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    That the draft Local Government (Amendment) (Northern Ireland) Order 1998, which was laid before this House on 21st July, be approved.


    That the draft Health and Safety at Work (Amendment) (Northern Ireland) Order 1998, which was laid before this House on 23rd July, be approved.--[Mr. Hanson.] Question agreed to.

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    EUROPEAN COMMUNITY DOCUMENTS

Motion made, and Question put forthwith, pursuant to Standing Order No. 119(9) (European Standing Committees),

Social Action Programme (1998-2000)


Question agreed to.

DELEGATED LEGISLATION

Mr. Deputy Speaker (Mr. Michael J. Martin): With permission, I shall put together the motions relating to delegated legislation. Ordered.

Environmental Assessment



    That the Cattle Database Regulations 1998 (S.I., 1998, No. 1796), dated 20th July 1998, a copy of which was laid before this House on 27th July, be referred to a Standing Committee on Delegated Legislation.--[Mr. Hanson.]

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Paul Edwards

Motion made, and Question proposed, That this House do now adjourn.--[Mr. Hanson.]

11.42 pm

Mr. Nigel Waterson (Eastbourne): I begin by welcoming the Minister to his new role. I am grateful for the opportunity to highlight the problems faced by my constituent, Margaret Edwards, and others, who, as lone carers, work hard to look after their disabled children at home. Paul Edwards is totally immobile, and suffers from severe cerebral palsy and epilepsy. He requires constant care. Margaret has devoted a large part of her adult life to caring for him, and has sought available assistance by presenting the compelling facts connected with Paul's needs, rather than merely complaining about the very difficult situation that she and Paul face daily.

I think that we would all accept that the birth of a child lays a responsibility on the parents. Equally, it can be easily accepted that, if a child is severely disabled, the parent's responsibilities become much harder to meet. How much more must that be so in the case of a parent who has to care for a disabled child alone.

Margaret Edwards's plight, sadly, is not unique; but it is true that many people in her position might feel, with some justice, that they could not avoid putting their child into some form of permanent institutional care. Margaret Edwards has resisted that option throughout the 19 years for which she has cared for her son, but circumstances have made her choice increasingly unsustainable. I have been doing what I can to assist Margaret and Paul since I entered the House, and have seen at first hand the tremendous efforts that Paul's mother has made to offer him something approaching a normal existence.

At every stage, Paul's mother has made great efforts, on her own, to keep Paul at home and to give him proper care. I corresponded with Motability, and, although progress was made, Margaret Edwards sacrificed her existing car, which meant that she could no longer collect friends to see her and Paul, and took out a loan to purchase a vehicle capable of taking a wheelchair and occupant without transfer. She could only afford an older vehicle, and it has generated its own costs and problems. We worked together to seek timely assistance from the local social services department, and I pay tribute to the devoted staff there.

By the time Paul was 16, he weighed the same as his mother--nine stone--and Margaret Edwards found it increasingly difficult to deal with the average number of 33 lifts that were required each day to cater for Paul's needs. Special adaptations have been made to Paul's home, but it has always taken time, and carers like Margaret find it increasingly difficult to wait--sometimes for years--for practical support of that kind.

I am keen for the House to consider the plight of my constituent, not least because--as Margaret has acknowledged--she is not in a unique situation. We know that many families are held together by the largely unsung work of carers. The Carers National Association has advised me that there are an estimated 5.7 million carers throughout the United Kingdom--about one in eight people. The majority of those carers provide limited assistance, but some 1.7 million provide 20 hours of care or more a week.

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To highlight the position of Margaret Edwards, it is worth recording that the number of carers who care single-handedly has increased over the past few years, and that more than a third of carers carry out their task without outside help. As I have said, there are a considerable number of lone carers, and they deserve our special attention.

Paul is now 19, and has left school. Although his school years were also difficult for his mother--especially during the long holidays--the problems, particularly financial, have worsened considerably since Paul entered adulthood. It is likely that, if he were not severely disabled, he would be preparing to leave home and make his way in the world; his mother would be able to take up full-time employment again, if she wished, and broaden the scope of her life with new pastimes and a wider circle of friends. All that is denied to both Paul and his mother.

Although Paul attended a day centre, its working hours are less than normal school hours. Margaret Edwards found herself in a grim "Catch 22" situation. Because of her caring role and the fact that Paul will never be able to support himself, she was unable to work enough hours to earn enough to be fully independent and get off income support. Indeed, when she had to have an operation and go into hospital, and was thereafter recuperating, after four weeks her benefits were stopped, and her income was reduced to £40 a week. She also discovered that she was not entitled to respite care for the ensuing two years.

In the past, the Government have expressed their desire to review the social security system, with specific regard to provision for disabled people and their carers. Unfortunately, my correspondence with the Department of Social Security and others on Margaret Edwards's behalf leaves me concerned that the special problems experienced by lone carers may be overlooked. Indeed, a number of ministerial answers contain suggestions that go very little way towards appreciating, let alone addressing, the needs of lone carers.

