Coronavirus and Care Homes

Lindsay Hoyle Excerpts

Tuesday 19th May 2020 Commons Chamber

[Liz Kendall (Leicester West) (Lab)]

(Urgent Question): To ask the Secretary of State for Health and Social Care if he will make a statement on coronavirus and care homes.

[Mr Speaker]

I call Matt Hancock to answer the urgent question. The Secretary of State should not speak for more than three minutes.

[The Secretary of State for Health and Social Care (Matt Hancock)]

One of the first things we knew about coronavirus as it began its dismal spread across the world was that it reserves its greatest impact for those who are physically weakest, especially the old. In the UK, 89% of all deaths have been of those aged above 65. From the start, we have worked hard to protect those in social care. In early March, we put £3.2 billion into social care—half through the NHS and half through local authorities—and we have repeatedly set out and strengthened guidance for infection control and support.

For anyone who has a loved one living in a care home and for all the residents and staff, I understand what a worrying time this has been. I am glad that we have been able to protect the majority of homes, and we will keep working to strengthen the protective ring that we have cast around all our care homes. As I said in the House yesterday, last week we set out a further £600 million to strengthen infection control, and this comes on top of a substantial programme of support.

First, on testing, from the start we have tested symptomatic residents of care homes, even when testing capacity was much lower, and this has always been a top priority. We are now testing all care home residents and staff in England—those with symptoms and those without—and this is being done according to clinical advice, starting with the most vulnerable, and extending to working-age residents, too.

Secondly, we have strengthened the NHS support available to social care. We are putting in place a named clinical lead for every care home in England and have brought NHS infection-control expertise to the sector.

Thirdly, we are making sure that local authorities play their part. Councils are conducting daily reviews of the situation on the ground in local care homes, so that every care home gets the support that it needs need every day.

Fourthly, we are supporting care homes to get the PPE that they need.

Fifthly, we have increased the social care workforce during this crisis and provided more support. Altogether, this is an unprecedented level of support for the social care system. I thank colleagues across social care for their hard work.[Official Report, 20 May 2020, Vol. 676, c. 2MC.]

We have also broken down some of the long-standing barriers, including between health and social care, and we have learned the importance of making sure that money for social care is ring-fenced specifically for social care, as the £600 million agreed last Friday has been. On top of that, we are requiring much better data from social care, because partial data has bedevilled the management of social care for many years and made policy making more difficult. Regular information returns are required in return for the latest funding, and we are looking to change the regulations to require data returns from every care provider, so that we can better prepare and support social care.

Our elderly care homes provide for people towards the end of their life. They do an amazing job and deserve the praise that they have received from the public during this crisis. Residents are looked after when they need care the most: their hands are held, their brows are mopped and they are made comfortable. As a collective result of our efforts—especially the efforts of care colleagues throughout the country—62% of care homes have had no reported cases of coronavirus.

The figures released today by the Office for National Statistics show that the number of deaths in care homes has fallen significantly and is down by a third in just the past week, from 2,423 to 1,666. This morning’s statistics confirmed that 27% of coronavirus deaths in England have taken place in care homes, compared with a European average of around half, but whatever the figures say, we will not rest in doing whatever is humanly possible to protect our care homes from this appalling virus, to make sure that residents and care colleagues have the safety and security they deserve.

[Mr Speaker]

In welcoming the hon. Member for Leicester West (Liz Kendall) to the Front Bench, I asked her to speak for no more than two minutes.

[Liz Kendall]

Over 23,000 more people have died in care homes in the first four months of this year compared with last year. This virus is the biggest health challenge of our lives, but Ministers have been too slow to tackle the problem in care homes, social care has not had the same priority as the NHS, and these services have not been treated as inextricably linked.

Will the Secretary of State explain why guidance saying that care homes were “very unlikely” to be infected was not withdrawn until 12 March, given that the chief medical officer warned about community transmission and the risks to the elderly on 4 March? NHS England rightly asked hospitals to free up at least 30,000 beds to cope with the virus, but will the Secretary of State explain why there was no requirement to test those being discharged to care homes—the very group most at risk—until 15 April? Care providers had serious problems getting personal protective equipment, as their normal supply was requisitioned by the NHS, when both are equally important. Why did that happen?

It took until mid-April for the Government to produce a social care plan, until the end of April for them to say that all residents and staff should be tested, and until 11 May for them to set a deadline for achieving this—and that deadline still is not until 6 June. Will the Secretary of State explain how he squares all that with his claim that Government have thrown a “protective cloak” around care homes right from the start? Despite all the warnings, care homes in my constituency told me over the weekend that they cannot access the Government’s new online testing portal, that tests are not being picked up and that it is often weeks until they get results back. When will this be sorted out?

Finally, the Government have said that the NHS will get whatever resources it takes to deal with this virus. Will the Minister now make the same commitment to social care and guarantee that no provider will collapse because of this virus? No one denies how difficult this is, but instead of denying problems and delays, Ministers should learn from their mistakes so that they can put the right measures in place in future and keep all elderly and disabled people safe.

--- Later in debate ---

[Matt Hancock]

I addressed this point in my opening response to the urgent question. We will roll out testing to care homes of all ages. This is an area that I take very seriously indeed. We are looking into the statistics that have been mentioned in the public domain. Some of the statistics are not quite as they first seem. We will make sure that we publish accurate and full statistics, because transparency is absolutely vital in this area.

[Mr Speaker]

Sara Britcliffe has withdrawn, so we go to Stephen Flynn.

[Stephen Flynn (Aberdeen South) (SNP) [V]]

Thank you, Mr Speaker. The Resolution Foundation has detailed that 61% of frontline careworkers in England are paid less than the real living wage. The Scottish Government introduced a real living wage for carers in 2017. Will the Secretary of State therefore follow their lead and instead of a badge or round of applause finally give frontline careworkers in England a real living wage?

--- Later in debate ---

[Jane Stevenson (Wolverhampton North East) (Con) [V]]

[Inaudible.]

[Mr Speaker]

We will have to move on to Alyn Smith.

[Alyn Smith (Stirling) (SNP) [V]]

We welcome the announcement by the UK Government of a £60,000 payment for care home workers who sadly lose their lives due to covid-19. Can the Secretary of State confirm that acceptance of that payment precludes subsequent legal action if that death is thought to be due to negligence, and will he outline the thinking behind that?

[Matt Hancock]

I will write to the hon. Member with the full details.

[Mr Speaker]

We now go to birthday boy Sir Christopher Chope.

[Sir Christopher Chope (Christchurch) (Con) [V]]

Will my right hon. Friend pay tribute to the owners and managers of care homes who put the safety of their residents first and refused to admit any of the 15,000 hospital patients who had been exposed to covid-19, whom the Government were forcing to be discharged from hospitals at the end of March?

--- Later in debate ---

[Matt Hancock]

We do regularly publish SAGE advice.

[Mr Speaker]

We now go back to Jane Stevenson.

[Jane Stevenson [V]]

[Inaudible.]

[Mr Speaker]

We tried. Sorry about that.