Economy: Productivity

Debate between Lord Prior of Brampton and Lord Harrison

Wednesday 8th February 2017 Lords Chamber

[Lord Harrison]

To ask Her Majesty’s Government what measures they are taking to improve productivity in the United Kingdom economy.

[The Parliamentary Under-Secretary of State, Department for Business, Energy and Industrial Strategy (Lord Prior of Brampton) (Con)]

My Lords, through our modern industrial strategy we are taking steps to increase productivity and drive growth across the whole country. We will support key strengths, including science and research, and invest in technical training and infrastructure, which will sustain productivity over the long term.

[Lord Harrison (Lab)]

My Lords, we are now in our seventh year of productivity famine—of being the worst in the G7 and uncompetitive with our European Union partners, soon to be our competitors, against whom we flounder in our productivity rates. When will the Government rebalance the economy, as promised by the former Chancellor, by investing in people and their skills, and infrastructure in the regions, so that we can return to productivity, along with dealing with the balance of payments deficit, and return to the years of plenty?

[Lord Prior of Brampton]

The noble Lord raises an interesting point. Since, I think, 2010, our economy has grown by 12%, which is the highest in the G7, yet our productivity growth over that period has been low, as the noble Lord said. The reasons for that are broad and manifold, but he puts his finger on it when he says that, in part, it is to do with a lack of investment in key infrastructure and technical skills. Both those things are absolutely centre stage in our new industrial strategy.

Cataract Operations

Debate between Lord Prior of Brampton and Lord Harrison

Wednesday 16th November 2016 Lords Chamber

[Lord Harrison]

To ask Her Majesty’s Government what plans they have to increase the availability of and capacity to undertake cataract operations.

[The Parliamentary Under-Secretary of State, Department of Health (Lord Prior of Brampton) (Con)]

My Lords, clinical commissioning groups are responsible for commissioning cataract surgery for their local populations. Patients have the right to start consultant-led treatment within 18 weeks of referral for non-urgent conditions. All patients should be treated without unnecessary delay and according to their clinical priority.

--- Later in debate ---

[Lord Harrison (Lab)]

My Lords, given the recent dispiriting report from the RNIB of ever-lengthening queues and waiting times for vital cataract operations, will the Government provide more money and stop offloading it—as the Minister has just done—on to CCGs? Will they at the same time embrace innovative and new practices and initiatives by the community optical service and practice?

[Lord Prior of Brampton]

My Lords, there is evidence of variation around the country, of that there is no doubt, although overall, the waiting times for cataract treatment are no longer than for other procedures. The RNIB has identified two issues of concern: second eye operations and follow-ups. We have asked NICE to bring forward further guidance in 2017 so that there is a proper evidence base for the threshold for cataract operations. As the noble Lord referred to in his Question, we are developing opticians in the high street to help do the follow-up consultations.

Health: Diabetes and Obesity

Debate between Lord Prior of Brampton and Lord Harrison

Thursday 30th June 2016 Lords Chamber

[Lord Harrison]

To ask Her Majesty’s Government what steps they are taking to ensure that those with diabetes have adequate support to tackle obesity.

[The Parliamentary Under-Secretary of State, Department of Health (Lord Prior of Brampton) (Con)]

My Lords, it is for healthcare professionals to identify, in consultation with their patients, what support is needed to manage diabetes effectively. This includes people with diabetes accessing programmes to help manage their weight, eat healthily and be more active.

--- Later in debate ---

[Lord Harrison (Lab)]

Can the Minister give us a date for the obesity strategy and, when it appears, can he ensure that in the reformulation advice to the food industry not only sugar but salt and saturated fat will be taken into account? Secondly, following Brexit, can he make a statement or at least write to me about the breakdown in the research being done across the whole of the European Union with our United Kingdom colleagues to defeat obesity and diabetes, as was worried about this morning by the former research director of the European Commission on the “Today” programme?

