Social Care Funding

Mary Robinson Excerpts

Wednesday 17th October 2018 Commons Chamber

[Mary Robinson (Cheadle) (Con)]

It is a pleasure to follow the hon. Member for Leicester West (Liz Kendall).

Two years ago, Greater Manchester became the first region in the country to have devolved control over its health and social care services, with a significant budget of £6 billion. My constituency sits in the Stockport Council area, which is one of the 10 local authorities in the combined local authority. Greater Manchester is home to almost 3 million people, with a thriving economy bigger than that of Northern Ireland or Wales, yet life expectancy ranks among the lowest in the country, and figures vary significantly across the 10 boroughs of the region. There are differences even at ward level. For instance, in Bramhall South and Woodford in my constituency, men and women live 12.4 years longer than someone living only 5 miles across the borough in Brinnington and Central.

The rising number of older people across the country means that there will be a greater need for health and social care support in both the short and long term, and we have to approach this in different ways. In his speech last week, the Mayor of Greater Manchester, Andy Burnham, indicated that a unique opportunity for the region is

“to integrate health with everything—early years, education, community safety, housing and employment.”

Successive Governments have long argued for that, and only recently are this Government the ones that are tackling it.

To provide effective support and truly implement integrated services, we must enable care to move out of hospitals and into communities, closer to where patients want to be—in their own home. The hospital transfer pathway, more colloquially named the red bag initiative, is already proving to be an effective tool in that regard, and care homes in my constituency have been chosen to pilot its effectiveness. The red bag holds standardised information about a patient’s general health and existing medical conditions. Most importantly, it clearly identifies the patient as a care home resident. This means it is possible for the patient to be discharged sooner; the care home is able to support the resident, and the knock-on effect is to ease the pressure on hospital services and to free up beds.

At this point, may I welcome the £1.28 million that will be given to Stockport Council in social care winter funding? Since the devolution settlement two years ago, Stockport has striven to create a more person-centred health and social care system. An extra £41 million is being spent on GP practices by 2021 to make it easier to see medical professionals at convenient times.

Nationally, GPs spend at least a fifth of their time on non-medical issues. In Greater Manchester, we have identified the need to address health through other means—specifically, social prescribing. It is a relatively new innovation in the health service. It is a means of enabling GPs and other frontline staff to refer people to services in their community, instead of offering only medicalised solutions. These services range from gardening to walking or arts and leisure. As a direct result of social prescribing, evidence suggests that there have been 28% fewer GP consultations and 24% fewer A&E attendances. Research also indicates that 90% of health problems are affected by the patient’s wellbeing. Social prescribing has been described as “absolutely fabulous” by one patient, who has said that

“my whole perspective of life has been changed!”

Through Stockport Together’s programme, the borough has developed a collective local approach to improving health and care outcomes aligned with the overall Greater Manchester strategy. I appreciate that there is no one-size-fits-all approach to addressing social care, but by partnership working and working together, we can address this issue and deliver the social care that people want and deserve.