(3 years, 5 months ago)
Lords ChamberMy Lords, I declare my interests as a vice-president of the Local Government Association, a co-chair of the All-Party Parliamentary Group on Bullying, and a patron of the Traveller Movement.
I wish a happy birthday to the noble Baroness, Lady Morris, and the noble Lord, Lord Coaker. I offer many congratulations to the noble Baroness, Lady Morris, on securing this wide-ranging and important debate and for her wonderful introduction. She was right to say that Covid’s effect on children is not a competition; many others have been severely affected by it through health, wealth or disruption to the public services they receive. But we, this adult generation, hold our country and our world in stewardship for future generations—something we are not too good at, as they rightly often remind us. The support that our children get today to help them to catch up with their wealthier, healthier counterparts is vital, and this Government have a heavy responsibility to bear. The noble Baroness, Lady Blower—how good it is to have her expertise in your Lordships’ House—reminded us that 4 million children and young people are trapped in poverty and that these numbers have and will increase during the pandemic.
We have heard from others about the problems of schooling during lockdown—whether it is the experience of the noble Baroness, Lady Wyld, of home schooling her daughters, or the Minister’s announcements of free laptops not matching the reality across the country—and about the extraordinary dedication of our teachers and school staff, who ensured that children were taught online while at the same time preparing to reopen under complex, constantly changing, strict guidelines that often were not appropriate for their school settings. From these Benches, we also note that the Government had to be embarrassed by Marcus Rashford into providing school meals during the holidays and that school staff also got food and support right to the front doors of these extremely vulnerable children during lockdown. This went well above and beyond their staff responsibilities, and we salute them. Can the Minister say whether the lessons, cross-department, have been learned from the clumsy mishandling of support to the poorest people and their children, and that it will never happen again? The best way of thanking these school staff and governors is to ensure that these problems are never repeated.
The Department for Education’s recovery plan was shot down in flames within 24 hours of the funding announcement with the shock resignation of Sir Kevan Collins. The well-respected education recovery tsar rightly said that a fund that provided only 10% of the amount he estimated is needed for levelling up again is no fund. It spoke volumes about the Government’s commitment to their manifesto promise of helping the poorest children in the most disadvantaged areas—and not in a good way. As bank managers used to say about bad cheques, the words and the figures do not agree. I echo my noble friend Lady Garden’s demand for fewer words and more action, right now.
My noble friend Lord Shipley reminded us of the National Audit Office view of the Department for Education’s proposed catch-up funds, as well as other areas of unequal support—especially those in left-behind areas. He also wisely proposed that catch-up spending should be regarded as capital, not revenue spending, because of the long-term benefits to our economy, as today’s beneficiaries become the drivers of our future economy.
The noble Lord, Lord Shinkwin, and the noble Baroness, Lady Uddin, both talked about the specific difficulties faced by disabled children and young people. During a Question earlier this week, I asked the Minister if she would ensure that specialist catch-up funding for these children, as outlined by the Disabled Children’s Partnership, will include speech and language therapy, and physical and occupational therapy, which they have missed for a year. They provide the most vital bedrock of opportunity for such children to be able just to communicate, to learn and to play. To suggest that money is available in a general fund is not good enough. Unless there is specific funding, and the £400 million for the social care support needs of these children, it will never be a top priority. Those of us who live with disabilities have learned that support is always at the back end of the queue, and rarely are there funds left to help these children.
There is an urgent need for children with major underlying health conditions to have access to delayed operations and procedures as soon as possible. Waiting for these interventions often prevents them being able to participate in school and in society. There is also a backlog of the minor surgery and health appointments that are key to very young children being able to learn. Those with, for example, glue ear, who find communication difficult in class, will be held back until they are treated. This must be a priority.
One good piece of news is that evidence of in-person bullying has reduced, which is perhaps not surprising with lengthy lockdowns. But unfortunately this is balanced by evidence of cyberbullying, especially pressuring young people to take inappropriate photos of themselves which are then widely circulated online, which shows the threat of cyberbullying.
