Wednesday 8 December 2021

Newspaper column 8 December 2021 - Social care and health reforms and funding

Last week saw the Government taking steps to reform and improve both the short and long-term futures of our health and social care provision, with publication of the long-awaited White Paper on Social Care Reform, as well as the Health and Social Care Approach to Winter.

Adult social care issues have never been more prominent, with an ageing population, particularly in Cornwall, and particular pressures brought on by the pandemic. That being said, these issues are also long-term ones, and ones that successive governments of all parties have made little progress on, so it is great to see this Government moving and taking action to review and reform this area that impacts so many people across our society.

The government wants people who draw on care and support to lead a fulfilling life, playing a full role in society, as well as wanting to acknowledge the important role of families and friends in caring for one another, while also enabling those who provide unpaid care to a friend or loved one to be supported to achieve their own life goals. On top of this it is critical that the adult social care workforce feels recognised and has opportunities to develop their careers.

There are three key objectives that the Government wants to achieve from this white paper as part of a ten-year vision. That people have choice, control and support to live independent lives, that people can access outstanding quality and tailored care and support, and that people find adult social care fair and accessible.

Initiatives taken to achieve these goals across the next three years include:

·         at least £300 million to integrate housing into local health and care strategies,

·         at least £150 million of additional funding to drive greater adoption of technology and achieve widespread digitisation across social care

·         at least £500 million so the social care workforce have the right training and qualifications, and feel recognised and valued for their skills and commitment.

·         a new practical support service to make minor repairs and changes in people’s homes to help people remain independent and safe in their home

·         up to £25 million to work with the sector to kick-start a change in the services provided to support unpaid carers

·         £30 million to help local areas innovate around the support and care they provide in new and different ways, providing more options that suit people’s needs and individual circumstances

These proposals are backed by the new Health and Social Care Levy which £5.4 billion is being invested into adult social care over the next 3 years, and I hope will finally see some long-term movement and reform of this crucial area that will impact us all at some time or other.

As well as these long-term proposals, the Government also announced its launch of Health and Social Care Approach to Winter last week, recognising that this winter will be more challenging than many faced by the NHS, adult social care providers and local authorities.

Among many others, these measures include,

• working to recruit 18,000 more staff, including nurses, healthcare support workers and medical support workers

• keeping the nation protected against the virus, especially against the new Omicron variant, through vaccination with over 15 million boosters delivered in England, and the biggest flu vaccination programme in UK history;

• bolstering capacity across urgent and emergency care and the wider NHS, including a £250 million investment in general practice, £55 million for the ambulance service, and £75 million for NHS111;

• investing £478 million for support services, rehabilitation and reablement care following discharge from hospital, and ensuring health and social care services are joined up.

The publication also announces the allocation of the £700 million Targeted Investment Fund which includes support to deliver a range of projects including:

• additional day surgery units to boost activity and minimise length of stay;

• additional permanent and modular theatres and surgical hubs to improve productivity;

• investment in outpatient space to increase the numbers of patients that can be seen by specialists; and

• investment in imaging, including upgrades to MRI and mobile breast screening units.

The South West region will receive £69million funding from the government in order to do this and this will be targeted investment focused on the highest priority areas to help return elective care services to pre-pandemic levels.

It is good to see the Government prioritising these areas to support our health and social care services, both during this winter and in the long-term reforms to social care that have been needed for so long. I will continue to do all I can to ensure that Cornwall benefits from these positive and progressive steps.