NHS: Gambling Treatment Services

Baroness Manzoor Excerpts

Monday 28th March 2022 Lords Chamber

[Lord Kamall (Con)]

The noble Baroness makes an important point and there is recognition that we must do far more on this. That is why we held a review of the Gambling Act in the first place. As noble Lords will be aware, when the work is cross-government, the Department of Health cannot lead in this area; it can contribute when it comes to the health and addiction impacts of gambling but we are doing this in a joined-up way. The White Paper will be published soon and we are continuing to have conversations with the Department for Digital, Culture, Media and Sport on this issue.

[Baroness Manzoor (Con)]

My Lords, I echo the point made by the right reverend Prelate. The polluter pays principle is really important, particularly when we think that the gambling industry continues to offer customers VIP packages and streams live sport, which are equally damaging. This badly affect the lives of families and has an impact on individuals’ struggles. I welcome the NHS clinics but we always seem to tackle issues once the horse has bolted. I want my noble friend the Minister to address the issues of prevention and working much more closely with the gambling industry and others in government.

[A noble Baroness]

My Lords—

Mental Health Services for Rough Sleepers

Baroness Manzoor Excerpts

Monday 21st March 2022 Lords Chamber

[Lord Kamall (Con)]

I am sure we are all grateful that the noble Lord was able to ask his question on this issue. I pay particular tribute to the noble Lord for all his work and for raising awareness of the creative sector across a whole range of health and social care issues. I am not aware of the projects to which he refers, so I will be happy if he writes to me about them. In a previous political career as a Member of the European Parliament for London, I would meet lots of civil society organisations right across London, including homeless projects, and I was amazed by the diversity of provision. It was not a simple matter: they were tackling a number of different issues because often, the needs of homeless people are complex and there is not just one simple solution to the issue.

[Baroness Manzoor (Con)]

My Lords, my noble friend will know that the people who are still sleeping rough after a year are generally those who started off with mental health problems. What action are the Government taking to prevent people hitting the streets in the first place? Is there a co-ordinated approach with the housing sector?

[Lord Kamall (Con)]

My noble friend raises the very important issue of prevention. When we look at the causes of homelessness, they are often complex, and we might consider that all of us—including noble Lords, perhaps—are only one or two steps away from homelessness. Someone loses their job, their relationship breaks up and they then lose their home—or it is the other way around: their relationship breaks up and they lose their job, and after a while of relying on a friend’s good will, they stop sleeping on their sofa and they end up homeless. So, it is really important that we understand all the different steps by which people become homeless and make sure not just that they get accommodation but that we tackle the underlying problems that led to them being homeless.

Eating Disorders

Baroness Manzoor Excerpts

Monday 17th January 2022 Lords Chamber

[Lord Kamall (Con)]

The noble Baroness raises a really important point. It is an issue that was raised over the weekend, in an individual case. I know that we are always advised as Ministers not to get involved in individual clinical decisions, but in this this case a child had not yet got a bed and the parents wanted to take them out for private treatment until a bed became available. They were told that if they went to use the private sector they would be put at the back of the list. I am trying to get more details on this but it seems a lack of common sense. I want to understand why it is happening, but I have not had an answer yet.

[Baroness Manzoor (Con)]

My Lords, what are the Government doing with regard to working with industry, particularly the fashion industry? At the moment, there is great emphasis on size-zero models, which cannot really be helpful when linking it to the question that the noble Baroness asked previously. It is not a good image, or setting the right image for people—that is, for boys and girls.

[Lord Kamall (Con)]

The issue of poor body image that my noble friend raises is very important. The Government are addressing known risk factors through both universal and targeted interventions. At the top level, that means looking at the Better Health and Every Mind Matters content, which focuses on support for mental health and well-being. Poor body image and low self-esteem are topics addressed there. It is also about looking at what pupils expect and at the prevention concordat for better mental health programmes, as well as working as part of the anti-obesity strategy to make sure that we get the right balance. Sometimes when you focus on information on packets, for example, it can have unintended consequences for those with eating disorders. Every time we look at labelling, we have to make sure that we have addressed those unintended consequences on people with eating disorders, so that they do not react negatively to it and perhaps indulge in behaviour that we do not want to see them indulging in.

HIV and AIDS

Baroness Manzoor Excerpts

Wednesday 1st December 2021 Lords Chamber

[Lord Kamall (Con)]

In tackling coronavirus and helping those who cannot access even a first dose of the vaccine while people in this country are now going for their third—even fourth—injection, it is really important that we act internationally. This issue comes up at international meetings. We are seen to be leaders in co-ordinating; we are doing much of that via the international COVAX programme and by talking to pharmaceutical companies about what more they can do.