One suggestion was that Paul might benefit from the social fund towards one-off expenses that he might need to meet. Most expenses that are associated with Paul's care are certainly not one-off. Carpets must be replaced frequently, and special bedroom and bathroom equipment purchased, most of which will probably have a definite life span.

One of Paul's particular needs was for an adjustable bed. His mother approached the social fund for support. I am glad to say that help was forthcoming, but Margaret was told that the fund did not normally provide finance for such equipment, and certainly not for items costing more than around £500; it is worth noting that specialist care equipment is very expensive, and physical adaptations will often be required to the carer's home to ensure that it is safely installed.

However, what carers mainly want is not charitable handouts, although any help is appreciated. Rather, lone carers such as Paul's mother would prefer to have a benefit and tax system that supported them in their desire to seek employment, where possible, and to lead normal, or near to normal, lives, while at the same time maintaining responsibility for their dependent relative.

Carers relieve the state and the rest of society of much cost and responsibility: the state is saved an estimated £34 billion a year as a result. A recent study by London

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Economics found that small changes in the number of carers could have a profound economic effect. The same study found that, with increasing opportunity costs of caring, fewer people were likely to care, but we all have a responsibility to people such as Margaret Edwards, who give up their lives to care full time for disabled and sick relatives.

Returning to the suggestion that applications to the social fund, for example, address anything other than limited short-term needs, I quote from a letter sent to me by Margaret Edwards:


Lone carers such as Margaret face additional problems, which are faced by anyone dealing with a difficult domestic situation on their own. As I have described, she literally cannot afford to fall ill, or fail in her commitment to Paul. It will no doubt be said that schemes of respite care are available that should enable Paul to receive adequate care while his mother takes a break, but the reality, certainly in East Sussex, is that respite care centres are often called on to deal with admissions, perhaps in the mental health sector, which cause a shortage of space for people such as Paul, and may create an unsuitable environment for young disabled people.

Respite care that might be available only once every few weeks is not sufficient to give Margaret Edwards the support she needs. In her case, the weekend placement had at least once to be cancelled without notice because of a problem involving another client at the respite care home.

It appears that, although carers as a whole deserve increased support, the position of lone carers vis-a-vis couples does discriminate against the former. The earnings limit for single carers on income support and invalid care allowance should be the same as that for married or partner carers who are not in receipt of income support, but do receive invalid care allowance.

I am frankly humbled by the fortitude and hard work that is shown by carers such as Margaret Edwards. We must remember that such carers relieve society of an enormous administrative and financial burden. Such carers do not seek rewards--merely the tools to do the job that they often willingly take on for themselves and their loved one.

What should be done to help? The Department of Health has talked about a national strategy for carers as part of a broader assessment of the working relationship between health and social services. Such a strategy, if properly resourced, would enjoy wide support among carers and hon. Members on both sides of the House. Lone carers' particular difficulties should be considered at the outset of any such policy discussions. I look forward to hearing from the Minister that any public consultation arising in this sector would be as thorough and wide-ranging as possible.

Such a strategy would add little to the lives of people like Margaret and Paul Edwards unless it sought to focus resources more closely towards areas of need, and

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succeeded, for example, in cutting the average waiting time for special care equipment such as beds and commodes. Such a strategy should also address the need for greater co-ordination between the agencies and professionals with whom both carers and cared for have to deal. That could help further focus resources towards those most in need.

The psychological costs of caring must be reduced by increasing the number of short-term breaks for carers, ensuring that less time is spent organising care, by having more seamless support systems and easier access to that support and improving benefits for carers. The whole question of financial support for carers should be examined. Put more appropriately, the current financial disincentive to be a carer, particularly a lone one such as Margaret Edwards, must be addressed. Margaret Edwards says:


My constituent wanted to help herself and care for her son. Let us help to make that hard task easier, and so acknowledge in an appropriate way the great sacrifices made by all carers.

Sadly, any new steps taken to create a carers network or to focus more clearly on the inequitable position of lone carers will come too late for Margaret and Paul Edwards. In a letter dated Monday this week, Margaret tells me that, because of her own poor state of health, she has been forced to take the step that she has fought for so long to avoid--she has had to put Paul into a residential home. As she put it so poignantly:


Because of the lack of suitable local facilities, Margaret will face an 86-mile round trip to see Paul, and is already worrying about the costs involved. Margaret's feelings of helplessness are summed up clearly when she says:


    "'Normal' children are able to visit their parents from time to time. For Paul and I this is not an option. They also have the knowledge that their children are capable of letting them know how they are. I will still have all the emotional trauma that will undoubtedly be there, not knowing if he is being cared for properly, and the knowledge that he is unable to inform me of his feelings. In short, I have to put my complete trust in his carers."

All Margaret Edwards and other carers want is adequate recognition for the work they do and the necessary support to carry out their labour of love. Lone parents deserve our particular support, and I ask the Minister, on behalf of Margaret and Paul and many others, for that support.


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