spent in strathclyde. than a point spent in strathclyde. camp the prime minister explained to the people of strathclyde and across scotland why he is now going after the points in their pockets to solve a social care problem at westminster that has failed to fix problems in croydon and right across england? if there point is really of less value, then why are we paying the price? is then why are we paying the price? is the prime minister willing to stand up the prime minister willing to stand up and extend to families in scotland why we are being hit by another tory poll tax? this the nhs is a uk institution and we all proud of it and we are proud of what nhs scotland does as well. and he is completely wrong in what he says about those who pay this tax, the burden. most heavily on those who have more and the richest 14% pay at least half the taxation.

as i have explained to the house, there is a massive union dividend of £300 million across the whole of the united kingdom and the whole of the uk will find more money for health and social care, that, i think, uk will find more money for health and social care, that, ithink, is what people of scotland will understand.— what people of scotland will understand. , ., , understand. there will be millions of --eole understand. there will be millions of peeple right — understand. there will be millions of people right across _ understand. there will be millions of people right across the - understand. there will be millions of people right across the country| of people right across the country who are so relieved today that at last health and social care is going to be resolved. but can the prime minister reassure the many people who are very concerned about early intervention, providing support for families with the very youngest in our society so they too can have healthy lives and fulfilled lives throughout the united kingdom? i want to thank my right honourable friend for everything she does on this issue of early years, we have campaigned on this together and i

know that my noble friend, the chancellor is keen that those first three years benefit society massively. three years benefit society massively-— three years benefit society massivel . �*, , ., three years benefit society massivel. �*, , ., ., massively. let's set aside for a moment of _ massively. let's set aside for a moment of the _ massively. let's set aside for a moment of the prime - massively. let's set aside for a | moment of the prime minister's unrivalled record on reneging on promises, but today he has chosen what i believe to be the least progressive option to fix both our health and social care system. it is unfair between generations, it is unfair between generations, it is unfair between generations, it is unfair between individuals and it is unfair between individuals and it is unfair between individuals and it is unfair between those who derive their income from assets or from work. he is ignoring a raft of better alternatives, raising income tax, dividends tax being equivalent to income tax on capital gains tax. why? to income tax on capital gains tax. wh ? ., , , ., ,., ., why? for the simple reason i gave earlier on. — why? for the simple reason i gave

earlier on, that _ why? for the simple reason i gave earlier on, that none _ why? for the simple reason i gave earlier on, that none of _ why? for the simple reason i gave earlier on, that none of those - earlier on, that none of those measures raise anything like the funding that we need. i have explained that very clearly in the house and i think colleagues and the country understand and people are suspicious, they know this country has gone through a huge disco impact on the pandemic and the government has put its arm around people and spent £4] billion. they would be very suspicious that governments can get the nhs back on its feet about some of serious responsible fiscal effort and that is what we are doing. i effort and that is what we are doinu. , effort and that is what we are doin. _ , , ., effort and that is what we are doini _ , , ., effort and that is what we are doin. , ., ., doing. i pay tribute to him for irl- imi doing. i pay tribute to him for gripping this _ doing. i pay tribute to him for gripping this issue. _ doing. i pay tribute to him for gripping this issue. we - doing. i pay tribute to him for gripping this issue. we are i doing. i pay tribute to him for| gripping this issue. we are not doing. i pay tribute to him for. gripping this issue. we are not in government forfear of gripping this issue. we are not in government for fear of doing something that offends others. i thank you for the plans set out, but want to ask him on behalf of my constituents in the spiral of rising care costs, as we develop this new

system he has promised, can i urge the prime minister and health secretary to consider those for whom this is their present, notjust those looking many years into the future? i those looking many years into the future? . , , ., ., future? i absolutely agree with what he sa s future? i absolutely agree with what he says and — future? i absolutely agree with what he says and that _ future? i absolutely agree with what he says and that is _ future? i absolutely agree with what he says and that is the _ future? i absolutely agree with what he says and that is the tragedy - future? i absolutely agree with what he says and that is the tragedy of i he says and that is the tragedy of decades of failure to tackle this. people are now facing these costs. but what we are doing is investing about £6 billion with dealing with the immediate costs of social care to help people through this difficult time, but what this package offers is a way of developing a long—term solution, enabling the private sector to come in and give people a long—term plan to fix the costs of their own social care, knowing that the government will remove the risk of those catastrophic costs. that is the advantage of what we're doing today.

