Adult Social Care Statement House of Commons


Download Subtitles

SRT

ASS


Adult Social Care Statement

Live coverage of the statement in the House of Commons on adult social care by the minister for care and mental health, Jackie Doyle-Price.


Similar Content

Browse content similar to Adult Social Care Statement. Check below for episodes and series from the same categories and more!

Transcript


LineFromTo

will be very happy to discuss what

kind of feedback we can get from the

0:00:000:00:02

department as soon as possible.

Statement, the parliamentary

0:00:020:00:09

undersecretary of state for care and

mental health. Minister Jackie Doyle

0:00:090:00:15

Price.

Thank you. This oral

statement is the government's

0:00:150:00:22

responds to the recent opposition

they debate on social care on

0:00:220:00:27

Wednesday the 25th of October. Since

the debate, the government announced

0:00:270:00:31

further plans for the Green paper on

care and support for older people on

0:00:310:00:34

the 16th of November. This oral

statement reiterates the substance

0:00:340:00:38

of that announcement while providing

further detail to the House and some

0:00:380:00:44

specific areas. An ageing Society

means we need to reach a longer-term

0:00:440:00:48

sustainability settlement for social

care, which is why the government is

0:00:480:00:53

committed to publishing a green

paper by 2018 setting out its

0:00:530:00:58

proposals for reform. And

interministerial group is overseeing

0:00:580:01:01

the work. This builds on the

additional £2 billion over the next

0:01:010:01:05

three years we have already provided

to meet social care needs. In

0:01:050:01:09

developing the Green paper it is

right we take the time needed to

0:01:090:01:12

debate the many complex issues and

listen to the perspective of experts

0:01:120:01:18

and key users building consensus

around reforms that can succeed.

0:01:180:01:21

This is why we are starting a

process of initial engagement over

0:01:210:01:25

the coming months through which the

government will work with experts,

0:01:250:01:29

stakeholders and users, to shape

long-term reforms proposed in the

0:01:290:01:33

Green paper. The government has

asked independent experts to provide

0:01:330:01:37

their views, including the two most

recent reviews on social care. We're

0:01:370:01:45

also engaging closely with key

stakeholders and people who use

0:01:450:01:50

services and their carers.

Government will be hosting a number

0:01:500:01:53

of round tables to hear a range of

perspectives representing different

0:01:530:01:59

constituencies including service

recipients, providers, health

0:01:590:02:03

services, financial services

providers, local government and

0:02:030:02:05

working age adults. Once the Green

paper is published, it will be

0:02:050:02:12

subject to full public consultation.

The government has also recognise

0:02:120:02:15

there is broad agreement across

Parliament that reform social care

0:02:150:02:21

is a priority, and is looking

forward to hearing many dues. We

0:02:210:02:25

have written to cheers of relevant

all party parliamentary groups to

0:02:250:02:30

discuss their priorities and

perspectives on reform. The Prime

0:02:300:02:34

Minister has been clear that the

consultation will include proposals

0:02:340:02:37

to place a limit on the care costs

individuals face. To allow for full

0:02:370:02:42

of engagement and development of the

approach, we will not be taking

0:02:420:02:51

forward the previous government's

plans to implement a cap on care

0:02:510:02:55

costs in 2020.

0:02:550:02:59

Further details on the Government's

plans will be set that after we have

0:02:590:03:03

consulted on the options.

