Minister for Older People

David Amess Excerpts

Thursday 28th June 2012 Commons Chamber

[Penny Mordaunt]

My hon. Friend is absolutely right and I hope to give some practical examples of where I think that will have an effect.

The ministerial position should not be a new one; it should be an additional responsibility, and given to a member of the Cabinet. Hon. Members can see that I am not trying to insert an extra card with my name on it into the pack ahead of a reshuffle.

[Mr David Amess (Southend West) (Con)]

Shame.

[Penny Mordaunt]

Thank you.

At the Cabinet table, Secretaries of State are jealous of their remit, ready to explain when another policy trespasses on their departmental interest. If there was someone with responsibility for older people, the implications for them of each policy presented to Cabinet could be considered. We have had forums, tsars, taskforces and champions but we are still a long way from where we need to be. We need to try something new. An older person is likely to get a better standard of care on a hospital ward if there is one nurse on the shift with particular responsibility for that patient. Someone who has responsibility and is accountable will speak up to protect the interests of those in their care.

In the days leading up to the debate, it was suggested to me that older people are doing rather well at the moment. The Government have introduced the triple lock on pensions, guaranteeing that the state pension will increase by the greatest of earnings, prices or 2.5%. Pensioners enjoy free bus travel and winter fuel payments, and the over-75s get a free TV licence. The DWP has done well, so it is not a shock that the Department is responding to the debate, and I am delighted about that. Against those arguments, however, we have to consider the disproportionate impact of cost of living increases on older people. Saga has shown that between 2007 and 2012, retail prices index cost of living increases affected the whole population by 16.5%, but for 50 to 64-year-olds, the figure was 19.1%; for 65 to 75-year-olds, it was 22.4%; and for the over-75s, it was 22.2%.

We would do well to consider the many reports on health and social care that do not paint a rosy picture. The Equality and Human Rights Commission report on domiciliary care, the Care Quality Commission report on hospital care, the Centre for Social Justice report on quality of life in isolation and today’s CQC report on medication management beg to differ from the optimistic view. There is huge unmet need. In my city, Portsmouth, the local authority has budgeted for an extra 200 social care clients over the next five years, due to an ageing population, but today 1,000 people in the city have dementia and no access to any services. Major policy issues such as pension reform, which I am pleased the Government have tackled, and social care reform, which we still have to tackle—I am pleased that we are to do so—have been left for too long.

We need to do better. There is an argument for additional responsibility for a Cabinet member, but such an initiative will be judged on the practical differences it makes. What might they look like? A YouGov survey on the attitudes of people over retirement age found that 14% of people aged over 60 live more than 100 miles away from their most significant family members, excluding their partner. Six per cent have to travel between 50 and 100 miles to family, 8% between 25 and 50 miles, and 12% saw or heard from their family less than once a month. Isolation and inactivity were recognised by the House of Lords Select Committee on Science and Technology as accelerating

“physical and psychological declines, creating a negative spiral towards premature, preventable ill health and dependency.”

How are those issues reflected in transport policy? In my area, Southern Trains has recently introduced on the Portsmouth to Brighton route—a journey of 80 minutes —rolling stock that has no toilets. In rail franchise agreements, there is no mention of comfort standards or the provision of toilets, so old age pensioners could have to travel in crippling discomfort. The impact of the subsidy on train fares for old age pensioners is blunted, because it does not matter if the ticket is free when the mode of transportation is unusable. Older people are left with a poorer quality of life because there is another obstacle for them to overcome to stay in a job that involves a commute, and inactivity leads to demands on the health and social care budget. Transport Ministers may be sympathetic, but the Department refuses to act. A Minister for older people could intervene.

Let us look at the Treasury. In July 2011, the Office of Tax Simplification was asked to review the system for pensioner taxation. The interim report, published earlier this year, identified pay-as-you-earn on the state pension as an area to explore. People would not be taxed more, but would pensioners have to fill out self-assessment forms? Would they cope? Would they simply end up paying more tax through inability to process the forms? Plans have been mooted to combine income tax and national insurance contributions. Old-age pensioners do not pay such contributions, so will there be a different tax rate for them, or will pensioners be taxed more?

