51 Lord Addington debates involving the Department of Health and Social Care

Thu 3rd Jun 2010

Queen's Speech

Lord Addington Excerpts
Thursday 3rd June 2010

(14 years, 5 months ago)

Lords Chamber
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My Lords, coming in at number 35 in the batting order, I am surprised to discover that I have something to say which has not been covered already. That does not often happen in a debate such as this; you usually have to quote everybody in front of you.

I shall refer first to the education aspect of the debate. Before doing so, I welcome the noble Lord, Lord Hill, to the cross between Alice in Wonderland and Gormenghast which is how I have always regarded the House of Lords. He is welcome as a noble friend—something that I did not expect on 6 May to be saying. I hope that he will carry on in the same vein as that in which he started.

The coalition document refers to assessment for all pupils with special educational needs, which most people involved in the field have concluded is absolutely necessary. It will be important to make sure that we hit targets for improved literacy, for example. The previous Government, to give them their due, did throw resources at this problem and found out that we were not getting to the group of people with such things as dyslexia, which is a special interest of mine. Too many people were still not being identified or treated properly when they got through. The other hidden disabilities are as bad. What usually happens here, as the noble Lord will discover, is that the most extreme cases are dealt with first, provided that you have an articulate parent behind you. That is the absolute iron law. The organisations that do the work behind this are driven by those articulate parents. Dyslexic people from working class backgrounds, who often have dyslexic parents and dyslexic children, end up with people with dyslexia in prison. That would be roughly what I would say about it. We need to ensure that the assessment works and is given the time, place and energy and is made to cover all these conditions. The assessment may be a complicated one that takes several days or weeks, but it must be done in that way. If you miss this target, you will miss an opportunity. I shall come back to this at a later date—probably on a lot of later dates. I think noble Lords are nodding their heads in agreement. It is something that we must look at, and I encourage the noble Lord to engage fully with all the organisations out there. I hope that we can make a good fist of it. There is no right answer, but there may well be a better one in this field.

I turn to the link between culture and health. The noble Lord will not be surprised if I say that the linkage between sports and physical activity and health is absolutely obvious, but government has never really got hold of it. The idea is there, but we do not really correlate the two properly. The coalition document mentions helping sports clubs; something has been done, but not enough. I recommend the Bill that I brought forward on amateur sports clubs, and would like to take credit for all the drafting, but the CCPR would have my hide if I did. We do not give enough support to those taking sport outside school, in encouraging them to take it on after that.

I am worried by one of the other comments in the document that refers to school sports. One thing that we know about sporting activity is that it drops off at 16, 18 and 21. Those happen to be the dates at which people leave educational institutions. If you are fit as a flea at 15 and a fat slob at 22, the NHS ain’t going to get a great deal of benefit. How do you encourage people? I asked the previous Government and the Government before that. The noble Earl, Lord Howe, and I have been noble friends and allies and noble opponents in this House. What is the best form of recruitment devised by all the sporting bodies supported by Sport England to keep people involved? I have had long and in-depth replies but I have never found out the best answer. How can we keep people engaged and active in sporting activity? People will then turn round and say that people can be healthy without playing a competitive sport. One in several thousand may have the motivation to do the 2.3 miles of jogging two to three times a week to keep their weight at the recommended level over a long period of time, but nobody else will. You need an incentive and a reason to get yourself involved; even if it is only to look good on the beach, you need a reason. It is easier to eat chips. The answer will not always be found in eating healthier food. You can get fat eating healthy food and watching TV. It might take slightly longer, but you can still do it. We need to give people an incentive to get involved. Will the Government ensure that the Department for Culture, Media and Sport and the Department of Health have regular meetings and discussions about how they can marry these two things together to ensure that there is some real interaction? I know that effort was put in before, but it seemed to disappear somewhere behind the Chinese walls. I do not doubt that many Ministers tried—they probably ended up wasting a great deal of time with my pushing to get this on—but please can they make a move through with a linkage that goes slightly further than Ministers saying occasionally, “Oh, we must do something”. It happens that things fall away occasionally between Ministers who are supposed to meet each other.

If we are talking about protecting school playing fields in this document, please can somebody also address the fact that that battle might have been lost? It took 10 years for the previous Government to reverse their sell-off of school playing fields. Maybe they could have acted sooner, but they did not. They slowed it down, but did not reverse it. I think there was a great announcement, after about 10 years of asking this question, saying, “Finally, we’ve got two more than we had last year”. Can we have a real addressing of the facilities available across the board for people to take on sport? Can we also look not just at school playing fields but at local authority and private playing fields? I asked that several times and it was never measured. Can we look at this in the round?

Finally, on the Department of Health, if we are encouraging people to play sport and take exercise, can the noble Earl, Lord Howe, tell me whether we are doing more about making better sport and exercise medicine available? That is because soft-tissue injuries which are not dealt with properly become chronic, leading to the person becoming less active—indeed, often, to them becoming disabled. It is an absolute fact that this happens. The process is slow; physiotherapy is slow to acquire. Instant treatment often solves problems overnight. Leaving them for several weeks means you have major problems requiring major involvement; I have case studies on that by the barrow load. I will not bore the House with those tonight, but unless something is done to bring these facets together, all the activity around the Olympics and other great sporting events will not achieve anything like it could. I would hope that, on my two questions, both noble Lords will go away and remember that they must talk to their colleagues and to the rest of the House to maintain pressure for this.