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Committee stage. Clause 1 amendment 18 considered with Clauses 2 to 4 and further amendments. Clause 1 amendment 18 withdrawn. Clause 1 agreed to. Clause 2 amendment 14 negatived on division (111 to 362). Amendment 17 negatived on division (113 to 372). Amendment 21 negatived on division (82 to 360). Clauses 2 to 4 agreed to. Schedule agreed to. Bill reported without amendment. Third Reading. Agreed to on question. Bill passed.
Committee stage. Clause 1 amendment 18 considered with Clauses 2 to 4 and further amendments. Clause 1 amendment 18 withdrawn. Clause 1 agreed to. Clause 2 amendment 14 negatived on division (111 to 362). Amendment 17 negatived on division (113 to 372). Amendment 21 negatived on division (82 to 360)....
Second reading. Agreed to on division (351 to 84). Programme motion on committal, proceedings in a Committee of the Whole House, consideration and third reading. Agreed to on question. King's recommendation signified. Money resolution. Agreed to on question.
Second reading. Agreed to on division (351 to 84). Programme motion on committal, proceedings in a Committee of the Whole House, consideration and third reading. Agreed to on question. King's recommendation signified. Money resolution. Agreed to on question.
What progress her Department has made on reforming social care.
What progress her Department has made on reforming social care.
We are making great progress on our 10-year vision for adult social care reform. We have introduced the first ever national career structure for care workers, and we have introduced new assessments by the Care Quality Commission, which will shine a light on how well councils are delivering their social care duties.
We are making great progress on our 10-year vision for adult social care reform. We have introduced the first ever national career structure for care workers, and we have introduced new assessments by the Care Quality Commission, which will shine a light on how well councils are delivering their social care duties.
We are making great progress on our 10-year vision for adult social care reform. We have introduced the first ever national career structure for care workers, and we have introduced new assessments by the Care Quality Commission, which will shine a light on how well councils are delivering their social care duties.
What progress her Department has made on reforming social care.
My hon. Friend is right about the importance of the social care workforce: social care is its workforce. I can assure him that we already have a plan for the care workforce, set out in the “People at the Heart of Care” White Paper, and now we are putting it into practice. Our care workforce pathway is already being implemented, our new accredited qualification for care workers will be launched later this year, and we are backing social care with up to £8.6 billion in extra available funding.
My hon. Friend is right about the importance of the social care workforce: social care is its workforce. I can assure him that we already have a plan for the care workforce, set out in the “People at the Heart of Care” White Paper, and now we are putting it into practice. Our care workforce pathway is already being implemented, our new accredited qualification for care workers will be launched later this year, and we are backing social care with up to £8.6 billion in extra available funding.
I am most grateful to my hon. Friend for that reply. In Suffolk, where the population is increasingly elderly, social care is under enormous pressure, and it is a significant challenge to recruit carers, pay them fairly and provide them with a proper career path. Therefore, I heard what my hon. Friend said, but will she consider commissioning a long-term workforce plan for adult social care equivalent to that for the NHS?
We very much want everybody who needs care to get it and everyone who is eligible for financial support should get it. That, of course, is assessed by local authorities. We are introducing Care Quality Commission assurance of social care commissioned by local authorities, to make sure people get the care they deserve and to shine a light on where local authorities are doing a really good job and where others could do better.
We very much want everybody who needs care to get it and everyone who is eligible for financial support should get it. That, of course, is assessed by local authorities. We are introducing Care Quality Commission assurance of social care commissioned by local authorities, to make sure people get the care they deserve and to shine a light on where local authorities are doing a really good job and where others could do better.
I was concerned to hear that a constituent of mine was initially denied access to social care for his mother who suffers from Alzheimer’s despite her inability to administer her own medication. Will the Government look to broadening the criteria of the Care Act 2014 to include those requiring support with administering medication?
I thank my hon. Friend for his important question on concerns about the cost of care and how much it costs some people. As he may know—I remind him—the charging reforms were delayed in 2022 by the Chancellor after we listened to local authorities.
I thank my hon. Friend for his important question on concerns about the cost of care and how much it costs some people. As he may know—I remind him—the charging reforms were delayed in 2022 by the Chancellor after we listened to local authorities.
The idea of a social care cost cap has dropped off the agenda slightly. I know it is incredibly expensive, but I continue to be contacted by constituents who face losing everything. When often their loved ones have dementia and it is already emotionally an incredibly traumatic time, they have the added anxiety of how they are going to pay for care. The only thing that should matter is what works and is best for their loved one, but there is a cloud of anxiety hanging over society, which we all worry about. Will the Minister confirm that this issue has not lost her attention and that we will continue to consider whether we can introduce a cap?
I recognise the challenges in the hon. Gentleman’s area, although nationally vacancies in social care have fallen by over 20,000. We are reforming adult social care careers to make care a career for the UK workforce. We are putting extra funding into social care—up to £8.6 billion over two years—and introducing CQC assurance to make sure local authorities are doing their best on social care. I would encourage the hon. Gentleman to talk to his local authority and make sure it is paying a fair rate for the care it commissions.
