(12 years, 1 month ago)
Lords ChamberMy noble friend is right that we are concerned at the lack of engagement by some countries. This is a window of opportunity. There is a programme to try to eradicate polio by 2018. We will all be aware of what an incredible achievement that would be. We are so close. The United Kingdom has been a major donor in this area. In 2011, 9.04% of the contribution to the eradication of polio came from the UK. Gates is a very powerful player here. We are very pleased to see the Secretary-General of the United Nations convening countries to try to ensure that they are engaged, and the key ones to engage here are Nigeria, Pakistan and Afghanistan.
My Lords, how do the Government intend to implement this proposal? As yet, that is not clear.
There is a very clear programme, which the Global Polio Eradication Initiative is taking forward. There is an independent monitoring board, the chair of which is Sir Liam Donaldson, of whom noble Lords will obviously be well aware. There is an effective strategy to deliver this by 2018 but it needs funding. Gates has been extremely effective in leveraging match funding. The United Kingdom, as my noble friend said, looks at match funding. It is important that we engage others in taking this forward, but I assure my noble friend that the programme is there.
My Lords, may I ask one short question? Having listened to this debate and, indeed, to most of the debates—I apologise for having lost my way here—surely care has to be taken to ensure that the requisite freedom of the press, and I stress requisite, is not inhibited? Some of the reasoning was just given by my noble friend.
My Lords, may I remind noble Lords that we have a speakers list?
My Lords, I did not know and I am so sorry. Well, it need not be reported.
As the noble Baroness will recognise, the provision of this treatment up and down the country has been an ongoing problem. It is something that the previous Government tried to tackle, and the emphasis then, as now, was very much on local decision-making. However, the national commissioning board will be looking at the provision of specialised services and will try to ensure that, where there is this kind of need for a small group of patients, provision is catered for. At the moment, as the noble Baroness knows, the Department of Health is assessing the results of the consultation on the White Paper, which has just closed, and proposals on specialist commissioning will be brought forward. However, it is extremely important to recognise that this is not a new problem and it is not an outcome of the proposed changes.
My Lords, perhaps I may ask a very simple question. Are no steps to be taken until we have a report from various quarters? What is the position? We have heard a lot but I cannot understand what is to be done.
I apologise if I have not been clear, and I shall try to be clearer. PCTs currently commission locally for hydrotherapy. Physiotherapists decide whether their patients need hydrotherapy and, if they or clinicians recommend that that is what the patients need—and in many cases it is not advised because there could be infection, balance or other problems, so it is not ideal for all patients—the PCT commissions the treatment locally. That will continue to be the case, as it will under GP consortia but with the umbrella protection of ensuring with the commissioning board that specialist care is not squeezed out by an emphasis on what the majority need locally.