NHS England Funding: Announcement to Media

Baroness Manzoor Excerpts

Tuesday 26th October 2021 Lords Chamber

[Lord Kamall (Con)]

I thank the noble Lord for that suggestion. We see social care as incredibly important, which is why we will soon have before the House a health and social care Bill to make sure that we look at both health and social care, from birth all the way through one’s life.

[Baroness Manzoor (Con)]

My Lords, I welcome the sum of £5.9 million, which comes on top of the additional commitments that were previously made by the Government. However, it remains the case that, with demographic changes, an ageing population and many more chronic diseases and illnesses, we will see a rise in cost. Can my noble friend say whether there is an active plan to look at a forward-thinking strategy as to how we will deal with this funding in the long term?

[Lord Kamall (Con)]

I thank my noble friend for that question. Last week we had a discussion on healthy ageing and making sure that the population of the UK is able to live healthy lives for longer. That is very much part of the overall thinking on health reform and we hope to have more details in due course.

Covid-19: Plan B

Baroness Manzoor Excerpts

Wednesday 20th October 2021 Lords Chamber

[Lord Kamall (Con)]

I agree with the noble Lord that it is important that we take as many measures as possible to make sure that we do not have to move to plan B. I assure the noble Lord that I do wear my mask to, hopefully, set an example, and I hope others will too—but it is really important that we understand what factors are driving this rise in numbers and the most effective way of tackling it.

[Baroness Manzoor (Con)]

My Lords, can the Minister say what action the Government are taking to ensure that the inequalities that have been experienced by black and ethnic minority people in relation to Covid-19 are being addressed now?

[Lord Kamall (Con)]

I thank my noble friend for that question, particularly in the light of this being Black History Month, an important month to be celebrated in terms of the contribution that the Afro-Caribbean community has made to this country over many years. However, on the specific issue, sadly there are some demographics in communities that have a lower uptake of vaccines. The Government are discussing with a number of stakeholders how we can improve information, but also encourage and exhort people from these communities to take the vaccines.

Coronavirus Act 2020: Temporary Provisions

Baroness Manzoor Excerpts

Monday 28th September 2020 Lords Chamber

[Baroness Manzoor (Con)]

My Lords, I congratulate and welcome to these Benches the noble Baroness, Lady Clark, and my noble and learned friend Lord Clarke. I also look forward to the third and final maiden speech, by my noble friend Lady Morrissey.

It is welcome news that the 10th candidate vaccine for Covid-19 moved into the final stages of clinical trials last week. Sadly, however, this means that, for the time being, we have no choice but to battle the rapidly developing second spike with the same blunt instruments that we have been using over the last six months: washing hands, wearing face masks, limiting social contact, tracking, tracing and isolating. As such, it is important that we take this opportunity to objectively review the impact of the virus on the economy, on the health and well-being of individuals, and on the behaviour of people, to ensure the development of a more coherent, targeted and robust strategy and regulation.

With this in mind, I have four points which I ask my noble friend the Minister to address. First, the BMA states that at least 10 million appointments and procedures have been cancelled or postponed. This figure fails to account for people feeling ill who choose not to use the NHS, either because of the fear of contracting Covid-19 or out of a sense of duty. Can the Minister confirm that the Government will provide a detailed analysis of how the suspension of NHS services has affected the physical and mental health and social care of the population?

Secondly, can my noble friend say what steps are being taken to address the shortcomings of the test, trace and isolate system, and whether there are any plans to deploy more rapid turnaround testing capabilities, such as those being developed by Oxford Nanopore Technologies? There would be huge benefits in managing the spread of infection if we could provide test results in minutes. Delays in testing, tracing and isolating effectively could cost lives.

Thirdly, SAGE has found that less than 20% of those reporting symptoms of Covid-19 are fully isolating, and it has estimated that compliance rates are even lower in other members of those households. These statistics raise serious concerns over the merits of the £12 billion that the Government have invested in track and trace, and demonstrate a failure to persuade the population at large to observe the self-isolation regulations.

Therefore, can the Government publish regular statistics on how many people are being asked to self-isolate either because they have tested positive or have been in contact with someone who has tested positive, or because they are showing symptoms of Covid-19? Perhaps the Government could undertake regular surveys to determine why individuals are failing to comply with the requirement to self-isolate, so that more targeted approaches can be developed.

