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.
Image: 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.
More on General Election 2024
Related Topics:
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.
Advertisement
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.
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.
Image: Norman Phillips
Image: 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.
Follow Sky News on WhatsApp
Keep up with all the latest news from the UK and around the world by following Sky News
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”.
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.
The government will fund any further local inquiries into the grooming gangs scandal that are deemed necessary, Sir Keir Starmer has said.
However, the prime minister said it is his “strong belief” that the focus must be on implementing recommendations from the Alexis Jay national review before more investigations go ahead.
It follows a row over whether Labour is still committed to the five local inquiries it promised in January, after safeguarding minister Jess Phillips failed to provide an update on them in a statement to parliament hours before it closed for recess on Tuesday.
Image: Sir Keir Starmer joins police officers on patrol in Cambridgeshire. Pic: PA
Instead, Ms Phillips told MPs that local authorities will be able to access a £5m fund to support locally-led work on grooming gangs.
On Thursday morning, Home Secretary Yvette Cooper insisted the “victim-centred, locally-led inquiries” will still go ahead, while a Home Office source told Sky News more could take place in addition to the five.
Speaking to Sky News’ Rob Powell later on Thursday, Sir Keir confirmed that there could be more inquiries than those five but said the government must also “get on and implement the recommendations we’ve already got”.
More on Yvette Cooper
Related Topics:
The prime minister said: “Of course, if there’s further local inquiries that are needed then we will put some funding behind that, and they should happen.
“But I don’t think that simply saying we need more inquiries when we haven’t even acted on the ones that we’ve had is necessarily the only way forward.”
Please use Chrome browser for a more accessible video player
0:41
Yvette Cooper speaks to Sky News
Ms Phillips’s earlier comments led to accusations that the government was diluting the importance of the local inquiries by giving councils choice over how to use the funds.
Sky News understands she was due to host a briefing with MPs this afternoon at 5pm – the second she had held in 24 hours – in an attempt to calm concern amongst her colleagues.
Review recommendations ‘sat on a shelf’
Sir Keir insisted he is not watering down his commitment for the five local enquiries, but said the Jay recommendations were “sitting on a shelf under the last government” and he is “equally committed” to them.
He added: “At the most important level, if there is evidence of grooming that is coming to light now, we need a criminal investigation. I want the police investigation because I want perpetrators in the dock and I want justice delivered.”
In October 2022, Professor Alexis Jay finished a seven-year national inquiry into the many ways children in England and Wales had been sexually abused, including grooming gangs.
Girls as young as 11were groomed and raped across a number of towns and cities in England over a decade ago.
Prof Jay made 20 recommendations which haven’t been implemented yet, with Sir Keir saying on Thursday he will bring 17 of them forward.
However, the Tories and Reform UK want the government to fund a new national inquiry specifically into grooming gangs, demands for which first started last year after interventions by tech billionaire Elon Musk on his social media platform X.
Image: Elon Musk has been critical of Labour’s response to grooming gangs and has called for a national inquiry. Pic: Reuters
‘Fuelling confusion’
Reform leader Nigel Farage said the statement made by Ms Phillips “was one of the most cowardly things I have ever seen” as he repeated calls for a fresh inquiry.
Robert Jenrick, the shadow justice secretary, also told Sky News that ministers were “fuelling confusion” and that the “mess.. could have been avoided if the government backed a full national inquiry – not this piecemeal alternative”.
Tory leader Kemi Badenoch said the government needed to look at “state failings” and she would try and force a fresh vote on holding another national inquiry, which MPs voted down in January.
‘Political mess’
As well as facing criticism from the Opposition, there are signs of a backlash within Labour over how the issue has been handled.
Labour MPs angry with government decision grooming gangs
With about an hour until the House of Commons rose for Easter recess, the government announced it was taking a more “flexible” approach to the local grooming gang inquiries.
Safeguarding minister Jess Philips argued this was based on experience from certain affected areas, and that the government is funding new police investigations to re-open historic cases.
Speaking on Times Radio, former chair of the Equality and Human Rights Commission Sir Trevor Phillips called the move “utterly shameful” and claimed it was a political decision.
One Labour MP told Sky News: “Some people are very angry. I despair. I don’t disagree with many of our decisions but we just play to Reform – someone somewhere needs sacking.”
The government has insisted party political misinformation was fanning the flames of frustration in Labour.
The government also said it was not watering down the inquiries and was actually increasing the action being taken.
But while many Labour MPs have one eye on Reform in the rearview mirror, any accusations of being soft on grooming gangs only provides political ammunition to their adversaries.
One Labour MP told Sky News the issue had turned into a “political mess” and that they were being called “grooming sympathisers”.
On the update from Ms Phillips on Tuesday, they said it might have been the “right thing to do” but that it was “horrible politically”.
“We are all getting so much abuse. It’s just political naivety in the extreme.”
Ms Phillips later defended her decision, saying there was “far too much party political misinformation about the action that is being taken when everyone should be trying to support victims and survivors”.
“We are funding new police investigations to re-open historical cases, providing national support for locally led inquiries and action, and Louise Casey… is currently reviewing the nature, scale and ethnicity of grooming gangs offending across the country,” she said.
“We will not hesitate to go further, unlike the previous government, who showed no interest in this issue over 14 years and did nothing to progress the recommendations from the seven-year national inquiry when they had the chance.
“We will leave no stone unturned in pursuit of justice for victims and will be unrelenting in our crackdown on sick predators and perpetrators who prey on vulnerable children.”
Elected councillors must “do what they need to do” to serve the people, Kemi Badenoch said after she suggested Reform and the Tories could form alliances at a local level.
