Transparency of Lobbying, Non-Party Campaigning and Trade Union Administration Bill

Debate between Lord Walton of Detchant and Baroness Howarth of Breckland

Tuesday 28th January 2014 Lords Chamber

[Baroness Howarth of Breckland (CB)]

My Lords, may I ask a simple, pragmatic question? Bearing in mind the calculations that the Minister demonstrated earlier, and what he said about various e-mails and telephone calls not being taken into account, could he give some indication, in order to help the charities, of how rough an estimate will do?

[Lord Walton of Detchant (CB)]

My Lords, I have not spoken previously on the Bill, but in the course of my professional career I have had the privilege of being associated with a large number of medical charities of which I am still president, vice-president, patron or vice-patron, covering a wide range of topics of relevance to human health. Having said that, they are at one in expressing concern about the provisions of the Bill, and in supporting the amendment tabled by my noble and right reverend friend Lord Harries, for the reasons that he has given today.

This morning, when I arrived at your Lordships’ House and went into the Attendants’ Office, to my great surprise I found a copy of the Daily Telegraph pushed into my docket. I could not imagine what it was there for until I looked through the pages, and there was a whole-page advertisement, sponsored by a vast range of charitable bodies, all seeking support for his amendment because of their concerns about their ability to function and to serve the population in which they are interested to the best of their ability. For that reason, I strongly support the amendment.

Health and Social Care Bill

Debate between Lord Walton of Detchant and Baroness Howarth of Breckland

Tuesday 13th March 2012 Lords Chamber

[Lord Walton of Detchant]

My Lords, I shall be extremely brief in supporting what my noble friend Lord Patel has said. I have listened with care to the debate. This is a huge workforce in which at the present time the standards of professional behaviour and competence are immensely variable, where the standard of education among the individuals performing these tasks is also extremely variable, and where it is clear that an improvement in standards not only of care but of responsibility and training is absolutely vital. The question we have to ask is how this can best be achieved.

I found the arguments of the noble Baroness, Lady Pitkeathley, very persuasive, and of course I understand the stance she is taking as the chairman of the Council for Healthcare Regulatory Excellence. It is soon to have its name changed, but a rose by any other name will smell as sweet. It will have responsibility for accrediting the voluntary registration of a large number of individuals working in the National Health Service. She is persuaded that a voluntary register for these healthcare support workers would be adequate and satisfactory. However, as my noble friend Lord Patel has asked, what will prevent those individuals who are responsible for or who own care homes taking on board and employing people who are not voluntarily registered? This is a crucial issue, as indeed is the point —it has not been effectively clarified to my satisfaction—about what sanctions may be applied to people who do not fulfil all the eligibility criteria that are to be established for that voluntary register. Having said that the noble Baroness, Lady Pitkeathley, was very persuasive, I am afraid that I find my noble friend Lady Emerton infinitely more persuasive.

For that reason, I have not the slightest doubt that I strongly support the amendment. It is not suggesting that a new register and national body for care assistants or a support workers’ national council needs to be established. The virtue of the amendment is that individual healthcare support workers in England would be regulated in accordance with the terms of the Nursing and Midwifery Order 2001, which is already a statutory order. It seems to be a neat solution to an extremely difficult problem. For that reason, I strongly support the amendment.

[Baroness Howarth of Breckland]

My Lords, I had not intended to speak in this debate, but I want to strike what might be a slightly discordant note at this point in the proceedings. I have a question for the noble Baroness, Lady Emerton, and the noble Earl in relation to clarification.

I will speak later in relation to social workers and that bit of social care which we seem to have forgotten. What has concerned me most in this debate is the total confusion between social care workers and healthcare workers. What really concerns me about the amendment is that it appears to be the health professional who must give instruction to those working in a variety of establishments. I declare an interest as someone who is responsible as a trustee for a large number of elderly and disability care homes. In some of those places, someone qualified in social care and not healthcare is in charge of the establishment. They are therefore responsible for ensuring that the programmes of care are designated with some healthcare professionals, because in nursing homes you need both working together.

I want to be absolutely sure that we do not arrange more confusion, which we will be discussing later today in relation to social care, and undermine even further those people who are looking after the real day-to-day care, not the medical health needs. You need people looking after medical health needs in these establishments, but you also need to worry about stimulation, relatives visiting, the psychological approach to the people in the home, how they will get to hospital and helping the hospital to understand what people with disabilities are saying. All of those things are crucial and need equal registration and care.

I am attracted to the voluntary register because it means that we can look at all these people who are working in the field who have their own professional positions but are different. I would like some clarification and for the House to understand that there is not just a medical group of people caring but a whole tranche of people out there in establishments and in the community looking after those needs, which I am sure noble Lords, if they were in that position, would also want to have looked after.