Primary and Community Care

Debate between Baroness Merron and Lord McColl of Dulwich

Thursday 5th June 2025 Lords Chamber

[Baroness Merron (Lab)]

This is a good news story, and I certainly share my noble friend’s view of the benefits that he outlined. Community diagnostic centres are now delivering additional tests and checks in 169 sites across the country. They have delivered almost 4.5 million tests, checks and scans since last July, and we have committed to expanding the number of existing CDCs and their opening times. In England, Pharmacy First clinical pathways have been developed closely with various experts, including pharmacists. The funding for the core community pharmacy contractual framework has been increased to over £3 billion, representing the largest uplift in funding of any part of the NHS. We are grateful for the role that pharmacies play.

[Lord McColl of Dulwich (Con)]

My Lords, does the Minister agree that, when we discuss in vitro testing, we should also talk about in vivo testing? That involves taking a history and doing a thorough physical examination of the patient on the spot, but it seems to be going out of fashion. I will illustrate that with the story of a member of staff who had consulted me. He had been investigated at the “St. Elsewhere” hospital for six months, but they had missed the fact that he had ruptured his Achilles tendon. I did an in vivo spot diagnosis. I put my index finger down his Achilles tendon—with his permission, of course—and I could feel the gap in his Achilles tendon where it had ruptured. They had not examined him. Is it not time that we did this inexpensive business of taking a history and doing a thorough physical examination?

[Baroness Merron (Lab)]

I am very glad that the noble Lord asked for permission. I take his point. I know that he understands the value of in vitro point-of-care testing, but he makes the good point that what matters is what is clinically appropriate in the circumstance. We would all expect that to happen for the benefit of the patient.

Health: Ultra-processed Food

Debate between Baroness Merron and Lord McColl of Dulwich

Tuesday 3rd June 2025 Lords Chamber

[Baroness Merron (Lab)]

I am grateful to the noble Lord for bringing his expertise and commitment to this area. It is indeed the case that the majority of foods classified or considered as ultra-processed foods also tend to be high in calories, saturated fat, salt and sugar, for which there is more definitive evidence, as the noble Lord has referred to. It is the case that many UPFs are already captured by the Government’s considerable programme of work to improve the food environment.

[Lord McColl of Dulwich (Con)]

My Lords, I congratulate the Government in general, and the Minister in particular, on taking such a sensible view about the great red herring that is ultra-processed food. There is no scientific evidence that it specifically causes obesity. Obesity is caused by eating too much of anything, and the answer is to reduce the amount of food that people eat.

[Baroness Merron (Lab)]

I am grateful to the noble Lord for his appreciation of the Government’s efforts in this regard. I believe we have to consider the role of ultra-processed foods, but that has to be based on evidence and scientific truth, rather than speculation. That is why the Scientific Advisory Committee on Nutrition has shown concern but cannot prove a direct link. It is not necessarily about the processing, but we know that high fat, salt and sugar is a problem for healthy living, and that is mostly a very good description of UPFs.

Healthy Life Expectancy

Debate between Baroness Merron and Lord McColl of Dulwich

Tuesday 20th May 2025 Lords Chamber

[Baroness Merron (Lab)]

My noble friend raises an extremely important point about inequality. The Health Foundation report focusing on the 2010s shines a light on the need to drive action, which we are doing across government through our missions, with a very ambitious goal and the right approach of halving the gap in healthy life expectancy between the richest and poorest regions. Although I am certainly very interested in what the Health Foundation report says, further strategy is not needed at this time because of the approach we are taking. But I assure my noble friend that in addressing health inequalities, including in areas of past industrial decline, we will be driving economic growth and removing health-related barriers to health, wealth and prosperity.

[Lord McColl of Dulwich (Con)]

My Lords, people are not living as long as they were because of the obesity epidemic, which is killing people at an earlier age from a variety of very unpleasant diseases. Does the Minister agree that there are a lot of pseudoscientists around putting out propaganda that people cannot exercise personal responsibility and therefore government action must be taken? Could it be that those people do not want to see the end of the obesity epidemic because they are making so much money out of it?

[Baroness Merron (Lab)]

The noble Lord always has interesting observations that I listen closely to. I certainly agree that obesity is a major contributor to ill health. Some 64% of the adult population is overweight or living with obesity, and it does indeed, as he says, pose a major health inequality issue. The approach has to be on many levels, and there is government action. For example, we have laid secondary legislation on TV and online advertising restrictions on less healthy foods. We got on with that because we thought it extremely important. Equally, we support people not just through policy or medical intervention, but by encouraging them to adopt a healthier lifestyle. The reasons why people are obese are complex, and we approach it in that way.

Food and Drink Industry: Processed Sugar

Debate between Baroness Merron and Lord McColl of Dulwich

Monday 14th October 2024 Lords Chamber

[Baroness Merron (Lab)]

We certainly want to reduce sugar intake, and I commend my noble friend for his campaigning on this issue. I know he will continue, rightly, to press me on this. We want to ensure that we learn from experts and will welcome further research in this area. We already have regular meetings with industry and monitor the progress being made. The ultimate prize is not just about looking at reducing sugar and replacing it with sweeteners but finding that our palates are encouraged to adapt to a rather less sweet taste, and that will be the best way forward.

[Lord McColl of Dulwich (Con)]

My Lords, does the Minister agree that there are far too many fake rumours going around that the obesity epidemic is inevitable and genetic, whereas the facts are that there is only one cause of the obesity epidemic and that is eating too much and it does not matter what your genetics are? Would the Minister agree that one way of helping the situation would be if the 40 million obese people in this country were to save themselves from a premature death and save the NHS billions of pounds every year by simply reducing the amount that they eat according to the recommendations?

[Baroness Merron (Lab)]

Taking on board the noble Lord’s point, I feel that it is important that we support people to make healthier choices. The noble Lord will be aware of—and I hope will welcome—the Government’s focus on moving from ill health to prevention. We want to make sure that people live well for longer. It is not only about making informed and heathier choices but about having the means to do so. That is why I particularly want to commend the fact that we will be introducing the restrictions on junk-food advertising to children on TV and online. That will make a major contribution.