The Green

paper will focus primarily on the

0:03:030:03:07

care for older people but will

consider elements of the adult care

0:03:070:03:13

system regarding all recipients of

social care. We are committed to

0:03:130:03:17

ensure that people with disabilities

and complex conditions are able to

0:03:170:03:20

live healthy, independent lives and

able to participate fully in

0:03:200:03:25

society. Many of the questions and

issues about the sustainability of

0:03:250:03:29

the care system will be relevant to

adults of all ages. To ensure these

0:03:290:03:37

issues are considered in their own

right, the Government has committed

0:03:370:03:39

to bringing forward a parallel

programme of work that is being led

0:03:390:03:45

jointly by the Department of health

and Department of communities and

0:03:450:03:48

local of at. This work will also be

overseen by the interministerial

0:03:480:03:52

group to ensure close alignment with

the Green paper. Of course, carers

0:03:520:03:56

are a vital set of partners in the

health and social care system and it

0:03:560:04:01

would not make any sense to pursue

strategic issues related to carers

0:04:010:04:05

in isolation from the wider work on

the future of social care and they

0:04:050:04:10

will therefore be a key part of the

Green paper. A sustainable

0:04:100:04:15

settlement for social care will not

be possible without focusing on how

0:04:150:04:20

our Society supports carers. The

called Riverdance carers in 2016 are

0:04:200:04:27

central to any proposals for the

wider social care system -- the call

0:04:270:04:34

for guidance on. We must continue to

improve the work and expense of

0:04:340:04:37

carers today and the Government

remains fully committed to do so in

0:04:370:04:42

a way they would wish and in a way

that supports their own health and

0:04:420:04:45

well-being, their employment and

their life chances. So ahead of the

0:04:450:04:50

Green paper's publication, the

Department of Health will also be

0:04:500:04:53

publishing an action plan for carers

in the New Year, setting priorities

0:04:530:04:57

for a cross Government programme of

work to support carers over the next

0:04:570:05:00

two years. In the short and

medium-term, we are taking important

0:05:000:05:04

to ensure we stable adult care

sector. We are supporting adequate

0:05:040:05:12

great across the system and

supporting the network and services

0:05:120:05:15

that keep people living

independently belong. It is

0:05:150:05:18

important to recognise that quality

across the adult social care sector

0:05:180:05:21

remains good overall. The October

2017 state of care report from the

0:05:210:05:26

CQC found that 80% of adult social

care settings had been rated as good

0:05:260:05:34

and outstanding. However, the CQC

also underlined there are

0:05:340:05:37

substantial variations in the

quality of care depending on where

0:05:370:05:39

people live. Department of health is

also working with the adult social

0:05:390:05:45

care sector to implement quality

matters, a shared commitment to take

0:05:450:05:49

action to achieve high-quality

patient centred adult social care.

0:05:490:05:55

Through our programme sector led

improvement, we are supporting

0:05:550:05:58

councils to make savings and

improved services by promoting good

0:05:580:06:02

practice, including new approaches.

Looking beyond social care

0:06:020:06:08

provision, it is vital to help the

broader supporting services that

0:06:080:06:13

help people live longer. This means

that well adapted and specialised

0:06:130:06:18

housing is becoming increasingly

important and the disability grant

0:06:180:06:22

is to help meet the cost of adapting

a property for a person with a

0:06:220:06:29

disability or support need. The

budget this year provided an

0:06:290:06:34

additional £42 million for the rest

of the financial year, taking

0:06:340:06:37

funding for this year to 440 back at

a rate £473 million. This ain't a

0:06:370:06:46

better system everyone can have

confidence in where all people

0:06:460:06:51

understand their responsibilities,

where all can prepare for their

0:06:510:06:53

future and the care they receive

will be to a high standard and help

0:06:530:06:56

them maintain their independence and

well-being. This Government wants to

0:06:560:07:01

take the time to consult and build

consensus on a long-term sustainable

0:07:010:07:04

settlement for the future which

includes looking at the quality of

0:07:040:07:08

care being delivered, the funding of

the system and how it will be paid

0:07:080:07:11

for in the round.

I thank the

Minister for giving me an advance

0:07:110:07:19

sight of her statement. But her

statement is a woefully inadequate

0:07:190:07:23

response to the Opposition Day

debate we held in this place on

0:07:230:07:27

Wednesday the 25th of October. It in

no way addresses the motion passed

0:07:270:07:31

by this House. That motion called on

the Government to note the

0:07:310:07:36

Conservative Party's manifesto

commitment to a funding proposal for

0:07:360:07:40

social care which would have no cap

on care costs and would include the

0:07:400:07:44

value of homes in the means test for

care at home and we called on the

0:07:440:07:48

Government not to proceed with their

commitment to those proposals. The

0:07:480:07:51

Minister has today finally confirmed

what many on these benches

0:07:510:07:54

suspected, that they will not be

proceeding with their plans to cap

0:07:540:07:58

care costs by 2020 as legislated by

this House. This is a shameful waste

0:07:580:08:04

of taxpayers' money, over £1 million

in today's money was spent

0:08:040:08:08

commissioning the deal not review

and it is a waste of Parliamentary

0:08:080:08:13

time enacting that cap and it is no

good the Minister saying the

0:08:130:08:16

Government are consulting on this

cap. They consulted on this during

0:08:160:08:20

the general election and their

proposals were rejected by the

0:08:200:08:22

electorate. Meanwhile, many people,

very many people, are still faced

0:08:220:08:28

with the catastrophic costs of

paying for their care. Our

0:08:280:08:32

Opposition Day debate motion also

called on the Government to remove

0:08:320:08:35

the threat to withdraw social care

funding and stop fines on local

0:08:350:08:40

authorities for delayed transfers of

care. During the debate, I talked

0:08:400:08:45

about how ministers had previously

threatened councils with fines and

0:08:450:08:48

further funding cuts to social care,

if targets for cutting delayed

0:08:480:08:53

transfers of care could not be met.