Quantitative easing and low interest rates are right for the economy as a whole, but they are not good for older people who annuitise their pensions and live off their savings. Quantitative easing has reduced gilt yields, on which annuities are based. The level of that annuity is then locked in. Should not offset measures be considered? What about an extra individual savings account allowance? More thought is needed if fairness is to be upheld.

Looking at work, economic analysts SQW found that older people benefit the economy by £175.9 billion, including £34 billion in social care and £10 billion in volunteering. Projections show that by 2030, those figures will be £291.1 billion, £52 billion and £15 billion respectively. That affirms what Saga has found about the willingness of older people to participate, in and out of work. Retirement is not a retreat from the world. Turning Point has asserted that integrated work to enable older people to stay independent for longer could produce savings of between £1.20 and £2.65 for every £1 spent from the public purse. Saga’s research suggests that 71% of over-50s would like to work part-time after 65, and 7% already work past the age of 70. The Office for National Statistics confirms that 1.4 million pensioners already work.

The demographic shift requires us to work longer, and we are willing and able to do so, but have businesses and industry really caught up? The Chartered Institute of Personnel and Development suggests that 14% of managers do not believe that their organisations are ready for an older work force. The Government have responded to that need and willingness by abolishing the compulsory retirement age and increasing the state pension age, but those excellent policies have not been accompanied by moves really to help employers manage their older workers and recruit new ones. At the close of 2011, 189,000 over-50s had been unemployed for more than one year. Of unemployed over-50s, 43% are long-term unemployed, compared with 26% of unemployed 18 to 24-year-olds and 35% of unemployed 25 to 49-year-olds. Training is often denied to workers nearing state pension age, as is promotion. Flexible working, phased retirement and mentoring schemes are few and far between. We need to do more to help older workers and to encourage employers to take them on.

In social care, we could certainly make better use of what we already have. As chairman of the all-party group on ageing and older people, I often hear care home providers boasting about their wonderful new home—its facilities, hairdressers, spas and shops. Those care homes’ doors are often closed to the local community, yet a few streets away there will be an elderly woman who is still independent, but whose quality of life suffers for want of a social life and bathing facilities. How many bathing facilities lie unused in our hospitals, homes and hospices?

Another example of missed opportunity is that most local authorities do not direct self-funders inquiring about care home options to financial advice. Instead, they wait until those people have spent their savings and are a burden on the state. Schemes that enable people to offset the cost of their care and keep their property assets intact by renting their home to the local authority, thus easing pressure on housing waiting lists, are not widespread, despite the headache that such initiatives would cure.

--- Later in debate ---

[Mr David Amess (Southend West) (Con)]

When I saw the hon. Member for Bolton West (Julie Hilling) and her mother in a wheelchair on the Terrace on the day of the flotilla, I had no idea what the circumstances were. I have now found out that it was the first outing for her mother. All I would say after the hon. Lady’s moving speech is that her mother can be extremely proud of her daughter.

My hon. Friend the Member for Portsmouth North (Penny Mordaunt) made a splendid speech—her remarks about the other place will live with me for some little while. I congratulate her on securing the debate, and the Backbench Business Committee, of which I am unashamedly a member, on having the good sense to grant it.

There is some disappointment with the motion. I had rather hoped we would be given the opportunity to make our pitch to become Minister for the elderly, but my hon. Friend cleverly says in the motion that the responsibility will go to a current member of the Government. I should also tell my hon. Friend that the longer she is here, the more she will struggle to find anything original to say. She will not be surprised that, over the years, a number of colleagues have made similar suggestions. However, I want her to be in a position to celebrate after the debate, and after, perhaps, we hear from No. 10 of the appointment of a Minister with responsibility for older people.

As my own dear mother starts her second century, I have some experience in these matters. There seems to be a fashion—I think it was started by my hon. Friend the Member for Harlow (Robert Halfon)—for colleagues to go around with broken arms, wrists and knees, and hip replacements. Everyone seems to be on crutches or in wheelchairs. Only when people associate with those who need wheelchair assistance do they stop saying, “What a wretched nuisance” when they see someone trying to get by on a Zimmer frame or in a wheelchair. They instead say, “How can we raise the money for a lift for elderly people?” Only when those things touch people do they realise how valuable they are, as the hon. Member for Bolton West rightly reminded the House. I congratulate Anchor, which is a wonderful organisation, on getting 140,000 people to sign an online petition. That is a great triumph.

