Migraine Care: 10-year Health Plan
Baroness Manzoor Excerpts(1 day, 10 hours ago)
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Baroness Merron (Lab)
We constantly review and discuss with pharmacists the range of conditions they cover. It has been one of the highly successful ways of making community-based care available, and we certainly want to continue to work with pharmacists. It is also important to note that more modern treatments are available now on prescription, which will all also support people to manage their condition and will reduce unnecessary A&E admissions.
Baroness Manzoor (Con)
My Lords, as has already been mentioned, over 10 million people in the UK suffer from migraine, and it is highly prevalent in women. It is also linked to anxiety and depression. I welcome what the Government are doing in extending women’s health hubs and emphasising mental health in the 10-year plan but, unfortunately, there are no systematic gateways for migraine care in the 10-year plan. How can the Government address this in the light of the significant problem that there is? I am also sorry to hear that the noble Lord, Lord Londesborough, suffers from migraine.
Baroness Merron (Lab)
It is important that we acknowledge that this is a debilitating condition. The noble Baroness is right that it is one of the most common neurological conditions, affecting one in five women and one in 15 men. Indeed, it is a major cause of disability. The 10-year plan sets out the main pillars. For example, there will be an updated adult neurology service specification, which will come into being just next month. It was published in August, and I believe it will take account of the points the noble Baroness rightly raises.
GP Contract
Baroness Manzoor Excerpts(1 week ago)
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Baroness Merron (Lab)
The right reverend Prelate is right to raise this. We have been very concerned for some time about the inequalities in coastal areas and areas of greatest need, where healthy life expectancy is the lowest. That includes communities with higher deprivation levels. That is why we began our reforms last year with an independent review of the outdated Carr-Hill formula. That is about the distribution of GP funding, which is fundamental to the point the right reverend Prelate makes. It is based on data that is around 25 years old in some cases, and clearly our population has changed. I look forward to updating the House when that review is concluded.
Baroness Manzoor (Con)
I welcome some of the criteria that are going to be used, particularly for deprived communities, in relation to access, but there remains a postcode lottery in terms of access to GPs, particularly in deprived communities. My concern is that, with some of the algorithms and IT being used as a postbox, patients are being referred directly to A&E departments. Will the Government assess in A&E departments which people are being referred that way so, that we can ensure that that loophole is addressed?
Baroness Merron (Lab)
It is important to say that online access does not sit alone. There is also in-person access, including telephone access if people prefer that. The intention is not—and it is not the practice—that they are just postboxes. They are dealt with. We constantly keep those approaches under review. Our expansion is about access to GPs. That includes, for example, in answer to some of the points that have been raised today, including by the noble Baroness, repurposing £292 million from primary care network incentive scheme moneys to fund additional GP sessions to create more capacity, because that is necessary whatever way people make contact. That was based on feedback from the BMA, which said this would be a more effective use of funding.
Under-16s Energy Drinks Ban
Baroness Manzoor Excerpts(1 month, 2 weeks ago)
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Baroness Merron (Lab)
I understand the noble Lord’s point. We are focusing on those energy drinks that contain 150 milligrams of caffeine per litre as the way of making the greatest impact to children aged under 16. When I think that over 100,000 children aged 11 to 15 consume at least one high caffeine energy drink per day, I believe that that is the right thing to do, as some of those drinks are equivalent to four cans of Coke or two espresso shots. That is how seriously we need to take this. I hear his point about going further, but it is important that we focus on the absolute immediate.
Baroness Manzoor (Con)
The Government introduced voluntary guidelines for manufacturers to reduce salt and sugar in baby food and milk food products for ages up to 36 months. How has that gone? Will they introduce statutory guidelines after the first 18 months? Have companies complied with the guidelines?
Baroness Merron (Lab)
We were glad to introduce the voluntary measures. To be proportionate and evidence-based, they will in the first instance be voluntary. We will review along the way how we are getting on and whether there is a need for statutory action, as the noble Baroness asks.
