Fracture Liaison Services

Lord Shinkwin Excerpts

Wednesday 4th December 2024 Lords Chamber

[Lord Shinkwin (Con)]

My Lords, earlier on today, I googled the meaning of the phrase, “It’s a no brainer”. Apparently, it applies to a question that is very easy to answer and, although it did not give an example, I suspect we could all think of one. As my noble friend Lord Black of Brentwood said, there is unanimity across your Lordships’ House on this.

As someone who lives with a bone condition, I am something of a reluctant expert on fractures, or at least on the excruciating pain they cause. The crunch as the bone fractures is immediately followed by the weird sensation of there being a void, because suddenly the broken bone cannot bear any weight. There is literally nothing there, and into that vacuum comes this all-consuming shockwave of pain. I make this point because some may assume that rollout is not urgent because, as my noble friend Lord Black of Brentwood mentioned with regard to hip fractures, it is not normally life-threatening. But this ignores the unnecessary human, as well as financial, cost.

I think of Stephen Robinson, a forklift truck operator, who suffered chronic, agonising back pain, dismissed for years as muscular by his GP. The doctor insisted that he should leave his manual job if he wanted his pain to improve. Eventually, the choice was taken away because the pain was so severe that Mr Robinson had to leave work altogether at 61. He remembers “living in the chair, drugged up to the eyeballs, counting the minutes until I could take the next painkiller”. My Lords, I have been there. It is not nice. A private DEXA scan is not easy to afford when you are unemployed, but it showed that Mr Robinson had 10 undiagnosed spinal fractures. An early assessment through a fracture liaison service would have given him back years of his life and saved him so much unnecessary pain.

In contrast, Alison Smith retired at 60, feeling fit, healthy and ready to embrace her new-found freedom. But nine months later a fall left her with fractured ribs and an alarming sense that something was wrong. Seen quickly by medics, she was referred to a fracture liaison service, which identified severe osteoporosis and started her on treatment. With the support of the fracture liaison service team, Alison received lifestyle advice and ongoing care, which prevented any further fractures happening and saved the NHS and the taxpayer money.

In conclusion, any further delay in the rollout of these vital services would represent an inexplicable, unjustifiable false economy, because it is actually costing money not to proceed with universal provision. I look forward to the noble Baroness the Minister giving us reason to hope.

King’s Speech

Lord Shinkwin Excerpts

Thursday 9th November 2023 Lords Chamber

[Lord Truscott (Non-Afl)]

My Lords, it is a pleasure to follow the noble Baroness, Lady Bull, and her thoughtful and thought-provoking speech. I also agreed with the noble Baroness, Lady Deech, on her powerful speech about the Holocaust Bill. I support a Holocaust memorial and learning centre, but the current proposals reflect the fact that it is the wrong location and the wrong design, at an exorbitant cost of £139 million.

I am here in your Lordships’ House today to speak about housing. In that case, I need to declare an interest in that I have been a landlord in the private rented sector since the 1990s and before that I was a renter in the private rented sector up until my mid-30s. I have seen renting from both sides of the fence.

I welcome His Majesty’s Government’s determination in the gracious Speech to proceed with both the Renters (Reform) Bill and the leasehold and freehold Bill. Both are long overdue, in my view. However, in almost 30 years of being a private landlord, I have never known the situation facing both landlords and private renters to be so bad. We are moving towards an inheritocracy, where only those who inherit will own property and wealth. Social inequality will increase as a result. Better to tax unearned inherited wealth, rather than everyone else, to provide the housing that is so badly needed.

One of the fundamental problems we have heard today in your Lordships’ House is the shortage of property to rent. The Government thus urgently need to increase the supply of socially rented housing to make it affordable for people, as the noble Lord, Lord Howarth of Newport, said earlier today. It is a simple question of demand and supply. When demand outstrips supply, prices, or in this case rents, go up. There are of course other contributing factors; recent rises in mortgage rates mean landlords with buy-to-let mortgages—and there are 1.7 million of them—have seen their mortgages triple or even quadruple. In that event, it is not surprising to see rents in some cases go up by 30% to 40%. There are other factors; tax changes have meant that buy-to-let landlords are the only business owners I know to be taxed on their turnover, rather than profits. Increasing regulation, often necessary, has nevertheless meant costs have been piled on landlords, which they pass on to their tenants.

