Living with Covid-19
Baroness Chisholm of Owlpen Excerpts(2 years, 2 months ago)
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Baroness Evans of Bowes Park (Con)
Certainly, we have been very focused on targeting those communities which have not taken up the vaccine as much as we would like—for a whole array of reasons. For instance, we have invested a further £22.5 million in a community vaccine champion scheme to support 60 local authorities with the lowest take-up, following a £23 million investment in the initial scheme. We have vaccine ambassadors speaking 33 languages between them who are promoting uptake across the country. The recently launched Office for Health Improvement and Disparities will systematically tackle the top preventable risk factors associated with ill health and improve the public’s health and health disparities.
Baroness Chisholm of Owlpen (Con)
My Lords, I am pleased to hear my noble friend say that the Government are still thinking about free testing for social care areas. Would it be possible for her to take back to her colleagues that, if we are not going to have free testing anymore, it would be good to ensure that there are public announcements to tell the public how they should self-isolate if they think they have any Covid symptoms—in the same way as they would with the flu, cold or other illnesses?
Baroness Evans of Bowes Park (Con)
I entirely agree with my noble friend and, as I said, we will be producing further guidance in advance of the end of March, when free testing, for the vast majority of the general public, comes to an end. We will also be publishing further details about the high-risk settings and groups who will be eligible for continued free testing.
Health and Care Bill
Baroness Chisholm of Owlpen ExcerptsTuesday 18th January 2022
(2 years, 3 months ago)
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Baroness Chisholm of Owlpen (Con)
My Lords, I suggest that we adjourn the House for four minutes, until 7.30 pm.
Early Years Interventions
Baroness Chisholm of Owlpen Excerpts(2 years, 5 months ago)
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The Lord Bishop of Gloucester
To ask Her Majesty’s Government what assessment they have made of the benefits of early years interventions on people’s welfare and social mobility later in life.
Baroness Chisholm of Owlpen (Con)
My Lords, we know that the early years are key to children’s later life chances, and effective early support is crucial. That is why we have put unprecedented investment into childcare over the past decade, committed £153 million to support education recovery in the early years, rolled out the proven Nuffield Early Language Intervention, and have announced £300 million to create a network of family hubs and transform crucial Start for Life services.
The Lord Bishop of Gloucester
I am grateful to the noble Baroness for her Answer. Given the crucial lifelong impact of the early years on individuals, the economy and society, and that we spend so much time, money and resources attempting to fix things later in life which could have been prevented, how do the Government plan to build on Start for Life and ensure that benefits are sustained for children beyond the age of two through the early education and childcare system?
Baroness Chisholm of Owlpen (Con)
The right reverend Prelate is a great champion of young children. We have both worked with a charity called the Nelson Trust, which looks after disadvantaged children. There is £300 million to transform Start for Life services and create a network of family hubs in half the councils across the England. It will provide thousands of families with access to support where they need it. The Department for Education, the DHSC, the DWP and the Department for Levelling Up, Housing & Communities are working together to ensure that those who need the help get it.
Lord Bethell (Con)
My Lords, perinatal mental health issues cost the NHS and social services £8 billion a year, much of that because of the impacts on children, yet half of such cases go undiagnosed and even those who are diagnosed rarely get evidence-based treatment. We welcome the women’s health strategy, but what more is being done to address this frequently overlooked cause of misery and sometimes death?
Baroness Chisholm of Owlpen (Con)
This is such a distressing time for all mothers. They have babies and expect things to be very special and magical but so often discover the opposite. We must make sure that things are put in place to help them. As of April 2019, all areas in England now have comprehensive specialist community perinatal mental health services in place, which saw 30,700 people in 2020-21, re-expanding access to psychological and talking therapies with specialist perinatal mental health services. This will see 26 hubs, with 10 new hubs in the process of being set up and the rest due to open in April 2022. These hubs will offer treatment for a range of mental health issues, from postnatal depression to severe fear of childbirth to around 6,000 new parents in the first year. The new centres will also provide specialist training for maternity staff and midwives, as well as services for reproductive health and bereavement.