Better Start Longitudinal Programmes
Baroness Manzoor Excerpts(1 month, 2 weeks ago)
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Baroness Merron (Lab)
I think I heard what my noble friend said: I got the gist. What matters is not just that we are in a position where children’s health and well-being is not where it should be but that we are pulling together all the best examples of practice, including Sure Start and family hubs, and investing in provision, services and information. This will take us forward to a situation where we genuinely have the healthiest generation ever. That is not something we have now, particularly in the more disadvantaged areas.
Baroness Manzoor (Con)
My Lords, I am sorry if I sound like a broken record, but what are the Government doing to ensure that we retain the health visitors and midwives that we have? There are not sufficient midwives or health visitors in the service and they play a vital role in supporting young mothers and fathers in the care of their babies and children.
Baroness Merron (Lab)
They do: I completely agree. That is why they are very much part of our delivery plan. It is part of the move from hospital to community: part of the neighbourhood service model. We will be publishing the workforce plan in the spring; that will take account of it. This is a multidisciplinary approach. We are seeing more midwives. We are also seeing more consultants in obstetrics, for example, although I know that the noble Baroness was not referring particularly to that. We are also developing stronger health visitor teams. They all matter, because they bring the care closer to home in a way that will make the greatest impact.
NHS: Corridor Care
Baroness Manzoor Excerpts(1 month, 2 weeks ago)
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Baroness Merron (Lab)
On social care, we are making progress on building a national care service. Around £4.6 billion of additional funding has been made available for adult social care by 2028-29. Along with other matters, including funds to improve and provide adaptation so that people can return home when they would not have been able to otherwise, we are providing funding of over £1 billion for adult social care with local authorities. This can be used to expand capacity. Of course, we have an independent commission chaired by the noble Baroness, Lady Casey.
Baroness Manzoor (Con)
My Lords, in a recent survey 78% of physicians reported undertaking corridor care. It is becoming almost the norm all the year round. It affects patients’ dignity, health and safety, and patient outcomes, because there are greater infection rates. I welcome the Minister’s points on the action that the Government are taking, but it is rather long-sighted and there is a real urgency to do something now.
Baroness Merron (Lab)
I agree with the noble Baroness. Corridor care is perhaps one of the most visible and distressing symptoms of an NHS that the noble Lord, Lord Darzi, described as broken. We have to fix a number of the processes. I welcome that we are expanding urgent care access, for example, in primary, community and mental health settings, which will reduce demand on services. However, without publicly available data and the clinical operational standards that we are setting, the change will not be made as quickly as we would all like. There are immediate actions, as well as medium and long-term actions.
Baby Milk Powder: Cereulide
Baroness Manzoor Excerpts(1 month, 2 weeks ago)
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Baroness Manzoor (Con)
My Lords, of course the best food for babies comes from breastfeeding. May I advocate that we should not lose sight of the fact that many mothers do breastfeed? But I understand the anguish and fear that mothers who cannot breastfeed have had in relation to this incident, and the department needs to do more to make young new mothers aware of the issue, because, as the Minister and I know, there is a shortage of community midwives and health visitors.
Baroness Merron (Lab)
That last point is something that will be looked at as part of workforce planning. I totally agree with the noble Baroness about the importance of the multidisciplinary team in supporting new mothers to find the right ways that are suitable for them and best for their baby—and I am glad the noble Baroness accepted that breastfeeding is not possible for everybody.
Maternal Mortality
Baroness Manzoor Excerpts(2 months ago)
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Baroness Merron (Lab)
I am not fully up to speed with the article that the noble Lord raises, but I undertake to look at it and get back to him, because this is a very important matter.
Baroness Manzoor (Con)
My Lords, many NHS trusts are facing deficits in midwives. There is not a sufficient workforce. What are the Government doing to tackle this issue? New parents, and new mothers during their birth, are not being supported, and there are significant problems as a direct result of this.
