5. Debate on the Finance Committee report: The Cost of Caring for an Ageing Population

Part of the debate – in the Senedd at 3:30 pm on 9 January 2019.

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Photo of Llyr Gruffydd Llyr Gruffydd Plaid Cymru 3:30, 9 January 2019

(Translated)

Thank you very much, Deputy Presiding Officer. I'm very pleased to speak in this debate today, as Chair of the Finance Committee, on our inquiry into the cost of caring for an ageing population. And although I wasn't a member of the committee during the evidence sessions, I would like to thank everyone who contributed to those sessions, and to the previous Minister for Children, Older People and Social Care for his response to our report, and particularly for accepting our recommendations, either in full or in principle.

One of the six areas we covered in our inquiry, namely the fiscal levers available for funding social care, was debated in Plenary yesterday, of course, and so, I will focus on the five other levers in my contribution today. However, as I noted yesterday, I was disappointed that the Government didn’t feel able to work with the committee on the scheduling of their debate, to provide a more joined-up overview of the social care funding system. We heard stark evidence during the committee's inquiry that there was widespread confusion about the system that we have, and we were told that it would be impossible to create a more complex system even if one tried to do so. But fragmented debate on a fragmented system doesn’t help to bring the clarity that is so important in terms of this issue. So, I've made the point that we've missed an opportunity, and I know that the Trefnydd is here in another capacity and will respond to this debate as the Minister for Finance, but I just wanted to make the point that I'm more than willing to look at any more creative ways of using this place's time more effectively and more efficiently in future. 

Now, the committee heard that although spending on social care has been protected in relative terms, the spending per capita on people over 65 years old had decreased significantly, partly due to the increasing older population. The committee is concerned that, unless action is taken, continuing pressures on social care budgets from increased demand will result in a weaker service and inadequate provision for older people, ultimately.

Concerns over the growing pressures is further compounded by the reliance on the invaluable role played by the 370,000 unpaid or volunteer carers, a contribution that has been valued at over £8 billion per year to the Welsh economy. And I would like to acknowledge the vital role that they play and to reiterate our view that, despite the value of that contribution, depending on unpaid careers is not sustainable in the longer term. 

Our report emphasises our concern around whether the assessments that carers are entitled to under the social services Act are being carried out, and, where they're being carried out, whether needs are being assessed correctly. The support provided to carers is crucial, of course, and the committee was concerned by the approach to assessments. We recommended that the Welsh Government conduct a review of carers’ assessments to evaluate whether the social services and well-being Act is strengthening support to carers. And I’m pleased that this review began in November, and look forward to its conclusions.

The committee heard concerns too around financial and staffing pressures in the care sector. We were concerned to hear that, in some cases, providers of domiciliary care are responding by handing back contracts to local authorities as they are not financially viable on the fee levels paid. As is noted in our report, it is essential therefore that contracts issued by local authorities are realistic to avoid an increase in any unmet need that would in turn lead to increased pressure on the NHS.