Many people would say that as people move on and become older, they return to childhood. I do not mean that judgmentally. When we are very young, we are totally dependent on others, which is eventually what happens in later life. There is a further link between young and old: they are the times of life when people are best placed to impart wisdom. Older people’s roles as grandparents and great-grandparents should be recognised—that vital glue across generations holds our society together.

There is a crucial difference between the old and the young in this country: younger generations are heavily catered for in politics through the Department for Education, but far less support is available for those classified as older people. We used to hear about joined-up Government and Departments working together. No doubt the Minister will contradict me, but I need to be convinced that that is happening currently. For the sake of joined-up Government, however, I congratulate my hon. Friend the Member for Portsmouth North—my younger hon. Friend—on introducing the motion to give a Minister responsibility for older people.

According to Age UK Essex, there are fewer under-18s in the UK than over-65s. The total number in this age group stands at 10.3 million. Each year, 650,000 more people turn 65, and one-fifth of the population is of pensionable age. What is more, with ever-better health care, life styles and support, more people are living longer. On average, people in Southend live to 80. We all welcome that change, of course, but we want people to grow old with dignity. According to projections from Age UK, the number of people aged 60-plus will increase by 50% over the next 25 years, while in 2083 one in three people will be over 60. So we are clearly faced with a serious problem.

My constituency has the most senior citizens in the country. Every year, we have a tea party—we have been in the Guinness book of records three times and are having another one this year to break the world record again. It is wonderful: as they leave the tea party, they always say, “See you next year.” According to recent statistics outlined by Age UK, 36.1% of Southend’s population is classified as “old”. More than 24,000 people are aged between 65 and 84, while more than 5,000 are over 85. The trend in Essex is clear: over the next 15 years, we can expect a 39% increase in the number of over-65s.

All I am saying is that this is happening, and we cannot bury our heads in the sand. In earlier years, we have had big arguments about people having to sell their homes—it was all wrong in terms of people’s inheritance and so on. It will be a brave political party—I know we have a coalition at the moment—that faces up to the terrible question of how we fund the future care of an ageing population. When I go around the excellent care homes in my constituency, it is heartbreaking to be told, “There are never any visitors for some of our residents, but when it comes to the funeral, they all turn up to see what they’ve been left.” These are real issues that we need to face up to.

There is a wide variety of issues affecting older people, and services need to be co-ordinated. From pensions, and health and social care, to fuel poverty and housing, each individual will have problems unique to them, and in most instances these problems will span several Departments. Essex Age UK has researched what sort of support older people would like, and its conclusions included: mobility, managing personal affairs, transport, better access to information and recreational opportunities. Older people need to be stimulated. It is no good everyone sitting in a lounge with no stimulation. If we stimulate older people, their quality of life improves.

[Dr Wollaston]

Would my hon. Friend add to his excellent list the role for technology in helping to improve the lives of older people? In my area, Devon and Cornwall, more than 250 older people go missing every year, many of them with dementia. Many technological advances can be used to give older people much greater confidence to go out, knowing they can be found quickly and easily, and to reduce distress. Also, many technological improvements can keep older people in touch, give them a link with younger people and improve their IT skills.

[Mr Amess]

I agree wholeheartedly with my hon. Friend, who is right to mention dementia. Fortunately, in our area, through the generosity of a local resident, Ivan Heath, we will shortly be opening Peaceful Place to care for people with dementia. My goodness that is an issue we must increasingly face up to, given our ageing population. She is also right to talk about the assistance that improved technology can provide.

The Dilnot commission, agreed to in the coalition agreement, has now reported, with some controversy. I have been involved in this issue for some time, and in 2000 I was fortunate to come fourth in the ballot for private Members’ Bills, so I am associated with the Warm Homes and Energy Conservation Act 2000, which sought to eliminate fuel poverty, and the more that colleagues can do to advertise the help available to older people, the better. There is much they can claim.

In conclusion, there is a good precedent for creating a Minister for older people within the current Government. We have a Minister for nearly every walk of life—for children, for disabled people, for women and equalities—so why can we not have one for older people? Such a position might even warrant a promotion. My right hon. Friend the Member for Maidenhead (Mrs May) who does a splendid job as Home Secretary is concurrently the Minister for Women and Equalities, managing both roles equally well. A dual role could easily be managed by one of my right hon. or hon. Friends. It is important to note this has been done internationally—in Ireland, Canada and New Zealand, for example. Ministers for older people have been appointed in those countries.

