Cancer: Staffing
Debate between Lord Dubs and Lord Markham(7 months, 4 weeks ago)
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Lord Dubs (Lab)
My Lords, I should declare an interest in that my wife is receiving treatment from the Royal Marsden. Is it possible that the national statistics mask a great variation between hospitals such as the Marsden, which is absolutely top of the range, and some others? Is it worth looking at the differences and what we can learn from them?
Lord Markham (Con)
Yes. Funnily enough, I was having a similar conversation just yesterday about how we can use data to really understand some of the differences in performance because, as the noble Lord said, we have all heard of some brilliant examples in our NHS hospitals and we have all heard of some other examples which, as pointed out by the ombudsman, were unfortunately not so good. Understanding those centres of excellence and those that need more help is vital.
NHS: Drug Shortages
Debate between Lord Dubs and Lord Markham(9 months, 3 weeks ago)
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The Parliamentary Under-Secretary of State, Department of Health and Social Care (Lord Markham) (Con)
Medicine supply chains are highly regulated and complex. Supply disruption is a common issue that affects countries all around the world. The department has a range of well-established processes and tools to help prevent and mitigate risk to patients. Most supply issues can be managed with minimal disruption to patients. We work closely with industry, the NHS and others to prevent shortages and resolve any issues that may arise.
Lord Dubs (Lab)
My Lords, I am sorry to say that I find that Answer very complacent. We are talking about drugs for the treatment of cancer and comments from the pharmaceutical industry that the situation is the worst it has ever been, with cancer patients and others seriously at risk. Surely the Government should do something to ease the anxiety of people who are seriously ill and depend on these drugs for their lives and their safety.
Lord Markham (Con)
I assure the noble Lord that a specific team, the medical supply team, works to manages this across the piece. It is a complex area, as we have said. There are 1,000 notifications a year about supply shortages—that has been consistent over the last so many years—that the team works to resolve. I am sure that, as this debate progresses, we will talk about some of the issues, including getting the MHRA to expedite regulatory approval, working with alternative suppliers, buying internationally where needed—we did that very well last year on strep A—and, where really necessary, introducing serious shortage protocols. It is an issue that we take very seriously, and we are managing it.
Food: Two-For-One Offers
Debate between Lord Dubs and Lord Markham(1 year, 3 months ago)
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Lord Markham (Con)
The noble Baroness is correct; this is a complicated area, and a number of measures need to be taken. The best thing is the promotion of healthy foods, and the fresh fruit and veg initiatives that we have talked about today are perfect examples of that.
Lord Dubs (Lab)
My Lords, some years ago, the British-Irish Parliamentary Assembly looked at obesity in children, during the course of which we went to Amsterdam to look at what was going on there. Two of the things that were very enlightening were educating children in schools and educating pregnant mothers. What about that?
Lord Markham (Con)
I am aware of the Amsterdam initiative. Off the back of that, the OECD said that there were four main strands to what countries should be doing: first, information and education, such as the good examples I spoke about; secondly, increasing healthy choices through the reformulation of foods, which again is something we are doing; thirdly, the modifying of costs—the sugar tax, which has reduced sugar consumption by as much as 40%, is a perfect example of that; and, fourthly, restrictions on where product placement should take place. I am absolutely familiar with the initiative in Amsterdam, and am pleased to see that we have taken action on a lot of those things.
NHS: Doctors’ Strikes
Debate between Lord Dubs and Lord Markham(1 year, 4 months ago)
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Lord Markham (Con)
First, I absolutely echo the sentiment about the 75th anniversary and the hard work of all our doctors, nurses, dentists and medical staff. Clearly, we want to find a negotiated solution. I think we showed in the case of the nurses and Agenda for Change that we have a framework and the ability to find a solution between ourselves as parties. That is why we encourage them to please stop the strike action so that we can have a sensible conversation.
Lord Dubs (Lab)
My Lords, I join in wishing the National Health Service a happy 75th birthday—especially as, 75 years ago today, I was a teenager in Stockport Infirmary. Despite my efforts at persuading the consultant, he would not throw a party to celebrate the occasion. This dispute is dragging on, and there are some suspicions voiced in the papers that the Government do not mind too much, because on the whole they want to cut back on the health service—their heart and soul is not with the health service. Could the Minister reject that by demonstrating a greater willingness to negotiate with the doctors?
Lord Markham (Con)
I can totally reject that by pointing to the record spend we are putting in this area and the fact that, just on Monday, we launched the long-term workforce plan, with a £2.4 billion investment in expanding the workforce to make sure we are set fair for the next 75 years. We absolutely want to resolve the strike by all means possible.
Hospital Beds: Social Care
Debate between Lord Dubs and Lord Markham(1 year, 10 months ago)
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The Parliamentary Under-Secretary of State, Department of Health and Social Care (Lord Markham) (Con)
There are around 13,000 people in hospital who do not meet the clinical criteria to reside, including, but not limited to, people waiting to go home and people awaiting access to residential care. We constantly look to reduce these delayed discharges to ease flow in the system, and we have provided a £500 million discharge fund to support people to be discharged at the right time, to the right place and with the right support.
Lord Dubs (Lab)
My Lords, I am grateful to the Minister for answering the Question. Does he understand that many of us will think it is a complete disgrace that, for a long time now, hospital beds have been blocked by people who could be discharged into the community or residential care? These people would be better off and have a decent quality of life. Should we not be making this a high priority, instead of saying that we are planning to do this? We have heard that for so long.
Lord Markham (Con)
It absolutely is a high priority. Noble Lords have heard me say many times that the key to the whole system is flow through the system, to relieve times in A&E and ambulance wait times. That flow depends on us discharging the 13% of beds that are currently held up. That is why we put the £500 million discharge fund in place and will put £2.8 billion of funding next year, and £4.7 billion the year after, to solve exactly this problem.
Childhood Obesity
Debate between Lord Dubs and Lord Markham(1 year, 11 months ago)
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The Parliamentary Under-Secretary of State, Department of Health and Social Care (Lord Markham) (Con)
Addressing childhood obesity remains a priority for the Government and we remain committed to achieving our ambition to halve childhood obesity by 2030. We are delivering an ambitious programme of work to create a healthier environment to help people achieve and maintain a healthy weight. We recognise that there is more that we need to do, and we will continue to work with the food industry to make it easier for people to make healthier choices.
Lord Dubs (Lab)
My Lords, first, could the Minister clarify whether the previous Administration’s policy, either to weaken or to repeal much of the 2020 obesity strategy, still stands or whether the Government will do better than that? Secondly, does he agree that health visitors play an important part in educating and informing families and parents so that, when children are young, they are brought up in an environment where they are encouraged to have a diet that tackles obesity?
Lord Markham (Con)
I agree that health visitors play a vital role. We all know that a good start to life with healthy eating is a good foundation for the rest of your life. We also know that a lot of the problems around adult obesity obviously start in children under the age of five. I completely agree on continuing to strive to do better in government. I will answer some more questions on the actions we are taking, from which the noble Lord will see that we are very active.