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.
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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.
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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.
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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.
Charles O. Parks III, who admitted to misusing $3.5 million worth of resources from two cloud computing providers to mine crypto, was sentenced to one year and one day in prison.
If there’s one thing the past 24 hours has confirmed, it’s that it’s still Donald Trump’s world, and we’re all just living in it.
In the aftermath of the Alaska meeting, the US president’s deal-making skills came under question when he seemingly walked away empty-handed.
But it was clear he had retained his ability to catch everyone off guard, as a meeting between him and President Volodymyr Zelenskyy unexpectedly became a last-minute White House peace summit.
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0:56
Ukraine faces biggest challenge yet ahead of White House talks
The invitation to European leaders drifted out, and within hours, the cast list had grown to include six more, as world leaders dropped everything to fit in with Mr Trump’s unpredictable timetable.
There were signs of disorganisation behind the scenes.
When the British Prime Minister’s spokesman was asked who the invite had come from – the White House or the Ukrainian president – they replied: “A bit of both.”
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What happened when Zelenskyy last went to White House
Meanwhile, the meeting of the coalition of the willing – a Starmer and Macron-led group of Ukraine’s European allies – had a nervous feel to it as members resolved to stand firm with Ukraine – even if it puts them at odds with the US.
At times, it sounded like they were trying to convince themselves they could do it.
And as all of this frantic diplomatic reaction played out, the man in the middle of it all headed to the golf course – calm at the centre of the diplomatic storm he created as his allies swirl around him.
Sir Keir Starmer is straining his diplomatic sinews to simultaneously praise Donald Trump’s efforts to end the war in Ukraine, while repeating calls for a completely different approach – one which ends the cosy bonhomie with Vladimir Putin, threatens the Russians with sanctions, and puts the Ukrainians back centre stage.
If that’s a message which feels like quite a stretch in writing, in person, during this morning’s call of international leaders, it must have been even more awkward.
Donald Trump‘s public dismissal of the Europeans’ previous calls for a ceasefire – after his tete-a-tete with Putin – has only highlighted divisions.
Of course, the prime minister and his European allies have no choice but to keep their criticism of the Alaskan summit implicit, not explicit.
Image: Donald Trump and Vladimir Putin after their private meeting in Alaska. Pic: Reuters/ Kevin Lamarque
Even as they attempt to ramp up their own military preparedness to help reinforce any future peace deal, they need President Trump to lead the way in trying to force President Putin to the negotiating table – and to back up any agreement with the threat of American firepower.
For Downing Street, President Trump’s new willingness to contribute to any future security guarantee is a significant step, which Starmer claims “will be crucial in deterring Putin from coming back for more”.
It’s a commitment the prime minister has been campaigning for for months, a caveat to all the grand plans drawn up by the so-called Coalition of the Willing.
While the details are still clearly very much to be confirmed, whatever comments made by Donald Trump about his openness to help police any peace in Ukraine have been loudly welcomed by all those present, a glimmer of progress from the diplomatic mess in Anchorage.
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Of course, the promise of security guarantees only means anything if a peace deal is actually reached.
At the moment, as the European leaders’ bluntly put it in repeating Donald Trump’s words back to him: “There’s no deal until there’s a deal.”
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8:31
Wallace: Putin ‘laughing all the way home’
Fears of Zelenskyy being painted as warmonger
There is clearly real concern in European capitals following the US president’s comments that the onus is now on Volodymyr Zelenskyy to ‘do a deal’, that the Ukrainians will come under growing pressure to make concessions to the Russians.
As former defence secretary Ben Wallace said: “Given that Donald Trump has failed to deliver a deal, his track record would show that Donald Trump then usually tries to seek to blame someone else. I’m worried that next week it could be President Zelenskyy who he will seek to blame.
“He’ll paint him as the warmonger, when in fact everybody knows it’s President Putin.”
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The European leaders’ robust statements describing the “killing in Ukraine” and Russia’s “barbaric assault” are an attempt to try to counter that narrative, resetting the international response to Putin following the warmth of his welcome by President Trump – friendlier by far than that afforded to many of them, and infinitely more than the barracking President Zelenskyy received.
They’ll all be hoping to avoid a repeat of that on Monday.