mr speaker, putting aside the unfairness of the national insurance tax rise, which he is proposing, isn't cap on expenditure really going to be his poll tax? i say that because in his constituency, the average house prices 500,000 whereas in mine it is 180,000, so that will mean those in his constituency will have more left than those in my constituency per family. have more left than those in my constituency perfamily. it have more left than those in my constituency per family. it is not about levelling up, is it, prime minister? it is doubling down on everything wrong and once again the poorest will pay the most. this everything wrong and once again the poorest will pay the most.— poorest will pay the most. this is a massively progressive _ poorest will pay the most. this is a massively progressive measure - poorest will pay the most. this is a | massively progressive measure and increases the floor on people's liabilities four times and protects people up and down the country from catastrophic costs which anybody can

face and everybody across the country will benefit, not only an investment in social care, in care workers, but also in making sure we deal now and properly with the nhs backlogs with the effect on the nhs, which is what i think this country wants to see. we which is what i think this country wants to see.— which is what i think this country wants to see. we will run this for around now— wants to see. we will run this for around now so _ wants to see. we will run this for around now so please _ wants to see. we will run this for around now so please let's - wants to see. we will run this for around now so please let's try i wants to see. we will run this for. around now so please let's try and around now 50 please let's try and rush on— around now 50 please let's try and rush on and — around now 50 please let's try and rush on and get— around now 50 please let's try and rush on and get through _ around now 50 please let's try and rush on and get through it. - around now so please let's try and rush on and get through it.- rush on and get through it. during summer recess, _ rush on and get through it. during summer recess, i— rush on and get through it. during summer recess, i spent _ rush on and get through it. during summer recess, i spent a - rush on and get through it. during summer recess, i spent a week i summer recess, i spent a week looking after my father with alzheimer's, as my mama had a respite holiday. i pay tribute to all of those who look after their loved ones in similar circumstances and those who work in the care service. i certainly welcome the prime minister's statement today. can i seek assurances that through the health and social care levy will go to —— money will go to local

services that fund the nhs? absolutely, this is a levy that will ensure the funds that are fixed for social care go to social care and make sure we deal with the problem, because this will not be dispensed by the nhs but by the treasury in the normal course of government spending. i the normal course of government siendini. ., ., ., the normal course of government siendini. . . . . the normal course of government siendini . ., ., ., ., , spending. i am a carer and have been a carer for most _ spending. i am a carer and have been a carer for most of— spending. i am a carer and have been a carer for most of my _ spending. i am a carer and have been a carer for most of my life. _ spending. i am a carer and have been a carer for most of my life. like - a carer for most of my life. like millions of others, caring for their elderly, ill or disabled family members, i have desperately wanted a plan to fix the country's social care crisis after the conservatives failed to implement the lib dems plan in 2014. this is not that plan. where is the plan for the care staff to fill the 120,000 vacancies so there are people to provide the

care? where is the plan for working age adults care, care for physical and learning disabled adults? the fastest—growing care challenge. where is the plan for the crisis facing millions of unpaid family carers that the prime minister always forgets? and what is his message to the unpaid, the young and small business owners hit by covid who now faces unfair tax? this prime minister does not have a globe and fairness and he just does not care! i don't think in a long career listening to liberal democrat opportunism, i have heard anything so absurd. he calls for more funding and then attacks the government for actually providing the wherewithal to do exactly what he wants. we will be ensuring we are spending half £1 billion supporting carers, 700,000 more training places and the plant

supports —— the plan supports up and down the country, notjust a plan for the elderly. down the country, not “ust a plan for the elderlyh down the country, not “ust a plan for the elderly. reform social care has been dogged _ for the elderly. reform social care has been dogged for _ for the elderly. reform social care has been dogged for decades - for the elderly. reform social care - has been dogged for decades because successive governments... successive governments... have put it in the too difficult box, so can i congratulate the prime minister on delivering on our commitments and his commitment and can i ask him to ensure that as well as the money, we integrate properly the nhs with social care so that people can get the dignity that they deserve chris back the dignity that they deserve chris baci ., ~ the dignity that they deserve chris baci ., 4' , the dignity that they deserve chris bac ., , . ., the dignity that they deserve chris baci ., , . ., the dignity that they deserve chris baci ., ,, , . ., ., back thank you very much and i want to thank him — back thank you very much and i want to thank him for— back thank you very much and i want to thank him for that _ back thank you very much and i want to thank him for that because - back thank you very much and i want to thank him for that because he - to thank him for that because he played a major part in the gestation of these policies and he knows and he knows them well, and he has been

