Folic Acid
Debate between Lord Bethell and Baroness Gardner of Parkes(3 years, 5 months ago)
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Lord Bethell (Con)
My Lords, this Minister is very aware—personally extremely aware—of the fact that 50% of pregnancies are not necessarily planned. As the noble Baroness knows very well, that is one of the reasons for this policy and that is why we are so supportive of it. The education that goes to new mums and dads on folic acid is done through GPs, and we are always looking at ways to enhance that. But I think there is no better of way of ensuring that folic acid gets to the right people at the right time than through this measure, and that is why we are supporting it as energetically as we are.
Baroness Gardner of Parkes (Con) [V]
My Lords, can the Minister comment on whether the Government have been working with the health authorities in other countries to review the evidence from the more than 80 other countries where folic acid has been mandatorily added to food products?
Lord Bethell (Con)
My Lords, it is my understanding that both the Department of Health and Defra have been engaged with other countries on this matter. I will be glad to write to the noble Baroness with any details that we may have on record.
Covid-19: Vaccines and Pregnancy
Debate between Lord Bethell and Baroness Gardner of Parkes(3 years, 5 months ago)
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Baroness Gardner of Parkes (Con) [V]
My Lords, I hope that noble Lords can see me because I do not seem to be being picked up very well. Can the Minister comment on what additional steps are being taken to publicise the up-to-date position to women who are either trying for a baby or are pregnant? Is this information being shared with the organisations in this field, such as the National Childbirth Trust and Mumsnet, to share with their communities?
Lord Bethell (Con)
My Lords, the up-to-date advice is this: get the vaccine. That is absolutely being promoted very widely.
Dentists: Covid-19
Debate between Lord Bethell and Baroness Gardner of Parkes(3 years, 9 months ago)
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Baroness Gardner of Parkes
To ask Her Majesty’s Government what steps they are taking to enable dentists to reduce any backlog of patients requiring dental treatment as a result of the restrictions to address the COVID-19 pandemic.
The Parliamentary Under-Secretary of State, Department of Health and Social Care (Lord Bethell) (Con)
My Lords, an increase in dental activity has been made possible by updated infection prevention and control guidance. NHS England and NHS Improvement have set a 45% activity target for January to March 2021, with the main aims being to increase patient access and reduce backlogs in patient care. PPE is being provided free of charge to NHS dental practices to support the provision of services, and we are looking at what role pre-appointment testing could play.
Baroness Gardner of Parkes (Con) [V]
I thank the Minister for that Answer. Is he aware of the problem of dealing with the essential time gaps required for cleaning and sterilising between patient appointments where the dental practice has only one surgery that can be used for treatments? A significant time is required for this between patients, which means fewer patients can be treated. The BDA has had reports of tests of a very effective ventilation system which could be used to enable many more treatments to take place in the working day. It costs about £10,000 to install. After the closure of surgeries for a considerable time, the operators of national health dental surgeries are not in a position to fund this. Will the Government provide either the funding or the necessary equipment to NHS dental practices?
Lord Bethell (Con)
My Lords, the noble Baroness is entirely right; ventilation is a key issue. I took my daughter to the dentist this morning, and there were indeed long gaps between each appointment. I am not aware of the ventilation system she alludes to, but if the BDA would like to write to me, I would be happy to have a closer look at it.
Covid-19: Medical and Funeral Expenses
Debate between Lord Bethell and Baroness Gardner of Parkes(4 years, 1 month ago)
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Baroness Gardner of Parkes (Con) [V]
My Lords, I am pleased to hear the Minister’s comments, but I was absolutely shocked to see that the price of a budget funeral is really quite high, at between £4,000 and £6,000, with a cremation at £3,400. Too many people are in the category where there is no way of finding that money. When the Minister answered the first Question on this, he said that the council system was still going. Could he elaborate on that, because in my council days in social services we handled a lot of funerals for people who simply had no money? This is a great anxiety for families and they need to know that they will be cared for at that stage.
Lord Bethell (Con)
My Lords, the costs of a funeral are indeed a heavy burden on families with little wealth and have to support these payments. The Cabinet Office holds weekly meetings with the funeral industry in order to ensure that measures are in place to support families of the kind my noble friend described. We have put together guidance in order to ensure Covid-compliant funerals at the lowest possible cost, and for those who cannot afford to pay, the DWP has measures in place to make a payment up front for funeral costs in order to support them.
Health Care: Guidance
Debate between Lord Bethell and Baroness Gardner of Parkes(4 years, 2 months ago)
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Lord Bethell (Con)
My Lords, mental health concerns are a major priority at all times but particularly during Covid-19. That is why are giving substantial funds to mental health charities and supporting the work of the mental health trusts that oversee this area, and I commend their work during Covid-19.
Baroness Gardner of Parkes (Con) [V]
My Lords, having been a NHS dentist for many years, I was disappointed that dentists were not allowed to keep their practices open during the lockdown period. A number of people sought my advice, which may have helped them but may not have. In past cases where there has been cause for alarm, in dentistry, like in every other part of the medical profession, they arranged a rota system. The dental profession still has these wonderful boards for local dentists to decide how and when each one would take a turn in providing the necessary services. It has gone very badly this time; I have met so many people who are desperate for a dentist and cannot get one anywhere. What can the Minister do about it?
