Tag Archives: plans

Back to the future for social care

I had a peculiar sense of déjà vu reading new care services minister Paul Burstow’s interview in the Daily Telegraph the other day. While spoke about his hopes – and the need – for reform of adult social care, I had the funniest sense I’d heard it somewhere before.

Maybe because I have; about the time the green paper on adult social care was first mooted by the old Labour government a few years back. And a various points since then, up to and including the run-up to last month’s election (Doesn’t it seem a long time ago now?).

In the Telegraph interview, Burstow – who has a decent reputation within the sector – spoke of the need to find “a sustainable funding settlement for social care” and to reform a system that will soon become “not fit for purpose”.

Nothing new there. Many commentators – as well as service users and workers in the sector – have been saying this for years, to no avail.

There is also nothing new in his outline for the funding options that will be discussed by the upcoming independent commission; a voluntary scheme, a partnership scheme where state and individuals contribute, and a compulsory levy after death – yep, Labour’s much-derided ‘Death Tax’.

This is something of a turnaround for the government, which only referred to the partnership and voluntary models in its coalition document, released just a couple of weeks ago.

But what is new is a little detail on the timescale for reform. Those of us who thought that the coalition’s plans kicked the issue into the long grass now know how far; Burstow wants the soon-to-be-formed independent commission report back on funding options within a year, with a White Paper ready by autumn 2011.

He admits this is ambitious, but necessary as the Baby Boomers hit old age.

Nevertheless, it is good to see a timescale being laid out, even if it isn’t the one most people involved in the sector would have liked – in an ideal world reform would already have been carried out.

Also, carrying on with the positives, Burstow does seem to have a good handle on what needs to be done – saying it would be wrong to fixate on the problem of older people having to sell their homes to pay for residential care, something that the last consultation seemed to, almost with an eye on the upcoming election – and is willing to consider a range of options.

But what the independent commission comes up with remains to be seen – as does how different it will be to what came out of last year’s Big Care Debate – although the rumoured presence of economists on it suggests that it may be geared towards saving money.

Again, it feels like we’ve been here before. So while this could easily be a false dawn – and there have been enough of those over the years – at the moment, it is probably best to give the benefit of the doubt to the government, while all the time reminding them of what is needed and why, and to call them to account if they let the sector down.

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Filed under adult social care, Social care funding

Social care needs to be a priority for new government

Since the Conservative and Liberal Democrat coalition took power earlier in the week and started outlining its policies, one issue seems to have been conspicuous by its absence: social care.

As I have previously blogged, in the general election campaign social care seemed to disappear off the political radar, despite it being touted as a key issue in the run-up to it being called. Now post-election, it continues to be ignored in children’s and adults services; nowhere in the policy outline was social care mentioned.

Indeed, Michael Gove, the new head of the (swiftly renamed) Department for Education, has said in a letter to civil servants that education is the priority for the department, thus seemingly sidelining children’s services, although he added that this area will be strengthened and reformed, but didn’t elaborate on how.

Also, Andrew Lansley, the new health secretary, has spoken extensively of the plans for the NHS, while adult social care has garnered barely a mention.

This lack of attention is worrying; ask anyone within adult social care and they will say that reform – especially of the way it is funded – is urgently needed. Children’s services also need to be strengthened and supported. They can’t be left to drift as they have done for the past few years.

Leading social care organisations are also worried. Counsel & Care, a charity working with older people, their families and carers, have called for reform of social care to be made a priority by the new government.

Meanwhile, Carers UK’s director of policy and public affairs, Emily Holzhausen said; “We are deeply disappointed that the programme for Government published in the coalition agreement this week does not establish social care as a political priority.

“Clear plans must be brought forward as a matter of urgency, setting out a sustainable funding model for fair, universal, and transparent care services.”

However, despite the worries, I’m trying not to be too negative. It is still very early days for the government and we shouldn’t be too quick to judge – social care is a complicated issue and it may take more time to put together a policy.

Also, Paul Burstow, a Lib Dem MP with a history of championing issues such as social care funding, dementia and adult protection, has been appointed as a minister for state – the rung below cabinet – in the Department of Health. Having someone with in-depth knowledge of and a passion for the issues involved could ensure that they get the attention they need.

But until the government makes any policy announcements, as with everyone else blogging on this in the sector, everything is speculation and educated guesswork.

A final thought; in among all the speculation, there is one decision on social care that will have to be made soon – whether to pass Labour’s Personal Care at Home Bill. The Tories are against it, as are the Lib Dems, who would prefer to use the money for this to give carers extra short breaks, so I think we know what the result will be there.

Do you agree? Please let me know your thoughts below.

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Filed under adult social care, children's social work, social care, Social care funding