Dáil Éireann Debate, Wednesday - 28 April 2004
70 Mr. Costello asked the Minister for Social and Family Affairs when the promised consultation document on the benefit design, delivery, cost and financing of long term care will be published; when the subsequent consultation process is expected to commence; when it is likely to be concluded; and if she will make a statement on the matter. [12040/04]
Amharc ar fhreagra89 Mr. Sargent asked the Minister for Social and Family Affairs if consideration has been given to the analysis of the recent CSO statistics on caring by Age Action Ireland. [12098/04]
Amharc ar fhreagra122 Mr. Kehoe asked the Minister for Social and Family Affairs if she has given consideration to establishing a national carer’s database with the aid of the Central Statistics Office. [12170/04]
Amharc ar fhreagra125 Mr. Penrose asked the Minister for Social and Family Affairs the progress that has been made in her consideration of the 15 recommendations contained in the report, “The Position of Full-Time Carers”, of November 2003 from the Joint Committee on Social and Family Affairs, specifically, the recommendation for the abolition of the means test for the carer’s allowance; if her consideration of the report will be expedited, especially in view of the recent census figures showing that unpaid help for a family member or friend was being provided by nearly 150,000 carers; and if she will make a statement on the matter. [12036/04]
Amharc ar fhreagra136 Mr. P. McGrath asked the Minister for Social and Family Affairs the proposals she has to change the eligibility criteria for carer’s allowance, particularly for persons in receipt of a social welfare payment prior to making application for carer’s allowance; if consideration will be given to the need for introduction of an income disregard for those in receipt of a social welfare payment who subsequently qualify for carer’s allowance; and if she will make a statement on the matter. [12169/04]
Amharc ar fhreagra139 Mr. Durkan asked the Minister for Social and Family Affairs if she will relax the means test for carer’s allowance; and if she will make a statement on the matter. [12106/04]
Amharc ar fhreagra210 Mr. Durkan asked the Minister for Social and Family Affairs if she will extend the carer’s allowance with particular reference to the need to alleviate hardship to the wider group of carers who provide the service; and if she will make a statement on the matter. [12324/04]
Amharc ar fhreagraI propose to take Questions Nos. 70, 89, 122, 125, 136, 139 and 210 together.
The provision of support to carers has been a priority objective of Government since 1997. Over that period we have significantly improved the position of carers through improvements each year in the scheme and this will continue to be a priority.
The report of the Joint Committee on Social and Family Affairs makes a range of recommendations, many of which relate to my Department and a number of which concern the Department of Health and Children. I am always prepared to consider changes in existing arrangements where these are for the benefit of recipients and financially sustainable within the resources available to me. In this regard, the abolition of the means test for carer's allowance could cost in the region of €180 million. This is not feasible in present circumstances and, in any event, it is questionable whether it would be the best use of such resources in the light of other demands.
The committee also made recommendations on other policy and administrative matters which my officials are examining. As regards paying carer's allowance concurrently with another social welfare payment or introducing a "disregard" in respect of that payment, the primary objective of the system is to provide income support and, as a general rule, only one social welfare payment is payable to an individual. Persons qualifying for two social welfare payments always receive the higher payment to which they are entitled.
With regard to a national carers' database, the Central Statistics Office included a question in the 2002 census to identify the number of persons providing unpaid personal care for a friend or family member with a long term illness, health problem or disability. In March this year, the CSO published volume 10 of the census results pertaining to data on people with disabilities and carers. This is a comprehensive document with more than 40 tables of data relating to carers. I have no plans at present to compile further data on carers.
The analysis of this portion of the census found that some 40,500 people provide 43 hours or more unpaid personal help per week, or more than six hours per day; some 23,400 people provide 15-42 hours unpaid personal help per week, or between two and six hours per day; some 84,900 people provide between one and 14 hours unpaid personal help per week, or up to two hours per day.
There are currently approximately 22,000 carers in receipt of carer's allowance or carer's benefit. This means that more than 50 per cent of the 40,500 carers, as estimated by the CSO to be caring for more than six hours per day, are in receipt of a specific carer's payment from the Department of Social and Family Affairs. People providing lower levels of care in terms of time would not necessarily meet all the qualifying conditions for receipt of a carer's allowance.
Deputies will be aware that I launched a study last year on the future financing of long-term care. My Department is finalising the consultation document which aims to focus interested parties on the complex issues we need to address which include benefit, design, delivery, cost and financing which are discussed at length in the report. I intend to have the consultation document issued to all interested parties within a few weeks. A consultation process on the financing of long-term care will follow, the feedback from which will be the starting point for meeting the commitment in Sustaining Progress to examine the strategic policy cost and service delivery issues associated with the care of older people. I hope to establish a working group to conduct this examination in the middle of this year.
