Article and video. The Guardian reports a Department for Health and Social Care spokesperson saying there is “no foundation” to claims that the government plans to bring social care under the umbrella of the NHS. But rumours are widespread enough that the denial comes at the end of a longish article on the claims. The Guardian has since covered the possibility fairly extensively, as have other media outlets.
We want social care made a free public service, publicly-owned and provided, with its staff on secure public-sector pay and conditions.
Health and care campaigners are divided on the general issue of NHS/care integration. Last year’s Labour conference voted both that “our publicly-owned NHS needs to be fully integrated with Social Care systems which should all… be public”; and that “consequences of marrying social care to the NHS include medicalisation, isolation, indignity, maltreatment; bringing social care under a struggling NHS umbrella is not the answer.”
Most campaigners are to one degree or another sceptical, at least on the basis of what it would mean when social care is extensively privatised, radically fragmented and in a partial state of collapse. “We have to say that the state of social care, its fragmentation and privatisation, means that at present there is nothing acceptable for the NHS to integrate with”, as Keep Our NHS Public’s John Lister put it at a recent conference on social care.
We need more debate in the labour movement about the relationship between social care and the NHS, going beyond undefined buzzwords like “integration”. But no relationship will work well unless on the basis of the kind of policy Labour Party conference has called for – comprehensive public ownership of care.