NHS: Contaminated Blood
Debate between Baroness Chisholm of Owlpen and Baroness Wheeler
Baroness Wheeler (Lab)
I thank the noble Baroness for repeating the Minister’s response in the Commons. While we of course very much welcomed last week’s announcement of the public inquiry, we are dismayed at the lack of sensitivity and understanding shown by the Government in the way they have gone about consulting the victims and survivors on the inquiry’s terms of reference.
The Minister underlined that no final decisions have been made on the scope, format or leadership of the inquiry and that the Government are in discussions with the Cabinet Office to ensure cross-departmental involvement. We on these Benches say categorically that the Department of Health should have no role in how this inquiry is established or conducted. Can the Minister please give the House that assurance today? Can the Minister also place on record her acceptance that true and meaningful consultation should now take place and tell us how the Government intend to make up for their deeply regrettable start on such a vital issue?
Baroness Chisholm of Owlpen
My Lords, I thank the noble Baroness for those questions. It is normal for the relevant department to sponsor an inquiry, and the Department of Health is the sponsoring department. We are listening on this, which is why the Cabinet Office has joined the discussions, and other departments may well be involved. We are absolutely committed to an independent inquiry and the Cabinet Office propriety and ethics team has been liaising with the Department of Health about this inquiry.
As regards how people can make sure that they are able to consult, we are sending letters this week, or at the beginning of next week, to all 3,500 beneficiaries of the schemes. MPs will also receive the letter. The letter will state clearly how to make contact so that people can put forward their concerns, ideas and representations.
Health: Obesity
Debate between Baroness Chisholm of Owlpen and Baroness Wheeler
Baroness Chisholm of Owlpen
That is why we confirmed before the election that the ring-fenced grant would remain in place for this year and next, transferring responsibility to local government. It has created an opportunity to join up public health with the funding streams for local services such as housing and economic regeneration in the interests of improving the health of the local population. Local authority public health spend is in addition to the money the NHS spends on prevention.
Baroness Wheeler (Lab)
My Lords, Michael Marmot’s report emphasises the important role that dementia has played in the near halving of the increase in life-expectancy levels since 2010, because of the sudden and sustained increase in older deaths. Dementia and Alzheimer’s are now the leading cause of death among women aged over 80 and men aged over 85. How does the Government’s insistence that money is going into the system to tackle this square with the evidence in the report that health and social care spending is going down, at a time of rising health needs linked to the ageing population, and Sir Michael’s own comments that financial settlements have been “miserly”? What will the Government do to address the Alzheimer’s Society’s comments on the report? It said that,
“the chronic lack of funding to the social care system … is devastating people with dementia”,
and that action is needed,
“before the care system collapses entirely”.
Baroness Chisholm of Owlpen
Dementia is such a depressing disease for anybody to have. It affects not only those who have it, who are incredibly frightened, but their loved ones, who have to care for someone who becomes a completely different person in front of them.
The Challenge on Dementia 2020 Implementation Plan, which was published in March 2016, sets out the actions that the Government and key stakeholders will be taking in order to implement the 2020 challenge. It sets out how the Government will put the views and lived experience of people with dementia and their carers at the heart of our delivery strategy by establishing a new dementia 2020 citizens engagement programme. The Government have already invested an additional £2 billion to put social care on a more stable footing and alleviate short-term pressures across the healthcare system.
Every department has to take responsibility for what is going on with obesity in this country. It affects all departments—the Department for Digital, Culture, Media and Sport, the Department of Health and every other department—and we need to make a joined-up effort to ensure that we tackle the crisis of obesity in this country.
Health: Diabetes
Debate between Baroness Chisholm of Owlpen and Baroness Wheeler(7 years, 8 months ago)
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Baroness Chisholm of Owlpen
I think the noble Lord was in the House yesterday when I repeated an Answer to an Urgent Question on this subject. We have to think of the most effective ways to save money in the NHS. We are not suggesting that any pharmacies close, as the noble Lord knows. We are suggesting savings for pharmacies over the next two years. That is not to say that there will be any pharmacies closed, but we need to make them more efficient. There are some places where there are three pharmacies in one high street, which is slightly ridiculous. However, we are ensuring that rural pharmacies will be in place.
Baroness Wheeler (Lab)
My Lords, NHS England needs 12,000 podiatry practitioners but has only an estimated 3,000, and that number is declining. Next year podiatry trainees, like nurses, lose the state bursaries that help to contribute towards the cost of training, so fewer are expected to apply. What specific plans do the Government have to ensure that high-risk diabetic patients receive the checks and care needed to avoid serious deterioration in their foot health and possible amputation?
Baroness Chisholm of Owlpen
On the question of training for podiatrists, Health Education England is leading on commissioning a study of recruitment to small and vulnerable professions such as podiatry; the Higher Education Funding Council for England and the College of Podiatry are contributing to the funding of that piece of work. The intention is to make the interventions where necessary to ensure that students are not put off from applying.
On the second part of the question, health checks are indeed very important and we are encouraging as many people as possible to take them up. As I said, there is a problem with some people being willing to take them, and we are looking into how we can improve that.
Care: Costs Cap
Debate between Baroness Chisholm of Owlpen and Baroness Wheeler(8 years, 9 months ago)
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Baroness Wheeler
To ask Her Majesty’s Government what assessment they have made of the impact on patients, residents of care homes and their families and carers, of the decision to postpone the introduction of the cap on care costs from April 2016 until April 2020.
Baroness Chisholm of Owlpen (Con)
My Lords, the decision to delay implementation of the cap on care costs followed careful consideration of feedback from stakeholders, and it was felt that April 2016 was not the right time to implement these significant and expensive reforms. I stress that we remain committed to these important reforms, which offer financial protection and peace of mind. We have had to make hard choices, balancing the benefits of the cap against the need to focus on supporting the system that supports our most vulnerable.
Baroness Wheeler (Lab)
I thank the Minister for that response. The Government’s election manifesto said that capping the amount patients can be charged for residential care from 2016 would give,
“everyone the peace of mind that they will get the care they need and that they will be protected from unlimited costs if they develop very serious care needs—such as dementia”.
The assessment of one of the key stakeholders, the Alzheimer’s Society, is that the delay until 2020 will cause unacceptable costs to continue to be borne by people with dementia in their families. These are people particularly affected by the cost divide between social care and NHS continuing care. What actions will the Government be taking in the lifetime of this Parliament to meet their commitment to this key group?
Baroness Chisholm of Owlpen
This is a very important group at a most vulnerable time in their lives. The Government remain fully committed to introducing the cap on social care costs and helping people to cope with the potentially high costs of social care. It is not cancelled and will be brought in by 2020, but until then means-tested financial support remains available to those who cannot afford to pay for care to meet their eligible needs. Where a person can afford to pay for their care, we are clear they should not be forced to sell their home during their lifetime to do so. Since April this year, deferred payments have been available across England for people with less than £23,250 in liquid assets who might otherwise face that risk. By entering into a deferred payment agreement, a person can defer or delay paying the costs of their care and support until later, including out of their estate if they choose.