§ 11. Mr. Andrew BowdenTo ask the Secretary of State for Social Security what representations he has received concerning the cost of providing care in voluntary and private residential nursing homes in the south-east of England.
§ Mrs. Gillian ShephardWe have received a considerable number of representations from a variety of interested organisations and individuals, including hon. Members.
§ Mr. BowdenDoes my hon. Friend agree that prices in the south-east are inevitably higher than in many parts of the country, and that as a result of the level of maximum payments set by the DSS some people who are unable to afford those prices are being forced out of residential homes and back into hospital? That cannot be good for the National Health Service or for the individuals concerned.
§ Mrs. ShephardI remind my hon. Friend that the help provided over the past 10 years through income support has helped many thousands of people to make their own choices about the residential care that they want. It has never been the intention of the Government, nor could it be of any Government, to meet all residential care costs, no matter how high. We have provided an additional £100 million for 1990, thereby increasing the help available for about 200,000 people. Obviously, the system is not perfect, 634 which is why the proposals in the National Health Service and Community Care Bill deserve my hon. Friend's careful consideration.
§ Mr. EasthamHas the Minister had a chance to read correspondence that I sent to the Department on behalf of the citizens advice bureau operating in the Manchester area? It pointed out that the money given by the Government is inadequate to support old people in residential homes, to the extent that their pocket money is being used to make up the deficit. When will the Government introduce a realistic figure and realise that the northern areas suffer as much as the southern counties?
§ Mrs. ShephardI must repeat that, with effect from April, the Government will make available an additional £100 million. That will mean a £10 increase for all claimants in residential homes, except for the mentally ill. But, because the system is not perfect, changes are on the way.