Coronavirus Bill

Lord Blunkett Excerpts

2nd reading & 2nd reading (Hansard) & 2nd reading (Hansard): House of Lords
Tuesday 24th March 2020 Lords Chamber

[Lord Blunkett (Lab)]

My Lords, I too pay tribute to those on the front line: those in intensive care and social care, but also those serving in food shops and those in local government keeping services going. I also pay tribute to those in the Civil Service and in this House who are ensuring that our democracy can continue. Our democracy, as has just been said, is vital in being able to challenge, ask questions and perhaps sometimes put a different point of view—not merely via a question online or a telephone call, but in debate, which is what democratic parliaments are all about.

I have tried to approach this issue from a lifetime of experience, having been Home Secretary at the time of the attack on the World Trade Center and much afterwards. I realise, as the Minister has said, that this is on a different scale. We are talking about the experience and challenge of the Great War. In my view, the Minister has handled his brief incredibly well since taking it over and I pay tribute to him for doing so.

Over the last few weeks I have asked myself what I would do if I were in Cabinet today. Would I try to maintain that proportionality and balance which we debated at great length nearly 20 years ago? Yes, I would. Would I be absolutely clear that democracy demanded that Parliament continue to work? Yes, I would. Would I take incremental steps that took people with us? Yes, I would, because the balance between the philosophy of John Stuart Mill and Rousseau’s social contract has underpinned everything we have done in this country and should do in future. The nature of the state will be debated now and in the future; though perhaps in a different way, it will still be about the balance between the actions we need to take as a Government and a state and the responsibility we carry as individuals.

I am here today because I have lifelong experience, some areas of which are more relevant to this debate than others. I do not mind saying that, while others will rightly take a decision to isolate and protect themselves, as demanded of all of us, some have to be there on the line, saying things and debating matters from the perspective of their age and experience. I make an appeal for social responsibility and care to print, broadcast and responsible social media, because it is vital at this time that people continue to be there to ensure that the papers are printed and that broadcasters can still broadcast—it is not all down to social media. The most dangerous things we face, other than the virus itself, are anxiety and fear—people’s confidence in their own mental and physical well-being being undermined. I make a plea to the media: inform, interrogate, sometimes entertain, but never fear, because that anxiety can be incredibly dangerous at this moment in time. That is why enforcing the measures in this Act must be done with great care.

I say to my colleagues, including my noble and learned friend Lord Falconer, and the noble Lord, Lord Newby: be very careful about the demanding of yet more power and enforcement, the media demanding every day that more people be more fearful. Yes, there will be particular areas of our country where intensive care services and all around them will be under pressure, as they are at the moment in London and the south-east, but listening to interviews from Queen’s in north-east London on Sunday’s edition of “The World This Weekend”, I realised that what we needed was the calming voice of those who had been through experiences of this kind.

My wife Margaret has been a doctor for 35 years and has just retired. I do not speak for her, but I learn from her about the dangerous and difficult decisions that she has taken over a lifetime: of whether people should die at home or be transferred into hospital. That is why we should listen to the noble Lord, Lord Robathan. Proportionality requires us to take a deep breath. Yes, we respect the scientists, but we need more of them, from a wider sphere, to come forward and to be heard. I respect those who came forward quickly with their modelling, but we need wider modelling to ensure that we get this right. We need more testing more quickly. If we had more testing, we would know much more quickly who had had the virus and who was reasonably immune, and we would be able to distinguish those who had not had the virus but thought they had. We could then continue in a more reasonable fashion—yes, of course, working from home, but without that anxiety and fear.

I have talked a lot about anxiety because my daughter-in-law, who is a teacher, spent the whole of last Friday talking to the students in her secondary school not about exams but about their anxiety about their parents and grandparents and what was going to happen to them. Recovery plans as Theresa May has described will therefore be really important. Behind the scenes, I hope that that work is taking place.

It is important to use the letter that has been sent out by the Communities and Local Government Secretary to reassure people in local government that they will be supported. Local government has lost more in the austerity measures than any other part of our public services. The capacity does not exist. What the noble Baroness, Lady Grey-Thompson, said needs to be underlined and understood.

I shall finish, as did the right reverend Prelate, by quoting from my favourite hymn. “Dear Lord and Father of Mankind” ends with:

“O still, small voice of calm.”

That still, small voice of calm is needed now as it has never been needed before.

Coronavirus

Lord Blunkett Excerpts

Thursday 12th March 2020 Lords Chamber

[Lord Bethell]

The noble and learned Lord asks a very reasonable question. I reassure him that the Leader of the House will make a Statement to that effect and she will outline the schedule for the publication. That will be for the Leader’s Office to decide.

