(4 months ago)
Lords ChamberMy Lords, it is an honour to respond to the gracious Speech. I welcome the Minister as she joins us in this House at the Dispatch Box. I also thank the noble Baroness, Lady Jolly, for her contribution to the House, not just on health and social care; those of us who are female priests and bishops thank her for her support.
I welcome many of the Government’s healthcare announcements, especially the two public health legislative measures. I too am glad to see the tobacco and vapes Bill continue. Smoking continues to be one of the leading causes of preventable deaths following the lines of inequality, so bringing forward this Bill will be a significant step forward in our public health agenda. The announcement that the Government will legislate to restrict the advertising of junk food to children and the sale of high-caffeine energy drinks is also welcome. As we have heard, obesity is one of the major health challenges that we face and, again, its impacts are hugely unequal.
The commitment to update the Mental Health Act is long overdue. Mind reminds us that black people are four times more likely to be detained under the Mental Health Act than white people, and more than 11 times more likely to be the subject of a community treatment order. People living in areas of high deprivation are more than 3.5 times more likely to be detained than those living in least deprived areas. I hope that in reforming the Mental Health Act the Government will pay attention to these inequalities.
We now have a much better understanding of what contributes to health and well-being, so I welcome many of the announcements which will provide contributions to healthy lives for individuals, and for communities, such as for housing and education. The commitment to ban conversion practices is long overdue. The measures in the employment rights Bill, especially changes to the statutory sick pay system, are key. Taking time off when you are ill is vital to recovery and ongoing participation in the work in our communities.
I also hope that the Government will use the expanded scope of the national curriculum to promote key life skills, such as making financial education a component of PSHE at key stages 1 and 2, as recommended by many financial literacy charities.
My work inside and outside health has led me to believe with increasing certainty that, if we are to reduce health inequalities and the burden on the NHS, faith groups must be involved. Faith observance is highest in the most deprived areas. This means that faith leaders have the potential to provide vital insight and access to those communities least likely to access preventive healthcare. Faith leaders are trusted in their communities and are valuable partners for improving the health of their community. Ensuring that culturally competent services are available to everyone who requires them is vital if this Government are to halve the gap in healthy life expectancy. I hope that this Government will build on the work already undertaken in this area.
However, it is disappointing there is not a single mention of social care in the gracious Speech. The Government acknowledge that the sector is in need of deep reform. We have an ageing population that has more acute and complex needs. People with care and support needs are often unsupported in navigating the system. There are higher costs for councils at a time of restricted budgets. Unpaid carers provide care for their loved ones, sometimes at the expense of their own health, well-being and work. The Government’s manifesto commitment to create a national care service is laudable, but requires action. We need a long-term funding settlement for local authorities and a workforce plan for the sector. I fear that without these measures we will not achieve the positive vision of social care, because social care is never an end in itself but is a means by which we can live lives of joy, fulfilment and purpose and contribute to the economic recovery of this country.
I regret the absence of palliative care from the gracious Speech. Reliance on charitable donations means that end-of-life care and provision varies depending on how affluent an area is. The cost of care is not being met, and services are being reduced. In the middle of a growing conversation about alternative options at the end of life, it is imperative that we properly fund palliative care.
Finally, every person we talk about in this Chamber is immensely valuable. We all bear the image of God. I look forward to working with noble Lords across the Chamber to ensure that people who are particularly vulnerable to the effects of inequalities and health inequalities are at the forefront of our thinking.
(12 months ago)
Lords ChamberThe Government are not considering that at the moment, and I remind the House that teacher numbers are at an all-time high, at over 468,000.
My Lords, I welcome both the Government’s efforts to make apprenticeships more accessible to ensure that people can be supported into key occupations and the expansion of this into the health service, especially with the recent NHS Long Term Workforce Plan. In healthcare professions, cover is required for apprentices’ roles when they are studying. Those apprentices are often on full-time salaries, so backfilled funding will have to be found to ensure that those workplaces can cope. As this cannot be covered by the apprenticeship levy, what support are the Government offering to ensure that those apprenticeship routes can be successful?
The Government are committed to the development of apprenticeships at all levels, including, for example, degree apprenticeships for nurses in the NHS. In relation to the earlier question, we are also exploring teacher apprenticeships. I will have to write to the right reverend Prelate on the specifics of the funding of backfilling.
