Childhood Obesity

Lord Bird Excerpts

Monday 15th July 2019 Lords Chamber

[Baroness Blackwood of North Oxford]

My noble friend is a great champion on this subject and has been an expert in it for a long period. Through the prevention Green Paper, which is due to be published this summer, we are determined to look at a range of further options to tackle obesity. We have publicly committed to taking action on infant and baby food. She will know that we are making progress on the reformulation section of the obesity strategy. However, we have further to go, and I am grateful to her for her Question on this issue.

[Lord Bird (CB)]

Is it possible to consider something very clever? Rather than accepting that the poorest among us are the ones who deal with obesity, why do we not give them a Waitrose lunch and dinner and subsidise it, and stop having to pay further upline in the NHS? Why do we not start thinking globally rather than just a bit at a time?

[Baroness Blackwood of North Oxford]

I thank the noble Lord for his question; I hope that we can occasionally think cleverly in government. He is absolutely right that obesity is strongly correlated with socioeconomic deprivation, and that is why chapter 2 of our plan tries to target those areas that are most affected by delivering a childhood obesity trailblazer programme, working with local authorities to address this. They have been provided with £100,000 in the first instance to try to improve the impact of the childhood obesity plan. We shall see how that goes, but I am very happy to pass on his suggestion.

The NHS

Lord Bird Excerpts

Thursday 5th July 2018 Lords Chamber

[Lord Bird (CB)]

I am really pleased to be talking in this debate about the National Health Service. I started life in St Mary’s Hospital. My mother, a lovely Irish lady, said that I was the most difficult birth because instead of it taking 10 Woodbines to birth me, it took 20. I should not really be here: I should be dead, because I come from poverty. I am in the House of Lords because of poverty, to try to dismantle poverty and to prevent poverty happening.

I do not want to sound like Mark Antony at Caesar’s funeral, but talking about the National Health Service raises a number of questions for me. One is: are we talking about the National Health Service or the “I will get you back to health” service? My problem is that when I look around, I look at the big, ugly sun that sets and rises over all of us, which is poverty. According to a friend of mine who worked at St Thomas’ Hospital, 60% to 70% of the people the NHS has to deal with come from poverty. Because they come from poverty, they present their poverty in many ways and one of the big ways is in their health.

I will quote two human beings. One, John Newton, is the director of Public Health England, who makes the point that 40% of all illnesses that present in hospitals and the National Health Service are preventable and 23% of deaths need never have happened.

I have a quotation from 1944, from the MP for Rochdale, Dr Hyacinth Morgan, who said:

“The whole question of social medicine, with the questions of good milk supply, prevention of disease, good food and nutrition, good housing, good recreational facilities, prevention of mental disability in its early stages—all this has been left out of the White Paper”.—[Official Report, Commons, 16/3/1944; col. 494.]


Looking at the National Health Service over the past 70 years, I would say that it is an absolutely wonderful invention that has saved many members of my family. I have yet to use it, but, when it does come along, I am sure you will give me a brilliant send-off.

The point is that, unless we find a way, instead of spending 5% of the national health budget on prevention, to move it mainstream, we will always be worshipping at the altar of the accomplished fact. We will always be dealing with health rather than the terrible reality that exists behind it, which is the fact that we live in a poverty culture; we have poverty capitalism, where the poorest among us have to resort to the kind of food that can lead only to bad health. Until we get rid of poverty capitalism, we are not really going anywhere, and we will be talking about more and more needs for the National Health Service. The National Health Service will become even bigger unless we tackle the elephant in the room, which is poverty.

Brexit: Food Standards Agency

Lord Bird Excerpts

Thursday 26th April 2018 Lords Chamber

[Lord O’Shaughnessy]

I do not think it is a laughing matter; it is a matter of the utmost seriousness concerning the security and safety of this country. It affects not only food safety but chemicals, medicines and aerospace. We have set out our plans for associate membership and others forms of relationship that will provide that information to our systems. Equally, information that makes a massive contribution to the safety of EU citizens is also fed back to the EU.

[Lord Bird (CB)]

My Lords, is it possible that the Food Standards Agency will become so strong after Brexit that it will actually do something about the appalling poor-quality food that most poor people have to eat, which leads to our hospitals being filled up by people with all sorts of nutritional problems? Will the Food Standards Agency get behind addressing the problem of class-divided food?

[Lord O’Shaughnessy]

The noble Lord raises an important issue. However, it is important to distinguish what the Food Standards Agency is responsible for and what it is not. It is responsible for making sure that food is safe. Nutritional value is a different responsibility that accrues to the department and to Public Health England, and we have taken many significant actions, including reducing sugar content in drinks and food, to make sure that precisely the issues he is talking about are dealt with.

Emergency Hospital Admissions

Lord Bird Excerpts

Wednesday 7th March 2018 Lords Chamber

Asked by

[Lord Bird]

To ask Her Majesty’s Government what steps they are taking to reduce and prevent avoidable emergency hospital admissions.

[The Parliamentary Under-Secretary of State, Department of Health and Social Care (Lord O’Shaughnessy) (Con)]

My Lords, NHS England and NHS Improvement are implementing a number of national programmes to transform NHS services so that, where clinically appropriate, a patient’s care is managed without the need for a stay in hospital. This is being achieved through services becoming better integrated across health and social care, as well as managing hospital care differently, so that more patients are treated as day patients in A&E or streamed to see a general practitioner.

[Lord Bird (CB)]

I thank the Minister for that Answer. The recent report of the National Audit Office stated that nearly 25% of people who go into hospital do so in an avoidable situation, which could be sorted out in the community. This is a clear case of why we need more prevention. What extra thinking and resources will the Government bring into the community so that we do not have the ridiculous situation of such people going into hospital, where we have the problem of a shortage of nurses and all the other things that knock on?

[Lord O’Shaughnessy]

The noble Lord makes an important point. It was good to study the report and the noble Lord is right about avoidable hospital admissions. Two changes are happening. One is GP extended access, which now has 95% coverage across the country—that is, evenings, weekends and so on—as primary care. We also have interesting results coming from the new models of care programme. I highlight one that is happening in mid-Nottinghamshire. It is called PRISM and it is a virtual ward for at-risk patients which enables multidisciplinary teams to look at vulnerable people before they come to hospital. It has reduced A&E attendance for those aged over 80 by 17%, which is significant. It is precisely this kind of thing that will make the difference that we need.

Brexit: Mental Health Research Funding

Lord Bird Excerpts

Thursday 23rd November 2017 Lords Chamber

[Lord O'Shaughnessy]

As I said, we continue to bid for funds that we can draw down, and the Government are committed to underwriting any successful bids as part of the Horizon 2020 programme. Our intention is to continue in that programme. Obviously, if that is not the case, we will have funding available to support health research in this area, but our intention is to continue with the partnership that has proved so fruitful.

[Lord Bird (CB)]

Will the Minister accept that, in spite of all the wonderful research, Britain is falling way behind at the point of need and that on the streets and among the poorest in this country, mental health support has completely disappeared?

[Lord O'Shaughnessy]

I totally do not accept that proposition. Mental health is certainly a problem in this country. One in six adults and one in 10 children has a common mental health disorder, and those figures are pretty devastating. However, the Government have been increasing funding for mental health. It has gone up by 8.4% over the last two years, so there is funding. There are more staff in mental health trusts and we have pledged to treat 70,000 more children. Therefore, we are putting the money in and getting better results.