Queen’s Speech

Lord Pendry Excerpts

Thursday 29th June 2017 Lords Chamber

[Lord Pendry (Lab)]

My Lords, surely over the past six years we have witnessed the worst period in the history of the National Health Service. I make no apologies that from the outset I will refer in the main to the problems faced in the north-west of England. I am indebted to Dr Kailash Chand, the deputy chair of the British Medical Association, who used to be my general practitioner in Stalybridge. He points out that the problems in the Greater Manchester area are very acute, particularly in the accident and emergency section, which is under record strain, he says, with black alerts being regularly sounded and patients in need of care often being turned away.

In the community, general practice is on life support. GP practices in Greater Manchester are struggling, owing to the failure of this Government to provide the investment needed to match the increasing demand on services. Underfunding, increased red tape and GP shortages have left many patients struggling to get appointments, while 300 GP practices across the country are facing closure. Recent BMA surveys reveal that a third of GP partners in the north-west say that they have been unable to fill vacancies in the past year, and 86% said that their workload is affecting the delivery of patient care. Bed shortages, lack of mental health resources, underfunded social care and one of the worst winters on record have left services in the region struggling to cope. Reference in the gracious Speech to proposals to improve the basis of mental health provision is clearly welcome and awaited. Hopefully it will be rather better than the previous promises, which were woefully inadequate.

Mental health is in crisis, and we know that there is no health without mental health. A former medical health director of a mental health trust reports, “Mental health services are now more fragmented than ever, with a serious shortage in beds and community provision. There is parity of mental and physical care simply in name alone”. Moreover, the Care Quality Commission reports that only 14% of patients say that they received appropriate care in a crisis. That is hardly surprising, given that the number of psychiatric beds has dropped by 39% since 1998, 40% of mental health trusts experienced reductions in income in 2013-14 and 2014-15, and the shortage of beds has resulted in out-of-area placements, which are of course inconvenient to the families and friends of patients, and very costly. Meanwhile, detentions under the Mental Health Act have increased every year since 2009.

I have a particular interest in the problems that beset Alzheimer’s disease. On a personal level, a member of my family is currently in a care home, and the carers in those homes deserve better remuneration than currently exists. In 2000, I was fortunate to win a place in the ballot for Private Members’ Bills in the House of Commons, and I opted for a better deal for carers. As a result, my deal is on the statute book as the Carers and Disabled Children Act 2000, which in some degree has helped carers, although much more has to be done.

Last Saturday, I attended a charity function in my former constituency to help a former constituent of mine, Peter Flanagan, who has been diagnosed with dementia pugilistica, a particular form of the disease that affects former boxers and footballers. It is a neurodegenerative disease, which in itself is rare. However, we all know that there are many forms of dementia, which is the biggest killer in the UK. Peter, together with a colleague, is about to walk for six days on a route along the Great Wall of China to raise money for charity, and he will donate the proceeds to the Alzheimer’s Society. The biggest donor should of course be the Government. We should not have to rely on brave people like Peter to do what he is having to do to bring this to the attention of the Government.

Had there been more time, I would have liked to have referred to the excellent work done by the Teenage Cancer Trust, of which I am a patron. That will have to wait for another day, but I will say that it is critical that the Government make an explicit commitment to continue to implement and prioritise the need for the work that is done by the Teenage Cancer Trust. The next generation should be the first that is not afraid to talk about cancer, and the trust is committed to the idea that young persons so affected should be educated about this terrible disease.

Finally, due to the first-class service that it provides us with, the House of Lords Library has given me valuable information: the voting figures for Nye Bevan’s National Health Service Act 1946, which was passed by a majority of 187. Notable among those who voted against it were Sir Winston Churchill, Sir Anthony Eden, Harold Macmillan, Rab Butler, and many other notable Tories. Should there be any doubt which party is the party for the National Health Service?