Fines for targets for half -- that

0:08:530:08:59

half of social care directors

believe are unrealistic so can the

0:08:590:09:02

Government confirmed they have

listened to the will of the house to

0:09:020:09:05

stop these fines, which merely

threaten to make the crisis in

0:09:050:09:09

social care worse? And the

Opposition Day debate motion also

0:09:090:09:12

called on the Government to commit

to the extra funding needed to close

0:09:120:09:16

the social care funding gap for 2017

and for the remaining years of this

0:09:160:09:21

Parliament. At no point today has

the Minister confirmed how the

0:09:210:09:25

Government intends to enact the will

of this House in meeting the funding

0:09:250:09:29

gap and, of course, shamefully,

there was no mention of social care

0:09:290:09:31

in the recent budget. Our social

care system remains in a perilous

0:09:310:09:36

state because of the cuts that this

Government has chosen to make. The

0:09:360:09:41

Care Quality Commission has told us

the social care system still remains

0:09:410:09:43

at a tipping point. So can the

Minister now confirm the Government

0:09:430:09:49

will enact the will of this House

and meet the funding gap. The

0:09:490:09:53

Minister in her statement addressed

the Government's decision to include

0:09:530:09:55

the views of carers in the upcoming

Green paper and their failure to

0:09:550:10:00

respond to the consultation of 6,500

other carers, which has already

0:10:000:10:04

taken place. I have mentioned in the

debate and I will say again, Katie

0:10:040:10:10

Stiles, a carer and campaigner for

the Motor Neurone Disease

0:10:100:10:13

Association, contributed to that and

hope her voice would be heard. She

0:10:130:10:18

told me not publishing the National

care strategy has made me extremely

0:10:180:10:22

angry. It sends a message that

carers' lives are unimportant, a

0:10:220:10:26

message that the Government thinks

we can carry on as we are and it

0:10:260:10:30

sends a message that my own time is

of little worth. Can the Minister

0:10:300:10:34

give more details on the scope of

the carers' action plan and can she

0:10:340:10:40

reassure 6,500 carers that their

time was not wasted. Mr Dev

0:10:400:10:45

disfigure, the Government announced

recently and the Minister confirm

0:10:450:10:47

today that working age people with

disabilities would be consulted as

0:10:470:10:50

part of a parallel works stream to

the Government's Green paper

0:10:500:10:56

consultation. Why a parallel works

stream? This is an extremely

0:10:560:11:00

short-sighted approach to reforming

social care, far from looking at the

0:11:000:11:04

system in the round. Can she gives

more details about the parallel

0:11:040:11:07

works stream for people with

disabilities who have social care

0:11:070:11:11

needs? It is clear only a Labour

Government can deliver much-needed

0:11:110:11:15

reform to social care. Over the

coming months, we will also consult

0:11:150:11:18

experts on how we can move from the

current broken system of care to a

0:11:180:11:24

sustainable service for the

long-term. We will look out funding

0:11:240:11:28

options for the social care in the

long term, such as a new social care

0:11:280:11:33

Levy, an employer care contribution

and wealth taxes. These experts will

0:11:330:11:37

help clarify our options for funding

our planned National care service

0:11:370:11:42

and our approach will be underpinned

by the principal of pooled risk, so

0:11:420:11:48

no one faces catastrophic care costs

as they do now or as they would have

0:11:480:11:52

done under the Conservative Party's

early dementia tax proposals.

Thank

0:11:520:12:00

you, Mr Deputy Speaker. Well, the

honourable lady will not be

0:12:000:12:04

surprised that I didn't agree with

much of what she said, but some of

0:12:040:12:07

the things, I will address them.

Fundamentally, you know, we are

0:12:070:12:13

setting out and it has been long

established, we are setting out how

0:12:130:12:16

to get a longer term sustainable

system of funding our social care.

0:12:160:12:21

What has been absolutely clear in

the debates over the last year is as

0:12:210:12:25

far as the public is concerned,

there is a real lack of

0:12:250:12:29

understanding that at present, care

has to be met for by the person

0:12:290:12:32

requiring their care. That is what

leads to catastrophic care costs and

0:12:320:12:36

that is the dementia tax that she

gives referring to and by having a

0:12:360:12:40

cap on overall costs, that is

exactly what we are going to tackle.