Baroness Prashar (CB)
My Lords, acquisition of language and communication skills are absolutely essential for children in their early years, as they underpin their future development and life prospects. However, awareness among parents and support is lacking. Support and training for early years teachers is inadequate and there is a high level of turnover in the early years workforce, which is losing experienced staff due to low salaries and lack of career benefits. There is concern about the viability of the sector. The House of Lords Public Services Committee report, Children in Crisis, published on 19 November, highlighted research by the LSE which showed that “the economic cost”—
Baroness Chisholm of Owlpen (Con)
As part of the Covid recovery strategy, we have invested £17 million in the delivery of the Nuffield Early Language Intervention programme, improving the language skills of reception-age children who need it most—language skills are so important. Of course, it will not be possible to put that in place unless we have the workforce to do it. The department is committed to supporting the sector to develop a workforce with the appropriate knowledge, skills and experience to deliver high-quality early education and childcare. We are investing £20 million in a high-quality, evidence-based professional development programme for practitioners to target disadvantaged areas and a further £10 million in funding a second phase of the programme, which will be announced shortly.
Baroness Warwick of Undercliffe (Lab)
My Lords, children in deprived areas benefit most from early years education and childcare. Problems can be identified and appropriate interventions arranged. They are better prepared for school and learn valuable social and cultural skills. Big nursery chains are expanding when they can charge fees. Poorer children’s needs are often met by smaller, stand-alone nurseries that cannot survive without adequate local authority funding. The projected increase next April will not be enough to cover the increases in costs of the minimum wage, national insurance, energy, pensions, resumption of business rates and so on.
Baroness Warwick of Undercliffe (Lab)
How do the Government hope to sustain those nurseries’ vital contribution to social mobility if their funding remains inadequate?
Baroness Chisholm of Owlpen (Con)
Of course it is very important that the independent nursery schools carry on. We are investing additional funding for the early years entitlement worth £160 million in 2022-23. This is for local authorities to increase the hourly rates paid to childcare providers for the Government’s free childcare entitlement offers and reflects cost pressures as well as anticipated changes in the number of eligible children. The Government have confirmed the continuation of the maintained nursery schools supplementary funding throughout the SR period, providing the sector with long-term certainty. For 2022-23, we will increase the MNS supplementary hourly funding rate by 3.5%.
Baroness Garden of Frognal (LD)
My Lords, it is widely accepted that the first few years of a child’s life can influence their development, education, character and aspiration. Disadvantaged and disabled children need much more help than most, so will the Government commit to additional funding, either through the early years pupil premium or a disadvantage supplement for those eligible for the two-year offer?
Baroness Chisholm of Owlpen (Con)
That was very succinct. This is a very important area and the whole point about the family hubs we are setting up across the country is that we are bringing everybody together—families, professional services and providers—and putting relationships at the heart of family help, making sure that family hubs bring together services for children of all ages, who all need help. Family hubs can include both physical locations and virtual offices to help parents.
Lord Watson of Invergowrie (Lab)
My Lords, the additional funding announced in the spending review to support children and families, including, as the Minister said, the creation of family hubs, is very welcome, but organisations working with disabled children and parent carers, such as the Disabled Children’s Partnership, remain unclear as to how these new hubs will deliver the care that disabled children and their families require, particularly given the backlog in the delivery of those services from existing hubs. Can the Minister outline how that will be delivered once the new hubs are in place?
Baroness Chisholm of Owlpen (Con)
As the noble Lord said, it is very important that no one is left behind. The SEND review is looking at ways to improve the outcomes for children and young people with SEND. There has been a consultation and proposals will be published in the first three months of next year, when I hope we will know more.
Lord Young of Cookham (Con)
Has my noble friend had time to read your Lordships’ Public Services Committee’s report on vulnerable children, published a fortnight ago, finding that many fall through the gaps—going into care, being excluded, joining county lines and ending up in custody—and cost far more than if there had been early intervention? Can she ensure a positive response from the Government to the committee’s recommendation that the Government should publish and fund a co-ordinated national strategy to give a better life chance to these vulnerable children?
Baroness Chisholm of Owlpen (Con)
I have to say to my noble friend that I have not read the report, but I certainly will—it is going to be my weekend reading. We welcome the report from the Lords Public Services Committee. We are reviewing its recommendations and will respond in due course. Our work and investment towards introducing family hubs that work with children and families from birth to adulthood is so important in the field of vulnerable children and young people.
