Better Start Longitudinal Programmes

Lord Watts Excerpts

Tuesday 10th February 2026 Lords Chamber

[Baroness Merron (Lab)]

This will not be a top-down approach. We are ensuring that Best Start Family Hubs and Healthy Babies are in every local authority area. That is a major development, because from April it will reach more than 500,000 more children. It will also help us transition to neighbourhood health services. However, all of this will, as ever, be more successful by working together with other groups, including third-sector organisations such as BRITE Box.

[Lord Watts (Lab)]

My Lords, does the Minister agree with me that we would have had much healthier children if the previous Government had not shut down all the Sure Start centres and caused the poverty that they did?

NHS: Winter Preparedness

Lord Watts Excerpts

Tuesday 16th December 2025 Lords Chamber

[Baroness Merron (Lab)]

Among NHS staff, as in other groups, there is a vaccine hesitancy. It is not specific and particular to NHS staff but, as we have discussed a number of times in this Chamber, there is perhaps a misunderstanding about vaccines’ efficacy. We also have to acknowledge that conspiracy theorists across the internet continue to have a hold. We saw that throughout Covid. Our job with NHS staff, as with members of the public, is to make it easy and possible to get vaccinations, and to make people feel confident and informed about why they need them and how they support not just them but the people around them. That is particularly important for NHS staff. The noble Lord will be aware that we cannot demand that people have vaccinations, but we absolutely want to encourage maximum take-up.

[Lord Watts (Lab)]

My Lords, many parents shielding their children who have had serious illnesses are having to pay up to £90 each for a Covid jab. Many of those families do not have those resources, so their children are put at risk. Will the Minister look at that?

[Baroness Merron (Lab)]

My noble friend will be aware that we take advice from the Joint Committee on Vaccination and Immunisation about to whom, when, and where jabs are available on a range of matters, including Covid. The committee keeps that constantly under review. Our immediate threat is in respect of flu and RSV; in particular, flu cases are rising, which is why we are closely monitoring the situation, as well as having prepared more extensively and providing more additional support than we have ever done before.

Supply of Blood and Blood Products

Lord Watts Excerpts

Wednesday 3rd December 2025 Lords Chamber

[Baroness Merron (Lab)]

That is part of the potential solution, in addition to where donors go, how they are communicated with and how easily they can make appointments. We will certainly put the noble Lord’s suggestion into the mix; it is certainly something that I have discussed in respect of the Civil Service, and it varies across departments.

[Lord Watts (Lab)]

My Lords, we are seeing reductions in the number of donors, whether it be in blood or in organ donation. Are we not getting to a serious situation where the Government need to think about how they can increase donations to historic levels?

[Baroness Merron (Lab)]

I am not sure that I agree with the reflections of my noble friend, although I do agree that we have a shortfall of some 200,000 donors to shore up and grow our blood supply. As I said, the situation remains fragile, which is why we need more support. We are constantly working to identify gaps and opportunities to strengthen and diversify the donor base through a donor base resilience programme, launched just this year. It is not just numbers; it is also the range of people, as we heard in earlier questions.

Terminally Ill Adults (End of Life) Bill

Lord Watts Excerpts

Committee stage
Friday 21st November 2025 Lords Chamber

[Lord McCrea of Magherafelt and Cookstown (DUP)]

My Lords, I support the amendments in this group. They are important because, unlike the noble Baroness, Lady Hayter, I do not know what the outcome of this debate will be at the end. She might have some other knowledge of how this House will vote, but I certainly do not know the answer. Therefore, it is vital that we spend the time and debate these amendments, because words are important. If anyone ought to know the value of individual words, it is noble and learned Lords in this House, because many of them spend their lives arguing on the edge of a pin about particular words. As a matter of fact, they make a considerable amount of money out of arguing about single words. Words are important, so let us not try to pretend that words do not matter. Therefore, on “coercion”, “influenced” and “encouraged”, I believe that we need to get this right, because the Bill could pass this House.

I know that there are those who do want to shut down debate. I sat in the House of Commons on Wednesday at Prime Minister’s Questions. I noticed earlier today that for a considerable amount of this debate the person who raised it at Prime Minister’s Questions was sitting here. He is the right honourable Member for North West Hampshire. He has left his position on the Steps of the Throne, but he was here for a considerable amount of the debate. He was indignant and incensed that this House wants to look at and scrutinise this Bill because it was passed by the Commons. I was in the other House for 25 years, and I know that in those 25 years, under successive Governments, the other House got Bills wrong and had to change those Bills. I do not believe it is correct to suggest that just because the other Members have passed the Bill, somehow we must bow and surrender to their superior knowledge, and therefore I believe that we ought to spend time—

[Lord Watts (Lab)]

From the number of amendments here it is clear that this is about wrecking the Bill. It is not about improvements, it is about wrecking the Bill. I went through this with my late wife, who suffered a very long and painful death and wanted to have the opportunity of ending her life. If they wreck the Bill, Members should think about the thousands of other people who will go through that same process.

[Lord McCrea of Magherafelt and Cookstown (DUP)]

I do not believe that people are tabling amendments simply to wreck the Bill. That may be the noble Lord’s opinion, but he should remember that other people have different opinions. I respect the noble Lord’s opinion, but I hope that he will in turn respect my right to have an opinion. I believe that we must scrutinise this well. I noticed that the noble Baroness, Lady Hayter, objected to the fact that practically no one who supports the Bill has spoken. I know of no one supporting the Bill who has been stopped from speaking. They did not get up to speak, and therefore they were not stopped. If there are those who want to support this Bill and to get up to speak, they are free to do so. I certainly would like to hear their opinions just as well. I believe that I have an opinion that ought to be heard equally, as they have.