0:12:400:12:46

But it is very important that in

doing so, we take the public with us

0:12:460:12:49

and have a full debate and it

doesn't matter how far we think we

0:12:490:12:53

have had that debate in this place

by legislating in the past, it is

0:12:530:12:57

quite clear the public don't

understand it, so we are only going

0:12:570:13:00

to get public consent for a

long-term solution if we have a

0:13:000:13:05

public debate which is handled with

maturity and so far, we haven't seen

0:13:050:13:09

very much of that. Now, one of the

issues she also raised was the issue

0:13:090:13:15

of carers and their suggestions that

carers' voices aren't being heard in

0:13:150:13:20

this debate but I would say very

much, they are. Well, she can sit

0:13:200:13:25

there and chanter or listen to the

answer to the question, it is

0:13:250:13:27

entirely up to her but it is rather

a waste of time for me coming to

0:13:270:13:31

this place if I'm just going to be

talked over.

I think I can control

0:13:310:13:37

the chamber, but thanks for your

help. I've already told him once,

0:13:370:13:40

you don't need to worry. Order. The

whip is well aware he is testing my

0:13:400:13:45

patients, so I don't need any help

from the Minister.

Carers are very

0:13:450:13:50

much being heard but there is in no

way that we can actually tackle the

0:13:500:13:55

broad picture of how we fund and how

we manage need in terms of social

0:13:550:13:59

care space without properly

comparing the -- considering the

0:13:590:14:02

needs of carers. I'm very grateful

to the 6,500 people who participated

0:14:020:14:08

to the call for evidence. We have

listened to them and we will

0:14:080:14:15

consider what they have said but in

the meantime, it is very important

0:14:150:14:21

that we pull together what we have

at present and we will be publishing

0:14:210:14:28

that action plan in January of next

year. The issue of working age

0:14:280:14:34

adults, to some extent, the

honourable lady is right, there are

0:14:340:14:37

some common issues with regards that

affect care for the elderly and

0:14:370:14:44

working adults, so those issues that

are in common will be considered as

0:14:440:14:47

part of the Green paper process.

There is also at the same time, we

0:14:470:14:50

are going through a massive change

in how we are dealing with people

0:14:500:14:53

with disabilities. We have very

brave ambition to get more and more

0:14:530:14:58

people into work. Through a journey

of getting people with learning

0:14:580:15:04

disabilities out of long-term

residential care and into a worker

0:15:040:15:07

community and that brings a separate

set of challenges, so that is the

0:15:070:15:11

work that will be going on in

parallel. The work in the Green

0:15:110:15:14

paper will look at the Commons

systems as well as the specific

0:15:140:15:17

areas and care for the elderly. That

is not something we can look at as a

0:15:170:15:24

silo, we have got to look at it...

Well, she says it should all be

0:15:240:15:27

together but they are very distinct

challenges, care for the elderly and

0:15:270:15:32

careful working age adults and I

don't think we should diminish

0:15:320:15:35

either constituency by grouping them

altogether. As regards the funding

0:15:350:15:40

gap, as she is well aware, we have

made £925 billion available to local

0:15:400:15:46

authorities to meet their needs over

these three years, but the reality

0:15:460:15:50

is, the way we tackle social care in

this country, so everyone gets the

0:15:500:15:55

care they need, as they... As they

will get the care they need as they

0:15:550:16:02

come to the later part of their

life, we need to build a longer term

0:16:020:16:06

sustainable funding. That is why we

are taking for this debate is part

0:16:060:16:10

of the Green paper and I hope that

everyone with an interest in the

0:16:100:16:13

subject gets involved in that debate

because we are only going to fix

0:16:130:16:16

this long-term if we can take the

public with us.

The House of Lords

0:16:160:16:23

select committee on the long-term

sustainability of the NHS rapidly

0:16:230:16:28

concluded that it would be

impossible to carry out their task

0:16:280:16:32

without investigating the

interrelated nature of social care,

0:16:320:16:36

and they changed their remit

accordingly. The committee changed

0:16:360:16:40

the scope because they recognised

that we would not see a long-term

0:16:400:16:45

sustainable solution unless we

address both and I'm afraid the

0:16:450:16:49

Green paper that focuses entirely on

social care is going to fail to rise

0:16:490:16:52

to the challenge and I would like to

ask the Minister, has she read the

0:16:520:16:57

committee's findings? And will she

be prepared as she listens to those,

0:16:570:17:04

at an early stage she is consulting

with, if the advice from then is

0:17:040:17:08

clearly, as has been the advice from

all commissions that have looked at

0:17:080:17:11

this, that they need to consider

both health and social care

0:17:110:17:15

together, will she go back to the

drawing board and start again and

0:17:150:17:18

look at both health and social care?