Let us look at these private landlords. Profits are at their lowest for 14 years. Over the last year, the level of landlords defaulting on their mortgages has doubled, so arrears have been building up. Most landlords just have one or two properties, which they have worked hard to buy, to provide for them in their old age. In the past, property capital growth has enabled landlords to cross-subsidise tenants in lean times, but this is no longer the case.

On the specifics of the Bills, I welcome the abolition of Section 21, so giving security to tenants. But His Majesty’s Government should be careful of the unintended consequences of introducing periodic tenancies to replace assured shorthold tenancies. In city centres and resort areas, short-term tenancies and increased use of Airbnb-type ultra-short tenancies will mean less property is available to local residents and students, not more, as the noble Lord, Lord Best, already mentioned. It does seem bizarre to me that His Majesty’s Government will outlaw longer tenancies, so guaranteeing more security of tenure when both parties want it.

I am glad that pets, particularly dogs, will be banned when the lease forbids them. That should remain at the discretion of the landlord. Dogs may be appropriate in houses, but in flats they can cause nuisance and even be dangerous. We have seen a massive increase in dangerous dog attacks and fatalities in recent years; my wife and I were on the receiving end of one in our own garden from tenants who had a dog in breach of the lease. I would not recommend the experience.

In terms of the leasehold Bill, I welcome His Majesty’s Government’s intention to abolish the feudal and archaic leasehold system, as the noble Lord, Lord Young of Cookham, referred to previously. For centuries, freeholders and their agents have had a licence to fleece leaseholders, with little or no chance of redress. In particular, I agree leaseholders should be given greater rights to self-manage, ending the opportunity for freeholders and their agents to exploit vulnerable leaseholders with excessive service and other charges.

It is time that lease extensions and valuations were made more transparent, quicker, cheaper and easier, rather than the theatrical system we have today, which is designed to benefit everyone except the leaseholder. The opaque lease extension system in place, its absurd marriage value and other calculations mean leaseholders have little or no control over the process or the cost.

It is regrettable, as the noble Lord, Lord Best, has mentioned on numerous occasions in the past, that property management agents remain wholly unregulated. What other body sometimes dealing with millions of pounds is totally unregulated and requires no professional qualifications and standards whatsoever? On balance, His Majesty’s Government should be supported in reforming the private rented sector and leasehold. They should be awarded six out of 10, but need to do better still.

[Lord Shinkwin (Con)]

My Lords—

--- Later in debate ---

[Lord Shinkwin (Con)]

My Lords, I apologise to the noble Lord, Lord Carrington, for jumping the gun. I had looked around for my noble friend Lord Carrington of Fulham, so it was entirely my mistake.

As someone who went through the torturous process of extending the lease on a property I used to own, I too welcome the Bill to reform the housing market by making it cheaper and easier for leaseholders to purchase their freehold. However, I hope the House will indulge me if I confine my remarks to a housing-related issue that compromises my ability as a severely disabled parliamentarian to keep my promise made in this Chamber to speak truth to power without fear or favour.

When I joined your Lordships’ House almost eight years ago, I could never have imagined that I would encounter a double whammy of discrimination not only on account of my disability but as a severely disabled parliamentarian. Yet that is the sad and bizarre situation in which I now find myself and which I am taking this opportunity to bring to the attention of noble Lords.

It was my severe disability that informed my recent decision to move to a housing development where accessibility is an integral part of the design. Credit for that must go, ultimately, to the Earl of Moray, the landowner who conceived the exciting vision that is Tornagrain. My acute vulnerability as a severely disabled parliamentarian also informed my need for privacy, which email exchanges show I communicated to the developers almost two years before I reserved my house. Emails show not only that that need was expressly acknowledged in writing but that I was advised as to the possible suitability of various plots on that basis. Noble Lords might therefore imagine my surprise when I discovered on moving in that my house lacked any privacy and created genuine security concerns. As a result, I do not feel safe in my own home.

