Local Government and Social Care Funding

Louise Haigh Excerpts

Wednesday 24th April 2019 Commons Chamber

[Mr Clive Betts (Sheffield South East) (Lab)]

As the Chair of the Housing, Communities and Local Government Committee, I think the importance that Select Committees have attached to the issue of social care is shown in the amount of time we spend on inquiries on the issue. We have recently published three reports on adult social care, the last of which was done jointly with the Health and Social Care Committee last year. They were all unanimously agreed by our Committee, and in the latter case by the Committees jointly. We are currently inquiring into children’s social care, with the report due out next week. Those four social care inquiries show how important the issue is for the Committee and for local government as a whole.

As a Sheffield MP, I have to comment on the fact that my city and constituency have received funding cuts that are far higher than the average percentage in the past nine years, since 2010. Like other northern cities, we have been disproportionately hit, as cities with the greatest problems and needs have seen the Government cut their grants by the biggest percentage.

Putting all that to one side, if I look at the wider context, I see real problems for local government, because as a whole local government has had bigger cuts by percentage than any other area of Government spending. That has united councils of all political persuasions in their concerns about the unfair effect those spending cuts have had on local government as a whole. This comes at a time when demand for the main local authority services—care services—has been rising. The number of elderly people has been growing, which has meant that the number of elderly people who need care has been growing. That is great, because people are living longer. The number of people of working age with disabilities—an element of care that we should not forget—has also been growing, which is another success. In percentage terms, the demand for children’s services is going up faster than demand for any other current aspect of local government spending, so that comes on top of what I have described, too.

Those three rising demands mean that despite the fact that more people are in need of elderly care, according to Age Concern some 1.5 million people are not getting it. The threshold has been raised such that people with lower and moderate needs are now excluded from the care systems. People are ending up in hospital who should not be there because prevention is not happening, and people in hospital are not being discharged as quickly as they should be. We see all these things happening as a result.

The pressures on social care are causing other issues. With rising demand and spending on social care, as the cake has shrunk, the proportion of it spent on social care has grown, so the amount spent on other services has proportionately been cut by even more. The National Audit Office has done the figures, and they were given to the Select Committee: cultural and related services have seen a 35% cut; highways services and transport have seen a 37% cut; housing services, including homelessness and private sector housing, have seen a 45% cut; environmental and regulatory services have been cut by 16%; and planning has been cut by 50%. Those are massive cuts to the basic services on which we all rely day to day.

I worry about all that, because although it is of course important that councils concentrate on care, most people in the country do not receive care for themselves or for people in their families on a daily, regular basis; they rely on other services. They are seeing their council tax bills rise and what they get for their money fall. That is a real challenge and problem for local democracy. People are paying more but not getting any more. We ought to be very concerned about that indeed. It needs to be addressed in the widest sense.

I refer to the comments made by Councillor Paul Carter, but people from the Local Government Association, the County Councils Network, the District Councils’ Network, London Councils, and SIGOMA, the special interest group of municipal authorities, have made similar comments. Every council organisation has said that the current situation simply cannot continue and that we need a fundamental change in the amount of money provided for local government in the next spending review. The Select Committee will do an inquiry into that, which will hopefully give Ministers the ammunition with which to badger and berate the Treasury when they have discussions at that level.

We know from the estimates, which no one from the Government has challenged, that by the end of the next spending review children’s services are likely to be £3 billion adrift of the funding they need. Social care for the elderly is already £2 billion adrift, with estimates that the average annual increase required to keep pace with demand is around £800,000. That takes us to around £7 billion adrift.

The quality of care is often forgotten about. We need not only to continue to meet the increase in demand, but to do something to improve quality. If demand is going to increase, we are going to have to recruit more staff, and if we recruit more staff, we are going to have to pay them and train them better, otherwise, we will not be able to retain them. So the costs are going to go up even further.

[Louise Haigh (Sheffield, Heeley) (Lab)]

I speak as a co-chair of the all-party group on social care. Next week, we are launching an inquiry into the professionalisation of the social care workforce. My hon. Friend is making an important point about recruitment and retention and the need for more funding. The pressures and demands on funding are leading to a reduction in the professionalisation of the workforce, and as a result to reductions in the quality of care.

[Mr Betts]

Absolutely. The joint Committee report made the point that the quality of care is so important, and we have to think about the quality of the workforce and how much we pay them. The average social care worker gets paid 29% less than someone doing a similar job in the NHS. That figure demonstrates the challenge that we face.

What are we looking at, then? We have recently had a few welcome sticking plasters of funding from the Government; but next time, we will need a very large bandage, not just a few sticking plasters, to put this issue right. We look forward to the Green Paper, at some point on the horizon. Perhaps the Minister can tell us about the timing for that when she replies, but even now time is now too short for there to be a fundamental change in funding arrangements. We are going to need a lot more of the same.

The two Select Committees recommended that, at the funding review, we take the £7 billion extra that will be in the local government system from the 75% business rates retention and, instead of using it to replace public health grants and other forms of grant, we put it back into the system to deal with the problems of social care. That money can be there and we will not have to change the system. That can be done. We also proposed changes to make the council tax system fairer and less regressive. We can do those things for the next spending review and make sure that a quantum of money—around £7 billion— is available for social care. That would then relieve the pressure on other council services.

We then looked at what the longer-term system should look like. Of course, we need better integration at a local level between the NHS and social care. This is not about a national system of care that replaces what local authorities do; it is about better integration at local level. We must bear in mind that, while it is important that the health service and social care are linked together, the other great join-up that we must have is between housing and social care. The majority of people receiving social care live in their own home, and it is vital that we get those services linked as well.