Organ Transplantation

Baroness Walmsley Excerpts

Monday 27th February 2012 Lords Chamber

[Earl Howe]

No, my Lords, and that is part of the problem.

[Baroness Walmsley]

Will the Minister accept that it can be very difficult for doctors to approach a bereaved family to ask about organ donation? I know this from personal experience, because doctors did not approach me when I lost my late husband; I had to raise the matter myself. It is understandable that they do not want to upset the family. However, can it not be even more upsetting for a bereaved family who have not been asked about donation to realise some time later that they have missed the opportunity for their loved one to give life to other people?

[Earl Howe]

My noble friend raises an extremely important set of issues. This was one issue identified by Chris Rudge when he took up the post as National Clinical Director. A great deal of work has been done in the NHS to increase the number of organs available to patients and to have the kinds of conversations with families that are necessary but very delicate. There has been an increase in the number of specialist nurses for organ donation who are of course highly trained in that area, and appointments of clinical leads for organ donation have also helped.

Health: Children and Young People

Baroness Walmsley Excerpts

Monday 6th February 2012 Lords Chamber

[Earl Howe]

My Lords, the outcomes framework that I have just referred to should assist in the latter regard. I think the noble Baroness would agree that the system we have at the moment is not sufficiently joined-up, and in that sense does not adequately serve the needs of children. The approach we have taken to the proposed NHS reforms is to promote the importance of the integration of care and service provision for everyone, including children. We believe that strong partnerships at a local level, supported by professionals and local leaders, are the way forward, not top-down direction. The health and well-being board provides the forum for repositioning the joint strategic needs assessment into a truly joined-up strategy for local people.

[Baroness Walmsley]

I welcome what my noble friend the Minister has said about getting the views of children, but does he think that giving the commissioning of the excellent Healthy Child programme to local authorities is going to bring about the universal dissemination and delivery of that programme?

[Earl Howe]

The role of local authorities will be pivotal in this because it is at local-authority level that public health, social care, and indeed the discussions that will go on in the health and well-being board context will bring together policy in a way that informs NHS commissioning. I think that the approach we have taken has been widely welcomed, and we are absolutely determined that all sectors of society, including children, are included in these processes.

Queen's Speech

Baroness Walmsley Excerpts

Thursday 3rd June 2010 Lords Chamber

[Baroness Walmsley]

My Lords, I make this speech for the first time from the government Benches, in the first coalition Government for many years. Coalitions are commonplace in local government and are nothing to be afraid of, and this one has been welcomed by at least two-thirds of the population. It is only a pity that some of the more vicious national press lags behind public opinion. I therefore congratulate my noble coalition partner, the noble Lord, Lord Hill of Oareford, on his new role and his maiden speech. He will find that we, his partners on these Benches, will play our part in helping to guide the elements of the coalition agreement through this House. In listening to one or two of the speeches over the past few days, the image has been brought to mind of the apocryphal Japanese soldier who staggers blinking out of the forest several years after 1945 under the impression that World War 2 is still under way, unaware that peace has broken out. I am not one of those; the war is over, long live the peace.

So let me start my comments on children and schools by welcoming some important policies from the coalition agreement. First, I am delighted that we will scrap ContactPoint, change the rules on collecting and storing DNA, and ensure that children are no longer fingerprinted in schools without their parents’ permission. But could I ask the Minister whether the erection in public places of the notorious mosquitoes, which make a high-pitched noise which only children can hear, will also be banned unless there are very good public interest reasons for them? They are discriminatory and restrict the freedom of movement of law-abiding young people, and have been condemned by many organisations that speak for children, as well as by children themselves.

I also welcome the commitment to the overseas aid target on which so many of the world’s most vulnerable children depend, and the coalition Government’s continued commitment to ending child poverty by 2020. This policy was one of the best actions of the former Government. I am also pleased that the Government have stated their continuous support for Sure Start, another of the previous Government’s achievements for children.

Noble Lords may recall that I have always regretted the reduction in the health visitor service. Health visitors, as a universal service, avoid any stigma for the family visited, are trusted by mothers and are a useful signposting mechanism to other services. Therefore I am delighted about our commitment to increase their numbers. However, I am keen that we get the balance right. The Sure Start peripatetic outreach workers have done a valuable job in reaching those families with multiple problems who other services have found hard to reach. I want to be sure that the new health visitors will be trained to reach out into the community, identify problems and direct the appropriate services towards families. At a time of economic belt-tightening, we need to make every pound work hard, and early intervention provides the best value for money.

One of the declarations of which the coalition can be most proud is that children will no longer be detained for immigration purposes. This was an unnecessary blot on the record of the previous Government, who did so much for children, and got in the way of this country implementing fully its duties under the UN Convention on the Rights of the Child. Every step towards full implementation of the convention is a step in the right direction.

On criminal justice, I welcome the proposal to conduct a full review of sentencing policy to ensure that it is effective in deterring crime and reducing reoffending. The rate of reoffending, in particular among teens and early 20s, is appalling. The evidence for the effectiveness of rigorous community sentences and restorative justice initiatives is compelling. So many young offenders have themselves been failed by society and need treatment, therapy and education to get them back into useful lives. I hope the evidence from these initiatives will be taken seriously in the review. I also hope it will consider the evidence for restoring the age of criminal responsibility to its pre-1998 age of 14.

In the section on the NHS I find little about children’s health, apart from the welcome reference to children’s hospices, which do such a wonderful job. What concerns me is the lack of any reference to child and adolescent mental health services. I am aware of the financial problems the Government have inherited but I would urge Ministers to consider the long-term financial savings that could result from early intervention for children with mental health problems and personality disorders. Emphasis on child poverty and family support can avoid some of those problems but we still need to improve what has been a Cinderella service. If we do, we will reap financial as well as human benefits.

Time does not allow me to say much about schools but I shall get my opportunity to do that on Monday. I have already pointed out the educational disadvantage of many young offenders, for example, so it is vital that all our children get the best possible education we can provide. Despite the economic problems, the Government have declared that schools will not suffer and neither will 16-to-19 education. Indeed, the commitment of my party to providing the financial premium needed to enable children from the most deprived backgrounds to overcome their disadvantage is one of which I am most proud. I am delighted that our coalition partners have agreed that this cannot be done without a commitment to that funding promise. It is for the long-term future of our country, as well as a basic human right for our children.

The noble Baroness, Lady Morgan, asks where the money is coming from. It really is breathtaking when the Opposition shoulders no responsibility for where the money went. We will be coming to the Second Reading of the first of two education Bills on Monday, so I shall not say much about academies here. However, I will be playing my part in ensuring that the objectives of the Bill are achieved without jeopardising the coalition’s declared intention of providing the very best for the most vulnerable children. Their welfare as well as their education is of paramount importance—and that includes those with SEN, disabilities, those in public care and young carers. We have to look very carefully at the possibly unintended consequences of the structural reforms that are proposed to ensure that no child is left behind as we improve schools.

Both our parties have often said that we should trust the professionalism and dedication of teachers. However, there is currently excitement and concern among teachers and heads about the Government’s plans and we must ensure that these concerns are taken into account. If we are to enable schools to improve, we can do so only with the commitment and energy of our teachers, and so it is vital that we listen to them.

I commend this programme of government to the House and I will work with my partners to ensure that, as usual, legislation leaves this House in a better state than when it came in.