Social care

Lambeth’s children suffered because of the council’s war on Thatcher

As if Rotherham, Rochdale, Telford and other places were not enough, last week we had another local authority child sex abuse scandal, this time from Lambeth. The child sex abuse inquiry’s damning report concluded that for years councillors and local authority managers in the borough were too indolent, too concerned with politics, and at times too compromised with local pressure groups, to take steps to protect some of the most vulnerable children in their care. The sufferers, as ever, were the children. Meetings, inquiries and promises to do better from Lambeth and other councils up and down the kingdom are a certainty. But it may be time for some more

How do the Tories stop the rise of an ever-bigger state?

When Gordon Brown raised National Insurance in 2002 to put more money into the health service, it was seen as a huge political gamble. The Tories — including one Boris Johnson — denounced the move in furious terms. In a sign of how far to the left the country has moved, the Tories are planning to do something very similar to cover the cost of a social care cap and dealing with the NHS backlog. If the Tories do this, it will put Labour in a tricky position. How do they respond when a Tory government raises taxes to put more money into the NHS? If the Tories do this,

Kate Andrews

What the NHS pay rise says about Boris Johnson’s priorities

Well, that didn’t take long. Two days ago, a leaked report revealed that the government was considering using a national insurance tax hike to pay for the NHS backlog and social care. Now it looks as though the money could be diverted elsewhere.  The anticipated increase of at least one per cent on national insurance would transfer an additional £6bn from taxpayers to the Treasury. But today, the Times reports that £1.5bn of that sum may not go to hip replacements or speeding up the timeline for cancer patients to access treatment. Instead it could help fund the three per cent NHS pay raise, which has been promised by health secretary Sajid Javid. This latest debacle also

James Forsyth

The tax-and-spend Tories

When you ask a government minister why something hasn’t happened, you get a one-word answer: ‘Covid’. It has become the catch-all excuse for manifesto promises not materialising. But in the case of social care, there is a particular truth to it. A meeting last week between the Prime Minister, the Chancellor and the Health Secretary nearly resulted in an agreed policy. A plan was expected this week. Then Sajid Javid tested positive for Covid, putting the three into isolation and the policy on hold. Johnson feels he needs a solution to social care, having promised to solve the issue when he became PM two years ago and again in the

Is Boris brave enough to confront the truth about the NHS?

If a government does not wish to break a manifesto promise it should punt fewer such ‘promises’ into its manifesto. The modern mania for throwing everything possible into a manifesto – the better to proof it against interference from the House of Lords – renders manifestoes nothing more than a job lot of largely spurious pledges. The vision thing is notable for its absence and the vision thing is more important – and more revealing – than a grocery list of promises. Still, if you must break a promise it is no bad thing to start with a large and stupid one. The Conservative commitment not to raise any of

Kate Andrews

A tax rise for care won’t solve the problem

The tax burden in the UK is nearing a 70-year high — but that’s not stopping ministers from mulling over plans to hike taxes further. According to reports this morning, Boris Johnson and Rishi Sunak are close to agreeing an increase to national insurance to help address the NHS backlog (five million patients in England, and counting). They also want to fill the long-standing black hole in the social care budget: something Johnson promised he’d address nearly two years ago to the day when he first entered Downing Street. The rumours have immediately led to criticism of the government’s willingness to break its manifesto pledge, not to raise income tax,

Can Boris crack the unwhippables?