[Lord Blunkett (Lab)]

My Lords, I commend the Government for the measured approach they are taking and the Minister for his helpful responses this morning. I chair the Sheffield City Partnership board; it will be partnership at local level that will deliver, as the noble Lord, Lord O’Shaughnessy, described, the civil effort that all of us will need to put in. Will the Minister indicate now whether he has taken on board the questions raised about the public health grant and about some of the money from the £5 billion that he mentioned going into facilitating local government—which has been severely damaged over the last 10 years—to provide the capacity to co-ordinate, as it did with the floods, the partnership approach needed at local level?

[Lord Bethell]

My Lords, I reassure the noble Lord, Lord Blunkett, that local authorities will undoubtedly provide a huge amount of the response to the coronavirus, not only in social care but in supporting business, giving pastoral care to those who are vulnerable and left alone and providing the community cohesion that we will need to get through a very difficult time for society. Extremely generous funding has been put in. That money is trickling through the system and I know that my colleagues at the Treasury are working hard to ensure that everyone has the information they need.

Personal Healthcare Budgets: Sheffield

Lord Blunkett Excerpts

Wednesday 4th September 2019 Lords Chamber

Asked by

[Lord Blunkett]

To ask Her Majesty’s Government what was the difference in the number of people covered by personal health care budgets or Independent Living Fund payments in Sheffield between (1) January and June 2019, (2) January and June 2018, (3) January and June 2017, and (4) January and June 2015.

[The Parliamentary Under-Secretary of State, Department of Health and Social Care (Baroness Blackwood of North Oxford) (Con)]

My Lords, the department does not collect the data requested in the specified format. However, the number of people with a personalised health budget is calculated on a quarterly basis within each financial year, which ends on 31 March. Currently, 53,143 people benefit from a personal health budget nationally. I shall write to the noble Lord this afternoon with a full breakdown of all the data that we collect in relation to Sheffield and place a copy of the letter in the Library.

[Lord Blunkett (Lab)]

I am grateful to the Minister. Can she help me with a very practical question relating to the county council’s publication last week, and that of the Institute for Government today, in respect of the funding of social and the interim grant that was due to run out at the end of March next year, which constituted a third of government spending? Can we presume that the amount announced by the Chancellor of the Exchequer this afternoon is in addition to renewing that temporary grant? If it is, is it not a strange paradox that it is half a billion pounds less than the amount that he announced in respect of a no-deal arrangement with the European Union?

[Baroness Blackwood of North Oxford]

The noble Lord has asked a very important question and I am pleased that the Prime Minister has followed through on his commitment to improve the situation for local authorities and for social care, not only by increasing funding for social care by £1 billion today but by increasing funding for local authorities. This is a welcome change for local authorities, which need to ensure that they can fund the commitments that we have. In addition to the letter that I shall place in the Library, I shall be happy to follow up on the specific challenge that the noble Lord raised regarding Sheffield following Questions.

Cannabis-based Medicines

Lord Blunkett Excerpts

Thursday 21st June 2018 Lords Chamber

[Lord O’Shaughnessy]

The noble Baroness makes excellent points. I know she has been deeply involved in the Alfie Dingley case and I thank her for her work on that. What we are discovering is that it is not the case that just one drug is going to fix this for the 200,000 people who are suffering. There is a need for variety. So it cannot be the case that just because one thing is licensed it is used for everyone; it needs to be specific to the needs of the patient, which is the noble Baroness’s main point. The interim panel is there precisely to make decisions on an individual basis. It is a patch to the system, if you like, not a long-term change, which is why the review is in place so that we can ensure that many other products derived from cannabis, if they are proven to have therapeutic benefits, can be developed into drugs for the range of needs that are out there.

[Lord Blunkett (Lab)]

My Lords, 15 years ago trials were undertaken, one of which led to a separate authorisation of a derivative from cannabis for MS sufferers. I have not been clear on this from any of the reporting, so will the Minister say what trials are currently taking place in this country that could be brought to fruition? What evidence can we very quickly obtain from trials and evidence of legitimate use for medicinal purposes from the rest of the democratic world? How can it possibly be justifiable for us to provide 45% of usage for derivatives from cannabis grown in this country but not to be able to use it ourselves?

[Lord O’Shaughnessy]

The noble Lord speaks with great wisdom on this topic. The problem, as he knows, is that these drugs have been in Schedule 1 and, although in theory that allows for research, in reality it creates a very cautious environment that makes research difficult. That means that apart from Sativex, which has been licensed, and Epidiolex, which is in the process of being licensed, there are very few, if any, other drugs actually going through the clinical trials process in this country because of the very tight rules that have governed usage. Other countries have of course relaxed their rules and developed that evidence, and it is precisely that kind of evidence base that will be considered by Professor Davies in her review.