I was grateful to Police Scotland for issuing a crime prevention assessment survey report that made recommendations as to how the situation should be remedied. In doing so, it made specific reference both to my additional vulnerability as a severely disabled parliamentarian and to the Equality Act 2010, particularly with regards to the duty to make reasonable adjustments.

Unfortunately, Moray Estates, acting on behalf of the landowner—and, specifically, the Tornagrain Conservation Trust, whose managing director sits on the trust board—have seen fit to reject the most important recommendations made in Police Scotland’s report, despite my having made clear in writing that this would void my privacy and security. My neighbours, with whom I am keen to enjoy good relations—and who, it was confirmed in writing, had previously approved a compromise proposal by the developer—suddenly changed their minds, following an approach by the Tornagrain Conservation Trust. I can assume only that this was done on the premise that, if I do not feel safe, as a severely disabled parliamentarian, in my own home, I will have to sell up and leave. In other words, sit tight, do nothing and the problem will disappear because I will have been forced out. The point here is that if I, as a disabled Member of the House of Lords, am having such a challenging experience securing the accessible housing in which I can feel safe, what does that say for a disabled person who does not have a voice, particularly given the evidence of the challenges that people who have disabilities find in accessing accessible accommodation?

For the avoidance of doubt, my experience is not a planning dispute. It is actually far more serious because it is impacting directly on my ability to carry out my parliamentary duties. I am encountering two organisations, the Tornagrain Conservation Trust and Moray Estates, that give every impression of ignoring their legal duty to make reasonable adjustments to policies, procedures and practices on account of disability—and of acting in a manner that I think most people would say belonged to feudal times. To be clear, the trust exercises what would generally be recognised as, effectively, planning authority powers, without either transparency or accountability. No minutes of meetings are published, requests for the trust board to visit sites of residents applying for permissions go unheeded and residents are discouraged from attending the AGM.

Housing is a devolved matter, so I conclude by respectfully suggesting that the Scottish Parliament might want to look again at the Title Conditions (Scotland) Act 2003 and consider specifically whether the spirit of the legislation, particularly as it pertains to the 2016 amendment order, which added the Tornagrain Conservation Trust to the list of prescribed conservation bodies, is being honoured in practice. In light of my experience, I respectfully suggest that it ensures that an equality impact assessment, which was not undertaken at the time on the basis that the policy does not have any impact on equality issues, is now undertaken.

I close with this point. It is surely wrong that in 2023 a severely disabled parliamentarian should be placed in the utterly invidious position of having to bring such an issue to the attention of your Lordships’ House and our fellow parliamentarians in Scotland. I hope this will be resolved quickly so that I may keep my promise to speak truth to power, on whatever issue, without fear or favour.

Stroke Rehabilitation and Community Services

Lord Shinkwin Excerpts

Wednesday 22nd March 2023 Lords Chamber

[Lord Markham (Con)]

I can confirm that it is a detailed plan. Services such as physio are an important part of that and will be planned accordingly.

[Lord Shinkwin (Con)]

My Lords, as somebody who benefitted from life-saving neurosurgery almost 30 years ago, I can attest to the body’s amazing capacity to repair itself, provided that there is timely intervention. Can my noble friend confirm that timely intervention is crucial, that the resources will be made available, and that not doing so would be a false economy?

[Lord Markham (Con)]

I thank my noble friend and agree. When I was looking at the waiting lists of those in need of physiotherapy, I was delighted to see that 80% of people were waiting less than 18 weeks. A plan is being put in place for musculoskeletal priority patients, so that they do not have to wait any more than two weeks. The urgency of putting these things in place quickly is recognised.

