Baroness Thornhill

Local authorities are under statutory duties to safeguard adults in their area with care and support needs from abuse and neglect. This includes making enquiries, or causing others to do so, if it believes that an adult in its area, with care and support needs, which may include learning difficulties or cognitive impairments or both, is experiencing or at risk of abuse, including sexual abuse, or neglect, and as a result of those needs is, or would be, unable to protect themselves.

Care Quality Commission (CQC) registered care providers are also required to adhere to the CQC fundamental standards, set out in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, which include that service users must be treated with dignity and respect, and must have their support provided in a way that reflects their preferences. The CQC’s guidance on this legislative framework says that when providing intimate or personal care, a provider must make every reasonable effort to make sure that they respect people's preferences about who delivers their care and treatment. This may include requesting staff of a specific sex.

Client Level Data is the first national collection of individual social care records, and this data is collected by the Department from local authorities, rather than care providers. The purpose of the 2023 Directions is to assist the Department in its functions, in particular by enabling key aspects of adult social care service provision to be analysed and reported on at a national level. Local authorities are required to collect information about gender, but that does not preclude them from collecting other information from service users such as on sex, including where this is necessary for them to discharge legal obligations.

The Department has not made an assessment of care providers’ ability to supply single-sex services. We expect Care Quality Commission (CQC) regulated care providers to adhere to the CQC’s fundamental standards, set out in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, which require service users to be treated with dignity and respect. The CQC’s guidance on this legislative framework says that “When providing intimate or personal care, providers must make every reasonable effort to make sure that they respect people's preferences about who delivers their care and treatment”. This may include requesting staff of a specific sex.

Existing council boundaries should be considered the building blocks for new unitary councils, but where there is a strong justification more complex boundary changes will be considered.

The statutory invitation letter of 5 February sent to leaders of all councils in two-tier areas and neighbouring unitaries set out the criteria against which proposals will be assessed and decisions made on whether proposals are to be implemented. The criteria includes that proposals should be for a sensible geography which will help to increase housing supply and meet local needs.

There is a strong case for greater regulation of managing agents. Too many leaseholders suffer from poor quality services and abuse at the hands of unscrupulous agents, and management of some buildings has become a more complex operation. As set out in the Written Ministerial Statement of 21 November 2024, the Government will therefore strengthen regulation of managing agents to drive up the standard of their service. As a minimum, this should include mandatory professional qualifications which set a new basic standard that managing agents will be required to meet. We will consult on this matter next year.