NHS Hospitals: Apheresis

Debate between Baroness Merron and Baroness Finlay of Llandaff

Wednesday 9th October 2024 Lords Chamber

[Baroness Merron (Lab)]

I assure the noble Baroness that we are more than factoring it in. We are totally committed to working to support those with sickle cell, and thalassaemia. There is ongoing work to provide the very best possible care, including boosting the number of blood donors, which is vital in improving clinical pathways and delivering treatments. There is a treatment, as I am sure the noble Baroness is aware, called Casgevy, which requires apheresis as part of the process. It is being evaluated by NICE for the treatment of thalassaemia and it is also being evaluated for sickle cell. I hope all those things will bring great benefits.

[Baroness Finlay of Llandaff (CB)]

My Lords, I am grateful to the Minister for highlighting that we are a leader across Europe with our services, but only 50% of the country is covered. Can she assure us that in all reviews of the NHS, consideration will be given to centrally commissioned, highly specialised services such as this, rather than relying on local commissioning, that the workforce plan will recognise that highly skilled nurses are needed to undertake this treatment, and that that needs to be factored in? The numbers are small but the skills are enormous.

[Baroness Merron (Lab)]

What the noble Baroness says is very true and I certainly can give the assurances she seeks.

Bread and Flour Regulations 1998

Debate between Baroness Merron and Baroness Finlay of Llandaff

Wednesday 11th September 2024 Lords Chamber

[Baroness Merron (Lab)]

I certainly hear the very welcome points that the noble Lord makes. As we progress, this will make us the first European country to mandate folic acid fortification of non-wholemeal flour. While some European countries, including Ireland, have voluntary fortification, mandatory fortification is not the case. I and my ministerial colleagues are keen to be in this position.

[Baroness Finlay of Llandaff (CB)]

I am grateful to and congratulate the Minister on her perseverance on this issue and on decreasing neural tube defects. Can she also ensure that products are appropriately labelled with warnings that they are not fortified and that any woman who might become pregnant should take additional folic acid supplementation? Without that, we will not tackle the ongoing problem of neural tube defects. I do have a concern that there is inappropriate fear over toxicity, given that in 1991 there was a very good randomised controlled study. People were divided into groups, given fairly high doses, including with multiple vitamins, and compared with those on a placebo. There were no adverse neurological or other effects.

[Baroness Merron (Lab)]

I am grateful for the noble Baroness’s contribution and can reassure your Lordships’ House, and anyone else who may be concerned, that, as noble Lords have said, this has been gone through over many decades. Safety is paramount. On products that are non-fortified, I will have to look into this, but for those that are fortified, there will be a transition period for industry because the equivalent of some 11 million loaves of bread are sold in the UK every day but only 65% of the flour used in their manufacture is produced in the UK. We have to look at this huge diversity of food products, including biscuits and cakes, and where it is a food ingredient in ready meals and soups. It is quite an undertaking, but your Lordships’ House can be assured that we are on it.

Government Policy on Health

Debate between Baroness Merron and Baroness Finlay of Llandaff

Tuesday 10th September 2024 Lords Chamber

[Baroness Merron (Lab)]

My noble friend makes an important distinction, and I would certainly share that view. It is worth reminding your Lordships’ House that ministerial meetings that are attended by third parties are declared in a quarterly transparency publication in the established way. Of course, this will be done. I can tell your Lordships’ House that I had a meeting with the right honourable Alan Milburn, and it was very useful.

[Baroness Finlay of Llandaff (CB)]

My Lords, I should declare an interest because I was on the Times Health Commission. We took evidence from a wide range of people, including the person mentioned. Can the Minister provide assurances that, whenever people are consulted, they are routinely asked to declare their interests; that any declaration of interest is repeated not only at the first meeting but whenever other people are present so that it is well known; that the consultation goes widely; and that there is no overreliance on a small number of people? We at the Times Health Commission found that, by consulting widely, we were able to hear very conflicting views, which was helpful and formative.

[Baroness Merron (Lab)]

I thank the noble Baroness for sharing her experience of consulting widely. It is certainly entirely legitimate for government departments to do just that. However, those who do not have a formal role are not required to declare interests; it is different for those who have a formal role. Requiring them to do so would mean, for example, us sending forms in advance to Cancer Research UK before it comes in to talk to us about cancer and to assist us. Would we want that? We would not. Of course, where there is a formal role, we absolutely do that.

It is probably worth saying that a particularly high-profile invitation went from the Secretary of State to the noble Lord, Lord Darzi. He will report shortly on the true state of the National Health Service. He does not have a specific role in the department but he has been invited by the Secretary of State to assist; I believe that he will assist both your Lordships’ House and the other place.

