Burnham says NHS will ‘break’ without social care reform
Burnham claims the NHS won’t survive without social care reform.
Louise Casey is still doing an official review for us, so I will set out the vision, if you like, on Tuesday [in his speech to the conference].
Louise will then help us with the how. How do we make this happen? When can we make it happen?
But what I’m saying to you this morning, Laura, is I am not going to do what others have done and just say, ‘Oh, I’m looking in a different direction. This is all too difficult.’
To be honest with you, broken social care will in the end break the National Health Service if we leave it like it is because staff in the NHS – God love them – staff in the NHS talk of corridor care being an everyday reality in hospitals across England.
And then if I look at the people who cared for my dad, they must just feel invisible to the political class. They work day in, day out with huge, humour and humanity and skill in what they do, keeping a threadbare system, if you like, trying to hold it together, but caring for other people’s parents on poverty pay. How have we let this go on so long?
Key events
Burnham says he expects ‘everyone’ to contribute to cost of social care reform – but not necessarily in same way as for NHS
Kuenssberg put it to Burnham that, if social care was going to be like the NHS, everyone would have to pay out of general taxation.
Burnham replied:
It will be a system of that kind. So everyone contributes, everyone’s covered, but not precisely necessarily in the same way that we currently pay for the NHS. This is for Baroness Casey to advise us on.
Burnham says he will give details of plan for fund adult social care reform later this week, and will be ‘honest’ about choices
Q: Where will the money come from for social care reform?
Burnham says he will say more about this “later this week” (in his speech on Tuesday, he implies).
He goes on:
I won’t do anything [if] I can’t, if you like, look the public in the eye and say, ‘I think this is the right thing to do.’
I am going to show leadership on this on this issue. I will not leave office without giving my all to fixing to fixing this, and I will be honest with people. I’m not going to do any sleight of hand here.
We will set out the issues. I will try to build consensus. I’ve already started cross-party talks and we’ll come back to cross-party talks and I won’t … dodge the difficult questions.
I’m going going to rip the plaster off, if I can put it that way, because someone has to do it.
Burnham rejects claim free social care would cost £18bn, and says people already paying ‘huge’ costs now
Kuenssberg puts it to Burnham that, according to the Health Foundation, a system offering adult social care free at the point of deliver (like healthcare delivered by the NHS) would cost £18bn.
Burnham says the cost is “not that high” (ie, not as high as £18bn).
Q: So how much would it cost?
Burnham replies:
Not that high.
But can I directly deal with this issue of the costs?
Because it’s as if there isn’t a cost at the moment. There is a cost. People are paying care charges now. They are spending tens of thousands of pounds from their savings, sometimes losing their homes. That is what’s happening at the moment.
So to suggest there isn’t a cost to people at this moment in time – there’s a huge cost.
Social care in England is as unfair as American health care, where the most vulnerable in society can lose everything. They can be wiped out not just by the condition that they have, but wiped out financially.
So there is a massive cost, and there is also a cost to the National Health Service, as I said, because there are a huge number of people in hospitals across England every day who are medically fit to be discharged home but can’t be discharged home because the social care isn’t there.
Burnham says NHS will ‘break’ without social care reform
Burnham claims the NHS won’t survive without social care reform.
Louise Casey is still doing an official review for us, so I will set out the vision, if you like, on Tuesday [in his speech to the conference].
Louise will then help us with the how. How do we make this happen? When can we make it happen?
But what I’m saying to you this morning, Laura, is I am not going to do what others have done and just say, ‘Oh, I’m looking in a different direction. This is all too difficult.’
To be honest with you, broken social care will in the end break the National Health Service if we leave it like it is because staff in the NHS – God love them – staff in the NHS talk of corridor care being an everyday reality in hospitals across England.
And then if I look at the people who cared for my dad, they must just feel invisible to the political class. They work day in, day out with huge, humour and humanity and skill in what they do, keeping a threadbare system, if you like, trying to hold it together, but caring for other people’s parents on poverty pay. How have we let this go on so long?
