Mental Health Services
Baroness McIntosh of Hudnall Excerpts(4 years, 6 months ago)
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Lord Bethell
The noble Baroness rightly points to one of the most difficult aspects of the Covid epidemic—the itinerant staff who pass from one vulnerable person to the next. We recognised this issue at the beginning and put money in to try to ameliorate it. When testing was expanded weeks ago to key workers, it was deliberately targeted at these staff and this continues to be prioritised.
Baroness McIntosh of Hudnall (Lab)
My Lords, children’s lives have been disrupted, not only educationally but socially and emotionally, as friendship patterns have changed. The Minister will know that these relationships can be fragile but are essential to good mental health and well-being. What are the Government planning to do to provide additional support to schools to help with the problems they will inevitably encounter when children return?
Lord Bethell
The noble Baroness is entirely right. I am living with four children who are greatly distressed at losing their friends and not being able to stay in touch in the way they would like. We will undoubtedly need to provide support to schools to cover a list of mental health issues. The Secretary of State for Education is working on plans for that.
Covid-19: Social Care Services
Baroness McIntosh of Hudnall Excerpts(4 years, 7 months ago)
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Baroness Wheeler
My Lords, I thank all noble Lords who have participated in this excellent and powerful debate. I thank the Minister for his thoughtful response, but however thoughtful it was it is clear that many questions remain unanswered and that we will need to ensure that they continue to the brought to the fore and be dealt with by the Government in future Questions, Statements, debates and legislation.
Noble Lords have stressed the need to be open and honest about the challenges that social care faces and about the good and bad news. I am sure the Minister will take that message to heart. Despite the challenges, I want to stress that it is truly heartening to know that this terrible disease has at least been a wake-up call for the Government and the public about the importance of adequate social care for millions of adults and children in need of it and about the value, respect and decent pay that the 1.4 million staff deserve and must be given.
The Deputy Speaker (Baroness McIntosh of Hudnall) (Lab)
My Lords, it is a privilege to be the first—I think—to put the question in a virtual Chamber that this Motion be agreed.
Covid-19 Update
Baroness McIntosh of Hudnall Excerpts(4 years, 8 months ago)
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Lord Bethell
My noble friend Lord Barwell is entirely right. The question of deliveries is an acute concern. There are intense conversations going on on a daily basis between Defra and the food retailers. I understand that there are assurances that there are significant stocks of food and that these are going to be made more available. It is not something that we are currently deeply concerned about. The belief is that as people fill their larders, they will reach a certain point when they will begin backing off the kind of stocking up that they are doing at the moment and it will be possible for those who need it to get those deliveries.
Baroness McIntosh of Hudnall (Lab)
I am sorry to ask the Minister to return to the issue of closing theatres—and I declare an interest as the deputy chairman of the Royal Shakespeare Company—but reassurance is needed that, by following the instructions or the advice or whatever it is that has been issued, theatres and no doubt other businesses as well are not inadvertently invalidating their insurance arrangements. I understand that the noble Lord finds it difficult to give assurances but I think that one is particularly necessary, not least because it might save the Government some money in the long run.
Lord Bethell
The noble Baroness is entirely right. As a trustee of Sadler’s Wells, I understand completely the implications of what she is saying, her point about insurance, and the confusion there might be about what the current status is. I simply cannot answer the question right now. I am not trying to avoid a difficult question; I simply do not have the information. When I do, I will be very happy to write to her and to others who have asked about this.
Eating Disorders: Provision of Care
Baroness McIntosh of Hudnall Excerpts(4 years, 9 months ago)
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Baroness Parminter
To ask Her Majesty’s Government what steps they are taking to improve the care offered to sufferers of eating disorders.
The Deputy Chairman of Committees (Baroness McIntosh of Hudnall) (Lab)
My Lords, since this business is time limited, I draw noble Lords’ attention to the fact that the clocks that normally flash are not doing so, so we have reverted back to the older model which will require noble Lords taking part in the debate to exercise the customary discipline in recognising when their time is up.