OFCOM (Duty regarding Prevention of Serious Self-harm and Suicide) Bill [HL]

Debate between Baroness Merron and Baroness Finlay of Llandaff

3rd reading
Friday 16th June 2023 Lords Chamber

[Baroness Finlay of Llandaff (CB)]

My Lords, I thank the Samaritans most sincerely for all the work they have done with me for a very long time on this Bill and its background. I also thank those parents and families who have shared the overwhelming distress and tragedy of discovering that their child, brother or sister had been goaded and pushed into suicide by exposure to repeated messages, coming particularly through the internet and often completely unknown to the family. That was the motivation behind this Bill.

I am also extremely grateful to the Government, officials from Ofcom and the noble Lord, Lord Grade, in particular, for the work they are doing to make sure that this scourge that happens to our young people is adequately tackled. We are in a strange position because the Online Safety Bill is in Committee here at the moment and we are about to debate a government amendment which I hope will help address this problem.

I also commend Ofcom on the way it is already developing robust risk assessment and risk management processes because it has recognised just how harmful some of this activity is. I also thank all Members of this House for the support they have given me at all times when we have discussed this Bill and for the recognition across the House, particularly from the noble Baroness, Lady Kidron, of the importance of tackling this major problem in our society. I beg to move.

[Baroness Merron (Lab)]

My Lords, I give my warmest congratulations to the noble Baroness, Lady Finlay, on the progress of this very important Bill. I associate myself and my colleagues on these Benches with the thanks and appreciation extended to Ofcom for its involvement, to the Samaritans for their work not just on this Bill but day in, day out and of course to the bereaved families for their bravery and dignity in speaking out on this Bill and on so many other occasions, which I hope has really supported improvements for the future. I also thank the Minister and officials in his department and am grateful to noble Lords across the House, as ever, for their concern and consideration of this matter.

In seeing this Bill pass, I believe we honour those who have taken their own lives. I hope we give some small comfort and hope to the friends, families and communities who suffer the pain of tragedy and bereavement, having lost their loved ones. As we heard at Second Reading, the internet can be invaluable and positive in providing a space to speak openly and seek support but, regrettably, it can also mean content that encourages self-harm and suicide. At its worst, it is configured to bombard those who are at risk. We should reflect that the coroner ruled that the content that the late Molly Russell had viewed related to depression, self-harm and suicide and that it contributed to her death in more than just a minimal way.

As the noble Baroness said, the passage of this Bill coincides with the long-awaited Online Safety Bill; we will debate government amendments on this issue next Thursday as part of the group on communications offences. As the Minister would expect, we will seek a number of clarifications and, if necessary, any improvements. For today, I congratulate the noble Baroness, Lady Finlay, on her determination and work and wish this Bill all the very best as it continues on its path.

Health and Care Bill

Debate between Baroness Merron and Baroness Finlay of Llandaff

Lords Hansard - Part 1 & Report stage
Monday 7th March 2022 Lords Chamber

[Baroness Finlay of Llandaff (CB)]

My Lords, I say very briefly that I hope the Government will look favourably on this amendment from the noble Lord, Lord Howarth, and others. I hope that they will build into a review an assessment of the cost efficacy because as well as all the positive aspects that we have heard about, we must remember that, if you can decrease medication prescribing, you will decrease not only costs but adverse side-effects, which also have a cost. All these initiatives tackle the problem of loneliness, isolation and not having contact with other people—people who may be able to empathise with the way that you feel about your condition when you are undertaking a common activity with them. That can become particularly important for the psychological well-being of patients as well as their physical improvement.

[Baroness Merron (Lab)]

My Lords, I congratulate my noble friend Lord Howarth on bringing this subject before your Lordships’ House again. I am grateful to noble Lords from all sides of the House for providing their support for embedding the conditions and opportunities for art, creativity and culture in improving public health. These amendments provide something of a focus for action and I hope will be regarded seriously as such.

We know that the practices relating to creative health can be very effective and good value for money. Some 20% to 30% of all visits to the doctor are for non-medical reasons; for example, social isolation or loneliness. Therefore, the potential that we have in the United Kingdom is huge. Indeed, evaluation of the Arts on Prescription scheme suggested an average return of £2.30 for every £1 spent.

These amendments support the idea that art-based approaches can help people to stay well, recover more quickly, manage long-term conditions and experience a better quality of life. I hope that the Minister will be able to take these amendments on board.