[Lord Prior of Brampton]

My Lords, it is still our intention to announce the obesity strategy soon. Clearly, there have been other events, which may create some delay, but we will announce the strategy as soon as possible. When we do, I am sure that there will be clear recommendations on diet that will include not just sugar but saturated fats and salt. Finally, as the noble Lord knows, I am arranging for him and the noble and learned Lord, Lord Morris, to meet people from the research community to discuss the outlook for research into diabetes, and I am sure that it will include any impact that Brexit might have.

NHS: Diabetes

Debate between Lord Prior of Brampton and Lord Harrison

Thursday 26th May 2016 Lords Chamber

[Lord Harrison]

To ask Her Majesty’s Government how they intend to deal with the financial burden on the National Health Service of type 1 and type 2 diabetes.

[The Parliamentary Under-Secretary of State, Department of Health (Lord Prior of Brampton) (Con)]

My Lords, we want to ensure that the best possible care is provided for all those with diabetes, reducing the risks of complications and minimising the financial pressure on the NHS. Preventing type 2 diabetes—for example, through the Healthier You: NHS Diabetes Prevention Programme—and improving outcomes for all those with the condition, including through tackling variation in management and care and increasing take-up of patient education, are key priorities for this Government.

[Lord Harrison (Lab)]

My Lords, given that, currently, 10% of the NHS budget is absorbed by treating diabetes, which is set to quadruple by 2035, why is it that the prioritisation of diabetes foot care has been relegated below other objectives? The vast majority of amputations —135 every week in this country—are avoidable if attended to in time. Why have in-house specialist diabetes teams not been made regular throughout the country, given that they are shown to save three times their own set-up costs? Finally, on objective 2, can we hear what has happened to the obesity strategy?

[Lord Prior of Brampton]

My Lords, diabetes is a key priority of the Government and part of the mandate that was given to NHS England for this year. The noble Lord is right—the direct cost to the NHS of treating diabetes is actually about £5 billion every year. Variation is the critical aspect that we should focus on. Whether it is foot care or the incidence and treatment of diabetes, across the country there is a huge degree of variation. The work being done with Diabetes UK on a national audit for diabetes will play a big part in reducing that variation.

Mental Health Services

Debate between Lord Prior of Brampton and Lord Harrison

Thursday 28th April 2016 Lords Chamber

[Lord Prior of Brampton]

I think there is a general recognition that mental health has been the Cinderella service of the NHS for generations and that, within that, mental health provision for children and young people has been a Cinderella service within the Cinderella service. We are putting a great deal of resource into it. Yes, I have visited a number of mental health care trusts. We all know at first hand that the service is highly underfunded, which is why we have committed to spend this extra money on it over the next five years.

[Lord Harrison (Lab)]

My Lords, is not the underlying problem for the health service that we simply do not have the quantum of money and resources available to deal with the many challenges, of which mental health is one? The Minister will well know that diabetes, which is threatening to explode out of all recognition, is one of the others. We need more resources.

[Lord Prior of Brampton]

It is partly a question of resource, although I point out to the noble Lord that the country that spends the most money on healthcare and has the worst results is America. It is not just a question of resource. It is how we spend it as well as the amount of money.

Health Funding

Debate between Lord Prior of Brampton and Lord Harrison

Thursday 9th July 2015 Lords Chamber

[Lord Prior of Brampton]

The noble Baroness raises a good question. This will be a crucial part of our consultation, which will take place very soon.

[Lord Harrison (Lab)]

Does the Minister not recognise that, as was the case in our recent debate on diabetes, wise investment in public spending on health can save billions later, not only in terms of the tragedies in the lives of people who experience suffering from something such as diabetes but also in the weight placed on the public purse to fund the health service?

[Lord Prior of Brampton]

I agree fully with the noble Lord. Early prevention is crucial, not just for diabetes but for a whole range of mental health issues as well, and prevention will remain a critical part of the five-year forward view.