Elderly People: Abuse

Lord Bishop of Oxford Excerpts

Wednesday 14th May 2014 Lords Chamber

[The Lord Bishop of Oxford]

My Lords, I am grateful to the noble Baroness for giving us the opportunity for this short debate. The stories of the abuse of older people hardly need rehearsing—the media are full of them—and the scandal of a particular care home recently has shocked the nation. Some of us will have had opportunity—even in our own families, doubtless—to experience some of this problem.

The Health Secretary has conceded that something is badly wrong with the care system. However, rather than dwell on the horror stories I want to ask a couple of deeper questions. The first question is: how did we get here? We have lost the quality of belonging together that in Africa is called “ubuntu”, the consciousness of a common humanity. Western culture has developed—or, rather, deteriorated—into an atomised individualism, where we do whatever seems good to us in our own lives and for our own benefit. As we have scattered to our own personal enclaves, as it were, we have left the elderly behind as unproductive, unrewarding problems.

The 2007 study by the National Centre for Social Research stated that neglect was the predominant type of mistreatment of older people in society rather than physical violence. The risk factors are being aged over 85, being female, being in bad health and already being in receipt of some form of support services. A former Commissioner for Older People in Wales has estimated that one person in four reports elder abuse in one form or another, ranging from impatient behaviour to physical mistreatment. We have lost the quality of ubuntu.

The other question is this: where do we start looking for answers? One place must be in our schools. All the primary schools I visit have ubuntu in spades. Their value statements invariably speak of community, belonging, caring for one another, tolerance and respect, and all that works really well at that level. When the pressure is on at the secondary level, we must insist that values education is still more important than narrowly conceived academic achievement; character trumps even five A to Cs. Care for the other, respect for the elderly and the common good are the values that contribute to ubuntu, and they can be experienced, taught and internalised in our schools.

The other key factor in recreating a compassionate society is aligning the different strands of civil society to that common goal. Here I must put in a word for the way the churches cover the entire country with a network of care so ubiquitous that it is often missed by commentators and decision-makers. The church is the largest voluntary organisation in the country by far. In my own diocese we have 815 churches—an outlet on every high street, as it were—with over 600 clergy and 50,000 members who are all motivated to care for their neighbour. The result is a network of care in the form of visiting, lunch clubs, good neighbour networks, dementia groups and drop-ins, as well as countless opportunities for older people to use their skills, experience and wisdom. We have to break down the boundaries between formal and informal care so that a spectrum of modes and levels of care is provided, not just relying on a culture of, “Let’s leave it to the professionals”. My question is: why should we not have ubuntu in Britain; a British ubuntu?

National Health Service: Nursing Staff

Lord Bishop of Oxford Excerpts

Monday 12th May 2014 Lords Chamber

[Earl Howe]

My Lords, I readily join the noble Baroness in paying tribute to our nursing workforce, whether in acute settings, in the community or, indeed, in any other setting. In fact, if the noble Baroness consults the official statistics, she will see that there are more nursing, midwifery and health visiting staff at present than there ever have been in the history of the NHS. Since the election, more than 5,100 more nurses are working on our wards, there are more than 1,700 more midwives and more than 2,000 more health visitors. We have been able to fund these increased numbers by a reduction in administrative staff—today there are more than 19,600 fewer administrative staff. I would be interested to hear where the noble Baroness gets her figures from but, as she will have gathered, mine are completely in the other direction.

[The Lord Bishop of Oxford]

My Lords, given the court ruling last week against Thanet Clinical Commissioning Group saying that it was obliged to follow NICE guidelines unless a special factor could be determined that would justify departure, will Her Majesty’s Government give an assurance that the same test will apply to NHS trusts in regard to the ratio of nurses and patients?