Social Care Levy

2. Questions to the Minister for Health and Social Services – in the Senedd on 25 September 2019.

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Photo of Huw Irranca-Davies Huw Irranca-Davies Labour

(Translated)

8. Will the Minister provide an update on the cross-government work looking into a social care levy? OAQ54380

Photo of Vaughan Gething Vaughan Gething Labour 3:05, 25 September 2019

Yes, and I'd like to thank the Member for his work within Government on taking forward the work across Government on a potential social care levy. I now chair the ministerial board, and, over the last six months, we've considered potential methods to raise and distribute potential additional funding. Our current focus is on the principles of priority areas for any funding, and I look forward to being in a position to write to the health and social care committee with outline proposals, which we will broadly consult upon.

Photo of Huw Irranca-Davies Huw Irranca-Davies Labour

That's really welcome news, Minister, and I'm glad that the work is progressing in a considered way, steadily, because we can't rush at this. But he'll understand that, with the social care Green Paper in the UK Westminster Government still disappearing over the horizon like some sort of mirage, it is vitally important that we do do the work here in Wales, because I suspect at some point we will need to create our own solutions. There has also, of course, been talk within Welsh Government about a national care service as well, which would provide a valued career path for people who work within care, similar to what there is within the health service as well, rather than, as so often has been remarked, an alternative to stacking shelves or whatever—I think that denigrates the workforce, actually, but we know what that phrase means. So, could he tell us how he will take this work forward as it progresses, as he sees some of the outcomes of the work streams going on, in a cross-party way? Because what we do know is that far too often before, at a UK level particularly, this has crashed and burned against short-term politics and electoral cycles. In order to take this forward in Wales, if it comes to that, we will have to have cross-party agreement here in this Senedd to do that.

Photo of Vaughan Gething Vaughan Gething Labour 3:06, 25 September 2019

Yes, I recognise the point the Member makes, and, in fact, ahead of looking to consult on some outline suggestions about how we might raise and then make use of funding—and, of course, the rate at which staff are paid is part of that—I'll want to be able to have a conversation with the Chairs of our subject committees here. My office will be in touch to try and arrange a conversation, and we'll also be offering a technical briefing for the health and social care committee to look at some of those models so that we're open about what we're talking about, and to do that in a way that really does give us an opportunity to take this forward in a way that doesn't descend into a partisan contest. Because, whatever we think of the current UK Government—and there are many views available—it's not likely that we're going to have a social care Green Paper any time in the near future, so we need to know what we can do in Wales with the powers that we have.

On this point, on a cross-party basis, backbenchers in Westminster have come together and agreed that they should raise additional money to put into the social care system. That was a unanimous view from two select committees that came together, including members of the Conservative Party, Labour and others as well, who all agreed that you needed to raise money. So, there's a willingness to look at a UK level for that, but I think in Wales we'll need to look at that before we get to that point. We can then take account, if progress is made at any point in the future, of UK funding streams and what that might mean. But, yes, I'm happy to indicate now, and I'll be following that up with conversations between my office and the committee, and, indeed, I hope that party spokespeople would be open to a conversation about that when we have those outline proposals, because nothing is determined and decided at this point.

Photo of Angela Burns Angela Burns Conservative

Thank you, Presiding Officer. Minister, we already have people who are leaving Wales to live in other parts of the home nations in order to be able to access drugs that they cannot access here. So, given Jeremy Corbyn's giveaway speech at conference, when he talked about having social care free at the point of delivery, could you confirm whether or not that is one of the work streams that this cross-party group is currently working on? If so, are they also looking at the costings, really to prevent a mass exodus from Wales?

Photo of Vaughan Gething Vaughan Gething Labour 3:09, 25 September 2019

I don't think anything from yesterday should lead to a mass exodus from Wales, and I don't recognise what the Member said about a mass exodus from Wales on the basis of the availability of medication. We have a very good record on the availability of new and effective medication, as our successful new treatment fund demonstrates. But, on your point about social care, when we share outline consultation proposals, those will have an idea about the sort of funds that that would be required to deliver. So, we'll be open with each other about what different options might mean in terms of how we use funding, as well as how you could raise that funding as well. So, yes, if you want to have the maximalist approach to having the maximum available social care, then we will be able to set out what that would require, and we'll be looking to consult on a wide basis. I'll certainly be wanting to make use of the citizen panels that exist around each regional partnership board, together with the mix of parties that lead local authorities. They'll all have a stake in this and in fact the WLGA are part of the work that we're doing in the programme board. So, it's being genuinely taken forward on a cross-sector basis—and indeed a cross-party basis, I'm sure the Member will be delighted to hear.