Baroness Bull debates involving the Department of Health and Social Care during the 2017-2019 Parliament

Queen’s Speech

Baroness Bull Excerpts
Tuesday 22nd October 2019

(5 years, 2 months ago)

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Baroness Bull Portrait Baroness Bull (CB)
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My Lords, it is a pleasure to follow the noble Baroness, who made a powerful and important speech. There are six themes on offer in today’s debate and I have chosen to speak about the one that is conspicuous by its absence from the gracious Speech, in order to fill the void where I believe that culture, creativity and the arts ought to be. I start by welcoming the announcement prior to the Queen’s Speech of a £250 million cultural investment fund for infrastructure improvements in regional museums and libraries. It is a timely response to a cri de coeur from museum leaders who have warned of a quiet crisis in infrastructure brought about by a decade of cuts to local and government funding. As welcome as this money is, though, it begs a question. In shoring up our museums, galleries, libraries and theatres for the future, are we doing enough to ensure that every citizen has an equal opportunity to access and enjoy them?

In 2015, the Warwick Commission on the Future of Cultural Value revealed a worrying lack of social, economic and cultural diversity in audiences and participants across arts and culture, with the higher social groups accounting for 87% of all museum visits. Cultural organisations up and down the country are working hard to address this imbalance through innovative programmes, marketing and the use of technology, but they do so with one hand tied behind their backs—trapped by the narrowing over the past decade of cultural education in schools. Report after report has detailed the reductions in hours and teacher numbers and the number of students taking arts subjects at GCSE and A-level, yet Ministers are still reluctant to acknowledge that there is a problem.

Like other noble Lords, I welcome the ambition to,

“ensure that all young people have access to an excellent education, unlocking their full potential and preparing them for the world of work”,

but I regret that it does not explicitly include a commitment to reversing the decline in arts provision in state schools.

This is not just about providing the encounters with arts and culture that would diversify audiences of the future, nor even ensuring equitable access for every child to the rich cultural heritage that is their birthright. No, it is about social mobility, unlocking potential and the preparedness for work to which the gracious Speech refers. Evidence shows that learning through the arts develops core personal and employability skills —confidence, collaboration, communication, problem-solving and resilience—and builds the cultural capital that is crucial in determining who gets into the elite professions and who rises to the top. Independent schools have long understood this, selling themselves to parents on the basis of high-quality arts provision. Meanwhile, art is squeezed out of education for 93% of the population.

Studying arts subjects is also one of the most effective ways of developing creativity, a skill that experts predict will be the most valuable we can offer the next generation. We miss the point if we imagine creativity to be the preserve of artists alone. Without creativity there would be no innovation, no technological breakthroughs and no scientific discoveries.

Of course, science has its place in the Queen’s Speech, with a commitment to establish the UK as,

“a world leader in scientific capability”,

to tackle some of the greatest challenges facing society. It is a laudable ambition, but it ignores the role of the arts and humanities in addressing these complex questions—the historians, anthropologists, ethnologists, philosophers, ethicists and artists who can provide the context, culture and understanding of human behaviour that will be key to driving sustainable change.

This prioritisation is not surprising. The Prime Minister’s most senior adviser has a long-held passion for science, advocating back in 2014 for,

“a civilian version of DARPA aimed at high-risk/high-impact breakthroughs in … energy science … quantum information and computing”.

The reference to this in the Queen’s Speech raises questions about the Haldane principle and the systems in place to separate government from decisions on which research gets funded. Perhaps the Minister can clarify whether this new agency is intended to sit within or outside the UKRI umbrella.

The Speech closes, as will I, with the aspiration for the UK to continue to play a leading role on the global stage. Our artists and creative organisations are among the UK’s greatest ambassadors, but their international standing has been built on the freedom to move people and equipment across borders without carnets, tariffs or visas. It is a sector dependent on importing specialist freelance talent and in which even the brightest and best can earn less than the £30,000 salary threshold proposed in the immigration White Paper. Its number one priority post Brexit is continued and reciprocal mobility to protect the sector’s success and the substantial contribution it makes to the economy, exports and employment across the UK.

Given this, perhaps the Minister might take away the suggestion that the more accessible visa system promised for scientific talent might reasonably be extended to cultural and creative talent too. As we work to rebuild our global reputation after Brexit, the soft power our artists and cultural organisations generate for the UK will be more important than ever before.

Mental Health: Weight and Shape-related Bullying

Baroness Bull Excerpts
Monday 22nd July 2019

(5 years, 5 months ago)

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Asked by
Baroness Bull Portrait Baroness Bull
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To ask Her Majesty’s Government what assessment they have made of the impact of weight- and shape-related bullying, criticism and teasing on long-term mental health.

