Schools Bill [HL]

Debate between Lord Aberdare and Baroness Grey-Thompson

Committee stage
Monday 27th June 2022 Lords Chamber

[Lord Aberdare (CB)]

My Lords, I speak in favour of Amendment 167 in this group, which is in the name of the noble Lord, Lord Moynihan. He was all ready to move it late last Wednesday evening with my support, but is unable to do so today as he has to be in Wales for important meetings as chair of governors at the Haberdashers’ Monmouth Schools. I am pleased to speak to the amendment and grateful to my noble friend Lady Grey-Thompson for her support, and to the noble Baroness, Lady Brinton, for what she has just said.

We have previously discussed a number of issues that should be mandatory parts of the curriculum. One of these is first aid training. As well as that, every school should have access to defibrillators. I use the plural intentionally, as does this amendment, because one may not be enough. The Haberdashers’ Monmouth Schools, for example, have five defibrillators, one of which, close to the cricket nets in the pavilion, has been used to save a life at a school sporting event.

There are some 60,000 sudden out-of-hospital cardiac arrests each year in the UK. Survival depends on prompt action such as CPR or defibrillation. The chances of survival decrease by 10% with every minute that passes without such action and, in fact, only one person in 10 survives.

Of course, the great majority of such cardiac arrests affect older people, most often in their homes or workplaces, but a significant minority of cases are younger people, specifically those who are fitter and more active. The noble Baroness, Lady Brinton, cited the fact that sudden arrhythmic death syndrome kills 12 young people under 35 every week. Young athletes are three times as likely to suffer cardiac arrests as non-athletes, so access to defibrillators is important not just in a school’s main learning areas but equally, if not more importantly, in its sports facilities.

In my recent Question on defibrillators, I mentioned that devices are beginning to appear on the market that are much smaller, lighter and cheaper than existing models—up to a 10th of the size, weight and price. A recent parliamentary drop-in featured a personal defibrillator small enough to fit in my jacket pocket, which is expected to sell for about £200. I know that exhibits are frowned on, but I actually have a training version of such a defibrillator in my jacket pocket.

Developments like this will open up new opportunities for increasing access to defibrillators and making them much more easily available and locatable in schools, workplaces and homes—indeed, wherever there are risks of cardiac arrest and where defibrillators should be easily accessible, even in sports coaches’ kit bags or in private homes.

Of course, there is limited value in increasing access to defibrillators if people are not familiar with when and how to use them. This is an area where the UK lags behind many other countries. While our overall survival rate is only one in 10—and in some parts of the UK it is a great deal lower even than that—in Denmark, where training in CPR is mandatory in schools and for anyone applying for a driving licence, the survival rate tripled within five years. Italy has introduced new laws mandating defibrillators in public buildings, on transport, at sporting events and in schools, and has a cardiac arrest awareness day every October. I will mention one other example, in the USA: Seattle has increased its survival rate to 62% through a city-wide training programme. There are many other examples to show that first aid training and access to defibrillators actually save significant numbers of lives.

Training, both in basic first aid techniques, including the use the defibrillators, and in recognising the symptoms of sudden cardiac arrest, can easily be done in schools. It takes only a few hours, is readily available at a reasonable cost from organisations such as the British Heart Foundation, British Red Cross, Resuscitation Council UK, St John Ambulance and St Andrew’s First Aid in Scotland, is relatively inexpensive and is practical, enjoyable and confidence building for young people—and indeed older ones, as I can testify from having had such training here in Parliament some years ago when there was a first aid APPG. Incidentally, the intranet lists 27 locations where there are defibrillators on the Parliamentary Estate; it also says that

“Staff should familiarise themselves with where the Defibrillators are located.”


I shall not speculate on how many of us could locate one with confidence.

Amendment 167, from the noble Lord, Lord Moynihan, represents an important first step towards reducing the number of deaths from sudden cardiac arrests in and around schools, including at their sports facilities. Defibrillators are already required in all new or refurbished schools; it makes no sense that they should not be a mandatory part of every school’s first aid equipment. Indeed, the noble Lord, Lord, Moynihan, would argue that they should be as common in public places as fire extinguishers. I hope that the Minister will accept this amendment, or at least spell out firm plans to ensure that defibrillators will become mandatory for all schools—obviously with support for how they can afford them. Failing that, this is an issue that I, the noble Lord, Lord Moynihan, and perhaps others may well wish to pursue further on Report.

[Baroness Grey-Thompson (CB)]

My Lords, I am grateful for the opportunity to speak to Amendment 167, in the names of the noble Lord, Lord Moynihan, and my noble friend Lord Aberdare. I draw your Lordships’ attention to my interests in the register, including as president of the Local Government Association.

As my noble friend Lord Aberdare, has already pointed out, sudden arhythmic death syndrome kills 12 young people under 35 in the UK every week. Possibly what is less known is that it has been estimated that up to 270 young people a year die in schools—lives that are surely worth saving. The noble Lord, Lord Moynihan, and I have worked on this area for a number of years, but, for me, more specifically in a sports setting. However, as 40% of sports facilities in England are behind school gates, which also have increasing community use, and as there is a greater drive to open school facilities in the summer holidays, it makes sense to have defibs in every single school.

