Baroness Garden of Frognal debates involving the Department of Health and Social Care during the 2017-2019 Parliament

Tue 22nd Oct 2019
Tue 12th Mar 2019
Healthcare (International Arrangements) Bill
Lords Chamber

Report stage (Hansard): House of Lords
Wed 21st Nov 2018
Mental Capacity (Amendment) Bill [HL]
Lords Chamber

Report: 1st sitting: House of Lords

Queen’s Speech

Baroness Garden of Frognal Excerpts
Tuesday 22nd October 2019

(4 years, 6 months ago)

Lords Chamber
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Baroness Garden of Frognal Portrait Baroness Garden of Frognal (LD)
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My Lords, I shall speak on education, although this is stretching the Queen’s Speech way beyond its content. As my noble friend Lord Storey and others have said, the only mention of it is:

“My Ministers will ensure that all young people have access to an excellent education, unlocking their full potential and preparing them for the world of work”.


That is hardly controversial, but it would be good to know just how the Government think they are preparing young people for the world of work with their constant focus on academic GCSE and A-level results at the expense of vocationally talented and motivated learners. Do the Government never make the connection between the growth in gangs and violent crime among young people and the fact that their compulsory education has left them alienated from learning, with a lack of self-confidence and self-respect because Shakespeare and algebra were not their skill set? Had there been encouragement and opportunity to work on cars, plumbing, construction, catering, hairdressing, caring or the arts, how different their lives after school might have been, but schools are not measured on practical achievements.

I declare interests as a fellow of Birkbeck, which has adult and lifelong learning at its heart, and as a vice-president of City & Guilds, which for more than 140 years has provided highly respected and well-understood employer-led vocational qualifications.

Preparation for the world of work depends on careers information and guidance at the earliest stage—certainly at primary school. The country faces a critical skills shortage and all the encouragement we can muster should be going to those young people whose motivation and talents lie in areas where GCSEs will be, to a great extent, irrelevant. What are the Government doing to motivate those young people? They may gain no credits for their schools in the narrow definition of education against which schools are judged. They may wish to embark on apprenticeships, often in the teeth of the opposition of schools and parents who fail to understand just how important a skilled workforce may be, even if they cannot pass GCSE English and maths in the approved fashion.

Where is the Government’s encouragement for lifelong learning? We certainly need the skills of adults to make up for the shortfall in younger skilled people. The Augar report, which seems to have been conveniently parked, recommended much better funding and support for further education for adults and work-based education. I endorse all that the noble Lord, Lord Lingfield, said on this subject. Love Our Colleges has been an active campaign, because for too long colleges have been the Cinderella service of our education system, with lower funding and lower pay for staff than for school teachers, but with huge responsibilities put on their shoulders. This has to be wrong.

As Liberal Democrats, we would aim to rectify this and to extend the pupil premium to the age of 19, because deprivation does not stop at 16. The £400 million that the Government have announced marks the first meaningful investment in further education for 16 to 19 year-olds for more than 10 years. It is not enough to reverse the decade of cuts, nor to properly stabilise the sector for the future, but it is a good start. We would introduce a personal education skills allowance to give motivation and funding to adults to retrain and reskill at key points in their working life. We would encourage support for those who take Open University degrees, who are motivated by learning but deterred by funding.

Given my portfolio, I must address the dreaded T-levels. I echo all that the noble Lord, Lord Willetts, said. This innovation is mistimed, mistaken and flawed. Instead of building on BTEC and City & Guilds qualifications, which have long been the benchmarks for industry, the Government threaten to undermine such tried and tested qualifications in favour of untried, untested T-levels. The noble Baroness, Lady Barran, repeated the mantra that by renaming vocational qualifications as technical qualifications we would, at a stroke, solve the academic and vocational divide. If only life were that simple.

This Government will not be forgiven if, in pursuit of this latest initiative—which might well be one of many that founders in the course of time—they withdraw funding and support from technical, craft and vocational qualifications that have long served employers so well. I therefore appeal to the Government to think again on T-levels, to give more time to pilots and, meanwhile, to ensure that existing qualifications remain available and supported to work-based learners. I will not hold my breath for a response today as we do not have an education Minister here to reply, but the education team on these Benches will keep pressing the Government for action on further education and lifelong learning and for recognition of the very real value of practical work-based achievement.

We face huge skills shortages in this country: in construction, engineering, hospitality and the creative industries. We deserve an education system that meets the needs of learners and of the economy. Yes, of course we need to support our brilliant universities, but for the 50% or more who do not go to universities, let us celebrate their talents and the skills that they acquire that meet the needs of employers.

