NHS: Single-sex Spaces for Staff

Baroness Browning Excerpts

Thursday 1st May 2025 Grand Committee

[Baroness Browning (Con)]

My Lords, the fact that we are here today to discuss this subject, against the background of the Supreme Court’s ruling, is a total indictment of the body politic in this Parliament. I served on the then Equality Bill back in 2010, in the Commons. The words in the Supreme Court judgment, at paragraph 264, say that

“the words ‘sex’, ‘woman’ and ‘man’ … mean (and were always intended to mean) biological sex, biological woman and biological man”.

The fact that the body politic as we have known it for many years was incapable of interpreting its own legislation, with all the toxicity that has gone before us and the pain that has been experienced on both sides of this argument, really is an indictment. That is why I support my noble friend Lord Arbuthnot in saying to the Minister that, now that we have this judgment and now that we, the politicians, have been told by the Supreme Court what we actually did in practice—how dreadful it sounds even to say it—I hope that she will act with all speed to make sure that this judgment is expedited with less pain and less discrimination than we have seen in the past 15 years.

Many years ago, back in the 1970s, I worked in an emergency operating theatre. I have been in theatre when we have resected the overlarge liver of a person who needed and wanted to change their sex. As a Member of Parliament, I dealt with many constituency cases, particularly of trans men who had chosen to change into women. I know about and fully support what has happened in prisons and in women’s changing rooms, particularly women’s changing rooms in hospitals, and the way women feel about it—as a woman, I share that feeling—but, when we talk about compassion, my gosh is compassion going to be needed now to make the changes so that this legislation now applies.

That is the responsibility of the Government. I do hope that we are not going to hear them say, “Oh well, health authorities and hospitals can make their own decisions. It is not a matter for Ministers”. Because of the damage that has been caused by our inability, as politicians, to implement our own legislation, we owe this to all the people out there—particularly women but also trans people. People who make that decision are not all rapists. In my experience, the people I have had to deal with sometimes have really quite heart-rending problems and carry those with them, whatever their choice, for the rest of their life, with a level of anxiety that we have to understand. I hope that the Government understand it.

Employment Rights Bill

Baroness Browning Excerpts

2nd reading
Thursday 27th March 2025 Lords Chamber

[Baroness Browning (Con)]

My Lords, I add my congratulations on the four excellent maiden speeches we have been privileged to listen to in the course of this debate.

I will focus on a small section of this very wide-ranging Bill, concerned with the establishment of an adult social care negotiating body in England and social care negotiating bodies in Scotland and Wales. A well-trained adult social care workforce, especially for those living with dementia, is both important and long overdue. I declare my interests as co-chair of the All-Party Parliamentary Group on Dementia and as an Alzheimer’s Society ambassador.

According to the Explanatory Notes accompanying the Bill, the Government hope that sectoral agreements to be negotiated by the social care negotiating bodies will help to address the ongoing recruitment and retention crisis in the social care sector, and that this will in turn support the delivery of high-quality care.

However, despite the beneficial impact on the recruitment and retention of adult social care workers, education and training are not currently specified as matters for the negotiating bodies to consider. Last year’s report by Skills for Care, The state of the adult social care sector and workforce in England, stated that access to training was among the top five factors influencing retention; turnover rates were 7.4% lower for those who received training than for those who did not. There is evidence that lack of learning and development is given as a reason to leave.

Ensuring that the adult social care workforce is able to access high-quality training is not only crucial for recruitment and retention; it is also essential in ensuring the delivery of high-quality care for those who need it. This is particularly true for the almost 1 million people living with dementia in the UK today, a high proportion of whom need social care. For example, 70% of people in residential care have dementia, and we know this figure is going to rise.

It is therefore shocking that only 29% of adult social care staff in England are recorded as having undertaken dementia training, and that no legal requirement exists for them to do so. The Alzheimer’s Society is calling for dementia training to be made mandatory for all adult social care staff. I agree.

I intend to table an amendment in Committee that would include education and training within the remit of the social care negotiating bodies. This would send a positive signal to the sector and those who draw on care about the importance the Government and this House accord to the training and education of the social care workforce. It would also bring social care negotiating bodies in line with the school support staff negotiating body, which does have training within its remit. I look forward to a more detailed discussion in Committee.