Social Care — House of Commons, 2017-10-25
Topic: Health
Elizabeth Louise Kendall (Labour, Centre-left): It is a privilege to follow the Chair of the Health Committee, and I shall pick up on some of the themes she raised During the election, Conservative Members were no doubt dismayed that their manifesto proposals were dubbed a "dementia tax", conveniently forgetting their "death tax" assault on Labour in 2010. While some of us could be forgiven for experiencing more than a little schadenfreude, the truth is we face a fundamental problem. Our population is ageing, more people need help and support and our care services desperately need more money to cope, yet any party that comes up with a significant proposal for funding social care risks their political opponents destroying them We could carry on like this for yet another Parliament, and yet another election, or we could face up to reality: we will only get lasting change if we secure a cross-party approach. That is why I have joined the hon. Member for Totnes (Dr Wollaston), the right hon. Member for North Norfolk (Norman Lamb) and other Select Committee Chairs in calling on the Prime Minister to establish a cross-party commission on the future funding of health and social care. We cannot allow this issue to be kicked into the long grass any longer. More than a million people are not getting the help and care they need. Many end up in hospital, and are getting stuck in hospital for longer. That is not good for them, and it costs the taxpayer far more It is not just the people who need care who face a daily struggle. Six and a half million people in this country now care for an older or disabled relative; 40% of them have not had a break for a year, and a quarter have not had a single day away from caring in five years. What is the result? A third of unpaid carers have to give up work or reduce their hours, so their incomes are reduced, the cost of benefits increases and the economy is denied their talents and skills. The failure to deal with the funding problem has not just created a care crisis—it has created a crisis for families and our economy Alongside a significant and immediate injection of cash, which we must see in next month’s Budget, three long-term questions must now be addressed. First, what is the right balance between the contribution made by individuals and the state? Do we leave all the extra costs of care to individuals who are unlucky enough to need it, and who might end up seeing all their savings wiped out as a result, or do we pool our resources, share the costs and risks and create a fairer system for all Secondly, what is the right balance of funding across the generations? The Conservative manifesto proposals were deeply flawed, but with the longest period of wage stagnation for 150 years and rising personal debt, I do not believe the working-age population can pay for all the additional costs of caring for our ageing population. Wealthier older people will need to make a contribution, too Thirdly, how do we get rid of the inequities between the NHS and social care, and make the fundamental reforms we need to provide a single joined-up service and shift the focus of care and support towards prevention? The Barker review for the King’s Fund rightly calls for a single budget for the NHS and social care, and a single body to commission services locally. It also says that we must face up to the deep unfairness that while cancer care is provided free at the point of need on the NHS, if you suffer from dementia, you may have to pay for all your care yourself These are inevitably difficult and controversial questions, but the Prime Minister’s experience during the general election campaign and Labour’s experience in 2010 simply reinforces the argument that we need a cross-party approach. The Government must now act.