ONS: UK Life Expectancy

Lord Rennard Excerpts

Thursday 17th December 2020 Lords Chamber

[Lord Bethell (Con)]

My Lords, I cannot give an answer in the round and explain every element, but we have to face up as a nation to the fact that some of our habits are unhealthy. In some communities smoking rates are extremely high, and the difference between different communities is profound—1.6% in west London, compared to 25.7% in Blackpool. Our obesity, BMI and consumption of high-calorie food is just too high. This is not the sole explanation, but as a nation we have to face up to some of our behaviours.

[Lord Rennard (LD)]

My Lords, half the considerable difference in life expectancy between the richest and poorest in our country is entirely accounted for by smoking. At present, the Government are spending considerable amounts of money on advertising campaigns which tell people how to keep safe during the Covid pandemic. In the future, will the Government reinstate advertising aimed at promoting smoking cessation, to meet their own target of making Britain a smoke-free country and helping to improve the health and life expectancy of the poorest in our society?

[Lord Bethell (Con)]

The noble Lord makes his point extremely well: smoking rates in this country are far too high. The huge amount of Covid advertising at the moment has squeezed out a lot of our public health messages, and I reassure him that we will return to them—including the smoking campaign—when normal business resumes.

Cancer Task Force

Lord Rennard Excerpts

Tuesday 20th October 2020 Lords Chamber

Asked by

[Lord Rennard]

To ask Her Majesty's Government how the new cancer taskforce will operate; and what funding that taskforce will be able to direct towards reducing any backlog in identifying and treating cancer patients.

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

My Lords, the Cancer Recovery Taskforce’s role is advisory, to oversee the development of a national cancer delivery plan due to be published later this autumn. The task force is chaired by Professor Peter Johnson, the national clinical director for cancer. It met for the first time in September and is due to meet again on Thursday. Membership is drawn from across the cancer community, and I thank all of those involved. NHS Improvement has recently confirmed annual funding allocations of £153 million for 2021 to the cancer alliances in England.

[Lord Rennard (LD) [V]]

My Lords, I refer to my interests as in the register. Cancer Research UK and Macmillan have reported that 2.4 million people are now waiting for screening, tests and treatments for cancer services. The Commons Health Select Committee has reported that the number of MRI and CT scans to diagnose the disease has plummeted by 75%. Given that the Government spend on average half as much on capital in healthcare compared to similar countries, what is the scale of the investment over the next year that will be specifically allocated for the latest technologies and additional staff to deal with the backlog of cancer diagnosis and treatment?

[Lord Bethell (Con)]

My Lords, the situation raised by Cancer Research UK and others causes concern, but I reassure the noble Lord that we are doing more than a million routine cancer appointments and operations per week to catch up with the backlog. Urgent two-week waits for GP referrals are back to almost 85% of pre-epidemic levels and we have a massive plan to address this, which includes the creation of Covid-secure environments, switching to new drugs for those who cannot make it to hospital, the judicious use of radiography, targeted messaging to those who may suffer from the symptoms of cancer, the use of rapid health diagnostics, an alliance with charities, a cancer recovery plan and enhanced monitoring on a single version of truth basis of our progress on this important issue.

Health Protection (Coronavirus, Local COVID-19 Alert Level) (Very High) (England) Regulations 2020

Lord Rennard Excerpts

Wednesday 14th October 2020 Lords Chamber

[Lord Rennard (LD)]

My Lords, there is possibly nowhere else in the country more lacking in confidence and trust in Boris Johnson’s Government than Liverpool. Previous Conservative Governments spoke about “managing Liverpool’s decline”—but Liverpool fought back, and what the city needs now is a managed recovery from the Covid pandemic. Almost everyone in Liverpool recognises that, with intensive care units at 95% capacity in the main hospitals, saving lives is paramount. The question is how best to do this, and people know that saving livelihoods is vital for the long term, too. As the Echo said yesterday:

“Many of us will feel frightened, isolated and lost amidst the tangle of seemingly contradictory rules and support packages—barely providing a sticking plaster to cover the deep wounds to our region’s economy.”


The problem is that there is simply no confidence that Boris Johnson’s policies are soundly based on science or that there is a proper plan for making sure that lockdown measures do more than just postpone the spread of the virus and ensure that people’s livelihoods are protected. The Government expect to be trusted but they have not trusted local authority leaders or local public health services, which could have done a much better job with test and trace.

People see Boris Johnson’s Government as incompetent and uncaring. They sense a whiff of corruption as contracts are inexplicably awarded to friends of those in government without normal transparency rules. They hear from journalists about briefings from a “senior government source” and assume that this must mean the man who goes to Barnard Castle for an eye test. There should be an end to such anonymous briefings.

People in Liverpool feel singled out. They feel that they are being told to walk alone, but the people in Liverpool never will.