Finally, statistics published show that more than 90% of doctors who have died from Covid-19 were from black and ethnic-minority groups. Additionally, the latest analysis from the ONS shows that black, Bangladeshi and Pakistani men are four times more likely to die from the disease than white men. A similar pattern exists between ethnic-minority and white women. Can the Minister inform the House of what research, if any, has been undertaken to explain these differences in mortality rates? What steps, if any, are being taken to mitigate the risks that arise for those groups in those communities, in the workplace and in the NHS? The regulations are important, but they are only part of the picture.

Covid-19: Rise of Positive Tests

Baroness Manzoor Excerpts

Wednesday 9th September 2020 Lords Chamber

[Lord Bethell (Con)]

My Lords, we are well within the threshold that the noble Lord, Lord Kakkar, alludes to, but we are concerned about winter. That is why we are putting in place new restrictions and new arrangements to stop the spread of this disease, protect the NHS and save lives.

[Baroness Manzoor (Con)]

My Lords, the level of coronavirus has risen significantly since late July and, as my noble friend the Minister knows, the disease is having a disproportionate effect on black and ethnic minority people. Can he therefore say exactly what the Government are doing to ensure that these groups are fully accessing NHS Test and Trace, and what additional support is being given to those who work in the hospital and care sectors?

[Lord Bethell (Con)]

My Lords, we are deeply concerned about the BAME incidence of this horrible disease. We have put in place extensive new marketing arrangements targeted at BAME audiences. We have targeted our testing arrangements through mobile testing and door-to-door availability at that communities that have been hardest hit, and there are guidelines to NHS trusts to put in place the necessary safety arrangements for those with a BAME background.

Health: Maternity Care Provisions in East Kent

Baroness Manzoor Excerpts

Thursday 13th February 2020 Lords Chamber

[Baroness Blackwood of North Oxford]

We are obviously very grateful to all those brave enough to bring their stories forward in the midst of extreme tragedy and pain. We know that it is not easy and that within the culture of the NHS, it can sometimes be extremely hard to break through the barriers of not denial, but resistance. We should pay tribute to all those who have campaigned for maternity safety. In particular, I pay tribute to my right honourable friend Jeremy Hunt, who began a lot of the work to improve maternity services when he was Health Secretary, and to James Titcombe, who led a lot of the work relating to Morecambe Bay.

[Baroness Manzoor (Con)]

Does the Minister agree that the NHS is overregulated, with lots of overlapping responsibilities between different regulators? Does she agree that we need much greater clarity so that issues such as this, with devastating impacts on people’s lives, are dealt with much more quickly and picked up much sooner, rather than individuals having to make formal complaints?

[Baroness Blackwood of North Oxford]

My noble friend makes the core point that when an issue arises, there should not be conflict between patients, the NHS and clinicians; it should be possible to resolve the situation in a straightforward way, within a culture not of blame culture but of learning. That is at the core of setting up HSIB, but this culture should go all the way from the grass roots of the NHS up to the very top. That is absolutely a part of the patient safety agenda we are trying to instil.

Wuhan Novel Coronavirus: UK Citizens

Baroness Manzoor Excerpts

Thursday 30th January 2020 Lords Chamber

[Baroness Blackwood of North Oxford]

I thank the noble Baroness for her extensive questions. We are doing everything we can to get British people in Wuhan safely back to the UK. A number of countries’ flights have been unable to take off as planned. We will continue working urgently to organise the flight to the UK as soon as possible. We are working with British nationals who wish to leave and we are developing a package for them once they arrive. The plane will have medical staff on board to assess and manage the passengers; obviously, this is on the direct advice of and with support from our Chief Medical Officer, who has specific expertise in this area. A team from Public Health England and the NHS will meet passengers, and any passengers who have developed symptoms will be assessed and transferred to NHS care, as appropriate. Asymptomatic passengers will be transferred to an isolation centre; we do not want to provide details on that at this stage. We are working with the Chinese authorities to unlock the issues to allow the plane to take off.

[Baroness Manzoor (Con)]

My Lords, more than 120,000 Chinese students study in the UK. Can my noble friend the Minister say what support and advice the Government are giving to both students and universities?

[Baroness Blackwood of North Oxford]

Public Health England is doing a superb job in providing very clear advice for all those who may be concerned—either those who have relatives in China or those who feel as though they have been exposed. I encourage anybody with concerns to look to Public Health England for the most accurate and up-to-date advice; it is updated on a very regular basis. That is the place to go for the most accurate and clinically validated advice.

