Health and Care Bill

Debate between Lord Hunt of Kings Heath and Baroness Hodgson of Abinger

Lords Hansard - Part 1 & Committee stage
Monday 31st January 2022 Lords Chamber

[Baroness Hodgson of Abinger (Con)]

My Lords, I support this amendment, so ably moved by my noble friend Lord Blencathra and supported by the noble Baroness, Lady Kennedy, and the noble Lord, Lord Alton. Noble Lords have already heard the well-versed and evidenced arguments put forward and, while the amendment does not specifically refer to China, there can be no doubt that the well-documented example of the horrific treatment of the Uighur people in Xinjiang province would fall under its scope.

We have all heard today about the hundreds of millions of pounds-worth of healthcare goods that have flooded into this country since the start of the pandemic, much of it sourced from China. We would expect our Government to make every effort to disentangle our supply chains from implication in these atrocities, so was any due diligence carried out throughout our procurement process? This amendment would correct that oversight if it was not.

I do not want to repeat everything that has already been said by others, but I want to highlight the importance of the risk-assessment aspect in proposed new subsection (3). I anticipate that the Minister will highlight the work already being done by government departments to weed out companies with slave labour in their supply chains. Perhaps sometimes they are being asked to perform an impossible task, because I understand that supply chains in the Uighur region of China are almost entirely opaque. It is suggested that the area is rife with systematic forced labour, that audits there are worthless and that workers live in fear and terror of telling the truth. Indeed, as we have already heard, the US Government have just passed legislation presuming that all imports from the region are tainted unless proven otherwise.

Surely, it is our responsibility, as a signatory to the genocide convention, to do all that we can to prevent genocide when there is a serious risk of it taking place. This amendment builds on the work that we have already done in this regard. We cannot continue business as usual with China or any other state that condones or supports genocide. I ask the Government to act urgently to ensure that our supply chains are not tainted by goods made with Uyghur forced labour. I ask Members on all sides of your Lordships’ House to join us and reassert our commitment to global human rights and to provide the protection against genocide, wherever it is needed, by supporting this amendment.

[Lord Hunt of Kings Heath (Lab)]

My Lords, I too support the amendment of the noble Lord, Lord Blencathra. As we are really talking about procurement in the NHS, I should declare my interest as president of the Health Care Supply Association.

It is entirely reasonable to use NHS procurement rules in this way. The noble Earl knows that Clause 70 is intended to give wide discretion to Ministers to bring in a new procurement regime. I see no reason why this cannot be part of that regime.

I sometimes think the NHS operates in isolation from what is happening in the world, but it cannot operate in isolation from the terrible things that the noble Lord, Lord Blencathra, and other noble Lords have spoken about. I hope the noble Earl will be sympathetic.

Health and Care Bill

Debate between Lord Hunt of Kings Heath and Baroness Hodgson of Abinger

Lords Hansard - Part 3 & Committee stage
Tuesday 18th January 2022 Lords Chamber

[Lord Hunt of Kings Heath (Lab)]

My Lords, whatever view we take on assisted dying, I think that there is general agreement that the noble Baroness, Lady Finlay, deserves a great deal of support in her two amendments. The predicament that we find ourselves in is that the Minister will probably reject them and say that the Government will ensure that the NHS prioritises these services in the future. The trouble is that we have been here many times before, as the noble Lord, Lord Patel, said. He mentioned 2016, but in 2015 the Economist produced its last quality of death index, as far as I can find out, which basically said that the UK had the best palliative care in the world, but it was very patchy. I am afraid that the situation has simply not moved on.

So the question is: what should we do? Clearly, it is not going to get better if you leave it to the health service. It treats hospices dreadfully, with continuous late contract signing and short-term contract signing by bodies that should be able to agree three-year rolling contracts with those institutions. The lack of priority that is given suggests to me that, unless we take legislative action, we will not see any improvement at all. That is the quandary for us in terms of collectively agreeing a way forward that makes it clear to the NHS that time is up on its neglect of palliative care. We really must take action.

[Baroness Hodgson of Abinger (Con)]

My Lords, I too have put my name to these amendments, so ably introduced by the noble Baroness, Lady Finlay of Llandaff. Because this is the first time that I have spoken at this stage of the Bill, I remind your Lordships to refer to my Second Reading speech and entry in the register of interests for my experience and links around the topic of health. The hour is late, so I shall try to be very brief.

Although Clause 16 currently lists a number of services that the ICBs are required to commission, it fails extraordinarily to include palliative care. We have already heard that current estimates suggest that, although as many as 90% of people who die have a palliative care need, only 50% currently receive that care—only half. I find it somewhat horrifying that, as the noble Baroness, Lady Finlay, told us, a Marie Curie survey found that 64% of people who died at home did not get adequate care, with pain management.

