Social Care

Liz McInnes Excerpts

Wednesday 16th November 2016 Commons Chamber

[Liz McInnes (Heywood and Middleton) (Lab)]

Across the UK, local government funding has been reduced by 37% in real terms between 2010 and 2016, and the Local Government Association has estimated that councils’ overall funding gap will amount to £5.8 billion by the end of this parliamentary cycle. Those cuts to council services have severely taken their toll on the health and social care provision that millions of people rely on. That now presents an immediate risk to those patients and providers. Councils face a £1.9 billion funding gap in adult social care. We are at what the Care Quality Commission has said is “a tipping point”.

In my constituency of Heywood and Middleton, we have been hit hard. Rochdale Council has had to make huge Government cuts of £200 million in the past six years. Social care budgets face even more pressure in the next two years, as the council is forced to save a further £40 million. The social care precept of 2% on council tax this year will raise only about £1.4 million, which is a drop in the ocean of Rochdale’s total adult social care budget of £80 million.

Inevitably, there have been serious consequences as a result of this underfunding. Our hospitals and A&E departments report a 70% increase in bed-blocking. They identify the cause as the fact that social care is not available to allow patients to be discharged safely. The figure was 108,000 in April 2012, but it was a staggering 184,000 this July. Bed occupancy rates exceeded 91% during January to March 2016, which is the highest quarterly rate in the past six years.

These figures serve to emphasise that cuts to social care services have had an inevitable knock-on effect on the NHS, heightening the bed-blocking problem, as patients are forced to stay in hospital for longer because they are unable to get the support that they need at home. By properly funding adult social care, we could remove the burden from our hospitals, so that they could carry on the important acute work for which their services are intended.

I want to talk about home care providers and their staff. According to the local government ombudsman, they are “underfunded and over-stretched”. Sadly, there has been a rise in cases of neglect in patient care and a failure to deliver a decent and fair wage to carers. Some 63% of staff said they had less time to spend with the people they care for because of staff shortages, and nearly two thirds are doing their job alongside fewer staff than they were six years ago. The trade union Unison has said:

“Cuts have left a trail of destruction and this is affecting those in desperate need of care. Care workers do a vital job looking after the most vulnerable in society. But they’re not getting the support they need from their employers.”

I agree with Unison. Carers are an integral part of the healthcare system, and they must be valued and properly remunerated for the work they carry out, year in, year out.

I hope that now we have had a change of Prime Minister and Chancellor, we might have a change of mind and a change of heart on this issue. The autumn statement is the first opportunity to reassure the public that this will be a Government who not only work for everyone, but care for everyone. The importance of investment has been acknowledged on all sides of the debate. Stephen Dalton, chief executive of the NHS Confederation, has said:

“The critical and negative tipping point for the health and care system has been triggered by cuts to social care. It’s imperative the chancellor takes the opportunity, in the autumn statement, to prioritise investment in social care before the winter.”

This is issue needs to be addressed immediately. It cannot wait any longer.

Some people are of the view, locally, that the devolution deal in Greater Manchester might provide a solution to the underfunding of adult social care. My right hon. Friend the Member for Leigh (Andy Burnham), who is now Labour’s Greater Manchester mayoral candidate, has long campaigned on the integration of health and social care, which he has talked about in this debate. If he is elected, that will give him an opportunity to put these plans into action. However, with devolution comes a £1.2 billion to £2 billion black hole in the finances. For healthcare to be properly devolved, it is vital that it is properly resourced and properly funded.

The Government must act to give health and social care services the investment and protection that they desperately need. In the long term, we must fully integrate health and social care, otherwise many of the most vulnerable and defenceless people will be left facing a prolonged winter of discontent and displacement.