I know that if the noble Lord, Lord Moynihan, were here, he would say that noble Lords on all sides of this Chamber have made the case for ensuring that defibrillators are not just a voluntary addition to a school’s first aid equipment and should not just be required in new or refurbished schools, as is currently the policy. There should not be differentiation between new schools and older schools. Surely all lives are equally important. However, looking at the data from NHS Supply Chain, its website says that there are 23,000 eligible schools in the UK that could have access to defibs through its scheme to make use of bulk purchasing. As the noble Lord, Lord Moynihan, would have pointed out, the Government need to go further and ensure that there are defibs in all 32,163 schools in the UK. I wonder if the noble Baroness the Minister is able to say how many schools in the UK have defibs and how many do not. Last year, Gavin Williamson, when Secretary of State for Education, was on record in another place as saying that the Government would be looking at

“changing the regulations, which are underpinned by secondary legislation, to ensure that all schools have defibrillators in the future and hopefully prevent such a tragedy visiting more families.”—[Official Report, Commons, 6/9/21; col. 19.]

As the noble Baroness, Lady Brinton, pointed out, the Oliver King Foundation has done a tremendous job in getting 5,500 defibrillators into schools, saving 56 lives. The Joe Humphries Memorial Trust has done a huge amount to get them in to use. I was at an event in the north-east of England yesterday with Rotary North East, and its One Life initiative is amazing. In the last two years, a small team of three people has worked with community groups, individuals and local councillors in the north-east to offer advice and guidance on the subject and to promote the installation of further public access defibrillators across the region. It is fantastic that these groups are doing so much good work, but it is far too ad hoc.

Should this amendment be passed, secondary legislation could be introduced to focus on the types of AEDs; their siting; training requirements; how many should be in our schools; and where should they be placed for easy access. I have read too many cases of lives that potentially could have been saved. This should be an open door in terms of protecting and supporting everyone in the school setting. Would the noble Baroness the Minister agree to undertake a meeting with me, the noble Lord, Lord Moynihan, my noble friend Lord Aberdare and other interested Peers to discuss what steps we can take to keep the door open on this conversation?

Health and Care Bill

Debate between Lord Aberdare and Baroness Grey-Thompson

Lords Hansard - Part 3 & Committee stage
Wednesday 26th January 2022 Lords Chamber

[Baroness Grey-Thompson (CB)]

My Lords, I want to react very briefly to one comment that has been made in debate tonight, which is the issue flagged by my noble friend Lady Wheatcroft. It is something that is continually raised in the wider debate on assisted dying and it is the issue of incontinence being seen as so inherently tragic that people should use it as a reason to want to end their lives. It is considered an important subject; we have an all-party group on it.

Personally, I find it really difficult because I am incontinent and I have never once felt undignified by it. I cannot believe that I am the only person in the House, or, indeed, in the Chamber tonight, who is incontinent and I will happily discuss the many solutions for sorting out this problem. What I see is that people are scared to talk about it, because they think it is something that we should never discuss. I have many solutions for this. I intermittently catheterise; I use indwelling catheters; I have lots of options available to me if those do not work—medication and lots of options on surgery. There is nothing undignified about being incontinent if we support it properly.

[Lord Aberdare (CB)]

My Lords, both these amendments reflect a desire to give people a greater say over the final weeks of their lives. As a strong believer in patient choice, which is, after all, a very central part of this Bill, I am greatly attracted by and supportive of my noble friend’s Amendment 203.

As several noble Lords have said, we are not very good at thinking about, planning for and managing death, despite Benjamin Franklin’s observation that it is one of only two certainties in this world, along with taxes. This amendment would give people diagnosed with a terminal illness the possibility of some degree of agency in their final days. That seems to me a wonderful idea, but it does of course raise questions about who such discussions would be with, and what qualifications might be needed by the people offering them. So, while I support the amendment, I would want to know more about the practicalities of delivering it, hopefully without having to create a whole new regulated profession of mortality consultants. I hope therefore that the Minister will respond positively to my noble friend’s suggestion of discussions on how the amendment might work; I will be interested to hear his response.

On Amendment 297, which I also support, I make only two brief points. First, I very much agree with what everybody has said that tonight is not the time to be discussing the merits of assisted dying; that is not what this amendment is about. Many Members on both sides of the argument have made it clear that Parliament needs to decide this issue, and the amendment from the noble Lord, Lord Forsyth, seeks to find a way of making that possible. I feel the same sort of alarm as my noble friend Lady Wheatcroft in finding myself on the opposite side to that of the noble and learned Lord, Lord Mackay, but, with the greatest respect, I think he himself said we were waiting for a decision from Parliament before the Government could act on this. In that case, there has to be some way or process for making such a decision happen. That is exactly what the noble Lord, Lord Forsyth, is trying to produce with this amendment. No doubt there are ways of improving how that is done, maybe by giving more time to my noble friend Lady Meacher’s Bill. This responsibility is Parliament’s to resolve, and I cannot believe that, in this great Parliament, we cannot find a way of doing it.