(2 years, 2 months ago)
Lords ChamberIn a recent conversation with my officials, we were talking about how galleries, museums and other community spaces may well be used this year by people who do not normally attend them. I do not want to overplay this card, but it may well bring a new audience to libraries. Central government needs to be careful because local government is very fierce and tells us that it knows what is best for local communities, so we are working at local level with galleries, museums, libraries et cetera to look at whether they can be warm hubs or whether there are other solutions.
My Lords, at the height of the pandemic, local arts centres demonstrated their commitment to their communities by pivoting business to meet their needs by supporting education catch-up and health and well-being and even providing food banks. It is likely that they will attempt to do the same in the current crisis, opening as warm banks and possibly offering well-being activities too. What will the Government do to incentivise and encourage partnership working between local authorities, statutory services, the voluntary sector and the cultural sector to maximise this kind of much-needed provision and make sure that it is advertised and available to the people who need it most?
The noble Baroness makes a very important point about partnerships. Government partners, the sector itself or even individual galleries cannot do this alone; we have to work in a clear partnership. It is quite clear that public libraries are run by local authorities, but some are run by local communities and are a great example of civil society. We want to make sure that we understand the picture. We are talking to local authorities, the sector, the Arts Council and UK Theatre, for example, to understand the granularity of these needs and the best way to help people during this difficult period. We know very well the role that the cultural sector has played in the past. It will continue to play a role and we hope it will be open to new audiences.
(2 years, 2 months ago)
Lords ChamberThe noble Lord makes an important point, which a number of noble Lords have raised with me since I took on this position. While there are some events for which there is a lot of consensus that they should be free to air, there are others who say, “Maybe not that sport or this sport or this event.” It will require a lot of conversations to make sure that we have a list on which there is wide consensus.
My Lords, one of the hopes of the 2012 Olympics was that they would inspire a generation not just of athletes and participants but of volunteers. We saw a remarkable upsurge in volunteering during the Olympic Games. Unfortunately, the figures since have shown a dramatic decline and there seems to be some lack of co-ordination in galvanising the opportunity presented by occasions such as the Olympic Games. What role do the Government have in ensuring that these volunteer programmes are built and grown after such events, rather than being allowed to decline?
Volunteering did increase in the years after London 2012, halting what had been a long-term decline, and more than half of the 70,000 London 2012 Games makers continue to volunteer in their communities. One of the things I am very happy about, having moved departments, is that I am now the Minister for Civil Society, and one of the things I am talking about is how we encourage more volunteers and more local champions who want to set up a project in their local community. One of the ideas we are looking at is that you can put your postcode into a civil society portal, for example, and offer yourself as a volunteer or have your hand held while you set up a local community project.
(2 years, 5 months ago)
Lords ChamberMy Lords, despite the fact that advertising prescription-only medicines like botulinum toxin to the general public is already illegal, Botox is still widely advertised online by providers of cosmetic procedures. Given the risks of amateur and poor procedures to physical and mental health, what steps will the Government take to improve the enforcement of existing rules so that the online environment is free of these illegal adverts?
A range of issues were looked at in the online advertising programme, including advertising on social media, where people get messages from in the first place, and what the most effective method is. What do we ban? What do we give advice on? What do we give warnings to? It is an incredibly complicated issue, but we are looking through lots of evidence that came in as a result of the consultation.
(2 years, 6 months ago)
Lords ChamberAs the noble Baroness will acknowledge, some of the problems have been in evidence for a long time. Sometimes, we are tackling the legacy of this neglect of the social care system. At the same time, we have to remember that many social care providers are not run by the state; they are private providers. Following the People at the Heart of Care White Paper, we want to make sure that, first, we encourage better conditions for workers. We also want to make sure that local authorities determine a fair rate of pay based on local market conditions. We have seen an increase in the national living wage, which means care workers will get an increase. But we are looking at all this as part of the overview of the social care landscape.
My Lords, could the Minister comment on the March 2022 progress report on the Out of Sight – Who Cares? report, which came out in October 2020? It found that of the 17 recommendations, none had been fully achieved and only four had been partially achieved. Can the Minister say when Government will address these recommendations and end the excessive use of the dehumanising isolation, segregation and seclusion within adult social care?
On that specific question, I will have to go back to the department and get an answer. I will commit to write to the noble Baroness.
(2 years, 7 months ago)
Lords ChamberThe noble Baroness highlights one of the issues that must be addressed: those areas, particularly low-population areas, but also coastal and some rural areas which are so-called dental deserts. It should also be noted that a person is not necessarily permanently registered with a dental practice. You only have to register for as long as your treatment lasts, and if you cannot get treatment at one practice, you should be able to try other practices. You can try 111. I have heard various reports. Some people have told me that 111 is incredibly effective, while others have told me that there are still dental deserts in their local area.
My Lords, maternity exemption certificates provide free NHS dental treatment and check-ups for mothers during pregnancy and for a full year after birth. However, mothers who live in so-called dental deserts are denied this right, exacerbating health inequalities between different regions. Will the Government consider extending the duration of the maternity exemption certificate during this crisis of provision, so that more mothers can take advantage of their right to free dental care?
