Queen’s Speech

Lord Rooker Excerpts

Monday 9th June 2014 Lords Chamber

[Lord Rooker (Lab)]

My Lords, like the noble Lord, Lord Willis, I have not come to complain about the lack of a Bill on health. I have come to complain about actions on health.

Let us have a brief look at salt and sugar, two major health concerns. The related health problems from these substances cost the National Health Service billions. Salt is connected with high blood pressure, stroke and heart disease, and sugar with tooth decay, diabetes and obesity. The story of the coalition is not good on either, and yet the potential to save billions of pounds and lessen human suffering is massive.

The so-called responsibility deal between the Department of Health and the food industry has been a failure. It was hammered out by the Tories with the food industry when they were in opposition. I recently came across a BBC documentary called “The Men Who Made Us Fat”. In fact, the responsibility deal was effectively written by the men in that documentary, who were all from big food. Only last week, the Sunday Telegraph exposed the food firms ratting on the deal by taking sugar out of the lesser-known brands and promoting sugar-free brands, while keeping the top brands topped up with sugar. That was followed a few days later by the Daily Mail exposing the sugar in coffee: over four times more than the daily limit. Both those papers have done some excellent work and are to be commended.

On salt, the position is even more reprehensible for the coalition. During the previous Government, the Food Standards Agency—a government department, not a quango—launched the salt awareness campaign in 2004. The fourth phase was launched in October 2009. It was a genuine partnership with the food industry. In 2000, the average intake of salt was 9.5 grams a day. By 2008, it was down to 8.6 grams a day, which was estimated to prevent 6,000 premature deaths and save £1.5 billion every year in healthcare and other costs—well on the way down to the 6 gram target. That was a target that the industry was working to, because it was planned and agreed well in advance. In fact, by 2011, intake was down to 8 grams a day. New targets for 2012 onwards were to be agreed in 2010-11.

However, one of the first actions of this coalition was to abandon the programme of salt reduction by not agreeing to any targets for industry to work to. This remained the case for three years. We have lost three years due to the food industry “men who made us fat” having effectively captured Andrew Lansley when he was in opposition. Leading members of the Wolfson Institute of Preventive Medicine have said that during these three years—2011-14—some 12,000 people may have died needlessly as a result of strokes and heart attacks. The policy and staff were taken from the FSA in 2010, into the Department of Health, where they were broken up and the policies conducted behind closed doors—unlike what happened when the matter was at the FSA.

Here is the rub: every time anybody raises these matters, the Department of Health claims that it has the backing of the World Health Organisation and says that,

“our salt reduction work is world leading”.

Knowing the responsibility deal was a failure, and that for three years no progress was made, I decided to look a little closer the next time that claim was made. On 9 March, the Department of Health stated in the Mail on Sunday:

“'Far from lacking momentum, the World Health Organisation has said our salt reduction work is world leading”.

Well, I set about asking the DoH where that support came from. In fact, I gave up on the website, which even GCHQ probably could not fathom these days, and wrote directly to the noble Earl, Lord Howe. Of course, he replied very quickly with his general great courtesy to the House. His letter said:

“The WHO has recognised the UK’s salt reduction work as world leading”.

Note the tense: “has recognised”.

The noble Earl went on to say that the WHO had approached us, the UK, “to share our experience”, and gave a couple of those huge web addresses that you get in letters these days. Both of them led me to the 2010 London WHO conference on salt reduction strategies in July of that year. I well recall the event because I opened the second day. By that time, the Food Standards Agency civil servants at the conference were answering to the DoH. It is therefore more than a little disingenuous for the Department of Health to claim World Health Organisation support in 2014 for what happened under the coalition, by using a WHO quote from July 2010 which referred to work from 2004 onwards by the previous Government, which the coalition abandoned within a month of coming into office. We have had three years of doing nothing, costing us thousands of avoidable premature deaths, while claiming World Health Organisation support. Then, in the year before the election, the coalition switches the programme on again.