Lord Bethell (Con)
My Lords, the challenge faced by dentists has been profound. The challenge of contagion in a dental practice is big and challenging. But I commend dentists who have gone to huge lengths to put in PPE and hygiene arrangements so that they are able to reopen. The scale of reopenings is enormous, but there is an enormous backlog, and we will be providing support for dentists to help them meet the scale of that backlog.
Anti-obesity Strategies
Debate between Lord Bethell and Baroness Gardner of Parkes(4 years, 2 months ago)
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Lord Bethell (Con)
The noble Lord is probably aware that a letter has been sent to GPs inviting them to step up to their responsibilities for face-to-face meetings. Everyone should have a face-to-face meeting if that is what they require and need. One of the surprising and interesting outcomes of the Covid epidemic is that many mental health services have been successfully delivered through video links. It has meant that people who may feel vulnerable about attending a GP’s surgery or mental health clinic have had the opportunity for consultations. We will look at how to expand that kind of interaction.
Baroness Gardner of Parkes (Con) [V]
My Lords, I have spoken to GPs about this issue. Particularly in cases of obesity—which they all agree is more common for people living in deprived areas—they say the difficulty now is that patients do not come in person to a surgery. Therefore, if someone tells you their obesity is still well under control, you have no way of assessing that. They suggested that I put it to the Government that there should be better liaison between schools and GPs, because schools see families all the time and become good judges of whether people are putting on weight. They can also provide exercise and advice on diet. GPs are willing to look after these people but say that if you cannot actually see them, how do you know that what they are telling you is the truth? What will the Government do to encourage liaison between schools and GPs?
Lord Bethell (Con)
My noble friend makes an incredibly thoughtful, practical point. Of course, it is easier to tell whether someone is abiding by their obesity commitments if you see them face to face. With regard to schools, I remind her about the hundreds of millions of pounds going into school exercise through the sugar tax payment. That is completely transforming exercise in schools and will have a profound effect over many generations.
Pharmacies
Debate between Lord Bethell and Baroness Gardner of Parkes(4 years, 4 months ago)
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Lord Bethell [V]
The noble Baroness is entirely right. We have introduced a new framework—the community pharmacy contractual framework—which has down- played some services that were not offering value for money but has enhanced some services that have made a huge impact, many of which are of a clinical nature. The settlement also includes a transitional payment, which will help to secure the financial resilience of the pharmacy sector. We could not be more committed to the community pharmacy sector. I believe that the future of healthcare in this country will depend much more on the role of pharmacies delivering the kinds of services that the noble Baroness outlines.
Baroness Gardner of Parkes (Con) [V]
My Lords, the essential difference between community pharmacies and dentists and doctors and so on is availability, which is much greater in community pharmacies. Availability, continuity and reliability are things that all patients benefit from. I am therefore very supportive of this. I remember so often as a dentist hearing from patients that they had had dental pain at some incredible time and the pharmacy was the only place where they could get any immediate help. I would like the Minister’s assurance that this will continue.
Lord Bethell [V]
As the father of four small children, I completely endorse the noble Baroness’s point. Many a night have I been outside a hard-working pharmacist’s shop looking for advice, support and essential medicines. I pay tribute to the hard-working community pharmacy sector, whose pharmacists are often up until midnight helping their local communities and hard-hit fathers like me.
Independent Medicines and Medical Devices Safety Review
Debate between Lord Bethell and Baroness Gardner of Parkes(4 years, 4 months ago)
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Lord Bethell
My Lords, I completely share the view of the noble Lord and of the patient groups who have unequivocal admiration for the noble Baroness, Lady Cumberlege, who has done the nation a great service with this report. As he knows, the Primodos case is subject to legal dispute, so I cannot comment on it from the Dispatch Box, but no one can read the report without feeling great disappointment that those hardships were suffered by those women. It is of enormous regret to us all.
Baroness Gardner of Parkes (Con) [V]
My Lords, I am pleased to speak today very briefly. I have known the noble Baroness, Lady Cumberlege, for years since I worked in the health scene myself. She is widely experienced, and no one could have done a better report. It is very impressive and certainly not to be ignored. The various points that she has made, including the nine major recommendations, are all sound and people are very aware of them. We must realise that, though the health service is much loved by everyone in the country, there are failings which we have to accept and work on. I congratulate the noble Baroness on this marvellous report and hope that, as she urged in her press conference:
“This report must not be left on a shelf to gather dust.”
I am pleased to commend the report and the remarks passed.
Lord Bethell
The noble Baroness is entirely right. The report must not be left on the shelf. We have already done much, and in the Medicines and Medical Devices Bill we will do more. The other recommendations will be taken extremely seriously.
NHS: Children’s Emergency Beds
Debate between Lord Bethell and Baroness Gardner of Parkes
Baroness Gardner of Parkes (Con)
My Lords, this matter has been raised before in the House, but I am asking whether anything has been done about it. In Manchester, there were many children wanting operations under general anaesthesia but all the slots were already taken. Has anything been done to change that? I wrote to the Mayor of Manchester but did not even get an acknowledgment, so I would be grateful for an answer.
Lord Bethell
The specific example cited by my noble friend is not one that I am able to comment on, but she raises an important question about resources for paediatric care. This Government are putting considerable resources into both capital and spending. Paediatric care is prioritised over other areas of care and we take this matter very seriously.