I recognise the challenges in the hon. Gentleman’s area, although nationally vacancies in social care have fallen by over 20,000. We are reforming adult social care careers to make care a career for the UK workforce. We are putting extra funding into social care—up to £8.6 billion over two years—and introducing CQC assurance to make sure local authorities are doing their best on social care. I would encourage the hon. Gentleman to talk to his local authority and make sure it is paying a fair rate for the care it commissions.
A fifth of the social care roles in Westmorland and Furness are currently vacant and unfilled. Coincidentally that is the same proportion of beds in Morecambe Bay that are occupied by patients who are unable to get a care package and therefore leave hospital. The reasons for this are blindingly obvious: the pay and career structures are derisory for hard-working wonderful people and there is a complete absence of genuinely affordable homes for people in those sorts of roles to enable them to live locally. Does the Minister agree that fixing that crisis in my community and others should be the priority for the Chancellor tomorrow, not silly electoral gimmicks?
To ask the Secretary of State for Health and Social Care, what recent progress her Department has made on reforming the social care workforce.
To ask the Secretary of State for Health and Social Care, what recent progress her Department has made on reforming the social care workforce.
We are carrying out ambitious reforms for the care workforce to increase the supply and quality of social care.
We will shortly be publishing the Care Workforce Pathway setting out a career path for care workers, together with launching a new care qualification and funding thousands of training places.
To ask the Secretary of State for Health and Social Care, what steps she plans to take to allocate remaining funding from the People at the Heart of Care funding for adult social care reform.
To ask the Secretary of State for Health and Social Care, what steps she plans to take to allocate remaining funding from the People at the Heart of Care funding for adult social care reform.
In July 2023, the Department allocated this remaining funding to the Market Sustainability Improvement Fund, with £570 million allocated over the next two years. This fund is designed to maximise the impact of our system reform by further improving workforce recruitment and retention.
All other reform funding has been allocated.
To ask the Secretary of State for Health and Social Care, what steps he plans to take to allocate remaining funding from the People at the Heart of Care funding for adult social care reform.
To ask the Secretary of State for Health and Social Care, what steps he plans to take to allocate remaining funding from the People at the Heart of Care funding for adult social care reform.
It has not proved possible to respond to the hon. Member in the time available before Prorogation.
To ask the Secretary of State for Health and Social Care, whether he plans to take steps to reform the social care charging system.
To ask the Secretary of State for Health and Social Care, whether he plans to take steps to reform the social care charging system.
As announced in the Autumn Statement, we listened to the concerns of local Government and took the difficult decision to delay the planned adult social care charging reforms.
The funding intended for charging reform has been retained in local authority budgets to address current pressures and ensure that local authorities have the capacity and system readiness to deliver reform successfully.
To ask the Secretary of State for Health and Social Care, pursuant to the Answers of 30 May 2023 to Questions 186514 on Radiotherapy: Medical Treatments and 186513 on Radiotherapy: Reform, what the timeline is for completion of the Brachytherapy and Molecular Radiotherapy Service Specification review; and whether he plans...
To ask the Secretary of State for Health and Social Care, pursuant to the Answers of 30 May 2023 to Questions 186514 on Radiotherapy: Medical Treatments and 186513 on Radiotherapy: Reform, what the timeline is for completion of the Brachytherapy and Molecular Radiotherapy Service Specification review; and whether he plans...
The review of the Brachytherapy and Molecular Radiotherapy Service Specification is being carried out in accordance with the NHS England Methods process for Service Specifications and is expected to be completed in 2023/24.
NHS England is undertaking an assessment of readiness to implement any new molecular radiotherapy treatments, should they be approved by the National Institute of Health and Care Excellence (NICE).
Where treatments are approved by NICE through the Technology Appraisals programme, the National Health Service is required to make them available within agreed timescales, which vary by technology. Implementation of any NICE approvals will be supported by the service readiness assessment and the development of additional capacity where necessary.
Where a treatment is approved through NHS England’s clinical commissioning policy process, a commissioning plan is developed which sets out the implementation arrangements, including the development of new or expanded service provision where necessary and the implementation timescales.
To ask the Secretary of State for Health and Social Care, whether his Department plans to provide additional funding to modernise the NHS's molecular radiotherapy infrastructure.
To ask the Secretary of State for Health and Social Care, whether his Department plans to provide additional funding to modernise the NHS's molecular radiotherapy infrastructure.
There are no current plans to provide additional funding to modernise the National Health Service molecular radiotherapy infrastructure. However, work is currently underway to revise the Brachytherapy and Molecular Radiotherapy Service Specification and to understand current service readiness to expand access to new molecular radiotherapy treatments, should they be approved by National Institute for Health and Care Excellence (NICE). This will help to inform what support needs to be put in place. NHS England commissions treatments that have either been approved via the NICE technology appraisal process or NHS England’s clinical commissioning development process. Service provision will normally be reviewed at the point that new treatments are approved through either of these two routes. Where additional capacity is required to meet demand, this will be put in place.