In this, Gypsy, Roma and Traveller History Month, the noble Lord, Lord Bourne, was right to remind us of the particular problems that GRT children face, not only in education but in discrimination. A pre-pandemic joint meeting of the All-Party Parliamentary Groups for Gypsies, Travellers and Roma and on Bullying heard evidence not just of GRT children being bullied by other pupils but, shockingly, bullied by their teachers too. GRT children and adults already face extreme inequalities and this needs to be remedied, including the education of some professionals who should know better and be there to help them.
My noble friends Lady Garden and Lady Tyler, as well as other Peers, both talked about the vital importance of properly funding early years, whether in more formal settings, such as nurseries and reception classes, or childcare support for parents. Early years support must form a central plank of the Government’s Covid recovery and afterwards. It is vital if levelling up is to happen. I hope that the Minister can explain why some parents who do not earn enough are not eligible for childcare funds. All the evidence from the OECD shows that early years support for children from the most deprived backgrounds is the best start for them in their lives. It puts them on an almost equal footing with other children, and that has consequences for their qualifications at 16, 18 and at 21, as well as for their careers and their health and well-being as adults. Any Government who speak of levelling up should be investing in services from birth onwards.
Will the Government also reverse the cuts in health visitors, community nurses and, critically, school nurses? We must put investment back into these services. Can I ask the Minister if there are plans to remedy these changes, which are affecting too many disadvantaged children?
My noble friend Lady Garden also spoke of the need for extended schools programmes. Any catch-up needs to look beyond the essential but narrow academic tutoring that is provided in the Covid recovery plan. Music, dance, drama, art and sport give children confidence and essential life skills, and are life-affirming —and make them very employable.
Although we are told that many children do not get Covid, or if they do it is asymptomatic, some do get it, and an increasing number appear to have long Covid, with neurological, cardiac and lung problems. It is good that the NHS is opening so many long Covid clinics, but schools often do not understand it. Can the Minister ensure that schools are given briefings on how to help children with long Covid and remind them of their responsibilities, as set out the in Government’s statutory guidance on supporting children with medical conditions in school, which tells schools that they must follow the advice of doctors and not come to their own decisions about a child’s illness?
That goes also for a small number of children who are clinically extremely vulnerable and have had to shield since last March. There are others who are young carers for parents or family members who are clinically extremely vulnerable, and they still have to be extremely careful. I am sorry to say that some schools, local authorities and even Ministers have not understood the risk that these children and their families face, and they are not following NHS advice either. Some parents have even been fined for the non-attendance of their child who is shielding. Can the Minister ensure that schools are told how to support these children who have to continue to shield despite vaccinations and despite lockdown lifting?
The noble Baroness, Lady Morris, rightly talked about the role of the office for health promotion, which should have children’s health at its heart, including funding to local authorities for swimming pools and other sports and leisure facilities to encourage our children to learn good habits early.
My noble friend Lady Tyler talked, as did others, about the problems in children’s mental health. In coalition we set in legislation parity of esteem for mental health, but, six years on, we are still far from that happening.
The summary by the noble Baroness, Lady Sherlock, of the shocking evidence on child poverty should give the Government pause for thought. They cannot level up without providing support to those children in the poorest families. She is right that the Government must will the means, because without it they will not achieve levelling-up targets.
It is not just about benefits. My noble friend Lady Tyler referred to today’s report on current arrangements for children’s social care work, which now focuses principally only on emergency actions, not on family support and intervention to prevent children being removed from their families. As she said, there needs to be a statutory duty on agencies to provide support and early intervention, with the appropriate funding. What priority will this get in the spending review?
The right reverend Prelate the Bishop of Leeds was right to say that the two-child limit on child benefit needs to be scrapped. The families eligible to claim child benefit desperately need the funding, and the decision keeps children in poverty.
While everyone was relieved that the £20 a week cut to universal credit was delayed, it is still likely to happen later this year. The Prime Minister, and particularly the Chancellor of the Exchequer, must understand that any refusal to cancel the cut permanently will once again demonstrate a mismatch between their words and their figures. The cut will hit 6 million people, 38% of whom already have a job, and another 40% of whom are seeking one, and it will plunge further thousands into poverty.
Much of this debate has focused on problems but I want to end on a positive note. I watch the children in my family and I see hope, love and ambition. I see care for others and a renewed understanding of the importance of family, even after months in lockdown. So many people need extra help following the pandemic, so please will the Government ensure that their actions mirror their words? As Nelson Mandela said:
“There can be no keener revelation of a society’s soul than the way in which it treats its children.”
