Health: Tick-borne Encephalitis

Debate between Baroness Blackwood of North Oxford and Baroness McIntosh of Pickering

Tuesday 5th November 2019 Lords Chamber

[Baroness Blackwood of North Oxford]

I thank the noble Lord for that question, although I generally identify as a noble Baroness. We are continuing surveillance studies for TBEV in ticks and wildlife, and we plan to monitor its prevalence, distribution, maintenance and spread in the UK to ensure oversight of the situation. We have based our understanding of the risk assessment on recent experience in the Netherlands, where TBEV was recently identified. The estimated risk there of Lyme disease from a tick bite is 1:50, while the estimated risk of TBEV from a tick bite is 1:500,000. As regards us doing enough work, we have a national contingency plan written to deal with vector-borne diseases and understanding the effect of climate change, which gives us a sense of the challenges that we face.

[Baroness McIntosh of Pickering (Con)]

My Lords, will my noble friend recognise the work of the national Encephalitis Society, which is based in Malton in North Yorkshire, of which I have the honour to be a vice-president? Will she update the House on what work has been undertaken to help doctors identify the difference between meningitis and encephalitis so that the swiftest possible treatment can be given? My husband was one of those who suffered encephalitis in his 20s; many are less fortunate and do not make the recovery that he made.

[Baroness Blackwood of North Oxford]

The noble Baroness is absolutely right, and I am happy to recognise the organisation that she mentioned. In the first place, the tick toolkit and the work of PHE is in place to raise awareness, and work goes into providing advice to professionals so that early diagnosis is possible.

GP Services in Rural Areas

Debate between Baroness Blackwood of North Oxford and Baroness McIntosh of Pickering

Tuesday 2nd July 2019 Lords Chamber

[Baroness McIntosh of Pickering (Con)]

I beg leave to ask the Question standing in my name on the Order Paper and in doing so refer to my interests declared in the register.

[The Parliamentary Under-Secretary of State, Department of Health and Social Care (Baroness Blackwood of North Oxford) (Con)]

My Lords, primary and community care will receive at least £4.5 billion more a year by 2023-24. Incentives have been in place since 2016 to attract GP training to hard-to-recruit areas, including rural areas. NHS England is consulting on allowing digital-first practices to be set up in under-doctored areas and everyone will have the right to digital-first primary care by April 2021, which will provide another way for patients in rural areas to access services.

[Baroness McIntosh of Pickering]

I thank my noble friend for that Answer. She might be aware of last week’s Telegraph report, which shows that almost 2,000 villages are at least three miles from their nearest GP practice. That figure would be higher were it not for the fact that rural practices can dispense medicine where community pharmacies are inviable. Will my noble friend take this opportunity to commit today to specific support for rural general practices over and above what is already in the NHS long-term plan, which has a particularly urban-centric focus? I remind my noble friend that we in rural areas are struggling to get 4G, let alone access to digital medicine.