To ask the Secretary of State for Health and Social Care, with reference to the document Next steps to put People at the Heart of Care: A plan for adult social care system reform 2023 to 2024 and 2024 to 2025, published on 4 April 2023, whether the planned CQC...
To ask the Secretary of State for Health and Social Care, with reference to the document Next steps to put People at the Heart of Care: A plan for adult social care system reform 2023 to 2024 and 2024 to 2025, published on 4 April 2023, whether the planned CQC...
The Health and Care Act 2022 places a new duty on the Care Quality Commission (CQC) to assess the performance of local authorities’ delivery of their adult social care duties under the Care Act 2014, including those related to unpaid carers. This duty commenced on 1 April 2023. CQC assessment will increase transparency and accountability, allowing the public and the Government to better understand how well local authorities are delivering their adult social care services.
CQC assessment will consider how local authorities assess needs, this will include carers’ assessments. CQC assessment of local authorities will show to what extent the needs of unpaid carers are recognised as distinct from the person with care needs and if assessments for unpaid carers are undertaken separately from those who draw on care and support.
This Government is fully committed to the 10-year vision for adult social care set out in the People at the Heart of Care white paper. We want care to be of outstanding quality, personalised and accessible.
Building on the £100 million we have invested in the past year, we have now set out our plans for the next stage of social care reform and improvement. This includes £700 million to reform the social care system.
I wrote to all MPs in England on 5 April 2023 outlining the recent Next Steps announcement and launch of CQC assessment.
To ask the Secretary of State for Health and Social Care, what steps he plans to take to reform social care, and whether he plans to publish a social care strategy.
To ask the Secretary of State for Health and Social Care, what steps he plans to take to reform social care, and whether he plans to publish a social care strategy.
In December 2021, People at the Heart of Care was published, setting out a 10-year vision for reforming adult social care. This Government has made progress on implementing this vision, including increasing digitisation; developing our approach for oversight of the adult social care system; and enhancing the collection and use of data.
In spring 2023, the Government will publish a plan for the next 2 years, that builds on the progress made so far.
To ask the Secretary of State for Health and Social Care, when he plans to publish the plan for adult social care system reform.
To ask the Secretary of State for Health and Social Care, when he plans to publish the plan for adult social care system reform.
In spring 2023, the Government will publish a plan for adult social care system reform. The plan will build on the progress made so far to implement the 10-year vision set out in the People at the Heart of Care white paper, which was published in December 2021. This will improve access and quality of care, while also building long-term resilience in the sector.
To ask the Secretary of State for Health and Social Care, what estimate he has made of the funding spent by his Department to date on preparing for the introduction of social care reforms in October 2023.
To ask the Secretary of State for Health and Social Care, what estimate he has made of the funding spent by his Department to date on preparing for the introduction of social care reforms in October 2023.
We estimate expenditure of approximately £20 million to date preparing for the introduction of adult social care charging reform, of which £18.4 million has been allocated to local authorities through grant funding. The remaining funding has been allocated to central programme costs.
Of the £18.4 million, £15.5 million was issued to all local authorities for the recruitment of additional assessment staff and to embed necessary technology upgrades for the charging reforms. The remaining £2.9 million was issued to five trailblazer authorities, which are due to implement these reforms at an earlier stage, to enable needs and financial assessments.
To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential impact of postponing the introduction of social care reforms on care provider stability.
To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential impact of postponing the introduction of social care reforms on care provider stability.
While charging reforms have been delayed, we have provided councils with a further £3.2 billion, which we are re-investing in social care through the Social Care Grant. This includes a ringfenced fund of £400 million in 2023/24, which will increase to £680 million in 2024/25 and maintain the current levels of Fair Cost of Care funding of £162 million per year. This will assist local authorities to address waiting lists, low fee rates and workforce pressures in the adult social care sector.
To ask the Secretary of State for Health and Social Care, what steps he has taken to progress the commitments in his White Paper on People at the Heart of Care: Adult Social Care reform; and if he will make a statement.
To ask the Secretary of State for Health and Social Care, what steps he has taken to progress the commitments in his White Paper on People at the Heart of Care: Adult Social Care reform; and if he will make a statement.
We have supported sector digitisation, including developing an approach for improving oversight of the adult social care system and enhancing the collection and use of data. Digital Social Care Records have been implemented in more than 50% of care providers. This is an increase from 45% of providers in March 2022. We have provided integrated care systems with £14 million to support with the establishment and piloting of care technologies locally. The client-level dataset is being developed and from April 2023, it will collect data on those who receive care and support from local authorities. From April 2023, the Care Quality Commission (CQC) will begin assessing local authorities’ delivery of their adult social care duties. The CQC have been working with local government, the care sector and people with care and support needs to develop a framework for these assessments.