Independent Commission on Adult Social Care

Lord Laming Excerpts

Tuesday 22nd July 2025 Lords Chamber

[Baroness Blake of Leeds (Lab)]

My Lords, I think the answer is partly in the question. There have been so many reviews and inquiries, but none of them has come forward and got total ownership from across the House; that is part of the problem. All the work that has been done through those reports will be built on. I would never underestimate the noble Baroness, Lady Casey. It has been my great privilege to work with her for decades. She was responsible for introducing ASBOs for troubled families, as noble Lords may recall. This situation is complex. It needs to be tackled in depth. There are things that can been done quickly, which she will address, but it is critical that we let her do the work and use her skills to reach consensus, which, frankly, has been so plainly missing in all the work that has been attempted in the past.

[Lord Laming (CB)]

My Lords, the Minister will know that, as many more people are, thankfully, surviving longer despite having severe disabilities or illnesses, and as we are all ageing, there are more people living in the community than in hospitals who need continuing medical care and social support. The department is not just the Department of Health; it is the Department of Health and Social Care. In the light of what the noble Lord, Lord Young, just set out, can the Minister assure the House that, until the noble Baroness, Lady Casey, reports, health and social care will be given equal weight, and that social care will not be treated as a mere add-on to the health service?

[Baroness Blake of Leeds (Lab)]

The noble Baroness, Lady Casey, is working towards setting up a national care service that can work alongside the National Health Service. The noble Lord raises critical points. Given that so many people live with frailty and need in the community, it is essential that not only the NHS and social care but the voluntary sector and the wider community are involved. We have seen incredible benefits for our most vulnerable in areas that have managed this successfully. There is an enormous amount to do, as the noble Lord suggests, but we are up for the job.