[Baroness Manzoor (Con)]

My Lords, more than 40% of people who are diagnosed are diagnosed later in life. Can my noble friend say what the Government are doing in relation to this so that the stigma is removed and people come for testing much earlier? I welcome the government strategy as it currently stands.

NHS England Funding: Announcement to Media

Baroness Manzoor Excerpts

Tuesday 26th October 2021 Lords Chamber

[Lord Kamall (Con)]

I thank the noble Lord for that suggestion. We see social care as incredibly important, which is why we will soon have before the House a health and social care Bill to make sure that we look at both health and social care, from birth all the way through one’s life.

[Baroness Manzoor (Con)]

My Lords, I welcome the sum of £5.9 million, which comes on top of the additional commitments that were previously made by the Government. However, it remains the case that, with demographic changes, an ageing population and many more chronic diseases and illnesses, we will see a rise in cost. Can my noble friend say whether there is an active plan to look at a forward-thinking strategy as to how we will deal with this funding in the long term?

[Lord Kamall (Con)]

I thank my noble friend for that question. Last week we had a discussion on healthy ageing and making sure that the population of the UK is able to live healthy lives for longer. That is very much part of the overall thinking on health reform and we hope to have more details in due course.

Covid-19: Plan B

Baroness Manzoor Excerpts

Wednesday 20th October 2021 Lords Chamber

[Lord Kamall (Con)]

I agree with the noble Lord that it is important that we take as many measures as possible to make sure that we do not have to move to plan B. I assure the noble Lord that I do wear my mask to, hopefully, set an example, and I hope others will too—but it is really important that we understand what factors are driving this rise in numbers and the most effective way of tackling it.

[Baroness Manzoor (Con)]

My Lords, can the Minister say what action the Government are taking to ensure that the inequalities that have been experienced by black and ethnic minority people in relation to Covid-19 are being addressed now?

[Lord Kamall (Con)]

I thank my noble friend for that question, particularly in the light of this being Black History Month, an important month to be celebrated in terms of the contribution that the Afro-Caribbean community has made to this country over many years. However, on the specific issue, sadly there are some demographics in communities that have a lower uptake of vaccines. The Government are discussing with a number of stakeholders how we can improve information, but also encourage and exhort people from these communities to take the vaccines.

Coronavirus Act 2020: Temporary Provisions

Baroness Manzoor Excerpts

Monday 28th September 2020 Lords Chamber

[Baroness Manzoor (Con)]

My Lords, I congratulate and welcome to these Benches the noble Baroness, Lady Clark, and my noble and learned friend Lord Clarke. I also look forward to the third and final maiden speech, by my noble friend Lady Morrissey.

It is welcome news that the 10th candidate vaccine for Covid-19 moved into the final stages of clinical trials last week. Sadly, however, this means that, for the time being, we have no choice but to battle the rapidly developing second spike with the same blunt instruments that we have been using over the last six months: washing hands, wearing face masks, limiting social contact, tracking, tracing and isolating. As such, it is important that we take this opportunity to objectively review the impact of the virus on the economy, on the health and well-being of individuals, and on the behaviour of people, to ensure the development of a more coherent, targeted and robust strategy and regulation.

With this in mind, I have four points which I ask my noble friend the Minister to address. First, the BMA states that at least 10 million appointments and procedures have been cancelled or postponed. This figure fails to account for people feeling ill who choose not to use the NHS, either because of the fear of contracting Covid-19 or out of a sense of duty. Can the Minister confirm that the Government will provide a detailed analysis of how the suspension of NHS services has affected the physical and mental health and social care of the population?

Secondly, can my noble friend say what steps are being taken to address the shortcomings of the test, trace and isolate system, and whether there are any plans to deploy more rapid turnaround testing capabilities, such as those being developed by Oxford Nanopore Technologies? There would be huge benefits in managing the spread of infection if we could provide test results in minutes. Delays in testing, tracing and isolating effectively could cost lives.

Thirdly, SAGE has found that less than 20% of those reporting symptoms of Covid-19 are fully isolating, and it has estimated that compliance rates are even lower in other members of those households. These statistics raise serious concerns over the merits of the £12 billion that the Government have invested in track and trace, and demonstrate a failure to persuade the population at large to observe the self-isolation regulations.

Therefore, can the Government publish regular statistics on how many people are being asked to self-isolate either because they have tested positive or have been in contact with someone who has tested positive, or because they are showing symptoms of Covid-19? Perhaps the Government could undertake regular surveys to determine why individuals are failing to comply with the requirement to self-isolate, so that more targeted approaches can be developed.

