Baroness Coffey (Con)

My Lords, I will begin by mentioning that my sister and I cared for my mother in the last fortnight of her life, and we were significantly helped by carers—to whom I will be forever grateful—in that short time. Of course, our social care workers right across the country were genuine heroes during Covid-19, and that recognition needs to continue. At the time of Covid-19, I was Secretary of State in DWP and, clearly, the workers there were carrying out tremendous acts of heroism right across the country—but there is a recognition, in a similar way to the NHS, that this drove quite a lot of burnout. However, recognising the importance of carers and the choices that people made in taking up that really important role, I felt it was absolutely vital that we tried to get better organised, to encourage people not only to stay in the sector but to join the sector. That is why I worked with the Department of Health and Social Care at the time, with my honourable friend Helen Whately. I do not wish to lower the tone entirely, but I turn to the explanation of the creation of this negotiating body and to one of the things that I think is key. I am not at all opposed to it in principle. However, it suggests that the bargaining power of care workers has been low, partly because of low unionisation rates. This is only 20%, it is suggested, of a workforce of 1.6 million, which is about 5% of the total workforce in this country. I must admit I am somewhat sceptical about that. I do not want to get into a huge debate about social funding. This is a challenge that the noble Baroness, Lady Casey, is taking up. With her capabilities, I am sure she will find a way through in this regard. However, I think we should recognise that there are a whole bunch of employers right across the country, and that social care funding is provided for through national government, through the hands of local government and, of course, council tax payers through the social care levy. That is the key challenge that we need to recognise, and we need to consider how this negotiating body could address that. I will apologise to my noble friend Lady Browning for not speaking on something. When I looked at my amendment—I have an amendment coming up in the next group—I de-grouped it because I was trying to differentiate thinking about the progress of social care in regard to trying to split it away from the negotiating body. Perhaps I will explain briefly why and then, in the next group, come on to what I suggest could happen instead. I have already set out that I started working on this, getting DWP to be engaged and thinking through about swaps and similar things. Indeed, one of the things that came out of that was the care pathway on a journey after People at the Heart of Care at the end of 2021, leading to the Next Steps consultation. I would say that the care workforce pathway is working.