massively encouraging to the government over the course of the last few weeks, so what we must do is bring forward the white paper on the integration. of course, this will be difficult but it must be done and we must have a system whereby people can work across both the health sector and the care sector in an integrated way. and we have got to have single budget holders and ensure we have single electronic records in both health and social care. these are things that need to be fixed and we must ensure people are cared for appropriately and in the right setting, mr speaker, which is why we are bringing forward the white paper. are bringing forward the white pa ier. ~ , ~' ., paper. the prime minister will know that a number— paper. the prime minister will know that a number of— paper. the prime minister will know that a number of young _ paper. the prime minister will know that a number of young people - paper. the prime minister will know that a number of young people are i that a number of young people are carers for their elderly residents and family members, and my mother suffered complex illnesses and without the carers, the number of

issues would not have been picked up on. what has the prime minister done at the high number of vacancies in the care sector and will he be honest that this plan has no impact on addressing that vacancy problem? i think this plan does address the problems of the care sector, because in addition to the £6 billion we have put into supporting local government with social care during the pandemic, putting another £500 million into supporting the care workforce, another 700,000 training places we are investing in, but we are also trying to make sure that those who become carers, wonderful people and i thank everyone she has done, get the progression and career structure they need and understand how valued and respected they are. mr speaker, the public will welcome

the certainty that is in the announcement today, particularly down to the law, but it is time we had an informed debate about the nature of old age now we are all living longer, and it is betterfor all of us and we can make lifestyle encourages for that. will he have housing models to encourage this debate? ., , housing models to encourage this debate? . , , , ., debate? that is completely right and that is why one _ debate? that is completely right and that is why one of _ debate? that is completely right and that is why one of the _ debate? that is completely right and that is why one of the things - debate? that is completely right and that is why one of the things we - debate? that is completely right and that is why one of the things we are l that is why one of the things we are bringing in today is housing an innovation fund to make sure that we do care for people in the right settings, because she is completely right, there is no point in having residential care when a domiciliary option would be better, more effective and perhaps less expensive as well. that is exactly the right approach. the patterns of care, the way we do things will change and improve rapidly. way we do things will change and

improve rapidly-— way we do things will change and improve rapidly. prime minister, i think most — improve rapidly. prime minister, i think most people _ improve rapidly. prime minister, i think most people recognise - improve rapidly. prime minister, i think most people recognise if- improve rapidly. prime minister, i think most people recognise if we| think most people recognise if we want more services, we have to pay more. but if we are going to pay, at least it should be fair. and despite your claim that this is a progressive tax, it is not, it is a flat rate tax and the benefits will go to rich people, and those with less will be subsidising, and of course, young people and employers at a time and we are trying to create morejobs are at a time and we are trying to create more jobs are going to feel it. can i ask you... ? i’m create more jobs are going to feel it. can i ask you... ?_ it. can i ask you... ? i'm not responsible _ it. can i ask you... ? i'm not responsible and _ it. can i ask you... ? i'm not responsible and i _ it. can i ask you... ? i'm not responsible and i don't - it. can i ask you... ? i'm not responsible and i don't want| it. can i ask you... ? i'm not. responsible and i don't want to it. can i ask you... ? i'm not- responsible and i don't want to be responsible and i don't want to be responsible for responsible and i don't want to be responsible fo— responsible and i don't want to be res-onsible fo , _, ., responsible for this, come on, prime minister. responsible for this, come on, prime minister- sit — responsible for this, come on, prime minister. sit down, _ responsible for this, come on, prime minister. sit down, sammy. - responsible for this, come on, prime minister. sit down, sammy. i- responsible for this, come on, prime minister. sit down, sammy. iwant i responsible for this, come on, prime | minister. sit down, sammy. iwant to thank the minister. sit down, sammy. iwant to thankthe right— minister. sit down, sammy. iwant to thank the right honourable _ minister. sit down, sammy. iwant to thank the right honourable man - minister. sit down, sammy. iwant to thank the right honourable man and l thank the right honourable man and he is a fine representative to his constituents. the burden falls on

