Brain Tumours: Causes and Treatment

Debate between Lord Sharpe of Epsom and Baroness Merron

Monday 24th November 2025 Lords Chamber

[Baroness Merron (Lab)]

I want to convey to the noble Lord our ambition in this area. I completely accept the point he makes—although not all of them—about the challenge of diagnosing rarer cancers, including brain tumours. Research is absolutely vital. Last September, we announced new research funding opportunities, bringing the brain cancer research community together, because we want to drive step change for patients in the way the noble Lord seeks. Funding decisions will arise from this call, and announcements are expected imminently.

[Lord Sharpe of Epsom (Con)]

My Lords, my son survived a brain tumour, but he was lucky, because in the UK between 40% and 60% of brain tumour diagnoses happen after the patient has arrived at A&E, having often been misdiagnosed—to follow on from the noble Lord’s question—earlier. That is a much worse outcome than many for other cancers. As the Minister said, brain tumour cancers are the leading killer of people under the age of 40. Will she therefore commit to a public awareness campaign to explain some of the difficult symptoms the noble Lord just identified, and the seriousness of brain tumours? Such awareness is sadly lacking among the public.

[Baroness Merron (Lab)]

I take the point the noble Lord makes, and I am sorry to hear of his son’s—and of course his family’s—experience. One of the things we are working on is increasing public awareness of brain cancer research opportunities. That is not quite the same as the point the noble Lord made, but extending that through the NIHR’s “Be Part of Research” initiative is important. The national cancer plan will give us the opportunity to review what communications and campaigns we run with the public. That will be a good opportunity to consider the point he makes.

Employment Rights Bill

Debate between Lord Sharpe of Epsom and Baroness Merron

Committee stage
Thursday 5th June 2025 Lords Chamber

[Lord Sharpe of Epsom (Con)]

My Lords, I thank my noble friend Baroness Coffey for her amendment and for her thorough and comprehensive introduction to it. I also thank the noble Baroness, Lady Finlay of Llandaff, for her perspective and experience, which are very valuable contributions to this debate.

This is a measured and constructive idea. As we have heard, the social care workforce is highly mobile, and too often valuable training is overlooked or repeated when someone moves to a new role. A centralised system that records training could easily help ensure that skills are recognised across the sector, improve efficiency and reduce unnecessary duplication. As the noble Baroness, Lady Finlay, pointed out, in many cases a unique expertise would be brought that deserves to be recognised. It would also show respect for the professional development of care workers. It would signal that their time, effort and learning are worth tracking and carrying forward and are not lost at the point when they change jobs.

I of course acknowledge that the practical arrangements for such a scheme would need careful planning, but the principle is sound. Enabling continuity in workforce development would support retention, raise standards and bring consistency to a fragmented sector. I seriously hope that the Minister is listening.

[Baroness Merron (Lab)]

My Lords, I thank all noble Lords for their contributions to the debate on Amendment 200A. I certainly can assure the noble Lord, Lord Sharpe, that I am listening very closely. I am grateful to the noble Baroness, Lady Coffey, for tabling this amendment, which would require social care providers to ensure that their employees have access to any scheme logging training achievements that Social Work England may establish. Let me say at the outset that I understand the intent of the amendment, which is to give care workers development and extend their skills. As the noble Baroness, Lady Finlay, and the noble Lords, Lord Sharpe and Lord Palmer, said, this would contribute to what this Bill seeks to do, which is to improve retention, the quality of work and the regard for care workers, and encourage recruitment, among many other very positive outcomes. However, unfortunately, the amendment does not do the job that I know is intended, because Social Work England does not regulate the work of social care workers, but only that of social workers. The amendment as drafted gives us difficulty, but I do completely understand what it tries to do.

Let me respond to a number of the points that were made. There are currently no plans to add to the existing regulation of care workers in the sector undertaken by CQC, but let me refer to the care workforce pathway, which may be of interest and assistance to a number of the noble Lords who contributed. The care workforce pathway is the first universal career structure for the adult social care workforce. On 9 April this year—not so long ago—my department published the expansion and revision of the care workforce pathway, which includes the crucial role categories for registered and deputy managers and personal assistants, as well as the new enhanced care worker role. That speaks to some of the issues the noble Baroness, Lady Finlay, raised about the social care workforce. When we talk about the social care workforce, this is a wide group; it is a team of people, and they are all working to support whoever is in receipt of their care.

On the issues raised by the noble Baroness, Lady Coffey, and the noble Lord, Lord Palmer—in particular, how we recognise experience and training—I completely take the point. I can give the assurance that the department is already undertaking work on skills and learning and developing a digital skills record, which will provide a permanent and verifiable record of skills and achievements for members of the adult social care workforce. Most importantly, to the point raised by the amendment of the noble Baroness, Lady Coffey, it can be shared with new or potential employers, which can help to reduce unnecessary duplication of training and make taking on new recruits faster, which is key. So, we are all in extreme agreement about the importance of training for the social care workforce, if not about the actual letter of the amendment.

On regulations being able to provide for other matters relating to employment, as we discussed in the previous group in respect of Amendment 185, the Bill already sets out that regulations will be subject to the affirmative procedure in respect of matters that will be included in the negotiating bodies’ remits, which can of course include training and other matters. As a gentle bit of clarification for the noble Baroness, Lady Finlay, I was making clear in the previous group that any regulations in this regard are subject to the affirmative procedure. I was not being as specific as I know she hoped I would be, but it is important to make that position a bit clearer. So, on any matter within its remit, the negotiating body could determine employee entitlements, which could be incorporated into relevant workers’ contracts.

The noble Baroness, Lady Coffey, asked about apprenticeships. Just last week, the Department for Education announced the launch of a health and social care foundation apprenticeship, set to begin from August 2025, which I am sure we will all welcome. This will offer young people a paid route into the health and adult social care sectors; I will not be alone in very much welcoming that.

The noble Lord, Lord Sharpe, talked about professional development and transferring across jobs. That principle is certainly being included in our health and social care sector, in respect of the digital skills record. As the noble Baroness, Lady Finlay, said, this is a teamwork approach based around whoever needs the care. It requires different skills, which can be transferrable across different jobs, so the noble Lord makes a fair point.

With that, I hope that the noble Baroness, Lady Coffey, will agree to withdraw Amendment 200A.