Lord Pendry debates involving the Department of Health and Social Care during the 2019-2024 Parliament

Tue 7th Dec 2021
Health and Care Bill
Lords Chamber

2nd reading & 2nd reading & 2nd reading

Cost of Living: Public Well-being

Lord Pendry Excerpts
Thursday 20th October 2022

(2 years, 1 month ago)

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Lord Pendry Portrait Lord Pendry (Lab)
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My Lords, I recognise that this debate is about a number of issues in our society. I certainly welcome the initiative of my noble friend Lady Drake—no one better than her, perhaps, with her trade union background. Indeed, she once worked for my old union, the National Union of Public Employees. We shall have the pleasure of hearing from another speaker who worked for the National Union of Public Employees, in my noble friend Lady Merron, later in the debate.

It is clear from what my noble friend Lady Drake said that she is aware of the issues I intend to raise. Indeed, it is becoming something of an old chestnut of mine: I have raised in this place, on numerous occasions, the plight of carers in our society. In this short speech, therefore, I wish to return to that issue, to raise the lack of recognition of the important part played by social services, which has been neglected by successive Governments. Ministers, including the last two Prime Ministers, have expressed that importance but done very little to rectify the plight that these workers endure. The Government rightly emphasise, from time to time, the massive problems of the National Health Service and often raise the plight of doctors and nurses, yet do little about their problems. They place even less emphasis on the problems of ancillary workers in the service. Attention should be drawn to the problems faced by doctors and nurses, but never are those equal problems in the social services sector generally raised by the same Ministers. They too play a vital role in the National Health Service family, and they too deserve recognition for the important duties they perform.

I particularly wish to dwell on the plight of low-paid carers. The cost of living is affecting the well-being of low-paid workers generally in our society, but nowhere is it more obvious or more damaging than in how it affects the social services sector. The Conservative manifesto laid out how they would fix social care and its problems, but the Government clearly have not met that pledge, along with many others. Just last week, Skills for Care published its annual report on the state of the social care workforce. Four out of every five jobs in the wider economy pay more than the median wage for care workers. Care workers are facing unprecedented levels of stress and financial worry, some turning to work other than the work they love. As Carers UK said, it is a choice between heating and eating.

Therefore, it comes as no surprise that there are currently 165,000 vacant posts in the care sector, the highest number on record. Staff turnover rates remain alarmingly high, with nearly a third of care workers leaving their jobs each year, as they are underpaid and undervalued. The Government are failing to meet this challenge to convince enough workers to stay or to join the care sector, which they will not do until there is fairer pay and improved working conditions. It is no wonder that so many carers are leaving the job they love to join Tesco and other supermarkets. They would rather stay in the job they love, doing the rewarding work they do, than stack shelves in the Tescos of this world.

I hope that my words and, much more, those of other speakers in this debate make an impact on the Government, and that the Government realise the importance of this debate to those who have taken part and act accordingly.

Health and Care Bill

Lord Pendry Excerpts
Lord Pendry Portrait Lord Pendry (Lab)
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My Lords, I too congratulate the noble Lord, Lord Stevens, on his maiden speech. We all look forward to hearing more wise words from him, I am sure.

We all have waited patiently for the White Paper that was promised by the Prime Minister two and a half years ago, when he said that his Government would fix social care problems “once and for all”. We have now had the White Paper and a Bill, but there is no way that it will fix the many problems that exist in the social care system. At the same time, it would be churlish not to acknowledge that within the Bill there is some recognition of what many of us have been demanding for many years, well before the Prime Minister’s boast.

However, the Bill is silent on many of the problems of social care, and certainly in no way meets the needs of an integrated system between social care and the National Health Service. Instead, we shall continue to have an unequal system whereby the National Health Service will be a part of, rather than at one with, the social services. Funding allocation for social care in the Bill is far too small for the reform that is needed. There is no recognition of the important role that carers play as an essential part of supporting the National Health Service or the important role that they played alongside the National Health Service during the difficult months of the pandemic crisis.

I have always declared my interest in debates of this kind as a member of UNISON, a union with many health and social care workers among its membership. Before I was elected to the other place, I was a union official for nurses, midwives, care workers and others in the health service. Since arriving in Parliament, I have always shown an interest in those workers, who have always been at the wrong end of the wage scale. Nothing has changed in this respect; it is about time that they are recognised for the important role they play in our society.

In truth, the White Paper recognises some of the problems that exist in the workforce and includes a focus on career progression, the move towards the registration of care workers and the proposed changes to care certification. However, notwithstanding those improvements, there is virtually no coverage of the living standards of social care workers in the Bill. It shows a pathetic failure to grasp the gravity of the situation given the severe workforce crisis that exists currently. We all know that care workers are leaving the sector in droves, particularly over the past year. To put it bluntly, there is no point in highlighting the importance of a workforce if there are no workers there to be highlighted. Talk of their importance is meaningless.