I thank the Minister for a comprehensive reply. It is five months since the Oireachtas Joint Committee on Social and Family Affairs issued a unanimous carer's report. Should we not be ashamed of ourselves that in our society 148,754 carers are giving unpaid help throughout the State? Many of these people are over 50 years of age and care in the home for a family member or friend with a long-term illness, health problem or disability. Without that help the health system would collapse. Why can we not provide €180 million for people who provide health care on the cheap for their loved ones and save us many billions of euro? The Minister might say it is not the best use of resources but these people are not in their role for the money. Carers of all kinds want recognition. I recently met a woman caring for a young boy and I confess I would not be able to do her work. However, she is denied a carer's allowance. In a compassionate Christian society surely we can support people like her. We can find €180 million for anything. In her heart the Minister is willing to give it but the Minister for Finance, Deputy McCreevy, should realise there will be a revolution very soon if he does not stop this hard man hatchet approach to financial policy. People who have given their hearts and souls to looking after people want some recognition, not charity.
The respite care grant should be given to everybody. I acknowledge the Minister increased the grant and she has a limited pool of money. If she had more she might distribute it in some of the ways we suggest. We must stop putting this on the long finger. This issue is going to erupt because the carers' patience is being tried. The 15 recommendations in the carers' report are not the be all and end all.
I remind the Deputy that supplementary questions are limited to two minutes.
This matter is so important I could go on for two hours. Will the Minister ensure the committee to advance the consultation process does so within a defined timescale? The Carers Association and the carers who are depending on us to bring them some measure of relief are closely focused on this.
I intend it will work within a short timeframe. I appreciate people have been waiting for this consultation to take place and it should be finalised within the next two or three weeks. Caring is the greatest priority among all the issues about which the Opposition roars.
I agree.
Contrary to what the Deputy may think I have taken into consideration the views of the committee, which are very succinct. We implemented one of its recommendations by providing an information pack through the Carers Association. I have met the association which is considering a caring strategy which will link into our process. We will make further improvements in the carer's allowance scheme. It is not so long since this and carer's benefit were introduced, likewise the respite grant, the free schemes and several other facilities that are to the fore in supporting families. This is particularly true for the elderly but includes young people and those who are disabled. I intend to continue to build on the significant progress that has taken place this year, such as the major increase in the income disregard. I appreciate that people believe it should not be a means-tested scheme. There are priorities and it may come to the stage where we identify one and look at other things later. I appreciate the sincerity of all Members on this issue. It is not an income support, it as income recognition of what people are doing.
Hear, hear.
Does the Minister not accept the irony that the CSO figures on the number of carers represent many of those to whom the State offers a duty of care, as many are over 65 years of age? This goes back to the principle we raised in previous questions. It is not a question of the income of the household. The State should make clear statements to the effect that care is best in an environment where there is a strong personal relationship between the carer and the one receiving care and in a place that is familiar to the person in need of care. It is not a matter of comparing the household income of the carer and the person in need of care. The comparison should be what the cost would be otherwise to the State. On every comparison the State allows its citizens to be cared for at little cost. We must challenge this and put aside the principle of only one social welfare payment. So many need the type of assistance that recognises the role they play within their household settings, personal relationships and on behalf of society.
Many of us on this side of the House are annoyed because our society is ageing and the replacement birth rate is declining, yet the white elephants of political issues are brought into debate, such as who of those born here should be a citizen when we need more births and young people to balance our average age profile between those who give and receive care in the future. When we can address those issues we will have an honest and coherent political system. Until then we will continue to raise these questions regularly with this Minister and her successors.
I look forward to the day when the Deputy will be responding to himself. He has raised several issues, specifically citizenship and replacement and it is true that in the next 20 years we will have a large elderly population. There will be problems with pensions and with caring. We must also be prepared to pay to finance long-term care and provide care for older people, and consider what type of financial incentives to introduce to support people in preparing for that day. I met a group today which is very anxious to pursue the issue of pension policy. Its statistics on our attitude to saving are frightening. Unless we change our attitude to saving for the rainy day and investing in pensions or care plans there will be very serious repercussions and people's expectations will not be met.
