Unpaid Carers: Inequalities

Jonathan Davies Excerpts

Thursday 20th November 2025 Westminster Hall

[Jonathan Davies (Mid Derbyshire) (Lab)]

It is a pleasure to serve under your chairmanship, Ms Vaz. I thank my hon. Friend the Member for Shipley (Anna Dixon) for securing this important debate and colleagues for sharing their powerful personal insights. I fully acknowledge the work carried out by unpaid carers across my constituency and throughout the country more generally. Their dedication keeps families safe, our social security system afloat and our society humane. Their work—including that of children who are, unfortunately, carers too—deserves not only recognition but support from the Government.

Earlier this year, I met local unpaid carers, as well as the Derbyshire All-Age Carers Support Service and Healthwatch Derbyshire, to listen and learn about the issues that matter to unpaid carers in my Mid Derbyshire constituency. I met a woman who is caring for her mother. She told me there is a gulf between policy and reality when it comes to working carers. Carer’s leave exists, but it is not adequate for people who are already struggling financially, and too many carers do not even know that it is available. Those who do often forgo it because it does not cover their pay or because they are worried about their job security. Instead, they use annual leave or their limited number of sick days. That just is not right. This lady was the primary carer for her mother in a virtual ward during the pandemic, when she repeatedly faced security checks that treated her as an outsider rather than as a partner in care. We need systems that support this vital work rather than obstruct it.

Another woman I spoke to is an NHS worker who has been providing unpaid care for over 20 years. She told me that the NHS, an organisation with care as its very purpose, is itself inconsistent in the support it provides to staff with caring responsibilities outside their main work. I understand that as many as one in three NHS staff may be unpaid carers, yet career progression and role flexibility are not guaranteed for them. Too often they depend on the service in which they happen to work to get the allowances they need to undertake their caring responsibilities. That can be disruptive for managers but is essential for the person they care for.

Finally, I heard from another long-term carer. He has overcome many challenges, including faulty equipment, particularly catheters; an unresponsive district nurse team who did not always recognise his important role; and ambiguity about responsibilities when the dependant and the carer fall into different authority areas. He has not been able to take a holiday in 10 years, although that is a sacrifice about which he felt no regret—I found that particularly inspiring.

I came away from that meeting earlier this year in awe of the contributions that these people make day after day, often with no complaint. But they are in dire need of greater support and recognition.

I welcome the progress the Government made in increasing the carer’s allowance last April but, despite the very difficult circumstances the country finds itself in, I believe we should go further. I am also looking for the Government to lead us in clearer integration with local authorities and the wider care system. Carers would like employers to understand their work more consistently, and we can work on that across Departments. I would also like the Government to ensure more public visibility and recognition of unpaid carers, and a renewed focus on identifying unpaid carers. We need more information about the help available to them.

I again thank my hon. Friend the Member for Shipley for being a champion in this place for unpaid carers and her constituents, and for her excellent work in Parliament on this issue. I look forward to reconvening the constituents I met earlier this year, along with Healthwatch Derbyshire and the Derbyshire All-Age Carers Support Service, to report back what the Minister says today about their important work.

--- Later in debate ---

[Stuart Andrew]

It just shows how, when Parliament works well, it works exceptionally well.

I want to repeat some of the comments that have been made. The Government have launched a review of the potential benefits of paid carer’s leave, with the conclusions coming at the end of the year, I believe. As others have said, that is welcome, but I am sure that carers would hope that there will be clarity and no delays.

I look forward to hearing the Minister’s response to some of the issues that have been raised in this debate, and to hearing whether the Government are genuinely open to acting on the review’s findings. A fair point has been made about the length of time that people have to contribute to that consultation, given the responsibilities that they have. We must ensure that the consultation is accessible. I was a critic of this when we were in government, but doing just online consultations means that those who are not digitally savvy can be excluded. It is important we make sure that is not happening.

As other hon. Members have said, the financial pressures on carers remain severe, with one in four unpaid carers living in poverty. The employment rate among carers is just 50%, compared with 75% across the general population, but with the right support an estimated half a million carers could return to work. That would not only strengthen their security but contribute to the economy, which is what we all want to see.

In fairness, it is not just the Government who have to act; there is a responsibility on employers, too. I saw in the hospices that some businesses took on our young adults despite their life-limiting conditions. The employers told us that what they got from those individuals was utterly amazing, and that they were really dedicated to their work.

The recent increase to the carer’s allowance earnings limit is a step in the right direction, for which I thank the Government. However, the Carers Trust has rightly called for a full review of carer’s allowance and the wider support system. I am keen to hear whether that is something the Government are considering.

I am also concerned that the level of respite support has been falling, and has dropped by 6% in local authorities in the last year alone. I am concerned about, and pay tribute to, the charities that offer so much respite support. I know, from my consultations with charities, that the rise in national insurance contributions has had an impact, and that they have had to reduce and scale back their staffing. That is a concern, and I hope we recognise the size of their contribution.

At the hospices at which I worked, it was not just about end-of-life care. Some of the most important care they provided was respite stays. Either the child came on their own so that the family might go on holiday, or the whole family came together, which gave them the opportunity to be a family again. The child who needed care was being looked after by the care team, which meant the parents could be parents again to the siblings, who often miss out in such situations.

[Jonathan Davies]

The shadow Minister is making a very powerful speech. He raises the issue of national insurance, and I know that change was very difficult in the last Budget, but it was to get over £20 billion into the NHS, which I hope will improve respite care. We saw huge cuts to local authorities under the last Government, and we are paying for that in different ways, including in Derbyshire. I hope we will be able to move beyond the national insurance thing and get better public services. Hopefully, we will even be able to reduce national insurance in the future, but it is right to contextualise that in the circumstances in which we find ourselves.

[Stuart Andrew]

This has been a really good debate so far, and I do not want to get into party politics, but the rise in national insurance contributions is having an impact on charities—it really is. The cost is about £1.4 billion. Charities have been a cornerstone of respite provision, and without them we would not have as many respite places as we need.

The other point I want to make is about the social care review. I went to those cross-party talks, and I was encouraged by the first meeting—it felt like all of us, representing our political parties, wanted the talks to succeed—but it is disappointing that we have not had another meeting since. I am concerned. Baroness Casey is an exceptional person. She has a huge amount to contribute, and she certainly left me with the impression that she is absolutely determined to find solutions to some of the issues in social care, but I am anxious that she has responsibilities for other issues, all of great enormity.

I hope the Minister can update us on when we might have another meeting. As the hon. Member for North Herefordshire (Dr Chowns) said, we do not have to be invited by Baroness Casey; we can be invited by the Secretary of State. I know that Baroness Casey is doing an enormous amount of work on this issue, but it is important that, politically, we try to find where we can agree. If we can introduce things earlier, that would be to the benefit of everybody in the country who needs care.

I say that because I want to be constructive in opposition. I recognise that some of these things are not easy to deliver. They are difficult issues, but they demand more than our sympathy—they demand action. I do not claim that we got everything right in government, but I am clear that carers need to know that we are all listening and are keen to respond and deliver when we can. Unpaid carers do not seek praise; they just want systems that they can rely on, policies that reflect their worth and services that offer real support.

Finally, this is not about just one Department—it is not just the Department of Health and Social Care. There are many other Departments. Having been a Minister, I know the structure of Government means that working cross-departmentally can sometimes be a challenge. Can the Minister update us on how that is going? I know it is a challenge, and I wish him well in any cross-departmental work that is happening.

Unpaid carers deserve fairness, support and action. I finish by saying to every single one of them: thank you for the amazing contribution you make every day, looking after others and being the backbone I mentioned at the beginning.