Health and Social Care: Winter Update

Baroness Pitkeathley Excerpts

Tuesday 21st January 2025 Lords Chamber

[Baroness Merron (Lab)]

I made a call for creativity, and I compliment the right reverend Prelate on his creativity; I will certainly pass on his comments to my colleagues. I am delighted to agree with him about the importance not just of places of worship but of communities, including faith communities. As the right reverend Prelate said, we can find the finest examples of community provision which support the NHS and social care through churches, synagogues, mosques and other places of worship. I pay tribute to and thank all those that do this. Of course, this is overwhelmingly done by volunteers, and I pay tribute to all of the volunteers in faith communities and beyond.

[Baroness Pitkeathley (Lab)]

My Lords, the Statement mentions 12,000 patients in hospital beds where they do not need to be. The noble Lord, Lord Laming, has rightly drawn attention to the fact that many of those people discharged are dependent on the care provided by their families. In spite of many reports written about the need to plan discharge from hospital—at least one of them written by me 40 years ago—too much discharge still happens at pace and without planning. It is Friday afternoon and suddenly, the consultant needs the bed. Oh, funny that: there is no care available in the local community. Would the Minister agree that all the reports about discharge indicate that you should start planning for discharge the minute the patient is admitted, and that this planning should include those who are going to provide the care, whether that is the voluntary sector or the patient’s own family?

[Baroness Merron (Lab)]

I agree with my noble friend about the need to plan sooner. It gives the opportunity to assess what is, is not, and can be made available. I also very much share my noble friend’s comments about involvement—involvement of the patient themselves but also of their loved ones. I know from the reports that my noble friend has done over the years how she has shone a spotlight on the exclusion of the very people who could assist in the discharge procedure and make it go smoothly. I welcome her comments that the discharge is as important as the admission and the care people get while they are in hospital.