NHS: Gambling Treatment Services

Lord Foster of Bath Excerpts

Monday 28th March 2022 Lords Chamber

[Lord Kamall (Con)]

The noble Baroness makes a very important point: people must be treated as individuals—they will have come to addiction from different pathways. We have been engaging with the Department for Digital, Culture, Media and Sport on a number of issues. Additionally, the Office for Health Improvement and Disparities regularly engages with NHS England working-level counterparts, including recently on the establishment of a joint task and finish group on integrating the gambling treatment pathway. Referring directly to the question asked by the noble Baroness, there is no one simple pathway into gambling, and there is a stigma. By putting it at the forefront of some NHS services, we are showing that we are taking it seriously, and that it is not just an affliction but an addiction. We recognise that we must do more to tackle that.

[Lord Foster of Bath (LD)]

My Lords, I declare my interest as chair of Peers for Gambling Reform. The Minister has talked a lot about treatment, but does he accept that by adopting a public health approach, we would reduce harm in the first instance? Can he give us an absolute assurance that his department is co-operating on all aspects of the gambling review that is currently taking place and that it will be involved in the writing of the White Paper that will, I hope, come before us very soon?

[Lord Kamall (Con)]

We take the public health aspect very seriously. Public Health England did some work with the DCMS on looking at gambling from a public health perspective, and the Office for Health Improvement and Disparities continues to do that work. While the Department for Digital, Culture, Media and Sport is looking at the gambling industry, we are also looking at this as a public health issue via the Office for Health Improvement and Disparities. I see that the seconds are running out, so I will give the Labour Front Bench time to ask a question.

Health

Lord Foster of Bath Excerpts

Thursday 26th November 2015 Lords Chamber

[Lord Foster of Bath (LD) (Maiden Speech)]

My Lords, I, too, congratulate the noble Lord, Lord Crisp. I am grateful for this opportunity to make my maiden speech and, of course, for the privilege of joining your Lordships’ House. I hope I will be able to make a useful contribution.

I am also grateful for the generous welcome I have received from all sides of the House, and for the patient support and help from noble Lords—not least my noble friend Lady Walmsley—and from the attendants, doorkeepers, catering staff and all the excellent and courteous parliamentary staff as I struggle to find my feet and my way round this end of the building. I am especially grateful for the advice, “If lost, look for the blue carpet”.

I rise with a sense of trepidation similar to that which I felt when, 23 years ago, I rose to make my maiden speech in the other place, and, in 2010, when I seconded the Loyal Address following the formation of the coalition Government. That was a particularly difficult speech for a then 63 year-old to make, since the tradition is that that role is usually given to a “young, rising star”. I felt trepidation also when, as a junior Minister, I stood at the Dispatch Box to answer questions for the first time: a noisy and acrimonious event, full of the yah-boo which plagues the other place. They could learn a great deal from the courtesy and civility of your Lordships’ House.

Trepidation or not, it is a great honour to be here among many distinguished Peers, just as it was a great honour to serve the people of Bath as their MP for 23 years. As noble Lords will know, Bath is a beautiful World Heritage city with two universities, a Premiership Rugby club, vibrant businesses, excellent festivals and wonderful people. It is my mark of gratitude to those people, who allowed me the privilege of being their representative for so many years, that I chose Bath—or “Barrth” as they prefer to call it—for my title.

My trepidation is also enhanced by following contributions from such eloquent and expert speakers. The noble Lord, Lord Crisp, who introduced the debate, is a case in point. Few could know more about health, in this country and globally, than him. I was especially struck by his view that all sectors should contribute to creating a healthy and resilient population.

Of course, we should all take greater personal responsibility for our own health. More needs to be done to encourage people to look after themselves. To take the example of obesity and the often-accompanying type 2 diabetes, it could often be reduced by greater personal discipline, but many organisations also have a role to play. Preparations for the hugely successful 2012 Olympics and Paralympics emphasised seeking the legacy of a healthier nation. Much was done, from encouraging businesses to help employees get fit to assisting clubs in boosting grass-roots sports participation. In this latter regard, I hope we will continue to protect sports playing fields and address the lamentable state of PE in our primary schools.

Our engineers and designers can play a role. I am the president of a Bath-based charity called Designability, which brings such experts together to create devices that improve well-being. Their “Day Clock”, for example, helps people with dementia maintain their routine. The clock constantly displays the day of the week and whether it is morning, afternoon, evening or night. This can reduce anxiety, increase independence and make life easier for those suffering from dementia. Their Wizzybug—a fun-looking powered wheelchair for children under 5—addresses the needs of children with conditions such as cerebral palsy and muscular dystrophy. It gives them mobility and independence.

I echo the views of my noble friend Lady Williams. As she rightly says, many government departments have a role to play—some more obviously than others—in creating a healthy nation. Like education and the housing and planning elements of DCLG, the health department’s role is obvious. I welcome its increased emphasis on prevention and mental health.

I am delighted that important steps spearheaded by my right honourable friend Norman Lamb have been taken towards ending NHS bias in favour of physical health conditions. The introduction of NHS waiting time standards for people with common mental health conditions such as depression has started this process. I welcome the additional £600 million for mental health announced yesterday. However, the potential contribution of other departments is often less understood. Take, for example, the Department for Culture, Media and Sport, which is a much undervalued department, yet its work in the arts and sport can make an enormous contribution to the health of the nation.

Mental health campaigner Rachel Kelly says that poetry kick-started her own recovery from mental health problems. She calls for the bonds between well-being and the arts to be strengthened. I entirely agree. No wonder the Department for Work and Pensions, back in 2009, acknowledged:

“There is increasing recognition that having a sense of purpose through leisure and cultural activities contributes to older people’s well-being”.

Creating a healthy and resilient population does indeed require contributions from all sectors. If government is to maximise its contribution, we need to recognise that many government departments, not just the most obvious ones, can play a role, ideally as part of a cross-government strategy. However, none of this diminishes the need for us all to take greater responsibility for our own health.

Oral Answers to Questions

Lord Foster of Bath Excerpts

Tuesday 29th June 2010 Commons Chamber

[Anne Milton]

We have had a number of conversations about all aspects of alcohol policy, and what to do about the 7% of hospital admissions that are due to alcohol and the £2.7 billion cost—some estimates put it much higher, at about £5 billion—to the NHS. Without doubt, we have to change the public’s relationship with alcohol. We are committed to a ban on selling below-cost alcohol, which is important—but it is also important not to disfranchise responsible drinkers, as plenty of people enjoy alcohol responsibly. What we have to do is stop irresponsible drinking and protect people’s health.

[Mr Don Foster (Bath) (LD)]

I thank the Minister for that answer. She will recognise the problems that binge drinking causes our health service, our police and our local communities. I am delighted that she has recognised that there has been an agreement to ban the sale of alcohol at below cost price, but will she assure us that the Government are taking this issue seriously, and that we will hear an early announcement?