Queen’s Speech — House of Lords, 2021-05-12
Topic: Health
Rita Donaghy (Labour, Centre-left): My Lords, I welcome the maiden speeches of my noble friend Lady Blake and the noble Lord, Lord Lebedev, and I join in saying farewell to the right reverend Prelate the Bishop of Portsmouth. He will be much missed Despite the Government’s pledge to support the National Health Service, I do not see how it will succeed. An announcement that there will be an announcement about social care will do nothing to help the NHS. There is no indication that NHS staff will be supported with improved pay and conditions, or that their exhaustion will be addressed and their morale improved I have spent the last couple of days rereading the debate from 2011-12 on the then Health and Social Care Bill. The noble Earl, Lord Howe, promised streamlining, integration and an improved health service. Only the noble Earl could have steered that ghastly Bill through. I should be delighted to see the back of it—but now we hear the noble Baroness the Minister promise a "landmark" health and social care Bill. Guess what? It will reduce bureaucracy and improve the safety of patients. I will be reminding the Government of what they said during that 2012 debate A four-year commission of inquiry by the London School of Economics and the Lancet medical journal has identified that an extra £102 billion is needed to catch up with many high-income countries, and they have a detailed blueprint for paying for it. The report also says that the Prime Minister should drop his planned reorganisation of the NHS in England because it will be "disruptive" and bring no benefits. I agree with everything that the noble and gallant Lord, Lord Stirrup, said in his powerful speech: drop this Bill and concentrate on staff morale and job security Turning to the general employment situation, the TUC has pointed out that the Prime Minister has repeatedly promised to protect and enhance workplace rights after our departure from the EU. The Government have rowed back on their promise to boost workers’ rights in not bringing forward their long-overdue employment Bill. Frances O’Grady, the TUC general secretary, has said: "We need action now to deal with the scourge of insecure work … We can’t build back better from this crisis unless we improve pay and conditions" One in five employees experienced depression this year, and the ONS finds that the lowest earners have the worst mental health. Businesses should be prioritising the training of line managers in supporting employee well-being ACAS commissioned some independent research backed by the CIPD estimating the costs of conflict in the workplace. Sue Clews, the chief executive of ACAS, said that "conflict was suppressed during the height of the pandemic … But as working life returns to some form of new normality in 2021, it is likely that insecurity, rapid change and continuing economic pressures will lead to a re-surfacing of conflict between individuals" This can be an opportunity, but it can also lead to increased resignations, sickness absence and presenteeism, which leads to lower productivity. An essential ingredient in good management is to be conflict-competent. This saves time and money. The ACAS analysis estimates the overall total annual cost of conflict to employers at £28.5 billion. It points to a clear link between the well-being of employees and organisational effectiveness Finally, the use of mini umbrella companies allows employers to avoid their national insurance contributions and costs the taxpayer hundreds of millions of pounds a year. We have seen unusual payroll patterns in the test and trace workforce, with workers shunted from one company to another every few months, given P45s and new job contracts despite no change to the work. At least 30 different payroll companies in test and trace fit the mini umbrella company definition. HMRC must get to grips with these scandalous loopholes and protect vulnerable workers. I look forward to the continuing debate.