Healthcare (International Arrangements) Bill

Baroness Garden of Frognal Excerpts
4: Clause 2, page 1, line 11, leave out subsections (2) to (4) and insert—
“(2) Regulations under subsection (1) may be used only to the extent necessary to replicate so far as possible the model of reciprocal healthcare for the European Union, the European Economic Area and Switzerland in place before the withdrawal of the United Kingdom from the European Union.”
Baroness Garden of Frognal Portrait The Deputy Speaker (Baroness Garden of Frognal) (LD)
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Amendment 4 is, I think, consequential on Amendment 1.

Lord Marks of Henley-on-Thames Portrait Lord Marks of Henley-on-Thames
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I am not sure that Amendment 4 is entirely consequential, so it is probably better if I do not move it, now that Amendment 1 has been agreed.

Mental Capacity (Amendment) Bill [HL]

Baroness Garden of Frognal Excerpts
Baroness Garden of Frognal Portrait The Deputy Speaker (Baroness Garden of Frognal) (LD)
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My Lords, I need to inform the House that, within this group, Amendments 25 and 26 appear to be alternatives. Amendment 26 will be moved only if Amendment 25 is withdrawn or disagreed to.

Baroness Tyler of Enfield Portrait Baroness Tyler of Enfield
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My Lords, I support this group of amendments. One or two offer a slightly different definition or slightly different words but the key point for me, having moved a similar amendment in Committee, is that we have now removed the phrase “unsound mind” from the Bill. I know this is welcomed here and will be hugely welcomed by many in the sector. It means we will get rid not only of a very old-fashioned and stigmatising term but one on which there were also concerns—as I understood from my conversations with the Royal College of Psychiatrists—that it had no real clinical meaning. The term “mental disorder”—or the few more words added by other amendments—not only brings us in line with the Mental Health Act, which is good, but I am advised that it will also help to provide diagnostic clarity. That has to be a good thing too. I support this group of amendments.

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Baroness Garden of Frognal Portrait The Deputy Speaker
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My Lords, Amendments 16 and 16A appear to be alternatives, so Amendment 16A will be moved only if Amendment 16 is withdrawn or disagreed to.

Baroness Meacher Portrait Baroness Meacher
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My Lords, I put my name to this amendment and I very strongly support it. Having been a Mental Health Act commissioner for many years and having visited independent hospitals as well as NHS hospitals and other establishments, I remember those independent hospitals as being the most alarming environments that I ever visited. Very often, the biggest problem was indeed the conflict of interest. People would get into those hospitals and be treated, and that was all good, but whereas in an NHS hospital the pressure all the time, from the day of arrival, is to plan the exit and aftercare in the community, once those hospitals had got the person better they had a lovely ride. The patient was there and was no trouble, no longer had symptoms and was miles—maybe hundreds of miles—from their family. They did not get visits. The conditions in which those people were held were shocking, and the degree of the deprivation of liberty was often deeply shocking. Did they go out in the grounds? Probably not. Did they go out for walks? Probably not. Any kind of a sense of liberty could be lost, not just for days, weeks or even months, but for years. We would do our tiny best, but the fact was that we might get round to one of those hospitals every two years. It was inadequate to say the least. I therefore urge the Minister to take this very seriously. We are worried about care homes, which are probably local and have the family nearby, if there is one. They can be a problem, but this is on another scale and of another degree of severity, so I strongly support this amendment and urge the Minister to consider it.

Education (Student Support) (Amendment) (No. 2) Regulations 2018

Baroness Garden of Frognal Excerpts
Monday 21st May 2018

(5 years, 11 months ago)

Lords Chamber
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Baroness Garden of Frognal Portrait Baroness Garden of Frognal (LD)
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My Lords, I rise to speak briefly in support of the noble Lord, Lord Hunt, and my noble friend Lady Walmsley, who set the scene very comprehensively for us. I note that these regulations came into force on 7 May, so presumably any impact we can have on them is going to be retrospective at best.

I share the concerns about adults coming back into the nursing workforce. They will be more risk averse but by and large they are invaluable members of the nursing community, so putting them off seems extremely foolish. I also share the concerns of the noble Lord, Lord Clark, about the apprenticeship route, which obviously has got off to a very slow start. I think that the health fraternity is finding it complex working out how the apprenticeships are going to fit in. In due course degree apprenticeships may be able to take up some of the slack, but it will be a long time before that happens and certainly it will not be quick enough to solve the nursing shortfall that we are experiencing at the moment.

Equally, as the noble Lord, Lord Clark, also said, we must take into account the fact that EU nurses are leaving in droves at the moment because they find this country unwelcoming, as indeed are EU workers in a number of other sectors as well. That situation is not going to get better. I will therefore add my voice to those asking for a delay in implementing these damaging proposals until there has been time for a full impact assessment, or at least until the review of post-18 education and training has reported. The NHS is too important to be left to chance like this, and with a crisis in the nursing workforce, this is not the time to embark on measures that will do nothing but worsen the position. I urge the Minister to think again.