Health — House of Lords, 2015-11-26
Topic: Health
Shirley Vivien Teresa Brittain Williams (Liberal Democrats, Centre to centre-left): My Lords, I, too, congratulate the noble Lord, Lord Crisp. He has the holistic and internationalist approach that health worldwide requires. We know that he has drawn the attention of the whole world to the impact of influential and dangerous diseases, such as Ebola and other national and international illnesses, crossing borders. I wholly agree with him that what this country needs most is an all-party approach to our National Health Service that recognises the remarkable things it has achieved and that, instead of quarrelling among ourselves, we should take strength from it and extend its influence and understanding more widely than at present In my four minutes, I shall whizz through a number of things that we ought to be able to do. One thing they show up is that many departments, not simply the Department of Health, have a responsibility. It is very important to notice that, in the last spending review, we sadly saw serious cuts to local government—for example, 6.2% of public health expenditure by local government, which amounts to a loss of £200 million—so what the noble Baroness, Lady Jay, said is very relevant. That will be saved, thank God, by central government giving additional resources to the National Health Service: the £8 billion or so that was announced only yesterday, to my great pleasure. It still means that the local connection and local responsibility have been fundamentally weakened, and that is not in the long-term interest of this country’s prospective health-creating society I shall stop for a moment on the position of central government, to which the noble Baroness, Lady Jay, referred. We could save between £10 billion and £12 billion a year by effectively addressing the illnesses that are very closely related to excessive sugar in our diet. I shall not make a direct connection to type 2 diabetes, but there is enough medical evidence to show that there is a very close relationship. Bearing out what the noble Baroness, Lady Jay, said, the House will know that in the poorest parts of the country and among the poorest people in those parts of the country, consumption of sugar, fizzy drinks and other sugar-related foods is very much higher than in Kensington and Chelsea. That means we are pushing some of the poorest members of our society into eating cheap unhealthy foods, which lands the National Health Service with the responsibility for dealing with the consequences. Last year, those consequences were estimated to be of the order of £14 billion. It is interesting that the amount of extra money given to the health service is £8 billion, which shows very forcefully the case made by the noble Lord, Lord Crisp, about what happens if you do not address prevention soon enough and land the whole price on cure, which is exactly the wrong way to go My second point relates to the Department for Education, which we have not discussed very much. There has been a considerable fall in the amount of time given in state-maintained schools to PE and games. The figure has dropped from around 127 hours a month to fewer than 100 hours. There has been a sharp decline in the amount of time spent on PE and, in a situation where so many children inevitably spend their time watching television, the effects of that drop are very serious As my time is running out, I shall conclude very quickly with one reference to mental health, to which the noble Lord, Lord Crisp, referred. There are three things about it. The first is the terrifying increase in domestic violence casualties—not of overall crime, which has fallen—both women and men, but primarily women. The second is the impact of social networks, particularly in legalising, as it were, serious bullying in education and of young people and adults alike, which we have to address. I suggest to the House—my last thought but one—that we should begin to look at the possibility of insisting that social networks hold a contact name and address of those who use them, not to censor people but just so that they know that somebody knows they are the person responsible for trolling in a way that makes the lives of many of our fellow citizens highly disagreeable, and which is sometimes cruel and brutal Finally on mental health, I agree completely with what the noble Lord, Lord Crisp, said about the equality of treatment working both ways, but we must also address very closely, therefore, the effects of loneliness—of families and societies that are breaking down—on mental health, particularly that of many older people.