those who can afford to pay and will help deal with current waiting lists in northern ireland which are excessive and must come down. the nhs has excessive and must come down. iie: nhs has been excessive and must come down. "iie: nhs has been outstanding excessive and must come down. ii2 nhs has been outstanding during excessive and must come down. i““i2 nhs has been outstanding during this pandemic, however, as the prime minister has said, there is now a large waiting list of people needing treatment. as a hospital doctor, i am priestley met delighted about the increased investment in the health service, but —— i am delighted. what is a government doing to increase the numbers of medical and nursing staff? . ., , , , the numbers of medical and nursing staff? i i, , , , i, staff? recruiting massively in our nhs staff, mr _ staff? recruiting massively in our nhs staff, mr speaker, _ staff? recruiting massively in our nhs staff, mr speaker, and - staff? recruiting massively in our nhs staff, mr speaker, and i - staff? recruiting massively in our| nhs staff, mr speaker, and i think i'm right in saying that as i stand here today, there are now 11,600 more nurses in the nhs and there were this time last year, mr speaker, and we will go on and deliver on our manifesto commitment to recruit 50,000 more nurses. having been a care worker, i know it

is a hard and skilled job, one that deserves decent pay and recognition, not a tory tax hike. does the prime minister really believe his tax hike, which will fall on the shoulders of care workers, is anyway to reward the heroes that have got us over the last 18 months? yes. to reward the heroes that have got us over the last 18 months? yes, mr sieaker, us over the last 18 months? yes, mr speaker, because _ us over the last 18 months? yes, mr speaker, because the _ us over the last 18 months? yes, mr speaker, because the burden - us over the last 18 months? yes, mr speaker, because the burden falls . speaker, because the burden falls overwhelmingly on those who can best afford to pay and benefit from care workers is not only the increases in the living wage but the colossal investment in care and that is something apple benefits notjust care workers but benefit their charges, their patients, people who need care, families who desperately need care, families who desperately need it up and down the country. decade on from deal not and the democratic challengers more intense, and i say to my honourable friend, he is to be commended as the first occupant of downing street to grapple with this immense challenge.

some of the most distressing challenges we face as constituency mps are families caught in the tension between people preparing for discharge. we have families that are confused, bewildered and confused people and courageous reformer can make to this system is putting those who need the care at the very centre of these reforms. i who need the care at the very centre of these reforms.— of these reforms. i think deeply my honourable — of these reforms. i think deeply my honourable friend, _ of these reforms. i think deeply my honourable friend, because - of these reforms. i think deeply my honourable friend, because i - of these reforms. i think deeply my honourable friend, because i thinkl honourable friend, because i think in that intervention, he summed up the heart of the issue that i was trying to explain in my statement. it is their anxiety, the anxiety of tens of millions of families up and down the country who faces uncertainty, both bad finance but also the proper setting for their relatives but we are addressing today. —— both about finance. the today. -- both about finance. the backbone of— today. —— both about finance. ii2 backbone of the social care system is an army of underpaid and

hard—working home carers and carers. how does the prime minister begin to justify to them a tax rise that not only breaks promise but hits them hard in their pockets? mr speaker, because we — hard in their pockets? mr speaker, because we are _ hard in their pockets? mr speaker, because we are investing _ hard in their pockets? mr speaker, | because we are investing massively in that sector, putting £500 million into supporting care workers, investing in training places, 700,000 of them, but also lifting the living wage by record amounts, but above all, valuing care workers, showing respect to them and their careers that i don't believe has been properly shown before by any government. i been properly shown before by any government-— government. i welcome that this iro iosal government. i welcome that this proposal is _ government. i welcome that this proposal is going _ government. i welcome that this proposal is going to _ government. i welcome that this l proposal is going to predominantly fall on the well off and brought shoulders to pay for it. i know my honourable friend has pointed out that those who are earning less than