Health Care: Guidance

Lord Rennard Excerpts

Monday 21st September 2020 Lords Chamber

[Lord Bethell (Con)]

The noble Baroness is right that half of consultations have been done by telephone or on the internet. Some of those have been successful, but I agree with her that we have to keep GP surgeries open for those who either choose or need face-to-face consultations. That is why the NHS chief executive has written to CCGs and trusts urging them to be open and to have fair access to face-to-face consultations where necessary.

[Lord Rennard (LD)]

My Lords, I refer to my entry in the register of interests. Older people are more vulnerable to complications from the virus. Many more of them will have diabetes, and many more will feel that they need cancer treatment urgently. So why are so many older people still worried that they might be treated less favourably by the NHS due to their age? In particular, will the Minister explain how the backlog in treating cancer patients will be dealt with?

[Lord Bethell (Con)]

The noble Lord is entirely right that there is a large amount of concern among patients—existing patients who are on existing programmes and patients who think to go to the NHS. We are launching a “Help Us Help You” campaign at the beginning of October, which will be a substantial marketing campaign to reassure patients who might be concerned that the NHS is open and there to help them.

Anti-obesity Strategies

Lord Rennard Excerpts

Monday 14th September 2020 Lords Chamber

[Lord Bethell (Con)]

My Lords, I am not sure I agree with the premise of the question. It is not my belief that the anti-obesity campaign will generate massive negative repercussions. The NHS’s work in this area has developed immensely and we are putting a huge amount of money into it, including through our mental health strategy. I support the strategy we are applying.

[Lord Rennard (LD)]

My Lords, the need for psychological support for people with such eating disorders is often identified through face-to-face meetings with GPs. Is the Minister satisfied that it is possible, in safe conditions, for people to obtain such meetings at the moment and that, if such a need is identified, sufficient psychological support is available for them?

[Lord Bethell (Con)]

The noble Lord is probably aware that a letter has been sent to GPs inviting them to step up to their responsibilities for face-to-face meetings. Everyone should have a face-to-face meeting if that is what they require and need. One of the surprising and interesting outcomes of the Covid epidemic is that many mental health services have been successfully delivered through video links. It has meant that people who may feel vulnerable about attending a GP’s surgery or mental health clinic have had the opportunity for consultations. We will look at how to expand that kind of interaction.

Medicines and Medical Devices Bill

Lord Rennard Excerpts

2nd reading & 2nd reading (Hansard) & 2nd reading (Hansard): House of Lords
Wednesday 2nd September 2020 Lords Chamber

[Lord Rennard (LD) [V]]

My Lords, the Bill is necessitated by Brexit but, as many noble Lords have said, it does not provide the detail required to address the concerns about protecting patient safety, promoting innovation and helping British businesses at such a difficult time.

Soon after the Brexit vote, I attended a meeting convened by the MHRA involving many of the trade associations representing businesses in the healthcare sector. There was a strong feeling that the best way of addressing some of these issues would be for transitional arrangements to continue for quite some time, if not indefinitely. This case has been strengthened by the Covid crisis.

The UK has been a powerful player within the licensing framework for European medicines and medical devices for many years. The crucial role played by our scientists has been greatly appreciated across the EU and has benefited everyone, so the principle of dividing scientific expertise into two camps, one covering the UK and one covering 27 EU member states, is not a good one.

The case for the UK becoming an independent regulator of medicines and medical devices has never really been made convincingly and we have yet to see any real evidence that the risks and difficulties are likely to be outweighed by any benefits. Patients in the UK may find themselves accessing the latest innovations significantly later than patients in the EU. Businesses are told that they may benefit from different licensing arrangements in future, but if they are different, approval may well still be needed for export to the EU or to other countries which have learned to rely on EU standards. Likewise, patients who might benefit from new products licensed by the EU may not be able to get them until the UK has also approved them.

Two sets of licensing processes will mean two sets of applications, two sets of costs and two potential sets of delays, with the consequence that businesses may be less inclined to invest in innovation than they are under present arrangements. In future, we really need closer alignment in regulation between the UK, the EU and other international standards bodies.

The government case is that the UK will now be able to give more of a lead and to deal with approval processes more expeditiously, but the Bill lacks any detail showing how this could be the case. We might hope that in future greater emphasis will be placed on regulating areas of emerging and cutting-edge science where the UK has significant expertise, such as cell and gene therapies. We may aim for the UK to be seen more widely as a destination for the regulation and trialling of innovative and advanced medicines.

We should want the UK to be an attractive place for companies to undertake research and launch new products and therapies, but we have no real evidence yet that the UK will be able to achieve any of these things alone, and everything appears to be left to government Ministers to decide how things will be done at a time when confidence in some Ministers is very low. Greater detail and greater provision for parliamentary scrutiny may provide greater hope of progress on some of the worthy aspirations that have been outlined.