Chronic Lymphocytic Leukaemia: Ibrutinib

Lord Blunkett Excerpts

Thursday 7th June 2018 Lords Chamber

[Lord O'Shaughnessy]

I thank the right reverend Prelate for that question. As he will know, NICE consults widely with patient groups and others in making its decisions. I am not clear at this stage whether NHS England met patient groups and others in designing its clinical commissioning guidelines, which is of course what I shall investigate next week.

[Lord Blunkett (Lab)]

First, I commend the Minister for being prepared to come to the noble Baroness Jowell’s funeral last week, which was greatly appreciated. Secondly, I commend him for his obvious commitment and detailed understanding on this particular issue that has been raised this morning. Is it not exactly the same issue as Baroness Jowell was raising, although on a very different treatment and challenge, which is that the best and most appropriate treatment should be available as quickly and easily as possible everywhere and to everyone, wherever they live?

[Lord O'Shaughnessy]

I am grateful to the noble Lord for that. I was privileged to be invited to the funeral, which was a very moving occasion for a very special lady. On his overall point, NICE approves 71% of cancer drugs that are applied for, so there is an absolute focus on making sure that the most effective cancer drugs can be brought to patients in England as soon as possible. Under the reformed cancer drugs fund, that can now happen from the point at which there is a draft guideline, which is often many months before it would otherwise be the case. That means that tens of thousands of people have been able to access cancer drugs earlier than they would ever have done before and, as a consequence, many lives have been saved.

Children: Obesity

Lord Blunkett Excerpts

Thursday 10th May 2018 Lords Chamber

[Lord O'Shaughnessy]

It goes to show that public health campaigns can be effective. I remember the “Go to work on an egg” campaign—although I had a banana myself. The serious point is that too many children do not go to school after a proper breakfast, and one of the great advances with the sugar levy has been a commitment of around £26 million to support breakfast clubs in about 1,500 schools in areas that unfortunately have the worst outcomes for healthy children and obesity. That support will help those children go to school on a good breakfast and function properly.

[Lord Blunkett (Lab)]

Does the Minister agree that one of the tragedies of the demise of so many Sure Start programmes was that parents were engaged in not just nurturing but understanding what happened to their children, particularly in poor areas where junk food was bought as opposed to learning to cook? Will he put some emphasis on parents being taught how to cook nutritious food, and not just children?

[Lord O'Shaughnessy]

I could not agree with the noble Lord more about the importance of good parenting and parents setting an example in this area. I would focus on a major Public Health England initiative, Change4Life, which is about equipping parents with the knowledge and understanding of how to prepare good-quality, healthy meals that are affordable.

Children: Obesity

Lord Blunkett Excerpts

Thursday 19th April 2018 Lords Chamber

[Lord O’Shaughnessy]

Following the debate that we had the other day, I looked up the Daily Mile online. It is now in 2,000 schools across the UK. My right honourable friend the Secretary of State has described it as an excellent initiative, which indeed it looks like. It certainly seems to develop good habits of physical and mental health. Writing to schools is of course a matter for the Department for Education, but I will certainly speak to my colleagues in that department to encourage schools to take this up. In the spirit of the debate of the noble Baroness, Lady Walmsley, I think it would be better to end with a quote from William at Woodfield Primary School in Wigan, who said that the Daily Mile,

“helps you with your maths, English, and you get faster each time, which makes you healthier”.

What more could you want?

[Lord Blunkett (Lab)]

My Lords, I cannot match the alliteration of the Minister but I ask him if he and his colleagues in other departments would consider an addition to the sport, to the dietary and to the drive against sugar, given the evidence of the recent review that the Government undertook into full-time social youth action in which organisations such as Volunteering Matters and City Year UK demonstrate that work by young people for young people against bullying, emotional trauma and mental health problems can have a real effect.

[Lord O'Shaughnessy]

I completely agree with the noble Lord. I believe that he chairs the National Citizen Service, which has been a massive initiative to encourage such habits in teenagers. I completely concur with him: the Government take a number of approaches to encourage youth social action, and that is something that we will continue to support.

NHS: Cancer Treatments

Lord Blunkett Excerpts

Thursday 25th January 2018 Lords Chamber

[Lord Blunkett (Lab)]

My Lords, this is the greatest privilege, and one of the most daunting moments of my life—to follow my noble friend, with the eloquence, the care, the compassion and the courage she has shown. She is my noble friend—not by affiliation or values, although we share them—but through a lifelong friendship that has lasted for well over 40 years.

