Northern Ireland Dentists: Amalgam Fillings
Baroness Hoey Excerpts(5 months ago)
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Baroness Hoey
To ask His Majesty’s Government what plans they have to ensure that dentists in Northern Ireland will still be able to use amalgam fillings when the EU ban their use from January 2025.
The Parliamentary Under-Secretary of State, Department of Health and Social Care (Baroness Merron) (Lab)
My Lords, on 19 July, as a result of constructive work between the UK Government and the EU, the EU published a notice that recognises the unique circumstances of Northern Ireland and the representations that have been made by the UK Government. It set specific arrangements in place for Northern Ireland, providing an additional 10 years to still use amalgam fillings, or until an earlier time is agreed by the Minamata convention, to which the UK is party.
Baroness Hoey (Non-Afl)
My Lords, I thank the Minister for that Answer, which will be very much welcomed by dentists in Northern Ireland, but does she understand that there is a fundamental issue here? There are many more health and other regulations that will need that kind of begging of the EU to make a difference, because Northern Ireland is still under the Windsor Framework and the protocol. Will she commit to working to ensure that Northern Ireland’s place in the United Kingdom, as a fully integrated part of the United Kingdom, is restored, and that this Government will do what they can to make that happen as soon as possible?
Baroness Merron (Lab)
As the noble Baroness is more than aware, the Windsor Framework is exactly about safeguarding Northern Ireland’s integral position in the union and the UK internal market. I can assure your Lordships’ House that the Government are committed to implementing the Windsor Framework in good faith. This is a particular set of circumstances and the first opportunity to secure such arrangements, so it is important to see it in this light. I am glad that the noble Baroness welcomes this action by the Government; it is certainly intended to serve the good people of Northern Ireland, and I am glad to be able to present that today.
Allied Health Professionals: Prescribing Responsibilities
Baroness Hoey Excerpts(10 months, 2 weeks ago)
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Lord Markham (Con)
First, on the long-term workforce plan, yes, we want to increase the number of allied health professionals by 25% by 2030. We see a lot of that group—some 20%—coming through via apprenticeships. It has been proven just how well pharmacies managed to supplement MMR vaccinations in the Covid and flu space, so it is a good idea. I will need to take that idea back to the department, rather than agreeing to it on the hoof, but I will come back on it because it is an excellent one.
Baroness Hoey (Non-Afl)
My Lords, the Minister will know that the Health and Care Professions Council has suggested three times that sports therapists should be statutorily regulated and could also take part in prescribing. Can the Minister say when this might be likely to get legal agreement?
Lord Markham (Con)
I apologise: I am not quite sure what kind of therapists the noble Baroness is referring to.
Lord Markham (Con)
Yes, this very much applies to sports, and it goes to the whole social prescribing space and the role of physios. I know that physios are listed in the 15 professional groups we are looking to expand this out to. I will provide the details on the exact timing.
Childhood Obesity
Baroness Hoey Excerpts(2 years, 1 month ago)
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Lord Markham (Con)
As I think the noble Lord is aware, the position on BOGOF, so to speak, is that we have delayed those restrictions for a year. We have taken significant action in this space, most critically in supermarkets, by moving the promoted items away from tills and prominent aisle endings to remove this so-called pester power. We will very much keep this under review; when we see the impact, particularly of moving those items, we can look again at whether we will introduce more BOGOF restrictions.
Baroness Hoey (Non-Afl)
My Lords, the Minister has mentioned that what children eat is very important, but is the amount of proper and physical exercise young children get not just as important? Is he concerned, as I am, that primary schools, more and more, do not have officially registered physical education teachers, resulting in children getting very little properly organised exercise? Does he think that this is important, as far as obesity in children is concerned?
Lord Markham (Con)
I agree with the noble Baroness, particularly given her previous position, that sport and physical activity are vital. As I am sure she is aware, we have a 60-minute target for children and £320 million of PE funding to back that up—but active lifestyles and sport are critical to that.
At this moment, as both an Englishman and a Welshman, I take the opportunity to wish both teams all the best in the World Cup.