Burnham says social care will ‘only work’ if it is like NHS – but insists reform must happen slowly
Kuenssberg asks Burnam to clarify his position, asking him if he means making social care free at the point of delivery and universal.
Burnham replies:
That is the only way that you can make it work. There is free personal care elsewhere in the UK, in Scotland.
I don’t think it’s right that people in England don’t get the same.
And it’s not something that we’re going to rush. We can’t rush because of what you said at the start of the interview.
The challenge in the public finances is real.
So it has to be done carefully, without putting extra strain on the public purse. But I will bring forward proposals.
Burnham says he wants to reform social care in England so it works ‘on NHS principles’, implying free at delivery point
Q: What are you going to do?
Burnham says for years he has been talking about a national care service.
You have to have a situation where the care system speaks the same language as the health system, because at the moment, social care is charged for, provided, on a very different basis, and the two just don’t connect.
And the worst of all worlds is happening in that the care system is so threadbare it can’t support people in their own homes.
Q: Do you mean free personal care for everyone who needs it in England?
Burnham replies:
I will set out more this week at the conference, and I will set out a timetable as to how we make this reform happen. But I am talking about a system that works on NHS principles.
Burnham says he is determined to ‘grasp the nettle’ on social care
Kuenssberg is introducing Burnham.
Q: In July you said you would sort out social care quickly. Where have you got to?
Burnham says the government is making “really good progress”.
The death of his father, who had Alzheimer’s, has pushed him on, he says.
I’m going to grasp the nettle. On social care, when I was in parliament first time round, in fact when I was a new MP, my gran was going through the care system and as health secretary, I remember saying we shouldn’t let what happened to my grandparents’ generation …
Somebody needs to grasp the nettle. I will be the one to do that, and I realise it might require me to spend some political capital, that it might make me unpopular with some, but that isn’t going to stop [me].
Andy Burnham is being interviewed by Laura Kuenssberg on the BBC.
Kuenssberg starts by looking at the Sunday newspaper front pages. Most of them are not splashing on news related to the Labour conference.
You can see the front pages here.
Labour conference policy announcements so far
Labour has already made three policy announcements at this conference, before the main proceedings have already started. They are:
1) A revived version of “help-to-buy”, called “Your First Home”. (See 8.39am.) In a note explaining the policy, Labour says:
A new equity loan scheme to help first-time buyers to purchase new build homes will be set out by the chancellor at the budget next month, with pre-registration open by the end of 2026.
Support will be targeted to help those without access to the ‘bank of mum and dad’ to get on the housing ladder to buy a modest new build home.
The ‘Your First Home’ equity loan scheme will be open to first-time buyers with just a 2.5% deposit.
It will provide a 20% equity loan to help first-time buyers buy a new build home, with an initial interest-free period to ensure housing costs are affordable.
The scheme will be funded by reprioritising existing government budgets.
Developers will also contribute to the running costs of the scheme, which will give industry confidence to bring forward much-needed, high-quality new homes across the country.
2) Guaranteed jobs for out-of-work young people with disabilities and health conditions. This was announced yesterday, as an extension of the existing jobs guarantee programme. Labour said:
Under the scheme, eligible young people on health benefits will be offered a guaranteed job on a voluntary basis just three months after their work capability assessment.
They will receive mentoring and tailored support with their mental health, finances and housing to prepare them for work from partner organisations, while employers will be supported with onboarding costs.
The government will also cover 100% of wage costs for up to 25 hours a week for six months.
The move marks a significant expansion of the jobs guarantee, a government scheme launched earlier this year for long-term unemployed young people aged 18-24 who have been claiming universal credit for 18 months.
The expansion to young people on health benefits after just 13 weeks, will start from April 2027.
