Queen’s Speech
Baroness Chisholm of Owlpen Excerpts(3 years, 7 months ago)
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Baroness Chisholm of Owlpen (Con)
My Lords, as the vaccine programme continues and the country reopens, the Government, quite rightly, are taking stock of the condition of the NHS and public health.
As is well known, lockdown and shielding have worsened numerous physical and mental health problems, particularly among vulnerable segments in the population. After the heroic efforts of NHS workers, there is now a need for a period of resetting and recovering in all healthcare settings—a chance to take stock, not only for the improvement of those who use the NHS but for those who work in it. We need the right investment and the right use of digital technology, and I was pleased to hear in the gracious Speech the Government’s commitment to support innovative technology in the field of healthcare. I trust that the Department of Health will take note of a recent report by the Covid-19 Committee, on which I sit, called Beyond Digital: Planning for a Hybrid World. There is much in that which I think could help the Government.
I will give osteoporosis as an example of how, with forward and joined-up thinking, people suffering from debilitating diseases such as osteoporosis can have their lives improved. Osteoporosis is dubbed the silent disease because of underdiagnosis, undertreatment and chronically low levels of public awareness, yet as many people die of fracture-related causes as those who die of lung cancer, diabetes and chronic lower respiratory diseases. We now have a chance to build back better and level up, not only for those using the NHS but for those who work within it.
As with many others suffering from health problems, those suffering from osteoporosis have found that a postcode lottery stands in the way of diagnosis and treatment. Missed opportunities for early intervention in both primary and secondary care lead to problems routinely being left to escalate. For example, in the case of osteoporosis, two-thirds of people with vertebral fractures—2.2 million people—are undiagnosed. One-fifth of women who have broken a bone break three more before receiving a diagnosis. The most powerful intervention for osteoporosis sufferers is a British-born success story: the fracture liaison service model. Figures show that the FLS saves the NHS £3.28 for every £1 invested. Its record in saving lives and reducing healthcare costs is why the model was exported at pace across the developed world. Yet here we find an example of a postcode lottery. People in Scotland and Northern Ireland enjoy 100% coverage, while only half of people in England have access to FLS. This postcode lottery means that two patients who live either side of the same city have markedly different risks of refracturing, with all the consequences for quality of life and the extra burden on the NHS.
We know that people living in deprived areas, families for whom English is a second language and people with learning difficulties are significantly more likely to suffer from health problems. For these people, levelling up across the country could not be more vital.
I am highlighting the disease osteoporosis because it is an area I have knowledge about, but the problems faced by osteoporosis sufferers are mirrored by those faced by many who suffer from other diseases. Everyone across the UK should have access to quality treatment. Clearly, this will not only improve people’s lives but save the taxpayer money. For instance, if everyone across the UK had access to fracture liaison services, it would prevent 5,686 fractures every year, saving the NHS £65.7 million in annual costs.
I would be interested to hear from my noble friend how the Government plan to encourage people to come forward in areas where late diagnosis worsens outcomes. I welcome the health and care Bill setting out ways for different parts of the healthcare system, including doctors, nurses, carers, local government officials and the voluntary sector, to work together to provide joined-up services. The Government have the opportunity to make sure investment is going to where it is most required and will make the most difference. For goodness’ sake, let us make sure best practice is shared around the country.
Older people have already borne a heavy burden throughout this pandemic. The Government must concentrate on ensuring that preventable problems in healthcare are dealt with early and at source, so that people’s lives can be decisively levelled up to ensure a high quality of life and ageing well.
Covid-19: Women
Baroness Chisholm of Owlpen Excerpts(3 years, 9 months ago)
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Baroness Berridge (Con)
My Lords, the Government are looking at the data and have now got an equality data assessment based in the Cabinet Office. We have brought together the GEO with the disability and race units so that we have all the data to look at. The massive economic package and support that has been in place has benefited millions of women, and women are slightly less likely to be made redundant and slightly more likely to be furloughed.
Baroness Chisholm of Owlpen (Con)
My Lords, there is a sharp segregation in subjects chosen by both boys and girls at secondary and university level, with girls shunning STEM and technical subjects. What policies might the Government put in place so that we can look forward to an equitable outcome in the workplace?
