Children: Oral Health

Debate between Lord Prior of Brampton and Lord Colwyn

Monday 31st October 2016 Lords Chamber

[Lord Prior of Brampton]

My Lords, the introduction of the sugar levy is evidence that the Government take this matter extremely seriously and believe that it cannot be left solely to industry to reduce sugar levels. The Treasury is due to report on the extent of the sugar levy on 6 December. As part of the obesity strategy, targets are being set for nine key categories of food eaten predominantly by children. The results of reduction over time will be made transparent and open. A combination of those measures should have an impact.

[Lord Colwyn (Con)]

My Lords, although dental decay can easily be prevented by reducing sugar consumption, regular brushing and adequate exposure to fluoride, it has been shown to be the number one reason why children aged five to nine are admitted to hospital. It is painful, can be dangerous and wastes millions of pounds of NHS resources. When will the Government reverse those statistics and facilitate the fluoridation of all public water supplies?

[Lord Prior of Brampton]

My Lords, I think that I have already answered my noble friend’s question on fluoridation. On his second point about regular tooth-brushing, Scotland has a scheme called Childsmile, where there is supervised tooth-brushing in primary schools and nurseries, as well as a fluoride varnish twice a year. We can learn something from Scotland in that regard. It is expensive, but Public Health England is nevertheless looking at it and we may adopt it in our country soon.

Dental Health: Children

Debate between Lord Prior of Brampton and Lord Colwyn

Tuesday 7th June 2016 Lords Chamber

[Lord Prior of Brampton]

My Lords, I think that the obesity strategy, which will be announced later in the summer, will answer part of the noble Baroness’s question. The new contract for dentists, which will have prevention at its core, is being piloted and will be introduced in 2018. This is a very high government priority.

[Lord Colwyn (Con)]

My Lords, my noble friend talks about the dental contract. Will he tell us when the Government will complete the long-standing delay on dental contract reform? Will they ensure the new contact works for both dentists and patients?

[Lord Prior of Brampton]

My Lords, the new dental contract is under discussion as we speak. Prototypes will be tried in a number of areas over the next two years, I believe. It will be heavily weighted towards prevention, with a high degree of capitation in the contract. It will be very much outcomes-based. I believe that we expect the new contract to be introduced fully in 2018.

Primary Care: Targets

Debate between Lord Prior of Brampton and Lord Colwyn

Tuesday 13th October 2015 Lords Chamber

[Lord Prior of Brampton]

The noble Lord makes a very perceptive point. Demography is driving healthcare. The whole thrust of government policy is to treat as many people as possible outside acute hospital settings. Over the next five, 10, 20 years, I expect to see a far greater share of the health budget going to primary and community care, and a lower percentage to acute care.

[Lord Colwyn (Con)]

My Lords, in view of the massive costs of agency staff working in the NHS, could not the Government consider setting up their own agency?

[Lord Prior of Brampton]

My Lords, it is our intention —for all kinds of reasons; cost, safety and quality of care—to reduce our dependence upon staffing provided by agencies. We would much rather see staff employed on a permanent basis or through hospital banks.

NHS: GP Clinics

Debate between Lord Prior of Brampton and Lord Colwyn

Thursday 25th June 2015 Lords Chamber

[Lord Prior of Brampton]

The right answer to the noble Baroness is twofold. First, we have to paint a picture that inspires young doctors to go into general practice. There is no doubt in my mind that the solution to the health needs of today’s population depends on a different model of general practice. We can paint that picture, and I hope that leaders of the BMA might wish to help paint it as well. Secondly, on the seven-day week issue, we are living in 2015 and people expect to be able to see GPs at the weekend. People get ill at weekends, and if we want good quality of care, we have to provide that care seven days a week. If we wish people to be treated outside hospitals, we have to provide good access seven days a week in primary care.

[Lord Colwyn (Con)]

Will my noble friend make it easier for GPs who have retired to come back to work in part-time practice? I am told this is extremely difficult at the moment.