Just to reassure my honourable

0:17:180:17:27

friend, in terms of the frames of

reference for the Green paper, part

0:17:270:17:31

and parcel of getting a long-term

sustainable solution to this is very

0:17:310:17:34

much involved in looking at care and

I did point out in the statement

0:17:340:17:38

that we need to look at holistic

areas of policy in which to deliver

0:17:380:17:42

this, housing being a particular one

because if we get housing conditions

0:17:420:17:46

right, we can enable people to live

for longer. But the whole purpose of

0:17:460:17:50

having a Green paper and debate is

to make sure we do consider this

0:17:500:17:53

issue not as a whole but

holistically.

0:17:530:18:01

Can I extend my thanks to the

Under-Secretary of State for

0:18:010:18:04

advanced site of the statement. I

hope this is not going to be

0:18:040:18:08

something that happens regularly

where we have opposition debates

0:18:080:18:10

then months down line the government

sneaks in a statement on a Thursday

0:18:100:18:16

morning, I hope this is a one-off.

Can we start looking seriously at

0:18:160:18:22

some of the challenges faced of an

ageing population. The government

0:18:220:18:25

has its head in the sand as to who

will look after these people when we

0:18:250:18:29

restrict freedom of movement. Via

social care has been far from

0:18:290:18:34

stability talked about in the

election campaign. I welcome what

0:18:340:18:37

has been said regarding the cap, but

I want to press the Minister on a

0:18:370:18:42

point which has cross-party

consensus in Scotland, and

0:18:420:18:45

particularly the support of the

Conservative Party. In Scotland,

0:18:450:18:52

three social care is being extended

to under 65. 9000 people will be

0:18:520:18:59

helped, but the UK Government has no

intention of bringing in this

0:18:590:19:03

policy.

Does she want to meet with

us to have a look at this? The

0:19:030:19:06

purpose of a green paper is that we

properly debate and challenge the

0:19:060:19:11

options available. I am interested

in this. He refers to the fact

0:19:110:19:17

personal care is met by the

government, but the actual lion's

0:19:170:19:20

share cost is the residential

component which is not met, but we

0:19:200:19:28

need to win from everybody with

experience, not only within these

0:19:280:19:31

nations but across the world.

I

appreciate the importance the

0:19:310:19:36

government has put on social care,

but the Minister knows I have a

0:19:360:19:43

strong interest in children social

care, so at a time when the number

0:19:430:19:46

of children coming into care

continues to rise, when thresholds

0:19:460:19:52

for intervention are rising, and

work is going south and the number

0:19:520:19:56

of adoptions has also been

diminishing, can she and the

0:19:560:19:59

government give me assurances that

the attach the same level of

0:19:590:20:06

importance to challenges being faced

by children up and down the country?

0:20:060:20:13

I can absolutely give him that

assurance, but I may suggest that

0:20:130:20:19

the Department for Education respond

to lose points.

Can I say how nice

0:20:190:20:25

it is to see my honourable friend

back in her rightful place. Can I

0:20:250:20:30

also endorse what the chair of the

select committee said, and I asked

0:20:300:20:35

the Minister, that she regret the

Chancellor failed to mention social

0:20:350:20:38

care at all in the budget?

We are in

danger of getting into a false

0:20:380:20:45

debates because when I talk about

social care I do not talk about it

0:20:450:20:50

to the exclusion of health. I

automatically include it. When

0:20:500:20:55

people talk about the failure of the

Chancellor to mention social care,

0:20:550:21:00

the reality is that more money was

made available to the NHS, which

0:21:000:21:04

will benefit the social care system.

In the absence of provision I might

0:21:040:21:13

make and do not might have

encouraged me to make, is it

0:21:130:21:17

reasonable to expect my social care

costs to be paid for by the state,

0:21:170:21:21

but my ears to inherit my

substantial housing assets?

I think

0:21:210:21:30

he summarises meekly one of the

debates we have to have in this

0:21:300:21:34

space, which is, how about we ensure

people can achieve care of when they

0:21:340:21:38

need it and it will be paid for

while at the same time achieving

0:21:380:21:45

intergenerational fairness. I hope

he cooperates fully ...

The leader

0:21:450:22:02

of Rochdale council says he needs

£20 million to meet the demands of

0:22:020:22:06

the adult care service. Can the

Minister give some advice on where

0:22:060:22:11

that £20 million might be found?

We

have made an additional 9.2 -- 9.2

0:22:110:22:22

million pounds and longer term we

are seeing that local authorities

0:22:220:22:28

are being imaginative about how they

tackle the need, and we have

0:22:280:22:34

increased the money available

through the disability grant, which

0:22:340:22:41

is taking a lot of money out of the

system, not least because it is

0:22:410:22:45

allowing people to live at home

without the need for support, so I

0:22:450:22:51

would encourage him not just to look

at money, but what else to do to

0:22:510:22:55

make things better.