International Women’s Day
Baroness Chisholm of Owlpen Excerpts(4 years, 9 months ago)
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Baroness Chisholm of Owlpen (Con)
It is always an honour to follow the noble Baroness, Lady Donaghy, and listen to her wise words, many of which she has given to me over the past few years when I have been floundering around on the Front Bench.
I thank both my noble friends the Ministers for today’s debate and congratulate my noble friend Lady Berridge on her new appointment and my noble friend Lady Sugg on her appointment as Special Envoy for Girls’ Education. It is a brilliant appointment and one that means girls’ voices will be heard across the world. I also welcome my noble friend Lord Ranger to this House; following his maiden speech, we look forward to his contributions in the future.
I want to talk briefly on some of the issues facing women in our rural communities in the UK. The view that people living in the countryside are well off and enjoy a rural idyll masks the reality of pockets of deprivation, loneliness and ill health and the feeling of exclusion, due in main to the scarcity of transport, internet, local nurseries and schools, affordable housing, health services, training and secure, well-paid work.
Loneliness and the feeling of isolation are often seen as affecting mainly the elderly, but this is not necessarily true. According to the Campaign to End Loneliness, the under-25s are as vulnerable as the over-65s. For a young graduate or single mum, stranded in a location without transport, with no relatives or friends close by, it is easy to see how this can lead to isolation, causing depression, anxiety and other mental health problems, and to limiting their wider opportunities.
The right reverend Prelate the Bishop of Gloucester and the noble Baroness, Lady Gale, talked about domestic abuse. A report by the National Rural Crime Network published last year stated that women living in rural committees and enduring domestic abuse are half as likely to report their suffering, while the perpetrators are, as we know, shielded by the isolation of the countryside. Abusers are able to isolate their victims with financial control and removal from friends and relatives. The report says that the availability of public services in rural areas more generally is on the decline, limiting support networks and escape routes for victims. Therefore, I was pleased to hear my noble friend the Minister mention in her opening remarks that the Domestic Abuse Bill will be coming forward and will help this vulnerable group of women.
As the Minister mentioned in her opening speech, rural BME women can find themselves particularly marginalised. Many of these women live in small towns and villages, and language, cultural differences and racism can make their problems worse. They have difficulty in accessing support networks, leading to loneliness and isolation because of a lack of interaction in culturally diverse environments.
Women are among the group who find it most difficult to move into, remain and progress in employment in rural areas. Those who do not have their own transport can spend hours taking several forms of public transport to get to their workplace or to a college or university, where courses are available to enable them to get better jobs and open up opportunities. Data shows that employment levels in these areas are high, but examining this work in greater detail shows that it is often low-paid or informal, low-skilled or seasonal, with little hope of progression.
The noble Baronesses, Lady Gale, Lady Pinnock and Lady Donaghy, all mentioned the problems relating to social care. As we know, the social care burden usually falls to women. Rural areas can face difficulties in providing care services to the same standard and cost level as urban areas, particularly where those services involve a higher degree of travel. This means that women living in rural areas often face a particularly heavy burden, leading to them having no choice but to give up work, further education or training places. They are also often sandwich carers, caring for a loved one and bringing up children. This responsibility can make the pressure especially intense, with little or no hope of respite and in many cases no one to turn to for assistance with childcare or the nursing care of a loved one. The feeling of hopelessness and loneliness can be overwhelming.
In 2018, Girlguiding carried out some interesting research with over 1,000 girls and young women which showed that being lonely made them less confident, less happy and less likely to do activities such as sport. Talking to friends, going outdoors and being part of a youth group made them feel less lonely. Groups such as Girlguiding can play a vital role in relation to girls’ mental health and well-being by strengthening their resilience, while offering a safe space and opening up opportunities for the future. To this end, Girlguiding is offering aviation badges in partnership with easyJet and a coding badge in partnership with Google, along with getting girls interested in STEM in partnership with Rolls-Royce and Amey.
Of course, many of these issues are not a problem solely for women but their voices seem so often to go unheard. “Put up with” and “Carry on” are no longer good enough and we all need to start listening and acting on what we hear. Therefore, I look forward to the Government cracking on with their investment in infrastructure and transport, along with helping community-based projects, making it possible for there to be locally based education, training and childcare for women, young and old, in rural areas, so that they can make the choices that enable them to reach their full potential.