(3 years, 5 months ago)
Lords ChamberMy Lords, noble Lords are wanting to put me in touch with my colleagues at the Department of Health today. I will take back that request, but I repeat that one of the key visions behind the 2014 reforms was that when a child exhibits a need for support they do not wait for diagnosis or any of that: schools or the family can get an EHCP and get the support in place that the child or young person needs.
Over the last year, children with genetic conditions that give them severe physical and/or learning disabilities and who are extremely vulnerable to Covid have often had no school, no carers coming into their homes and no short breaks or respite. Education, health and care plans are designed for the whole child, so does the Minister agree that short breaks and respite are vital for children in order to address high levels of family exhaustion? Has the department made an assessment of whether local authorities and CCGs are able to sustainably fund them?
My Lords, the noble Baroness is correct that during the periods of lockdown the pressure on these families was immense. Parliament has passed legislation—in 2011, I believe—putting a statutory requirement on local authorities to look at the provision of short breaks for children with those needs and their families. We have given support during this period, particularly to families of those with special educational needs, and through Family Fund for those families on low incomes, amounting to around £27 million. Obviously, part of recovery and catch-up for schools is helping precisely the children the local Baroness outlines.
(3 years, 6 months ago)
Lords ChamberMy Lords, I declare my interest as a vice-president of the Local Government Association. From these Benches, we also thank the Queen for her gracious Speech yesterday, and I too offer my best wishes to the right reverend Prelate the Bishop of Portsmouth. We look forward to the maiden speeches of the noble Baroness, Lady Blake, and the noble Lord, Lord Lebedev.
The Government had an opportunity to bring together the key issues that sit at the heart of the way our country operates. But much of the programme ignores the key strategic priorities that the country needs to focus on to recover from the pandemic and adjust to life outside the European Union. There is no strategy here, just a series of one-off initiatives designed to grab headlines.
The Prime Minister constantly talks about levelling up and building back better and says that these are all about caring for those who feel excluded. But look as hard as we can at the Government’s proposals, we cannot find concrete proposals to reduce inequality. Where is the care? We see an unnecessary voter ID Bill and a puppy farming Bill, but we do not see a desperately needed social care Bill. Where is the care?
From these Liberal Democrat Benches, we believe we must rebuild a fairer, greener and more caring country in the aftermath of Covid. Yet the Government’s proposals for this next Parliament are still failing small businesses and the self-employed. Where is the care? They are still not rising properly to the climate emergency. Where is the care? They are still ignoring millions of unpaid people caring for loved ones at home. Where is the care?
The stark ONS data publication today shows that our economy shrunk a further 1.5% in January. Government is the guardian of public services, whether core services that everyone needs such as the NHS and education, or our vital safety net for those who cannot, for whatever reason, support themselves, which includes social care and benefits. For there to be an effective public sector, we need an economy that can support our needs. How will that be delivered when, earlier this year, the BEIS Secretary Kwasi Kwarteng abandoned the industrial strategy that he inherited from successive Governments? He replaced it with a compendium of repackaged press releases and lots of colour photos. Meanwhile, the financial services industry—such an important taxpayer—awaits some movement, any movement, on its post-Brexit access to the EU market.
There are further problems caused by the absence of a long-term economic plan. The Government were right to create the furlough scheme. But if unemployment rises sharply as lockdown is lifted, those already struggling with debt are likely to need help from many of the services in the public sector. Worse, the furlough scheme ignored the millions of self-employed. This country prides itself on the vision, imagination and determination of our self-employed. They have been ignored by this Government for over a year and now face a much harsher return to business. Where is the care?
Instead of publishing a much-needed and anticipated employment Bill, the Government are silent—silent on the consequences of the explosion of the use of zero-hours contracts and of companies such as Uber attempting to get around their responsibilities as employers. Where is the care? Instead, the Government focus on picking and choosing the places for economic growth. Their latest flagship proposals for freeports have not understood that a UK business exporting will now face tariffs to 23 countries, costing them extra money. Where is the care?