To give a sense of the workforce crisis, UNISON shows the important state of the sector for care workers. Nearly 31% of care staff say that staffing levels are dangerously low and getting worse, affecting the care provided. Virtually all workers—some 97% of them—say that their employers are currently experiencing staffing shortages. Care workers have been overworked with low pay. These are all major factors among the reasons why they are leaving the sector for better pay. UNISON argues that 67% of staff say that they are thinking of leaving the sector altogether.

It is quite obvious that the Government must recognise that there is a crisis in this area and that they should do something about it—and quick. I could go on stressing the needs of care workers but time is clearly not on my side. However, I hope that this message gets clearly home to the Government because it is sadly needed.

Social Care in England

Lord Pendry Excerpts
Thursday 14th October 2021

(3 years, 1 month ago)

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Lord Pendry Portrait Lord Pendry (Lab)
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My Lords, I am sure we are all thankful to my noble friend Lady Pitkeathley for raising this important Motion. I am also pleased that the debate has been rescheduled for a longer period than the one hour originally allocated. Had that not happened, it would have been a nonsense for such an important debate as this. At least we now have something from the Government on the plight of social care workers, but it falls short of a meaningful response to the problems encountered by that sector for those who have to endure its working conditions, low pay and poor employment practices.

Of course, a number of promises by the Government have been jettisoned, which has caused real hardship for social care workers, including that from the Prime Minister not to put up national insurance, which is a solemn manifesto commitment broken. So many manifesto commitments have been broken. The list is endless, and going over them would take too long for this debate.

It perhaps suffices to point out that the new money the Government propose in their so-called plan is in no way at all a plan to reform social care problems. Of the £36 billion already mentioned in this debate that the Government propose for the next three years, only 15% will go to social care. The new money is designated for 2023, which will certainly not help the thousands struggling on low pay, against this background of funding cuts.

However, it is true that Covid-19 has brought to the attention of the nation the real worth of our care workers and the vital role they play in providing social care for those hit by this deadly disease. Thousands have died in care homes, including hundreds of care workers who died in the course of servicing those they cared for.

The Prime Minister, quite frankly, is in denial of the problems. He does not seem to understand the crisis affecting social care and has not responded to the leader of the Opposition, who said that, to bring in a plan

“to genuinely fix the crisis in social care … and … have a fair funding model”—[Official Report, Commons, 7/9/21; col. 157.]

we in the Opposition “will work together” to that end. Let us hope it is not too late. Perhaps when the Minister replies to the debate he might promise that, when the Prime Minister returns from his latest holiday—I hope he will be refreshed physically, but much more importantly mentally—he will remind him of that very sensible proposition and to act upon it.

If not, I conclude by reminding the House of previous debates when UNISON, my union, and others representing care workers, pressed for a national care service, which it has advocated for many times. It would provide greater security for those receiving and delivering care. Let us hope that this debate will add to those who are already trying to bring to the notice of the Government the urgency needed, as was spelled out by my noble friend in proposing this Motion. But let us not hold our breath.

Social Care and the Role of Carers

Lord Pendry Excerpts
Thursday 24th June 2021

(3 years, 5 months ago)

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Lord Pendry Portrait Lord Pendry (Lab)
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My Lords, I welcome the opportunity to take part in this important debate. As a result of it, I hope the Government will recognise their duty to carers and provide the necessary means to remedy the disastrous situation we find ourselves in.

Of course, we have all been around this block many times before, especially my friend, the noble Baroness, Lady Pitkeathley—my mentor and a great champion of carers. With her assistance, I piloted the Carers and Disabled Children Act 2000 through this House and the Commons. I am delighted to have heard her words in this debate. I hope the Government will take them on board and act accordingly.

I will draw attention to the vulnerability of carers in our society. In a recent Carers UK survey, 72% of unpaid carers said that they had suffered from mental ill-health and 61% had suffered physical ill-health as a result of caring. It is not surprising that these are the results of the carers’ condition if we look at the facts. For unpaid carers to get the carer’s allowance, they must work for more than 35 hours a week. In doing so, they will receive an income of £62.25 a week, or less than £2 an hour. Paid workers will receive the minimum wage, with three-quarters earning less than the real living wage. Both those statistics are disgraceful.

My union, UNISON, is one of the principal carer unions and for many years has fought for their needs. It tells me that the Covid-19 pandemic has had a devastating impact on receiving and providing social care. Thousands have died from this deadly disease in care homes, as have many more in their own homes. We know of at least 1,500 staff members who have died across the health and social care sector. Covid has highlighted many of the problems that have worsened the plight of care workers. No wonder UNISON describes them as the “forgotten front line” of the pandemic.

Time does not allow me to go on any more, but I hope that the Government will act on the voices that we have heard, lest all that cheering and clapping on the doorstep of No. 10 praising the heroic work of health service workers during recent months will have a hollow ring with those workers.