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Health and Social Care Bill

My Lords, I am somewhat horrified that this amendment has been brought before the House at such a late stage. It should have been discussed weeks ago because this matter is of such tremendous importance to the individuals concerned. It is a huge issue. All of us have only one life and if we are disabled we need enormous support to try to make it as normal as possible. Social services departments up and down the country have varying provision for the disabled and the elderly. This is another example of our postcode lotteries. Where you live depends on all sorts of circumstances, but local authorities’ provision differs. As a former chair of social services in the London borough of Richmond, I know that if someone with a huge need, which can incur costs of hundreds of thousands of pounds a year, moves into an authority’s area, it can be very difficult financially to match the provision that that person received previously. This is a very serious issue, and with the best will in the world a social services department might want to match that provision but be unable to do so because it has a very small budget. Some local authorities will have a very low budget for social services due to their demography. The London borough of Richmond, where I was chair of social services, had a big budget because at that time we had the second highest proportion of people over the age of 85 after Worthing. We wore that badge with pride. However, provision can vary among authorities. Although I appreciate the need to sort this out, and clearly people’s needs have to be met if they move to a different area, we must also understand local authorities’ problems in seeking to make that provision. I hope that the Minister will tell us that there is something in the pipeline, such as another discussion, a secondary regulation or a device whereby this matter can be addressed, thoroughly discussed and sorted out because it is a human rights issue for disabled and elderly people.