Health and Care Bill

Lord Shinkwin Excerpts

Lords Hansard - Part 1 & Report stage
Thursday 3rd March 2022 Lords Chamber

[Lord Shinkwin (Con)]

My Lords, I too thank my noble friend the Minister for Amendments 36 and 157. I shall also speak in support of Amendment 59 in the name of the noble Baroness, Lady Hollins. Before I do so, I hope your Lordships’ House will allow me to take this opportunity to thank the healthcare professionals at Guy’s and St Thomas’s, who recently looked after me so well following major surgery. Some noble Lords may have noticed my absence. I have had half my leg rebuilt and am now the proud, if involuntary, owner of a Meccano set inserted by my excellent surgeon, Marcus Bankes, and his registrar, Christian Smith. I apologise in advance if any noble Lord seeks to intervene and I dare not sit down to take their intervention as I am not sure I would be able to get back up again.

Although the pain was excruciating and the morphine, which I am weaning myself off, very welcome, it saddens me to say that that pain was compounded by the way in which I received no support from your Lordships’ House. I might as well have been dead. It reminded me that this wonderful institution remains a place whose rules and modus operandi were designed by and for rich, non-disabled men. I will say no more on the matter now, but it is clear to me that this needs to change if we are to become a stronger, more diverse, more representative House. If we do not want to be consigned to the past, we must stop living in the past. The appalling way we treat Members whose disability enforces temporary absence from your Lordships’ House is indefensible and cannot continue.

Returning to the substance of the amendments under discussion, I am hugely grateful that the Government have listened to concerns I raised at Second Reading and others raised, in my absence, in Committee. All credit goes to noble Lords for the strength and the passion with which they did this, and to the Minister for so obviously listening and taking their concerns on board. Taken together, Amendments 36 and 157 should make a real difference to the lives of all babies, children and young people in this country, particularly those with speech, language and communication needs. I should declare at this point my interest as a vice-president of the Royal College of Speech and Language Therapists. I know the Minister and his colleagues across government, not just in the Department of Health and Social Care but also in the Department for Education and the Ministry of Justice, share my ambition and the ambition of other noble Lords in wanting children and young people with communication needs and their families to have the best possible level of support so they can realise their potential.

To help deliver that ambition, I ask my noble friend to reflect on four things. First, I would be so grateful if he would look kindly on Amendment 59, so ably spoken to by the noble Baroness, Lady Hollins. This would help to close any potential accountability gap and considerably strengthen the provisions of Amendment 36.

Secondly, will the Minister pledge to ensure that all the guidance to the Bill specifically references children’s speech, language and communication needs? The statutory guidance and accountability lead for SEND is a very positive development, but it is not sufficient. The vast majority of children with communication needs do not have an education, health and care plan. This includes children with developmental language disorder—over 7% of all children—those who stammer, and those with speech-sound disorders. The guidance must, therefore, ensure that the needs of those children are supported. A model that the Government have already established for this is the statutory guidance to the Domestic Abuse Act, where speech, language and communication are listed as a specific intersectionality.

Thirdly, will the Minister agree to meet the chief executive of the Royal College of Speech and Language Therapists to discuss how the guidance on the Bill can best capture those issues? Fourthly, on Amendment 157, can the Minister reassure the House that the report will include commitments to act to improve information-sharing? Finally, may I reiterate my huge thanks to my noble friend the Minister, and say how pleased I am to be able to do so in person, in your Lordships’ House? It is good to be back.

[Baroness McIntosh of Pickering (Con)]

My Lords, I welcome my noble friend back and commend him for his bravery. We came into the House at the same time, and he is a source of constant inspiration to us all; I have endless admiration for him. I apologise to the House for having omitted to declare my interests when I spoke for the first time on Report on Tuesday. I refer to my entry in the register of interests, and in particular to the fact that I work with the board of the Dispensing Doctors’ Association. I am also a patron of the National Association of Child Contact Centres and a co-chair of the All-Party Group on Child Contact Centres and Services.

I again commend my noble friend the Minister for summing up and assessing the mood of the House and tabling the amendments today; I am grateful to him for that. I also support the noble Baroness, Lady Hollins, and her Amendment 59, which is very appropriate. I hope my noble friend will look favourably on it, and I pay tribute to the work of the noble Baroness. One of her remarks earlier on Report which struck a chord with me was about the shortage of psychiatrists and other mental health professionals, particularly for those in the age group affected by these amendments.