The Bill to reform apprenticeships and lifelong learning must address the failings of the current government apprenticeship scheme. Frankly, it is a total mess. The number of apprentices is less than when the Government started it. Where is the care? Can the Minister tell us how this new scheme will work? These Benches will judge it on its effectiveness, inclusiveness, flexibility and the speed at which it is delivered. It is vital that it is also designed to help small and micro businesses, which already struggle with their capacity to support training and skills in their business. Where is the evidence that this Government understand their needs?
Liberal Democrats believe that small businesses are essential to building their local communities’ recovery, whether on the high street or a local industrial estate. We need a new workforce strategy that looks at new modes of working, including the flexibility of working from home.
Equally important is the need for a real public procurement strategy and clarity of the rules. This last year has exposed cronyism at its worst. The details of the proposals in the Queen’s Speech’s on procurement at page 74 say that one of
“the main benefits of the Bill would be: … Embedding transparency throughout the commercial lifecycle from planning to procurement, contract award, and performance evaluation. Procurement data will be published in a standard, open format, so that it is more accessible to anyone.”
The irony of that statement is staggering. Was it this Government who were taken to court by openDemocracy because they were not publishing contracts on time or in appropriate detail? Were existing, approved suppliers of PPE elbowed aside for chums of Ministers or Tory donors with no experience of PPE, who then won multimillion-pound contracts? Not surprisingly, a good chunk of these did not meet the appropriate standards, putting our health and social care staff at risk. Where is the care?
When Mr Johnson became Prime Minister in July 2019, he said:
“My job is to protect you or your parents or grandparents from the fear of having to sell your home to pay for the costs of care and so I am announcing now—on the steps of Downing Street—that we will fix the crisis in social care once and for all with a clear plan we have prepared to give every older person the dignity and security they deserve … I will take personal responsibility for the change I want to see. Never mind the backstop—the buck stops here.”
There are 91 vital words that gave hope. For just under two years, we have been waiting for the urgent and detailed plans from this Government to reform social care. But there were only nine little words in the Speech yesterday:
“Proposals on social care reform will be brought forward”—
just one-10th of the words the PM uttered two years ago.
Millions of people—those who need care, many unpaid carers and the entire social care sector—are desperate for some change, not least to the financial structure. In coalition, the Liberal Democrats and the Tories agreed to implement the Dilnot review. In 2015, the Conservative Government ditched the plans, and, as a broken social care system waits, this Government fail them again. Not just “where is the care” but where is the social care?
The details of the Bill on integrated health services have some interesting omissions. There is no mention of a long-term, 10-year workforce planning strategy, for either health, social care or mental health. Nothing on pay and professionalism though the development of social care staff is mentioned. There is still no concrete timeline for mental health reform legislation, let alone the parity of esteem for mental health and physical health which the coalition Government committed to six years ago. There is no mention of how the NHS will manage long Covid, among both its health staff and its patients. There is nothing on health education, apart from in the context of the professional qualifications Bill and recruitment. Vitally, there is no evidence on how these NHS reforms will reduce inequalities. By contrast, the section on NHS reforms makes multiple references to improving efficiency, which was not a major theme in the White Paper. That had better not be code for cuts to the health budget. Where is the care?
I echo the words of the right honourable Edward Davey, who has welcomed the fact that the Prime Minister has confirmed that he will begin a Covid inquiry in this parliamentary Session. It is crucial that he sees this promise through; it must be a full and independent inquiry. This Government must be answerable for the mistakes so that lessons can be learned. The bereaved families of the 150,000 dead deserve justice, and Ministers must be held to account. I fear, though, that this Government favour opportunism over long-term strategic planning. Their actions over the past 15 months, particularly on contracts, make them look dodgy and like they are favouring their friends, at best. At worst, cronyism and questions about corruption are beginning to emerge.
This country needs a plan to help the country recover. This country is waiting. Where is the care?
(3 years, 8 months ago)
Grand CommitteeMy Lords, I declare my interest as a recent trustee of UNICEF. Like the noble Baroness, Lady Jenkin, I also made my maiden speech in this debate 10 years ago. She and I have had coffee a few times, discussing how to promote women into winnable seats within our parties, and I am personally delighted that a number of the women on the Lib Dem leadership programme now sit in the House of Commons.
