I know the Minister is aware of the importance of the home help service in the various health board regions, particularly in relation to the aims of health and social gain outlined in the Department of Health's strategy document, Shaping a Healthier Future. There is, as the Minister is aware, quite a divergence in the payments made to those who carry out the home help service, the amount of the budget and the extent of the scheme in the various health board areas.
All health boards allocate a certain amount of money for the scheme but there is a great demand for it. In my health board region, with which the Minister is very familiar, in the financial report for the third quarter of the year, which is the most recent one we received, the vast majority of the budget had already been spent. There might not be any finance to meet new cases in need of the service.
I accept it is primarily a matter for the individual health boards and I have raised the issue with my health board. However, it is also a national matter in so far as it would be desirable to have a more co-ordinated scheme throughout the country. The home help service has both economic and social gains. There is a growing number of elderly people in our communities and it is more cost effective if they can stay at home. The home help service is valuable in that regard. In addition, it is a better social solution for the vast majority of individuals involved. Most elderly people would prefer to stay at home if they possibly could. It is more costly to maintain people in nursing homes or other health board institutions than at home and it is not the desired choice of most people.
The remuneration of those working in the home help service can vary from as little as £1.40 an hour to £4 an hour in parts of the Eastern Health Board area — there is not a set figure in that area. The work clearly receives very low remuneration in some health board areas. People who work in the service often put in more hours than those for which they are paid. They develop a genuine rapport with those whom they look after and sometimes give their time without any remuneration.
It is essential to look at the scheme at health board and Department level to ensure its advantages for the individuals concerned and the economy and that we get the best possible options for meeting individuals' needs. Staying in their own homes with a home help, in addition to the other necessary services such as nursing, will prove to be the preferred option of many people. The home help service is greatly valued and under used.
Unfortunately, due to financial constraints some home helps find themselves without patients. In my health board area the yearly allocation is £511,000 and because the budget is practically used up new cases are not being taken on. Consequently, some home helps who have worked with the service are considering working privately. It would be a shame to lose their services because the health board cannot afford to employ them.
For the reasons I have outlined, I would welcome the Minister taking whatever action he can at national level to ensure this valuable service can be continued and, more importantly, developed in accordance with the growing needs of elderly people, in particular, and the desirability of keeping those people in their own homes.