All 3 Debates between Joan Walley and Baroness Primarolo

Thu 4th Jul 2013
Stafford Hospital
Commons Chamber
(Adjournment Debate)
Tue 14th Jun 2011
Hospital Food
Commons Chamber
(Adjournment Debate)

International Wildlife Crime

Debate between Joan Walley and Baroness Primarolo
Thursday 6th February 2014

(10 years, 9 months ago)

Commons Chamber
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Joan Walley Portrait Joan Walley (Stoke-on-Trent North) (Lab)
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I will do my best to keep within your five-minute time limit, Madam Deputy Speaker. I thank the Backbench Business Committee for nominating this important debate, particularly as it takes place the week before this most important high-level conference. It is clear that we need to send out a powerful message from this Chamber that we have to take action on illegal wildlife trade, and the conference at Lancaster House next week will be a key part in getting that action. Debating the matter today is just so important.

Today, we have seen the Paris ivory crush, which has sent out a powerful message, and we need to do something equivalent to that. In France, 3.5 tonnes of ivory has been crushed. We need to get it across to everyone involved in decision making that work must be done in this area and that political leadership is needed. We must send Government Ministers to that conference next week with everything at their disposal to ensure that we make progress.

I also want to refer to the Environmental Audit Committee report “Wildlife Crime”. It is the third report of session 2012-13. As many Members will know, we had a debate on that report in the Chamber. Our recommendations were to the Home Office, the Department for Environment, Food and Rural Affairs and the Foreign and Commonwealth Office, as the detailed evidence we received show that we need a cost-cutting response from Government. I hope that they will be the basis on which some of the work will be taken forward.

If all today’s debate does is solicit the response we have received at long last from DEFRA and the Home Office on the future of the national wildlife crime unit, at least that is a little step forward in the long journey of protecting endangered species and other wildlife. That is welcome, but the funding is still being protected only up until 2016. We need a permanent post with permanent funding that goes well beyond 2016 if we are to take the action that we need.

I desperately want the UK Government to take up the issues of protecting the environment, nature and biodiversity. I want them to do what they say and say what they do about the concerns in Parliament. Parliament has a role in showing how important that leadership will be.

First things first. As we have heard from the right hon. Member for Arundel and South Downs (Nick Herbert), who helped to secure the debate, and as we have seen from the support for early-day motion 773, tabled by the hon. Member for Richmond Park (Zac Goldsmith)—as I have said in previous debates, if elephants ever need a friend he is the right person to provide protection for them—there is a sad truth here. Although the population of elephants in the Democratic Republic of the Congo, for example, was once more than 100,000 it might now be as low as 2,500. Every 15 minutes, only three times the time we have in which to speak today, an elephant is brutally killed and butchered for its ivory tusks. In 2013 alone, 40,000 died. The global population of tigers numbers between 3,000 and 4,000.

When we deal with wildlife crime, we are dealing not just with endangered species but with international security and an illegal trade worth £19 billion annually that feeds highly organised criminal networks. For all those reasons, urgent action is needed.

The high-level conference will take place at Lancaster House next week is important. His Royal Highness the Prince of Wales has shown leadership in putting his weight behind the conference. He has shown that he cares, as he did about the flooding down in the south-west, and has been particularly active and involved in ensuring that all possible support is given to next week’s conference. That is why we must ensure that we do not let anybody down and why I feel that the other recommendations of our report must be taken forward.

I am thinking in particular about the new regulations that the Government need to introduce to update the Control of Trade in Endangered Species (Enforcement) Regulations 1997, and perhaps the Minister can refer to them when he winds up. Our report highlighted the lack of progress in that regard and I was interested to see that one reason given for not introducing the regulations—at a time when we have a Deregulation Bill, I must add—was the work for and the focus on the conference next week. We should not just have a conference; it should be matched by the work of all Government Departments. We want to hear about the review of the COTES regulations and how the new regulations will be introduced, and it is regrettable that the review has been delayed.

The conference is next week, so let me turn very briefly to the agenda—

Baroness Primarolo Portrait Madam Deputy Speaker (Dawn Primarolo)
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Order. I hope that the reference will be brief. I am avoiding setting a time limit, but I asked Members to speak for only five minutes and the clock is very clear.

Joan Walley Portrait Joan Walley
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I shall be brief, Madam Deputy Speaker.

When I asked the Prime Minister at the Liaison Committee whether he supported the African elephant action plan he said yes. That has eight objectives, and a clear commitment to funding is needed. DFID has contributed £10 million, which will be really important, but the Born Free Foundation says that that amount is required every year for the next 10 years.

