8. Mr. William O'BrienTo ask the Secretary of State for Social Security what representations he has received from voluntary organisations with regard to top-up payments for old people living in private nursing homes; and if he will make a statement.
§ Mr. BurtIncome support is now given to 281,000 people in residential care and nursing homes at a cost of £2.5 billion, compared with support for just 12,000 at a cost of £10 million in 1979. We have regular contact with voluntary organisations and others on all aspects of the system, including the income support limits, but I have to say that we have received very few recently in relation to top-up payments.
Mr. O'BrienObviously, the Minister neglects to answer the question. Is he aware of the fears and anxieties of carers who have been looking after elderly people and who find that their homes could be sold over their heads because of the inhuman approach by his Department to the top-up procedure? When will he accept that hardships will be caused to many of the carers? What does he intend to do about that?
§ Mr. BurtWith respect, I did answer the hon. Gentleman's question. He asked what representations I had received and I said that we had received very few, especially in relation to the top-up payments. Practically all the limits have increased in real terms since 1985. The limit for people in residential care homes increased by 13 per cent. in real terms and that for those in nursing homes by 36 per cent. between April 1985 and April 1993. We shall, of course, keep the limits very much under review. I shall be happy to receive representations in the manner that the hon. Gentleman mentions at any time.
§ Mr. KirkwoodWill the Minister accept that I am surprised that he has had few representations on the matter of top-up, against the background of local authorities now negotiating fees that are higher than nationally set income support levels? Will the Minister agree to see a small delegation, perhaps consisting of the hon. Member for Normanton (Mr. O'Brien), myself and representatives of some voluntary groups associated with the problem, in order further to discuss the matter?
§ Mr. BurtI would, without any problems, but I repeat to the hon. Member for Normanton (Mr. O'Brien) and to the hon. Member for Roxburgh and Berwickshire (Mr. Kirkwood) that I saw a group not too long ago. We discussed a range of items, but, since the increase that we have made, we have not received many expressions of concern about that matter. That is because we do not believe that the gap between income support limits and costs is widening.
§ Mr. John MarshallWill my hon. Friend confirm that the payments have increased 250 times in cash terms? Does not that underline the commitment of the Government and the hypocrisy of the Opposition?
§ Mr. BurtMy hon. Friend is absolutely right. He is talking about the £2.5 billion income support expenditure during the currency of the Government, compared with just £10 million in 1979—true evidence of commitment to people properly in need.