Carers: National Strategy
Debate between Lord Evans of Rainow and Lord Laming
Lord Evans of Rainow (Con)
My Lords, the noble Baroness makes an important point. She is right that we need to know where carers are. People at the Heart of Care, published in 2021, addresses the identification of unpaid carers by increasing the use of markers in NHS electronic health records and by simplifying current approaches to data collection and registration. In many communities up and down the country, that works very well, but clearly there is more to be done in other communities.
Lord Laming (CB)
My Lords, the Minister will recognise that anyone at any time can have a major care role thrust upon them unexpectedly which can transform their lives completely. When the committee that several of us sat on took evidence from unpaid carers, one of the things that astonished us was that carers felt so devalued. When they took the person whom they were responsible for to hospital, they were not even allowed into the consulting room with a doctor because their status was not considered sufficient to allow them in; it was only the patient who could go in. These carers said to us, “What is the country doing to support unpaid carers?”
Lord Evans of Rainow (Con)
The noble Lord is right, and indeed I have experienced that position myself. If you take a loved one to hospital or to the doctor’s, and the doctor’s surgery has been used to seeing the patient over many years, they look at the carer and think, “Who is this person?” Their records do not reflect things, and that is simply not good enough. Registering a power of attorney with the GP is one way of doing that, but we are a long way from having it in place. It is incumbent on GP practices to get up to speed. When they have patients on their records, there should be a clear segment in the computer system so that if a patient turns up with a carer the practice knows who the carer is and makes them welcome.
Measles Cases
Debate between Lord Evans of Rainow and Lord Laming
Lord Laming (CB)
My Lords, have the Government been able to ascertain why the vaccination rate in the West Midlands is so low in contrast to other parts of the country?
Lord Evans of Rainow (Con)
My Lords, the vaccination rate in the West Midlands is below the national average but not as low as in London. In London it is 75% and in the West Midlands it is 80%, so it not just a case of the West Midlands. There are many reasons why: large concentrations of social deprivation, transient communities and misinformation bring that all to a head, and to a very low and unacceptable uptake in vaccination.