Homelessness: Tuberculosis

Lord Faulkner of Worcester Excerpts

Tuesday 1st March 2011 Lords Chamber

[Earl Howe]

My noble friend is absolutely right: this is a particularly difficult group of people in that they are hard to reach. There is a high incidence of TB among the homeless in London and a service of the kind to which I have referred appears to be cost-effective in reaching those people. On my noble friend’s second question, we are engaging with the Mayor of London’s office to see how it can become involved in helping to deliver cost-effective services to this group of people.

[Lord Faulkner of Worcester]

My Lords, will the Minister invite Westminster City Council to think again about the proposed by-law, on which it is consulting, which will make it illegal not only for rough sleepers to live on the streets around Westminster Cathedral but for charities such as Housing Justice to distribute food and soup to them? It describes the Westminster City Council proposal as an over-the-top response. Is it not right to say that? Does he agree that the problems of tuberculosis, which are the subject of this Question, will be much more difficult to identify if rough sleepers are driven off the streets and forced to live elsewhere?

[Earl Howe]

My Lords, I very much see the force of the noble Lord’s point. We are very much committed to preventing homelessness and to protecting the most vulnerable. We have maintained the funding for the homelessness grant at the levels of the current year— £400 million over the spending review period, which is £100 million over each of the next four years. We are specifically providing £18.5 million a year to support the voluntary sector. This is a priority, but I will take away the point that he has made about Westminster City Council.

Hospices and Palliative Care Services

Lord Faulkner of Worcester Excerpts

Wednesday 15th December 2010 Lords Chamber

[Lord Faulkner of Worcester]

My Lords, I congratulate the noble Viscount, Lord Bridgeman, on securing this debate, and I welcome this chance to express my admiration for the wonderful work that is performed by our hospices across the country.

I speak with first-hand experience of two hospices which I have got to know in the City of Worcester in the past year. They are Acorns Children's and St Richard’s Hospices. I found my visits to them both heart-warming and humbling. The most impressive feature of both—apart, of course, from the quality of the care that is provided at them—and this is true of other hospices all over the country, is the commitment of volunteers. Acorns in Worcester, for example, is able to draw on the support of 250 volunteers who cook, clean and do the gardening for them. St Richard’s tells me that it has 900 volunteers who, last year, saved the hospice £765,000 in wages, had they needed to pay people for the jobs they did. Charity shops are of course also a hugely important revenue stream. St Richard’s has more than 350 volunteers in its shops, which can be found across the county selling furniture, electrical items, books, women's and men's clothing and bric-a-brac.

Both hospices benefit greatly from the extraordinary generosity of local philanthropists and other members of the local community. One of the most remarkable people in Worcester is Mr Cecil Duckworth, who is a freeman of the city and a massive donor to Acorns, the building of which was largely down to him and his generosity, and to an 84 year-old lady who lives next door to the hospice and donated the land free of charge.

Mr Duckworth's other great contribution to the City of Worcester is to bring top-class rugby to the city. His Warriors team runs an ambassadors scheme in which three players a week visit the hospice. They were there on the day when I visited. He allows for a constant stream of fundraising events at the Sixways ground, where the Warriors play, such as a fireworks display. The home match on Boxing Day will be given over to raising money for Acorns, and the players will be wearing a shirt designed by their children. St Richard’s will also have 20 volunteers at the game selling raffle tickets for their car draw.

Another great supporter in the city is the mayor, Councillor Mike Layland. Last Tuesday he was pulling pints at a local bar which was donating all the takings over a two and a half hour period to Acorns because that is one of the mayor’s chosen charities.

At present, around a third of the running costs of each hospice is covered by statutory funding, but there is great uncertainty about whether this will continue with the reorganisation of the National Health Service. The replacement of PCT commissioning with GP commissioning is not suitable for many hospices—in Acorns the children are looked after by consultants and not by GPs—and a centralised tariff-based system that produces a minimum of 30 per cent of the hospices’ care costs is needed.

It is very hard to think of a better representative of the big society than the hospice movement. I hope that when he replies the Minister will be able to give some reassurance about future levels of funding.

Health: Passive Smoking

Lord Faulkner of Worcester Excerpts

Tuesday 30th November 2010 Lords Chamber

Asked By

[Lord Faulkner of Worcester]

To ask Her Majesty’s Government what is their response to the report by the World Health Organisation (WHO) that passive smoking annually kills 600,000 people worldwide, and to the recommendation that the WHO Framework Convention on Tobacco Control be immediately enforced.

[The Parliamentary Under-Secretary of State, Department of Health (Earl Howe)]

My Lords, the report from the World Health Organisation sets out the significant harms to health from exposure to second-hand smoke. The United Kingdom is a strong supporter of the FCTC and has worked hard to implement it since ratification of the treaty in 2004. Today, we exceed our treaty obligations in this area through the effective and popular smoke-free legislation. Tackling tobacco will be a key element in the Government’s new public health White Paper.

[Lord Faulkner of Worcester]

My Lords, I thank the Minister for that very positive and welcome reply, which is particularly interesting in view of the interview given by the Secretary of State, Mr Andrew Lansley, on the “Today” programme this morning, in which he had some interesting things to say about packaging. Would the Minister comment on that? Does he agree with Mr Lansley’s assertion that “the visibility of cigarettes … constantly tends to reinforce smoking, but it also leads to initiation of smoking amongst young people”? Can he confirm that it is necessary for the United Kingdom, in order to comply with Article 13 of the framework convention, to proceed with restrictions on tobacco display and the banning of vending machines?

[Earl Howe]

My Lords, the noble Lord is correct that plain packaging is an idea that we are considering, which would require tobacco products to have standardised plain packaging so that only basic information and health and picture warnings were visible. The Government are going to look at whether the plain packaging of tobacco products could be an effective way to reduce the number of young people who take up smoking and to help those who are trying to quit, but the decision will depend on the strength of the evidence, which we are going to have to look at.

On tobacco displays, the Government are currently considering options around the display of tobacco in shops. We recognise the need to take action both to reduce tobacco consumption and to reduce burdens on businesses. No decisions have yet been made on that.

The noble Lord will know that the issue of vending machines is currently subject to a legal challenge. We await the judgment from the court before making any further announcements.

Health: Government Spending

Lord Faulkner of Worcester Excerpts

Monday 14th June 2010 Lords Chamber

[Earl Howe]

My Lords, I can reassure the noble Baroness that the imperative to ensure that quality and equality are considered is uppermost in our minds as we proceed with this exercise, and indeed as we go forward into what will be a very difficult financial year next year.

[Lord Faulkner of Worcester]

My Lords, given the huge success of the tobacco-control legislation passed in the previous Parliament, which has already produced so many benefits including, as we have seen from recent statistics, a dramatic reduction in the number of heart-attack victims admitted to hospital, will the Minister give an assurance that the excellent smoking-cessation programmes run by his department will be exempted from any programme of cuts?

[Earl Howe]

My Lords, smoking cessation is extremely important as a public health measure. I am sure the noble Lord will know that the coalition Government have set great store by their public health agenda. I cannot imagine that smoking cessation is going to disappear off the radar.