Covid-19 Update
Baroness Coussins Excerpts(3 years, 7 months ago)
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Lord Bethell (Con)
The noble Baroness is entirely right that the isolation protocol is extremely onerous for some people and has a huge impact on their life, mental health, income and social life. I completely understand the point she is making. We are keeping the question of financial support under review and will continue to look at this important subject.
Baroness Coussins (CB) [V]
My Lords, picking up on one of the points made by the noble Baroness, Lady Thornton, what arrangements have been made to enable compliance with the rule of six for asylum seekers living in reception centres or hostels that have communal facilities for eating, sleeping, washing, cooking and leisure time? This could be a national issue, not just in Hammersmith. Also, why is there no link on the National Asylum Support Service website to any Covid information or advice in languages other than English and Welsh?
Lord Bethell (Con)
My Lords, asylum hostels are one example of a very great many that will have to put thoughtful arrangements in place in order to comply with the rule of six. I pay tribute to their efforts.
Covid-19: Personal Protective Equipment
Baroness Coussins Excerpts(3 years, 9 months ago)
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Lord Bethell [V]
My Lords, the big lesson from Covid is that the quantity of PPE needed for a disease like this is massively more that could ever have been expected, particularly compared with our past experience. It has hit every country in the world and has hit the global supply chains incredibly hard. A benign lesson is that British manufacturers are capable of stepping up the challenge, and I salute their work. Contamination from itinerant workers was always one of the greatest challenges of the care sector, and we have put in a huge amount of work and financial resources to avoid the need for workers who move from home to home.
Baroness Coussins (CB) [V]
My Lords, when I asked the Minister on 24 June to ensure that interpreters in the NHS would not be forgotten when stockpiling PPE in case of a second wave, he very helpfully told the House that he would continue to press the department on this. So, I am mystified that I still have not had a reply to my simple question of 12 May, asking who is responsible for providing PPE for freelance NHS interpreters. Can the Minister enlighten me today?
Lord Bethell [V]
The noble Baroness is entirely right to champion the role of interpreters. Their role in the recent Leicester lockdown has been incredibly important: there could not have been an incident that better highlights the importance of language skills in the healthcare setting, and I pay tribute to the noble Baroness for championing those. The care of interpreters is an incredibly complex question and entirely depends on where they are sited. It is the responsibility of individual trusts to look after interpreters in hospital settings but, in other settings, it may be that of other organisations.
Personal Protective Equipment
Baroness Coussins Excerpts(3 years, 10 months ago)
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Lord Bethell [V]
My noble friend Lord Dobbs is entirely right: British companies have done an amazing job of stepping up to this challenge. I pay testament to Survitec, Bollé, Jaguar Land Rover, Don & Low and Burberry, which have all made huge contributions, and to the 350 firms we are currently negotiating with to create a new domestic supply. Nearly 2 billion items of PPE have been supplied through UK-based manufacturers. The moment when we are exclusively and entirely dependent on UK supply is some way off, but this provides a critical cushion and helps to build resilience for these important products.
Baroness Coussins (CB) [V]
My Lords, the Minister will not be surprised that I want to ask once again about interpreters in the NHS. I appreciate that because of Covid-19 many hospitals are using interpreters by telephone, but there must still be many cases where the physical presence of an interpreter is needed, Covid-related or otherwise. No answer has yet been given to my Written Question of 12 May about who is responsible for providing PPE for interpreters. I would also like to be reassured by the Minister, who I know appreciates the importance of interpreters, that they will not be forgotten when it comes to stockpiling PPE to cope with a possible second wave, when interpreters are likely to be needed more often if the disproportionate level of infection among certain minority groups continues.
Lord Bethell [V]
The noble Baroness is entirely right to emphasise the disproportionate balance of infection among BAME people and the importance of interpreters in ensuring that they get the treatment they deserve. However, we are emphasising the use of telephone services because we want to keep people out of areas of potential infection. That remains part of the service that we deliver, and telephone arrangements are proving extremely effective. However, I take on board her point about providing PPE for those interpreters who are on site, and I will continue to press those in the department who oversee this important area of activity.
Covid-19: Track and Trace System
Baroness Coussins Excerpts(3 years, 10 months ago)
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Lord Bethell [V]
My noble friend is entirely right that local action is central to an effective response to Covid-19. We are working extremely hard through the JCVI to take the intelligence from our testing programme to identify hotspots when they occur and to move resources to those areas to support local directors of public health and local infection officials with the resources they need, whether in terms of testing or surge control of the disease.
Baroness Coussins (CB) [V]
My Lords, the Government have translated Covid-19 advice and information into a number of languages, but can the Minister assure me that proper mechanisms and a budget have also been built into the “track and trace” system for the use of interpreters where needed—by that I mean professionally qualified human beings, not a down-the-line Google Translate service—so that no one from any minority group experiences delayed or inadequate instructions about contacts or isolation, which could be damaging at best and fatal at worst?
