Health & Care Bill: Bishop of London advocates for improved funding for mental health services

On 11th January 2022, the Bishop of London spoke in support of a group of amendments to the Health and Care Bill aimed at addressing shortfalls in mental health funding:

The Lord Bishop of London: My Lords, I am grateful to the noble Lords who have tabled the amendments in this group. I am very aware of the expertise that exists within this Chamber. As we have heard, mental health has not always been funded in the same way as physical health. However, we have seen improvements, not least in the way we speak about our own mental well-being. We have seen a reduction in stigma and an improvement in services, but the pandemic has taught us that there is a huge unmet need around mental health, and I suspect we will not know the full impact of the pandemic for a number of years. Clearly, those groups of people requiring support around their mental health will include us and our children as well as our health and social care workers.

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Health and Care Bill: Bishop of Carlisle welcomes legislation and highlights multifaceted aspects of care

On 7th December 2021, the House of Lords debated the Health and Care Bill in its second reading. The Bishop of Carlisle made a speech welcoming the bill and outlining the multiple aspects of care in need of attention going forwards:

The Lord Bishop of Carlisle: My Lords, this is a health and care Bill. I will address certain specific aspects of that care that deserve further attention.

First, on integrated care, like the noble Lord, Lord Kakkar, I welcome the clear desire for integration, collaboration and local flexibility, and the placing of integrated care systems on a statutory footing. But can the Minister assure us that, in ICBs and ICPs working together to ensure co-ordination in the design and delivery of integrated care, there will be an adequate focus on prevention rather than just cure, especially in mental health needs, not least among young people with learning disabilities?

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Bishop of Bristol asks about health and social care levy

On 27th October 2021, the Bishop of Bristol asked a question on access to social care funding via the health and social care levy:

The Lord Bishop of Bristol: Can the Minister give an assessment of whether the health and social care levy will enable more people with moderate care needs to become eligible for social care funding?

Lord Kamall (Con): I thank the right reverend Prelate for that question. I am not able to answer it directly now, but I will send an answer.

Hansard

Bishop of Oxford speaks on community care and gaps in the social care sector

The Bishop of Oxford spoke in a debate on social care on 14th October 2021, raising issues of the need for community care and the risks posed by high vacancies in the care sector:

The Lord Bishop of Oxford: My Lords, it is an honour to contribute to this key debate. Like others, I am grateful to the noble Baroness, Lady Pitkeathley, for her excellent introduction. I welcome the Minister to his new responsibilities. It is a privilege to follow the noble Baroness, Lady Finlay.

One of the key texts on which so much of our human civilisation is based contains these lines:

“Honour your father and mother, so that your days may be long in the land that the Lord your God is giving you.”

The care offered by one generation to another is fundamental to human flourishing and a good society. As we have heard, that care is offered in families generously and unstintingly, but it needs to be supported by the wider community, through creative partnerships with the third sector, and by the state. These principles have led to our current system of social care, which now stands in urgent need of fresh vision and reform.

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Health and Social Care Levy Bill: Bishop of Carlisle expresses concerns on government approach towards social care

On 11th October 2021, the House of Lords debated the Health and Social Care Levy Bill in its second reading. The Bishop of Carlisle spoke in the debate, raising several areas of concern over the bill and the government’s approach to social care funding and practice:

The Lord Bishop of Carlisle: My Lords, it is a privilege and a little daunting to follow the noble Lord, Lord Forsyth. I should declare an interest in this debate, given that I share with my brother in caring for our 93 year-old father who has dementia. He lives with each of us for six months at a time.

To be positive for a moment, I should also say how grateful I am that the ongoing nettle of funding social care is being grasped, at least tentatively, by this proposed levy when, for so many years, it has been studiously avoided or ignored. Nor would I wish to quibble with the obvious benefit of this proposal for our hard-pressed NHS, resolving as it will at least some of the backlog of diagnosis and treatment that has built up during the pandemic. Despite the hesitations already expressed about Sir Andrew Dilnot’s proposals, I am glad of signs that some of them—now 10 years old—are being partially implemented. I am also delighted that the question of integration between health and social care is, at least on the surface, being taken seriously at last.

But—and it is quite a significant but—there are several problems with this proposal, in addition to those which have already been raised, which demand our attention. First, we have already referred to the relatively small amount of money raised over the next few years that will actually go into social care when the whole social care system is already on its knees and in danger of breakdown.

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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.

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Bishop of Carlisle asks about support for young carers

On 10th June 2021, during a discussion on support for carers, the Bishop of Carlisle raised the issue of young carers and the impact of caring responsibilities on education:

The Lord Bishop of Carlisle: My Lords, I declare an interest as co-chair of the Archbishops’ commission on social care. Given that there are 750,000 young carers in England and that some 27% of them regularly miss school because of their caring responsibilities, can the Minister tell us whether Her Majesty’s Government have any plans to identify these children and offer them extra support, not least in the wake of the added disruption to their education that has been caused by the pandemic?

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Bishop of Portsmouth responds to budget on issues of tax, benefits, and social care

On 12th March 2021, the Bishop of Portsmouth spoke in a debate on the state of the economy, following the delivery of the new Budget by the Chancellor:

The Lord Bishop of Portsmouth [V]: My Lords, I welcome from the Bishops’ Bench the noble Lords, Lord Beynon, Lord Cruddas and Lord Khan of Burnley, and congratulate them on their speeches. I am looking forward to hearing them. I also welcome the noble Lord, Lord Bellingham, and my namesake, the noble Baroness, Lady Foster of Oxton.

Every Budget has consequences in every community, including those I serve as Bishop of Portsmouth. In these last comments that I shall make on a Budget Statement, I have four points on how this Budget is likely to make the sharp end sharper still for many, with little slack, even in better times. A decade on from the Dilnot report, there is still no proposal to address the social care challenge, even though apparently the Government have a package ready. We should have bitten this bullet years ago. We must bite it now.

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Bishop of Carlisle speaks in debate on report from the Economic Affairs Committee

On 28th January 2021, the Bishop of Carlisle took part in a debate on a report from the Economic Affairs Committee, focusing on the need for health and social care reform:

The Lord Bishop of Carlisle [V]: My Lords, I add my own expression of gratitude to the Economic Affairs Committee for such a clear and coherent report, based as it is on such careful research and presenting us with such direct and forthright conclusions. Its basic principles for reform are eminently sensible. Like others, I applaud the emphasis, pace Dilnot, on a partnership approach to the funding of social care, and the principles of free personal care, with a cap on accommodation costs, and increased funding enabled by general taxation. I will focus my brief contribution on principle (j), which reads:

“Invest in the social care workforce and ensure a more joined up approach to workforce planning with the National Health Service.”

If that is ignored, any increase in funding will run the risk of being wasted.

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Bishop of Portsmouth asks Government about establishing a royal commission on social care

On 20th May 2020 a Government statement was given in the virtual House of Lords regarding care homes during the COVID-19 pandemic. The Bishop of Portsmouth, Rt Revd Christopher Foster, asked a follow up question:

The Lord Bishop of Portsmouth: My Lords, we know how crucial the social care sector is, and the huge challenges it faced even before Covid-19, with 120,000 care assistant vacancies. Can the Minister therefore respond to the excellent suggestion from the most reverend Primate the Archbishop of Canterbury that we establish a royal commission on social care, not to blame but to learn, so that we have the right information to make the right decisions and provide the right services for these most vulnerable people?

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