Education: Personal, Social and Health Education

Lord Aberdare Excerpts

Wednesday 24th April 2013 Grand Committee

[Lord Aberdare]

My Lords, I shall address just one topic; the need for first aid and life-saving skills to be a mandatory part of the curriculum, ideally as an element of PSHE. I hope to do so without repeating too many of the excellent points made by my noble friend Lady Masham of Ilton. In doing so, I declare my interest as a trustee of St John Cymru Wales, the leading first aid, youth and volunteering charity in Wales.

Every year in the UK, some 60,000 people suffer cardiac arrests outside hospital; two-thirds at home, and the other third in a public setting. With every minute that passes their chances of survival decrease by about 10%. Therefore, whether there is someone on the scene trained in the necessary skills, such as providing CPR or to use a defibrillator if available, can be a matter of life and death. By the way, nearly half of the cardiac arrests that occur in public are witnessed by bystanders who are not infrequently children.

There is clear evidence that first aid training works. It is already compulsory in many countries including Norway, Denmark, France and 36 US states, and 80% of residents in Scandinavia and Germany have first aid skills. The survival rate in Norway from shockable cardiac arrests is 52%; in the UK it varies from between 2% and 12% depending on where you are unlucky or lucky enough to be. In Seattle, where 50% of the population are trained in emergency life saving, the survival rate is two and a half times ours.

These are not difficult skills to acquire and the basic training can take as little as two hours. Several organisations offer well designed teaching packages to deliver it, including the British Heart Foundation and the Red Cross, as well as St John itself. I have been on two training courses here at Westminster; one run by the All-Party Parliamentary Group on First Aid, on which I serve along with my noble friend, and the other by the Parliament Safety, Health and Wellbeing service. Luckily, nobody has yet had to depend on my skills, and I hope that they will not have to.

St John Cymru Wales’s young life saver scheme offers training covering 11 different aspects of first aid, from initial assessment to getting the patient into the recovery position, and dealing with issues such as choking, asthma, bleeding, fractures, burns, poisoning and heart attacks, as well as giving CPR. The whole course takes seven to eight hours and is offered at both primary and secondary school levels from age seven upwards.

Since 2005 about 20,000 children have been taught basic first aid by St John in Wales, and there are a growing number of stories of young people successfully applying their skills to save lives, often of a parent, sibling or school friend. In getting myself briefed for this debate, I have been inundated with examples. For instance, a 10 year-old schoolboy at Abercarn primary school, Elliot Dunn, saved his mother from choking on a hazelnut using the technique he had learnt at school.

The British Heart Foundation estimates the cost of offering such training as no more than about £2,200 per school. Not only are these valuable skills to possess, but they are fun to learn, highly practical and can enhance children’s sense of self-worth. A BHF survey in 2011 found that 86% of teachers felt that emergency life saving should be in the curriculum, as did 70% of parents, and 78% of children wanted to be taught it. I am sympathetic to the Government’s desire to give schools as much freedom as possible to determine the details of their own curriculum. However, in relation to first aid skills, and despite what teachers, parents and students want, this approach just is not working. Only 13% of young people leave school with any life saving training, which is less than one in seven.

First aid and emergency life saving skills should be an essential part of

“pupils’ skills and knowledge relevant to growing up in the United Kingdom”,

as stated in today’s Motion. Despite good intentions all round, not nearly enough schools are teaching these skills. We should aim to be up with the field, not lagging behind in giving our students the skills to prevent their fellow citizens losing their lives when they could be saved by prompt and effective first aid.