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The architect of the government’s delayed reforms to social care has told Sky News politicians need to “grow up” and tackle the crisis in the sector.

Amid a bitter election row over public spending, Sir Andrew Dilnot said he believed the two main parties were reluctant to discuss care reform for fear of being accused of plotting future tax hikes.

Sir Andrew – whose 2011 report laid out several key measures adopted by the government – described social care as the “biggest risk that isn’t managed” that the country faces.

He said: “Four out of five people are going to need social care before they die, we should grow up and face it.”

“I think politicians are reluctant to talk about it firstly because they’re worried about anything that means an increase in public spending and therefore possible taxation,” he added.

Sir Andrew Dilnot
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Sir Andrew Dilnot

The implementation of a cap on care costs, unveiled by Boris Johnson, was delayed in 2022 until October next year.

The policy promised to limit the amount anyone in England will spend on personal care over their life to £86,000.

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Speaking to Sky News on the campaign trail, Rishi Sunak said those charging reforms were still “on track”.

Labour has not explicitly committed to the cap in its manifesto, but a party source confirmed that it would also bring in the reforms as planned.

While the Liberal Democrats have made social care a key part of its policy offering, the sector has barely featured in the campaigns of the main two parties.

The cost of unpaid care


Rob Powell Political reporter

Rob Powell

Political correspondent

@robpowellnews

Norman Phillips is a carer for his wife Ros – who lives with multiple sclerosis and dementia.

Initially he was able to combine work with his caring responsibilities but as Ros’s condition worsened, he took early retirement.

“It was the stress and strain of trying to work… and saying look I’m terribly sorry, but I’ve got to turn around and go back to Stevenage because I can’t find anyone to look after Ros… that was tolerated for a while because I always got the work done… but then it went a bit pear shaped and… I collapsed in the street,” he said.

The couple found help hard to come by and after Norman suffered an injury, they were forced to sell their home to settle care-related debts.

“My kids learned a long time ago that their inheritance is gone… we don’t have any money left. We didn’t have any money left a while back,” Mr Phillips said.

Ros is now subject to an NHS continuing healthcare plan after Norman suffered a breakdown earlier this year and authorities decided he was unable to carry on caring for his wife.

This includes round the clock care for Ros – something Norman says wouldn’t have been needed if a lower level of help had been made available earlier.

He said: “They’ve got six million of us unpaid carers. If they… help us, we can help the system.

“But what’s happened to me, you know, is the system just kept backing away and backing away until I cracked.”

The idea of a cap was first suggested by the Dilnot Commission and put into legislation in 2014.

However its planned implementation in 2016 was delayed by the David Cameron government on cost grounds.

An attempt to reform the sector during the 2017 election was widely seen as the reason for Theresa May losing her Commons majority.

In his first speech as prime minister in 2019, Boris Johnson said he had a “clear plan” to “fix the crisis in social care once and for all”.

Reforms were announced in 2021 alongside an increase in National Insurance to fund the wider sector.

However this tax rise was reversed under Liz Truss before the broader changes were delayed under Rishi Sunak.

It means that many people requiring care are still potentially liable for costs that can stretch to thousands of pounds per month.

Norman Phillips
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Norman Phillips


Norman and Ros on their wedding day
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Norman and Ros on their wedding day

Sir Andrew said the lack of suitable social care was also having a “knock on effect” on the NHS as older people ended up stuck in hospitals.

“Lots of elective procedures rely on being able to have a bed and if you’ve got one older person… in hospital for twenty days more than is needed, that could easily mean ten hip replacements not being able to happen because there isn’t the bed space,” he said.

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Norman and Ros
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Norman and Ros

Care bosses have also highlighted staffing shortages caused by low pay as another key problem in the sector while councils have called for more funding from the government.

Speaking to Sky News, Rishi Sunak said £8.5bn was put into the NHS and social care shortly after he became prime minister and that his government had focused on “improving the link between social care and hospitals… but also investing in the workforce”.

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A Labour source said “the social care chapter in our manifesto includes a commitment over the next decade to build a national care service, and first steps of a fair pay agreement for care workers”.

Shadow health secretary Wes Streeting also admitted that he wanted a “more ambitious” social policy but that it had to be “affordable” to be included in the manifesto.

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‘My voice box was removed after NHS missed my throat cancer’

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'My voice box was removed after NHS missed my throat cancer'

Steve Barton is angry, and he has every right to be.

The 68-year-old retired engineer stares at his medical notes that, he says, expose in black and white the moment his life changed forever.

“I have somehow missed… due to my mistake,” a doctor writes in one of the notes, after it became apparent that Mr Barton had not been urgently referred to specialists over what later became an aggressive form of throat cancer.

Steve now has a prosthetic voice box and is one of many British patients fighting medical negligence claims after being misdiagnosed.

NHS officials in Scotland are dealing with thousands of cases annually. Meanwhile, Westminster’s Public Affairs Committee (PAC) recently disclosed England’s Department of Health and Social Care has set aside £58.2bn to settle clinical lawsuits arising before 2024.