The Deputy is right. When I looked at the CSO figures about 50% of those in the caring system are receiving the carer's allowance but the statistics also indicate that there are many people over 65 caring for others. This is one of Deputy Crawford's points. There are older people who, while they do not need to be in care, find themselves in that caring situation. That statistic was invisible until the CSO asked the question. One of the problems we had two years ago was the absence of a database of carers or people involved in caring. It is important that we consider policy initiatives on that basis. This is a live issue, many changes are taking place and more must take place. Priorities must be considered. One would not need to be good at economics to compare the cost of paying a carer's allowance and the cost of institutional care.
I have come across two problems in regard to carer's allowance which could be examined by the working group. The first matter is a simple one. A lady who was getting carer's allowance became ill and was no longer fit to fulfil the role of carer. In fairness to the Department, it did not take the money from her straight away. She wanted to get somebody to take over as carer on a short-term basis until her health improved but it was not possible for her to make provision in this regard. The Minister should examine this matter.
Is there interdepartmental contact between the Departments of Health and Children, Social and Family Affairs and others in regard to the elderly? Will the Minister speak to the Minister for Health and Children on this matter? People who are not getting carer's allowance are not receiving any recognition for their work. That does not make sense. In addition to doing the job for nothing, these people can be told by a health board official that the six hours of home help is being reduced to three hours. That is the worst thing that can happen. As a consequence, people are put into homes which cost €1,100 per week. Is it not preferable to give them an extra two or three hours of home help?
I urge the Minister to examine the possibility of allowing for temporary carers in cases when full-time carers fall ill. This matter should be examined when a review takes place.
The Minister said the scheme is relatively new. However, it has been in existence during most of my time in the House and a great deal of change has been made to it. I am especially concerned that farmers and the self-employed, in particular, are being denied access to the carer's allowance by social welfare officers on the basis of the number of stock they own and so forth. This issue has gone haywire. The Minister referred to an attitudinal problem. There appears to be a problem with the attitude of some social welfare officials. There was no problem some years ago. If it was accepted that a son or daughter was giving full-time care to a parent there was no argument the number of hours or the number of cows on the farm. However, some current cases are causing extraordinary difficulties for families. I ask that the matter be examined as a matter of urgency.
There is no question but that there are many people in full-time employment looking after sizeable holdings. We now have a situation where these people are in the yard one minute and may be called back into the house the next. They are doing what is necessary to provide care for an elderly relative yet some social welfare officers appear to have a hang-up about this and go out of their way to prove that they cannot give full-time care because they are doing more than ten hours work on the farm. The situation is crazy.
I can highlight individual cases to the Minister when times were much tougher. No questions were asked of an individual milking 20 or 25 cows. Such people were granted carer's allowances. Now a person with ten suckler cows in the barn at the back of the house is not supposed to have time to look after a loved one. It is ridiculous.
The Minister pointed out one of the problems we have. I acknowledge some of the improvements she has made. We should be clear about that, although there has always been ballyragging from this side of the House. Many of the people involved in caring are elderly. The person being cared for often ends up in a better situation than the carer. We are denying carers respite and all those things that would give them some help. That is why they feel so aggrieved and angry, especially in view of the denial of a carer's allowance, which is small but salutary in the context of the recognition it provides.
I am aware of a case where a husband and wife were looking after a disabled person. The wife got the carer's allowance. However, on becoming a widow she was no longer entitled to this allowance. This serious anomaly in the system should be rectified. I urge the Minister to rectify the matter so that the carer's allowance would continue to be paid so this woman can look after her disabled relative at home.
We have discussed this issue at length. In those circumstances, a single payment would apply. On that basis, it would be determined if the widow would be better off on the carer's allowance or on a widow's pension. If she is a young widow, the former would be the case. Such a decision would have to be made. That issue has been under consideration. The recommendation is that a half-rate carer's allowance would be paid to widows and widowers.
The issue concerning farmers has been brought to my attention on a number of occasions. We will look at the determination of farming practices.
It is extremely serious.
I accept that. I intend to examine the matter. I promised I would do something in regard to the farm assist scheme a couple of years ago; I did that and I will also examine this issue.
That is good.
The farmers' friend.
That is Deputy Crawford.
The Minister's pet.
No, that is not the case. Wait until I am in Monaghan on Saturday morning. It will not be a case of the Minister's pet after that.
I accept that this is an issue. It has been raised on every parliamentary Question Time. We are examining the matter and hope to draw up a policy initiative in the near future. We are working with the Department of Health and Children on what I — we all — consider to be the best option, the home care subvention scheme.
Written Answers follow Adjournment Debate.