Covid-19 Update
Baroness Hoey Excerpts(3 years ago)
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Lord Kamall (Con)
I thank my noble friend for those points. On the comments made by the South African expert, I raised these issues with officials and experts today; one of the points made was that there are different demographics of who has been affected. We want to make sure that we are being cautious and proportionate. Therefore, we have taken these measures as a precaution. On the efficacy of face masks, the point my noble friend makes shows that there is a debate, but we have decided to err on the side of caution to make sure that we are prepared.
Baroness Hoey (Non-Afl)
My Lords, what is the position with aeroplanes coming into Dublin Airport? Have the Irish Government followed the United Kingdom Government? Otherwise, what will happen to people who have come into Dublin and then come across a border where there is obviously no restriction into the United Kingdom?
Lord Kamall (Con)
The noble Baroness makes a good point. Health issues are devolved to Northern Ireland, but I will double-check this point and write to her.
Covid-19: Vaccinations Administered Abroad
Baroness Hoey Excerpts(3 years, 1 month ago)
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Lord Kamall (Con)
As I said, we are looking to resolve as many of these issues as possible. There is no logical reason for this not to happen—it is just that we have to push international acceptance but also make sure that we have gone through the processes, especially for those vaccines not recognised by the MHRA.
Baroness Hoey (Non-Afl)
My Lords, further to the point made by the noble Baroness, Lady Quin, about Scotland, does the Minister realise that there has been a huge amount of buck passing between the Northern Ireland authorities and the English authorities about people who are temporarily working in England who have a vaccination and then try desperately to get the Covid pass when they go back? It is really not acceptable. Will he give an assurance now that anyone from any part of the United Kingdom who has been double vaccinated will be able to get a Covid pass, no matter where they got that original vaccination?
Lord Kamall (Con)
The Covid pass can be accessed via the NHS app, but, where that is not possible, patients are able to go to the NHS website or to call 119 to get a letter version.
Drugs: Black Review
Baroness Hoey Excerpts(3 years, 2 months ago)
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Lord Kamall (Con)
I thank my noble friend for reminding us of the third option—or the third way, as some might say. It is really important that we consider all views, and I have read, over the years, many arguments in favour of liberalisation. At the same time, however, I have also read many criticisms from drug treatment charities, saying that it is not as simple as that. At this point, the Government are not committed to any trials on the basis suggested.
Baroness Hoey (Non-Afl)
My Lords, I refer the Minister to Dame Carol Black’s assertion that
“we can no longer, as a society, turn a blind eye to recreational drug use.”
Will the Minister make it very clear that the downgrading of cannabis—the making of cannabis legal—would send out a message that it is fine? But it is not fine for those millions of young people all over the country who get caught up with cannabis. It is a gateway drug, and the Government should not be thinking of doing anything like what the noble Lord, Lord Hannan, has suggested.
Lord Kamall (Con)
I thank the noble Baroness for her question and for her point that it is important to continue to invest in drug treatment services, but also to make sure that we stop drug users from engaging with drugs in the first place.
Medical Devices (Northern Ireland Protocol) Regulations 2021
Baroness Hoey Excerpts(3 years, 5 months ago)
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Baroness Hoey (Non-Afl) [V]
My Lords, I thank the Minister for his explanation. In moving this SI, he made a very brave attempt almost to make it seem as if it is terribly normal and wonderful and no one should be worried about anything in it. In fact, he has made the best of a bad job because, as the noble Lords, Lord Empey and Lord Dodds, said, the reality is that this SI is not something we should even be thinking of discussing, let alone supporting.
I accept that some of the moves in it are to make things a little better for the 300 or so device manufacturers in Northern Ireland, and to make it seem—as the noble Lord, Lord Empey, said, it is almost a pretence—as though there is nothing wrong with what is happening. It is particularly sad to say today—and I hope that everyone has had a good Twelfth of July, at the commemoration and celebrations going on in Northern Ireland—that we are in a situation where the protocol is now dividing Northern Ireland from the rest of the United Kingdom, more and more. What we have seen today will be the first of many inevitable divergences, not just in this area of medical apparatus and medical issues but throughout, because we are left in the situation where the European Union is going to make those laws.