3) Giving councils in England stronger powers to take over empty homes. Announcing this move this morning, Labour said:
Empty Dwelling Management Orders (EDMOs) allow councils to take over the management of long-term empty homes and bring them back into occupation for an initial period of 12 months, up to a total of 8 years, but no applications have been made since 2021.
In the English devolution white paper, the government committed to strengthen local authority powers to take over management of empty properties.
Ministers are today announcing that they will reverse damaging changes made in 2012 by the Tories during the coalition government by:
-reducing the period a property must be empty before it becomes eligible for an EDMO from two years to six months, to prevent homes from falling into serious disrepair and accelerating their return to use.
-removing the evidential requirements for local authorities to provide the residential property tribunal, simplifying the process and empowering local authority empty homes officers to act more decisively and with greater speed.
-exploring further changes to protect local authorities from absorbing the costs they face managing homes subject to EDMOs.
Burnham announces new homes scheme for first-time buyers
Andy Burnham has announced a new help-to-buy scheme aimed at helping first-time buyers who cannot rely on the “bank of mum and dad”, Pippa Crerar reports.
Andy Burnham says he will show he will take ‘difficult but real decisions’ as Labour’s conference starts
Good morning, and welcome to coverage of the Labour party conference. Or the Hope Again conference, as it is being billed here in Liverpool.
As a good Catholic, Andy Burnham (probably) believes in the resurrection and, since he has become prime minister, his party has certainly staged a miraculous recovery. When it met in this city a year ago (at a conference which ended with Burnham’s leadership ambitions becoming the subject of mild mockery from the Starmerites, and much of the media), Labour was about 10 points behind Reform UK and Nigel Farage seemed on course to become prime minister. That is not true any more. On Thursday two MRP polls showed that, with Burnham as Labour leader, Reform UK has suffered a huge setback. More in Common has another out this morning. “More in Common’s latest MRP projects Labour on 250 seats and Reform on 147, a sharp reversal from July’s projection of Reform 293 and Labour 110,” it says.
But what next? That is what the next four days may (or may not) clarify.
Burnham has given an interview to the Guardian’s political editor, Pippa Crerar, and he told her that he wants to show the public that he is willing to take “difficult but real decisions”. Burnham said:
I think the public want to see, number one, honesty about things. So not spin or putting things a certain way that’s self-serving. They want honesty, and then they want, I think, difficult but real decisions.
Not difficult decisions and making a fetish out of that, but actually grasping nettles and then moving things forward. I don’t think politics has been prepared to do that enough in recent times.
Burnham said he would show that he was willing to take these decisions.
Always in politics, there are things that you can do. The question is sometimes: Are you prepared to do them? Yeah, I am prepared to do them.
What all those things are, sadly Burnham didn’t tell Pippa. We will find out on Tuesday afternoon, when he delivers his conference speech. But he has an interview with the BBC’s Laura Kuenssberg coming up soon, and we might learn a bit more from that.
Here is the agenda for the day.
8.30am: Angela Rayner, the housing secretary, is interviewed on Sky’s Sunday Morning with Kate McCann.
9am: Andy Burnham is interviewed on the BBC’s Sunday with Laura Kuenssberg.
11.20am: The Labour conference formally opens in Liverpool.
12.30pm: Lucy Powell, the Labour deputy leader and education secretary, addresses the conference. The other main speakers are Louise Haigh, the first secretary of state, at 2pm, and Pat McFadden, the work and pensions secretary, at 3.15pm.
3.15pm: Wes Streeting, the defence secretary, speaks at a New Statesman in conversation fringe event. Other fringe events include Kanishka Narayan, the AI minister, speaking on preparing workers for AI at 3.30pm; a LabourList rally where Ed Miliband, the foreign secretary, Streeting, and Angela Rayner are due to speak at 4.30pm; and an IPPR in conversation event with Louise Haigh at 4.30pm. You can read the full conference timetable here.
Also, at some point this afternoon Burnham is due to meet his Norwegian counterpart Jonas Gahr Støre.
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