We have a clear opportunity next week to make real progress on many of the issues highlighted in the report. The clock, as you say, Madam Deputy Speaker, is ticking, not just for us here, but for these endangered species. I urge the Minister to take on board the many contributions that hon. Members have made today.

Stafford Hospital

Debate between Joan Walley and Baroness Primarolo
Thursday 4th July 2013

(11 years, 4 months ago)

Commons Chamber
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Joan Walley Portrait Joan Walley (Stoke-on-Trent North) (Lab)
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I am most apologetic about arriving late to this debate and not having the opportunity to hear the opening part of the hon. Gentleman’s speech. To find a long-term solution for health care in Mid Staffordshire and in North Staffordshire, it is vital that the Minister refers in his reply to the best way of ensuring that the emergency services and all the other services that people want can be retained. That can be achieved only if we have a proper collaboration between the University hospital of North Staffordshire, which must be at the front of—

Baroness Primarolo Portrait Madam Deputy Speaker (Dawn Primarolo)
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Order. Had the hon. Lady been here from the beginning, she would have heard what the hon. Member for Stafford (Jeremy Lefroy) said about that. Her intervention was rather long, and we are running out of time.

Hospital Food

Debate between Joan Walley and Baroness Primarolo
Tuesday 14th June 2011

(13 years, 5 months ago)

Commons Chamber
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Baroness Primarolo Portrait Madam Deputy Speaker (Dawn Primarolo)
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I am sorry for the interruption, but the procedure caught up with us. Please, continue.

Joan Walley Portrait Joan Walley
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I am most grateful for the explanation, Madam Deputy Speaker. I was confused by the fact that this Adjournment debate started before 10 o’clock. That might explain some of my slight nervousness, as I was unsure about whether I was speaking in order with the proceedings of the House. I am grateful.

Sustainable food procurement links to health and to hospital food, too. I want the Government to set out the role that food plays in patient pathways and the priority I believe that hospitals should give to ensuring that, where required, patients are assisted to eat the food that is served. We have heard too many shocking accounts of malnutrition and dehydration as well as the plain criticism that hospital food is bad and unappetising. We should be doing something about that.

At the core of this debate is a central contradiction. The Government are happy to rail against regulation and boast about their bonfire of red tape, but they are equally proud—and rightly so—of their standards for the procurement of sustainable food for the Olympics and of their intentions for there to be a Government buying standard for food. They promote their localism agenda aggressively, leaving choice to those at a local level, but the net effect, I believe, is that no overall quality standard applies to the food served in hospitals. I do not see how such a postcode lottery can be justified and I want to consider that in more detail.

Let me turn first to malnutrition. It is not just a matter of having appetising food for patients; this can literally be a matter of life and death. In its 2009 report submitted to the Department of Health, the Nutrition Action Plan Delivery Board showed that in the region of 47,800 people had died with malnutrition while in English hospitals in 2007. Of those, 239 patients died directly because of malnutrition—that is an important distinction to make. In the report, the delivery board recommended as a key priority that the Government should clarify nutrition

“standards and strengthen inspection and regulation”

to address this problem. The issue is being flagged up.

In its recent report, “Still Hungry to be Heard”, Age UK found that the number of people leaving hospital malnourished is on the increase. A recent answer to a parliamentary question from my hon. Friend the Member for Islington South and Finsbury (Emily Thornberry), placed in the Library of the House of Commons, acknowledged that from 2006-07 to 2009-10, instances of malnutrition increased in total from 2,581 to 3,773 and, as regards discharged episodes, from 2,883 to 4,412. That inevitably leads to further serious consequences, including longer stays in hospital, the need to take more medication and an increased risk of infection and even death.

To put it in purely financial terms, the estimated cost of malnutrition to the NHS in 2006 was £7.3 billion a year. Although we do not have an accurate figure for how much it costs the NHS today, given the fact that malnutrition is on the increase it is likely to be higher still. I believe that the Department of Health should have up-to-date figures on the cost of malnutrition, and I urge the Minister to look into the matter and give us an indication of what the costs are.

Dealing with malnutrition in hospitals is not simply about making food taste better. Even if we could do that, a whole range of other issues must be addressed. First, hospital staff must be aware of what food patients can and cannot eat. They need to be able to identify which patients need help with eating their meals and to be willing and able to provide that help or, if they cannot provide it, to have a robust system of volunteers to assist. Age UK has produced a seven-step guide to eradicating malnutrition in hospitals, to which I urge the Minister to give his attention. There is also an issue with dehydration and it is important to make sure that patients in hospital have proper access to water. That simply cannot be taken for granted.

