Inclusive Society

Baroness Tyler of Enfield Excerpts

Wednesday 14th April 2021 Grand Committee

[Baroness Tyler of Enfield (LD) [V]]

My Lords, I pay tribute to the noble Baroness, Lady Lister, for securing this vital debate and refer to my social work interests in the register.

This has been a global pandemic, so I start my remarks at a global level. The World Bank has recently said that the current health crisis has

“put the spotlight on deep rooted systemic inequalities”

within societies, particularly for some of the most marginalised groups. Crucially, the bank has argued:

“The crisis is also an opportunity to focus on … rebuilding … more inclusive systems that allow society … to be more resilient to future shocks, whether health, climate, natural disasters, or social unrest.”


Our debate focuses on the UK. In March, the British Academy produced a series of reports addressing the long-term societal impacts of Covid-19. Its evidence report listed nine interconnected areas, which included: worsened health outcomes and growing health inequalities and the greater awareness of the importance of mental health.

In responding to this new opportunity and trying to reshape the way we do things, we must recognise that the pandemic has had a disproportionate impact on certain groups, particularly black and minority ethnic communities and disabled people. It has exposed deep inequalities in our health and care systems. In February, the Marmot 10 Years On report was published and made for sober reading. In short, it showed that life expectancy in England has stalled for the first time in more than 100 years and even reversed among the poorest people in certain regions: the more deprived the area, the shorter the life expectancy.

Professor Marmot says that the worsening of our health cannot be written off as the fault of individuals for living unhealthy lives; rather, their straitened circumstances and poor life chances are to blame. His institute’s work has established that healthy lives depend on early child development, education, employment and working conditions, adequate income and a healthy and sustainable community in which to live and work. Surely these are all things that an inclusive Covid recovery plan should prioritise.

The Government’s commitment in their 2019 election manifesto to extend healthy life expectancy by five years by 2035 and to narrow the gap between richest and poorest is to be welcomed. However, as the Lords Public Services Committee recommended in its first major report on the impact of Covid on public services, the Government should now publish their strategy to achieve that manifesto commitment and their response to the prevention White Paper. Can the Minister say when the Government plan to do that?

As we have already heard, many children have been particularly badly affected by the pandemic, and life was already difficult for many vulnerable children. In 2017, the all-party group for children, of which I am co-chair, published two reports looking at the state of children’s social care. In brief, they found that children often have to reach crisis point before social services step in and that decisions over whether to help a child—even in acute cases—are often determined too largely by budget constraints. I join others in calling for the £1.7 billion lost from the early intervention grant since 2010 to be restored.

I turn finally to mental health. Recent Centre for Mental Health modelling predicts that up to 10 million people in England will need either new or additional mental health support as a consequence of the crisis. Some 1.5 million of those will be children and young people under 18. It is abundantly clear that the pandemic is taking a huge toll on children’s mental health and that the current system—already under great strain pre-pandemic—simply will not cope with the scale of demand coming down the track. Without the right mental health support in schools, the significant investment that the Government have rightly made in academic catch-up risks being undermined. While the extra £79 million announced in March for mental health in schools is welcome, it simply will not be sufficient to keep up with urgent need. Tackling this unprecedented mental health crisis will need more ambitious action, including every school having access to counselling services. I look forward to hearing the Minister’s response on this point.

[Baroness Bloomfield of Hinton Waldrist (Con)]

I intervene at this juncture to remind noble Lords that there is a four-minute speaking limit. I would be grateful if people could try to observe this so that everybody gets the chance to speak.