Social Care

Liz Twist Excerpts

Wednesday 25th April 2018 Commons Chamber

[Liz Twist (Blaydon) (Lab)]

I want to touch on some of the social care workforce issues. Social care is what we rely on when we need help—whether that is residential care when we need to go into a home, or care in our own home. We rely on social careworkers, residential careworkers, and home careworkers and support workers if we need help at home. These are staff who deal with our most personal needs at a time when we might be at our most vulnerable, yet we fail to value adequately the work that they do and the care and sensitivity with which, on the whole, they deliver it. I know how vital that support is and how well and compassionately it can be delivered when it is at its best, as we briefly had that support for both of my parents recently.

These are staff who are often under pressure to meet impossible visit schedules, who are on the frontline of looking after our families and neighbours, and who are on the lowest pay grades, too. They are predominantly female. As has been mentioned, Unison, the trade union that represents many of these staff, conducted a survey of the staff in social care with Community Care magazine. It showed a picture of staff feeling stressed, working more hours than they are paid for each day, and staff shortages that put pressure on others. It gets more basic than that: many staff are not even being paid the national minimum wage let alone the national living wage; domiciliary care staff are not being paid for the time that it takes to travel between visits; and staff on zero-hour contracts—Unison estimates that there are about 300,000 of them—are facing uncertain and often disrupted hours.

Unison has been pushing an ethical care charter for home careworkers and a residential care charter, too—here I should mention the “sleep-in” staff who are not being paid the national minimum wage. I am sorry that the Minister is not in her place at present, because when she touched on this matter she appeared to suggest that the Government are looking at legal ways not to pay sleep-in payments at the national minimum wage rate. Perhaps she, or one of the other Ministers, could correct me if I misheard that point. These staff deserve, and are entitled, to be paid for the work that they do.

It is no wonder that staff turnover is huge in the sector, varying from 31.8% in the residential sector to 44.3% in domiciliary care. These are not just trade union figures. Yesterday, the Health and Social Care Committee and the Housing, Communities and Local Government Committee, which are working together on adult social care, heard from the chief executive of Care England, the providers’ body, who also highlighted the huge problem of turnover in staff. This is not good for employers and it is certainly not good for the people for whom these careworkers work.

This is no way to provide care for the most vulnerable people in our communities—they deserve the most compassionate care that meets their needs—or to treat the staff who provide that care. This is not just about the staff. They are under such pressure because, year after year, this Government have cut funding to local councils, which provide the care, at the same time as those councils face a huge rise in demand. We know that the care market itself is fragile and failing.

Our social care system is not working as it should do. If we are to make it work, we must ensure that funding is provided now and that the care staff are treated properly. We must give social care equity with NHS services. Our older people, and those who care for them, deserve nothing less.

--- Later in debate ---

[Jackie Doyle-Price]

I do not disagree with that point. That is why we need to embark on a process of reform and really get it right. We are embarking on the process on that basis.

A number of Members, including the hon. Member for Blaydon (Liz Twist), mentioned sleep-ins, and I just want to restate what was said, because it seems to have been misunderstood. We fully recognise the pressure on the sector resulting from the ruling on sleep-ins and the fact that the historical liabilities could be a problem. We are working closely with providers, in liaison with the European Commission, to come up with a solution. Hon. Members will understand that the matter is too commercially sensitive for me to say any more than that—[Interruption.] We are working with providers and meeting them on a regular basis.

[Liz Twist]

I understand what the Minister has just said about sleep-ins and that she is working with providers. We all understand the pressure on those providers, but I asked earlier, are we looking at a way to reward the staff properly for the work they do during sleep-ins, or are we trying to avoid the question?