It is not only nutrition and malnutrition that need to be addressed. There must be recognition by Government of the role that healthy food plays in healthy lives. The Government estimate that 70,000 preventable deaths each year in the UK are caused by diet-related ill health. One simple thing that the Government could do to tackle that problem is to ensure that the food served to patients in hospital is nutritious. That sounds simple but the issue is how it will be done. It is also important that the Government prioritise the role of public health.

I also want to mention the dignity and nutrition reports—[Interruption.] I am most grateful. Talking of dehydration, it is important that I refer to the dignity and nutrition reports recently published by the Care Quality Commission.

Baroness Primarolo Portrait Madam Deputy Speaker (Dawn Primarolo)
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Order. If the hon. Member wishes to take a seat and take some more water so as not to strain her voice, I am sure that the Chamber will not mind waiting a few seconds more.

Joan Walley Portrait Joan Walley
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I am most grateful Madam Deputy Speaker.

The first tranche of what will be 100 dignity and nutrition reports into individual hospitals found that in four of the 10 hospitals investigated, the nutritional needs of patients were not being met. The reports also stated that the quality of hospital food remains a long-standing concern. This highlights both the extent of the problem and the importance of the Care Quality Commission’s role in monitoring and reporting on hospital performance in relation to nutrition. I believe that its resources should be increased so that it can carry out more such checks and fulfil the delivery board’s recommendation of strengthening inspection and regulation. I also believe that the CQC should be made fully accountable for how that work is done.

I want to discuss regulation because that is ultimately the best means of improving hospital food. It is remarkable that there are still absolutely no legal standards governing the quality of the 330 million meals served in the NHS each year. In its report, “Yet more hospital food failure”, published earlier this year, Sustain’s “Good Food for Our Money” campaign surveyed dozens of Government-backed initiatives to improve the quality of hospital food. Alas, it found that those initiatives have cost at least £54 million of taxpayers money and have achieved improvements in only very few isolated cases. The reason is simple: they have all been voluntary, so except in those few isolated cases they have been largely ignored. Let us contrast that with the successful attempts to improve the food served in schools, where meals have to meet legal nutritional standards. A survey by Consensus Action on Salt and Health—CASH—in October 2010 showed that most meals served to children in hospital could not legally be served in a school because they contained too high a level of salt and saturated fat. The reason for the success in schools is simple: minimum nutritional standards in schools are legally binding, but in hospitals they are purely voluntary.

To date, successive Governments have failed to send a clear message to hospital caterers that the quality of their food is critical to patient health and the sustainability of our food system. It is not asking for the impossible. For many years, the Royal Brompton hospital in Chelsea has practised a progressive approach to its food procurement, providing nutritious and appetising meals prepared from fresh ingredients, which enables patients to recover faster.

Unfortunately, the Government’s ideological commitment not to introduce more regulation, regardless of its merit, is a serious block to improving hospital food. I return to Government buying standards. The coalition Government have at least recognised that voluntary initiatives have limited effect; they do not work across the board and over time. As a result, they will introduce Government buying standards that set compulsory minimum standards for food served in central Government institutions. I hope it will be soon, as the standards were promised for March 2011, and we have waited for more than a year. They were promised by the Conservative party pre-election; they were welcomed by the coalition Government and were the subject of a great deal of Department for Environment, Food and Rural Affairs civil servant attention throughout 2010. The work also involved the Department of Health to integrate badly needed health standards for food served in central Government institutions. The integration of health and sustainability standards for food bought with public money was an innovative and much needed approach, and should act as an inspiration for the wider catering sector to follow suit. Tackling health, ethical and environmental issues together should save the country money and be of great benefit to food producers and the environment.

The real issue for me is that even when the Cabinet Office home affairs committee signs off the Government buying standards, they will not apply to hospitals and hospital food. That is the heart of the concern. On the day the Government are revising the Health and Social Care Bill and recommitting it to further scrutiny, should the Health Minister not be exploring with colleagues at DEFRA and in the Cabinet how the long-promised Government buying standards can be extended to hospital food? If that is ruled out, surely there should be urgent discussions with the NHS Future Forum, the National Audit Office and expert groups, such as Age Concern and Sustain, which have a track record on this matter, with a view to tabling amendments to the Bill so that we have minimum standards for nutrition in hospital food.