‘Nothing except a battle lost can be half so melancholy as a battle won,’ wrote the Duke of Wellington after the Battle of Waterloo. This sentiment, rather than any form of triumphalism, is what Tory whips should feel after winning the vote on the government’s decision to reduce spending on foreign aid from 0.7 per cent of GDP to 0.5. The vote is a sign of the battles to come in the rest of this parliament. The government put its authority on the line in the Commons debate. The Prime Minister opened it, the Chancellor closed it. The government also offered something of a concession, a pledge to return to

Javid reveals his health priorities

Effective cabinet ministers are ones who work out what they want to do in a department on arrival, and then stick to that very small set of priorities whatever the political winds and storms. Michael Gove had this approach in the Education department, setting himself three priorities and then focusing on getting them delivered. Not only did he then replicate this approach in his subsequent Whitehall briefs, but he also inspired other ministers to do the same. Jeremy Hunt, who largely modelled himself on Gove when he became health secretary, also gave himself a small list of things he wanted to do in his time overseeing that brief. Now, it

Boris faces a painful choice over social care

If social care reform were any deeper in the long grass of political priorities, it’d probably get mistaken for a hedgerow. It got a one-line reference in the Queen’s Speech this week, which does not even guarantee that the ‘clear plan’ promised by the PM in his first speech in the job will be published this year. Announcing ‘a long-term plan for social care reform this year’ has been a quaint annual government ritual since 2017. The Queen’s Speech also mentioned the need to clear the NHS backlog. Delays for treatment, already widespread before Covid-19 due to a decade of NHS funding increases lagging behind demand, are now the worst since

Selling the family home to pay for care is not an injustice

The sound of the well-off grumbling about their finances is always an unattractive one. But there is one gripe that has become particularly powerful, filling the airwaves and shaping public policy. This is the persistent, ever louder complaint from many households that they are required to sell the family home to pay the costs of care for a close relative. It is a practice widely seen as ‘a scandal’, where the state seizes private property because of its own failure to create a properly funded care system that meets the needs of the elderly. The flames of grievance are stoked by the press, pressure groups and politicians, who promote the

Does No. 10 really have a plan for social care?

Is the government ever going to reform social care? After a lengthy row between No. 10 and the Treasury, the Queen’s speech does include a promise that ‘proposals on social care reform will be brought forward.’ The stand-off wasn’t just over how much those proposals will cost, but the design itself. Perhaps this is why the briefing accompanying the speech is so very light on what the government plans to do. All we know is that the Health and Care Bill ‘will include provisions to improve the oversight of how social care is commissioned and delivered, and facilitate greater integration between health and care services by placing Integrated Care Systems

Will social care reform be delayed yet again?

Labour’s Liz Kendall is today calling for the government to treat social care in the same way as it treats physical infrastructure. In a speech this afternoon, the shadow care minister said that ‘in the century of ageing, social care is as much a part of our economic infrastructure as the roads and the railways’. This is quite a challenging analogy, as the state of the social care sector would make even the most outdated and crumbling parts of the northern rail network look pretty luxurious and well-appointed. Kendall is also speaking as a battle rages within government over whether social care reform will make it into the Queen’s Speech.

Can Boris finally ‘fix’ social care?

It’s been almost a year since Boris Johnson said he would not wait to ‘fix the problem of social care that every government has flunked for the last 30 years’. With a green paper detailing the government’s plan finally due, we’ll soon learn whether the Prime Minister is as good as his word. We’ll also see whether Johnson succeeds in avoiding the pitfalls encountered by his predecessors. Might he tumble into the same trap that blew up Theresa May’s bungled snap election? The wrecks of those previous attempts – sent out with such high hopes – are plentiful. Talking to the politicians in charge of those efforts from three different

Liz Kendall is right – we don’t value social care enough

Sometimes it’s not what you say, it’s how you say it. In politics, it’s more often than not the latter that matters most. Liz Kendall, star of my somewhat unsuccessful 2015 campaign to ‘Make Liz Kendall Labour Leader and Queen of Everything’, has been pilloried online for suggesting care workers would be ‘better off stacking shelves at Morrisons’ given their pay and conditions. Her remarks were pounced upon as proof of snobbery towards supermarket staff, a largely unacknowledged army of key workers during the Covid-19 pandemic. As ever with outrage rampages, the truth is a bit more prosaic. Here is Kendall’s question in full: ‘Despite repeated promises, the truth is

