(3 years, 6 months ago)
Lords ChamberMy Lords, we are fighting the first Covid world war and we hope that Britain is emerging victorious and ready to help liberate the rest of the world. What is so uplifting is that we are emerging bursting with ideas for our future innovation, invention and investment—and that is our future. The huge debt that we have accumulated must not crush our aspirations. We should all, with a deal of compulsion, contribute to a massive war loan: a government bond which will not be popular and which we will all hate and object to, redeemable at some time, as were other war loans, but paid by our generation, not left to the next and the next.
I declare an interest: for 50 years I, with many others, have sought and achieved sweeping changes to the delivery of healthcare to people, and I am determined to continue that progress. We have proven that, in the Covid war, we can act and achieve at an exhilarating speed. That momentum must not now be thwarted by debt, as we build a new economy for the post-Covid war era. We can infuse energy into our people and approve new products and better ways of delivering that will not just benefit Britain but reach worldwide.
It may seem a small thing, but I note that a report from a review that I chaired on the harm done to women and children has, in modern parlance, gone viral worldwide. Setting new standards for childbirth is ongoing; it is not trivial but part of a revolution sweeping the world. We must not scoff at doing these small things, leaving our world a better place for future generations: that is our mission, and no debt, unnecessary bureaucracy or lack of investment must stand in the way.
I know that many noble Lords have delivered reports to the Government. Civil servants take them in hand; their job is to be cautious and consult widely and wisely with every party that might have an interest—to give due consideration to all facets of the problem. With the vast changes and challenges of Brexit, overlaid with Covid, and a Government who promise to deliver now, for the sake of the country, we must from time to time throw caution to the wind and act decisively in order to win. This year marks the 220th anniversary of the Battle of Copenhagen, when Admiral Lord Nelson put his telescope to his blind eye. There really is a lesson for all of us there.
(3 years, 8 months ago)
Grand CommitteeMy Lords, it is a great pleasure to follow the noble Lord, Lord Hendy, in this debate. Harassment at work is a real issue and I hope the Government might consider the three steps that he mentioned. For me, International Women’s Day has taken on a greater significance than ever, and its theme, “Choose to challenge”, resonates very strongly with me.
I was the chair of the Independent Medicines and Medical Devices Safety Review and we spent two and a half years just listening and learning from many hundreds of people who have suffered avoidable harm resulting from medications and one medical device. Those people were overwhelmingly women, and my team and I discovered that, while every story we heard was different and deeply personal, there were some common themes linking them all together. These themes were really disturbing—actually, they were shocking. Women told us that they were not informed about the risks. Without being informed of the risks, they could not actually make informed decisions. That, in turn, meant that they could not give their informed consent and, when problems and painful complications arose, we heard that women were routinely ignored or dismissed.
There are many thousands of these women and they have been feeling powerless, helpless and deeply hurt. Many are in great physical pain and tremendous mental anguish. Too often, they have been treated in a cavalier fashion by a healthcare system that is disjointed and seems to have lost its raison d’être. This is not just a UK phenomenon; it is international. I have been contacted by women as far away as Australia and New Zealand who have been going through the same nightmare. Listening to women is not merely something that is nice to do, it is the starting point for good policy and good care.
Five years ago, I chaired the national maternity review. Our starting point was to listen to women and their families, and our report, Better Births, reflected what we were told. We have been putting these recommendations into being, but listening is only one step in the right direction. The second vital step is to act and, in our report, First Do No Harm, my review team said, “We urgently need an independent patient safety commissioner, someone whose role it is to listen to patients’ views and concerns, and who says, ‘Stop, this does not look right. We need to look into this. We need a pause.’”
We need someone who listens, but also someone who makes things happen. The Government have accepted the need for the commissioner and have legislated to establish the role. That is absolutely great, and I thank Ministers and officials for helping to make this happen. We now need to put this person in place. The need is urgent, because we know that avoidable harm still happens. So, in the spirit of International Women’s Day, I choose to challenge. I choose to challenge the Government: you have made a good decision by legislating to create a patient safety commissioner; for the sake of those who have suffered enough already, and for those who may be at risk right now, let us move at speed. Let us put the commissioner in place. Let us listen to patients, to women. Let us learn. Let us act. Let us improve safety and let us improve the quality of their care. What better commitment, and what better way to mark International Women’s Day?