Social Care - Health Committee Contents


Examination of Witnesses (Question Numbers 300-319)

MR RICHARD HUMPHRIES, MR JAMES LLOYD AND MR DONALD HIRSCH

5 NOVEMBER 2009

  Q300  Chairman: How long did it take for us to get there?

  Mr Hirsch: We are nearer, having moved there very slowly. The crucial thing is about releasing more resources and there is a slight difficulty in that we do not have any money in the public coffers. There is a rather ingenious-sounding solution helped by the kinds of scheme which James has developed of releasing equity from homes in that way. The real question is whether we have the courage. Are we willing as a society to go with one of those options? It is about whether we are willing to bite the bullet and raise more public resources, more resources for the system in this kind of way.

  Q301  Chairman: Do you agree with that James?

  Mr Lloyd: Yes, to an extent. The debate has advanced enormously. The policy wonks, some of whom are here today, have been busy working away for the last few years and have developed models, developed arguments, done research. Enormous progress has been made. The fiscal situation is problematic and it will affect going forward how much public funding can be put into social care. In a sense, ultimately when we are talking about old people's long-term care, this is actually about private household wealth and how that is used and how the Government give people the opportunities to use the wealth that they have. It is very important to have a clear picture of where we want to go to in 30 or 40 years and to make sure that we are all agreed on that and that we make sure that whatever steps we take now, whatever route we take now, ultimately goes to a place we are all agreed on which I believe will ultimately be working-age contributions towards long-term care insurance. The other big issue, which I probably have to make, a point I made before, is that everybody in this debate, even the lowest-paid care workers recognise that there has to be long-term political consensus. In effect this is a non-partisan issue; it is like pensions. Unless there is political consensus you will not have any reform. For some of us then the recent announcements around the party conferences were a little bit frustrating because they almost suggested that while everybody in this debate realises that it is a non-partisan issue, the politicians perhaps do not. It is useful to have a forum like this which is cross-party to air these issues and for everybody to recognise that when you have these conflicting proposals ultimately it is just going to confuse the public and push reform back and it is not actually meaningful. The critical point I would also make is that we have to be realistic that this is never going to be an issue which will really be a vote winner. It is never going to be a way of accumulating political capital, it is going to be a government which says "Right, we've got the agreement, we've got the political capital to expend, we're going to take the difficult steps to reform the system". One way or another we will all have to pay more at some point in our life course if we want to have a decent long-term care funding system. Those of us in the policy world and research world are doing what we can. Whether those in the political world are doing what they can remains to be seen.

  Mr Humphries: I would endorse that. I would just add that some of the political noise around this is the price that we have to pay for moving it forward. I would much rather have a Prime Minister saying anything about social care than saying nothing whoever that Prime Minister is. This is my 33rd year working in social care. We are probably closer than at any point I can remember to a point of recognising the need for radical reform. The momentum must be maintained. The problems we have been addressing this morning are not going to go away whatever the outcome of the next election or whatever. We must keep this on the agenda.

  Chairman: On that note, may I thank all three of you very much indeed for coming to help us. We will see whether our report has any influence in spheres where yours do not. Thank you very much.





 
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