Lord Palmer of Childs Hill Portrait Lord Palmer of Childs Hill (LD)
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My Lords, I thank the noble Lord, Lord Hendy, and the noble Baronesses, Lady Browning, Lady Ritchie and Lady Coffey, for adding flesh to what we are discussing here today in these amendments.

I hope we all agree that the adult social care workforce plays a vital and often undervalued role in supporting some of the most vulnerable in society, as previous speakers have underlined. Care workers show remarkable dedication, compassion and professionalism in often challenging circumstances, yet the sector continues to face high turnover, inconsistent conditions and, as we have heard, limited opportunities for training and career progression. There is growing recognition that this must change. Supporting a stable, skilled and respected workforce is essential to delivering high-quality care and ensuring the long-term sustainability of the system.

The provisions in Chapter 2, including the proposal for a social care negotiating body—that is the principle that we are discussing—are a response to that wider need for reform. They seek to introduce a more formal framework through which pay, conditions and progression can be discussed and agreed between trade unions and employers. The inclusion of statutory mechanisms for negotiation, as outlined in Clauses 37 and 44, reflects an effort to bring greater consistency and accountability to the way the workforce terms are determined. Clause 48, addressing agency workers, is a notable recognition of the diverse nature of employment in the sector and the need for fairness across the board.

It is the amendments we are discussing, not the wider situation of the country. These amendments have been brought forward to explore how these proposals might operate in practice, including the remit, independence and legal weight of any agreements. These are important questions and it is right that the House scrutinises how this framework would function and how it may be made most effective. I would welcome the Minister’s response in relation to the amendments.

While views will differ on the detail, the broader case for supporting and strengthening the adult social care workforce is widely accepted. The Bill forms one part—and only one part—of a longer-term process to address this challenge. Sustained attention to training, career development and workforce planning will be needed, alongside any structural changes introduced here.

The future of adult social care depends not only on funding or legislation but on whether people who deliver care feel valued, supported and able to build lasting careers. This should be our shared focus as this Bill progresses. I hope the Minister, when she replies, will talk about how we can value those care workers and make sure that they stay there, are educated, progress and are an addition to the values of this country and the way we work. Too often, they have been neglected. This is a chance to remedy that.

Lord Prentis of Leeds Portrait Lord Prentis of Leeds (Lab)
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My Lords, many of my noble friends have spoken about the possible collapse of the social care system. The toxic combination of chronic underfunding and the dysfunctional market system means that thousands of elderly and disabled people do not get the care that they need. I welcome the proposals in the Bill to establish a framework to establish legally binding agreements that, at long last, would set pay, conditions and terms for workers in the adult social care sector: an adult social care negotiating body in England made up of relevant employers and trade unions.

Staff in the sector are voting with their feet. They are leaving in droves. The vacancy rate is one of the highest in the economy and 130,000 jobs remain unfilled. Low pay is endemic. Over 400,000 adult care workers live below the real living wage, and 40% of the whole workforce live below the real living wage. A quarter are living on the verge of poverty and one-tenth are living with food insecurity. That is hardly a vote of confidence in our social care system.

Perhaps the most important reason for not delaying the action that is so desperately needed rests in the costs to our National Health Service. The latest State of Care report from the Care Quality Commission stated in April this year that waits for care home beds and home-based care accounted for almost half the delays in discharging patients who had been in hospital for more than 14 days. Nearly 4,000 people were delayed on an average day. The proposed fair pay agreement for adult social care staff has the potential to do so much good. Low pay, the lack of any career ladder and limited professional recognition are all inextricably linked in the social care sector. Experienced care workers with over five years’ service are paid, on average, just 8p an hour more than a new starter. There is little or no incentive for care workers to remain in the service; there is no meaningful career progression.

I cannot support the idea, which has been floated, that the new negotiating body would not apply to providers of care in the private sector. The whole point of the proposed fair pay agreement is that it will address low pay across the whole sector, not just those who are publicly funded. It would be deeply divisive, creating a two-tier care workforce with some benefiting and others shut out.

Privately funded providers should be requested to sit on the proposed adult social care negotiating body. We need that body to cover the whole sector, not just the public sector. If it is to work and to be successful in driving up pay standards across the whole sector, it must apply to the broadest definition of care workers. The proposed fair pay agreement is the first step towards a more structured pay system that over time should enable employers to offer a career pathway into social care, rather than low-status, low-paid employment with a high turnover rate.

So many of our citizens who need social care will benefit from the suggestions in this Bill. It is the first building block to a national care service. It will help with one of the most intractable problems facing our public services. The chief executive of the National Care Forum stated:

“We welcome any measures to strengthen the rights and improve the pay, terms and conditions of the social care workforce who make a significant contribution to our economy and the lives of millions of people”.


I ask that we allow this proposal, which will do so much good, to go forward, and that any amendments are no longer pursued.

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Baroness Finlay of Llandaff Portrait Baroness Finlay of Llandaff (CB)
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My Lords, I was unfortunately delayed in getting here for the start of the previous group of amendments. I had added my name to the amendments on education. However, I am delighted to be here. I would have added my name to the amendment in the name of the noble Baroness, Lady Coffey, if I had realised what she was going to say.

I reinforce the need for education and monitoring what people do. The social care workforce is absolutely amazing. Its members work across an enormous range of people. When I chaired the National Mental Capacity Forum over six years, it was very evident that some people wanted to and had great talent for working with people with impaired capacity, and they wanted to learn how to do it better. There were others who did not like working with people with impaired capacity or people who had early dementia or even mental health issues, but they were extremely good at working with people with physical disabilities and impaired mobility. They were very good at manual handling, lifting and so on.

