Oral Answers to Questions

Debate between Maria Caulfield and Liz Kendall

Tuesday 6th June 2023 Commons Chamber

[Mr Speaker]

I call the shadow Minister.

[Liz Kendall (Leicester West) (Lab)]

There is a particular group of women whose health needs should be highlighted during Carers Week: women who look after an older or disabled relative. The majority of unpaid carers in their 50s and 60s are women. Eight million unpaid carers have seen their own health suffer, with those providing high levels of care twice as likely to have poor health as people without caring responsibilities. So will the Minister finally commit to a cross-Government national carers strategy, including health issues in it, as the last Labour Government did? That is a key demand during this year’s Carers Week.

[Maria Caulfield]

I thank the shadow Minister for her question. My colleague the Minister for Social Care is hosting an event today for carers, and £300 million for carers in the better care fund has also been released. I am a carer for my dad, who thankfully is well and spritely, so I understand the pressures of this. Recently, I met carers from Kinship; often they are grandparents, and older aunts and uncles, who look after young children. Work is going on between us and the Department for Education on how we can better support kinship carers, who do fantastic work in looking after young children. We fully recognise the issue, and the Social Care Minister is not just providing funding, but meeting those carers to see how we can better support them.

World Down Syndrome Day

Debate between Maria Caulfield and Liz Kendall

Thursday 23rd March 2023 Commons Chamber

[Liz Kendall]

The right hon. Gentleman must have read the next line in my speech. Of course, it is not only an issue of staff shortages and vacancies. I think that the real issue, which the right hon. Gentleman mentioned earlier, is training. If people are not trained to understand an issue and to understand its manifestations, they will not be able to put it right. In some other areas, I have seen medical schools and universities pioneering new forms of training, in which those who have a condition and their families become part of the training module to explain what the implications are. I hope that the Minister will tell us what action the Government are taking in this regard, and whether the guidance that will be issued will involve changes within medical schools or for nurses and other healthcare professionals.

The second area in which progress is needed is social care. It is, I believe, the biggest area in which the right support for people with Down syndrome is too often lacking. Whatever Conservative Members may say, I think it is important to understand the context in which the Down Syndrome Act will be working, and to take into account the difficult situation relating to social care. Just last week, research from the learning disability charity HfT revealed that nearly half the social care providers in England have been forced to close part of their organisations or hand back contracts to councils as a result of cost pressures in the last year. More than half a million people are awaiting a social care assessment, a review, or the start of a service or direct payment, and a survey conducted by the Down’s Syndrome Association found that 43% of family carers said their adult child was in need of an assessment, with some waiting as long as two years for that basic service.

What all this means, of course, is that families tend to be left to pick up the slack, often having to leave their own jobs or reduce their hours because they cannot obtain the help that they need to look after their loved ones. The fact that there are 165,000 vacancies in the social care workforce is having an impact on the support that is available to families with Down syndrome. We need to address both the issue of the care workforce and wider reforms.

Last week, the Health Service Journal reported that there are due to be cuts in the money announced for social care reform in the 2021 White Paper. A sum of £500 million was set aside to improve the training and career progression of the care workforce, but the Health Service Journal said that that is going to be cut by half. It also said that the £300 million to better integrate housing, health and care is set to be cut, with cuts to the budgets for unpaid carers and the use of technology.

This is really important, because unless we join up services and support, people with Down syndrome will not be able to live the lives they choose. The issue of housing is critical. Just 28% of people with learning disabilities live in supported housing, yet we know that 70% of people with a learning disability want to change their current housing arrangements to give them greater independence. Will the Minister confirm whether those reports are true? Are the Government going to cut £250 million for improving the training of the social care workforce and £300 million from the budget to better integrate health, care and housing? [Interruption.] It is not a disrespectful question; it is a question that has a direct impact on the lives—

[The Parliamentary Under-Secretary of State for Health and Social Care (Maria Caulfield)]

I said it was disappointing.

[Liz Kendall]

It is not disappointing; it is my job to hold the Government to account. I would like the Minister to answer that question.

The hon. Member for Southend West (Anna Firth) mentioned help to work, which I am passionate about. Work gives purpose, independence and dignity, but only 5.5% of adults with a learning disability in England were in paid employment as of 2020, yet 65% of people with learning disabilities say they want to go out and work. The hon. Member asked about what was happening in her constituency. I recently visited the Leicester Royal Infirmary, which is doing pioneering work with Ellesmere College, a college for students with special educational needs, to give them the skills and experience they need to get to work, with pioneering apprenticeships. I visited a young woman who was working in the hospital café. I asked her what she thought, and she said that her ambition now was to set up her own café and employ others. I think that shows that if people are given the chance and the support, real progress can be made.

The Down Syndrome Act presents a real opportunity for change. It creates a duty on the Secretary of State to issue guidance to relevant authorities on how to meet the specific needs of people with Down syndrome. That will cover many of the issues I have outlined, and I hope the Minister will update us on when it will start to make an impact on the ground. I understand that the call for evidence on the Act closed in November. When will we see the Government’s response? We need to act quickly to make real progress to transform the lives of people with Down syndrome and ensure they can live the life they choose.

I would argue that wider action is needed to support the NHS and social care so that we have the investment and reform we need to improve lives, but I hope the Minister will address in detail my questions about the reports. I understand that the Government will produce an update on social care, possibly next week. Will the Minister answer my question and say whether the funds the Government promised will be available?

Oral Answers to Questions

Debate between Maria Caulfield and Liz Kendall

Tuesday 7th March 2023 Commons Chamber

[Mr Speaker]

I call the shadow Minister.

[Liz Kendall (Leicester West) (Lab)]

With International Women’s Day tomorrow, I want to pay tribute to the menopause warriors—all the amazing individual women and organisations who have forced this issue up the agenda, including my hon. Friend the Member for Swansea East (Carolyn Harris). It was her private Member’s Bill that made Ministers finally agree to cut the cost of HRT prescriptions, but questions remain. Will all products that help with menopause symptoms be eligible for the prescription prepayment scheme? What are Ministers doing to end the ongoing and unacceptable shortages in HRT that are causing women such anxiety, and if this issue is such a priority for the Government, why has not the menopause taskforce met since June last year—let me warn the Minister, the warriors do not want to wait?

[Maria Caulfield]

It is a shame that, on International Women’s Day, the shadow Minister cannot welcome the progress we are making on the menopause. Labour could have done this. We are the first Government to reduce the cost of HRT for women. [Interruption.] The shadow Secretary of State, the hon. Member for Ilford North (Wes Streeting), wants to listen because this is important for women. All licensed HRT products will be available on the prepayment certificate. On the issue of shortages, over 70 products are available to women. Last year, 19 of them were facing a shortage. Thanks to the work of this Government, that is down to five products, and Utrogestan, a product widely used by women, is now back in stock and is being distributed to pharmacies. We are passionate about making HRT more available. There has been a 50% increase in the number of women getting HRT prescriptions. That is a tremendous success for women and we are reducing the cost.