Health: Care and Compassion?

Baroness Royall of Blaisdon Excerpts

Thursday 3rd March 2011 Lords Chamber

[Earl Howe]

My Lords, I will look and see where we are on a formal reply to the commission’s report. Again, I pay tribute to the noble Baroness for her work in leading the nursing profession. She is absolutely right that strong nursing leadership at every level, from ward to board, is essential to ensure high-quality care. Ward managers make a critical difference, matrons provide strong leadership on wards and all nurses, I believe, must aspire to continuous quality improvement. That is why we expect directors of nursing to review this report with a view to addressing any areas of improvement in their own organisations.

[Baroness Royall of Blaisdon]

My Lords, we warmly welcome this report and the actions that the Government are going to take upon it. However, how will a fully competitive market in healthcare ensure that older people are looked after properly, with care and compassion?

[Earl Howe]

Perhaps I may elaborate on an answer I gave earlier about our reform proposals, which have at their heart the strengthening of accountability. There will be accountability: for outcomes, through the outcomes framework, to ensure that NHS providers focus first and foremost on quality; through GP commissioning, which will bring commissioning closer to patients and ensure that it is clinically informed; and in strengthened local accountability, not only through the health and well-being boards in local authorities but via the public, through Health Watch, which will ensure that the NHS focuses on what is important to patients and citizens.

Health: Prostate Cancer

Baroness Royall of Blaisdon Excerpts

Monday 19th July 2010 Lords Chamber

Asked By

[Baroness Royall of Blaisdon]

To ask Her Majesty’s Government what steps they are taking to increase general practitioners’ awareness of the symptoms of prostate cancer.

[The Parliamentary Under-Secretary of State, Department of Health (Earl Howe)]

My Lords, in 2005 the National Institute for Health and Clinical Excellence published referral guidelines for suspected cancer. These include symptoms that GPs should be aware of when considering whether to refer a patient urgently for suspected prostate cancer. It is important that we continue to support primary healthcare professionals in detecting the signs and symptoms of cancer and referring patients quickly. We will consider how best to do this as we review the cancer reform strategy.

--- Later in debate ---

[Baroness Royall of Blaisdon]

My Lords, I welcome that Answer and am glad to hear that NICE gave the appropriate guidelines, but I believe that too many GPs are still not vigilant enough and do not recognise the symptoms. Does the Minister agree that it might be sensible for me to ask my PCT to ensure that there is greater awareness-raising about prostate cancer among GPs and patients? Does he share my concern that, with GP commissioning, the necessary strategic view of these issues will no longer be taken in areas of the country, that improvements made to date may be undermined and that control could be put into the hands of the very people who, I believe, have not done the best for their patients to date?

[Earl Howe]

My Lords, there will be plenty of support for GP consortia in the area of cancer diagnosis and treatment, not least from the commercial support units but also from the cancer networks. However, the noble Baroness is right that we are not doing well enough in this country in picking up cases of prostate cancer. Late diagnosis is likely to be a significant contributor to that and is, in itself, the result of a number of factors, poor public awareness being one. Late presentation to primary care is another and, as the noble Baroness hinted, poor detection in primary care is a third. Therefore, supporting GPs in detecting cancer earlier will be a key part of the work that we have to do.

Genomic Medicine: S&T Committee Report

Baroness Royall of Blaisdon Excerpts

Wednesday 9th June 2010 Lords Chamber

[Baroness Royall of Blaisdon]

My Lords, I speak today not as a real participant in this debate but to ask the House’s permission for our Front-Bench contribution to be given at the end of the debate by my noble friend Lord Winston. Having listened to the first two contributions, I am already in awe at the knowledge, wisdom and expertise that I know will be demonstrated throughout today’s debate, which is hugely important and very exciting. I could not make a worthy contribution because my own knowledge of genomic medicine could probably be written on something considerably smaller than a DNA sequence.

In moving into opposition, we are still some way from finalising our Front-Bench spokespeople in this House. In the interim, I ask the indulgence of the House and of my colleagues and ask a number of them to step up to the plate. Indeed, I trust that they will continue to be Front-Bench guest spokespeople from time to time. I happened to strike lucky when I asked my noble friend Lord Winston to speak on behalf of the Opposition today. I regret that I cannot stay longer and learn more, but I will read today’s Hansard tomorrow with huge interest. I know that I will learn an enormous amount.