Like others who have spoken, I know from personal experience of family members how hard it was for them to get the care they needed at the end of their life. I am sure that everyone here can share examples of exceptional local hospices, especially facing the challenges of the pandemic, that currently have to fundraise to be able to do the work to fill these gaps—as the noble Baroness, Lady Finlay, told us, they sell cakes. It is quite extraordinary. I pay tribute to the outstanding work of the hospices and the wonderful palliative care doctors for the amazing support they give to those who are dying and their families.

Although I recognise the Government’s concerns about overprescribing the list of services that integrated care boards should commission, it seems anomalous for the Bill to proceed with priority given to ensuring that ICBs commission maternity and other services but have no explicit requirement to commission palliative care services. I am sure that this was not the Government’s intention, but I am concerned that the current drafting implies that health services for people at the end stage of their life are less important than health services for people at earlier stages. Surely the end of life is one of the times when care is needed most. I find it extraordinary that we are even having this discussion.

The addition of these amendments offers a unique opportunity to ensure that nobody with a terminal illness misses out on the care and support that they need, both now and in the future. I look forward to hearing the Minister’s views on these amendments, which will help us to ensure that all of us have the end-of-life experience that we would hope and wish for when our time comes.

Domestic Abuse Bill

Debate between Lord Hunt of Kings Heath and Baroness Hodgson of Abinger

Monday 15th March 2021 Lords Chamber

[Lord Hunt of Kings Heath (Lab) [V]]

My Lords, I am also very glad to support the noble Baroness, Lady Greengross, in her Amendments 83 and 84. She has been such an extraordinary campaigner for older people and, years ago, she brought the abuse suffered by them to national and international attention.

We have made considerable progress. The acceptance of the amendment of my noble friend Lady Lister means that the offence of “controlling or coercive behaviour” under Section 76 of the Serious Crime Act 2015, which originally covered only behaviour by a family member when they are living with their victim, will be amended so that it applies to “controlling or coercive behaviour” by a former intimate partner that takes place post separation, or by a family member who does not reside with the victim. This is real progress for old people suffering from abuse.

However, there is an argument for going further. I will reflect back on the words of wisdom of Gary FitzGerald, formerly CEO of Action on Elder Abuse, who stated that:

“Older women can have a higher level of physical, emotional and particularly financial dependence on perpetrators, and will often have experienced the abuse for a much greater period of time. It is those psychological and emotional relationships that are crucial in considering coercive control ... The people who primarily abuse older people are their own families—sons and daughters, nieces and nephews, and grandchildren. They exploit family relationships, and this can often continue after the intervention of statutory services.”


The argument put forward by the noble Baroness, Lady Greengross, is that you need her amendment to deal with these types of situations.

In Committee, the noble Baroness, Lady Williams, said:

“Local authorities are well equipped to identify, investigate and address suspicions or cases of domestic abuse where the individual has existing care and support needs or is known through other means. There are mechanisms and clear professional responsibilities in place to ensure the safety of suspected or known victims.”—[Official Report, 10/2/21; col. 404.]


She was not convinced that the amendments of the noble Baroness, Lady Greengross, would add value to “existing rules and processes”. In a sense, this repeats an argument that the noble Baroness, Lady Williams, has used throughout the Bill: that practice is at fault, not the legislative structures. The problem is that, in relation to the issues raised by the noble Baroness, Lady Greengross, it is far too patchy, which is why we are using the Bill to raise issues and seek to get some statutory provision. I know that she hopes for a positive response from Ministers, which is to be welcomed. However, it would be great to be able to finish the job, in a sense, and do everything we can to protect older people from the abuse that I am afraid they suffer all too often.

[Baroness Hodgson of Abinger (Con) [V]]

My Lords, I am pleased to speak to these amendments, so ably introduced by the noble Baroness, Lady Greengross. The hour is late, and I do not wish to add much to what has already been said. In Committee, I highlighted that:

“How we treat our vulnerable is a reflection of our society … We need a zero-tolerance attitude to abuse, whatever the age of those involved.”—[Official Report, 10/2/21; col. 400.]


When we last debated this issue, the Minister said that local authorities are already equipped with the powers in Amendment 83 and that “the police and others” already have the right of entry in Amendment 84.

I agree with the noble Baroness, Lady Greengross, that, in spite of this, there are still problems. The elderly are among the most vulnerable in our society, and it is important that they are adequately protected. As such, I hope the Minister will be able to highlight today how protection for the elderly will be strengthened.