(6 years, 9 months ago)
Lords ChamberMy Lords, as noble Lords will know, all existing EU legislation will be transferred to the UK statute book through the European Union (Withdrawal) Bill, and the current standards that people have will not be reduced as we leave the EU.
My Lords, following the question about trains, the noble Baroness will not be aware that I came down on Monday in a freezing cold carriage with no heating at all. Also in the carriage was a man who had nobody with him. Neither the guard nor the trolley came down, and my helper gave this man, who was freezing, a cup of tea and some sandwiches. Could they not do better?
My Lords, I am well aware that many people will have been dealing with the effects of the cold weather, and I am sorry to hear about the noble Baroness’s experience. We are working very carefully with rail companies on training, which I think is key here. It is a condition of a train operator’s licence that it provides disability awareness training for staff—but of course there is always more that we can do.
(9 years, 8 months ago)
Lords Chamber
To ask Her Majesty’s Government, in the light of recent reported difficulties of wheelchair users in obtaining taxis at the same price as others, what plans they have to bring into force sections 165 and 167 of the Equality Act 2010.
My Lords, I beg leave to ask the Question standing in my name on the Order Paper. In so doing, I declare an interest as a user of a wheelchair and taxis.
My Lords, in February 2014, I instructed officials to carry out a survey in order to provide a better understanding of the range of issues facing wheelchair users around the country when using taxis or private hire vehicles. I shared the outcomes of this research with ministerial colleagues and discussions are continuing across government on how best to address these issues, including the possible commencement of Sections 165 and 167 of the Equality Act.
My Lords, I thank the Minister for that reply but it has been five years since the Equality Act was enacted, and Sections 165 and 167 are still not enforced. Does the Minister know that the BBC in Leeds did some research recently in Stafford by sending someone out with a disabled person for 12 taxi rides, and she was charged extra every time?
My Lords, as I say, discussions are continuing but the news that the noble Baroness shares is disturbing. The issue that the Government are attempting to deal with is that there is some lack of clarity within Section 165 and there are potential questions, therefore, around enforceability. The question is whether this issue should be dealt with better in the possible legislation that would follow the Government’s response to the Law Commission report on taxi reform more generally.
(11 years, 5 months ago)
Grand CommitteeMy Lords, I thank the noble Lord, Lord Clement-Jones, for initiating this debate. There are more demands on the health systems than there are resources to deal with them adequately—hence the importance of the public health responsibility deal. If public health is to improve the nation’s health, it is important that all sectors work in communication and co-operation and build relationships: the Government, the health services, industry, academia, the voluntary sector and the public.
A growing problem is the increase in the number of people with diabetes. Prevention, if possible, is vital. Screening for bowel cancer and other conditions is also important so that diagnosis is made early. Health and well-being boards need to encourage integration, influencing strategy and reducing inequalities. There is much to do to improve the health and well-being of the population.
Over 20 years ago I chaired a committee which looked into the problems of alcohol, crime and young people. One of the problems seemed to be, and still is, the skilful and aggressive advertising of alcohol. What assessment have the Government made of the progress and impact of alcohol abuse within the public health responsibility deal?
There seems to be an increasing problem of people with alcohol disorders visiting over-pressed hospital A&E departments. They can cause disruption to staff and other ill patients by being aggressive and demanding. The increase in patients with liver disease, including very ill patients—many of them young—is putting more demands on hospital wards. Since I asked the noble Earl a question about the pressures of alcohol abuse on A&E departments, I have learnt that there are NICE guidelines, and I have heard that Liverpool has had some success. Will the Minister tell us what the guidelines say and how Liverpool has improved this difficult situation?
I was once told by an A&E consultant from Leeds that one of the most upsetting incidents he had dealt with was when two young boys aged about 10 and 12 were brought in with alcohol poisoning. Both died. Many serious conditions are caused by the combination of drugs and alcohol. I remember as a child attending a Church of Scotland service: the minister was thumping the pulpit and shouting out the dangers of alcohol. Are our messages today strong enough? Should we not have more health education in schools, with clear messages about what alcohol can do to the pupils’ bodies and minds? Alcohol can be a contributory factor in the increase in sexually transmitted diseases, when inhibitions go out of the window and people forget to take precautions. With alcohol, people with a mental health problem can become a danger to themselves and society.
