Health and Care Bill

Baroness Masham of Ilton Excerpts

2nd reading
Tuesday 7th December 2021 Lords Chamber

[Baroness Masham of Ilton (CB) [V]]

My Lords, I am very pleased to follow the noble Lord, Lord Farmer. I am driven to start my contribution by referring to the cruelty of the evil stepmother and terrible father of little six year-old Arthur. I hope this Bill will update and include safe children’s services. In doing nothing, incredible harm was done to this little boy, who was starved, poisoned with salt and beaten to death. I feel very sorry for the relations who tried to warn services but were ignored. Over the years, there have been too many terrible deaths and cases of cruelty towards neglected vulnerable children. I am glad that the noble Baroness, Lady Tyler of Enfield, is also supporting children today.

This Bill should improve communication and co-operation between services. Emergency services should be able to retrieve patient GP notes. X-ray and scan results should be able to be shared between hospitals and trusts. So much more should be done to speed up diagnosis and make emergency medicine a priority. It seems very concerning that there are young, bright people who want to train in medicine but there are not enough training places. We need more doctors, radiologists, radiographers, nurses and therapists, as well as all the other staff. The workforce is vital, as it is in social care and for disabled people living in their own homes. We have reached a crisis point.

The Bill can be improved if patient voices are included. Many people feel that the patient’s voice should be included in both the integrated care boards and the integrated care partnership by Healthwatch or a similar body, which could collect data from all the different sources representing patients. Patient-public engagement needs retaining, and there needs to be more clarity around the relationship between ICBs, partnership boards and the CQC.

Reorganising the NHS and care services in the middle of a pandemic is an enormous challenge for all concerned. The Bill seems to be encouraging local services, with some hospitals in rural areas having been downgraded. In order to get adequate services and specialised healthcare, patients have to travel miles and some patients need help to do this. Patients should not miss out because of where they live. Can the Minister confirm that all patients who need the necessary specialist treatments will get them? Patients with rare conditions also need access to the appropriate medicines, and very rare medicines should not be restricted. This includes end-of-life medicines, which should not be devalued.

The number of Members taking part in this debate shows how important health and care is to this country. Will the Minister tell us how much importance is being put on public health and the prevention of ill health? The extra workload due to coronavirus should not mean that other infections are put to one side. Working together and not in silos should help the social care providers; that seems to be what is needed.

In this Bill, who takes responsibility for sexually transmitted diseases such as HIV/AIDS, hepatitis, gonorrhoea, TB and many more infections? The global problem of drug resistance must not be neglected. There is also a growing problem of urinary infections and resistance.

We need to fight for our health. Therefore, scientists who produce vaccines should be supported. They need to know that the funds will be forthcoming so they can go ahead and produce new vaccines to fight new variants. Their research is vital to keep society safe. I hope this Bill will also keep our health and social care safe. I end by congratulating my noble friend Lord Stevens on his splendid maiden speech.