Queen’s Speech — House of Lords, 2022-05-17
Topic: Health
Joan Walmsley (Liberal Democrats, Centre to centre-left): My Lords, I too welcome the mention in the gracious Speech of the long-awaited draft mental health Bill, but that has been covered extremely well by my noble friend Lady Tyler and I agree with all the points she made, so I will go no further on that However, since the Speech, which followed quickly on the heels of the Health and Care Act, we heard at the weekend that the Government intend, with indecent haste, to backtrack on measures for which they have only just got Royal Assent. I refer to the planned restrictions on TV and online advertising of foods high in sugar, salt and fat. Before the ink is dry on the Act, the Government now want to defer implementation for a further year. Can the Minister write to me to say what representations the Government have received on this and from whom In Committee, I commented on government amendments to allow the Secretary of State to defer implementation beyond January 2023. I said: "Given the notice the industry has already had about these measures and the fact that the Government have already deferred implementation, a year from now should be quite enough time. Why do the Government feel they need these further powers?"—[Official Report, 4/2/22; col. 1212.] The noble Baroness, Lady Penn, who probably did not know what the Government were planning, said that "the implementation dates for these restrictions none the less remains 1 January 2023." She said: "Amendments 249, 252 and 254 separately introduce the ability to delay that implementation date via secondary legislation, should this be deemed necessary after the Bill receives Royal Assent. We have taken this decision to provide flexibility should emerging challenges mean that implementation from 1 January 2023 proves unworkable. However, I should emphasise that we currently have no plans to delay the introduction of these restrictions."—[Official Report, 4/2/22; col. 1217.] It seems I was right to be suspicious I ask the Minister: what sudden "emerging challenges" have made it necessary to give the industry a further year’s notice of the restrictions? I presume she meant challenges to the Government’s credibility or perhaps to the leadership of the Prime Minister. It can have nothing to do with the price of gas or a basic food shopping basket, and certainly nothing to do with the health of the nation. I also asked the Minister some months ago if there was any truth in the rumour going around that the Government planned to ditch the ban on "buy one, get one free" offers on unhealthy foods. I was assured in the strongest terms that this rumour was untrue. Allowing someone to get two enormous bars of chocolate for the price of one will not help them pay their energy bill or buy essential healthy foods for their family. Henry Dimbleby, the author of the national food strategy, said on the radio yesterday morning that it would do nothing to address the nation’s obesity crisis. I also call in aid the noble Lord, Lord Hague, who says in today’s Times: "These are not ‘good deals’ for our wallet or our health. The whole point of them is to get people used to buying more." He called the Government’s backtracking "intellectually shallow, politically weak and morally reprehensible." I could not have put it better In the gracious Speech the Government said that they would "fund the National Health Service to reduce the Covid backlogs." That is all very well, but other problems have not gone away. I refer first to the ambulance crisis. Doctors now believe that the wait times are endangering patients’ lives. The problem is the shortage of enough properly trained staff in the right places. The Health and Care Act 2022, as enacted, will not improve the planning and adequate provision of staff. The Minister may recall the all-party amendments for measures to assess and plan workforce needs properly, but the Government resisted. Figures were cited for a shortage of doctors and nurses, but today I give an example from an allied medical profession A hospital dietician, who plays a vital role in the treatment and recovery of patients, got in touch with me. Her pay rise has been consistently below inflation for some time. She has no other senior dieticians in her team as they are all off with stress and she is covering their work. She also has to cover for vacant junior posts. Because of savings targets, she must save 20% on her staffing budget. This will mean that she is unable to fill the posts needed for safe staffing levels. Can the Government explain why the system they have chosen for workforce planning is going to help in this situation?