Bishop of Carlisle raises need for proper support for paid and unpaid carers

The Bishop of Carlisle spoke in a debate on social care in the UK on 24th June 2021, raising the issue of staff retention in the paid care sector, and the need for recognition and support of unpaid carers:

The Lord Bishop of Carlisle: I congratulate the noble Baroness, Lady Jolly, on securing this timely debate. I should declare an interest as co-chair of a newly formed archbishops’ commission on reimagining social care. Understandably, much of the current discussion of social care involves the issue of funding. That is fundamentally important, but I believe the time has also come for a radical—in the sense of going to its roots—reappraisal of the values and principles underlying social care, not only for the elderly but for those with disabilities and severe mental illnesses. It has been clear for many years that we need an inspiring, cross-party, long-term vision for social care which involves rethinking how we want it to be understood as well as delivered, with those in need of care valued for who they are rather than simply regarded as an inconvenient burden. It has also been clear that that should include reference to some of the underlying societal conditions that contribute to the overall need, such as deprivation, lack of family support and loneliness.

Within this general framework, I want to focus on two specific areas that have already been raised and must demand our attention. One concerns the status, recruitment and retention of paid carers, especially in care homes. This issue has of course been highlighted by the particular burdens placed on care home staff during the pandemic. Quite often, those staff have had to work in more than one care home, with attendant implications for both their health and well-being and that of residents. It is essential that we raise the status of paid carers to ensure that caring, like service in the NHS, becomes a viable career choice rather than a last resort. Being a carer should be as much a source of pride and dignity as being a healthcare professional. This would involve the registration of carers, a suitable suite of qualifications, agreed national pay scales and realistic career progression structures.

The other specific area is the role of informal unpaid carers, including family members, who enable people, as we have just heard, to stay in their homes and who need better recognition. This applies in particular to the 750,000 or so young carers in England, many of whom, as we have recently been reminded in your Lordships’ House, regularly miss school and have little or no extra support. They, together with unpaid carers of all ages, need to be identified and properly supported if the UK’s standards of social care are to become world class.

Hansard


Extracts from the speeches that followed:

Lord Brooke of Alverthorpe (Lab): The right reverend Prelate the Bishop of Carlisle set a challenge. I was interested to hear that the Church is looking at this. I hope that it will be radical. A radical solution is available, though the Government would certainly not embrace it. Back in the 1990s, the Government would not embrace the national minimum wage. We now need to move towards a universal basic income. In due course, we shall be faced with AI and a lot more people will be unemployed. Many more will want to work from home. Many would be willing to spend their time caring for and looking after loved ones if they were remunerated, as the noble Lord, Lord Monks, has just said.

I am looking for a radical response in the longer term. If the Government do not have that within them, I would hope that my own party might start looking at something as radical as a universal basic income. We might try to start a conversation with the Lib Dems, the Greens and the SNP, as well as with Cross-Benchers. We should bring together a crowd of people who see that we need really radical and fundamental solutions that address future changes and some of the lessons that we have learned from Covid.

Baroness Brinton (LD): The right reverend Prelate the Bishop of Carlisle was so right to start with the suggestion that we need to go back to the absolute fundamentals of social care, because the current system is plainly not working. Over the last two hours we have heard many stories alongside examples and statistics of how the system is failing. As my noble friend Lady Walmsley said, this needs to extend to housing too. Habinteg has produced homes for life standards that cost only a fraction more when a place is built new but can mean people then stay in one place for their entire life, with very minor and cheap adaptations.

Lord Bethell (Con, DHSC): Moving on to workforce development, perhaps I may reassure the right reverend Prelate the Bishop of Carlisle that I agree with him completely that this is a key element of how we can improve social care. As we come out of this pandemic, it is essential that we make sure that we continue to have a workforce with the right values, skills and knowledge, and with real prospects for career progression, if we are to provide a high-quality service for those with need of care services.