Social Care — House of Commons, 2017-10-25
Topic: Social Welfare
James Morris (Conservative, Centre-right): It is a pleasure to follow the hon. Member for Leigh (Jo Platt) I think that there is a consensus in the House that social care is one of the biggest policy challenges we face and that we need to get it right not just for current elderly people, but, as pointed out by hon. Members on both sides of the House, for working-age adults with disabilities. In that respect, it is important to see social care in relation to the mental health of people with learning disabilities. Funding is clearly crucial in this discussion, too, as the Government recognised in this year’s Budget, which increased funding for social care and gave local authorities freedom over the council tax precept. I have seen in the Borough of Dudley, part of which I represent, how that has had a positive impact on the frontline of adult social care. I want to make two points about the future strategy for adult social care. The first is about structures, and the second about people. Despite positive efforts made—let us not forget it was this Government and the previous coalition Government who introduced the better care fund to begin the process of health and social care integration—the picture is still a fragmented one. People have talked about delayed transfers of care. In reality, there is huge variation across the country in relation to delayed transfers of care, as a result, broadly, of the fact that the process of integration between health and social care has only just begun. We need to move further and faster. I agree with the Chair of the Health Committee, my hon. Friend the Member for Totnes (Dr Wollaston), that we need to see this system as one system—a health and social care system. We will make progress only if we see it in that light It is also important to think about the devolved nature of adult social care. In Greater Manchester, funding for social care and health is devolved. It is probably too early to say whether this has been a success, but there are strong arguments to say that if we are properly to reform the system of health and social care, we should not be trying to do it nationally, as the Opposition are arguing; we should chunk it into smaller bits at a regional level and perhaps give responsibility for adult social care to bodies such as the West Midlands Combined Authority and devolved Mayors. We need a fully integrated system of sufficient scale, however, and I think the regions are the best place to locate that The second point I want to make is about people. Others have mentioned the crucial role of people working in the care sector and of informal carers. People are clearly a massive constraint on adult social care, so we need to think carefully about how we develop the carers workforce as we move forward. Others have said that it needs high levels of professional recognition and better career structures and incentives. The objective should be to have people working in the care sector who feel on an equal standing to those in nursing and other professions. Currently, we see the health and social care workforces in two separate places, but we should be perceiving them as a single seamless workforce who need to be developed, with the right incentives, to cater for the needs of our health and social care system. We also need to consider the arguments about statutory rights for informal carers, who do not have any rights at the moment, and we need to think about incentives, because clearly informal carers benefit the economy and reduce costs to the Exchequer We need to think about the future of an integrated social and healthcare system. It will require extra funding, but funding will be effective only if we achieve that fundamental reform of a seamless health and social care system capable of responding to the needs of people in the health system and social care. We will achieve that only if we take a radically different view of what we mean by a carer workforce, how we treat that workforce and how we treat informal care. If we get that right, we will make a lot of progress.