Ten years ago, my disability was much less visible than it is today. I have been privileged to join the excellent Peers on the “mobility Bench”, as my noble friend Lady Thomas of Winchester describes the wheel- chair spaces. She and I have the privilege of sitting alongside two outstanding disabled women: the noble Baronesses, Lady Campbell of Surbiton and Lady Grey- Thompson. They are absolutely outstanding disability campaigners—and my personal heroines—giving a voice to disabled women across the country. Their example is significant and historic in a world where women’s voices, let alone disabled women’s voices, are sometimes drowned out.
I also want to mention a young disabled woman who is changing the way in which women with learning disabilities are supported and encouraged to take up the services that they are entitled to. Ciara Lawrence, an ambassador for Mencap, promotes having cervical smear tests to others like herself—but she has done so much more. She is teaching staff in the NHS how to work with learning disabled women like herself, and works closely with the Eve Appeal and Jo’s Cervical Cancer Trust. She also has her own regular podcast, “Ciara’s Pink Sparkle Pod”.
We heard that, during the pandemic, too many people with learning difficulties had “do not attempt resuscitation” orders put on their files without their or their families’ consent. A very high number have died of Covid because of their underlying health conditions. Despite that, they had to fight to get vaccines along with other clinically vulnerable people; I delight that that has now happened.
I want Ciara’s voice to be heard by more non-learning disabled people, because she is such a brilliant advocate for what those with disabilities can achieve. I ask the Minister: how can the Government encourage more wonderful ambassadors like Ciara?
Other noble Lords have already mentioned access to women’s medical services, but disabled women say that access to family planning services can often be harder too. Will the Government’s review of health inequalities make sure that these issues for disabled women are addressed specifically? They are not “hard to reach” but, unfortunately, they are often at the back of the queue.
The noble Baroness, Lady Jenkin, talked about some of the medical issues that women face, as highlighted in the women’s health inequality consultation, which launched on Monday. I was diagnosed with endometriosis well over 40 years ago, and I am pleased to say that treatment in hospitals has advanced considerably since those days. However, I agree with the noble Baroness that what seems not to have changed is diagnosis and referral, which is often too slow and dismissive. Can the Minister say what support there is to train all GPs, primary care nurses and even employers to recognise when women have these problems? They should not be dismissed as a bit of a bother because all women have a problem at that time of the month. Endometriosis is agonising.
This is not just an information issue about women themselves recognising it. We need professionals and the business community to understand that endometriosis is a very serious illness and, if not treated early enough, can lead to serious fertility problems. The noble Lord, Lord Winston, spoke movingly of repeated miscarriage; as someone with endometriosis, I also experienced this later on. However, I was extremely lucky 36 years ago to be referred to the wonderful Lesley Regan, who was then starting one of the first research studies into repeat miscarriage. She is now the secretary-general of the International Federation of Gynecology and Obstetrics and is the immediate past president of the Royal College of Obstetricians and Gynaecologists. To my astonishment, she is only the second woman to hold that post, and the first in 64 years. I am afraid that the body that looks after women is still too often mainly run by men. I look forward to more women in that role.
My noble friend Lady Benjamin spoke about the importance of a Minister for children. I agree, especially in order to encourage girls to have ambition. My 90 year-old mother-in-law desperately wanted to be a doctor like her brother, but her father said no. I want there to be no cultural barriers for my granddaughters.
The noble Lord, Lord Addington, spoke movingly of girls and women with neurodiversity and how they are judged by society. I think we are slowly learning that there are differences and that we need to treat women with neurodiverse issues in a different way from men.
The noble Baroness, Lady Sugg, noted the worrying changes in access to abortion and family planning in Poland at the moment. I admire the many thousands of young women protesting in the streets about the changes in the law there.
My noble friend Lady Janke spoke of 82% of care staff being women and the Government’s catastrophic treatment of care homes during the beginning of the pandemic. The most important issue for our care homes is: where is the White Paper? Will it ensure that the care workforce is valued as much as the NHS one? That is vital. These are not just minor aides; my mother spent her last two years in a home, and I saw the professionalism with which she was looked after.
The health inequality consultation notes that 77% of the NHS workforce is also women. Earlier this week, I asked the noble Lord, Lord Bethell, to ensure that all hospital trusts and CCGs publish their staff gender ratios and pay gaps at each pay grade on an annual basis, as we ask large companies to do, because, despite women being an overwhelming part of the workforce, the ratios are not so good at the top.
