Carers Action Plan 2018-20: Supporting Carers Today — House of Lords, 2018-06-21
Topic: Social Welfare
Elizabeth Redfern (Conservative, Centre-right): My Lords, following the publication of the Carers Action Plan 2018-2020: Supporting Carers Today on 5 June, which supports a clear commitment to focus on carers in the forthcoming social care Green Paper, I thank all noble Lords taking part in this debate and very much look forward to hearing everyone’s contribution. This timely debate on the action plan focuses on the immediate term and action for the medium term The question posed must be: how can we improve support for all our carers, young and old? Three in five people will become a carer at some time in their lives. There is no discrimination: carers come from all different backgrounds and ages and I am pretty sure that we all know one who is close to us. Identifying our carers in many instances requires sensitivity, as not everyone may want to be called a carer, because sometimes cared-for people see that as a loss of independence. There must be a piece of work that encourages carers to self-identify and to find practical incentives; and, importantly, that raises their pride, gives them recognition and instils confidence, so that they view the seeking of support as a positive act The need is there where—because of, say, a road traffic accident, a stroke or time moving on and an elderly relative becoming frail—carers are the indispensable family members, friends and neighbours within our community. They are the vital partners bridging the gap between local health and the care service, with an amazing one in 10 of the population classed as carers. In some cases, unpaid carers are forgotten about, but their role in our society is vital. Caring for others should not be to the detriment of a carer’s health and well-being. How can we do more to reflect their lives now, as well as supporting their health and financial concerns Caring for someone with a disability is a huge responsibility, and most people become carers because someone close to them relies on them, but too often we hear that many feel isolated and not valued. A simple family trip out can bring its own rewards, but it is not always as simple for people who are not able-bodied, so I am pleased that local authorities such as mine are stepping up to the plate and addressing this problem by providing Changing Places toilets in many of their facilities. Good local public services are the essential bedrock for physical and mental health, well-being and resilience As our population continues to age with more people living longer—many with complex needs—more carers will be needed and, it therefore follows, more needs for more carers. Today’s debate is an opportunity to highlight and go some small way to help raise the profile of carers and caring within families and society in general. We must recognise even more the enormous contribution a carer makes, creating a clear framework that brings together local authorities and the NHS, producing an holistic approach to planning for the future and targeting resources, placing carers at the heart of any social care proposals. I am pleased that, in addition to the extra £130 million carers’ breaks funding in the better care fund, there is a commitment in the Carers Action Plan to develop examples of best practice that can be circulated around local authorities to make sure that they all reach the highest standards Raising public awareness must have top priority for employers, public and all professionals, so that the rest of the population is made aware what carers do and how important their role is within their communities and the economy. It is important, too, for them to have access to financial support and, when the time comes, to support in returning to employment. In GPs’ surgeries, a carer can gain that vital bit of information and advice and quickly be signposted in the direction of care support. One question asked many times in the context of continuity and connectivity is whether the Government could look at the possibility of a named social worker to be allocated to a carer The number of young carers in the UK has now risen by more than 10,000 in four years, with those aged 16 and 17 seeing the largest rises during the same period, up by 54% from 1,400 to 2,150. There are instances when young carers are unable to pursue their own aspirations because of the amount of caring responsibilities while, at the other end of the spectrum, others can experience a sense of pride and achievement. What is abundantly clear is that they need the right support at the right time. We must ensure that our young carers are not left behind, so action is required to ensure that they and their families are fully supported. Regular respite care, too, would allow time for study and other activities—raising awareness among teachers and schools about being backed up if they need mental health support and counselling. I am pleased that young carers are explicitly mentioned in the action plan and within the identification project—work with Carers UK to help to make sure that those young carers are found—and that the DfE has committed in its Review of Children in Need to making sure that young carers get the educational support that they need both in and out of school, so that their educational attainment is reached Young carers look after relatives who have conditions such as a disability, an illness, a mental health condition or a drug or alcohol problem. Most young carers look after one of their parents or care for a brother or sister; as they say, they are the hidden army. Their day-to-day responsibilities often include cooking, cleaning, shopping, and providing nursing and intimate personal care, as well as giving emotional support, financial management and caring for siblings. They can even be a crucial communication link by being the primary translator in a non-English speaking family, being responsible for GP appointments, and doing the cleaning and washing—so much to do We face population projections for England for people aged 65 and over rising from 9.7 million in 2015 to 14.5 million in 2035, a massive increase of 49%. Numbers of those aged 85 or more are projected to rise faster during this period, by over 122%, from 1.3 million to 2.9 million in 2035. Much of that increase is attributed to a projected rise in male life expectancy Another area where the right questions need to be asked is in the hospital setting, where hospital personnel need to ask more questions when working with vulnerable adults and adults with chronic or long-term illnesses, well before discharge. I particularly mention the emotional support needed for carers of people with dementia, who experience a constant strain and a great deal of distress, 24/7 We have to make it everybody’s business and, in so doing so, raise the profile, with this debate today being part of conveying all this information to help people, so that the public understand and stop and listen just a little bit more Finally, as we know, this year’s Carers Week ran from 11 to 17 June and called on all communities, healthcare professionals, employers and the wider public to support carers to get connected to health and well-being services. It was a celebration of the enormous contribution that unpaid carers make to our communities. I am not forgetting our Armed Forces too—I hope that this can be conveyed to all local authorities so that they are also aware and so that the carers’ message can be embedded into the Armed Forces covenant. During Carers Week, there were lots of intensive local activities and many awareness-raising activities across the UK, with carers receiving the recognition that they truly deserve. As carers’ invaluable contribution deserves to be recognised, the message is very clear: identify early, supported by clear signposting, and get the right information and financial support at the right time, therefore avoiding any U-turns and culs-de-sac and making sure that carers are at the heart of all our future decisions.