First of all I

welcome the report and a focus on

0:22:550:23:02

carers and the elderly because that

is really important, but care

0:23:020:23:09

institutions already offer good and

outstanding service, and on the note

0:23:090:23:13

she just made, it is not just about

funding, it is also about other

0:23:130:23:17

measures being introduced to help,

for example hospitals linking with

0:23:170:23:22

social care providers, and they are

doing a great job already, and their

0:23:220:23:26

end of life care has recently been

rated outstanding.

We rightly focus

0:23:260:23:36

on the challenges, and it is a lot

going right. The Care Quality

0:23:360:23:45

Commission found that 80% of places

were good or outstanding, which is

0:23:450:23:54

good for a sector that is publicly

criticised.

I welcome the idea of a

0:23:540:24:03

green paper and I hope we can build

cross-party consensus for the long

0:24:030:24:06

term, but any change will be years

away from the Green paper, and the

0:24:060:24:11

problems are here and now for local

councils, and DLJ estimates that

0:24:110:24:20

there will be a funding gap of £2.6

million. Care homes are failing

0:24:200:24:26

because local authorities do not

have the resources they need. Where

0:24:260:24:33

is the money to make sure an

adequate social care system does not

0:24:330:24:36

get even worse next year?

I welcome

part of his comments. He is right,

0:24:360:24:44

and one of the reasons we are at

this stage is the absence of a

0:24:440:24:49

long-term security meaning some of

these issues are crystallising

0:24:490:24:54

rather more quickly than they

should. We have made more money

0:24:540:25:01

available to local authorities, but

local authorities more than any

0:25:010:25:03

other constituency in this place are

desperate for a solution, and it is

0:25:030:25:08

incumbent on all of us to have a

constructive discussion about the

0:25:080:25:11

solutions. I am aware there are some

challenges. Key challenges the CMA

0:25:110:25:19

report. There is a lot in the report

which frankly did not surprise me,

0:25:190:25:22

but we will bring forward a response

dealing with some of the issues that

0:25:220:25:26

he has in the New Year.

Can I thank

my honourable friend for her

0:25:260:25:34

statement and encourage her as

others have done to engage with the

0:25:340:25:37

whole House on this issue. But could

I also stress this incredibly

0:25:370:25:49

important factor of the crisis now

in certain areas of the country. We

0:25:490:25:54

must engage on across party bases

and on the crisis now, including in

0:25:540:26:00

my constituency.

I do not disagree

with much he has said. I would also

0:26:000:26:05

say that colleagues are talking

about a crisis. It is feared to say

0:26:050:26:12

that we put local authorities and

the care sector under a lot of

0:26:120:26:15

pressure this year getting ready for

the winter, and they have stepped up

0:26:150:26:19

to the plate. I would actually pay

tribute to everyone who works in the

0:26:190:26:26

sector with real care, and pay

tribute to the work they do, which

0:26:260:26:34

is delivering great care.

It is a

shocking statement today for the

0:26:340:26:43

thousands of families in this

country with the misery of social

0:26:430:26:46

care. The Minister refers to the

last government, the Conservative

0:26:460:26:53

manifesto was clear on what it was

seeking to do, introducing care

0:26:530:26:57

reform costs in 2016. A few weeks

into office, they changed that and

0:26:570:27:03

moved it. We had exchanges in the

House weeks ago on the 20th of

0:27:030:27:11

October, in response to the member

of New Forest West about the 2020

0:27:110:27:14

date, in which she inadvertently

misled Parliament. This is causing

0:27:140:27:28

silent misery for thousands of

people now. I am 53, will my

0:27:280:27:33

children be suffering the same level

of misery about my care costs in the

0:27:330:27:37

next 30 years that they have? When

will we see the date implemented?

It

0:27:370:27:49

has just been made clear that we

will be revisiting this. She wants

0:27:490:27:55

uncertainty about funding the care

system and what obligations there

0:27:550:28:04

will be, so we have to have the

public debate and work together to

0:28:040:28:08

bring some proposals putting the

system...

0:28:080:28:28

I hear noise from the other side

about cross-party consensus then I

0:28:290:28:33

look at the behaviour of the front

bench.

0:28:330:28:44

In particular in Torbay on this. One

issue is the complete lack of

0:28:460:28:51

understanding on how the current

system works with unlimited

0:28:510:28:55

liability, and also if you just

pretend a blunt cap, that means

0:28:550:28:58

little for someone who has worked

further whole lifetime. But it would

0:28:580:29:03

mean a lot to people with a £20

million pile in the south-east. We

0:29:030:29:07

have to look at how we do this on a

long-term basis.

