NHS: Automation

Viscount Ridley Excerpts

Monday 15th July 2019 Lords Chamber

[Baroness Blackwood of North Oxford]

The noble Baroness is correct to say that patients and clinicians have a right to expect their data to be held securely. Since the WannaCry attack in May 2017, we have taken steps to ensure that NHS security measures are of the highest standard. This includes £60 million to improve cyber resilience in local infrastructure, support for NHS organisations to update their Windows operating systems, procuring a new cybersecurity operations centre, and boosting the national capability to prevent, detect and respond to cyberattacks. We are also committed to achieving much greater operational visibility across all NHS digital systems. This is one of the ways in which we can respond to attacks. Lastly, we expect the highest ethical standards from all data-driven systems and that is why we have introduced the code of conduct for data-driven health and care technology. That is how we will ensure that we have some of the best AI and data-driven technologies.

[Viscount Ridley (Con)]

My Lords, does my noble friend agree with one of the key points made by Professor Topol that one of the benefits of artificial intelligence is the “gift of time”, as he has put it? In other words, patients can spend more time with their doctor if certain more routine things are automated. Will my noble friend make sure that that is one of the key aims of bringing automation into healthcare?

[Baroness Blackwood of North Oxford]

My noble friend is right. One of the key recommendations is that by automating routine analyses such as radiology, diagnoses and pathology and routinely bringing in AI to sequence bed management, we will reduce the burden on clinicians so that they are able to see more patients. The review makes specific recommendations to help the workforce become more digital ready, which means increasing capacity and capability, and building the right environment. That is exactly what we have embedded into the NHS people plan and all that we are working on through NHSX.

Tobacco Harm Reduction

Viscount Ridley Excerpts

Tuesday 2nd April 2019 Lords Chamber

Asked by

[Viscount Ridley]

To ask Her Majesty’s Government what assessment they have made of the levels of smoking and incidence of lung cancer in Sweden as a result of steps taken by that government; and what plans Ministers have to visit that country as part of their forthcoming review of tobacco harm reduction.

[The Parliamentary Under-Secretary of State, Department of Health and Social Care (Baroness Blackwood of North Oxford) (Con)]

My Lords, the current smoking rate in Sweden is 13%, compared to England where the rate is 14.9% and, across the UK, 15.1%. There are no current plans to visit Sweden. Smoking is at the lowest level recorded in England but we are not complacent and remain committed to reducing the rate to 12% or less by 2022, as outlined in the tobacco control plan for England.

[Viscount Ridley (Con)]

My Lords, I thank my noble friend for that reply. She will be aware that the policy of harm reduction, whereby a less harmful new technology is used to displace a more harmful technology, was pioneered in this country by the noble Lord the Lord Speaker when he was Health Secretary in the 1980s with respect to needle exchanges and HIV. Such a policy has since proved effective in the introduction of e-cigarettes. However, in Sweden, the adult smoking rate is now down to 5% because of another harm-reduction technology, snus—the little teabag of snuff tobacco that one presses against one’s gum and is widely used in Sweden. As a result, there are low lung cancer rates in that country but, because snus is banned in the EU, we are currently unable to follow. Could we not save tens of thousands of lives if we were to legalise this technology when we left the EU at the end of next week?

[Baroness Blackwood of North Oxford]

I thank my noble friend for his question and join him in paying tribute to the noble Lord the Lord Speaker’s role in harm reduction. No tobacco product is safe to consume, due to its links to cancers. As my noble friend says, snus is banned under the EU tobacco products directive as an oral product, except in Sweden. We have made a commitment under the tobacco control plan that, following EU exit, the Government will consider reviewing the position on snus and whether the introduction of the product to the UK market would promote the kind of proportionate harm-reduction approach that he proposes. However, there is no evidence that snus in Sweden has reduced smoking rates, so the matter is very much under review.

NHS: Artificial Intelligence

Viscount Ridley Excerpts

Tuesday 24th April 2018 Lords Chamber

[Lord O’Shaughnessy]

The noble Baroness has highlighted two of the recommendations from the report. I support the proposal for a regulatory framework; it is a piece of work that I have kicked off in the department. I cannot put a timing on that, but I understand the need to provide a safe operating environment so that people who want to get into this field, whether from NHS trusts or businesses, can do so knowing that they are operating on a legal basis. That is something that we are working on.

On digitalisation, she is quite right: the £4 billion programme known as Personalised Health and Care 2020 is trying to deliver before 2020—as the name suggests—the kind of digitalisation that will enable AI to bring those benefits across every corner of the health and care systems.

[Viscount Ridley (Con)]

My Lords, is the Minister aware that many parts of the world envy Britain’s strengths and opportunities in AI, particularly in the health area, and that government procurement could turn this early lead into a golden opportunity for the UK?

[Lord O’Shaughnessy]

Yes, I absolutely agree with that. As the report highlights, we have a unique opportunity because of the nature of the way that the NHS was set up and its potential for realising a comprehensive data set of 65 million people. It is not just about those procurement rules; we have talked about having the right framework. It is about providing reassurance within the system—at a time when the public are beginning to understand just what data can do for good and for bad—that the NHS will use their data safely, securely and legally so that they can trust that it is being used for proper purposes from which they will benefit.

Smoking: Vaping

Viscount Ridley Excerpts

Tuesday 19th December 2017 Lords Chamber

Asked by

[Viscount Ridley]

To ask Her Majesty’s Government whether, in the light of Public Health England’s decision to include vaping within its stop smoking campaign for 2017, they will review vaping regulations in line with the commitment in the Tobacco Control Plan for England; and if so, when.

[The Parliamentary Under-Secretary of State, Department of Health (Lord O'Shaughnessy) (Con)]

My Lords, the Government are committed to a review of the Tobacco and Related Products Regulations 2016 by May 2021. There is limited scope for amending the regulations in advance of the UK exiting the EU, so the Government envisage a review taking place after 29 March 2019. Protecting the public’s health will be the priority in any review.

[Viscount Ridley (Con)]

My Lords, I thank my noble friend for that Answer but I am a little disappointed. Given the strong evidence that vaping is much safer than smoking, that it is very effective at getting people off smoking and that the strength of the vaping industry in this country is one of the main reasons why we are now the second-lowest smoking country in Europe, and given that the Government promised some sensible deregulation in the tobacco control plan, does the Minister share my regret that the EU’s tobacco products directive restricts advertising in particular, making it very hard for vaping companies in this country to bring to smokers the news of the health benefits that can come from it? Will he consider a public information campaign to bring the country’s attention to what vaping can do? Will he perhaps also consider giving clear advice to businesses and councils that they should not be treating vapers as smokers?

[Lord O'Shaughnessy]

The noble Viscount is right to highlight the benefits of vaping: it is considerably safer than smoking and is a very effective quitting aid. There is no particular evidence that it encourages people to take up smoking or to transition into smoking. Government policy has, obviously, been made under the EU regulatory framework—and we think that it is pragmatic and evidence based. Direct advertising is, as he will know, banned, but the department, Ofcom and the Advertising Standards Authority are looking at the current guidelines in this area. I should point out that Public Health England includes in its public health campaigns positive messages about the relative benefits of vaping, so that message is getting out. In the end we must beware of renormalising the act of smoking, even if with a different device, particularly for children, so there is a balance to be struck.