On the face of it, that sounds a reasonable suggestion, so I shall take it back to the department and see if the people there agree.
(2 years, 10 months ago)
Lords ChamberIt is important to recognise that, throughout the pandemic, people were in a state of panic and there were people dying every day. What we saw was the coming together of the state and the private sector, working in partnership in the best possible way. The vaccines started in university research but were then commercialised and exported by the private sector. People who stayed at home during lockdown were served by Uber and Deliveroo—hard-working people were serving us. This was the best of the public and private sectors, working together for the best of the British.
My Lords, across the Suffolk countryside, vast piles of shipping containers—some up to 60 feet high—full of this PPE are now lodged. Can the Minister say how long people in those areas are going to have to live with these monstrosities, which do not have planning permission? How much are the Government paying for this ad hoc storage on unsuitable sites?
The noble Baroness raises a very important point about storage costs, and we are looking at how we can reduce them. We have managed to reduce weekly storage costs at the moment, but one of the things we are looking at is how we can pass on, donate or sell some of the equipment that is in storage. We have certain standards, other countries have other standards, and we are making sure that we are selling stuff that meets WHO standards.
(2 years, 11 months ago)
Lords ChamberMy Lords, I beg leave to ask the Question standing in my name on the Order Paper and declare my interest as a vice-chair of the APPG on Eating Disorders.
We are working to ensure that people of all ages with an eating disorder, or who are at risk of developing one, have access to the right support in the right place and at the right time. We are delivering on the ambitious transformation plans outlined in the NHS Long Term Plan and children and young people’s mental health Green Paper and provided additional investment this year to address pressures arising during the pandemic.
Does the Minister agree that improving support for eating disorders depends on improving understanding of their causes, prevention and treatment? Eating disorders account for 9% of mental health conditions in the UK but receive only 1% of mental health research funding. This leads not only to major evidence gaps but to fewer researchers, less research and the ongoing stigmatisation of the illnesses as a niche concern. Will the Minister’s department consider working with the NIHR on a long-term eating disorder research strategy to break this underfunding cycle, as it has for other health challenges, so that more effective support can be targeted on their prevention and treatment?
(3 years, 1 month ago)
Lords ChamberThe Office for Health Improvement and Disparities is looking at areas where there are clear disparities. As part of developing the dementia strategy, the Government are consulting with a wide range of stakeholders and ensuring that a diverse range of views from different communities is heard and that it is not targeted just at one particularly community.
My Lords, social prescribing is a key aspect of the NHS Long Term Plan. It has been described by the president of the Royal College of General Practitioners as an essential part of the toolkit for tomorrow’s doctors. Therefore, why is social prescribing absent from the core undergraduate curriculum in UK medical schools? Some schools offer optional modules, but there is no national consensus on what teaching should cover or how it is best delivered. Does the Minister agree that, unless social prescribing is integrated into the education of the future healthcare workforce, its benefits for patients and the NHS will never be realised?
The NICE quality standard on dementia, published in June 2019, includes guidelines for offering activities and social prescribing. They are also included in the NHS long-term plan. Obviously, different components are modelled that are social prescribe-enabled—not only music but other art-based activities. The education question will be for my noble friend in the Department for Education, but if the noble Baroness can write to me, I am sure that we can get the answer.
(3 years, 1 month ago)
Lords ChamberI very much agree with my noble friend that the prevention of illness is as important as the cure. In conversations I have had with the NHS and other healthcare professionals, there is a focus on prevention. Some noble Lords may remember the debate we had a couple of weeks ago, focusing on the prevention of obesity rather than treating its symptoms. The NHS is prioritising FLS and similar services when it comes to prevention, understanding that this benefits not only patients but taxpayers.
My Lords, I declare my interest as an ambassador for the Royal Osteoporosis Society. Vertebral fractures are the most common osteoporotic fractures, but with 70% of these going undiagnosed, the opportunity for early identification of osteoporosis is missed. Does the Minister support the recommendation of the Royal Osteoporosis Society that all diagnostic imaging services should be required to routinely look for and report on vertebral fractures in any spinal imaging they undertake, whatever its primary purpose? Does he agree that this reporting should be unambiguous and actionable, via the FLS where possible, so that patients are put on the right pathway for osteoporosis assessment and care as soon as possible?
The department and the NHS continue to work with interested groups to expand the understanding of the wide-ranging needs of people across the country. One example is NHS England’s Covid-19 MSK—musculoskeletal—stakeholder group, which is advising on the impact that lockdowns have had on the physical and mental health of those with MSK conditions. Collaborating with NHS England were the British Orthopaedic Association, the British Society for Rheumatology, the Chartered Society of Physiotherapy, the Arthritis and Musculoskeletal Alliance, and Versus Arthritis. Self-managed resources for patients are being developed. I will write on the specific question that the noble Baroness asked.