Living with Covid-19

Baroness Chisholm of Owlpen Excerpts

Tuesday 22nd February 2022 Lords Chamber

[Baroness Evans of Bowes Park (Con)]

Certainly, we have been very focused on targeting those communities which have not taken up the vaccine as much as we would like—for a whole array of reasons. For instance, we have invested a further £22.5 million in a community vaccine champion scheme to support 60 local authorities with the lowest take-up, following a £23 million investment in the initial scheme. We have vaccine ambassadors speaking 33 languages between them who are promoting uptake across the country. The recently launched Office for Health Improvement and Disparities will systematically tackle the top preventable risk factors associated with ill health and improve the public’s health and health disparities.

[Baroness Chisholm of Owlpen (Con)]

My Lords, I am pleased to hear my noble friend say that the Government are still thinking about free testing for social care areas. Would it be possible for her to take back to her colleagues that, if we are not going to have free testing anymore, it would be good to ensure that there are public announcements to tell the public how they should self-isolate if they think they have any Covid symptoms—in the same way as they would with the flu, cold or other illnesses?

[Baroness Evans of Bowes Park (Con)]

I entirely agree with my noble friend and, as I said, we will be producing further guidance in advance of the end of March, when free testing, for the vast majority of the general public, comes to an end. We will also be publishing further details about the high-risk settings and groups who will be eligible for continued free testing.

Health and Care Bill

Baroness Chisholm of Owlpen Excerpts

Lords Hansard - Part 2 & Committee stage
Tuesday 18th January 2022 Lords Chamber

House resumed.

[Baroness Chisholm of Owlpen (Con)]

My Lords, I suggest that we adjourn the House for four minutes, until 7.30 pm.

Early Years Interventions

Baroness Chisholm of Owlpen Excerpts

Wednesday 1st December 2021 Lords Chamber

[The Lord Bishop of Gloucester]

To ask Her Majesty’s Government what assessment they have made of the benefits of early years interventions on people’s welfare and social mobility later in life.

[Baroness Chisholm of Owlpen (Con)]

My Lords, we know that the early years are key to children’s later life chances, and effective early support is crucial. That is why we have put unprecedented investment into childcare over the past decade, committed £153 million to support education recovery in the early years, rolled out the proven Nuffield Early Language Intervention, and have announced £300 million to create a network of family hubs and transform crucial Start for Life services.

[The Lord Bishop of Gloucester]

I am grateful to the noble Baroness for her Answer. Given the crucial lifelong impact of the early years on individuals, the economy and society, and that we spend so much time, money and resources attempting to fix things later in life which could have been prevented, how do the Government plan to build on Start for Life and ensure that benefits are sustained for children beyond the age of two through the early education and childcare system?

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[Baroness Chisholm of Owlpen (Con)]

The right reverend Prelate is a great champion of young children. We have both worked with a charity called the Nelson Trust, which looks after disadvantaged children. There is £300 million to transform Start for Life services and create a network of family hubs in half the councils across the England. It will provide thousands of families with access to support where they need it. The Department for Education, the DHSC, the DWP and the Department for Levelling Up, Housing & Communities are working together to ensure that those who need the help get it.

[Lord Bethell (Con)]

My Lords, perinatal mental health issues cost the NHS and social services £8 billion a year, much of that because of the impacts on children, yet half of such cases go undiagnosed and even those who are diagnosed rarely get evidence-based treatment. We welcome the women’s health strategy, but what more is being done to address this frequently overlooked cause of misery and sometimes death?

[Baroness Chisholm of Owlpen (Con)]

This is such a distressing time for all mothers. They have babies and expect things to be very special and magical but so often discover the opposite. We must make sure that things are put in place to help them. As of April 2019, all areas in England now have comprehensive specialist community perinatal mental health services in place, which saw 30,700 people in 2020-21, re-expanding access to psychological and talking therapies with specialist perinatal mental health services. This will see 26 hubs, with 10 new hubs in the process of being set up and the rest due to open in April 2022. These hubs will offer treatment for a range of mental health issues, from postnatal depression to severe fear of childbirth to around 6,000 new parents in the first year. The new centres will also provide specialist training for maternity staff and midwives, as well as services for reproductive health and bereavement.

