Norman Lamb
Main Page: Norman Lamb (Liberal Democrat - North Norfolk)(12 years, 3 months ago)
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I congratulate the hon. Member for Kilmarnock and Loudoun (Cathy Jamieson) on securing a debate on this important subject, about which she spoke passionately and knowledgably, and I am grateful that she raised the issue at this crucial time. I suspect that her heart might have sunk on discovering that she would be addressing a new Minister who had been in a job for less than a day, but the good news is that there is value in this being the first issue I have had to consider. I give my personal commitment on taking the matter extremely seriously. I will try to get the right result, and I understand how important the issue is.
I appreciate the reflective way in which the Minister has responded, but does he accept that there is both a principle and a practical consequence? The principle is that this is a debt of honour that the previous Government partly redeemed, although it will not be fully redeemed until the companies accept some responsibility, as the hon. Member for Strangford (Jim Shannon) pointed out. The practical consequence is that people who have additional capacity as a result of the grant are therefore less dependent.
I am grateful for the right hon. Gentleman’s intervention. I absolutely understand the responsibilities of society and the Government on this issue, and I shall seek to take my responsibilities seriously.
I would like to pay tribute to the work of the Thalidomide Trust. It has considerable expertise and knowledge of the needs of those affected by thalidomide, and it does much to support the health challenges that people face and to address barriers to every day living. The trust’s contribution to supporting survivors and their families cannot be overstated.
I would also like to pay tribute to the national advisory council to the Thalidomide Trust. I met its members when I was in opposition and took up their concerns with the Government. They work tirelessly in the cause of thalidomiders, often despite their own impairments. We are all grateful for their work, which has done much to highlight to the House and the public ongoing and increasing health concerns. The hon. Lady referred to new issues that have arisen and we have to understand and respond to those. I look forward to seeing the final report of the NAC project, “Securing Our Future”, which the hon. Lady mentioned, and I would welcome the opportunity to meet the council to discuss that report. I should add that on the first day of my job, I am not in a position to provide all the answers, but I am happy to meet hon. Members who are concerned about this issue.
I should have welcomed the Minister to his new post. It was remiss of me not to do so, and I look forward to taking him up on that invitation.
That’s a deal. We will arrange that.
The current three-year grant was introduced by the previous Administration, but I welcome the opportunity to reiterate the Government’s support for the pilot, which explores innovative ways of enabling people to invest funding to prevent further deterioration in their health and to preserve their independence, which is critical. The funding helps individual thalidomiders to take control in meeting their complex and highly specialised needs, for they are the real experts. The value of such a grant is that it puts the power in the hands of individuals, so that they can make decisions about their priorities, rather than the Government seeking to determine that for them.
The Thalidomide Trust recently provided us with its evaluation report for year two of the three-year pilot scheme, and officials have read with interest how the money has been invested. It was evident from the interviews that were conducted as part of the evaluation that many people have a growing desire to self-manage their health in order to cope with existing health problems, limit further deterioration and/or prevent future problems. For some, the focus was on maintaining fitness or controlling their weight through gym membership, personal trainers, or swimming—the list is endless, but the fact that individuals are making those decisions is of considerable importance.
I am aware that the grant is due to end in March next year and that its recipients are naturally anxious about future funding. I have heard the concerns expressed today by many hon. Members, and I am grateful that so many have shown an interest, and attended and contributed to the debate. I have also heard the very strong case that thalidomiders have made for the health grant to continue.
I know that the Minister is summing up, but does he take on board the important point about planning ahead? If a decision comes too late in the day, before the end of the grant, it will make it difficult for people to consider how they can organise their lives in the year ahead. Will he at least commit to ensuring, as soon as possible, that a decision is made and an indication given about the way forward?
I am keen to make this a priority to try and reach a decision as quickly as we can. There are two issues: it is not only about providing certainty as soon as possible, but about how long the period of the grant would be. I recognise the argument in support of a longer period, in order to provide people with more certainty for the future. I need to look at all those matters, hear from the trust and officials, and read the reports that have come in before making my decision, but I want to make it quickly.
I thank the Minister for giving way and I welcome him to his post. In July, when I asked his predecessor in the Chamber about the lack of a substantive commitment when he met the national advisory council to the Thalidomide Trust, he promised that that would be looked at carefully. He said that there would be further discussions with a view to concluding in autumn. Does the Minister accept that the conclusion will need more strategy and purpose, and not just be a periodic, time-limited top-up to the pilot fund? It has to be something better than “Pilot 2”.
I can reveal to hon. Members that the hon. Gentleman and I talked about that on Westminster bridge as we walked in this morning. Those are exactly the issues that I want to consider. Incidentally, I should pay tribute to my predecessor Minister, who worked closely with the trust to deal with such matters properly and effectively. I know that he was absolutely committed to doing so. He said that he would make a decision in the autumn, and I stick with that.
When a former Minister of State for Health, Mike O’Brien, announced the grant, he stated that the difference that it made to individuals’ lives would be evaluated. We have received the evaluation report on the second year of the grant’s operation, as the hon. Member for Glasgow Central (Anas Sarwar) mentioned. Officials in the Department of Health and the devolved Health Departments have had the opportunity to meet the trust and discuss the evaluation report, and they are assessing how the grant is delivering against the objectives that have been set. It is important that a full, objective assessment is made of how effective the pilot has been at enabling independence, health and well-being in the way that was intended. The stories emerging appear to be very powerful. We all want to delay health deterioration and preserve independence as long as possible, and I am acutely aware, as has been mentioned, of the fulfilling lives that so many people have led despite suffering as a result of thalidomide. That is a powerful message. I will do everything that I can to reach the right decision quickly, and I am grateful to the hon. Member for Kilmarnock and Loudoun for securing the debate.