He encapsulates the

0:29:070:29:14

problem in a nutshell. Many people

do not understand care has to be met

0:29:140:29:23

by the individual, and nobody

understands that they have to pay

0:29:230:29:25

for it until they have to. So we

cannot simply implement the

0:29:250:29:29

proposals that went before because

people do not understand. If we're

0:29:290:29:33

going to expect people who living

longer to fund that gear, we have to

0:29:330:29:37

take them with us, so we need to

achieve that through the green

0:29:370:29:43

paper. Honour among -- I would like

honourable members to engage with

0:29:430:29:50

the public about the care system and

how it can be improved for the

0:29:500:29:53

stability and the countries.

After

years of confusion for which the

0:29:530:30:00

government bears some

responsibility, tens of thousands of

0:30:000:30:07

carers receive justice on the

national minimum wage. This means

0:30:070:30:16

individuals on individual care

packages can face bankruptcy. Can we

0:30:160:30:29

have a debate on what could be a

catastrophe for the care sector?

He

0:30:290:30:36

is right to raise this, and to

reassure him we're acting now. We

0:30:360:30:39

are in very close contact with the

providers to address the issues he

0:30:390:30:43

has raised. Clearly it is important

that we ensure employers uphold

0:30:430:30:47

their obligations and minimum wage

legislation. Clearly we need to make

0:30:470:30:52

sure we're not putting anyone at

risk who is dependent on long-term

0:30:520:30:58

care, and I am satisfied no one is

at risk, and we are working in

0:30:580:31:02

detail with providers to ensure we

can get them through this.

In West

0:31:020:31:09

Sussex we have specific social care

issues currently under

0:31:090:31:14

investigation, but may I welcome

warmly the expert panel. Will the

0:31:140:31:21

Minister please ensure the panel was

-- is fully acquainted from issues

0:31:210:31:27

in previous scandals? Absolutely. He

mentions the expert panel. I think

0:31:270:31:35

it is important that we do take the

advice of people with front-end

0:31:350:31:40

experience of the sector. It is not

just about money, it is about

0:31:400:31:44

quality and getting right packages

and support and help, because we

0:31:440:31:50

need to think about achieving the

best possible care for individuals

0:31:500:31:54

as well as how it is paid for.

A

recent Barnardos report showed that

0:31:540:32:01

two thirds of child carers start

caring in primary school. Some as

0:32:010:32:07

young as four with long-term damage

on their mental and emotional

0:32:070:32:09

health. Will the Minister ensure

child carers are primary

0:32:090:32:15

responsibility for tackling from

government, and take them out

0:32:150:32:20

responsibility that we should not be

placing upon them?

I thank her for

0:32:200:32:29

her comments. She literally

highlights Cinderella in this

0:32:290:32:34

debate, to be frank, and it is

appalling that is a many children

0:32:340:32:37

are acting as carers. It is to their

long-term detriment, and we would be

0:32:370:32:46

failing as a society if we did not

do more to support them.

0:32:460:32:52

We need to tackle the challenge of

social care, it is a matter of

0:32:520:32:57

cross-party support and agreement.

The Labour Party in their manifesto

0:32:570:33:00

said they wanted to implement change

through consensus, an issue that

0:33:000:33:06

transcended party politics, so would

the minister welcome cross-party

0:33:060:33:09

approach is rather than political

point scoring?

I am very keen to

0:33:090:33:14

approach this in consensus. I do not

think we can deliver change without

0:33:140:33:20

consensus in truth. We have written

to all-party groups in the first

0:33:200:33:24

instance to engage with them but

over the course of the next six

0:33:240:33:28

months, I hope to engage in

conversations with members in all

0:33:280:33:33

parts of the House.

Of course there

is a short-term series of precious,

0:33:330:33:37

she has cited the CQC report which

is talking about decreasing numbers

0:33:370:33:45

of birds in nursing homes, contracts

being handed back to local

0:33:450:33:48

authorities because of the acute

financial pressure -- beds in

0:33:480:33:52

nursing homes. But there was a

longer-term issue here which all

0:33:520:33:55

members have been alluding to, the

need to try set aside some of the

0:33:550:34:00

party politics and to find a

cross-party way forward. The

0:34:000:34:04

honourable member for Totnes and

others wrote the Prime Minister

0:34:040:34:12

saying let us have a convention on

social care reform, can we do that?

0:34:120:34:18

It is the only way to crack the

problem.

I welcome the spirit in

0:34:180:34:24

which he has made his comments and

it is fair to say we are seeing the

0:34:240:34:29

same plea from local authorities who

of course are the front-end of

0:34:290:34:32

dealing with the problem. He is

absolutely right, we need to

0:34:320:34:37

separate the short-term pressures

from the long term and in terms of

0:34:370:34:41

long-term, we ought to be able to

have a more sensible conversation.