[Baroness Prashar (CB)]

My Lords, acquisition of language and communication skills are absolutely essential for children in their early years, as they underpin their future development and life prospects. However, awareness among parents and support is lacking. Support and training for early years teachers is inadequate and there is a high level of turnover in the early years workforce, which is losing experienced staff due to low salaries and lack of career benefits. There is concern about the viability of the sector. The House of Lords Public Services Committee report, Children in Crisis, published on 19 November, highlighted research by the LSE which showed that “the economic cost”—

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[Baroness Chisholm of Owlpen (Con)]

As part of the Covid recovery strategy, we have invested £17 million in the delivery of the Nuffield Early Language Intervention programme, improving the language skills of reception-age children who need it most—language skills are so important. Of course, it will not be possible to put that in place unless we have the workforce to do it. The department is committed to supporting the sector to develop a workforce with the appropriate knowledge, skills and experience to deliver high-quality early education and childcare. We are investing £20 million in a high-quality, evidence-based professional development programme for practitioners to target disadvantaged areas and a further £10 million in funding a second phase of the programme, which will be announced shortly.

[Baroness Warwick of Undercliffe (Lab)]

My Lords, children in deprived areas benefit most from early years education and childcare. Problems can be identified and appropriate interventions arranged. They are better prepared for school and learn valuable social and cultural skills. Big nursery chains are expanding when they can charge fees. Poorer children’s needs are often met by smaller, stand-alone nurseries that cannot survive without adequate local authority funding. The projected increase next April will not be enough to cover the increases in costs of the minimum wage, national insurance, energy, pensions, resumption of business rates and so on.

[Baroness Warwick of Undercliffe (Lab)]

How do the Government hope to sustain those nurseries’ vital contribution to social mobility if their funding remains inadequate?

[Baroness Chisholm of Owlpen (Con)]

Of course it is very important that the independent nursery schools carry on. We are investing additional funding for the early years entitlement worth £160 million in 2022-23. This is for local authorities to increase the hourly rates paid to childcare providers for the Government’s free childcare entitlement offers and reflects cost pressures as well as anticipated changes in the number of eligible children. The Government have confirmed the continuation of the maintained nursery schools supplementary funding throughout the SR period, providing the sector with long-term certainty. For 2022-23, we will increase the MNS supplementary hourly funding rate by 3.5%.

[Baroness Garden of Frognal (LD)]

My Lords, it is widely accepted that the first few years of a child’s life can influence their development, education, character and aspiration. Disadvantaged and disabled children need much more help than most, so will the Government commit to additional funding, either through the early years pupil premium or a disadvantage supplement for those eligible for the two-year offer?

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[Baroness Chisholm of Owlpen (Con)]

That was very succinct. This is a very important area and the whole point about the family hubs we are setting up across the country is that we are bringing everybody together—families, professional services and providers—and putting relationships at the heart of family help, making sure that family hubs bring together services for children of all ages, who all need help. Family hubs can include both physical locations and virtual offices to help parents.

[Lord Watson of Invergowrie (Lab)]

My Lords, the additional funding announced in the spending review to support children and families, including, as the Minister said, the creation of family hubs, is very welcome, but organisations working with disabled children and parent carers, such as the Disabled Children’s Partnership, remain unclear as to how these new hubs will deliver the care that disabled children and their families require, particularly given the backlog in the delivery of those services from existing hubs. Can the Minister outline how that will be delivered once the new hubs are in place?

[Baroness Chisholm of Owlpen (Con)]

As the noble Lord said, it is very important that no one is left behind. The SEND review is looking at ways to improve the outcomes for children and young people with SEND. There has been a consultation and proposals will be published in the first three months of next year, when I hope we will know more.

