It is a pleasure to follow the hon. Member for Torbay (Kevin Foster), and I fully concur with his ideas on workforce planning.
I am going to focus my remarks on the poverty of ambition on public services in today’s statement. We know that we have sky-high inflation and crumbling schools and hospitals, but it is really that poverty of ambition on public services to which I want to turn. Thirteen years of Conservative cuts to social care have left elderly and disabled people going without the care they need, and long-promised social care reforms have been repeatedly postponed. The Prime Minister three Prime Ministers ago, Mr Johnson, pledged to reform social care “once and for all”, announcing a cap on lifetime care costs and a health and social care levy. The levy was scrapped by the ex-Chancellor in 2022 and the cap has been delayed until 2024, but I suspect that this will also be scrapped—chopping and changing, chopping and changing.
Following publication of the “next steps” document in April 2023, many of the remaining measures from the Government’s White Paper on social care have been cut back or even abandoned. This includes halving the funding for workforce training, and this goes to the points the hon. Member made. This is funding for qualifications, and funding for the wellbeing of individuals who need extra support to come into the workforce. There was some mention of that in today’s statement, and I do welcome that, but we need to turn our attention to the detail on the social care workforce, because unpaid carers have been left to pick up the pieces of the Government’s repeated failure to deal with the staffing crisis in social care, at huge cost to their own physical and mental health and to their finances. Every weekend people, mainly women, criss-cross the country to deal with older people, disabled people and children who are struggling. There just are not the care workers that there were before.
Over the summer I did a survey in my own constituency of social care arrangements for older people, and I was able to visit the wonderful place called the Hornsey Housing Trust. It owes its existence to one person, Margaret Hill, the sister of John Maynard Keynes. She founded it in 1933, and nurtured it because she felt that
“the underlying cause of much discomfort, ill-health and unhappiness in many families was the bad conditions of their houses”.
This little history, written by Rosie Boughton, who is the former chair of the Hornsey Housing Trust, sadly outlines so many of the issues we are seeing today. As the years of have gone on, the trust has focused more and more on older folk, but this autumn statement does not really offer to fix the crisis in social care and has failed to lay out a real vision for dignity, care and quality of life for older people. I do welcome the triple lock decision, but I think the detail of some of the issues we are facing in our care sector have been ignored.
A Labour Government would work towards a world-class national care service. We will transform access to care with new national standards, and recruit and retain more carers through better rights at work, decent standards, fair pay and proper training, with a fair pay agreement collectively negotiated across the sector as a first step towards building a national care service. The hon. Member for North East Bedfordshire (Richard Fuller) mentioned regional rates, and I just wanted to correct him. There is a London living rate for the London living wage—it is a genuine living wage, not the minimum wage—and he should definitely look at those rates.