Finally, statistics published show that more than 90% of doctors who have died from Covid-19 were from black and ethnic-minority groups. Additionally, the latest analysis from the ONS shows that black, Bangladeshi and Pakistani men are four times more likely to die from the disease than white men. A similar pattern exists between ethnic-minority and white women. Can the Minister inform the House of what research, if any, has been undertaken to explain these differences in mortality rates? What steps, if any, are being taken to mitigate the risks that arise for those groups in those communities, in the workplace and in the NHS? The regulations are important, but they are only part of the picture.

Covid-19: Rise of Positive Tests

Baroness Manzoor Excerpts

Wednesday 9th September 2020 Lords Chamber

[Lord Bethell (Con)]

My Lords, we are well within the threshold that the noble Lord, Lord Kakkar, alludes to, but we are concerned about winter. That is why we are putting in place new restrictions and new arrangements to stop the spread of this disease, protect the NHS and save lives.

[Baroness Manzoor (Con)]

My Lords, the level of coronavirus has risen significantly since late July and, as my noble friend the Minister knows, the disease is having a disproportionate effect on black and ethnic minority people. Can he therefore say exactly what the Government are doing to ensure that these groups are fully accessing NHS Test and Trace, and what additional support is being given to those who work in the hospital and care sectors?

[Lord Bethell (Con)]

My Lords, we are deeply concerned about the BAME incidence of this horrible disease. We have put in place extensive new marketing arrangements targeted at BAME audiences. We have targeted our testing arrangements through mobile testing and door-to-door availability at that communities that have been hardest hit, and there are guidelines to NHS trusts to put in place the necessary safety arrangements for those with a BAME background.

Health: Maternity Care Provisions in East Kent

Baroness Manzoor Excerpts

Thursday 13th February 2020 Lords Chamber

[Baroness Blackwood of North Oxford]

We are obviously very grateful to all those brave enough to bring their stories forward in the midst of extreme tragedy and pain. We know that it is not easy and that within the culture of the NHS, it can sometimes be extremely hard to break through the barriers of not denial, but resistance. We should pay tribute to all those who have campaigned for maternity safety. In particular, I pay tribute to my right honourable friend Jeremy Hunt, who began a lot of the work to improve maternity services when he was Health Secretary, and to James Titcombe, who led a lot of the work relating to Morecambe Bay.

[Baroness Manzoor (Con)]

Does the Minister agree that the NHS is overregulated, with lots of overlapping responsibilities between different regulators? Does she agree that we need much greater clarity so that issues such as this, with devastating impacts on people’s lives, are dealt with much more quickly and picked up much sooner, rather than individuals having to make formal complaints?

[Baroness Blackwood of North Oxford]

My noble friend makes the core point that when an issue arises, there should not be conflict between patients, the NHS and clinicians; it should be possible to resolve the situation in a straightforward way, within a culture not of blame culture but of learning. That is at the core of setting up HSIB, but this culture should go all the way from the grass roots of the NHS up to the very top. That is absolutely a part of the patient safety agenda we are trying to instil.

Wuhan Novel Coronavirus: UK Citizens

Baroness Manzoor Excerpts

Thursday 30th January 2020 Lords Chamber

[Baroness Blackwood of North Oxford]

I thank the noble Baroness for her extensive questions. We are doing everything we can to get British people in Wuhan safely back to the UK. A number of countries’ flights have been unable to take off as planned. We will continue working urgently to organise the flight to the UK as soon as possible. We are working with British nationals who wish to leave and we are developing a package for them once they arrive. The plane will have medical staff on board to assess and manage the passengers; obviously, this is on the direct advice of and with support from our Chief Medical Officer, who has specific expertise in this area. A team from Public Health England and the NHS will meet passengers, and any passengers who have developed symptoms will be assessed and transferred to NHS care, as appropriate. Asymptomatic passengers will be transferred to an isolation centre; we do not want to provide details on that at this stage. We are working with the Chinese authorities to unlock the issues to allow the plane to take off.

[Baroness Manzoor (Con)]

My Lords, more than 120,000 Chinese students study in the UK. Can my noble friend the Minister say what support and advice the Government are giving to both students and universities?

[Baroness Blackwood of North Oxford]

Public Health England is doing a superb job in providing very clear advice for all those who may be concerned—either those who have relatives in China or those who feel as though they have been exposed. I encourage anybody with concerns to look to Public Health England for the most accurate and up-to-date advice; it is updated on a very regular basis. That is the place to go for the most accurate and clinically validated advice.