Community Care (Hansard, 12 February 1991)

§ Q5. Mr. Tom Clarke
To ask the Prime Minister what is Her Majesty's Government's present policy towards Sir Roy Griffiths's recommendation that local authorities should perform the lead role in the provision of community care.

§ The Prime Minister
The Government's policy on community care remains as set out in the White Paper "Caring For People" and the National Health Service and Community Care Act 1990. Local authorities begin implementation of those policies in April this year.

§ Mr. Clarke
What steps does the Prime Minister intend to take to deal with the increasing problems of many elderly people in residential care who have witnessed a growing number of closures of private and voluntary sector homes as a result of the care gap and inadequate income support? Will he absolutely insist that elderly people do not suffer, in spite of the need for social service and social work departments to reduce their expenditure in order to avoid poll tax capping, even though the real anxiety is to respond to elderly people's needs, which they recognise in their own communities?

§ The Prime Minister
The concerns for elderly people that the hon. Gentleman sets out and which local authorities have are well understood and appreciated. He weakens his case by his remarks about community charge capping, not least because a large number of those authorities that face capping do so because of a flagrant and wilful abuse of their expenditure in many aspects.

§ Mr. Nicholas Winterton
Does my right hon. Friend accept that there is considerable anxiety in local government, not least among the staff of part III residential homes and also, of course, the residents of those homes, that many local authorities feel obliged to put such homes into the private or charitable sector, thus creating considerable instability? Will my right hon. Friend take account of the anxiety, particularly among elderly people and their families, who are deeply upset by the instability that is being created?

§ The Prime Minister
What we are seeking to do is to ensure the maximum availability of the appropriate sort of accommodation and to ensure that it is provided in the most cost-effective manner. That accommodation may, on occasion, be in the public or the private sector, but it is the quantum of assistance with which I know my hon. Friend is most concerned.