Over many decades, I have worked with social care workers in my field of palliative care. In the report of the palliative care commission that we wrote recently, we recognised the important role of many of these workers. When they look after people in their own home, they are often the person who spots deterioration first. Very often, patients will confide in them because they do not have the mantle of power that nurses and doctors have, and people speak very openly to them. They understand the problems and fears that people have in themselves and their lives. But they can see what is happening only when there is continuity of care—when they have seen the person before and will see them again.

I have to defend Social Care Wales; it has helped having a registration system because it has improved the perception of the status of people working in the field. When looking at this in detail in my field, we found that, although their time in post was transient, they often moved to a different employer. Although they did not remain with one employer, they would take their skills and what they had learned with them.

It has struck me over the years that this is a workforce thirsty for knowledge, skills and education, yet the group is not normally included among those considered as educated. When I first set up the hospice in Cardiff, it was the carers and kitchen staff who came in on their days off because they wanted to learn. Very often, because I had worked with them for 20 years or so, they knew best of all when I was worried about something and when to trigger calling me out of hours, because they had a whole set of skills.

Registering those skills will be very important in allowing career progression and recognition and allowing people in this workforce to work in the domains in which they have the best personality and skill set that suits them—where they feel appreciated and know that they are rewarded emotionally as well as financially. Some people are happy to drive around from one house to another in the ghastly traffic of the outer London suburbs or in cities. Others do not want to do that; they want longer one on one. Some are better working with disturbed young people or people with addictions. If we can have a way of recognising and building on that, we can go a very long way to improving the overall security of this very important workforce, which has, sadly, been tremendously undervalued across our society until now.

It was heartening to hear the Minister summing up on the previous group. I was absolutely delighted to have my name on the amendment from the noble Baroness, Lady Browning, and to hear that the training will be set out via regulations under the affirmative resolution, which I think was going to be our next negotiating point when we were discussing what to do next. I hope that, with these amendments at different points in the Bill, we might find a way forward to get something on education and training recognised for the specific areas that people are in, so that they can gain credit for it, personally and in terms of career progression.

Lord Palmer of Childs Hill Portrait Lord Palmer of Childs Hill (LD)
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My Lords, I had not intended to speak because, in a sense, this is a continuation of previous amendments. I want to put in a word for this amendment, which recognises that there should be a registration scheme so that peoples’ talents, education and training can be recognised across the country. It is important to give them the credit for that accreditation and to use their talents. This amendment adds more to what we have already spoken about, because it provides a scheme that helps the patient and the client, as well as the care worker, in fulfilling needs. I hope the Minister will take account of this and include it in her reply.

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Lord Palmer of Childs Hill Portrait Lord Palmer of Childs Hill (LD)
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I support the amendment from the noble Lord, Lord Faulkner, whom I have known for many years, mainly through aspects of the railways. There was a programme on television a little while ago showing youth workers working on the railway. They did everything, including collecting the tickets; they did everything but drive the trains. It was really great. The national memories will die. Who will remember “The Titfield Thunderbolt”, the film about a local group who took over a railway? I still look on my railway to see the Pullman car that does not exist.

Heritage railways are important. It is important to make sure that young people know what heritage railways are and are employed—or used—within the railway system. It will give them education as well as everything else. This is a strange addition to the Employment Rights Bill that I would never have thought of, so my compliments to the noble Lord, Lord Faulkner, for including it. I hope that this rather unusual addition to the Bill will be considered by the Minister before Report.

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I hope the Minister will confirm the Government’s willingness to assess which further sectors could benefit from sectoral collective agreements, and I hope she will agree that that would be good for growth and for democracy.
Lord Palmer of Childs Hill Portrait Lord Palmer of Childs Hill (LD)
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My Lords, this group of amendments relates to the role of collective bargaining and particular proposals concerning a social care negotiating body. At this late hour, I do not intend to repeat the detailed points already made in the earlier group, but I take this opportunity—and I hope the Minister listens to this—to recognise the Government’s ongoing work to address the significant challenges facing the social care sector. These are complex issues, and the sector continues to face real pressures on workforce stability, recruitment and pay.

Amendment 322, which touches on fair pay agreement arrangements in social care and the possibility of their broader application, reflects one approach to addressing those concerns. While views will differ on the precise mechanisms and scope of reform, it is important that the Government continue to explore options to improve outcomes for both workers and those who rely on care services.

Having listened to the previous speakers, I wondered, “Gosh, am I the only one who is not in a trade union?” It seems that collective bargaining is about the views not just of the trade union but of people the gathered together who are not necessarily trade unionists. I feel uncomfortable that the views of the trade unions will affect the Government’s view of this. Collective bargaining is good; I am all for it. The general reduction in trade union membership has affected the ability of collective bargaining, but very often collective bargaining produces some benefit for those who have been part of it. Those working in any sector in the country know that one person’s benefit is very often less of a benefit for another person, and there is possibly less employment because wages have gone up. The current collective bargaining in the medical world will have a knock-on effect, and we have to think about that. I am all for collective bargaining and people getting better conditions and pay for the job, but thought has to be given to the knock-on effect.

We on these Benches note the intention behind these amendments and the reference to international frameworks and obligations. At this stage, we remain neutral on their detail, but we support continued dialogue on how to strengthen the resilience and sustainability of the social care workforce. I look forward to hearing, when the Minister replies and on Report, how the Government intend to do that. Collective bargaining will probably be part of it, but it is a much wider issue than purely that.

Baroness Meacher Portrait Baroness Meacher (CB)
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My Lords, I support the noble Baroness, Lady O’Grady. I am not a trade unionist, but I am very aware that there are sectors of the economy that are not unionised. Can the Minister inform the House whether there are sectors that are disadvantaged in terms of wage levels, and whether there are plans to unionise them?