Social Care

Jack Dromey Excerpts

Wednesday 25th October 2017 Commons Chamber

[Barbara Keeley]

No, I do not agree with the hon. Gentleman. That is one of the reasons why his party’s dementia tax policy failed so badly. Suddenly to bring hundreds of thousands of people into means-testing using their homes was one of the biggest flaws in the policy that the Conservative party floated.

I will now make a little bit of progress on the state of care, because the fragility of the care sector is a key issue. We heard from my hon. Friend the Member for Luton North (Kelvin Hopkins) about closures in his area, but councils cannot even influence these closures much any more because home care providers are handing back contracts. Indeed, one in five councils in the ADASS survey reported closures in all three services: home care, residential care and nursing home services. There are also serious issues of care quality in many areas of the country.

The survey reported that 70% of the councils surveyed had experienced quality issues across all three types of care services. ADASS estimates that 28,000 people have been affected by care-quality issues or by a change of service due to contracts being handed back. We know that it is a big issue for a person with dementia to have a continual change in the care staff visiting them. Those arguing in favour of cuts need to think about those 28,000 lives affected negatively by cuts to local authority budgets. Worryingly, the Care Quality Commission now reports that almost a quarter of care services are not meeting standards on safety, and nearly a fifth of services require improvement overall.

I said earlier that budget cuts mean that more than 400,000 fewer people are now getting publicly funded care. Of course, councillors, council leaders and social workers have had to make difficult decisions about cutting budgets and cutting support to local people. It is of great credit to councils and council leaders that so many still continue to prioritise adult social care in their budget setting, but the overall position is one of cuts. There will be a real-terms loss of £6.3 billion to adult social care by the end of this financial year, and we heard earlier from my hon. Friend the Member for Manchester, Gorton (Afzal Khan) about the level of cuts in the city of Manchester. The cuts have an impact on staff working in social care.

[Jack Dromey (Birmingham, Erdington) (Lab)]

At last, the Government and Her Majesty’s Revenue and Customs have acknowledged that care workers who sleep in, giving loving care to those badly in need of care, are entitled to the national minimum wage. But, as a consequence, a crisis confronts the sector. Mencap says that it is the

“final nail in the coffin for many providers”,

with jobs lost and the risk of bankruptcy for a number of people with personal care packages. Does my hon. Friend agree that the Government who created this problem should solve this problem and not expect local authorities to pick up the bill?

[Barbara Keeley]

I absolutely agree, and it was helpful of my hon. Friend to make that point. The sleep-ins issue has been a real cause of worry for many organisations over many months. It just goes to the heart of our assertion that people who work in care should be paid the minimum wage, including when they are working at night, which is what they are doing on sleep-ins. I have a constituent who looks after two households of people in adjoining properties, and she does not get normal sleep during the night as alarms can go off in any part of the properties. It is not right at all that those people were paid just fixed amounts, not the minimum wage. The Government must find the funding for that decision.

--- Later in debate ---

[Jackie Doyle-Price]

My hon. Friend highlights just some of the many examples up and down the country, but we should not be complacent about the 20% of settings that require improvement, and there will be lots of work we can do to raise the standard in them. That includes, not least, the work we are doing in collaboration with the voluntary sector and the Local Government Association to spread examples of good practice and quality. We will obviously continue to do that.

We should also celebrate the other good work going on around the country. In just one year in Sutton, for example, even though the number of beds for care homes supported by GPs in the clinical commissioning group increased by 14%, there was an overall reduction in care home residents attending. That is because the CCG has stepped up to the challenge and has better co-ordination of care, enhanced training of care staff and better health care support for older people in care homes. That shows that, with collaboration, we can get better care standards. Social care therefore continues to be a key priority for the Government.

[Jack Dromey]

The Minister is right to say that there are none so noble as those who care. However, may I press her on a specific issue? The care sector is facing a disaster as a consequence of having to pick up a £400 million bill because of the confusion in the ranks of Government, and likewise in HMRC, with regard to the entitlement to the minimum wage of those who sleep in. Can she say today that that burden, which was not the creation of the care sector, will not fall on local government and that instead the necessary funds will be met by central Government?

[Jackie Doyle-Price]

The hon. Gentleman raises an extremely important point that I am actively thinking about. He is absolutely right in the sense that providers have been following guidance that has changed. It is clear from our perspective that employers are obliged to meet their obligations under minimum wage legislation, but I am very clear on the challenge that that is giving to the sector, and we will work with it to develop a solution.

Turning to the substance of the motion, we announced in the Queen’s Speech that we will work to address the challenges of social care for our ageing population and bring forward proposals for consultation to build widespread support for future provision.