Mr Barton, who lives in Alloa near Stirling, repeatedly contacted his doctors after he began struggling with his breathing, speaking and swallowing. His concerns were recorded by the NHS as sinus issues.

As panic grew and his voice became weaker, Mr Barton paid to see a private consultant who revealed the devastating news that a massive tumour had grown on his larynx and required part of his throat to be removed immediately.

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“I am angry, I am upset, I don’t want anyone else to go through this,” Mr Barton told Sky News.

“There were at least four, possibly five, conversations on the phone. He [the doctor] said to me that it sounds like I’ve got reflux.”

‘He was palmed off’

Mr Barton is now unable to work and cannot shower by himself because if water enters the hole in his neck, he could drown.

And a windy day can cause a debilitating coughing fit if a gust catches his prosthetic voice box.

Steve in hospital
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Steve Barton is one of thousands battling medical negligence cases

Asked if he believes this was avoidable, Mr Barton replied: “Absolutely. 100%.”

His wife, Heather, told Sky News: “He hates this. You see him crying. It breaks my heart. It’s been hard emotionally.”

She added: “Everybody knows their own body. He was palmed off and the consequence is a neck dissection. It [life] changed overnight.”

Legal battle over compensation

The Barton family have been locked in a legal battle over their ordeal with the Medical and Dental Defence Union Scotland (MDDUS) – a body which indemnifies GPs.

It has not admitted formal liability in this case but has agreed to settle financial compensation to Mr Barton.

Steve

Izabela Wosiak, a solicitor from Irwin Mitchell who represents the Bartons, said: “Cases like Steve’s are complex and usually quite difficult, but solicitors have accepted there was no defence to this case.

“They have arranged to make an interim payment; however we are still in the process of negotiating final settlement.”

A MDDUS spokeswoman refused to comment while talks are being finalised.

What is the scale of medical negligence in Britain?

The NHS in Scotland is under the devolved control of the Scottish government.

Figures suggest there were almost 14,000 clinical negligence claims and incidents in 2023/24, an increase on the previous year.

It comes as PAC warned that the total liabilities in England’s health service has hit £58.2bn.

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PAC chair Sir Geoffrey Clifton-Brown MP told Sky News: “I extend my sympathies to Steve and his family. Unfortunately, he is not alone.

“Some are really heart-wrenching tales. Every single claim somebody is involved, someone has been in some way injured, so this is a terrible thing.

“We are going to be working on how we can make the whole system less litigious and get compensation paid out quickly because if the state does harm to somebody, the least they could do is to compensate them as quickly as possible.”

Paul Whiteing, the chief executive of patient safety charity Action Against Medical Accidents, told Sky News: “The NHS itself last year [in England] paid out just over £5bn in compensational set aside money for compensation that it would need to pay out.

“It’s a huge cost and of course that doesn’t speak to the cost to every individual, every family, every person who is impacted by the consequences of some form of medical accident and the trauma that can go with that.”

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‘Shameful’ that black boys in London more likely to die than white boys, says Met Police chief

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'Shameful' that black boys in London more likely to die than white boys, says Met Police chief

It is “shameful” that black boys growing up in London are “far more likely” to die than white boys, Metropolitan Police chief Sir Mark Rowley has told Sky News.

In a wide-ranging interview with Sunday Morning with Trevor Phillips, the commissioner said that relations with minority communities are “difficult for us”, while also speaking about the state of the justice system and the size of the police force.

Sir Mark, who came out of retirement to become head of the UK’s largest police force in 2022, said: “We can’t pretend otherwise that we’ve got a history between policing and black communities where policing has got a lot wrong.

“And we get a lot more right today, but we do still make mistakes. That’s not in doubt. I’m being as relentless in that as it can be.”

He said the “vast majority” of the force are “good people”.

However, he added: “But that legacy, combined with the tragedy that some of this crime falls most heavily in black communities, that creates a real problem because the legacy creates concern.”

Sir Mark, who also leads the UK’s counter-terrorism policing, said black boys growing up in London “are far more likely to be dead by the time they’re 18” than white boys.

“That’s, I think, shameful for the city,” he admitted.

“The challenge for us is, as we reach in to tackle those issues, that confrontation that comes from that reaching in, whether it’s stop and search on the streets or the sort of operations you seek.

“The danger is that’s landing in an environment with less trust.

“And that makes it even harder. But the people who win out of that [are] all of the criminals.”

Met Police Commissioner Sir Mark Rowley said racism is still an issue in the force
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Met Police Commissioner Sir Mark Rowley

The commissioner added: “I’m so determined to find a way to get past this because if policing in black communities can find a way to confront these issues, together we can give black boys growing up in London equal life chances to white boys, which is not what we’re seeing at the moment.

“And it’s not simply about policing, is it?”

Sir Mark said: “I think black boys are several times more likely to be excluded from school, for example, than white boys.

“And there are multiple issues layered on top of each other that feed into disproportionality.”

‘We’re stretched, but there’s hope and determination’

Sir Mark said the Met is a “stretched service” but people who call 999 can expect an officer to attend.