The Lord Speaker (Lord McFall of Alcluith)
My Lords, the time allowed for this Question has elapsed.
Afghanistan
Baroness Chisholm of Owlpen Excerpts(2 years, 8 months ago)
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Lord Alderdice (LD) [V]
My Lords, I remind the House of my registered interests in war and conflict studies.
On 4 October 2001, less than a month after 9/11 and a few days before the launch of Operation Enduring Freedom, we debated what should be done. I intervene again today, like some other participants of 20 years ago, but miss my dear friend, Lord Ashdown of Norton-sub-Hamdon. In a powerful speech then, Paddy focused on the history of Afghanistan. His family connection went back a century before his birth, in India, in 1941, to his great-grandfather, who had been in Kabul caught up in the first Afghan war, from which we withdrew in 1842, suffering one of the worst military disasters of the 19th century. Paddy reminded us that Afghanistan had rarely been at peace and advised of the perils of engagement. I said that day that the problem was not the absence of socioeconomic development but of a wholly different culture and beliefs, which we would not change for the better by military intervention.
The first rule of Afghanistan is that invaders do not win, and the second is that it will not be a liberal democracy in any foreseeable future. For 20 years now, bookended by the geopolitical catastrophes of 9/11 and August 2021, we have engaged in a war undertaken in 2001 to address our concerns. It was not undertaken primarily at the time to aid the Afghans, and what could have worked as a short, punitive strike was ultimately doomed when it tried regime and culture change.
Another colleague we miss today is Baroness Williams of Crosby. She rightly asked then about UN involvement, but that was blocked in early 2008, when the Afghan president, Hamid Karzai, vetoed Paddy Ashdown’s appointment as UN envoy, despite his highly successful mandate in Bosnia-Herzegovina. Our response then should have been to engage in talks with the Taliban. That was the advice given later to the Foreign Office by my Northern Ireland colleagues, brought in by the British ambassador. It was dismissed by London. That is my second point: do not ignore the advice of those who have lived through terror-afflicted violence and come out the other side; we may understand the messy reality better than those whose optimistic wishes dominate their diplomatic assessment.
Thirdly, research has shown that it is not overwhelming military power and technical sophistication but the passionate spiritual commitment of devoted actors that wins wars, and this should inform every response to the demand that “Something must be done”. We do not have time for a long Chilcot-type inquiry, because these lessons are relevant to current involvements across the Muslim world, including, as I learned from some leading Palestinians earlier this week, in Israel-Palestine.
Does the Minister recognise that we ignore history at our peril; that we are unable to build liberal democracies from the outside; and that, ultimately, we are likely to end a conflict best by understanding the spiritual strength of our enemies and negotiating with them when the time is right? It is too late to do that when you have decided you are leaving.
Baroness Chisholm of Owlpen (Con)
My Lords, I say quickly that almost every speech has gone over time and we are now nearly half way through. Can we all please keep an eye on the time, because we do not want to eat into my noble friend’s speech, so he can answer all your questions fully? Thank you.
EU Referendum: Voter Registration
Baroness Chisholm of Owlpen Excerpts(7 years, 11 months ago)
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Lord Kinnock
To ask Her Majesty’s Government what steps they are taking to emphasise the importance to citizens, particularly young people, of registering to vote to enable them to participate in the referendum on the United Kingdom’s membership of the European Union on 23 June.
Baroness Chisholm of Owlpen (Con)
My Lords, the referendum on membership of the European Union is a decision of fundamental importance for the future of the country. The Government are committed to helping ensure that everyone who is eligible to vote, particularly the young, is able to do so. That is why we have allocated up to £7.5 million for a range of voting registration activities. With the introduction of online registration, it is easier than ever to register to vote, and since 2014, 4.1 million people aged 16 to 24 have applied to register.
Lord Kinnock (Lab)
My Lords, I am grateful for that Answer. The outcome of the referendum will obviously be of the greatest and longest significance to the lives of the young generations. Will the Government therefore make major efforts, in addition to the commitments they have so far undertaken, particularly through the online communication that the Minister mentioned and through social media, to ensure that young people know that the final date for voter registration and for getting a postal vote is 7 June—less than four weeks from now? Does the Minister agree with me that this kind of information is especially vital when polling day coincides with the Glastonbury festival, the broadcasting of which could rather preoccupy the attention of millions of young people, whose votes are vital not only to their future but to the future of the country. It would be an awful pity if instead of voting, they were rocking.
