(3 years, 8 months ago)
Grand CommitteeMy Lords, it is a very great pleasure to follow the noble Lord, Lord Loomba, whose work is incredibly wonderful and inspiring for widows, particularly in India but also elsewhere. I am followed by one of the most eminent Members of our House, the noble Lord, Lord Winston, whose speech a week ago on the amendment tabled by my noble friend Lord Lucas on the maternity Bill was truly outstanding and exceptional. It is a pleasure to speak this afternoon.
I raise the challenge of single-sex wards in hospitals, and specific female-only medical treatment in hospitals, special schools and homes. Sir Simon Stevens’s guidance, now over two years old, wrongly informed hospitals that patients may choose their treatment and wards according to gender self-selection. Annexe B of Sir Simon’s guidance seems to have interpreted the equal opportunities Act incorrectly—one of a raft of government institutional statements that followed the same misunderstanding of the Act. In fact, hospitals are excluded from the Act, as prisons are. Therefore, to attempt enforcing inaccurate guidelines piles Pelion on Ossa, to the serious detriment of the good, professional care for which the NHS is rightly famous.
Natal males demanding, and nurses be threatened with expulsion if they do not carry out, the most intimate female treatments on males—vaginal smears and chestfeeding are just two of the many examples I have been given over the last two years—has led to unacceptable challenges for the medical staff and negative outcomes for females. The reverse is true, of course, for young people who are female. I have had some cases with mental health problems where it is clear that a natal male is deemed to be a female for the purpose of offering the most intimate of personal care relating to periods. It cannot be right.
I ask the Minister to meet me on this unique issue and to agree an assessment of guidance from Sir Simon, which may be flawed. Indeed, I heard on 11 March 2020, exactly one year ago today, from the Minister for Public Health, the Member of Parliament for Bury St Edmunds, that there was going to be a review of these guidelines. Has that review happened? I have written a couple of times to the Minister, my noble friend Lord Bethell, and I have not heard that anything has happened—my last letter was in October last year.
We have a wonderful Minister in the noble Baroness, Lady Berridge, and I was very happy indeed to have read the wonderful statement about her in this week’s Evening Standard outlining the splendid work that she has done. We have two Ministers for Equalities, the Members of Parliament for South West Norfolk and for Saffron Walden, both outstanding people, but perhaps their work should be more supported. This falls fairly and squarely within the Covid debate, since males seem to be more affected than females, and the gender versus sex identification is therefore even more strongly relevant in healthcare than in this week’s census wording judgment, where the judge definitively ruled that sex and gender are not one.
I congratulate all who work in this very difficult area, but I believe the time has come to follow the science. Public health provision must follow the science, a lesson we have all well learned.
(4 years, 1 month ago)
Lords ChamberMy Lords, it is deeply regretful that there has been vilification on both sides of this debate. We hope to move on from this consultation and that both sides can respect the differing views. The consultation made it clear that health service provision was a concern; there is specific training now through the Royal College of Physicians to ensure that medical practitioners are more alert to the issues of transgender people.
My Lords, I thank the Minister for the excellent educational material on sexual education for children in schools, which her department recently published. En passant, I congratulate the noble Baroness, Lady Falkner, on her nomination as the next chair of the Equal Opportunities Commission. This material brings into sharp relief the previous advice that the Government seem to have been given by the Equal Opportunities Commission, which led the Department for Education to publish a decade-long sequence of materials, which vary greatly from the current new guidance. Is the Minister willing to have a meeting with me to discuss the detailed points of issue that I have raised?
My Lords, I, too, congratulate the noble Baroness, Lady Falkner, on her appointment. I would be happy to meet with the noble Baroness. It is key to remember that the relationships and health education guidance that the department has put out was put out partly in response to the IICSA inquiry, which recommended that relationships education was a way to protect children so they would know what was a healthy relationship and when someone was perhaps approaching them for ulterior motives.
(4 years, 8 months ago)
Lords ChamberThe noble Lord makes an important point. We are aware that educational outcomes for students in alternative provision are not high enough, but last year 85% of all state-funded schools did not permanently exclude any pupil. The Government support head teachers having the power, as a last resort, to exclude pupils, but that should not be a ticket into education that is less than excellent. In fact, 83% of alternative providers were judged by Ofsted to be good or outstanding. That is only slightly less than overall for schools, which is 86%, and more than for secondary schools. Although there are issues, I pay tribute to the workforce in the alternative provision sector who are doing an excellent job dealing with behavioural and educational issues.
My Lords, is the Minister willing to consider a mandatory physical check-up—particularly of teeth, eyes and ears, for example—for excluded students, not only BME ones? I speak as a former foster parent of a BME student. I recall well the wish not to be difficult and therefore not to talk about having, perhaps, a simple pain which could be sorted out.
The noble Baroness raises an interesting issue. Children in AP settings will often have been placed there by the local authority, which has various safeguarding duties. If a student in its care cannot be educated due to health reasons, I would expect it to take the appropriate course of action.
(4 years, 8 months ago)
Lords ChamberMy Lords, the Social Mobility Commission made mention of the Government’s opportunity areas. That programme has been extended; there will now be a total of £90 million. Many of those areas, including Blackpool, Hastings and Whitby, are part of that programme. We are pleased to know that that programme is also in Opportunity North East, where there is specific funding. A number of factors affect access to the best education provision, and we are particularly looking at the transport offer. A discounted rail ticket has been introduced for 16 and 17 year-olds. From 2021, apprentices and jobseekers will benefit from discounted bus travel as well.
Might the Minister look into coastal towns provision for disabled students? It may not be a question of the provision from the Government; universities may not be implementing the law. I give the example of Anglia Ruskin University, which has superlative education provision access for disabled students—compared with Hull University, which is more than inadequate; I believe it is actually breaking the law. Might the Minister be willing to have a word with me sometime on this?
My Lords, my noble friend is correct that universities are bound by the Equalities Act and should make provision for students with special education needs and disabilities. Funding is available for them to do that, but I am happy to meet her at an appropriate time.