Health and Social Care Update

Debate between Thérèse Coffey and Karen Buck

Thursday 22nd September 2022 Commons Chamber

[Dr Coffey]

I thank my hon. Friend, including for the work he undertook as a Minister in the Department of Health and Social Care. I am conscious of the importance of that care and would be very happy to meet him, along with my right hon. Friend who contacted me today about that issue, in order to make sure that we provide not just emergency services but, as my hon. Friend rightly points out, some of the clinical care where an extended intervention is needed, to make sure that we get proper care overall.

[Ms Karen Buck (Westminster North) (Lab)]

For some years now, and at any given time, my local hospital has had the equivalent of around one ward of patients who cannot be discharged because of a lack of social care for them. London has the largest shortfall of care workers of any region in the country. It is September—we are on the edge of winter. How will the Secretary of State’s plan ensure that local authorities are able to meet pay and conditions expectations in order to fill that shortfall of care workers and enable our hospitals to concentrate on new patients, as they should?

[Dr Coffey]

I decided to diagnose, in effect, what is happening care by care, and that is really important. Nevertheless, more generally, I will of course be introducing the £500 million care fund to make sure that that happens.

Oral Answers to Questions

Debate between Thérèse Coffey and Karen Buck

Monday 8th November 2021 Commons Chamber

[Dr Coffey]

My hon. Friend is right to praise Buckinghamshire Council, which was allocated £2.4 million from the fund. It is fair to say that local authorities delivering the household support fund have access to elements relating to health visitors, social workers and housing departments, and access to the benefits system through the Searchlight portal, to identify people who may need help at this time and are most in need. Of course, people should turn to their councils for that support, and they should be warmly welcomed.

[Ms Karen Buck (Westminster North) (Lab)]

According to the Resolution Foundation, the combined effect of the removal of the £20 universal credit uplift and the Budget measures means that 3.6 million households on universal credit—three quarters of the total—will still be worse off this winter. These measures take £3 billion out of support for the poorest, so how far does the Secretary of State estimate that the £500 million household support fund, which is equivalent to just one sixth of the amount that has been removed, will reduce the level of hardship for people this winter?

[Dr Coffey]

The hon. Lady will recognise that some of the announcements made in the Budget recently will, I expect, provide some direct support for people working or, indeed, encourage people into work. However, the £500 million, being a targeted fund, will be a great support, with people identified by local councils that know who to target in this regard. It is also fair to say, as has been said many times, that the uplift was temporary, recognising the situation that we are in, and candidly, it was far more generous than ever happened—or rather, never happened—when we had the 2009-10 financial crisis.

Oral Answers to Questions

Debate between Thérèse Coffey and Karen Buck

Monday 13th September 2021 Commons Chamber

[Dr Coffey]

My hon. Friend is absolutely right. Today, the Government have announced the infrastructure programme, with a mixture of public and private sector investment of £650 billion over the next 10 years. We believe that will generate 425,000 jobs in the next four years, and these will be well-paid jobs. Between my Department and the Department for Education, we will be trying to make sure that as many people are as upskilled as possible to take advantage of the higher wages of the jobs being created.

[Ms Karen Buck (Westminster North) (Lab)]

Research by the Joseph Rowntree Foundation indicates that nearly four out of every five families with children are receiving universal credit or working tax credit, rising to 45% or more of families with children in the north-east, Yorkshire and the Humber, and the west midlands. Can the Secretary of State share her Department’s assessment, which we heard about at the end of last week, of how these families are expected to manage the income shock of losing £1,000 a year due to the impending cut?

[Dr Coffey]

It may surprise the hon. Lady to know that more than half of recipients of universal credit are actually households without children. We are conscious that this support had a widespread impact when we had the impact of the pandemic. However, what the hon. Lady will know about is that in the last year, collectively across Government, we have injected several hundred million pounds specifically to help people with children with the difficulties of some of the financial challenges they have. However, now that the jobs market is well and truly open, we will be doing whatever we can to help people get into work, and get into better-paid work as well.

[Ms Buck]

It is not clear from that answer whether the Secretary of State has actually undertaken any form of assessment of the income shock. However, it is not only about the impact on individuals’ and families’ incomes; it is also about the wider economic consequences. According to the Resolution Foundation, a quarter of all households in the north-east will lose £1,000 a year from the cut, which will strip millions of pounds from the economies of some of the poorest communities in the country. Has her Department carried out an assessment of what the economic impact will be of the cut coming into effect in just a few weeks’ time?

[Dr Coffey]

My understanding is that, as we always knew the uplift was going to be temporary, an impact assessment was not undertaken because we knew it would be for a limited time.

Oral Answers to Questions

Debate between Thérèse Coffey and Karen Buck

Monday 30th November 2020 Commons Chamber

[Dr Coffey]

Last year we actually increased benefits by inflation, and we have made sure that that has happened again so that there are no cuts in that regard. I am keen to continue to do what we can to encourage people to move across to universal credit. There is only one group of claimants who are effectively barred from doing that, and that will change in January next year. I genuinely want to put across how important it is; by using things such as Help to Claim and getting support directly, people can often see that they will be considerably better off under universal credit.

