(3 days, 8 hours ago)
Lords ChamberMy Lords, I thank the noble Lord, Lord Hendy, and the noble Baronesses, Lady Browning, Lady Ritchie and Lady Coffey, for adding flesh to what we are discussing here today in these amendments.
I hope we all agree that the adult social care workforce plays a vital and often undervalued role in supporting some of the most vulnerable in society, as previous speakers have underlined. Care workers show remarkable dedication, compassion and professionalism in often challenging circumstances, yet the sector continues to face high turnover, inconsistent conditions and, as we have heard, limited opportunities for training and career progression. There is growing recognition that this must change. Supporting a stable, skilled and respected workforce is essential to delivering high-quality care and ensuring the long-term sustainability of the system.
The provisions in Chapter 2, including the proposal for a social care negotiating body—that is the principle that we are discussing—are a response to that wider need for reform. They seek to introduce a more formal framework through which pay, conditions and progression can be discussed and agreed between trade unions and employers. The inclusion of statutory mechanisms for negotiation, as outlined in Clauses 37 and 44, reflects an effort to bring greater consistency and accountability to the way the workforce terms are determined. Clause 48, addressing agency workers, is a notable recognition of the diverse nature of employment in the sector and the need for fairness across the board.
It is the amendments we are discussing, not the wider situation of the country. These amendments have been brought forward to explore how these proposals might operate in practice, including the remit, independence and legal weight of any agreements. These are important questions and it is right that the House scrutinises how this framework would function and how it may be made most effective. I would welcome the Minister’s response in relation to the amendments.
While views will differ on the detail, the broader case for supporting and strengthening the adult social care workforce is widely accepted. The Bill forms one part—and only one part—of a longer-term process to address this challenge. Sustained attention to training, career development and workforce planning will be needed, alongside any structural changes introduced here.
The future of adult social care depends not only on funding or legislation but on whether people who deliver care feel valued, supported and able to build lasting careers. This should be our shared focus as this Bill progresses. I hope the Minister, when she replies, will talk about how we can value those care workers and make sure that they stay there, are educated, progress and are an addition to the values of this country and the way we work. Too often, they have been neglected. This is a chance to remedy that.
My Lords, many of my noble friends have spoken about the possible collapse of the social care system. The toxic combination of chronic underfunding and the dysfunctional market system means that thousands of elderly and disabled people do not get the care that they need. I welcome the proposals in the Bill to establish a framework to establish legally binding agreements that, at long last, would set pay, conditions and terms for workers in the adult social care sector: an adult social care negotiating body in England made up of relevant employers and trade unions.
Staff in the sector are voting with their feet. They are leaving in droves. The vacancy rate is one of the highest in the economy and 130,000 jobs remain unfilled. Low pay is endemic. Over 400,000 adult care workers live below the real living wage, and 40% of the whole workforce live below the real living wage. A quarter are living on the verge of poverty and one-tenth are living with food insecurity. That is hardly a vote of confidence in our social care system.
Perhaps the most important reason for not delaying the action that is so desperately needed rests in the costs to our National Health Service. The latest State of Care report from the Care Quality Commission stated in April this year that waits for care home beds and home-based care accounted for almost half the delays in discharging patients who had been in hospital for more than 14 days. Nearly 4,000 people were delayed on an average day. The proposed fair pay agreement for adult social care staff has the potential to do so much good. Low pay, the lack of any career ladder and limited professional recognition are all inextricably linked in the social care sector. Experienced care workers with over five years’ service are paid, on average, just 8p an hour more than a new starter. There is little or no incentive for care workers to remain in the service; there is no meaningful career progression.
I cannot support the idea, which has been floated, that the new negotiating body would not apply to providers of care in the private sector. The whole point of the proposed fair pay agreement is that it will address low pay across the whole sector, not just those who are publicly funded. It would be deeply divisive, creating a two-tier care workforce with some benefiting and others shut out.
Privately funded providers should be requested to sit on the proposed adult social care negotiating body. We need that body to cover the whole sector, not just the public sector. If it is to work and to be successful in driving up pay standards across the whole sector, it must apply to the broadest definition of care workers. The proposed fair pay agreement is the first step towards a more structured pay system that over time should enable employers to offer a career pathway into social care, rather than low-status, low-paid employment with a high turnover rate.
So many of our citizens who need social care will benefit from the suggestions in this Bill. It is the first building block to a national care service. It will help with one of the most intractable problems facing our public services. The chief executive of the National Care Forum stated:
“We welcome any measures to strengthen the rights and improve the pay, terms and conditions of the social care workforce who make a significant contribution to our economy and the lives of millions of people”.
I ask that we allow this proposal, which will do so much good, to go forward, and that any amendments are no longer pursued.