The truth behind ‘do not resuscitate’ orders

Coronavirus is revealing many good things about our society: the number of people willing to volunteer to help tackle the outbreak and help the isolated, the number of former doctors and nurses keen to return to the front line, and the number of businesses that have switched to making equipment and protective clothing for those healthcare workers. But it has also revealed our ignorance about many matters that are still important outside of a pandemic. Today’s example comes, inevitably, from our general reluctance to think about what old age and end-of-life care look like. Care homes have expressed concern that residents and their families are being pressured into signing ‘do not resuscitate’

The in-tray of horrors

‘Dear Chief Secretary, I’m afraid there is no money. Kind regards — and good luck!’ Liam Byrne will forever be haunted by the note he left on his desk for his successor in 2010. Both coalition parties made much of what was supposed to be a joke about the difficulties of keeping Whitehall spending in check. David Cameron waved the note around in his victorious 2015 election campaign. Byrne later said he was so embarrassed by his mistake that he considered throwing himself off a cliff. There’s nothing funny about what Theresa May leaves on her desk for the next prime minister. Rather than just one pithy note, there’s a

Barometer | 2 May 2019

Great shakes Shale gas commissioner Natascha Engel resigned in protest at what she called ‘absurd’ restrictions on fracking — in particular rules which state that fracking operations must cease. Has anyone ever been harmed by a tremor at magnitude 0.5? — The Richter scale was devised by seismologist Charles F. Richter in 1935. It is a logarithmic scale, each ascending number marking an increase of approximately 31 times the amount of released energy. — The largest recorded earthquake, in Chile in 1960, measured 9.5. A tremor less than 4.0 is unlikely to cause damage and one of 2.0 or below unlikely even to be felt. — A tremor of 1.0 releases

Letters | 22 June 2017

May’s convictions Sir: Nick Timothy seeks sympathy by revealing that his ‘loved ones’ are upset by the personal attacks to which he is now subject (Diary, 17 June). They could have been spared distress if he had not invited retaliation by swearing at senior ministers and civil servants who crossed him. How could a prim vicar’s daughter have allowed endless profanities from this ill-mannered man and his ill-tempered associate Fiona Hill? Perhaps Timothy’s most extraordinary claim is that ‘a return to traditional campaigning methods’ was planned but Lynton Crosby vetoed it. Traditionally the Tories did not contract out their campaign to consultants charging vast fees. The leader and party chairman

Barometer | 25 May 2017

Sloganeering Do snappy manifesto titles help win elections? Some which led to victory: ‘Let Us Face the Future’ — Labour 1945 ‘The New Britain’ — Labour 1964 ‘A Better Tomorrow’ — Conservative 1970 ‘ Let Us Work Together: Labour’s Way Out of the Mess’ — February 1974 ‘The 1979 Conservative Party General Election Manifesto’ ‘ Because Britain Deserves Better’ — Labour 1997 And some which led to heavy defeats: ‘Winston Churchill’s Declaration of Policy to the Electors’ — Conservative 1945 ‘Action Not Words: the New Conserv­ative Programme’ — 1966 ‘ The New Hope for Britain’ — Labour 1983 ‘Britain Will Win With Labour’ — 1987 ‘You Can Only Be Sure

Portrait of the week | 25 May 2017

Home  Twenty-two people were killed and 59 wounded by a man who blew himself up, with a bomb containing metal fragments, in the foyer of Manchester Arena as crowds were leaving a concert by the American singer Ariana Grande, aged 23, who has a strong following among young girls. Of the wounded, 12 were children. Police named the suspected murderer as Salman Ramadan Abedi, aged 22, a Mancunian whose family come from Libya, which he had recently visited. Isis said it was behind the attack. A 23-year-old man was arrested the next day. The official threat level was raised to ‘critical’, meaning that an attack was expected imminently. Soldiers were