We should do everything we possibly can to ensure that people in old age are treated with as much respect and dignity as possible. They have worked all their lives, experienced a huge number of scenarios and situations and contributed to this country in countless ways. If it were not for the sacrifices of older people in the first and second world wars, we would not have our Parliament today. We have a duty to support them. I congratulate my hon. Friend the Member for Portsmouth North again, as this debate represents a significant step in the right direction. I fully expect a Minister to announce from the Dispatch Box at the end of the debate that the Government will indeed appoint a Minister for older people.

[Several hon. Members]

rose—

--- Later in debate ---

[Paul Maynard (Blackpool North and Cleveleys) (Con)]

I congratulate my hon. Friend the Member for Portsmouth North (Penny Mordaunt) on securing this important debate, and I am glad to have an opportunity to raise the views of Blackpool here in the Chamber. Blackpool is in many respects a pensioners’ capital. We have just hosted the National Pensioners Convention, at which the Minister with responsibility for adult and social care, my hon. Friend the Member for Sutton and Cheam (Paul Burstow), was due to speak. Unfortunately, however, he had to return to the Chamber to reply to an Opposition day debate. The NPC replaced him at the Winter Gardens with a cabbage. I am not sure what fruit or vegetable the pensions Minister might like to be represented by; he might tell us when he delivers his winding-up speech. I should warn him, however, that the banana has already been taken by the right hon. Member for South Shields (David Miliband), so it is off the menu.

My hon. Friend the Member for Southend West (Mr Amess) told us that his constituency had the most pensioners. I am trying to compete with him in that regard. As with most coastal towns, both Blackpool and Southend have large populations of retirees.

[Mr Amess]

Has there been any reaction yet among older people in my hon. Friend’s constituency to his winning the very special charity champion award last night?

[Paul Maynard]

Modesty forbids me from commenting, so we will draw a veil over that.

My constituency has the most people who live in a household with someone with a long-term medical condition, so carers policy perhaps matters more there than in any other seat. I am therefore as aware as any Member about some of the issues raised today.

In order to access carer’s allowance, people have to apply for pension credit, to which they may not be entitled. People might know that that application will be rejected, but they still have to apply in order to access carer’s allowance—an obvious anomaly in accessing benefits. Although we all know that many pensioners do not claim everything that they are entitled to, they are still not getting what they should be getting.

I know from my postbag and my surgeries that there would be no shortage of work for a Minister for older people. Almost every Government Department has some policy issue that matters more to older people than to any other group.

The Service Personnel and Veterans Agency is located in my constituency. I will spend the next three days attending various Blackpool veterans week events, because I know that matters, not least to my older constituents. My hon. Friend the Member for Portsmouth North talked about the Arctic convoys medal, too.

Buses are another key issue, as in my constituency they are used predominantly by elderly residents. There are also complicated matters such as the past presence test, about which we are arguing with the European Union, as well as eligibility for benefits when abroad, and what happens when people return. There is a long list of such issues—and I have not yet mentioned long-term care for the elderly and the Dilnot report.

I am something of a nostalgia specialist. I like to look back at the first post-war Labour Government, and try to do so with a degree of fondness because they knew how to use royal commissions as a policy-making tool. They managed to secure all-party support, and produced some of our greatest welfare reforms. Sadly, the last Labour Government turned their back on royal commissions as a policy tool. I remember the royal commission on long-term care. It was a gargantuan exercise—voluminous, colourful, pretty—yet it was utterly ineffective because nothing ever happened after it. The journey to secure reform of long-term care has been long, arduous and, hitherto, fruitless, yet I retain some optimism that the current Government might find enough coins down the back of the sofa to get things right this time; I have my fingers crossed.

As well as the range of issues Members on both sides of the House have raised today, it should be stated that we face a demographic challenge, which we must overcome. It is time that we thought about setting up a royal commission on the consequences for this country of having an ageing population. It would cover a much wider remit than trying to solve a specific policy problem. It would assess what the challenges are and what they mean for every Government Department.