Frankly, if I was still in the other place down the Corridor, I would bring the roof down on the Government for their despicable political shenanigans. However, I regret to say that all I hear from the Commons is a deathly silence.

--- Later in debate ---

[Lord Taylor of Holbeach]

I cannot do that because I do not have the figures to hand, but I know that a number of noble Lords have mentioned legal aid. I have no need to tell my noble friend Lord Faulks how important the issue is to this House because it has been the subject of lots of debates in the last Session of Parliament. I will make sure that we write with an update of where we are on legal aid—we will be most happy to do that. All noble Lords who have raised the issue can then be reassured on the point.

The noble Lord, Lord Ramsbotham, whose contributions are always good value, made an attack on the concept of the secure college and the lack of rules on the use of force to maintain good order and discipline. I have no doubt that we will have plenty of opportunities to debate this matter. The noble Lord will be aware that time spent in custody can represent a rare period of stability in a lot of young people’s lives. Some three-quarters of young people who leave custody reoffend within a year, so it is clearly an area where we need to be involved. The current system is not working well enough. Secure colleges will have education at their heart, with other services designed in support of educational attainment and tackling offending behaviour. Specifically on the question of force, as the Minister for Prisons has already stated, the Government intend to consult on secure college rules, including those in respect of force, and have committed to publish this consultation during the Bill’s passage. I hope that will give the noble Lord an opportunity to contribute to that discussion.

Many noble Lords talked about health. Indeed, it was helpful to have my noble friend Lord Howe here earlier in the proceedings. The noble Lords, Lord Patel, Lord Ribeiro and Lord Faulkner, talked about standardised packaging of tobacco. I can tell noble Lords that the Government will very shortly publish a final, short consultation, which will contribute to the final decision-making on this policy. The consultation could not be published during the period of the elections because of purdah. It is being finalised and will be published shortly.

I have been told that I have been going for 18 minutes. I am going to try to wind up but I want to try to cover points where I can. The Government are taking early action to introduce a ban on selling alcohol below the price of duty plus VAT. It does not go as far as the noble Lord, Lord Brooke of Alverthorpe, would wish but it goes a long way towards it. When further empirical evidence becomes available, we will consider it very carefully.

Why is there no Bill on the regulation of healthcare professionals? The Government remain committed to legislating on this important issue when parliamentary time allows. We are working with the regulators to ensure that key provisions, such as faster fitness-to-practise tests for nurses and midwives, and English language checks for all healthcare professionals, are in place during this Parliament.

A number of noble Lords spoke about residents in care homes being abused. We are introducing a new fundamental standard for care homes. We are bringing in specialist inspection teams involving people who have experience of care services. They will take action and will have the power to bring prosecutions if necessary. Noble Lords asked about the lack of action on carers. I apologise if I have not addressed all the health matters that noble Lords have raised but the Care Act was passed by this House at the end of May, including significant changes for carers, and for the first time there will be a duty on local authorities to meet carers’ eligible needs for support and consider the impact of their caring responsibilities when undertaking an assessment.

The noble Lord, Lord Rooker, made his usual stimulating speech. I cannot give him an answer on the points that he raised.

[Lord Rooker]

There isn’t one.

[Lord Taylor of Holbeach]

That is reassuring but it says here, “We will write rather than respond now”. Perhaps that will give me time to write one.

I have a few things here on education. Listening to the noble Lord, Lord Harris of Peckham, talk about his role in education, particularly in south London, was remarkable. It shows what has been achieved through the academy principles. The Department for Education has been working closely in toughening up the curriculum to ensure that what pupils learn in school equips them for the future. There were a number of criticisms on the education front. I would like to think that apprenticeships can now be seen as a genuine alternative to university, equipping people for life and for the opportunity of getting jobs in a growing economy, which we now have the prospect of sustaining.

I hope that noble Lords will forgive me for not answering everything at this stage. I intend to do so when I write to your Lordships within the next few weeks.