Children’s Health: Sugar

Debate between Lord Tomlinson and Lord Markham

Tuesday 12th September 2023 Lords Chamber

[Lord Markham (Con)]

The noble Baroness is absolutely correct. What we give children in schools is a key thing that the Government can affect. That is why I am delighted that the level of free school meals, at 33%, is the highest on record, making sure that they have good nutritious food. But the noble Baroness is correct: there was a review taking place in 2019, which was one of the casualties of Covid. I know that it is now one of the things that we are thinking, as we recover from Covid, that we need to look at again.

[Lord Tomlinson (Lab)]

My Lords, the Minister has spoken passionately about reducing the intake of sugar by younger people. Are His Majesty’s Government intending to admit obese children with type 2 diabetes to the two-year pilot study of the new drug Wegovy?

[Lord Markham (Con)]

My understanding—and I will confirm this afterwards—is that, to begin with, always with these sorts of treatments, you want to make sure that you are doing it in a safer type of environment. Generally, having adults doing it is a better place to start. Clearly, if that works the way we think, and we can trust that it will work, then you have opportunities to expand beyond that. The other thing I would like to say on this is that, actually, an active life is very important—activity and sports are a very important component of this. Interestingly, it has been shown that an active life increases life expectancy by one to two years, so that is an important feature in all this as well.

Ambulance Delays

Debate between Lord Tomlinson and Lord Markham

Wednesday 9th November 2022 Lords Chamber

[Lord Markham (Con)]

I thank my noble friend for probably the best advice and question I have received in my marathon series. I could answer her question at great length, because I agree that this is a whole-system issue and we need a whole-system response. I would happily talk about every aspect of that but I will pick up just a couple of the specific points that she made. Social care is clearly vital to this. That is what the £500 million discharge fund is for. We are all aware—noble Lords have probably heard me say it enough times—that 13% of our beds are occupied in this way. As my noble friend states, an ambulance will visit a home and 50% of the time will not end up conveying someone into hospital. Is having an ambulance there, with three people in it, the best use of our resources when perhaps a paramedic on a bike could solve it just as well? In a similar vein, my understanding is that roughly 50% of all A&E attendances are people who do not really need emergency treatment. Again, that goes to the point about making sure that they have opportunities to receive primary care appointments, which is what the pledge to increase appointments by 50 million is all about. This is a whole-system problem and something that we are working on with a whole-system approach.

[Lord Tomlinson (Lab)]

The Minister referred to the ABCD. I remember from when I read about it—it treats us rather like kindergarten children, does it not? —that “A” is for “ambulances”. But the big idea for ambulances in that document from the former Deputy Prime Minister was to create an auxiliary ambulance service. As the problem with the ambulance service at the moment is getting patients out of ambulances and into hospitals, what good will an auxiliary ambulance service do if it merely gets more people into hospital car parks, where more of them are waiting in more ambulances?

[Lord Markham (Con)]

The noble Lord is referring to the whole-system issue here, which I mentioned before. There is a £450 million investment to increase capacity in A&E facilities; that has already worked to upgrade 120 trusts to enable them to offload quickly. There are also 7,000 extra beds, and the £500 million social care discharge fund is all about freeing up more beds so that ambulances can discharge quicker.