Coronavirus
Baroness McIntosh of Hudnall Excerpts(4 years, 9 months ago)
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Baroness Blackwood of North Oxford
There were a few questions there. With regard to transmission, this is an evolving picture, so the best thing would be for me to send the most up-to-date information to the noble Baroness and put a copy in the Library, as I am sure it will be of interest to the whole House.
On ECMO beds, since April 2013, NHS England has commissioned a total of 15 adult respiratory ECMO beds from five providers in England. There is further provision in Scotland. But in periods of high demand, the capacity can be increased. For example, in the winter of 2018-19, when there was a significant risk associated with flu, the capacity was increased to over 30 beds and similar arrangements are in place for paediatric services. In addition, there are eight commissioned high-consequence infectious disease beds and around 500 infectious disease beds, and at the moment NHS England is confident that it has enough capacity, which I hope is reassuring for the noble Baroness. Obviously, we are keeping that under constant review as the situation evolves.
On the question about surfaces, that is one of the specific reasons why advice has been given regarding personal hygiene—washing hands and using tissues when sneezing—to avoid any forms of transmission that may create the kind of risks referred to by the noble Baroness.
Baroness McIntosh of Hudnall (Lab)
My Lords, when the Minister repeated the Statement, she referred to the precautionary measures that people are being invited to remember when trying not to pass on infection. If I recall, the Statement said something to the effect of “as you would normally do with flu”. But does the Minister agree that that is not what people normally do with flu? People often do not take the symptoms seriously and transmit it before they have even decided to give into it themselves. I have one germane example in this context. A member of my family contracted flu a couple of months ago which became pneumonia, although fortunately not a serious case. He was advised to go to his GP and the GP referred him to A&E where he waited a long time with a lot of other people in what was clearly a highly infectious state.
Given the stringency of the measures taken to contain coronavirus, can the Minister say what wider public health lessons we might take from this in giving consistent messages to prevent people imagining that flu is a minor illness and it does not matter if you continue going to work or pass it on to other people? It does matter, and the mortality rate among vulnerable groups with flu can be quite high, as the Minister will know.
Baroness Blackwood of North Oxford
The noble Baroness has rightly raised this issue with me before. She is quite right that flu can and should be managed much more effectively in the community and by individuals. I think we have had an effective flu campaign this year. The flu vaccine has been offered to 25 million people. We have also extended the flu programme this year to children in year 6 to improve herd immunity and drive up its impact. We are seeing the number of those with flu declining, so we are starting to see some improvement. However, I completely recognise the noble Baroness’s point about public health lessons and improving public education on the management of infectious conditions, which we live with every winter, not just when we have an infectious situation such as this. I thank the noble Baroness for an important question.
National Health Service Infrastructure
Baroness McIntosh of Hudnall Excerpts(4 years, 10 months ago)
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Baroness Blackwood of North Oxford
We have been looking at providing additional funding and support to councils to meet the rising demands and to continue to stabilise the social care system. We announced access to an additional £1.5 billion of funding for adults and social care, and we will be considering this further in the spending review.
Baroness McIntosh of Hudnall (Lab)
My Lords, the noble Baroness will be aware that there was a spike in the incidence of flu just before Christmas; I do not know whether it has diminished, but it certainly was quite high. As a consequence, a number of people who perhaps would have much preferred not to go to hospital were forced to do so. She might like to know that, in one London hospital to which one of my family was obliged to go, the queue for A&E was out into the street. Many of those people were ill and should not have been outside in the cold. The reason for it was partly to do with availability of staff but more to do with the availability of chairs. Does she understand that hospitals need capacity beyond what their expectation might be of how many people will turn up, precisely to cope when there is a spike of this kind?
Baroness Blackwood of North Oxford
The noble Baroness is right that there has been a significant increase in demand over recent years. That is partly why we have secured the significant funding increase from the Treasury of £33.9 billion, which we will be enshrining in law for the first time to give certainty to hospitals. It is why we are increasing the capital investment, which will address some of the challenges that she has raised, and it is also why we have run a vigorous flu vaccination programme to prevent people from getting into that problem in the first place. We recognise that we need to reduce the demand from those going into A&E unnecessarily and to support those very hard-working staff who were in those situations over Christmas and the new year. We thank them for their hard work over that period.