9500 is pay year do not have to pay for it, but what other mitigating factors can he do to help those with lower incomes pay for this proposal and can he look to continue to raise living wage and cut taxes for lower earners? mr living wage and cut taxes for lower earners? ~ ,,, ., ,, living wage and cut taxes for lower earners? i ,,, ., «i ., «i i. earners? mr speaker, i thank you very much — earners? mr speaker, i thank you very much and — earners? mr speaker, i thank you very much and he _ earners? mr speaker, i thank you very much and he is _ earners? mr speaker, i thank you very much and he is right, - very much and he is right, consistently, to campaign in the way he does follow earners, but what we are doing here is not only increasing the threshold of which you can be liable for paying anything at all, 14,000, mr speaker, to 20,000, which i think is benefits that has not really come out in the conversation and well lifting that minimum for which you can be liable, so that helps people. but also he knows we are increasing the living

wage and i am pleased to say is one of the effects of current rebound in the economy, which is something he will be studying, satirises elite back wages are starting to rise again —— is that wages are starting to rise again. again -- is that wages are starting to rise again-— to rise again. when i was first elected in _ to rise again. when i was first elected in 1997, _ to rise again. when i was first elected in 1997, one - to rise again. when i was first elected in 1997, one of- to rise again. when i was first elected in 1997, one of the i to rise again. when i was first i elected in 1997, one of the first people that came to see me in my surgery is the wife of a man who had been waiting two years for open heart surgery and we are back there again with the waiting list. there was no righteous indignation from the tories when it reached 2 billion before the pandemic, so will the prime minister now permit to dayton hitting the 18 week target for waiting lists —— commit to hitting. and will he cleared the backlog before the end of this parliament? the labour party need to come up with any type of plan at all. every day in this country, plan beats no

plan. we are putting record investment into the nhs, we have a plan to clear the backlog and reduce the backlog is as fast as we possibly can, with this levy, what would they do? and sac, mr speaker, comes then on. they have no answer. for years people have into my surgery sahara stories about the difficulties accessing care and squalid conditions loved ones have to go through in care. can the prime minister show me that it will protect people from having to put loved ones in conditions that not one person in this house would ever want for them love ones? yes. want for them love ones? yes, because in _ want for them love ones? yes, because in addition _ want for them love ones? yes, because in addition to - want for them love ones? yes, because in addition to the i want for them love ones? yes, because in addition to the caps and floors we are introducing to protect people from catastrophic tasks, we are introducing a fair cost of care. thank you. pauljohnson said there

were no good arguments for using national insurance to racist money, and people are disappointed about these plans, but why is it necessary at all? this will raise around £12 million a year, whereas that brexit promise of £350 million a week would more than pay for it. did it ever exist? i i, more than pay for it. did it ever exist? ~ i, , more than pay for it. did it ever exist? i i, , , ., , more than pay for it. did it ever exist? i i, , , i, , exist? whole country understands we have been through _ exist? whole country understands we have been through a _ exist? whole country understands we have been through a pandemic- exist? whole country understands we have been through a pandemic that i have been through a pandemic that obliged treasury to spend £407 billion protecting peoplejobs and livelihoods through furlough and other measures across scotland and that was the right thing to do and people also understand it is the reasonable and responsible thing to do that it should put the nhs back on its feet with funding in need and social care as well, and that is what we are doing. i5

social care as well, and that is what we are doing.— social care as well, and that is what we are doing. is the starting ioint in what we are doing. is the starting point in this _ what we are doing. is the starting point in this discussion _ what we are doing. is the starting point in this discussion not - what we are doing. is the starting point in this discussion not that i point in this discussion not that greater demand for social care is bound to require greater money to pay for it and anyone who does not like these proposals needs to explain what the alternative is, which is unlikely to be clear, simple and popular? secondly, is it not the case that in order to create an insurance market to give even greater assurance to people about their future care costs, we must put a cap on and that is why the cab is most welcome and will he do all he can to ensure that insurance market is stimulated? finally, will he confirm that cap applies to those with care needs regardless of age? yes, i can certainly confirm that he is right on the last point, that the r mac applies regardless and he is completely right in the logical necessity for the cap if we are any hope of the financial sector coming in with the instruments that will

