(3 years, 11 months ago)
Lords ChamberCan we speed up a little, please? I call the noble Baroness, Lady Jolly.
My Lords, the noble Baroness, Lady Wheeler, is right to flag that this is not the first time that we have heard this catalogue of appalling treatment. The shame is that in some places local authorities and the NHS use a one-size-fits-all approach to commissioning services. We have to put the individual in care at the centre and treat them and their needs. When did a Minister last issue commissioning guidance to local authorities and the NHS in this matter, as the partners that have to commission the process? What family involvement is recommended in those conversations?
(4 years, 7 months ago)
Lords ChamberDid I hear the noble Baroness, Lady Jolly, trying to get in?
Yes, thank you. I would like to thank those garden centres that continue to serve customers by delivering both plants and seeds, either by post or carrier. Rumours that garden centres—
There are rumours that garden centres are to reopen soon, which would be good for customers wanting to choose their plants—good for garden centres and customers. It is an easy place to keep social distance and it is good for our mental health. Will the Minister tell the House what is holding back the decision?
To take the last point first, I do not regret that. I do not regret parity of esteem for mental health. I do not regret health and well-being boards in local authorities. On the noble Lord’s first set of points, we have seen rising demand in emergency and waiting lists, a reduction in unplanned financial support, and focus on safer staffing ratio guidance. Various things are happening. The noble Lord, Lord Carter, one of the noble Lord’s noble friends, is looking at procurement within hospitals. Right across the piece, local NHS and foundation trust boards are concentrating on how they can restructure services to improve the situation.
On the financial position, did my noble friend hear the interview given this morning on the “Today” programme by the Labour health spokesman, Mr Burnham? Given the pressure on health budgets, which we all accept, would it not be idiotic, as he advocated, to turn our backs on the sensible economies that can be achieved from the contracting out of ancillary services?
This brings us, I think, to Section 75. We are absolutely clear that no contracting out or commissioning should be done unless it is in the interests of the patient.