Thalidomide Trust (Grant)

Richard Fuller Excerpts

Thursday 20th December 2012 Commons Chamber

[Richard Fuller (Bedford) (Con)]

I join other right hon. and hon. Members in praising the dedicated, intelligent and sensitive leadership of the Thalidomide Trust over many years. The news from the Minister will be welcomed by thalidomide survivors throughout the UK, including in my constituency by a friend of mine and his wonderful family. The issue for many thalidomide survivors is the pursuit of an independent everyday life. Will the Minister advise me and the House why the decision was made to have a 10-year grant rather than a lifetime grant, which would have eliminated all uncertainty? I am very interested in the Minister’s comments on that.

[Norman Lamb]

We had a genuine judgment to make. On the one hand, I wanted to provide a good deal of certainty for a lengthy period, but this is a unique group of people. Their health is deteriorating, but we do not yet know what the prognosis is for the rest of their lives. It therefore might have been dangerous to allocate a sum of money for the rest of their lives. For all we know, their needs may grow considerably. It is therefore right to take stock in 10 years’ time and make a judgment on their needs at that stage.

Adult Social Care

Richard Fuller Excerpts

Monday 16th July 2012 Commons Chamber

[Liz Kendall]

I was stating the facts about the care crisis, which have been made clear not by me but by organisations representing older and disabled people, by local councils and by the NHS. It is the Government’s denial of the existence of the care crisis and their insistence that there is enough money in the system that I am seeking to correct.

As I have said, the Government have failed to recognise, let alone tackle, the care crisis, and they have failed to face up to the difficult decisions that we need for the future. Their progress report on funding merely says that the Government support the principles of Andrew Dilnot’s commission on the funding of long-term care and support. They now claim that it is only right for Dilnot’s proposals to be considered as part of the spending review. That was not their view two years ago, when they made a clear promise in their NHS White Paper to legislate on a new legal and financial framework in the current parliamentary Session. Now we have only a draft Bill to reform social care law alone. At best that means that there will be no change in funding before the next general election, and at worst it means no change at all if the Government return to power.

[Richard Fuller (Bedford) (Con)]

Will the hon. Lady give way?

[Liz Kendall]

I want to make a little more progress.

According to yesterday’s edition of The Sunday Telegraph, Andrew Dilnot has said that the delay has left older and disabled people in fear and misery. He expressed serious concern about the possibility that the Government will set the cap at a far higher level than that proposed by his commission—at £75,000 or even £100,000 rather than £35,000. He also said:

“if you go beyond £50,000 it is less effective in giving reassurance to the population and ceases to be a way of helping people with lower levels of assets.”

Instead of making real progress on funding reform, the Government trumpeted proposals for a national deferred payment scheme, providing loans to cover the costs of residential care.

[Liz Kendall]

It was Labour Members who proposed cross-party talks, and it was Government Members who decided unilaterally to publish the progress report on which we had been trying hard to agree. The hon. Lady accuses Opposition Members of not being serious about funding reform. We are, and I will set out what we would like to happen so that those talks can proceed.

The deferred payment schemes that were announced last week already exist in some parts of the country and are currently interest-free, but according to the Government’s plans interest will be charged, which will make loans more expensive than they are now. Many councils remain utterly unclear about how they will find the money to pay for those schemes. As the Local Government Association says,

“Councils are not banks and the implication of this level of debt in an already overstretched system needs urgent attention.”

The truth is that the Government have so far ducked the care challenge, and the reasons for that are clear. First, owing to their disastrous economic policy, they are now borrowing £150 billion more than they originally planned to borrow. The Treasury has pulled the plug, and has kicked long-term care funding into the long grass.

[Richard Fuller]

I thank the hon. Lady for giving way. As she recognises, cross-party consensus is required if we are to solve the social care problem. Care workers—the people who actually provide the care to people—do not get sufficient attention, however. One of the problems they have suffered from over many years is per-minute billing. Does she recognise that our changes to get rid of per-minute billing are worth while, and what impact does she envisage that will have on the provision of care over the long term?

[Liz Kendall]

The hon. Gentleman raises a serious point. I know from shadowing care home assistants in my constituency that commissioning by the minute can cause considerable problems. For instance, it does not allow the staff to meet the individual needs of those who are most desperate for help and support. As I have said, we welcome many of the proposals in the White Paper, but they need to be properly funded, and that is why I am so concerned that the issue of long-term care funding has been kicked into the long grass.

