Policy
Social care is the most complex and underfunded challenge in British domestic policy. Marc brings clinical expertise and committee experience to a debate that too often generates heat without light.
As a member of the Adult Social Care and Health Select Committee at RBKC, Marc has seen at first hand the gap between the policy conversation in Westminster and the daily reality of care commissioning at a local authority level. That gap is wide. The national debate about social care tends to focus on funding models and who pays. The local reality is about workforce, quality, continuity of care, and the fragmented handoffs between NHS discharge teams and social care providers that leave vulnerable people falling through the cracks.
Marc's clinical background gives him an unusual perspective on this. He understands the neurology of dementia, the pharmacology of the conditions that drive the highest social care demand, and the evidence base for interventions that genuinely reduce the burden on the formal care system.
He is particularly focused on preventative investment: the case for spending earlier in the care pathway to reduce crisis admissions and the acute costs that follow. He is also attentive to the workforce question, which he regards as the most underappreciated constraint on social care quality. No funding model works if there are not enough skilled, fairly paid care workers to deliver it.
Marc intends to bring the same evidence-first approach to the national debate on social care that he applies in his committee work at RBKC.