Social Care Reform

Munira Wilson Excerpts

Thursday 18th March 2021 Westminster Hall

[Munira Wilson (Twickenham) (LD) [V]]

It is a pleasure to serve under your chairmanship, Dr Huq. Social care is and has long been the poor relation of healthcare that successive Conservative Governments have promised to fix yet taken no action on. Here we are, eight years on from when the coalition Government announced and subsequently put into law a new model of social care funding based on Andrew Dilnot’s recommendations, but the Conservatives refused to implement it.

Instead, we had real-terms cuts in social care funding, and now we have yet another top-down reorganisation of the NHS that promises integration, but will do nothing to address the structural or funding reform needed in social care. The Budget, at the start of this month, did not even mention social care. Is it any wonder that most people feel that 1.5 million people with unmet care needs are just not a priority for the Government? Thank goodness for our 9 million unpaid carers, who daily pick up the slack and pay an enormous price, both financially and in their own physical and mental wellbeing, without any recognition. Where would we be without them?

Our care system, as many have already said, was already in peril pre pandemic and is even more so now. Adult social care has consistently been an afterthought for Ministers throughout this pandemic, with more than 25,000 lives lost in care homes to coronavirus and delays in securing PPE and testing for the care sector during the first wave. Many care homes are now teetering on the brink financially. The sector is crying out—with one voice, loud and clear—for a proper, joined-up workforce strategy. We have a staggering 112,000 vacancies, and one in six of the workforce are migrant workers, yet the vast majority of social care roles do not qualify under the new points-based immigration system, even after recent changes.

With 1.6 million social care workers earning less than the living wage, a quarter of the workforce on zero-hours contracts and limited career prospects, how on earth can we expect to provide decent, sustainable care for the most vulnerable adults in our country? The hon. Member for York Central (Rachael Maskell) referred to our mums and dads. It is not only our mums and dads but our brothers and sisters, sons and daughters; a large number of those needing care are actually working-age adults—almost half.

It is time for urgent cross-party action. The letter from the Secretary of State for Health and Social Care to all MPs last March inviting suggestions for social care really does not cut it. Over the last year, the Liberal Democrats have twice formally requested that the Government initiate cross-party discussions. As the Health Foundation says:

“These problems are not intractable but solving them requires political will and government spending.”

Given the monumental challenge before us, when will Ministers make good on the Prime Minister’s promise to fix social care and invite others to the table to help develop those solutions?

[Dr Rupa Huq (in the Chair)]

The good news is that Members have been very good at sticking to time, so we actually have a little bit of extra time to play with. If the three Front Benchers all stick to 11 minutes, that will give the hon. Member for Worsley and Eccles South (Barbara Keeley) time to wind up the debate. First of all, we are off to bonny Scotland and Dr Philippa Whitford for the SNP.