(5 years, 10 months ago)
Lords ChamberI agree with my noble friend and section 26 of the consultation document addresses inspections directly. It will accelerate inspections where concerns are identified about the breadth and balance of the curriculum. Paragraph 155 says that inspectors will consider the extent to which the school’s curriculum sets out the knowledge and skills that pupils will gain at each stage. Ofsted will also consider the way that the curriculum selected by the school is taught and assessed, to support pupils to build their knowledge and apply it as skills.
My Lords, high-quality arts education as part of a broad curriculum has been shown not just to support our creative industries but to improve academic achievement and enable children to look at problems in different ways. In the light of Ofsted’s consultation on its new framework, which looks at quality, intent and impact in the curriculum, will the Minister say how this Government will ensure that there is no reduction in pupil funding in real terms? Good art education requires good teachers.
The right reverend Prelate is quite right that a broad and balanced education, which includes the arts, is crucial to prepare children for their future lives. I am sure that all noble Lords will join me in congratulating Harris Westminster Sixth Form today, where 37 Oxbridge offers have been announced. That is the most incredible performance when we consider that 13 of these children were on the pupil premium, two have been in care and 14 were from ethnic minorities. A major reason in their being able to get there was that they had a broad and balanced education on the way through.
(5 years, 11 months ago)
Lords ChamberMy Lords, I also thank the noble Baroness for securing this debate. It has been said that young people are our future. They are not; they are our present. They hold the potential to reimagine the world to see possibilities, not obstacles. They are a transformative presence today, while shaping their and our future. But, as we have heard, life is complex for them. As the noble Lord, Lord Addington, commented, the world is changing fast for them. Yet I recognise more than anything else, as the noble Baroness, Lady Armstrong, commented, that their concerns are over identity and belonging.
In October, BBC Radio 4 announced the results of the “Loneliness Experiment”—a nationwide survey conducted by BBC Radio 4’s “All In The Mind”, in collaboration with the Wellcome Collection. The survey results indicated that 16 to 24 year-olds experience loneliness more often and more intensely than any other age group. Some 40% of respondents aged 16 to 24 reported feeling lonely often or very often, while only 27% of people aged over 75 said the same.
The young are also disproportionately affected by violent crime. This is true for those from black and minority-ethnic or disadvantaged backgrounds. Last month, 250 churches across London gathered with youth workers, the police, those in education and young people to ask what we can do together. As part of their place in the local community, churches made a commitment to work in partnership with other organisations to build on the existing work of schools, after-school clubs and youth projects to make their communities places where young people could find their identity, and feel they belong and are safe. However, one of the greatest challenges is how we fund, recruit and retain good youth workers—people who will remain in the community as young people grow up. As we have heard, role models are highly important for us psychologically. They help to guide us through life during our development. They teach us to make the important decisions that affect the outcome of our lives.
I also know from my previous life as a nurse that the only way to tackle these problems is through a whole-system approach, which I understand is now the consensus view. Funding is central to this, and I welcome the £250 million allocated by the Mayor of London to establish a violence reduction unit. But, as the commission on youth violence has spoken of, funding is often given in silos, with youth clubs regularly competing against one another for narrow funding streams.
As others have, I pay particular testament to the vital youth work going on, particularly what is happening in places of worship in community halls across this country. In part of my diocese, in the London Borough of Camden—according to the End Child Poverty coalition, 40% of children there live in poverty—the youth workers of St Mary’s, Primrose Hill, mentor more than 20 young people a week, undertaking multiple prison visits a month. The likes of St Mary’s are working hard to give our young people the hope that they deserve.
One of the wonderful characteristics of London is its diversity. It is multifaith and multiracial. At the same time we have seen growth in young people feeling marginalised, but I believe that we have more in common than divides us. I end my remarks by reminding noble Lords that there is reason to be hopeful. Earlier this year I attended a youth Iftar—an opportunity for young people across different religions to celebrate their diversity and to discover new things about each other. Our conversations planted seeds that will build community bonds and friendships. It also helped us to learn to value each other, to help build the peaceful and just society that all our religions seek. I reflected that this type of grand vision begins by us taking simple steps towards each other, but at times we need to help each other to do that.