care. They are an important part of keeping the system strong. We dismiss those contributions at our peril, but I agree with my hon. Friend that we need to make sure we get more funding and better integration between the healthcare and social care systems. We can do that with different funding sources, as long as we have better organisation on the ground.

We must make sure we have the appropriate amount of care available so that people can leave hospital at the right time; people should not have to stay in hospital longer than necessary, as it reduces their dignity and quality of life and leads to poorer health outcomes, as well as putting unnecessary pressure on the NHS.

Since February 2017, more than 1,900 beds have been freed up in hospitals by reducing NHS and social care delays, yet we know that the winter months bring increasing pressure on adult social care services, which can have a knock-on impact on hospitals. On top of the rising social care budget, we are providing an additional £240 million for adult social care capacity this winter, which will help councils to get patients home quicker and free up hospital beds for more urgent and acute cases.

Today I have published the allocation for every local authority in England, and the Barnett formula will apply to allocations in Scotland, Wales and Northern Ireland. Individual allocations include, for example, £1.3 million in Salford and £1.5 million in Leicester.

[Julian Knight (Solihull) (Con)]

My constituents and my local council are thankful for the funding increase of £870,356, which will help the adult social care situation in Solihull. We have a lot of people over the age of 65, including 40% of the Silhill ward alone.

[Matt Hancock]

I am grateful for my hon. Friend’s work in making the case for more support for adult social care in Solihull, and to support the NHS in Solihull through that. I hope the funding we have announced today will help in Solihull, and the people of Solihull should know they have an excellent champion who has helped them to get that funding.

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[Julian Knight (Solihull) (Con)]

It is a great pleasure to follow the hon. Member for Blaydon (Liz Twist), who made a very good speech. It is a shame that we have such a short time to debate this, because it is one of the key issues of our lifetimes and will impact all of us in many different ways—it is impacting my life. I am absolutely blessed with the most wonderful in-laws, and I am saying that not just because I am having dinner with my wife in an hour, but because, frankly, they are absolutely golden people. We are dealing with issues of social care as a family, often from far away. The challenges, which are multifarious, varied and deep, affect every part of our life in ways that cannot be understood until one is in that situation.

We are part of the sandwich generation, and my town is at the frontline in that respect. We have an ageing population. I was told by a member of my staff that we have an older population than Eastbourne—I am not sure what that is supposed to imply, but we do. According to Solihull Council, by 2036 one in four of our population will be over 65 and fully 5% will be over 85.

Time and again I encounter on the doorstep what Age UK has dubbed the “silent crisis”—people quietly trying to look after elderly loved ones behind closed doors. They often do so just out of pure love and decency, and often they have care issues themselves. My experience, from knocking on some 30,000 doors across my constituency and from my family, has driven home how essential it is that Members on both sides of the House, despite dogma and party politicking, try to come to a long-term solution. We have to work together to find the bold solutions needed to put social care on a stable, sustainable footing. That is why I welcome the report from both Select Committees. Many of its recommendations make a lot of sense. It is essential that we accept that this problem cannot be met with a patch-and-mend approach, yet providers and local authorities need support to ensure that the level and quality of social care provision match need in the short and medium term. However, unless these measures are accompanied by a serious root-and-branch strategic review of how we fund and deliver social care services—one that recognises that many of the problems currently facing the sector are not down merely to insufficient funds —they will provide, at best, only a temporary reprieve.

That is the challenge we all face. We will have to debate this for many years to come, but we have to get there. We owe it to our kids; we owe it to our parents.