I welcome the motion before the House this evening as it puts the spotlight on a very important issue that affects thousands of families. As a former carer, I appreciate at first hand the dedication, commitment and personal sacrifice required of those who become carers. I also appreciate the sense of isolation involved and it would be hard to read the Private Members' motion without acknowledging that some areas need to be examined in depth. However, as I have done in past contributions to this House, I reiterate that no one has a monopoly on care in the community.
In 1990 a Fianna Fáil and Progressive Democrats Government introduced the carer's allowance, followed by the carer's benefit in 2000 and respite care grant in June 1999. In contrast, Labour, whose motion we are discussing tonight, did not introduce allowances for carers while in government.
The amendment to the motion outlines the Government's track record in providing support for carers, with a 310% increase over the period since its introduction. The number of carers entitled to a carer's allowance has increased by 142% since the previous Government came into office and now stands at 22,300. However, I acknowledge it is not enough and one only has to tune into Joe Duffy's "Liveline" programme any day of the week to hear genuine and often heartrending accounts by carers who do not have access to sufficient respite, who face bureaucratic obstacles in trying to access State services, have difficulties in getting entitlements, are struggling to make ends meet on the carer's allowance and feel isolated, neglected and in some cases let down by the State.
However, the solution proposed by the Opposition is simplistic and flawed. While the proposal to abolish the means test on the carer's allowance might make a good headline, it will not help those who are most vulnerable and in need. If extending the medical card scheme to everyone over 70 has taught us anything, it is that blanket, across the board measures, politically popular at the time, do not necessarily deliver to the public the net benefits anticipated.
In my constituency of Longford-Roscommon we have the highest proportion of carers in the country, 3,763. I am acutely conscious of the limitations of supports that exist for them. The carer's allowance, benefit, respite, home help and nursing home subventions are well intentioned, but they have constraints. While these can certainly be addressed in small part by increasing carer's allowance, while it remains means tested some will always frustratingly just exceed these limits. The families of carers would be more impressed by a better way of organising and financing care services.
With one year already passed since the publication of the Mercer report on financing long-term care and Professor Eamon O'Shea's recommendations on the nursing home subvention scheme, I am anxious for real changes to take place so that the incremental changes that currently occur can be replaced by a redesign of the whole care system. These two reports recognise that a fundamental change is required and not the headline-grabbing proposal to abolish the means test.
In a population of 4 million people, Mercer calculates that 153,000 are in need of some long-term care. This figure will rise in 2011 to 171,000. This means that most of us, whether aged 60 or 90, can look forward confidently to a relatively healthy and independent life. However, for those who need care the worry and stress is very great. Will the State be there to support them? Will personal finance be adequate or will the strain be too much on spouses and families? None of this takes into account the personal trauma associated with losing a loved one. As a society we have failed to deal with the real concern.
Instead of abolishing the means test, we need to think outside the box on the issue and come up with genuinely innovative solutions which address people's needs on an individual basis and recognise that each carer has different needs and should be afforded choice. Our carers form one of the most important and vital components of the health of families in the community. The Government recognises this and the proposal I intend to make is testament to that care. We should introduce a new system for people needing long-term care and their families to give choice and consistency in the provision of care. This could replace the present way of funding home help, the nursing home subvention scheme, the carer's allowance, meals on wheels and the domiciliary care allowance.
Building on the commitment of the Tánaiste at our annual party conference and reiterated on radio last week, we propose that tax revenue available from the SSIA scheme should provide substantial additional funding for the new scheme. It would be straightforward, streamlined and simple. This new scheme would end the inconsistencies that exist across the different schemes, which confuse and frustrate carers and the people for whom they care. While in some instances the entitlements exist, people must overcome bureaucratic red tape to access them. We want to eliminate that entirely.
The new scheme would give greater power and choice to people needing care and to their families. It would support care at home as the primary choice of that care system over the institutional care system we have at present. It would be a financially sustainable and predictable care system, taking away the fear of the financial and family burdens associated with long-term care. This proposal if implemented would mean that people who need care would be given the resources depending on their level of medical need, which they could use as they wish to purchase a mix of home help, payments to family carers, nursing home care, respite care, meals on wheels or whatever else they needed. Such a model successfully operates in Austria.
While providing choice is not necessarily an additional cost, in theory it would be a reorganisation of spending based on the cared-for person's choice accompanied by additional resources to show increased support for carers and people needing care.
Additional resources would come from the money the Government saves from the SSIA scheme, which will end in April 2007. After this, all the tax revenue, which is now credited to the SSIA accounts, will be counted in the national accounts as revenue. Budget 2007, which will be delivered in December 2006, will therefore be able to count on two thirds of the SSIA tax revenue and the following year's budget can count on the full amount. While using this revenue for a spending programme will significantly raise spending levels, it will not affect the general Government balance as the revenue is not counted before it is credited to the SSIA.