I endorse and support the amendments in the name of my noble friend Lord Farmer. He refers in particular to the family hubs, and I make a plea to the Minister to recognise, as part of a family hub, a child contact centre. Centres are usually manned by volunteers, and they do fantastic work—not necessarily in keeping families together, because, unfortunately, their role largely comes into play when families have broken, but they play a fantastic role in maintaining contact with the absent parent.

Obviously, in these constrained times, the budgets of all organisations come under increasing scrutiny and pressure, so I urge the Minister to use his good offices to speak to those in the Ministry of Justice and the Department for Education to ensure that the budget for child contact centres will be renewed not only for two years but for three years—the period promised earlier. Those centres do fantastic work, under great constraint, and I am proud to be associated with them. I wanted to use this opportunity to support the amendments and to urge my noble friend the Minister to use his good offices in this regard.

Health and Care Bill

Lord Shinkwin Excerpts

Lords Hansard - Part 1 & Committee stage
Tuesday 18th January 2022 Lords Chamber

[Lord Shinkwin (Con)]

My Lords, it is a great pleasure to follow the right reverend Prelate the Bishop of Birmingham. I apologise to the Committee for not being able to be here at the start of the debate on this group, owing to a medical appointment.

I shall address my remarks to Amendments 141, 151 and 177. I do so because, like other noble Lords who have put their names to these amendments, and as I made clear at Second Reading, I believe that supporting speech, language and communication development and better outcomes for children and young people with speech, language and communication needs, which I shall refer to as communication needs for the remainder of my contribution, is incredibly important and a cost-effective investment.

I should at this point declare my interest as a proud vice-president of the Royal College of Speech and Language Therapists. I should also say that I have incorporated within my remarks those that would have been made by the right reverend Prelate the Bishop of Gloucester, who has a passionate interest in adequate support for people with communication needs as a former speech and language therapist.

My first point is that these amendments do not come with a significant price tag attached. Indeed, the price tag of not implementing what they propose would be considerably greater. These amendments would actually facilitate cost-efficiency because of the significant benefits over the medium to longer term of getting the system right at the outset—in other words, by ensuring that the system works to maximum effect when it matters most, as early as possible in children and young people’s lives.

We know that the impact of not supporting children and young people with communication needs in particular can be significant. For example, children and young people with long-term communication needs—10% of all children and young people—are at greater risk of worse educational attainment, mental health problems, unemployment and potential involvement in the criminal justice system if their needs are not identified and adequately supported. It seems common sense to require NHS England, as Amendment 141 proposes, to assess how well an integrated care board has identified and met children and young people’s needs in relation to the national accountability framework, which, of course, it has responsibility for publishing. It would help ensure transparent value for money—in other words, optimal bangs for bucks for the taxpayer. I have to ask: what’s not to like?

This amendment gives us the opportunity to ensure that children and young people are prioritised by decision-makers in the health system. Sadly, children and young people with communication needs are often even less of a priority. Indeed, this has been demonstrated by decisions taken during the pandemic, when speech and language therapy services to children were stopped and speech and language therapists were redeployed in many areas. As a result, according to a survey conducted by the Royal College of Speech and Language Therapists, 62% of children and young people received no speech and language therapy during the first lockdown. That is almost two-thirds whose life chances will have been adversely affected, and that will definitely come with a price tag attached over time.

It is therefore vital that integrated care boards are held to account to ensure that they give children and young people the priority they deserve, with a clear set of outcome metrics, including outcomes for children with communication needs. In fact, this would be in line with the Government’s very welcome acknowledgement—in a response to a Written Question tabled by the noble Lord, Lord Ramsbotham, in July 2019—that speech, language and communication skills are a primary indicator of a child’s well-being.

Surely it makes complete sense that this accountability should be grounded in a national accountability framework so that we actually see equitable support across England and thereby reduce the risk of babies, children and young people and their families facing a postcode lottery of access to services. I assume that all noble Lords would agree that the service they receive should be based on need rather than where they live. I would be very grateful if the Minister could tell me whether the national accountability framework will include metrics on outcomes for children and young people with communication needs.

