(7 years, 11 months ago)
Lords ChamberThat is precisely the point. Any of us who have spent time in hospital will know that those charities are well advertised. As I say, they have £400 million of income, which I think makes them second only to cancer research in terms of income for health charities. I agree that they are a real asset to our health system.
My Lords, I have a great deal of sympathy with what the noble Lord, Lord Brooke, said, because he talked about the National Health Service being a right but also said that we have individual responsibilities. Is it not time to put much greater scrutiny on the issues of not only missed appointments but the abuse of health tourism and the Friday night nightmares of people who turn up at A&E not sick but overindulged, and expect the taxpayer to help them out?
My noble friend is quite right—we of course have a responsibility to use this precious resource responsibly. On health tourism, we have introduced a number of changes to recoup the amount of money spent on non-UK citizens who have not contributed to the tax system. We have made good progress on that. I take his point on alcohol, which we are dealing with in a couple of ways. One is obviously by taxing alcohol through the tax system but we also have to do much more preventive work so that people drink less.
(8 years, 7 months ago)
Lords ChamberAs the noble Lord knows, we have talked about one of the reasons for the drop-off in nurses coming from the European Union; it is because of the stricter language testing. Stricter language testing was brought in for reasons of patient safety and was supported by the noble Lord when the regulations went through in 2015. Indeed, I think there was cross-party support for that. As for anti-EU rhetoric, I do not recognise that in anything that we have said. We absolutely value the contribution of anyone who is living and working here in the UK, and indeed have made a very generous offer to solve this problem as part of the talks for leaving the European Union. As for recruitment, of course we want to recruit as widely as possible. We want the brightest and the best to be here, and that is an absolutely core part of any immigration strategy.
My Lords, are we not in danger of missing an important point in this discussion? Simon Stevens, the head of the NHS in England, recently talked about the abuse of the system by those who selfishly and drunkenly turn up at A&E on a Friday evening expecting the NHS to bail them out. There is the abuse of health tourism, and indeed abuse by those who simply fail to turn up their appointment. Is there not an abuse here that is costing hundreds of millions, if not billions, of pounds to the NHS, disrupting the service for those who really need it? Should we not be doing more to crack down on this abuse?
I completely agree with my noble friend. That is one reason why we are taking steps to deal with health tourism and to ensure that people who not only abuse the system but actually abuse NHS staff, which unfortunately is far too prevalent, are properly prosecuted.
(10 years, 2 months ago)
Lords ChamberMy Lords, it is a devolved matter for the Northern Ireland Executive and not really for me or for us.
My Lords, there may not be sufficient evidence for gender-based abortion prosecutions, but there is sufficient evidence, surely, for greater effort to be made about female genital mutilation. Tens of thousands of women in this country have suffered from it yet we still have not had a single successful prosecution. Does he accept that far more needs to be done to deal with this evil?
My Lords, my noble friend makes an important point. Gender-based abortion, female genital mutilation, honour crimes and various other issues still take place in some ethnic communities in England. Across the board, we have to be vigilant about all of these issues and make it clear that they are not acceptable. They are against the law and anyone aware of these practices going on should report them to the police.
(12 years, 2 months ago)
Lords ChamberMy Lords, I am not sure whether a risk register was published before the war in Iraq. However, will my noble friend use his best influence on his colleagues in government to make sure that in the interests of candour the Chilcot report is published as soon as possible? We have all waited long enough for answers on that particular affair.