Health Protection (Coronavirus, Restrictions) (Leicester) Regulations 2020

Lord Rennard Excerpts

Wednesday 29th July 2020 Lords Chamber

[Lord Rennard (LD) [V]]

My Lords, I lived in the great city of Leicester for four years in the 1980s, and I am now seriously worried about the situation there, and how long these restrictions may apply without the serious risk of them being breached on a regular basis and even civil unrest breaking out. Can the Minister confirm that tomorrow’s review will provide hope and further reassurance to people there that these restrictions will not be applied for any longer than necessary?

Part of the reason why areas such as Leicester are disproportionately affected by Covid-19 is that they are areas with high BME populations and higher levels of diabetes. The issues are related. I have therefore asked a number of Written Questions today about support for people with diabetes; I will not repeat them here but I look forward to the Minister’s answers. The Prime Minister’s own Covid experience may have had a beneficial effect in persuading him of the need for proactive measures to support people struggling with obesity and those seeking to maintain good diabetic control. However, will the Minister tell us that decisions on issues such as calorie labelling will be evidence-based in the interests of public health, and not determined as a result of big business lobbying efforts?

Finally, if the lockdown continues, can I ask the Minister to help potential holidaymakers who are outside the lockdown area but have Leicester postcodes? The leader of Hinckley & Bosworth Council, Councillor Stuart Bray, tells me that some travel companies are cancelling people’s holidays because of their Leicester postcodes, even though they live outside the lockdown area. If necessary, can steps now be taken to properly advise travel companies as to exactly which postcodes are relevant for lockdown restrictions?

Health Protection (Coronavirus, Restrictions) (No. 2) (England) Regulations 2020

Lord Rennard Excerpts

Friday 24th July 2020 Lords Chamber

[Lord Rennard (LD) [V]]

My Lords, these regulations may be a sensible consolidation of previous ones, but we cannot pretend that this kind of debate subjects them to proper scrutiny. I hope that detailed questions such as those put by my friend Lord Oates will be properly answered. The process of approving new regulations that are already in place, in order to replace ones that expired before they were approved, does not inspire confidence.

So can the Minister assure us that, in the absence of Parliament meeting over the next month, the Government will make public where any of their policies on tackling the pandemic may diverge from medical advice, and for what reason? Will he agree that, in the event of the UK Covid alert level going back from 3 to 4 over the Recess, there should be a recall of Parliament, albeit virtually?

Smoking

Lord Rennard Excerpts

Monday 20th July 2020 Lords Chamber

[Lord Bethell [V]]

The noble Baroness points to the knottiest and most difficult of the challenges of giving up smoking. It is extremely sad that anyone should contemplate smoking during pregnancy, but this is one of the most durable and knottiest problems. I commend the use of creative and innovative schemes such as the one in Manchester to which the noble Baroness alludes, but more needs to be done, because prevention is better than cure.

[Lord Rennard (LD) [V]]

My Lords, 1 million people have given up smoking to protect their health during lockdown and now 86% of people in the UK do not smoke. Will the Minister therefore support the amendment this afternoon, which would mean that if additional tables and chairs are put outside pubs and restaurants through pavement licences, all the new seating areas created will be smoke free and more attractive to potential customers?

[Lord Bethell [V]]

The noble Lord is right to commend those who have given up smoking during Covid. I pay tribute to anyone who has given up smoking. I struggled and found it immensely difficult, but I am glad that I did it. There is a government amendment to the Bill, which the Department for Health and Social Care supports, and we wish it every success.

Covid-19: Mental Health Services

Lord Rennard Excerpts

Thursday 2nd July 2020 Lords Chamber

[Lord Bethell [V]]

My Lords, the work on the NHS people plan continues during the epidemic and we look forward to making the first announcement on that shortly, which will cover many of the concerns of the noble Baroness. I also remind the House that, on 15 June, Public Health England unveiled its psychological first-aid training course, developed by PHE, which has proved extremely helpful, as has the confidential helpline that was unveiled on 8 April, which we continue to support.

[Lord Rennard (LD) [V]]

My Lords, people with diabetes are twice as likely to experience depression as those without, and a third of Covid-19 deaths in England are linked to people with diabetes. A survey by Diabetes UK shows that three-quarters of people with diabetes who have felt that they needed specialist mental health support cannot access it. How can the Government help to ensure that more people are tested for diabetes and that those with the condition receive comprehensive check-ups, including screening and support for mental health issues?

[Lord Bethell [V]]

My Lords, we are investing in new and additional diabetes testing arrangements. Testing is essential for the diagnosis and management of this affliction. The noble Lord is entirely right that the connection between Covid deaths and diabetes appears profound. It is a wake-up call for the whole country and puts a spotlight on the large amount of diabetes in the UK. We will unveil plans in the future for refocusing on this important public health issue.