Amendments 151 and 177 are in a similar vein and would, I believe, also bring considerable cost benefits. Amendment 151 would require an integrated care partnership to specifically consider the needs of babies, children and young people when developing its strategy. As with Amendment 141, to ensure that the Government’s very welcome ambitions for babies, children and young people, including those with communication needs, are achieved, it is essential that an integrated care partnership’s strategy specifically considers the needs of babies, children and young people so that they can achieve the best possible outcomes, not least in terms of life chances. This would help to develop a holistic, local approach to supporting babies, children and young people and their families, including, of course, those with communication needs.

It is also crucial that the strategy includes plans to support speech, language and communication development at the population level. This would help not only to deliver better health outcomes for children but to tackle health inequalities, an issue that I appreciate noble Lords have already addressed in considerable detail in Committee.

Finally, on Amendment 177, this proposed new clause would require the Secretary of State to lay regulations and publish guidance on how integrated care systems should meet the needs of babies, children and young people. This would also require integrated care systems to act in accordance with guidance. The key point here is that bespoke guidance for integrated care systems on meeting the needs of babies, children and young people must be on a statutory footing if we are to ensure that the strongest possible support is provided, including for those with communication needs and their families. I suggest that only then can we be confident that meeting their needs will not be considered optional and that a potential postcode lottery in access to services and support can be pre-empted and prevented.

Health and Care Bill

Lord Shinkwin Excerpts

2nd reading
Tuesday 7th December 2021 Lords Chamber

[Lord Shinkwin (Con)]

My Lords, I congratulate the noble Lord, Lord Stevens of Birmingham, on his excellent maiden speech. I also applaud the work of John Baron in the other place, as my noble friend Lord Sandhurst and others have done, on focusing the Government’s attention in the Bill on cancer outcomes, and of my old chief executive, Professor Alex Markham, with whom I was privileged to work at Cancer Research UK.

It is an absolute pleasure to follow my noble friend Lord Ramsbotham, who does so much for those of us with communication needs, and I count myself among them. It is also appropriate because I am going to focus my remarks on how the Bill represents a golden opportunity to breathe life into building back better so that for children and young people with communication needs, and their families, it is more than just another soundbite.

Of course, I appreciate that that is also what my noble friend the Minister wants, because we all have a common interest in countering the post-pandemic scepticism about politicians’ ability to deliver. I suggest that the best way of doing that is to make the Bill a vehicle for hope: hope for the 62% of children with communication needs, whom the Royal College of Speech and Language Therapists found did not receive any speech and language therapy during the first lockdown; hope for their families; in short, hope that the future will be better, because the prospects of these children and young people will be improved by the Bill.

Just to be clear, I am not talking about hanging more expensive baubles on the Christmas tree. Rather, I am talking about making sure that all the lights on the tree actually light up—in other words, ensuring that everything works, that the Bill does what it says on the tin, and that the systems are truly integrated. The question is: what does that look like for children and young people with speech, language and communication needs who, sadly, despite constituting 10% of children overall, are still so far down the priority list?

First, the Government could build on the welcome precedent they set recently in the domestic abuse legislation in ensuring that guidance refers specifically to people with communication needs. Can the Minister ensure that the integrated care systems guidance regarding babies, children and young people includes specific reference to those with speech, language and communication needs?

My noble friend the Minister will know better than I that the long-term cost of not supporting children and young people with communication needs can far outweigh any short-term savings. For example, children with communication needs are at greater risk of mental health problems, unemployment and potential involvement in the criminal justice system if their needs are not identified and adequately met from an early age. So it is in everyone’s interest that integrated care systems give due regard to meeting their needs.

I would therefore value my noble friend’s reassurance that integrated care systems will not be allowed to consider children’s and young people’s communication needs as optional, given how this could exacerbate postcode lotteries, with all the longer-term false economies that I have already alluded to. Would my noble friend consider putting the guidance on to a statutory footing?