I come from a family that knows what the reality of suicide means and the heartbreak of suicide, where we examine and wonder whether something more could have been done before that person ended their own life in suicide. I know the pain of that and the loneliness that they went through. Therefore, I believe we must get this right.

In the domestic abuse and coercive and controlling behaviour context, a victim may, due to intimidation or trauma, deny that their actions are caused by wrongful coercion. Is the doctor supposed to be weighing the patient’s words against the very limited evidence that they can see in an examination room? Professor Jane Monckton-Smith OBE, professor of public protection at the University of Gloucestershire, emphasised in her testimony to the Select Committee the significant difficulties in relying solely on a person’s verbal denial of abuse when assessing coercion:

“I have worked in this area for a very long time. I have seen victims refuse medical help when they have been hit in the head with a hammer through fear. That is not an isolated example. If you speak to the other people here, I think they will probably agree with me. What I am saying is that coercive control is a serious social problem. It will impact on the people who are going to look to this Bill”.


Also in the Lords Select Committee evidence, Cherryl Henry-Leach of Standing Together Against Domestic Abuse warned

“the difficulty is the lack of insight into the impact of coercive control on somebody’s ability to make decisions, even though that has been enshrined in case law”.

I do not want to detain the Committee, but in over 50 years as a minister I have experienced people coming to the end of their life. I have been with them in their moments of their deepest pain, and, as a noble Lord said, was there with the families after the occasion, trying to minister to them. I also know what it is from my 25 years as a constituency Member of Parliament in the other House, and we should not close our minds to the fact that people can be coerced. Sometimes it is done very subtly and gently within family dynamics, and that is difficult for assessing doctors to detect in limited formal settings.

Therefore, I believe it is vital that the words put into this legislation, if it is passed, are the correct ones that cover all these possibilities. Remember, when the person takes that lethal injection or whatever potion they take, there is no return as far as this life is concerned, but they go to another.

--- Later in debate ---

[Lord Falconer of Thoroton (Lab)]

Of course, and I apologise for not answering it.

[Lord Watts (Lab)]

Can we perhaps shoot just one fox? There was a suggestion that there are not enough non-Anglo-Saxon GPs available to do this. I have just looked at the facts: 46% of GPs were born outside the UK and 25% of them are from Asia.

[Lord Falconer of Thoroton (Lab)]

I am very grateful to my noble friend for mentioning that, because that is what was being whispered to me but I did not have the statistics. I am very grateful to him for providing them.

--- Later in debate ---

On the claim that people who die with specialist palliative care input—of whom there are thousands every year—do not die with dignity, I have to defend my professional colleagues and the hospice services. Dignity-enhancing therapy has been developed within the palliative care community to demonstrate how other services may have failed and how you can enhance dignity, and if—

[Lord Watts (Lab)]

Would the noble Baroness agree for one second that, even if someone has good hospice care and the best medications that they can, there are still patients who suffer and have pain before death, despite all the actions of the people who are trying to alleviate that?

[Baroness Finlay of Llandaff (CB)]

I thank the noble Lord for the intervention. Perhaps it might be helpful for us to have a conversation outside this Chamber. But I would just say that pain is complex. It is not only physical; it has multiple components. Of the patients I have had the most difficulty looking after, we discovered that there were very many issues in the psychosocial and emotional domain: things that had happened in the past, some of which we did not know about at the time. But I do not want to go off message from these amendments, which are really important.

These amendments were put down in good faith to address the concerns expressed all around the Committee. I am disappointed that we have not got to the point of saying that we will all sit down together. I think that those of us who have drafted amendments will sit down together and discuss how we should bring something back on Report to manage the situation that we highlighted today, which is a very profound concern over coercion, abuse and all the other factors that go along with that. Apart from that, I beg leave to withdraw the amendment.

Learning Disabilities Nursing

Lord Watts Excerpts

Tuesday 17th June 2025 Lords Chamber

[Baroness Merron (Lab)]

It is probably helpful to say to your Lordships’ House that there have been significant changes to how we respond to care for individuals with learning disabilities within the UK. Like in other specialist areas, there is a move towards multidisciplinary teams, which I certainly welcome. I also emphasise the role of learning disability nurses, who are absolutely key, as is the training of all staff. That is why we are so committed to rolling out the Oliver McGowan training, which I know is highly regarded by all staff.

[Lord Watts (Lab)]

My Lords, we inherited a shortage of nurses and doctors, and it is important that we train and recruit new nurses. But does the Minister agree that, in the meantime, we have some marvellous people from the Philippines who are acting as our nurses and supporting our health service, and that it is important that we do not cut them off while we train our own people?

[Baroness Merron (Lab)]

I agree. We have many excellent staff from countries around the globe who are very committed, professional and hard-working. I presume my noble friend is referring to changes in international recruitment. I can assure him that that is why, certainly in respect of care staff, there is a transition period until 2028 to make sure that we have the recruitment in the right place.

Community Pharmacy Closures

Lord Watts Excerpts

Tuesday 28th January 2025 Lords Chamber

[Baroness Merron (Lab)]

I recognise that, as the noble Baroness says, there are some difficulties with the supplies of certain medicines. That has been going on for some time. We are therefore working to ensure that the supply chain is secure and robust and can meet the demands on it, which requires a detailed look. Work will continue, and I look forward to continuing to update your Lordships’ House about that.

[Lord Watts (Lab)]

My Lords, is it not the case that the present health structures are not suitable for purpose? Do we not need to look at providing health centres that include a pharmacy, dentists, doctors and all other services in one place to get the maximum resources to the public?

[Baroness Merron (Lab)]

My noble friend will be glad to know that bringing services together under one roof and designing them around the patient is exactly where this Government are going. I ask him to keep an eye out for the 10-year plan, which will address many of the points that he is making.