An effective alcohol policy must be based on the evidence of what works—in particular, increasing the price, restricting availability and tougher marketing restrictions. It must be a policy that therefore counters the pro-drinking messages communicated by an industry that spends £800 million in the UK each year marketing its products. Alcohol Concern shares the view of the World Health Organisation that, while the alcohol industry can and should play a role in implementing decisions on alcohol policy, it should not be allowed to influence the marketing of that policy.
It is welcome to see the progress made and the impact that the Food and Drink Federation has had on artificial trans fats removal, calorie reduction, consumer education, workplace well-being and front-of-pack labelling. This will help with the prevention of osteoporosis, obesity and diabetes. There should be healthy balanced eating and people should take healthy exercise.
I declare an interest as I have a small rural riding centre, which provides a healthy interest and occupation for people who want to enjoy the countryside. It gives them an interest away from sitting for hours and playing computer games.
I hope that the Minister will take this opportunity today to give assurances that independent monitoring and evaluation of the pledges and their impact on public health outcomes will be available to all.
(11 years, 8 months ago)
Lords ChamberMy Lords, I agree with my noble friend that a motor accident is a very high risk for youngsters—probably the worst risk for an untimely end. However, the previous Government made good progress in reducing the accident rate and we will continue that work.
My Lords, would the Minister consider having probationary plates on the cars of young drivers until they are about 21 years of age? If he did something useful, it would be very helpful for all those parents who have lost young people under the age of 21 who were driving too fast.
My Lords, probationary plates are one of the things that we are considering in order to deal with that sort of problem, possibly linked with other measures—for instance, not allowing young or new drivers to carry young passengers.
(12 years, 5 months ago)
Lords ChamberMy Lords, I thank the noble Lord, Lord Ribeiro, for this Bill,
“to make provision for a ban on smoking in private vehicles where there are children present”.
For a few moments, I want to tell your Lordships why I feel this Bill is so important. I think back to my childhood. One of my first memories, when I was about four years old, is of travelling down by train from Scotland to England. It was during the war and there were soldiers lying along the corridors. Most of them were smoking, and I remember telling them what an awful thing smoking was—how it hurt the eyes and had a terrible smell. I cannot think what they must have thought of me.
However, the Bill will support children. It will give them the power to tell parents or people smoking that they are breaking the law, and that they are damaging their health and that of children if they smoke in a car. It must be even more dangerous for babies and small children who cannot accuse their parents or carers of being irresponsible. Smoke, full of toxins, drifting over babies is of immense concern. I congratulate the British Lung Foundation for all that it is doing to make people aware of the dangers of smoking and passive smoke, and of all the other dangers to the lungs of so many people. Prevention is of utmost importance to try to prevent lung disease in later life. The British Lung Foundation’s briefing—I do not think it matters how many times we hear it—says:
“The particular harm that passive smoke causes to children's health is well documented. Although members of the public are protected by smoke-free legislation in public transport and work vehicles, large numbers of children remain exposed to high concentrations of second-hand smoke when confined in family cars”.
The BMA states that children are still developing physically and biologically and that compared to adults they breathe more rapidly, absorb more pollutants because of their size, have less developed immune systems and are more vulnerable to cellular mutations. I would add that surely we should want to try our best to protect the delicate and tender lungs of children. I agree that the ideal would be to introduce an absolute ban on smoking in private vehicles. An extension to the ban would also promote the message that tobacco smoke is harmful, regardless of who is present in the vehicle at any time. As has been said, smoke toxins can remain in vehicles long after a cigarette has been smoked. There could be a build-up of harmful toxins in vehicles where children and other passengers sit.
This Bill is a start. Children are more susceptible to the harmful effects of second-hand smoke. A child’s immune system is considerably underdeveloped compared to an adult’s, and lacks the necessary defences to deal with the harms of second-hand smoke. There is plenty of evidence of the dangers of passive smoking to children. To mention some, there was a report by the Tobacco Advisory Group of the Royal College of Physicians, Passive Smoking and Children, in March 2010. The Royal College of Paediatrics and Child Health, the Royal College of General Practitioners, the British Heart Foundation, Asthma UK, Action on Smoking and Health, the Faculty of Public Health and many other organisations have a multitude of evidence.
I am sure that we all know or have known many people who have suffered from lung or organ disease due to smoking or passive smoking. One such case was Lynn, who was an ambassador for the British Lung Foundation. She tragically passed away earlier this year from COPD at the age of 54. Lynn had never smoked a cigarette in her life but had been heavily exposed to smoking as a child, with both her mother and step-father having smoked around her since she was a baby. She suffered from a number of lung problems as a child. She first contracted pneumonia when she was 13 months old and was diagnosed with asthma at the age of 5. The family doctor never asked her parents whether they smoked. He suggested that it was her hair that was causing the asthma, so it was cut off, and then that it could have been caused by the family dog, so it was sold.