In conclusion, I ask my noble friend if he would be prepared to meet with me and the chief executives of I CAN and the Royal College of Speech and Language Therapists to consider how we can ensure that the Bill improves data and information sharing for children as well as adults and that, in the same vein, the barriers currently preventing local authorities and the NHS from planning and delivering services in a joined-up way for children with communication needs are removed?

NHS: Hospital Visiting

Lord Shinkwin Excerpts

Wednesday 15th September 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, we brought in harsh guidance at the early stage of the pandemic. That was lifted quickly, for exactly the reasons the noble Lord gave, and we keep the current restrictions under review all the time. But it is up to local trusts to put the right infection control measures in place. Although we have some guidance in place, it encourages visiting, for the reasons the noble Lord points out, and we leave it to trusts to make the ultimate decisions.

[Lord Shinkwin (Con)]

My Lords, I will always remember how my spirits rose the moment my mother appeared at the entrance to the children’s ward when, as a child, I was confined to bed with yet another fracture. Given that the isolation of lockdown has highlighted the importance of human contact to good mental health, I ask my noble friend how the Government are advising hospital trusts on taking the mental health of visitors and those they are visiting into account.

[Lord Bethell (Con)]

What a touching piece of testimony from my noble friend. The feelings he had as a child are felt by a great number of people, not only those in hospital and social care but their loved ones. We are mindful of the impact of visiting on the mental health and the good feeling of those in hospital. Visiting was suspended on 4 April last year, but that suspension was lifted on 5 June. Since then, we have sought wherever possible to put careful visiting policies in place. In October last year, the number of visitors was limited to one family contact or somebody important to the patient; since then, we have made huge strides in trying to lift those restrictions wherever we can. It is left to trusts to implement exactly those restrictions that are suitable to maintain infection control in their area.

Commonwealth Fund Report: NHS Ranking

Lord Shinkwin Excerpts

Tuesday 14th September 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, the noble Baroness half answers her own question. When it comes to universal coverage, I am extremely proud of the NHS and the service that we provide to the British public. There is no other health system like it anywhere in the world. The report makes cogent points on equality, and we have put that at the centre of our agenda, and in the NHS long-term plan, the prevention Green Paper and the newly implemented Office for Health Improvement and Disparities. We are doing that work through the obesity plan, the NHS health checks, the tobacco control plan and the vaccination plan. We are highly committed to this agenda, and we are making an impact.

[Lord Shinkwin (Con)]

My Lords, of course we must protect the NHS and support social care but, given the proposed tax increase, can my noble friend the Minister explain to taxpayers on low incomes how they will know whether their money is well spent?

[Lord Bethell (Con)]

My Lords, we raise taxes with huge hesitation. My noble friend is entirely right to hold the system to account for delivering value for money and to question productivity, but I reassure him that we have one of the most efficient health systems in the world. The money spent by the department on behalf of taxpayers is very wisely invested, and we are extremely grateful to those in social care and the NHS for the incredibly effective way in which they go about their business.

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

Lord Shinkwin Excerpts

Wednesday 30th December 2020 Lords Chamber

[Lord Shinkwin (Con)]

My Lords, it is ironic, is it not, that on the very day that we are considering the European Union (Future Relationship) Bill, which should, in theory, make government far more accountable to Parliament, we are also considering yet more restrictions, retrospectively, which suggest that, in practice, we are moving in the opposite direction. If I were speaking in the Bill debate later today, I would applaud the achievement of the Prime Minister and the noble Lord, Lord Frost. It is immense, not least because it was secured in the face of sustained “scrutiny” by your Lordships’ House and the other place at every single step of the way.

I do not mean to detract at all from the fantastic progress made in finding a vaccine. I welcome today’s announcement that the AstraZeneca vaccine has been approved. It is, of course, wonderful news, but equally welcome would be a new approach by the Government of engaging with parliamentarians, such as Mark Harper in the other place, on cost impact assessments, for example —an issue so ably addressed by my noble friend Lady Neville-Rolfe in the debate on her regret Motion earlier this month.

