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The Prime Minister narrowly succeeded in getting MPs to back his new policy to cap care costs in England on Monday evening, which senior Tories declined to back amid criticism the plans were being watered down.
Ministers were unable to say whether the change to the £86,000 cap on care costs would fulfil an election pledge to guarantee no-one would have to sell their home to pay for care.
And backbench Tory critics joined experts and Labour MPs in warning the move to count only individual payments towards the cap, and not local authority contributions, would cost poorer recipients more in assets than the wealthy.
The Government worked to see off a potential defeat in the Commons on Monday evening and MPs backed the amendment 272 votes to 246, majority 26.
But that was a major cut to the Prime Minister’s working majority of around 80 MPs, as 19 Conservatives including former Cabinet minister Esther McVey and ex-chief whip Mark Harper rebelled to oppose the plans – while 68 Tories did not vote for them, either because they abstained or could not vote.
Senior Conservative William Wragg and NHS doctor Dan Poulter were also among the Tories to vote against the change, as were Christian Wakeford and Mark Jenkinson, two MPs who seized former Labour strongholds in the north for the Tories.
Mr Johnson had defended the plans as “incredibly generous” and “much better than the existing system” during an, at times bumbling, speech at the annual CBI conference earlier in the day.
In September, the Government announced that a £86,000 cap on lifetime care costs will be put into place from October 2023.
However, a policy paper last week showed that only personal contributions will count towards that cap for people who receive financial support from a local authority for some of their care.
Experts said that means poorer individuals will reach the cap faster than those who are wealthier and will therefore see more of their assets eaten up by care costs.
The Resolution Foundation think tank warned that people in the North and in Yorkshire are most at risk from having their “wealth wiped out by care costs”, and said the changes approved on Monday would make the reforms worse.
Amid lingering anger on the Tory backbenchers over the handling of the Owen Paterson sleaze row, former chief whip Mark Harper said he would be among those opposing the amendment.
He warned it “potentially disadvantages the less well-off and those of working age with life-long conditions”.
Former justice secretary Robert Buckland urged ministers to “look again” at the issue, and Bury South MP Mr Wakeford said he was uncomfortable with the change “to move the goalposts”.
“Especially when one of the main messages for introducing this levy was ‘You won’t need to sell your house for care’, to get to a point where unfortunately you might need to and (it’s) arguably our least well-off in society, our least well-off voters – again, it’s not something I’m particularly comfortable with,” he told Times Radio.
Labour’s analysis suggested the changes mean the average homeowner in two-thirds of northern areas will have to pay more towards their care, while a third in the Midlands will be worse off.
The Conservative Party manifesto for the 2019 general election said social care reforms must “guarantee that no-one needing care has to sell their home to pay for it”.
But the Prime Minister’s official spokesman was unable to say whether people may still have to sell their homes to pay for care, arguing: “I can’t predict individual situations.”
Sally Warren, the policy director at the King’s Fund health think tank, criticised the change that was “sprung upon MPs with very little notice and with no impact assessment made available”.
“The change to the social care cap is a regressive step that will leave people with low levels of wealth still exposed to very high care costs,” she said.
“It is likely to mean that some people with moderate assets living in poorer areas will still be forced to sell their home to pay for their care, while wealthier people from richer parts of the country will be protected from this.”
Our Chart of the Week shows that while the Government's social care reforms are a big improvement on the current system (a very low bar...) they're now more about insuring the rich, then levelling up. (THREAD) pic.twitter.com/Sv42kLgzxU
— Resolution Foundation (@resfoundation) November 21, 2021
Shadow social care minister Liz Kendall accused the Tories of having broken their electoral promise.
“Instead they voted to tax ordinary working people, while the wealthiest in our country are unaffected,” the Labour MP said.
“Once again Boris Johnson’s failures translate into working people paying the price.”
Under the plans, people with assets of less than £20,000 will not have to contribute anything to their care – up from the current level of £14,250 – while those with assets worth up to £100,000 will be eligible to receive some local authority support, up from £23,250.
The Govt amendment on social care, due to be voted on at 10pm, makes a significant change to how the cost cap works.
It potentially disadvantages the less well off and those of working age with life long conditions.
I will be voting against it.
Here’s why👇 🧵 (1/3)
— Mark Harper (@Mark_J_Harper) November 22, 2021
MPs have another opportunity to debate the amended Health and Care Bill on Tuesday before it is expected to receive extended scrutiny in the House of Lords.