Cutting the budget for social care is a false economy

Social care is higher on the political agenda than at any time during the last few Parliaments, and yet disabled and older people now face a worse situation than when it was a low-profile issue.

The Care Bill is in Parliament for its second reading today and although in principle it seems to be a turning point for the current ineffective social care system, if the right amount of funding isn’t released from central Government, the laudable aspirations of the Bill will never be realised. Chronic underfunding has left many disabled people without the support they need and MPs must take this golden opportunity to improve social care for some of the most disadvantaged people in society.

Social care is higher on the political agenda than at any time during the last few Parliaments, and yet disabled and older people now face a worse situation. Successive attempts to improve the system – community care, direct payments, personalisation – have been implemented to varying degrees in different areas, creating a post code lottery. Underpinning it all is the ever tightening financial pressures under which local authorities struggle to deliver. Social care isn’t an issue that will ever go away. People with disabilities and older people will always need support and inevitably funding and adequate provision will always be a big political issue. As the population ages, the number of people needing social care is set to rise, and as a society we desperately need this latest piece of legislation to work for everyone, disabled and older people and their families.

Over the past year there have been unprecedented cuts to the amount of social care disabled people receive. The numbers receiving support are dropping while the numbers needing support rise year on year. Just today LSE research has shown half a million older and disabled people have fallen out of social care in the last five years. And the group seeing the biggest drop are people with sight loss, including deafblind people.

But cutting the budget for social care is a false economy. As people reach crisis point they can become more susceptible to falls or require hospital treatment, or drop out of employment and claim benefits, because they didn’t get the support they needed from social care. Not to mention the human cost, as people experience intense loneliness and isolation if they are unable to leave the house without support and can result in them needing counseling or mental health support.

The new buzzword in social care is integration. Currently, social care is paid for by local authorities and health care is provided for centrally. This means that many people with long term needs end up being shunted from one to the other as both try and avoid the cost or view one problem as health and another problem as social care. Proposals to integrate the two have been around for years, but finally they seem to be gathering momentum with a new integration fund.

Integration offers significant opportunities, both to improve things for the individual and to make more efficient use of resources by investing in preventative care. If people with disabilities are provided with adequate levels of social care they require less expensive treatment from the NHS in the long term. But we shouldn’t underestimate how politically difficult it will be to make the shift from acute services to community services.

All political parties see integration of health and social care as critical to the necessary transformation of services to address the funding crisis. Labour would perhaps go further than the current government, but all agree on the principles. Rarely do we have such consensus from the political parties on the issue so perhaps this is a positive sign.

Over the past year many disabled people, including the deafblind people that Sense supports, have been pushed to breaking point. They have been hit by the bedroom tax, struggled with changes to the benefit system and many have faced huge cuts to their social care, leaving them without the support they desperately need to live full and active lives. When we talk about social care, we aren’t just talking personal care and help getting washed and dressed. We’re also talking about ensuring that people can exercise, get to medical appointments and have a life outside of the home. One of the welcome features of the Bill is that it focuses social care on a broad concept of well-being. But this is also the part of the Bill most likely to fail if the funding is not there to deliver. We desperately need MPs to put our money where their mouths are and make sure that this materialises.

Sue Brown is head of public policy and campaigns at Sense

 

Older people will always need support and inevitably funding and adequate provision will always be a big political issue. Photo: Getty

Sue Brown is head of public policy and campaigns at Sense

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“Why are you here?”: Juncker and MEPs mock Nigel Farage at the European Parliament

Returning to the scene of the crime.

In today's European Parliament session, Jean-Claude Juncker, president of the European Commission, tried his best to keep things cordial during a debate on Brexit. He asked MEPs to "respect British democracy and the way it voiced its view".

Unfortunately, Nigel Farage, UKIP leader and MEP, felt it necessary to voice his view a little more by applauding - the last straw even for Juncker, who turned and spat: "That's the last time you are applauding here." 

MEPs laughed and clapped, and he continued: "I am surprised you are here. You are fighting for the exit. The British people voted in f avour of the exit. Why are you here?"  

Watch the exchange here:

Farage responded with an impromptu speech, in which he pointed out that MEPs laughed when he first planned to campaign for Britain to leave the EU: "Well, you're not laughing now". Hee said the EU was in "denial" and that its project had "failed".

MPs booed again.

He continued:

"Because what the little people did, what the ordinary people did – what the people who’d been oppressed over the last few years who’d seen their living standards go down did – was they rejected the multinationals, they rejected the merchant banks, they rejected big politics and they said actually, we want our country back, we want our fishing waters back, we want our borders back. 

"We want to be an independent, self-governing, normal nation. That is what we have done and that is what must happen. In doing so we now offer a beacon of hope to democrats across the rest of the European continent. I’ll make one prediction this morning: the United Kingdom will not be the last member state to leave the European Union."

The Independent has a full transcript of the speech.

Now, it sounds like Farage had something prepared – so it's no wonder he turned up in Brussels for this important task today, while Brexiteers in Britain frantically try to put together a plan for leaving the EU.

But your mole has to wonder if perhaps, in the face of a falling British pound and a party whose major source of income is MEP salaries and expenses, Farage is less willing to give up his cushy European job than he might like us to think. 

I'm a mole, innit.