Difficult decisions have had to be made; doubtless, more lie ahead of us. That is why I would urge the Government to make this new year’s resolution: to trust Parliament more and to treat it with the respect it deserves. That is the best way, indeed the only way, we are going to emerge from such a testing time as a renewed and reinvigorated parliamentary democracy, able to embrace the exciting opportunities afforded to us by our future relationship with the EU.

Health Protection (Coronavirus) (Restrictions) (England) (No. 4) Regulations 2020

Lord Shinkwin Excerpts

Wednesday 4th November 2020 Lords Chamber

[Lord Shinkwin (Con)]

My Lords, I shall speak to the amendment to the Motion in my name. As far as I know, I have not had coronavirus. What I do know is that whether I live or die is neither here nor there. In the grand scheme of things, though, whether parliamentary democracy survives and thrives is an entirely different question. That does matter, not just to all of us privileged to serve in the mother of Parliaments. It also matters to a totalitarian regime whose evident aspirations for domination depend on democracy’s demise. The totalitarian regime to which I refer is, of course, that of the Chinese Communist Party, or CCP. For that regime’s value system to succeed, ours must fail.

As Lord Sumption and others have made clear, coronavirus has caused democracy to be placed under threat. The threat stems not just from the CCP’s military expansion and its aggression in, for example, Nepal and the South China Sea, nor in the corrosive cynicism of the retrospective application of new laws of repression in Hong Kong, but also from the growing popular disenchantment with the ability of democratic Governments to strike the right balance, to which my noble friend Lord Forsyth of Drumlean referred in his excellent speech, between saving lives and saving livelihoods during a pandemic which originated in Wuhan.

I do not intend to rehearse the points made so eloquently by my noble friends Lord Robathan, Lady Noakes and Lord Forsyth of Drumlean, with which I agree. Naturally, most people are focused on the impact on their families and friends, but we can be sure that Big Brother is watching us. I do not mean our own state, although it is increasingly intruding on and controlling every aspect of our lives. I refer of course to Xi Jinping, the head of the CCP and of the world’s most repressive, surveillance-obsessed and threatening totalitarian regime. He may not be watching today’s debate in your Lordships’ House, but we can be sure that he will be watching and analysing the signals that we and the other place send. It is therefore worth reflecting on whether the messages that we are conveying highlight the strength of parliamentary democracy in the face of crisis or show panic, disarray and weakness.

I wish this were simply about tackling a dreadful, devastating and deadly virus. Unfortunately, what is at stake is so much more significant than any of our lives: it is the future of western democracy itself. That is why we cannot afford to signal that we are panicking or weak. Consider this: if one wanted cynically to expose the fault lines of western democracy, there could scarcely be a better way to do so than to allow a vicious virus to engulf the globe and plunge it into poverty. That is what we are facing.

We cannot afford to be in this situation again. We cannot afford, as Theresa May said in the other place only a few hours ago, for it to look as if the figures are chosen to support the policy rather than the policy being based on figures. That is the path to mistrust and cynicism. If we really want to save Christmas, we need to save people’s livelihoods. If we want to save the NHS, we need to ensure that we safeguard the tax revenues that are so crucial to funding it.

I am not saying this is necessarily the case, but I am saying it is essential that we entertain the awful possibility that a totalitarian regime capable of incarcerating in concentration camps millions of its Muslim Uighur population and harvesting their organs, capable of turning disputed rocky outcrops in the South China Sea into fortified islands and capable of turning the bastion of freedom that was Hong Kong into a police state is surely capable of allowing perhaps the most potent threat that western democracies have faced in the last 30 years to spread until it was too late.

The Government do not know best and noble Lords should resist any suggestion that they do, especially at a time of crisis.

--- Later in debate ---

Tabled by

[Lord Shinkwin]

At end insert “but that this House regrets that a further national lockdown to address the COVID-19 pandemic signals to totalitarian regimes that Her Majesty’s Government have failed to address the pandemic effectively, and that the United Kingdom’s parliamentary democracy is weak.”

Lord Shinkwin’s amendment to the Motion not moved.