0:34:410:34:45

Let us save the politics for the

short-term and consensus for the

0:34:450:34:48

long-term.

Thank you. I appreciate

you giving me the opportunity to

0:34:480:34:56

come in as I missed the beginning of

the statement. My apologies. I

0:34:560:35:01

concur totally with what a number of

colleagues have said about the

0:35:010:35:04

issues here and now. There are some

absolutely significant issues for a

0:35:040:35:09

lot of councils and care homes. They

really cannot wait for a few years.

0:35:090:35:13

The here and now is the priority.

Two things, one negative, I would

0:35:130:35:19

like the Minister to take back to

the Chancellor, calling on the

0:35:190:35:23

Government to make a public

commitment to fund the back pay bill

0:35:230:35:26

for sleeping carers. -- sleep in

carers. If it is not sorted soon, a

0:35:260:35:34

number of very reputable

organisations are likely to go bust.

0:35:340:35:39

I would like to ask whether the

minister read this BMJ report

0:35:390:35:42

recently asked the meat indicating

how exercise can be a significant

0:35:420:35:47

miracle cure for older people --

asked the Minister?

I would be happy

0:35:470:35:55

to meet the honourable gentleman, I

am always looking for solutions. If

0:35:550:35:59

we can look after our own well-being

more effectively in terms of

0:35:590:36:03

physical and mental well-being, the

need for care will be diminished.

0:36:030:36:07

Another reason why we need to have

this public debate. Like the

0:36:070:36:10

honourable gentleman, he raises the

issues of sleep ins. It is a big

0:36:100:36:17

issue, we are working closely with

the sector to make sure we can

0:36:170:36:19

address this.

Thank you. I am

currently caring for my ath man with

0:36:190:36:28

dementia, living hundreds of miles

away on her own. -- for my mum who

0:36:280:36:37

is 80 years old. She gets excellent

care. My personal experience of

0:36:370:36:43

doorknocking in the election

demonstrated strongly to me the

0:36:430:36:46

public does not understand this and

dementia patients particularly not

0:36:460:36:51

able to understand how care can be

funded. Speaking to the Alzheimer's

0:36:510:36:55

Society, they were the people who

welcomed the focus in the manifesto

0:36:550:36:59

on this difficult issue. Can I ask

her to comment on the fact countries

0:36:590:37:05

across the world are facing similar

challenges? This is not about who is

0:37:050:37:09

in power in this government, it is a

feature of ageing societies. We must

0:37:090:37:14

look at it in the round.

She is

right. I mentioned local authorities

0:37:140:37:20

were very keen to us to find a

solution, but it is the Alzheimer's

0:37:200:37:24

lobby which is more keen than

anybody. At present, one in ten

0:37:240:37:28

people who face long-term care

bills. If we are looking at this

0:37:280:37:35

from an individual's risk, making

financial provision is not... We do

0:37:350:37:39

need a solution. For the one in ten

facing long-term care costs, it is

0:37:390:37:48

generally as a consequence of

dementia and it is significant and

0:37:480:37:51

that is what we are trying to tackle

by introducing a cap on overall

0:37:510:37:54

costs. It is white is very important

we all get involved. It is also why

0:37:540:37:59

I think the Alzheimer's lobby is

very keen we establish cross-party

0:37:590:38:04

consensus. She raises an interesting

point. The fact of the matter is

0:38:040:38:08

over the last 50 years, our

lifestyles have changed

0:38:080:38:12

significantly. My own family,

everybody lives within half a mile

0:38:120:38:17

of each other, it is easy for the

family to pick up care

0:38:170:38:21

responsibilities. I live 300 miles

away from them. That is increasingly

0:38:210:38:28

the pattern. Like her, knocking on

doors in the election, you see

0:38:280:38:33

people living many miles from their

families, that is something we have

0:38:330:38:37

failed to address over decades and

we need to address it now.

Thank

0:38:370:38:42

you, Mr Deputy Speaker. Can the

Minister update us on the financial

0:38:420:38:46

stability of the four seasons group

who care for over 17,000 vulnerable

0:38:460:38:51

residents across the UK?

I am aware

there has been considerable press

0:38:510:38:57

reporting of what is happening with

Four Seasons. Since Southern Cross

0:38:570:39:06

Cqc have been involved and they have

been stress testing exactly what is

0:39:060:39:10

happening, they were satisfied there

is no risk to any of the people that

0:39:100:39:16

Four Seasons. Beyond that, I cannot

say much, commercial issues for

0:39:160:39:20

them. He

0:39:200:39:21