help people reject themselves against the costs up to the limit. that is the virtue of what we are setting out today and what do we hear from the party opposite? deafening silence.— hear from the party opposite? deafening silence. people living with dementia _ deafening silence. people living with dementia and _ deafening silence. people living with dementia and their- deafening silence. people living| with dementia and their families have been particularly affected by the social care crisis. they represent 40% of care home residents and they pay a dementia premium of 15%. on average, they spent £30,000 a year on their care. dementia is obviously an outcome of different diseases which are increasing and we will see more and more people living with dementia. so can i ask the prime minister if you will also fulfil his commitments from the general election prime manifesto —— general election prime manifesto —— general election prime manifesto —— general election manifesto for a dementia at moonshot? we know we can in the same way we have developed a vaccination programme, developed cures for dementia?—

vaccination programme, developed cures for dementia? cheers rights to focus on the — cures for dementia? cheers rights to focus on the issues _ cures for dementia? cheers rights to focus on the issues she _ cures for dementia? cheers rights to focus on the issues she does - cures for dementia? cheers rights to focus on the issues she does and i cures for dementia? cheers rights to focus on the issues she does and it | focus on the issues she does and it is a cruel lottery that won seven faces those costs with dementia and other people different conditions are funded by the nhs. the nhs moonshot continues. flan are funded by the nhs. the nhs moonshot continues.— are funded by the nhs. the nhs moonshot continues. can the prime minister confirm _ moonshot continues. can the prime minister confirm that _ moonshot continues. can the prime minister confirm that this _ moonshot continues. can the prime minister confirm that this funding . minister confirm that this funding injection will go directly into front line nhs services and not middle management and patience will be able to see the tangible benefits from its? , i, i, , i, from its? yes, not only will it go to front line _ from its? yes, not only will it go to front line services, _ from its? yes, not only will it go to front line services, not - from its? yes, not only will it go to front line services, not only i to front line services, not only will go to beating waiting lists, but we will make sure that this money, this massive investment, is accompanied by the reform and change and productivity gain that the nhs needs to see. mr; and productivity gain that the nhs

needs to see-— and productivity gain that the nhs needs to see. my former colleagues were used to _ needs to see. my former colleagues were used to work _ needs to see. my former colleagues were used to work as _ needs to see. my former colleagues were used to work as care _ needs to see. my former colleagues were used to work as care worker. were used to work as care worker sacrificed so much stronger pandemic and now under the prime minister's plan, their pockets will be rated with attacks that will hit hardest those who are older, young and the less well off. does he agree that it is now time for a national care service and a wealth tax to fund its? i, i, i, its? the funding that we need on a scale we need _ its? the funding that we need on a scale we need simply _ its? the funding that we need on a scale we need simply could - its? the funding that we need on a scale we need simply could not i its? the funding that we need on a scale we need simply could not be| scale we need simply could not be raised in the way she describes or in the way the leader of the opposition has vaguely indicated today. i don't think i had a clear description of what he actually intends to do, but i can tell her that of course we want to make sure that of course we want to make sure that people in the caring profession get the support they need, the investment they need, and that is why we are putting money into their training, into supporting carers, but also lifting their wages with the biggest ever increase in the

national living wage and we will continue to support that. can i declare an _ continue to support that. can i declare an interest _ continue to support that. can i declare an interest as - continue to support that. can i declare an interest as the i continue to support that. can i | declare an interest as the chair continue to support that. can i declare an interest as the chair of the appg in local government in thanking my honourable friend for making the tough choices he has made today rather than taking the car mccann down the road, which is what the party opposite did for 13 years —— rather than kicking the can down the road. would be met with the same rigorous reform that will be necessary to make the system viable? i think for what he does and everything he does for local government and we will make sure we bring forward the white paper showing how we intend tojoin up health care and local government in a way that they have not been since the foundation of the nhs more than 70 years ago. the the foundation of the nhs more than 70 years ago-— 70 years ago. the prime minister is behavini 70 years ago. the prime minister is behaving like _ 70 years ago. the prime minister is behaving like father _ 70 years ago. the prime minister is behaving like father? _ 70 years ago. the prime minister is behaving like father? who - 70 years ago. the prime minister is behaving like father? who doesn'tl behaving like father? who doesn't know what he has not delivered in government for the last 11 years. in this house last night —— like father

