Health: Tuberculosis

Lord Soulsby of Swaffham Prior Excerpts

Wednesday 24th April 2013 Lords Chamber

[Earl Howe]

My Lords, the Government fully support the need to scale up efforts to deliver universal access to TB prevention and treatment, and care and support services. Our target date for that is 2015. We have made a long-term commitment of £1 billion between 2007 and 2015 to the Global Fund to Fight AIDS, Tuberculosis and Malaria, and a 20-year commitment to the international drugs purchase facility, UNITAID, which is helping to increase access to and the affordability of TB drugs.

[Lord Soulsby of Swaffham Prior]

My Lords, if one puts together the high level of drug resistance in the Far East and the high level of migration from the Far East to this country, there is no reason why drug-resistance to tuberculosis should not be more evident than it is at present. If one compares the rate of drug-resistant tuberculosis in the United Kingdom with that of other countries in the European Union, it is fairly clear that we need to do something quite seriously, especially in densely populated areas such as London and Cardiff, before people can come and live in this country. What do the Government have in mind to deal with this issue?

[Earl Howe]

My Lords, this has to be dealt with nationally and Public Health England is leading a national oversight group for TB that brings together partners from the department, NHS England, local government, NICE, the British Thoracic Society and TB Alert to develop a strategy to reverse the trend of increasing TB rates in the UK. The group recently held its first meeting and the department will continue to support Public Health England in giving national policy leadership in this area.

NHS: Primary Care Trusts

Lord Soulsby of Swaffham Prior Excerpts

Tuesday 17th July 2012 Lords Chamber

[Earl Howe]

My Lords, we had a debate about that very case the other day, as the noble Lord will be aware, and as I said then, this matter is under close scrutiny at the Department of Health. I am hopeful of a happy outcome.

[Lord Soulsby of Swaffham Prior]

My Lords—

[Lord Bach]

My Lords—

[The Chancellor of the Duchy of Lancaster (Lord Strathclyde)]

My Lords, perhaps we could hear from the noble Lord, Lord Soulsby.

[Lord Soulsby of Swaffham Prior]

Thank you, my Lords. This is an unfortunate Question in that it tends to imply that this system is widespread. However, my experience, admittedly only in one hospital in Cambridge —Addenbrooke’s Hospital—is quite the contrary. I do not know just how much my noble friend can comment on whether access for patients has been restricted nationally, but I would very much like to ask him to make sure that this Question is not a common reflection on the National Health Service and hospital service. I do not think that it is.

[Earl Howe]

My Lords, I agree with the noble Lord. The Co-operation and Competition Panel undertook a review of restrictions on patient care last year, and although it uncovered quite a number of examples of arbitrary rationing, those were cases that took place under the previous Government. We have banned all such cases. We do not believe that this kind of arbitrary restriction is at all widespread, and we have yet to receive any firm evidence that it is taking place at all.

Health Protection Agency

Lord Soulsby of Swaffham Prior Excerpts

Thursday 7th October 2010 Lords Chamber

[Earl Howe]

My Lords, I should emphasise that the functions of the Health Protection Agency will be transferred into the department. In the mean time, we intend to make it business as usual throughout the transition process, with an emphasis on the smooth transition both of functions and of individuals on whom we rely to give advice. The functions of the HPA will not be lost in the wake of its abolition. It will continue to contribute to the Government’s response to emergencies and other areas of responsibility. I assure the noble Baroness that we have her concerns very much in mind.

[Lord Soulsby of Swaffham Prior]

My Lords, it is very disappointing news that the HPA is to be abolished. I believe that it has done excellent and timely work in an independent manner. It was set up following a report by the Science and Technology Committee, which I had the privilege to chair, on fighting infection. In the debate that followed that report, this House agreed that the funding for the HPA should be totally safeguarded because of the possibility of infection occurring. Though the Minister has said that its functions will be taken over by the department, there is the danger that the independence and timeliness that is typical of the HPA will be lost. Will the Government reconsider the issue because the HPA has done such valuable work over the past 12 to 15 years?

[Earl Howe]

My Lords, perhaps I can reassure the noble Lord that the decision to bring the functions of the HPA into the department is absolutely no reflection on the quality of the work that the agency has done and continues to do. This means that the Secretary of State will take personal responsibility for public health in our country, with a direct line of sight from the Department of Health right down to the local level. That should give everybody confidence that public health is high on the Government's agenda. When the public health service is formed, it will bring together key professionals who are involved in planning, advice, surveillance and strategy-making from national to local level. I do not see this as a dilution of the quality of public health work in this country.