Social Care

Debate between Mark Harper and Jackie Doyle-Price

Wednesday 25th October 2017 Commons Chamber

[Jackie Doyle-Price]

My right hon. Friend is indeed correct.[Official Report, 3 November 2017, Vol. 630, c. 3MC.]

The ageing population presents one of our nation’s most profound challenges. It raises critical questions as to how, as a society, we enable all adults to live well into later life, and how we deliver sustainable public services that support them to do so.

[Mr Harper]

In a spirit of cross-party consensus, may I add my support to the issue raised by the hon. Member for Stretford and Urmston (Kate Green) by urging that when we bring forward our consultation we cover the nearly 50% of social care spending that is spent on adults with disabilities? I share the view that we must make sure that they are properly supported and able to live full lives, including, where they are able, moving into work. That sometimes gets lost in the debate when we completely focus on people towards the ends of their lives. We must deal with everybody. The hon. Lady made a really important point.

[Jackie Doyle-Price]

I could not agree more. I share my right hon. Friend’s support for the hon. Lady’s comments. There are still many opportunities to get working-age adults with disabilities into work. We have set ourselves a target of getting 1 million more people with disabilities into work, and we are very committed to doing that.

In response to the point made by the hon. Member for Worsley and Eccles South in her opening remarks, yes, much of the debate has focused on how we care for the elderly, but, as she and the whole House will be aware, support for working-age adults is becoming an increasingly big proportion of local authority spending in this area, and it is very important that we focus on it. Alongside the preparations we are making for consultation in the new year, we have a parallel work stream looking specifically at working-age adults, because some of the solutions will be similar and some will be different.

[Jackie Doyle-Price]

There needs to be a separate work stream because it is connected to the desire to get more people into work, but the two programmes are working in parallel. As I said, today is a great opportunity to get that on the record. Certainly, it has been very much a focus of my conversations with voluntary groups in the sector.

[Mr Harper]

Picking up the point about the work being separate but parallel, in thinking about how we are going to fund the care, it is really important to make sure that we do not inadvertently put in place any barriers to work, whereby somebody would find that moving into work would increase the cost of their care to the extent that working was of no consequence. That would not be an issue of funding care for older people, where there are some different challenges. A separate but parallel structure may well be the right one to go for.

[Jackie Doyle-Price]

Again, I agree with everything that my right hon. Friend says.

To reassure the hon. Member for Worsley and Eccles South, we will have plenty of opportunity to discuss all these issues in the new year. We want to progress this by building a real consensus, because it is a strategic challenge facing us all. Not only are we all living longer, but working-age adults with disabilities are living longer. That is a matter for celebration, and we must do everything we can to make sure that we can meet all our obligations to them.

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[Jackie Doyle-Price]

I think it matters a great deal that we have made £9.25 billion available.

[Mr Harper]

Will the Minister give way on the funding issue?

[Jackie Doyle-Price]

I need to make progress. I apologise to my right hon. Friend.

On delayed transfers of care, the Government are clear that no one should stay in a hospital bed for longer than is necessary. Doing so removes people’s dignity and reduces their quality of life. It leads to poorer health and care outcomes, and it is more expensive for the taxpayer. I will set out in more detail the work we are doing to reduce delayed transfers of care. That is critical, because a well-functioning social care system enables the NHS to provide the best possible service.

We are clear that we must make much faster and more significant progress well in advance of winter to help to free up hospital beds for the sickest patients and reduce pressures on overcrowded A&E departments. Last year, there were 2.25 million delayed discharges, up 24.5% from the 1.81 million in the previous year. Just over a third of those delays were attributable to social care. The proportion of delays attributable to social care increased over the last year by four percentage points to 37% in August 2017.

We have put in place an agile and supportive improvement infrastructure, and I have been very clear about priorities. First, in this year’s mandate to NHS England we set out a clear expectation that delayed transfers of care should equate to no more than 3.5% of all hospital beds by September. Those in the system have worked extremely hard to agree spending plans and put in place actions to make use of the additional funding, and they deserve real congratulation for their efforts. Since February, there have been significant improvements in the health and care system where local government and the NHS have worked together to tackle the challenge of delayed transfers of care, with a record decrease in month-on-month delayed discharges in April 2017.

Border Force

Debate between Mark Harper and Jackie Doyle-Price

Wednesday 4th September 2013 Commons Chamber

[Mr Harper]

I can assure the hon. Gentleman of that. I make it very clear on my visits, as does the director-general, that we must deal with both those challenges—people crossing the border and freight. As I said in response to the shadow Home Secretary, there was no suspension of freight checks at Calais. We adopt a multi-layered approach. Even when Border Force officers are not searching vehicles, the staff at the port and our contractors are doing so. I am confident that there are proper checks on people coming into the United Kingdom, and proper intelligence-led checks on freight and goods as well.

[Jackie Doyle-Price (Thurrock) (Con)]

Is my hon. Friend aware that the Border Force team in Tilbury, in my constituency, has been reporting much higher morale since being spun out from the Border Agency? Does not the report also confirm that that was exactly the right decision?

[Mr Harper]

I am grateful for my hon. Friend’s comment. I had the great pleasure of visiting Tilbury with her early in my time as Immigration Minister, and was very impressed with the engagement of staff there. As she says, the report confirms making Border Force a stand-alone organisation in the Home Office was the right thing to do. It has enabled the organisation to focus on delivering on the operating mandate, and I think that under the new permanent leadership of Sir Charles Montgomery, that process will continue.