National Health Service Infrastructure

Baroness Manzoor Excerpts

Thursday 9th January 2020 Lords Chamber

[Baroness Blackwood of North Oxford]

Data on the proportion of capital equipment that is out of action or on days lost is not currently collected and the responsibility for that is with local NHS organisations, but the Government have recently supported investment in new diagnostics. As outlined in our Health Infrastructure Plan, we have invested £200 million to deliver new state-of-the-art diagnostic machines, such as MRI machines, CT scanners and breast-scanning equipment, to 78 trusts. We recognise that we need to improve the number of scanners that are younger than the “golden rule” of 10 years old.

[Baroness Manzoor (Con)]

My Lords, I welcome the Government scrapping car parking charges, which will support people who are caring. I also welcome the new money that will be put into the infrastructure project, which is vital, as the noble Baroness, Lady Thornton, has pointed out. Can my noble friend say, however, whether AI and new technology will be used, and whether funding will be put in place to help carers and people living in their home?

[Baroness Blackwood of North Oxford]

I thank my noble friend for her question. She is absolutely right that we want to prevent people from going into hospital in the first place. We have made a £200 million investment in the AI lab to reduce the burden on doctors in the first place and to make use of the benefits of AI in diagnostics. A number of centres up and down the country are trialling this to reduce the burden on clinicians so that they can become more human and work on their caring responsibilities. We are also trialling a dementia care test bed, so that there is support for carers and so that people with dementia can remain in their own home. This is going on in Surrey and has been hugely successful; it is a very exciting development.

NHS: Nurses

Baroness Manzoor Excerpts

Tuesday 7th January 2020 Lords Chamber

[Baroness Blackwood of North Oxford]

The noble Baroness raises an important issue. It is under active and serious consideration but, at this point, we are unable to give specific details about it. I will come back to the House on this when I am able to do so.

[Baroness Manzoor (Con)]

My Lords, I congratulate the Government on the new funding scheme for those wanting to come into nursing. Can the Minister say a little more about when this funding will be available?

[Baroness Blackwood of North Oxford]

The bursary will be available for new and continuing nursing, midwifery and allied health students for courses from September 2020. As I said, students will be able to access both student loan funding and this additional, non-repayable funding from the Department of Health and Social Care while studying. This means that students will have more cash in their pockets than they ever have before, which should attract them. It also means that we will be able to target funding to areas and specialisms that struggle to recruit, which we believe will definitely improve the sustainability of the nursing workforce and reduce its variability up and down the country.

Sexually Transmitted Infections: England

Baroness Manzoor Excerpts

Thursday 5th September 2019 Lords Chamber

[Baroness Blackwood of North Oxford]

The noble Baroness is expert in this area and often raises this issue. She is absolutely right that antimicrobial resistance among some STIs is a growing concern. Public Health England has a world-class surveillance system to enable early detection and management of antimicrobial resistance. It is particularly an issue when it comes to gonorrhoea, and it uses that intelligence to advise the national gonorrhoea treatment guidelines. We will continue to keep on high alert when it comes to these matters.

[Baroness Manzoor (Con)]

My Lords, the number of reported gonorrhoea cases has increased by 176.6% among multi-race persons over the last six years. How exactly is the issue being tackled in this community and what funding will be made available for it?

Asthma

Baroness Manzoor Excerpts

Wednesday 3rd July 2019 Lords Chamber

[Baroness Blackwood of North Oxford]

The noble Baroness will have heard in my opening remarks that we have put treating asthma and respiratory diseases as a key priority within the NHS Long Term Plan precisely because we recognise that we need to improve our performance on respiratory diseases. Working with Asthma UK, we have identified that one of the key challenges in improving performance has been the identification of those with severe asthma and providing them with an appropriate care plan. That is exactly why we are pleased that a new NICE quality standard, QOF and the RightCare programme are in place; these should help to improve referrals and outcomes for patients as is desperately needed.

[Baroness Manzoor (Con)]

My Lords, as the Government roll out the early diagnosis centres, including for lung-health checks, across the country, will they be looking to implement recommendation 1e of the lung task force as part of their strategy, so that air pollution is monitored and the NHS can provide advice when pollution levels are high?

[Baroness Blackwood of North Oxford]

I thank my noble friend. She is right that we need to improve our response to those at high risk of respiratory illness. That is partly why we are improving our offer on mobile lung-health screening, specifically as part of the national targeted lung health checks programme. It is also why we are offering smoking cessation advice and treatment as part of that service. We offer the general population and vulnerable groups advice via the daily air quality index, but she is right: we need to improve our monitoring of air pollution if we are to make progress on this issue. It is something that I will take up with the department.