If the House will forgive me, I want to say a word about Tessa—the noble Baroness, Lady Jowell—as a person. We got to know each other when we both chaired our respective social services committee. That is when I saw to begin with her care and compassion, described so well this afternoon. It is a compassion that has overcome the challenges that she faces and those of her family. Yesterday on the “Today” programme, and she said it this afternoon about the community of care, it was not just her own courage that shone through; it was the deep love and affection of her family—David, Jess and Matthew, and her extended family. The care she displayed this afternoon reached out, because it is the caring family and the community around those with cancer who travel on the journey as well. It is the love and hope that they give that reaches out.

Sally, the young mother on the “Today” programme yesterday, as with the experience of the noble Baroness, Lady Rebuck, whose husband Philip I knew well and saw just three days before he died, displayed the search for excellence, for innovation and, above all, for action, that my noble friend has called for this afternoon.

I know absolutely nothing about the ECI—but I will. There is a need to set aside bureaucracy in terms of the experimentation that patients who are on this journey wish to try, to set aside the usual processes and to share the best practice from wherever it comes. Part of the role of family is to enable people to be able to sustain themselves while they seek access to that innovation and that improvement, and to know about where excellence exists here and across the world. Who you know is so often—too often—the telling point when you are seeking the best that exists in scientific development. What my noble friend Lady Jowell, my friend Tessa, has said this afternoon is that this should be available whoever you know, wherever you are and whatever access you have had to other people’s knowledge. The breakthroughs across the world need to be made available as quickly and with as little bureaucracy in our health service as possible.

My noble friend mentioned 24 May last year, when she was on the way to a Sure Start programme. She and I—when she was the first designated Public Health Minister and I had education and employment—started the Sure Start programme. We both went on a journey through to Cabinet—she exemplified her own wonderful networking skills in helping us to win the Olympics for London and their implementation, which shone across the world, and I had all sorts of different guises, good and bad. That journey has, for Tessa, my noble friend, always been about support, care and reaching out to others. When terrible terrorist attacks have taken place, not just here but across the world, she has cared about those families, just as her family now care about her. We are, all of us, privileged to be here this afternoon and to have heard her speak. She has given us a clarion call to pick up that cudgel and work tirelessly to ensure that what she seeks is carried forward for others in the future, and that our NHS, our scientists, our innovators and our consultants can draw down on the experience from across the world and can remember Tessa Jowell as we all will, and who we are privileged to have heard this afternoon.

NHS: Sustainability and Transformation Plans

Lord Blunkett Excerpts

Monday 20th March 2017 Lords Chamber

[Lord O’Shaughnessy]

I am sorry to hear the noble Baroness say that about the STPs, which have received support from the King’s Fund and NHS clinical commissioners. I hope that she is also aware that in the Budget the Chancellor announced £325 million of capital spending to support the strongest STPs, those which are capable of providing the kind of integration she has talked about and are delivering the highest levels of performance.

[Lord Blunkett (Lab)]

My Lords, will the Minister share with us whether the department has provided advice or best practice in the localities on the first test of the service reconfiguration? A great deal of disquiet has emerged about a lack of engagement of key partners, never mind mobilising the support of the wider community.

[Lord O’Shaughnessy]

The noble Lord is quite right to bring up the issue of engagement. Those STPs which have been completed and published in draft form are now going through the engagement process. They are also being stress tested by NHS England and NHS Improvement to provide exactly the kind of scrutiny that he has talked about. Finally, in addition to the tests I have mentioned, there can be no significant service reconfigurations or bed closures without passing those tests and without public consultation to provide precisely the reassurance that these changes are about delivering national standards—they are not about trying to find a way around them.

Pregnancy: Neural Tube Defects

Lord Blunkett Excerpts

Monday 21st December 2015 Lords Chamber

[Lord Prior of Brampton]

My Lords, I am certainly not going to argue on clinical grounds with the noble Lord, who knows far more about this than I do. However, the issues are not purely clinical; they are to do with the mass medication of the whole population to reach a very small minority of women of child-bearing age. There are also some administrative issues to do with making sure that people do not take too much folic acid, as some cereals have folic acid added to them. However, I understand exactly what the noble Lord is saying, and can only repeat that the Minister for Public Health is reviewing this now.

[Lord Blunkett (Lab)]

Can I surprise the Minister and not necessarily upset my noble friend Lord Rooker, but put down a word of caution? I agree with what the Minister has just said about having great caution when we involve ourselves in any mass medication—I have a history of being awkward on these issues, including mass medication through the water supply. I have no doubt whatsoever that this is an effective way of tackling the problem, but I have every concern that it is a slippery slope that we go down with great care.

[Lord Prior of Brampton]

My Lords, I think they were helpful and wise words from the noble Lord, Lord Blunkett. This is a difficult issue, and it is not as black and white as is sometimes portrayed. As I said, my honourable friend in the other House is taking all these matters into consideration.