Local Government Responsibilities: Public Services

Debate between Theresa Villiers and Barbara Keeley

Wednesday 18th March 2020 Commons Chamber

[Barbara Keeley]

My hon. Friend is absolutely right. We will need certainty about those things when we look at the coronavirus emergency Bill, which we will do shortly, but this lands on local authorities at a time when they do not have any certainty. There is much about their financial position that needs to be made clearer to local authorities. I also agree with my hon. Friend: my local authority has had budgets cut by more than 50% since 2010, and we were in what we were calling a crisis in social care even before this happened.

I want to talk more fully about people with dementia and people with learning disabilities. There are a million people with dementia in this country and many people with learning disabilities. Not all of them will be able to comprehend the importance of self-isolation and then act appropriately. What measures and guidance will the Government introduce to help people with learning disabilities or dementia to self-isolate? Many working-age people with disabilities may be more vulnerable. Conditions such as Down syndrome or multiple sclerosis could increase the risk of respiratory infection, and the guidance suggests that people with these conditions would self-isolate. Can the Minister tell us what financial support will be available for them and their families if they have to stop work to do that?

We understand that this is a difficult and challenging time for all, but the Government have talked of using volunteers in health and social care services. People with disabilities and older people who need care have some of the most complex care needs. How will the Government ensure that people with complex needs continue to receive the support and care they need to stay in their own homes?

[Theresa Villiers (Chipping Barnet) (Con)]

In this crisis we need to make the most of volunteers and that spirit in the community of helping out, but at the same ensure that things such as Disclosure and Barring Service checks are done appropriately and that vulnerable people are kept safe from other risks, including those of unscrupulous interveners.

[Barbara Keeley]

I thank the right hon. Member for that intervention. I think most of us are concerned in our constituencies to ensure that we have enough people to help out, but do not have the wrong sort of people getting involved. We do not want to start seeing scams and people defrauded, because that would be a terrible way to proceed.

We need to look at how far we can stretch the idea that volunteers can help in health and social care, because in certain situations—for example, an elderly person with very poor skin condition, with sores, who needed particular lifting, or somebody who was PEG-fed, using percutaneous endoscopic gastrostomy—we cannot even use DBS-checked volunteers.