Thursday 1st July 2010

(14 years, 5 months ago)

Westminster Hall
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Nia Griffith Portrait Nia Griffith (Llanelli) (Lab)
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I will try not to repeat things mentioned by my hon. Friends and other colleagues in this important debate, but it is difficult when several have spoken previously.

We all recognise the huge savings that carers make for the economy—some £87 billion a year—and we recognise that they are not just economic savings. With some understandable and notable exceptions, the majority of people who are cared for by carers have a far better quality of life if they can stay at home, being looked after by their friends and family, and can take part in their social life as fully as possible, rather than going into an institution, no matter how good it is. However, unless we put in the support yet more people will reach crisis point, with carers not being able to cope any longer. Other solutions have to be found. However, some of the solutions are often not satisfactory, either for the family or the person being cared for.

Of course, for economic reasons, carers like to stay in work if they can. Many people become carers gradually over time, rather than suddenly, so they try to keep going, but they face a number of barriers. I am a member of the Union of Shop, Distributive and Allied Workers and I have supported its campaign for carers. I am pleased that the Labour Government introduced the right to request flexible working for carers some four years ago, but as hon. Members have mentioned, there is still a mentality in some workplaces that does not allow that. This is a serious issue, because it affects not only whether people can ask for flexible working, but attitudes towards promotion. Women carers are particularly affected, and although they might like to do something different or something new, they do not like to ask because they feel that they might have to go through an interview and explain about being a carer, and they feel that that might be viewed negatively. We are missing talent and not using people to the full.

It is well documented that, often, carers take a job below their qualifications or have to compromise what they do in other ways. That is a great shame, because we are missing out on a lot of talent. Yet with a bit of flexibility and understanding—as long as employers understand that there may be certain needs: people should be able to take their loved ones to hospital, or whatever—a lot more can be done to help.

Many carers suffer financial hardship because they cannot work much or have to give up work altogether. I implore the Minister to make certain that there is no cut to the carers allowance. I am worried about the current economic situation, because the rise in VAT will put additional pressures on families with the lowest incomes. I implore the Minister to ensure that, in addition to not reducing the carers allowance, at every opportunity an increase is made to it to try to keep up with the increasing costs of living.

As my hon. Friend the Member for Liverpool, Wavertree (Luciana Berger) explained, a great step forward would be to increase the earnings disregard to £150, for example, with an additional tapering—similar to how tax credits work—so that people earning up to £300 a week receive some benefit from it; doing so would target help to people who need it most. Targeting is important during a period of economic restraint throughout the country.

I am considerably worried about the provision of respite care. Many carers can only cope throughout the year if they have the opportunity to take advantage of respite care, even though doing so may be difficult, as the hon. Member for Blackpool North and Cleveleys (Paul Maynard) said, because they worry about leaving somebody, even for a short while. Respite care is not just an opportunity for carers to gallivant around the world. Often, it allows them to paint a room in the house, for example, because it would not be practical to do so while the person they care for was there. Perhaps the carer wants to attend their son’s wedding a couple of hundred miles away, or to do something similar. Without some respite care, such simple tasks can become impossible. This is not just about residential respite care. Respite care can involve someone sitting and looking after the person being cared for, allowing the carer to do the shopping.

People in my constituency are being denied respite care opportunities, where previously they were offered them. I am worried that that might be regarded as an easy cut for local authorities to make and that it might be an invisible cut, because, for example, one family would not know that another family had also had their request for care turned down. The criteria can be confusing and families can find that although in the past it has been possible for a family member to go into care, that is no longer so.

In taking up such matters with the local authority, I have found that some of the reasons given are economic, but it also says that it does not have the proper equipment. An increasing number of people who need to be cared for need hoists, for instance. An increasing number of carers are therefore coping at home with quite complicated issues, and when the person whom they care for goes away, equipment such as hoists, which is needed, is no longer available in an easily accessible form through the local authority.

Clearly, we must ensure that respite care does not become a Cinderella service, because it is often the only way in which people keep going. If it is not provided, the obvious alternative is that carers will stop doing the job and we will have to find full-time care for the person who was being cared for. Obviously, that is to everyone’s detriment, and the situation may end up being not so happy. Whether provided by the council or charitable organisations—help comes from many different funding streams, including third sector organisations and so on—we must ensure that funding for care in the community does not diminish.

The incoming Government must take a national care strategy by the horns, because we all know that in the next 20 or 30 years the number of older people will increase, people will live longer and the number of those who need various forms of care will increase. If we do not have a national care strategy in place quickly, cuts will be made, homes will be closed and all sorts of care services will be withdrawn. We will build up a dangerous backlog of problems that will have to be sorted out. We must get that national care strategy moving quickly, because it will have enormous implications for funding. It must be a long-term proposal; it cannot be adopted tomorrow. I beg the Government to take up the excellent work that has been done on that to date.

Finally, I want to speak about research into conditions such as dementia and Alzheimer’s disease. We all know how distressing a physical illness may be, but at least the sufferer can carry on a dialogue with loved ones and negotiate, discuss and decide the best thing to do. Sadly, diseases such as dementia and Alzheimer’s are often the Cinderella of medical research services. But the long-term impact on families of the distress caused by someone who does not recognise them and makes all sorts of accusations may be difficult, added to which sufferers may be kept alive for a long time and remain physically well. Sadly, I have seen cases of early onset dementia, which is distressing because the sufferer often needs 24-hour supervision. We must prioritise the research that may not attract big funders. Some research subjects are fashionable, but for others, such as dementia, it is much more difficult to attract funding, often because they are not pinpointable as specific diseases. There are many generalised and different forms of dementia, and we need support and backing for research.

Thank you, Mr Benton, for giving me the opportunity to speak. I hope that the Minister will be able to answer some of my questions.