Baroness Chisholm of Owlpen
My Lords, I think the answer is in the question—Glastonbury. The noble Lord should get a group of your Lordships together, appear on stage and sing, “No Satisfaction Unless There’s Registration”—I am sorry, that is an end of term joke. Ministers have written to universities and sixth-form colleges to encourage them to promote voter registration ahead of the deadline. In addition, the Government are working with organisations such as Universities UK, the Association of Colleges, Bite The Ballot, UpRising and other youth organisations to help ensure young people are registered in time for the EU referendum.
The Duke of Wellington (Con)
My Lords, I declare an interest as chairman of the council of King’s College London. I am so pleased that the Minister mentioned universities. Does she agree that it is particularly important that university students, who have the option of registering where they study or getting a postal vote from home, know how important it is that they get a vote for the referendum?
Baroness Chisholm of Owlpen
I could not agree more with my noble friend. Students are now able to register at both term-time and home addresses in just three minutes. It can be done, as we know, on a smartphone, PC or tablet device. Since June 2014, more than 4 million applications to register to vote have been received from people between the ages of 16 and 24, and 3 million of those were made online.
Lord Davies of Stamford (Lab)
Will not least among the losses to the country if we leave the European Union be the ability of people in this country—this will particularly affect younger people and their prospects—to take part in Erasmus exchanges and to study and work in 27 other European countries?
The Lord Bishop of St Albans
In response to a previous debate, I worked with Bite The Ballot and got it into one of our church schools. The interesting thing for me was seeing not that people could not understand voting but that they did not know what difference it would make. Watching young people being taken through the process and the penny drop about the implications was fundamental. It seems to me that we need people to engage at the grass roots. What attempt is being made to use voluntary and charitable organisations, many of which—including the churches—have newspapers and all sorts of other publications and are in touch with millions of people, as a way of trying to raise the issue in the next month, as the noble Lord asked?
Baroness Chisholm of Owlpen
Indeed, and that is exactly why we have been giving grants to civic societies to engage with the young. There have been several initiatives, one of which was the Make your Mark ballot: nearly 1 million young people aged 11 to 18 took part in deciding on issues such as mental health, the living wage and tackling religious discrimination. It is now statutory to teach democratic participation in schools at key stages 3 and 4 of the curriculum.
Baroness Smith of Newnham (LD)
My Lords, referendums give the opportunity for everyone to decide on issues which sometimes divide political parties. Voter registration is clearly important; so too is participation. Does the Minister agree that televised debates can be an excellent way of engaging people and precipitating participation? If so, can she explain why a Prime Minister committed to campaigning “heart and soul” to remain in the European Union, alongside passionate pro-Europeans on this side of the House, is so reluctant to engage in the debate with Leave? Is he perhaps just frit?
Baroness Chisholm of Owlpen
I understand where the noble Baroness is coming from, but there are lots of debates going on encouraging people to register and there will be debates on television and on the radio—I heard one this morning on Radio 4—so obviously that is a way of getting people to know what is going on.
Lord Forsyth of Drumlean
Can my noble friend confirm that there are in fact 33 countries participating in the Erasmus programme and only 28 countries in the European Union?
Baroness Royall of Blaisdon (Lab)
My Lords, much mention has been made of universities, and it is absolutely right that they have a key role to play. I am Pro-Chancellor of the University of Bath and I have ensured that the administration of Bath University and the students’ union are working together on this. I urge all noble Lords who have anything to do with universities to do likewise.
Baroness Chisholm of Owlpen
That is an extremely good idea. We are writing to all universities to encourage them to engage with their students to advise them on how to register to vote before the EU referendum.
Care: Costs Cap
Baroness Chisholm of Owlpen Excerpts(8 years, 7 months ago)
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Baroness Wheeler
To ask Her Majesty’s Government what assessment they have made of the impact on patients, residents of care homes and their families and carers, of the decision to postpone the introduction of the cap on care costs from April 2016 until April 2020.
Baroness Chisholm of Owlpen (Con)
My Lords, the decision to delay implementation of the cap on care costs followed careful consideration of feedback from stakeholders, and it was felt that April 2016 was not the right time to implement these significant and expensive reforms. I stress that we remain committed to these important reforms, which offer financial protection and peace of mind. We have had to make hard choices, balancing the benefits of the cap against the need to focus on supporting the system that supports our most vulnerable.