“If you are in the middle of the crisis and something awful is happening and you dial 999, officers will get there really quickly,” Sir Mark said.

“I don’t pretend we’re not a stretched service.

“We are smaller than I think we ought to be, but I don’t want to give a sort of message of a lack of hope or a lack of determination.”

“I’ve seen the mayor and the home secretary fighting hard for police resourcing,” he added.

“It’s not what I’d want it to be, but it’s better than it might be without their efforts.”

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How police tracked and chased suspected phone thief

‘Close to broken’ justice system ‘frustrating’ and ‘stressed’

Sir Mark said the criminal justice system was “close to broken” and can be “frustrating” for others.

“The thing that is frustrating is that the system – and no system can be perfect – but when the system hasn’t managed to turn that person’s life around and get them on the straight and narrow, and it just becomes a revolving door,” he said.

“When that happens, of course that’s frustrating for officers.

“So the more successful prisons and probation can be in terms of getting people onto a law-abiding life from the path they’re on, the better.

“But that is a real challenge. I mean, we’re talking just after Sir Brian Leveson put his report out about the close-to-broken criminal justice system.

“And it’s absolutely vital that those repairs and reforms that he’s talking about happen really quickly, because the system is now so stressed.”

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Leveson explains plans to fix justice system

Challenge to reform the Met

The Met chief’s comments come two years after an official report found the force is institutionally racist, misogynistic and homophobic.

Baroness Casey was commissioned in 2021 to look into the Met Police after serving police officer Wayne Couzens abducted, raped and murdered Sarah Everard.

She pinned the primary blame for the Met’s culture on its past leadership and found stop and search and the use of force against black people was excessive.

At the time, Sir Mark, who had been commissioner for six months when the report was published, said he would not use the labels of institutionally racist, institutionally misogynistic and institutionally homophobic, which Baroness Casey insisted the Met deserved.

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However, London Mayor Sadiq Khan, who helped hire Sir Mark – and could fire him – made it clear the commissioner agreed with Baroness Casey’s verdict.

A few months after the report, Sir Mark launched a two-year £366m plan to overhaul the Met, including increased emphasis on neighbourhood policing to rebuild public trust and plans to recruit 500 more community support officers and an extra 565 people to work with teams investigating domestic violence, sexual offences and child sexual abuse and exploitation.

Watch the full interview on Sunday Morning with Trevor Phillips from 8.30am on Sunday.

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More than 70 arrests at protests over Palestine Action ban

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More than 70 arrests at protests over Palestine Action ban

More than 70 people have been arrested at protests against Palestine Action being designated a proscribed terrorist group.

Protesters gathered for the second week in a row in central London, where the Metropolitan Police made 42 arrests.

Other demonstrations took place around the UK, including in Manchester, where police said 16 arrests were made, in Cardiff, where South Wales Police arrested 13 people, and in Leeds, where West Yorkshire Police made one arrest.

In London, two groups of protesters gathered underneath statues of Mahatma Gandhi and Nelson Mandela in Parliament Square, shortly before 1pm.

They wrote the message “I oppose genocide, I support Palestine Action” on pieces of cardboard and silently held the signs in the air as they were surrounded by police officers and members of the media.

Police officers remove a person after they took part in a pro-Palestine Action protest in Parliament Square, London. Pic: PA
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Police officers remove a person. Pic: PA

Police with demonstrators as they take part in a protest in Parliament Square, London. Pic: PA
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Police with demonstrators in Parliament Square. Pic: PA

Some demonstrators could be seen lying on top of each other on the floor as police searched their bags, and took their ID cards and signs.

Officers then carried away a number of protesters, lifting them off the ground and into waiting police vans.

The last protester was lifted from the Nelson Mandela statue shortly after 2.30pm.

Forty-one of the 42 arrests at the London protest were for showing support for a proscribed organisation, while one person was arrested for common assault, the Met Police said.

Read more:
Palestine Action has been proscribed – but what does that mean?

People take part in a protest in Parliament Square, London, to call for de-proscription of Palestine Action. Pic: PA
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People take part in a protest in Parliament Square, London. Pic: PA

Palestine Action’s terror group designation means membership of, or support for, the group is a criminal offence punishable by up to 14 years in prison.

Greater Manchester Police said it had arrested 16 people under the Terrorism Act 2000 after responding to a protest in St Peter’s Square at around 2.30pm.

Police lead a protester away in Manchester
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Police lead a protester away in Manchester

South Wales Police confirmed 13 people were arrested on suspicion of offences under the same act in the vicinity of Central Square in Cardiff.

West Yorkshire Police said a person was arrested in Leeds on suspicion of demonstrating support for Palestine Action.

The Met Police arrested 29 people at a similar protest last weekend.

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Scotland Yard has said its stance remains that officers will act where criminal offences, including support of proscribed groups or organisations, are committed.

It added that this includes “chanting, wearing clothing or displaying articles such as flags, signs or logos”.

The move to ban Palestine Action came after two aircraft were damaged at RAF Brize Norton in Oxfordshire last month.

Police said the incident caused around £7m worth of damage.

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