The Conservative leader said that while she doesn’t actively support council coalitions, she is ultimately leaving the decision to local politicians “because they can’t have a re-election if they don’t have an outright majority”.
However, she said that at a national level “we’re trying to rebuild trust with the public” and “suddenly saying that we’re rushing to form a pact or merge with another party is not what I was elected to do”.
Ms Badenoch was speaking during a local election visit to Lancashire after earlier comments about local coalitions were attacked by opposition parties.
She has consistently ruled out a pact at a national level with Reform UK, whose leader Nigel Farage has vowed to “destroy” the Tories.
But speaking to BBC Breakfast on Thursday, she suggested the picture could be different at a local level, saying: “I’ve seen Conservatives go into coalition with Labour, with Liberal Democrats, with Independents.
More on Kemi Badenoch
Related Topics:
“What I’m telling local leaders across the country (is) they have to do what is right for the people in their local area and they must stick to Conservative principles.”
Image: Nigel Farage has vowed to destroy the Tories. Pic: PA
Labour Party chairwoman Ellie Reeves said it is “crystal clear” that if you vote Reform or Conservative, “you’re opening the door to more of the Tory chaos that held our country back over the past 14 years”.
Liberal Democrats deputy leader Daisy Cooper said the two parties had “merged in all but name”, adding: “You couldn’t put a cigarette paper between Badenoch and Farage when it comes to their policies. It’s clear the Conservatives have totally abandoned the centre ground.”
Reform meanwhile snubbed the offer, saying they are “not interested in coalitions” and are focused on “taking the fight to Labour and the Conservatives”.
Please use Chrome browser for a more accessible video player
1:34
‘Outrageous’ welfare budget
Ms Badenoch later insisted she is “‘not supporting coalitions at a local level”.
She told reporters: “I am leaving the decision to local leaders because they can’t have a re-election if they don’t have an outright majority.
“And it’s right that they do what they need to do to serve the people of a community. These local elections are not opinion polls.”
The Tories face an uphill battle at the local elections on 1 May, with polling suggesting the party is yet to recover from its catastrophic general election defeat in July.
Spreaker
This content is provided by Spreaker, which may be using cookies and other technologies.
To show you this content, we need your permission to use cookies.
You can use the buttons below to amend your preferences to enable Spreaker cookies or to allow those cookies just once.
You can change your settings at any time via the Privacy Options.
Unfortunately we have been unable to verify if you have consented to Spreaker cookies.
To view this content you can use the button below to allow Spreaker cookies for this session only.
Latest YouGov polling for Sky News’ Sam and Anne’s podcast put Labour marginally in the lead, followed by Reform and then the Tories.
The Lib Dems were fourth but their 17 points was the highest level of support they’ve had since 2017.
The Tories are defending more than half of the seats up for election, having won them in 2021 thanks in part to a Covid-19 vaccine polling bounce.
Votes will take place in 23 of England’s 317 local authorities, and there will also be a by-election in Runcorn following the resignation of Labour’s Mike Amesbury, who last month was given a suspended prison sentence for punching a man.
Senior Tory MP Esther McVey has previously said the Tories should “let Reform win” in Runcorn as part of an electoral pact, but Ms Badenoch today said: “That’s absolutely the wrong thing.”
She added: “We need to make sure that people always have the option to vote Conservative, and that’s the message that I’m taking out for these local government elections on May 1.”
Escalating geopolitical tensions threaten to balkanize blockchain networks and restrict users’ access, crypto executives told Cointelegraph.
On April 9, US President Donald Trump announced a pause in the rollout of tariffs imposed on certain countries — but the prospect of a global trade war still looms, especially because Trump still wants to charge a 125% levy on Chinese imports.
Industry executives said they fear a litany of potential consequences if tensions worsen, including disruptions to blockchain networks’ physical infrastructure, regulatory fragmentation, and censorship.
“Aggressive tariffs and retaliatory trade policies could create obstacles for node operators, validators, and other core participants in blockchain networks,” Nicholas Roberts-Huntley, CEO of Concrete & Glow Finance, told Cointelegraph.
“In moments of global uncertainty, the infrastructure supporting crypto, not just the assets themselves, can become collateral damage.”
According to data from CoinMarketCap, cryptocurrency’s total market capitalization dropped approximately 4% on April 10 as traders weighed conflicting messages from the White House on tariffs amid a backdrop of macroeconomic unease.
Crypto’s market cap retraced on April 10. Source: CoinMarketCap
Bitcoin (BTC) is especially vulnerable to a trade war since the network depends on specialized hardware for Bitcoin mining, such as the ASIC chips used to solve the network’s cryptographic proofs.
“Tariffs disrupt established ASIC supply chains,” David Siemer, CEO of Wave Digital Assets, told Cointelegraph. Chinese manufacturers such as Bitmain are key suppliers for miners.
However, “the greater threat is the erosion of blockchain’s core value proposition—its global, permissionless infrastructure,” Siemer said. This could be especially problematic for everyday crypto holders.
“If global trade breaks down and capital controls tighten, it may become harder for citizens in restrictive countries to acquire bitcoin,” said Joe Kelly, CEO of Unchained. “Governments could crack down on exchanges and on-ramps, making accumulation and usage more difficult,” Kelly added.
Bitcoin’s performance versus stocks. Source: 21Shares
Ironically, these types of fears also underscore the importance of cryptocurrencies and decentralized blockchain networks, the executives said.
“While the environment is challenging, it also creates an opening for crypto to prove its long-term value and utility on the global stage,” noted Fireblocks’ executive Neil Chopra.