Baroness Coffey Portrait Baroness Coffey (Con)
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My Lords, I have already set out, in the debate on the previous group, my appreciation of social care workers right across our country. I said that I would try to set out in this group one of the ways that we can achieve the outcomes that the Government, and, I think, this Committee, are seeking to see: improved pay, terms and conditions for social care workers, including for the benefit of the people they help, to try to increase retention and tackle some of the challenges faced.

In my previous role, I commissioned my noble friend Lady McGregor-Smith to consider in-work progression. While in DWP, I was concerned more broadly about people getting stuck in low-paid roles and what we could do to help increase their prosperity. In looking at a wide range of sectors, her commission highlighted the challenges facing the care sector right across the United Kingdom. A variety of research elements went into it. It cited research that found

“little incentive to gain qualifications in a sector viewed as low status”,

and that:

“Those working in care perceive it as involving highly skilled work, but workers tend not to view care work as a profession”.


As I referred to in the debate on the previous group, and therefore will not repeat, it set out, in effect, the care workforce pathway, which got going and has been enhanced by the current Government recognising the progress that could be made.

It used to be the case that a lot of people went into the care sector through the apprenticeship route. A decade ago, Skills for Care would cite nearly as many as 100,000, but that has significantly changed and has gradually fallen over time. Some of that might be to do with the nature and the variety of the work, which does not necessarily lend itself entirely to being appropriate for the apprenticeship levy for everybody in that sector. Last year, we ended up with about 24,000, one quarter of which were at level 2 entry, with, I hope, some of the people who had already completed level 2 securing level 3, but it represents quite a shift. It is testimony to the Department of Health having put together and worked with an Ofqual-registered qualification at level 2 as part of this new way to try to make sure that there is progress.

I agreed with one recommendation that my noble friend made, but she made a recommendation that I did not agree with. One of the challenges she set out was the hugely diverse nature of the social care sector. In financial support, as much is given to adults, as opposed specifically to pensioners, when it comes to social care. Indeed, my longest-standing friend Dawn spent most of her career as a social care worker for adults with learning disabilities. There is variety within the work that 1.6 million people in the workforce undertake every day. One of the challenges—whether you are self-employed or are moving to an agency or local authority—is that there is no way of recognising your experience and any training that you might have done. That is one of the key challenges of people leaving the sector, or getting stuck—instead of, perhaps, the sector expanding.

One of the recommendations was to emulate what happens in the construction skills certification scheme in the UK construction industry. This has been developed with a card and it shows that individual workers have transferable proof of a level of training and qualifications. When you start with a new employer in the social care sector, you would then not have to go through all the training that you have already done heaven knows how many times. If you are perfectly well skilled that is a frustrating element as well.

I do not agree with one of the recommendations. I strongly do not believe we should be regulating this sector. I think that would become more of a barrier. There are now many careers and jobs that are regulated by some separate authority. My noble friend made this recommendation on the basis that Northern Ireland, Wales and Scotland have done exactly that. Anyone who wants to be a social care worker has to become registered and be regulated by, for example, Social Care Wales or the Scottish Social Services Council. I am not convinced that we should be getting into that in this sector.

However, it could be possible—perhaps not for the negotiating body we have just spoken about, and I was suggesting why I did not think it would be appropriate—for Social Work England to establish something if people wanted to register and get their training recognised so that they had an equivalent to the construction scheme card. Again, the workers under that are not regulated by the construction industry in that regard. However, it has become a useful tool so that employers and workers are clear on what they can bring to the next employer they are seeking to have.

It will vary around the country but, quite often, social care workers will be contracted by multiple agencies. This recognises the flexibility of work that is available and wanted. This can sometimes lead to significant differential pay rates. Quite often, when working for a local authority, the pay will be considerably less than working for a private agency. It is important that we allow people to have this flexibility but, dare I say it, without the draconian regulation a whole body starts to bring about.

That is why I have put forward the suggestion that, if Social Work England chooses to establish such a scheme, any employees must be able to register training and any existing certificates with Social Work England to facilitate their personal choices on how to progress in work. I beg to move.

Baroness Finlay of Llandaff Portrait Baroness Finlay of Llandaff (CB)
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My Lords, I was unfortunately delayed in getting here for the start of the previous group of amendments. I had added my name to the amendments on education. However, I am delighted to be here. I would have added my name to the amendment in the name of the noble Baroness, Lady Coffey, if I had realised what she was going to say.

I reinforce the need for education and monitoring what people do. The social care workforce is absolutely amazing. Its members work across an enormous range of people. When I chaired the National Mental Capacity Forum over six years, it was very evident that some people wanted to and had great talent for working with people with impaired capacity, and they wanted to learn how to do it better. There were others who did not like working with people with impaired capacity or people who had early dementia or even mental health issues, but they were extremely good at working with people with physical disabilities and impaired mobility. They were very good at manual handling, lifting and so on.

Over many decades, I have worked with social care workers in my field of palliative care. In the report of the palliative care commission that we wrote recently, we recognised the important role of many of these workers. When they look after people in their own home, they are often the person who spots deterioration first. Very often, patients will confide in them because they do not have the mantle of power that nurses and doctors have, and people speak very openly to them. They understand the problems and fears that people have in themselves and their lives. But they can see what is happening only when there is continuity of care—when they have seen the person before and will see them again.

I have to defend Social Care Wales; it has helped having a registration system because it has improved the perception of the status of people working in the field. When looking at this in detail in my field, we found that, although their time in post was transient, they often moved to a different employer. Although they did not remain with one employer, they would take their skills and what they had learned with them.

It has struck me over the years that this is a workforce thirsty for knowledge, skills and education, yet the group is not normally included among those considered as educated. When I first set up the hospice in Cardiff, it was the carers and kitchen staff who came in on their days off because they wanted to learn. Very often, because I had worked with them for 20 years or so, they knew best of all when I was worried about something and when to trigger calling me out of hours, because they had a whole set of skills.

Registering those skills will be very important in allowing career progression and recognition and allowing people in this workforce to work in the domains in which they have the best personality and skill set that suits them—where they feel appreciated and know that they are rewarded emotionally as well as financially. Some people are happy to drive around from one house to another in the ghastly traffic of the outer London suburbs or in cities. Others do not want to do that; they want longer one on one. Some are better working with disturbed young people or people with addictions. If we can have a way of recognising and building on that, we can go a very long way to improving the overall security of this very important workforce, which has, sadly, been tremendously undervalued across our society until now.

It was heartening to hear the Minister summing up on the previous group. I was absolutely delighted to have my name on the amendment from the noble Baroness, Lady Browning, and to hear that the training will be set out via regulations under the affirmative resolution, which I think was going to be our next negotiating point when we were discussing what to do next. I hope that, with these amendments at different points in the Bill, we might find a way forward to get something on education and training recognised for the specific areas that people are in, so that they can gain credit for it, personally and in terms of career progression.

Lord Palmer of Childs Hill Portrait Lord Palmer of Childs Hill (LD)
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My Lords, I had not intended to speak because, in a sense, this is a continuation of previous amendments. I want to put in a word for this amendment, which recognises that there should be a registration scheme so that peoples’ talents, education and training can be recognised across the country. It is important to give them the credit for that accreditation and to use their talents. This amendment adds more to what we have already spoken about, because it provides a scheme that helps the patient and the client, as well as the care worker, in fulfilling needs. I hope the Minister will take account of this and include it in her reply.