National Health Service: Bullying

Lord Dobbs Excerpts

Wednesday 3rd July 2019 Lords Chamber

[Baroness Blackwood of North Oxford]

I thank the noble Baroness for that proposal; I shall certainly look into it. A number of measures have been put in place to enable a safe space for whistleblowers to come forward, including a number of regulations ensuring that they are protected and that non-disclosure agreements do not inhibit them from coming forward, but I will certainly consider her proposal.

[Lord Dobbs (Con)]

My Lords, does my noble friend accept that the rights that we all enjoy with the National Health Service also come with commensurate responsibilities: the responsibilities of patients not to abuse staff and to turn up to their appointments, and the responsibilities of staff to ensure that the National Health Service is being used honestly and responsibly? Does she agree that the BMA’s recent announcement that charging health tourists is “fundamentally racist” is not only bonkers but financially disgraceful, and deeply damaging to the people and the patients the National Health Service was set up to protect?

[Baroness Blackwood of North Oxford]

I certainly agree that charging those who come from other countries and use the National Health Service is perfectly sensible and appropriate, and by no means racist. I also believe that, as the call for action on bullying says, it should be perfectly straightforward to get out messages on safety from senior leaders and staff voices. It should be a positive message about how it is a natural extension of the social contract between the NHS and those who use it.

Hospices: Impact of NHS Pay Increases

Lord Dobbs Excerpts

Monday 18th June 2018 Lords Chamber

[Lord O'Shaughnessy]

I can reassure the noble Lord that we are looking at that. Hospices work closely with local CCGs, which provide around 30% of their funding. We estimate that around 9,000 nurses work in hospices, and clearly we want to make sure that that number not only stays level but increases so that we can start to deliver the choice that we have committed to in palliative care for people.

[Lord Dobbs (Con)]

My Lords, the hospice movement helps over 200,000 patients every year, and they help not only the patients who are at that point in their lives but their relatives, leaving them with fantastic and positive experiences rather than the alternative which is available. The hospice movement is largely funded by the private sector—

[Noble Lords]

Question!

--- Later in debate ---

[Lord Dobbs]

I will quickly get to that—I have a very important question. The hospice movement is largely funded by the private sector—by public subscription, not by central government. Can my noble friend use his great skills, of which we are all admirers, to make sure that nothing that the Government do undermines the hospice sector and that we find ever more imaginative and successful ways to support such a vital role?

[Lord O'Shaughnessy]

I will certainly do everything that I can. I agree that hospices are a fantastic example of the kind of mixed economy that this country does so well, with philanthropic and public contributions, and we must make sure that both those continue.

NHS: Charitable Donations

Lord Dobbs Excerpts

Thursday 22nd February 2018 Lords Chamber

[Lord O’Shaughnessy]

That 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.

[Lord Dobbs (Con)]

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?

[Lord O’Shaughnessy]

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.

NHS: Working Conditions

Lord Dobbs Excerpts

Wednesday 5th July 2017 Lords Chamber

[Lord O'Shaughnessy]

As 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.

[Lord Dobbs (Con)]

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?

[Lord O'Shaughnessy]

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.