The second reason why the Government have failed on this issue is that the Health Secretary’s obsession with reorganising the NHS has been a disastrous distraction. Two years have been wasted on an unwanted and unnecessary reorganisation, when everyone should have been relentlessly focused on the key challenge of our ageing population: meeting rising demand for care at a time of unprecedented financial pressure.

The third reason is the most fundamental of all. Many Conservative Members have still not grasped the basic principle that we must collectively and universally pool the risks of facing catastrophic care costs, as we do in the NHS, in order to make things better and fairer for us all. A voluntary system that leaves it up to individuals and their families alone will not work. The only way forward is through an effective partnership between individuals and the state.

--- Later in debate ---

[Paul Burstow]

When there is a crude race to the bottom and contracting is by the minute simply to ration access to the service, resulting in a care home provider or home care provider delivering care on a very time-and-task oriented basis, that is totally unacceptable. We know that in places such as Wiltshire, where home care services are organised on an outcomes basis, that is delivering better results for the service users and releasing resources to reinvest in services.

[Richard Fuller]

When I intervened earlier, Mr Deputy Speaker, I forgot to refer hon. Members to my entry in the Register of Members’ Financial Interests as the director of two care companies.

The Minister is absolutely right to say that there is a patchwork of responses from local authorities. I absolutely welcome the end of per minute billing, which is a tremendous step forward, but I draw the Minister’s attention to the comments made by the hon. Member for Stretford and Urmston (Kate Green). She talked about the pressures of meeting the minimum wage and the pressures that local councils are putting providers through. The Government must consider that issue, because there is exploitation in some areas. As businesses and charities try to meet the requirements local councils are putting on them, workers are finding it difficult to achieve a sustainable wage in providing care services.

[Paul Burstow]

My hon. Friend is absolutely right to highlight that issue, which the Low Pay Commission has commented on over a number of years, including before this Government came into office. In our White Paper, we make it very clear that local authorities, as the commissioners of such services, must be mindful of their responsibilities in ensuring that the resources they provide to providers are sufficient to allow them to fulfil their legal obligations.

Contaminated Blood and Blood Products

Richard Fuller Excerpts

Thursday 14th October 2010 Commons Chamber

[Richard Fuller (Bedford) (Con)]

Thank you for allowing me to speak for a couple of minutes, Mr Deputy Speaker. The actions at the root of this debate take us back many years. For many of us—including me—they take us back to a period that stirs great emotions. It was a period when an illness was ignored, when people’s deaths and suffering were marked by stigma, when Governments were in disarray and, too often, in denial and when life-changing mistakes were being made.

Everyone in this House commends the campaigners on this issue for their vigilance and persistence over the years. The debate relates to a judgment between principle and practicality in the operation of our Government, but also to individual lives, such as that of a family that lives in Kempston in my constituency. The issue of principle appears to be accepted and clear to all sides: a group of our own citizens, who had already suffered greatly, have been denied justice for many—too many—years. It is the responsibility of all hon. Members to challenge the Government to bring that period of injustice to a close. If December it is, Minister, then December it must be.

The main practical argument concerns cost, which is wrapped in the real pressures of affordability given the current pressures on the public purse. The written ministerial statement contains welcome indications for those affected by hepatitis, but I urge the Minister to consider the point made by my hon. Friend the Member for Blackpool North and Cleveleys (Paul Maynard) in clearing up other anomalies.

My constituent, Lisa, wrote to me urging me to attend this debate. She stated:

“We must trust in the democratic process to enable us to bring about change”.

It is my honour to represent her today. She wrote movingly about how she lost her husband when he was just 32—her son was just two years old at the time; about the pain as his body struggled in his failing battle with HIV and hepatitis; about the consequential financial pressures of losing her home; and about the sadness of a family life denied but which lives on in her heart and that of her son.

Lord Winston described the issue of contaminated blood as “a disaster”, which is surely the right description. Yesterday, we witnessed on our television screens another country come together to overcome the consequences of another disaster and painstakingly rescue 33 heroes who had suffered entrapment below ground and return them to their loved ones. Too many of the heroes who have fought for justice cannot be here today and cannot be returned to their loved ones. However, many of them are here, and many of the loved ones of those affected by this disaster are present, too.

It is time for the Government to show their mettle and demonstrate their principles, if not their culpability. I wait with anticipation to hear the Minister’s reply and place my trust and that of my constituents in her resolve.

[Mr Deputy Speaker (Mr Lindsay Hoyle)]

I shall move on to the Front-Bench speakers. I have the pleasure of calling Diane Abbott. It has taken since 1987 for her to reach the Front Bench, which is a long time, so we look forward to this experience.