Baroness Wheeler (Lab)
I thank the Minister for that response. The Government’s election manifesto said that capping the amount patients can be charged for residential care from 2016 would give,
“everyone the peace of mind that they will get the care they need and that they will be protected from unlimited costs if they develop very serious care needs—such as dementia”.
The assessment of one of the key stakeholders, the Alzheimer’s Society, is that the delay until 2020 will cause unacceptable costs to continue to be borne by people with dementia in their families. These are people particularly affected by the cost divide between social care and NHS continuing care. What actions will the Government be taking in the lifetime of this Parliament to meet their commitment to this key group?
Baroness Chisholm of Owlpen
This is a very important group at a most vulnerable time in their lives. The Government remain fully committed to introducing the cap on social care costs and helping people to cope with the potentially high costs of social care. It is not cancelled and will be brought in by 2020, but until then means-tested financial support remains available to those who cannot afford to pay for care to meet their eligible needs. Where a person can afford to pay for their care, we are clear they should not be forced to sell their home during their lifetime to do so. Since April this year, deferred payments have been available across England for people with less than £23,250 in liquid assets who might otherwise face that risk. By entering into a deferred payment agreement, a person can defer or delay paying the costs of their care and support until later, including out of their estate if they choose.
Baroness Pitkeathley (Lab)
My Lords, is the Minister aware that for many families, the postponement of the cap on care costs is seen as a betrayal that is adding to their disillusionment about the persistent underfunding of social care? Surely the Government must understand that families who look after people—for example, someone with Alzheimer’s—cannot go on taking these responsibilities if promises are broken and if the support they need is either non-existent or too expensive. Will this problem not exacerbate the Government’s existing problem with delayed discharges if families are in future less willing to take on caring, and is the Minister concerned about the delayed discharges issue?
Baroness Chisholm of Owlpen
This is indeed a concern, but I must emphasise that this delay is not a decision that has been taken lightly. A letter from the Local Government Association dated 1 July was clear that we need to think carefully about all the options, including postponing new initiatives. Therefore, we will make further announcements and they will follow in due course. Furthermore, we will continue with other efforts to support social care, in particular through the better care fund, which will drive the integration of social care and the NHS.
Baroness Greengross (CB)
My Lords, when the care cap was postponed, the duty on local authorities to assess and meet the eligible care needs of self-funders was also postponed. There are about 460,000 of them. Last April, the department sent a letter to local authorities advising them on how to prepare for assessing self-funders. They have been given £146 million to carry out early assessments starting this October, which will cover about 50% of those self-funders. As the postponement is now planned, will the Minister tell us whether this money has been handed over and what will happen to self-funders who will now remain outside local care eligibility assessment and the advice system for another five years?
Baroness Chisholm of Owlpen
Indeed, £146 million was allocated to support local authorities to prepare for implementation of the cap in April next year. It is likely that money spent to date on preparing for the reforms will have wider benefits in terms of improving local authorities’ systems and their understanding of their self-funding population. This is important because local authorities have a number of population-wide duties under the Care Act 2014, for example, the duty to provide information and advice services to facilitate a vibrant and diverse—
Baroness Chisholm of Owlpen
It is not too long. It is difficult to answer the question properly without saying something and this is very important. We are going to support high-quality care for the benefit of the whole local population.
Baroness Brinton
My Lords, as questioners have illustrated to your Lordships’ House, we face a perfect storm with health and social care. There was cross-party agreement in advance of the 2010 election that the cap was vital. We have delayed discharges and local authorities facing a real crisis. Will the Government take action in the next few weeks to remedy this problem, of which the cap is an important part?
Baroness Chisholm of Owlpen
As I said, means-tested financial support remains available for those who cannot afford to pay for care to meet their eligible needs, but the introduction of the cap on care costs system will be the biggest reform to how care is paid for since 1948 and we must ensure that the new system works from day one. Local authorities and partners have consistently warned us of the risks of implementing this too quickly. We will therefore not be complacent and will work hard to make sure that there is additional time to ensure that everyone is ready to introduce the new system and that people can understand what it will mean for them.