[Ms Karen Buck (Westminster North) (Lab)]

The Secretary of State announced that the local housing allowance would again be frozen in cash terms in 2021, having only moved out of the previous freeze in March. That means, as the Office for Budget Responsibility has pointed out, that LHA rates will fall back below the 30th percentile. The Government have cut local housing allowance consistently since 2010-11, including freezing it from 2016 to this year. Will the Secretary of State tell us what estimate the Department has made of the effect on children in poverty of pushing the LHA back below the 30th percentile?

[Dr Coffey]

The decision made last year was to increase to the 30th percentile in cash terms—that is around £1 billion of welfare support that has been added. On consideration, we felt it was right to continue the cash freeze as we recognise that around the country we are seeing rents potentially going down, although I recognise that in some places they may continue to rise. Overall, people have certainty in the amount of cash that they have. It is certainly not going back but about making sure that this is a permanent change and was not just a temporary one.

[Ms Buck]

The fact is that the number of children in poverty in the private rented sector rose by half a million between 2010 and 2019, so whatever uplift has been put in over the past year is in that context and we will see more children plunged into poverty as a result. Will the Secretary of State tell us exactly what steps she will take to ensure that more children do not fall into poverty as a result of the re-freezing of housing allowances?

[Dr Coffey]

I think I have already answered the hon. Lady. We have not reduced the LHA back to pre-covid arrangements; we decided to make that change a permanent fixture but to freeze it at cash levels, recognising that, as I said, nearly £1 billion had been injected into welfare support. We will continue to work on this issue throughout the country and I am keen to see what we can do on aspects of housing, which is why I am in regular conversation with the Ministry of Housing, Communities and Local Government about how we do things such as bring empty homes back into use as accommodation. I want to make sure that people have as much affordable housing as possible, and the increase to LHA of nearly £1 billion is one way to achieve that.

Housing Benefit

Debate between Thérèse Coffey and Karen Buck

Tuesday 12th November 2013 Commons Chamber

[Ms Buck]

My hon. Friend is right. We are already seeing some of the impacts of this and other housing and welfare policies impacting detrimentally on seaside towns, in the same way as happened in the 1980s and 1990s. But the fact is that this policy simply cannot achieve the objective of tackling overcrowding because the larger properties are in the wrong place, and the numbers demonstrate that. It will work only if people do something that they do not want to do, which is to leave their homes, communities, networks, grandchildren, and families—to leave the people for whom they provide care.

That is also why those Government Members who have repeatedly made the argument that the Labour Government introduced a local housing allowance that applied a restriction on bedrooms in the private sector are so fundamentally wrong. A third of all private tenants across the country have lived in their homes for less than a year. Whether we like it or not, and whatever changes we might want to make to it, the private rented sector is highly mobile. Some 40% of all social tenants have lived in their homes for 10 years or more.

People went into a social property believing that it was a home for life. They believed that they would be able to bring up children, look after elderly relatives, care for people, live in their communities and contribute to them because they had a home there. That has now been removed, and it has been removed—this is the absolute cruelty of the bedroom tax—retrospectively. The situation simply cannot be compared with the private rented sector, because people in that sector move around much more and they are not impacted retrospectively.

[Dr Coffey]

I agree with the hon. Lady that this is retrospective, unlike her point about local housing allowance, but the principle is the same, although it might not have been applied retrospectively when it was introduced by the previous Government. On her point about private mobility, it is we on the Government Benches who are trying to help people buy their homes.

[Ms Buck]

There is no attempt to do anything of the kind, otherwise people would be looking at longer-term tenancies and introducing that. The fact is that there is no principle in this. The principle of a tax being retrospective, as it is in this case, is the only principle that matters.

Even within the Conservative-led London borough of Westminster, which has a serious overcrowding problem, people are still unable to move. They are unable to move within the borough, let alone to Liverpool or Wales. Of the 405 families affected—it is a small number, because London is not the most affected by the bedroom tax—only 40 have been able to move. Half of them are in arrears and half of them are disabled.

I will conclude my remarks by referring to one of the many difficult cases that have been brought to my attention. A gentleman e-mailed me at the weekend. He wrote:

“I’m a 50-year-old single man living in a two-bedroom flat and have been hit by the so-called Bedroom Tax. I’m on employment support allowance and have been suffering from Chronic Depression and Anxiety for several years now and I’m now finding these latest attacks on the weakest and most vulnerable in society very difficult to deal with. I have little money and now find my rent arrears total nearly £800 as a result of the Bedroom Tax. I’m continuing to pay the previous level of rent, but the council have now sent me a letter saying that the next step will be to serve me with a Notice of Seeking Possession if I don’t pay the arrears in full. I simply can’t do this.

I’m loth to downsize for several reasons. My main reason is that I’ve lived at my present address for over 29 years and there is a lot of sentimentality connected with my home… because I lived here with my brother, who sadly passed away… This is my last link to him and I really couldn’t envisage living anywhere else. I’m feeling increasingly fatalistic and helpless and my thoughts are turning more and more to ending my life, which is something I’ve successfully avoided since my brother’s death. This latest setback just seems so insurmountable and there really doesn’t seem to be any sympathy or understanding… I no longer have anywhere to turn.”

He asked me to vote against the bedroom tax this afternoon, and I will be very proud to honour an obligation to him by doing so.