Brexit: Food Standards Regulations

Debate between Lord O'Shaughnessy and Lord Bassam of Brighton

Tuesday 4th September 2018 Lords Chamber

[The Parliamentary Under-Secretary of State, Department of Health and Social Care (Lord O’Shaughnessy) (Con)]

My Lords, before leaving the European Union the Government will, under the European Union (Withdrawal) Act 2018, bring before Parliament regulations that will make technical amendments to EU-derived and retained food safety and standards law to ensure that the regime operates effectively after Brexit. In making any such amendments, the Government will ensure that the UK’s food standards and safety regime maintains the same high standards of protection.

[Lord Bassam of Brighton (Lab)]

My Lords, I ought to be reassured by the Minister’s reply but I am not. In light of his refusal to rule out suspending the UK’s food standards regulations if there is no deal, is this measure being considered seriously? Will the Government publish an impact analysis of such a measure and further commit to working with organisations such as the Chartered Institute of Environmental Health to ensure that all necessary food safety steps are taken before proceeding? Finally, do the Government plan to issue a ministerial direction to the Food Standards Agency regarding its statutory duty to put consumers first in relation to safe food?

[Lord O'Shaughnessy]

I can tell the noble Lord that we will be maintaining the same standards of safety and protection. We will be seeking not just continuity but equivalence. We may want to go further in other areas. Of course, this will be for discussion with the House. The ongoing role of the Food Standards Agency will be as it is now, to make sure that public health and consumers’ interests continue in relation to food. There is no need to issue a ministerial direction or anything else to ensure this because it is its legally given role and one it will continue to fulfil.

NHS: Brexit-related Risks

Debate between Lord O'Shaughnessy and Lord Bassam of Brighton

Thursday 5th July 2018 Lords Chamber

[The Parliamentary Under-Secretary of State, Department of Health and Social Care (Lord O'Shaughnessy) (Con)]

Nearly there.

My Lords, patient safety is our priority in the exit negotiations, and maintaining continuity of supply of medical products is a key part of ensuring that patients continue to receive safe, high-quality care from day one after we leave the European Union. Extensive work has been undertaken to understand the implications of our EU exit on the NHS, considering a range of negotiation outcomes, including exit without a withdrawal agreement. This has included a focus on continued access to medical supplies.

[Lord Bassam of Brighton (Lab)]

My Lords, I congratulate the noble Lord on his stamina this morning—more Fleetwood Mac than Iron Maiden. Given that the Government seem a long way off getting any sort of Brexit deal on goods and services, will the Minister tell the House whether there is a plan B to ensure that the NHS has continuity of medical supplies, and will he explain how he expects the interface of the medicines approval regime and the international regulation of medicines to work post Brexit? Will he also guarantee comparable levels of patient safety after we leave the EU?

[Lord O'Shaughnessy]

I am glad that the noble Lord’s train got him here in time for him to ask his Question. First, I do not share his pessimism about the outcome. We will publish the White Paper on our proposals next week and we expect it to get a warm welcome—and not just in this House. Nevertheless, it would be wrong if we were not working on contingency options. I think that the public would be surprised if we were not planning for every scenario. That is precisely what we are doing at the moment, and of course, as we do that, patient safety is our number one priority. We need to make sure that the supply of medicines and medical devices can come in to the country and be used by NHS patients, come what may.

Nurses: Training

Debate between Lord O'Shaughnessy and Lord Bassam of Brighton

Wednesday 7th March 2018 Lords Chamber

[Lord O'Shaughnessy]

I congratulate the noble Lord on his committee’s work in this area and on making a proposal, which we have followed in putting forward a 10-year draft plan. I hope that he will have had the chance to see that—it will of course firm into a concrete plan. It is fair to say that it is honest about both the successes and the challenges that we face in needing to train more nurses. We are trying to find new ways of doing that, not just through the university route but through apprenticeships.

[Lord Bassam of Brighton (Lab)]

My Lords, yesterday evening I went home and turned on my local news to find that the Royal Sussex County Hospital was calling on people who might otherwise use its services to keep away. The hospital has some 900 vacancies. How can the noble Lord come to the Dispatch Box and tell us about the wonderful figures that suggest that all is well and good in the health service regarding nursing vacancies, when the reality on the ground is somewhat different? My local hospital is facing a crisis.

[Lord O'Shaughnessy]

I do not pretend that all is well and good; I merely state what has happened. We know that there are challenges from increasing demand in the health service. We need more staff, which is why we are committed to training more staff. Unfortunately, I am not in a position to comment on the challenges of the noble Lord’s trust but I will be delighted to look at them with him. However, as we know, there is more demand and we have an ageing population. We need more staff and we are trying to train those staff.

NHS: Waiting Lists

Debate between Lord O'Shaughnessy and Lord Bassam of Brighton

Monday 26th February 2018 Lords Chamber

[Lord O'Shaughnessy]

The length of time to wait should always be a clinical decision; I completely endorse that. CCGs have responsibility to manage demand according to local needs, but in the end, it must be a clinical decision.

[Lord Bassam of Brighton (Lab)]

My Lords, in a written reply to me, HL 5459, the Minister said that vacancy data was not available for doctors, nurses and consultants in hospital trusts in Sussex, Surrey and Kent, whereas local recruitment advisers suggest that there is a real crisis. Why cannot the human resources element of the National Health Service provide that basic data? As the noble Lord seemed to acknowledge earlier, our chances of our reducing waiting lists are much lessened if we cannot understand where the vacancies are and put people in those jobs.

[Lord O'Shaughnessy]

Vacancy data is available. If it was not available on the particular footprint that the noble Lord asked for, I would point him in the direction of data published last week by NHS England on vacancies, which is always a topic of much interest in this House. Over the past three quarters, that shows a slightly improving picture, but clearly there is a lot more to do.

NHS: Winter Crisis

Debate between Lord O'Shaughnessy and Lord Bassam of Brighton

Wednesday 7th February 2018 Lords Chamber

[Lord O’Shaughnessy]

My noble friend is absolutely right to highlight integration. I point to two things, one that is happening now and one for the long term. In the short term, the better care fund is a pot to which local authorities and the NHS contribute and it has more money than ever before, precisely to make sure that that interface between NHS care and social care is as good as possible and people can be discharged safely home as soon as possible, which is of course what they want. We also know that we are going to have a social care Green Paper this summer. It is a really important moment; we know how many missed opportunities there have been in the past to reform care in this area and I know that noble Lords are really keen to contribute to this. I urge them to do so and in that way we can build a consensus for change.

[Lord Bassam of Brighton (Lab)]

My Lords, the Minister says there are billions extra for the health service, but the East Sussex Healthcare Trust has just announced a £21 million increase in its deficit, making it £57 million for the rest of this financial year. This is now 14% of its total budget. The finance director says that it is necessary to achieve clinical stability for this ambitious deficit reduction. Is this not just a euphemism for cuts to services? What advice can the Minister give to patients using hospitals in Hastings and Eastbourne who are waiting for treatment?

[Lord O’Shaughnessy]

I am not familiar with the specific circumstances around the hospitals that the noble Lord has pointed to, but of course we know that there is huge pressure on services. If you look at the performance data, the NHS is seeing more people in A&E, more people being diagnosed, more people being referred to treatment, and that is why additional funding went into the budget, not just for this winter but for the next two years as well.