Baroness Merron (Lab)
Midwives are absolutely crucial, and I pay tribute to them and to the wider maternity team. As of October 2025, there has been an increase of some 3.6%—that is 878 more midwives—compared to October 2024. Importantly, we are seeing the introduction of a range of initiatives to improve retention in the maternity workforce, including in midwifery. That will include mentoring and giving better advice and support on pensions and flexible retirement options, because we are keen to retain the long years of service that many midwives and other staff have.
Breast Cancer
Baroness Manzoor Excerpts(3 months, 1 week ago)
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Baroness Merron (Lab)
I do not know if I dare comment about vested interest, but why not? I am not aware that there is a final limit. It is on request.
Captain of the Honourable Corps of Gentlemen-at-Arms and Chief Whip (Lord Kennedy of Southwark) (Lab Co-op)
It is the turn of the Conservative Benches and then we will come to the Labour Benches.
Baroness Manzoor (Con)
My Lords, I welcome the Government’s strategy to have a dedicated cancer plan, but can the Minister say when this plan will be published, particularly in relation to breast screening? Will she give an indication of the uptake rate by women from disadvantaged backgrounds and women from ethnic minorities? The uptake rates are very low. Will these also be considered in this national plan?
Baroness Merron (Lab)
The answer to that latter question is yes, and the noble Baroness will not have to wait too long to see the national cancer plan.
NHS: Wheelchair Services
Baroness Manzoor Excerpts(4 months ago)
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Baroness Merron (Lab)
I will be pleased to write to the noble Baroness about the specific data that is available, but we know that, because of issues to do with aids and adaptations, sometimes people’s leaving hospital is not as timely as it should be. That is not in their interests. We certainly expect local authorities, for example, which have a statutory duty, to make arrangements to do so and also for ICBs to make the provision so there are not the hold-ups that the noble Baroness refers to.
Baroness Manzoor (Con)
My Lords, as the Minister said, the NHS provides the funding for wheelchair access, but the wheelchairs are mostly necessary in community settings and in the home, and there is a gap between social services and the NHS using different criteria to assess the health needs of the patient. What are the Government going to do to address this so that people get the service that they need?
Baroness Merron (Lab)
The provision of the right type of wheelchair is crucial, but we also need to expand care options to boost independent living at home. We have done that in part through an additional £172 million for the disabled facilities grant, which goes hand in hand with people being able to live at home. This could enable around 15,600 extra home adaptations. Introducing care technology standards for those who are using wheelchairs and those who are not will also enable proper care standards and independent living.
MBRRACE-UK Report 2025
Baroness Manzoor Excerpts(5 months ago)
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Baroness Merron (Lab)
I agree with the core of the noble Earl’s observation, which is why the maternity care bundle—to be published next month and actioned next year—is so crucial. It will pick up the point he is making about the five clinical areas for urgent action. They have been chosen because of their ability to improve outcomes and to reduce inequalities, as well as their feasibility of implementation within NHS services, which I know is a matter of great interest to your Lordships’ House.
Baroness Manzoor (Con)
My Lords, I am pleased to hear that the Secretary of State has indicated that there will be an independent inquiry at Leeds Teaching Hospitals. Data is important, so can the Minister say what IT data in general will be collated through the NHS? More importantly, what is the governance structure for trust chairs and NHS boards in looking at risk management? Wherever we have failings, it is always a failing of leadership. How will the Government tackle this?
Baroness Merron (Lab)
One of the interventions aimed at addressing inequalities—which will, I am sure, be of interest—is the delivery of what is called an inequalities dashboard. That allows local systems to monitor data usage where inequalities are in place. As the noble Baroness rightly suggests, if we do not know where there is a problem then we cannot address it. That project and those on removing racial bias from clinical education, as well as those embedding the genetic risk inquiry, are data driven and will make a difference in the way that we all seek.