[Lord Young of Cookham (Con)]

Has my noble friend had time to read your Lordships’ Public Services Committee’s report on vulnerable children, published a fortnight ago, finding that many fall through the gaps—going into care, being excluded, joining county lines and ending up in custody—and cost far more than if there had been early intervention? Can she ensure a positive response from the Government to the committee’s recommendation that the Government should publish and fund a co-ordinated national strategy to give a better life chance to these vulnerable children?

[Baroness Chisholm of Owlpen (Con)]

I have to say to my noble friend that I have not read the report, but I certainly will—it is going to be my weekend reading. We welcome the report from the Lords Public Services Committee. We are reviewing its recommendations and will respond in due course. Our work and investment towards introducing family hubs that work with children and families from birth to adulthood is so important in the field of vulnerable children and young people.

[The Lord Speaker (Lord McFall of Alcluith)]

My Lords, the time allowed for this Question has elapsed.

Afghanistan

Baroness Chisholm of Owlpen Excerpts

Wednesday 18th August 2021 Lords Chamber

[Lord Alderdice (LD) [V]]

My Lords, I remind the House of my registered interests in war and conflict studies.

On 4 October 2001, less than a month after 9/11 and a few days before the launch of Operation Enduring Freedom, we debated what should be done. I intervene again today, like some other participants of 20 years ago, but miss my dear friend, Lord Ashdown of Norton-sub-Hamdon. In a powerful speech then, Paddy focused on the history of Afghanistan. His family connection went back a century before his birth, in India, in 1941, to his great-grandfather, who had been in Kabul caught up in the first Afghan war, from which we withdrew in 1842, suffering one of the worst military disasters of the 19th century. Paddy reminded us that Afghanistan had rarely been at peace and advised of the perils of engagement. I said that day that the problem was not the absence of socioeconomic development but of a wholly different culture and beliefs, which we would not change for the better by military intervention.

The first rule of Afghanistan is that invaders do not win, and the second is that it will not be a liberal democracy in any foreseeable future. For 20 years now, bookended by the geopolitical catastrophes of 9/11 and August 2021, we have engaged in a war undertaken in 2001 to address our concerns. It was not undertaken primarily at the time to aid the Afghans, and what could have worked as a short, punitive strike was ultimately doomed when it tried regime and culture change.

Another colleague we miss today is Baroness Williams of Crosby. She rightly asked then about UN involvement, but that was blocked in early 2008, when the Afghan president, Hamid Karzai, vetoed Paddy Ashdown’s appointment as UN envoy, despite his highly successful mandate in Bosnia-Herzegovina. Our response then should have been to engage in talks with the Taliban. That was the advice given later to the Foreign Office by my Northern Ireland colleagues, brought in by the British ambassador. It was dismissed by London. That is my second point: do not ignore the advice of those who have lived through terror-afflicted violence and come out the other side; we may understand the messy reality better than those whose optimistic wishes dominate their diplomatic assessment.

Thirdly, research has shown that it is not overwhelming military power and technical sophistication but the passionate spiritual commitment of devoted actors that wins wars, and this should inform every response to the demand that “Something must be done”. We do not have time for a long Chilcot-type inquiry, because these lessons are relevant to current involvements across the Muslim world, including, as I learned from some leading Palestinians earlier this week, in Israel-Palestine.

Does the Minister recognise that we ignore history at our peril; that we are unable to build liberal democracies from the outside; and that, ultimately, we are likely to end a conflict best by understanding the spiritual strength of our enemies and negotiating with them when the time is right? It is too late to do that when you have decided you are leaving.

[Baroness Chisholm of Owlpen (Con)]

My Lords, I say quickly that almost every speech has gone over time and we are now nearly half way through. Can we all please keep an eye on the time, because we do not want to eat into my noble friend’s speech, so he can answer all your questions fully? Thank you.