Health: Stroke Survivors
Baroness Coussins Excerpts(5 years, 10 months ago)
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Baroness Coussins (CB)
My Lords, I declare an interest as co-chair of the All-Party Group on Modern Languages. I quite understand if, at this point, other noble Lords wonder if I have wandered into the wrong debate, but please bear with me as I hope to convince noble Lords that there is an important link between the recovery of stroke victims and languages. This is borne out by robust research and has the potential to bring significant benefits to patients, as well as leading to some cost-effective decisions for the NHS.
In January this year, the All-Party Group on Modern Languages heard from a panel of experts on the cognitive benefits of learning a second or subsequent language. The panel comprised, among others, the neuroscientist Dr Thomas Bak of Edinburgh University, who is president of the cognitive disorders research group of the World Federation of Neurology. His main clinical research interest is the relationship between language, cognition and the brain. He was accompanied by Dr Dina Mehmedbegovic from University College London’s Institute of Education. She is developing interdisciplinary work with neuroscientist colleagues to provide a broader evidence base for advocating the cognitive benefits of lifelong language learning.
The bottom line is that people who speak more than one language recover cognitively from strokes more successfully than those who do not. In Dr Bak’s study of 2015:
“The percentage of patients with intact cognitive functions post stroke was more than twice as high in bilinguals than in monolinguals”,
and,
“bilingualism emerged as an independent predictor of poststroke cognitive impairment”.
For the sake of clarity, I emphasise—with Dr Bak’s authority—that the word “bilingual” in this context means simply having the ability to communicate, not having a perfect command of a language. His detailed findings included that 40.5% of bilinguals had normal cognitive functions after a stroke, compared to only 19.6% of monolinguals. Looking at that the other way round, he found that that only 49% of bilinguals had cognitive impairment after a stroke, compared with 77.7% of monolinguals. This research was reported in 2015 in the American Stroke Association journal. A further significant finding was that late acquisition of another language has a similar protective effect to early acquisition. It is never too late to start learning another language in order to benefit in this way.
Research has also examined the impact which learning and using more than one language had on delaying the onset of Alzheimer’s and other forms of dementia, and found that it can indeed cause a delay of four to five years, including for vascular dementia, which is the type caused by strokes. Similarly with aphasia, a common language disorder caused by brain damage such as stroke, bilingualism leads to less severe impairment and better recovery. This finding was reported by Paplikar et al earlier in 2018. Dr Bak is involved in a project in Scotland, in partnership with Alzheimer Scotland and Edinburgh University, and supported by an ESRC grant. It is called Lingo Flamingo, and teaches languages to Alzheimer’s sufferers to improve their cognitive resilience.
Will the Minister consider supporting a similar initiative in England and Wales for stroke survivors? Drs Bak and Mehmedbegovic argue that, by increasing multilingualism in the population, we could expect to reduce the incidence of dementia, saving billions of pounds. I understand that the current total cost of dementia care is around £26 billion a year. Exactly the same argument can be made for the long-term treatment of stroke survivors, and I hope that the Minister will agree to take this proposition back to the department.
As always in scientific research, there are some discrepancies in findings across different studies, but on this proposition—that learning and using more than one language improves long-term recovery after a stroke—there is now converging evidence from different studies, different populations, different countries and even different continents that supports the conclusions that I have highlighted. However, to transform the research findings into practical policy, we need to change the general attitude towards language learning in the UK. I am pleased to say that, following the APPG meeting that I referred to earlier, Nick Gibb, the Schools Minister, requested further details of the research for the Department for Education to consider. The DfE’s interest of course lies in the cognitive benefits of language learning for children, of which there are also plenty, although not for elaboration in today’s debate. However, the Minister here today will, I hope, be sufficiently interested and intrigued by my contribution also to want to follow up this innovative research and find out more.
Dr Bak says that,
“promoting language learning and use is one of the cheapest, simplest and most effective means of improving cognitive functions across all ages”,
and he points out that the work of the Lingo Flamingo project is scalable, so if funds were available for a pilot project for stroke survivors, he could have it up and running within months. This would be a fast and measurable initiative. Is the Minister tempted to find out more and would he like me to arrange a meeting for him with Dr Bak?
Health: Diet
Baroness Coussins Excerpts(13 years, 9 months ago)
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Earl Howe
My Lords, there is, and I am grateful to my noble friend. He will know that the healthier food mark initiative is one thing that the Government can do to enable the public sector to lead by example, in schools, hospitals and care homes. The healthier food mark has been developed over the past two years as a benchmark to raise the level of nutrition and sustainability of food served in the public sector. It sets clear guidelines on healthier and more sustainable food and recognises achievement, so I hope that it will lead the way.
Baroness Coussins
Will the Minister explain why the Government are scrapping the extension of free school meals when there is such a clear link between nutrition and academic performance? Would it not be better and more cost-effective in the long run to make sure that as many children as possible from low-income families get at least one nutritious meal a day?