A key issue in this regard is the consequences of having a population that is—to put it crudely, perhaps—dying more slowly. We no longer die rapidly from heart attacks or other such conditions that might hit us in our prime. Now, the decline is much slower and gradual, and it is much more expensive for the taxpayer in providing appropriate care. That deserves some analysis.

The specific proposal to have a Cabinet Minister in this area is an interesting one. This question is not so much about policy towards the elderly, but about government architecture: how do we make things happen in government? As many have pointed out, we have Ministers for the disabled and for children. Both positions are at Minister of State level and both cross more than one Department. We also have a Minister for pensions—the Minister of State, Department for Work and Pensions, my hon. Friend the Member for Thornbury and Yate (Steve Webb), whom I am delighted to see on the Front Bench today—and a Minister for adult social care. Perhaps they could arm-wrestle each other for the title of being the Minister for older people. That Minister could sit across both the relevant Departments and perhaps could have the same effect that the Ministers for children and for the disabled are having. I do not think that someone needs to be in the Cabinet to achieve things. There is a grave danger of our being more concerned about the name and where this person sits than about what they can actually achieve. We have had a history of tsars—an entire palace of Romanovs was produced by the previous Government—all of varying effectiveness, which was often not related at all to where they sat or where their home was. What matters is what someone does.

It is worth looking at what is done abroad, because there are some instructive lessons. I do not normally take the French as a model of how to behave in any situation in life, but they have often had a ministry of solidarity between the generations, as they put it. That is an interesting concept. We often battle in this country, with some saying that the young are getting too many resources and others saying that the elderly are. That French Department tried to resolve the two, to bring them together and to work out how intergenerational solidarity is actually created. To be honest, I do not know whether it worked terribly well, but it is an interesting idea that is worth thinking about.

Australia has a Minister for Mental Health and Ageing, who is No. 2 in the health Department. So the Australians do have a Minister for older people, although some might quibble about the linking of those two things. In Ireland, Áine Brady, a Fianna Fáil Minister in the previous Government, was Minister for Older People and Health Promotion. Sadly that particular Government left office—it was not sad for the Irish people, as this is democracy—and the current Government decided not to retain that title.

I note that the Labour party has a Front-Bench spokesman on this specific issue. I can go as far as to welcome that, but I note that in opposition we had a shadow Minister for coastal towns and that role did not survive the transfer to office. It is far easier in opposition for people to create the architecture around what they want to campaign on, rather than around the architecture of the Government buildings that they then have to slot into. So that provides a good example, too.

The example I pray in aid in particular is that of New Zealand, which does have a Minister for older people, sited in its Ministry of Health. New Zealand also has an office for senior citizens, situated in its Ministry of Social Development. That is a particularly interesting combination. Before Conservative Front Benchers start to worry that I am proposing yet another quango, I can tell them that they need not fear as nothing could be further from my mind. None the less, what both Ireland and New Zealand had in common was that they had first developed what they called a “positive ageing strategy”. So before they appointed the Minister, they ensured that the Minister had something to do. One of my concerns is that if we have a general Minister whose objective is to proof all policies so that older people do not experience a disbenefit, we will end up getting a bit fluffy and soggy. I would far rather have a set of very specific areas that affect older people that the Government should be focusing on; these would be certain policy areas that should be driven through.

As much as I love the Deputy Prime Minister—I adore him, I swear I do—I know that he is burdened by trying to cope with the problems of social mobility, which are being discussed in Westminster Hall at the moment. I am not sure that I would wish to give him older people to deal with as well, because he has to fit in trips to Rio; one man cannot do everything, surely. Rather than simply nominating one Cabinet Minister and tacking older people on to the end of their responsibilities, I would far prefer it if we created a new role that had a very specific remit, that had a positive ageing strategy behind it and that had only a handful of specific policy proposals to see through. In this country, we do not define the remit of a Government Department closely enough. We have aspirations, but often they read to me as waffle. A good example is HS2. One of the Department for Transport’s goals is to introduce HS2, which is fine, but it never says why that is particularly important. It states the goal, not the reasons for it. I would far rather we had a much narrower focus.

I welcome the debate and think it is an opportunity to put dignity at the forefront of everything we do in government. Sometimes, I am disappointed that Ministers do not always have dignity at the forefront of their minds in every decision they take. We should not need a new Minister to achieve that, but if that is what it takes then so be it. Once again, I congratulate the hon. Member for Portsmouth North on securing this important debate.