As has been said by many of us, over and again, and as has been said today by the noble Lords, Lord Dodds and Lord Empey, this is completely undemocratic. No one has been asked about this. From 21 May, we have simply had to take what the European Union has said on this issue. Whether it is right, wrong, good or bad is not the issue; the issue is one of basic democracy and consent. It is even in the Explanatory Memorandum, which talks about allowing
“Northern Ireland to continue to align with Great Britain policy where possible.”
Who decides “where possible”? It certainly will not be the people of Northern Ireland; it will be when and where it is permitted under the EU.
We are now a little colony of the European Union for certain regulations within the single market. The reality of this has to be accepted by the Government. This will be one of many SIs; I am not prepared to simply nod them through in future. The Government will have to face up to the fact that, if they try to nod them through, many of us will vote against them. We will not win, but the reality is that we have to show the Government that what they are doing is undemocratic and not in the interests of the United Kingdom.
Covid-19 Update
Baroness Hoey Excerpts(3 years, 6 months ago)
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Baroness Hoey (Non-Afl)
I do not think the Minister should dismiss so lightly the questions about inconsistencies in the regulations. This really does get home to whether the public are going to believe in and carry out those regulations. Can I give him one example? Wimbledon is going to be full to capacity with singing, clapping and cheering—yes, outside—but how on earth then can weddings and outside receptions not be allowed to sing, cheer and do all the things that happen at weddings? These inconsistencies do not make common sense. The Minister needs to understand that.
Lord Bethell (Con)
I hope that the noble Baroness will accept my apology if I have in any way suggested that I am flippant about inconsistency—I am not. What I have in my mind is the huge amount of work that is done by policy officials in order to try to be as consistent as possible. I pay tribute to the colossal human effort that goes into trying to make sure that everything we do is aligned. It is a monumental and very difficult task.
The noble Baroness is right to say that Wimbledon is a big event pilot, quite different in its ambition and its tone to some of the other events—for instance, the care homes that the noble Baroness, Lady Meacher, referred to. What we are trying to do is to take fairy footsteps out of the pandemic. Wimbledon, for instance, will account for many hundreds of thousands of tests as we use very rigorous testing procedures to try to protect the rate of infection in that big event. If it is successful, it will help us lead our way out of this horrible arrangement.
Covid-19: Proof of Vaccination
Baroness Hoey Excerpts(3 years, 6 months ago)
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Lord Bethell (Con)
I do not know about Albania specifically, but the freedom to travel in Europe is, of course, in part defined by Europeans themselves. We are in conversation with all European countries at the moment as to how our vaccine certificate scheme can be aligned with theirs. Indications from Europe are that they are interested in having a two-vaccination programme for entry as well, but we are trying to understand that more thoroughly.
Baroness Hoey (Non-Afl)
My Lords, I welcome the choice that people are being given in how to prove that they have been vaccinated. However, as the Government further the digital economy, will they make it clear that no one will be left behind, so that those who do not wish to go online and to always communicate in that way will never be prevented from using the telephone or corresponding by letter to access any government service?
Lord Bethell (Con)
Yes, I completely endorse that sentiment. I pay tribute to 111 and 119, two facilities that have been used to an incredible extent during this pandemic. A lot of people would much prefer to hear someone at the end of a telephone, to have that reassurance and that personal touch. That is why we have substantially invested in both those resources and will continue to do so.
Osimertinib Cancer Treatment
Baroness Hoey Excerpts(3 years, 7 months ago)
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Baroness Hoey (Non-Afl)
My Lords, I fear what seems to be a certain complacency in the Department of Health about what will happen in Northern Ireland from next January, when Brussels takes control of medicines coming into Northern Ireland. How can a Conservative and Unionist Party accept that our National Health Service will now be separated out, whatever the good will that my noble friend might express about making sure this does not happen?
Lord Bethell (Con)
My Lords, I reject the accusation of complacency. We have worked unbelievably hard with Northern Irish stakeholders, the pharmaceutical industry and EU colleagues to ensure the smooth running of the supply of medicines in Northern Ireland. The facts speak for themselves: so far, they have run extremely smoothly indeed. I reassure the noble Baroness that the UK Government are committed to parity of access to medicines across the UK, including Northern Ireland. Despite different approval routes, we have ensured that all patients have access to medicines at the same time, and we will maintain that commitment.