christmas. while father christmas is at the dispatch box, can he deliver on a government promised to pay for the fund for prescription cannabis for those with epilepsy? i the fund for prescription cannabis for those with epilepsy?- the fund for prescription cannabis for those with epilepsy? i thank her and the prescription _ for those with epilepsy? i thank her and the prescription she _ for those with epilepsy? i thank her and the prescription she asks i for those with epilepsy? i thank her and the prescription she asks for. and the prescription she asks for our already provided on the basis of clinical advice.— our already provided on the basis of clinical advice. there has been much debate about — clinical advice. there has been much debate about how _ clinical advice. there has been much debate about how the _ clinical advice. there has been much debate about how the money - clinical advice. there has been much debate about how the money has i clinical advice. there has been much i debate about how the money has been raised but of more concern is how it will be spent. my fear is that once you start spending on perfectly proper things like the nhs backlog, they will never be a point where there is enough money in this new fund to be transferred to social care that needs it now. you cannot spend same pound twice, so can my honourable friend guarantee that the social care sector will itself see a significant uplift in its support in the immediate future? mr;

significant uplift in its support in the immediate future? my honourable friend who has — the immediate future? my honourable friend who has done _ the immediate future? my honourable friend who has done great _ the immediate future? my honourable friend who has done great work i the immediate future? my honourable friend who has done great work on i friend who has done great work on the subject and i am indebted to him for some of the advice he has given to me personally about how to proceed on this, and he is quite right in what he says. i think the issueis right in what he says. i think the issue is making sure the funding goes where it is needed, but it is specifically ring fenced and investments in social care will be protected by the government and by the treasurer.— the treasurer. there are better ways of doini the treasurer. there are better ways of doing this. _ the treasurer. there are better ways of doing this. mr— the treasurer. there are better ways of doing this, mr speaker, _ the treasurer. there are better ways of doing this, mr speaker, than i the treasurer. there are better ways of doing this, mr speaker, than to i of doing this, mr speaker, than to take money from the less well off in word and the young tagive to better off pensioners, and can i commend to him and my own front bench of the joint health for local government report of 2018 that agreed unanimously that would deliver a system that is sustainable, equitable and rests poor quality and low pay and allows proper integration of health and social care, none of which from i have heard today his proposals would

deliver? ii heard today his proposals would deliver? i, i, i, i, , i, deliver? time and again, labour members have _ deliver? time and again, labour members have stood _ deliver? time and again, labour members have stood up - deliver? time and again, labour members have stood up and i deliver? time and again, labour| members have stood up and said deliver? time and again, labour i members have stood up and said there is a better way to do this without offering a single idea. a plant beats no plan, mr speaker. —— a plant beats no plan. can beats no plan, mr speaker. -- a plant beats no plan.— plant beats no plan. can my honourable _ plant beats no plan. can my honourable friend _ plant beats no plan. can my honourable friend confirm i plant beats no plan. can my i honourable friend confirm that the sums passed to wales under his proposals will not only be ring fenced health and social care, but also that the welsh government will be required to apply the same £86,000 cap as will be applied in england? it would be grossly unfair if care users in one part of the country were to be worse off than one in another. mr; country were to be worse off than one in another.— country were to be worse off than one in another. my honourable friend makes a very — one in another. my honourable friend makes a very important _ one in another. my honourable friend makes a very important point - one in another. my honourable friend makes a very important point and i i makes a very important point and i think members across house will know that the limit, the lower limit in scotland is i think £12,500 at the moment, you're lifting that to

£20,000 as we are now, that is something people in scotland may want to address and is something in wales, the cap of £86,000, people in wales, the cap of £86,000, people in wales will want to say, so i think there is a strong benefit that the whole of the uk should proceed as one. as chair of health all—party group, i have concerns from older adults from across the united kingdom who are in social care and also in the community who kingdom who are in social care and also in the communi_ also in the community who have experienced _ also in the community who have experienced loneliness, - also in the community who have| experienced loneliness, anxiety, isolation from loved ones, bereavement and loss. the british journal of psychiatry had today documented a significant rise in depression in this group. so will the prime minister committed to ensuring that adults in social care and the community have access to adequate mental health services and that those are fully funded? she is