Lynn was diagnosed with chronic obstructive pulmonary disease in 2003, by which stage it was already severe and had put a huge strain on her ability to manage her condition for the rest of her life. Lynn said that she had less than 22% of normal lung function and had never smoked a cigarette in her life. She hoped that her experience would serve as a warning to others to think twice before smoking around children. She hoped that children would have a voice. I hope that the Bill will do just that.
Passive smoking results each year in more than 165,000 new episodes of disease of all types among children, 300,000 primary care consultations, 9,500 hospital admissions and around 40 sudden infant deaths. This comes at a total cost of more than £23 million per year in primary care visits, asthma treatment and hospital admissions in the UK. We are not leading the way in banning smoking in private vehicles, as the noble Lord, Lord Ribeiro, said. It is prohibited in four US states, nine Canadian provinces, six Australian states and in countries such as South Africa—for children under 12—and Bahrain. It has been found that educational campaigns in this area are most effective in changing behaviour when accompanied by legislation.
I was one of your Lordships who supported legislation about the wearing of seatbelts. There were some opposing views. In fact my husband, who was then a Member of your Lordships’ House, and I voted on opposite sides. The wearing of seatbelts increased in the UK from 25% to 91% after legislation was introduced alongside awareness campaigns. I wish this Bill a speedy journey through both Houses. Surely the Government realise how important healthy children are. They are our future.
(13 years, 10 months ago)
Lords ChamberMy Lords, the noble Lord touched on the weight of wheelchairs. One issue is that modern class 3 mobility scooters that can be used on a public road are so heavy that they could cause a problem with access ramps. That is why we need to work to agree standards covering which mobility scooters can go on which modes of public transport.
My Lords, will the Minister communicate with various disabled organisations so that they know what vehicles they should have—otherwise they could be disappointed and could waste money buying the wrong scooter?
My Lords, in this process it is absolutely essential that the Government communicate with all stakeholders. We need to communicate with the manufacturers to make sure that we do not develop a standard that is unique to the UK, in which case we would not be able to get the benefits of volume of manufacture. Obviously we need to communicate with the users of mobility scooters and the operators of the transport system. If we miss out any one of those three groups, we will fail.
(13 years, 10 months ago)
Lords ChamberMy Lords, could there not be containers for instruments in the hold which could be used when needed?
My Lords, the noble Baroness makes a good point; it is one that I put to the Musicians’ Union when I was talking to it. One problem is the environmental conditions in the hold. Understandably, musicians want to carry their instruments in the cabin rather than place them in the hold.
(13 years, 11 months ago)
Lords ChamberMy Lords, I repeat: there is no complacency in Her Majesty's Government. One of the things that we need to avoid is getting out a long screwdriver and sticking it in places where it would be unhelpful.
The noble Lord asked some important questions about fuel supplies for emergency services. I would be very surprised if the emergency services were not careful to ensure that their fuel stocks never go below a certain level so that they do not have to go into the market at precisely the wrong time, which is right now, when we need to avoid panic buying.
My Lords, is the Minister aware that many of the hospitals up and down the country that are snowbound, such as Cardiff, Hexham and Goole, have appealed to the public for the use of 4x4s to get patients and staff to and from hospital? If there is an appeal, people respond. Far more important is the problem of low blood supplies. Will the Minister pass on to his colleagues in the Department of Health the need to tell people where they can give blood? In the press there have been notifications that blood stocks are dangerously low, but there is nothing about where people can go in difficult snowbound areas to give blood. Many people will do that. Type O negative is particularly important.
My Lords, the noble Baroness made a couple of important points. There is a large population of 4x4 vehicles. Some people call them Chelsea tractors. Now they can be useful to society and people can volunteer to help local voluntary groups to move people who cannot otherwise move around. Although the strategic road network is pretty well completely clear, the side roads are not clear.
The noble Baroness mentioned blood supplies. I am not aware of the current situation with blood supplies, but I will pass her comments on to my noble friend Lord Howe. As for heating supplies, I understand that most hospitals run on gas and only a few use oil. I imagine that they would be very careful not to run their stocks down too much at this time of year.