More generally in the workforce, the pandemic seems to have acted as a cover for the furloughing of many more women than men and, worse, the appalling treatment of some pregnant women, including summary dismissal. The charity Pregnant Then Screwed has run an excellent advice hub, but the women who have turned to it are probably only a few of those affected. It was encouraging to hear the noble Baroness, Lady Scott of Bybrook, say that this treatment of pregnant women is dreadful. What steps will the Government take to ensure that companies follow the rules for maternity and parental rights?
A number of noble Lords have spoken of issues around our LGBT community. This week, the focus has been on whether the Government will follow up their strong words condemning conversion therapy and now ban it. In the Commons, the Minister has refused to do so. On top of the concerns about the attacks on trans people, there is now a real concern that the equalities rights granted over many years are being rowed back on. Over the last two days, three government advisers have resigned over this issue, the Conservative LGBT+ organisation is demanding an investigation and many Back-Bench MPs are worried. All major counselling and psychotherapy bodies, as well as the NHS, say that conversion therapy is dangerous but government Ministers will not move to ban it. Will there be a firm statement that there is no place for conversion therapy in the UK? Being LGBT is not a mental illness that can be cured.
I was somewhat surprised by the assertion of the noble Lord, Lord Young, that women’s refuges were dangerous places because of the threat of trans women being there. I am not aware of any such cases, and for the Domestic Abuse Bill, a number of women’s refuges and other organisations made it plain that they are trans -inclusive. In fact, a 2017 survey showed that the reality is that one in six trans women experience domestic abuse themselves.
The noble Lord, Lord Bradshaw, commented on women in transport, particularly on the growth of the number of women in key roles on the railways. I could not get into the Lords when not shielding without the help of many brilliant women staff on trains and in stations.
My noble friend Lady Bakewell of Hardington Mandeville spoke of the Women’s World Day of Prayer. Each year, I find it inspiring to hear of women of faith in another part of the world.
My noble friend Lord McNally spoke—
We seem to have lost the sound of the noble Baroness, Lady Brinton.
I am sorry, it muted itself. I have not quite finished.
My noble friend Lord McNally spoke of the Corston review and how progress is slow. Covid has raced through our prisons and work has been done to get prisoners home safely with electronic tags. I hope that this lesson will be used now to reduce the number of women in prison.
The noble Baroness, Lady Scott, also talked about the UK chairing the G7, and making gender equality and building back better from coronavirus an absolute priority. That is good to hear, but I echo the points made by the noble Baroness, Lady Sugg. How on earth will the cuts to the international development budget help women, given that much aid is targeted at girls and women? We know that women are much more affected by violence, and by domestic violence.
As the noble Lord, Lord Mann, said, politics is a particularly difficult place for women to be online at the moment. There is an enormous amount of targeting of women on social media at a very high level, but black and ethnic minority women face much higher levels of abuse. Black and ethnic minority MPs, in particular, are highly targeted. What has gone wrong in our society that people, often mainly men, feel it is acceptable to spew out the most hateful statements, day in and day out? I hope that the online harms Bill, when it is published, will address this.
My noble friend Lady Jolly referred to the women at Bletchley Park. I had the privilege of knowing Dr Lucy Slater who, in the early 1950s, having worked throughout the war teaching trigonometry to soldiers, helped devise the precursor to modern computing operating systems. Subsequently, she helped develop computer programmes for econometrics, working for much of the time with UK government officials. I remember her coming to talk to our primary school girls about how exciting maths was. She really challenged girls never to say that maths was not for them. She was a real inspiration.
As a young woman, my noble kinsman Mary Stocks—later Baroness Stocks—sat in the Public Gallery of your Lordships’ House to hear their Lordships attacking the very idea that women should have the vote. She was also one of the early women life Peers and someone who I admired greatly. She spent her life fighting for women’s access to education, family planning and other medical services. She would be horrified that my four year-old twin granddaughters are likely to be in their 80s before the House of Commons becomes 50% women. Today’s wonderful debate has been a chance to celebrate the role of women in our society, but much change is still needed to get the equality that most of us women still aspire to.