Baroness Blackwood of North Oxford Portrait The Parliamentary Under-Secretary of State, Department of Health and Social Care (Baroness Blackwood of North Oxford) (Con)
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My Lords, bullying in all its forms can have a serious effect on mental health. Children who are exposed to frequent, persistent bullying are at a higher risk of developing mental health problems; exposure to bullying is also associated with elevated rates of anxiety, depression, self-harm and suicidal thoughts, which can last into adulthood. The Government are providing more than £2.8 million of funding up to 2020 to support schools in tackling bullying.

Baroness Bull Portrait Baroness Bull (CB)
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My Lords, weight-related teasing is a form of weight bias, the consequences of which can include depression, anxiety, low self-esteem, substance abuse, eating disorders, obesity and suicidality. Weight bias is on the increase and is prevalent across the population. Research shows that even health professionals are not immune to negative stereotypes that connect character and capability with weight. Is the Minister confident that adequate social policies are in place to address and reduce the incidence of weight bias? Does she believe that there is sufficient provision in the law to protect all of us, young and old, from discrimination on the basis of size and shape?

Baroness Blackwood of North Oxford Portrait Baroness Blackwood of North Oxford
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The noble Baroness has a record of raising this important issue. The Government recognise that poor body image is not only a common problem but is associated with mental ill health. Approximately 70% of adolescent girls and 45% of adolescent boys want to change their body, weight or shape. As she rightly points out, in the most extreme cases, that can lead to eating disorders, depression or even feeling suicidal. The Government have delivered a broad programme of body image work over the past six years. We believe that more work can be done but we are working hard to make sure that we expand our eating disorder community care work for children and young people over the next few years. I welcome continuing the debate to see what more can be done.

Childhood Obesity

Baroness Bull Excerpts
Monday 15th July 2019

(5 years, 5 months ago)

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Baroness Blackwood of North Oxford Portrait Baroness Blackwood of North Oxford
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We should all be incredibly proud of the sporting achievements over this weekend; we should not hesitate to do whatever we can to promote them throughout our schools and make the most of the moment. The noble Lord is absolutely right that regular physical activity has been linked not only to improved physical health but to improved mental health and academic achievement. That is why the Chief Medical Officer has recommended 60 minutes of physical activity every day. We know that only one in five achieve this; that is why the money from the sugar levy is going into schools activity. But we have more to do. We have announced the national plan and now need to implement that effectively, and I hope that the noble Lord will hold us up to the mark in delivering it.

Baroness Bull Portrait Baroness Bull (CB)
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My Lords, notwithstanding the importance of anti-obesity guidance in supporting the long-term health of the general population, is the Minister aware of the concerns of eating disorder specialists about its unintended consequences on those for whom “Eat less, exercise more” is not an appropriate message? Clinicians are reporting an increasing number of young people citing anti-obesity guidance to justify excessive behaviours in exercise and diet restriction. Does she agree that, while anti-obesity policy is vital, it needs to be sufficiently nuanced that it does not cause unintended collateral damage to these vulnerable groups?

Baroness Blackwood of North Oxford Portrait Baroness Blackwood of North Oxford
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The noble Baroness presents a sensitive and sophisticated point: the whole point of the obesity message is that children should be eating a healthy, balanced diet and exercising in an appropriate way.

Mental Health: Eating Disorders

Baroness Bull Excerpts
Monday 25th February 2019

(5 years, 9 months ago)

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Baroness Blackwood of North Oxford Portrait Baroness Blackwood of North Oxford
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I am grateful to the noble Baroness, Lady Thornton, for raising the issue of ensuring that we improve services across the country and do not have a postcode lottery. Since July, NHS England has opened up 126 beds for children and young people in areas of the greatest geographical challenge to ensure that we can address exactly that problem.

Baroness Bull Portrait Baroness Bull (CB)
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My Lords—

Baroness Bull Portrait Baroness Bull
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I thank the noble Lord for giving way. While access to treatment is vital, I hope the Minister will agree that it is equally important to address modifiable risk factors for eating disorders. There is good evidence that weight-related bullying, teasing and criticism increase the risk of eating disorders, and young people studying physical subjects such as dance or sport are particularly vulnerable to inappropriate comments from teachers and coaches. The Minister will be aware that size is not a protected characteristic under the Equality Act 2010. Given this, can she confirm that guidance is available to support teachers who are dealing with young people in using language that avoids triggering long-term issues around eating and body image?

Baroness Blackwood of North Oxford Portrait Baroness Blackwood of North Oxford
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The noble Baroness is absolutely right. It is very important we send the right messages to young people at exactly the right time. That is why we are implementing the children and young people’s Green Paper on the basis that early intervention and prevention are the priority in mental health. In December 2018, we announced 25 trailblazer sites that will provide school and college-based services to help children and young people with mild to moderate mental health issues, staffed by a new workforce. Twelve of these trailblazer areas will pilot a new waiting time standard for children and young people’s mental health services. This is to address exactly the issue that the noble Baroness raised.