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Vol. 798 Wednesday No. 325 3 July 2019 PARLIAMENTARYDEBATES (HANSARD) HOUSE OF LORDS OFFICIAL REPORT ORDEROFBUSINESS Questions Asthma .........................................................................................................................1435 National Health Service: Bullying ................................................................................1437 Affordable Housing ......................................................................................................1440 Sexual Offences: Anonymity.........................................................................................1442 Brexit: Appointment of Joint Committee Motion to Agree............................................................................................................1444 SS “Richard Montgomery” Question for Short Debate.............................................................................................1499 Grand Committee Wild Animals in Circuses (No. 2) Bill Committee.................................................................................................................GC 93 Lords wishing to be supplied with these Daily Reports should give notice to this effect to the Printed Paper Office. No proofs of Daily Reports are provided. Corrections for the bound volume which Lords wish to suggest to the report of their speeches should be clearly indicated in a copy of the Daily Report, which, with the column numbers concerned shown on the front cover, should be sent to the Editor of Debates, House of Lords, within 14 days of the date of the Daily Report. This issue of the Official Report is also available on the Internet at https://hansard.parliament.uk/lords/2019-07-03 The first time a Member speaks to a new piece of parliamentary business, the following abbreviations are used to show their party affiliation: Abbreviation Party/Group CB Cross Bench Con Conservative DUP Democratic Unionist Party GP Green Party Ind Lab Independent Labour Ind LD Independent Liberal Democrat Ind SD Independent Social Democrat Ind UU Independent Ulster Unionist Lab Labour Lab Co-op Labour and Co-operative Party LD Liberal Democrat LD Ind Liberal Democrat Independent Non-afl Non-affiliated PC Plaid Cymru UKIP UK Independence Party UUP Ulster Unionist Party No party affiliation is given for Members serving the House in a formal capacity, the Lords spiritual, Members on leave of absence or Members who are otherwise disqualified from sitting in the House. © Parliamentary Copyright House of Lords 2019, this publication may be reproduced under the terms of the Open Parliament licence, which is published at www.parliament.uk/site-information/copyright/. 1435 Asthma [3 JULY 2019] Asthma 1436 House of Lords optimise medical management of the condition. Some clinicians and staff are unaware of national treatment Wednesday 3 July 2019 guidelines, prescribing advice or recommendations from the national review of asthma deaths. What is the 3 pm Government’s response to this? Why has only one of the NRAD recommendations been implemented since Prayers—read by the Lord Bishop of Carlisle. 2014? Why are the remaining 18 still to be acted on to try to stop these unnecessary and untimely deaths? Asthma Baroness Blackwood of North Oxford: The noble Question Baroness will have heard in my opening remarks that we have put treating asthma and respiratory diseases 3.07 pm as a key priority within the NHS Long Term Plan Asked by The Earl of Clancarty precisely because we recognise that we need to improve our performance on respiratory diseases. Working with To ask Her Majesty’s Government what support Asthma UK, we have identified that one of the key they are giving to people suffering from asthma, challenges in improving performance has been the including on access to medicines. identification of those with severe asthma and providing TheParliamentaryUnder-Secretaryof State,Department them with an appropriate care plan. That is exactly of Health and Social Care (Baroness Blackwood of why we are pleased that a new NICE quality standard, North Oxford) (Con): My Lords, respiratory disease, QOF and the RightCare programme are in place; including asthma, is a clinical priority in the NHS these should help to improve referrals and outcomes Long Term Plan, which aims to improve outcomes for for patients as is desperately needed. patients through earlier diagnosis and increased access to treatments. Pharmacists in primary care networks Baroness Manzoor (Con): My Lords, as the will undertake medicine reviews for asthma patients. Government roll out the early diagnosis centres, including This will include education on inhaler use and uptake for lung-health checks, across the country, will they be of dry powder and smart inhalers where clinically looking to implement recommendation 1e of the lung appropriate.Finally,the NHS will build on the RightCare task force as part of their strategy, so that air pollution programmetoimplementrespiratoryinitiativesin2019-20. is monitored and the NHS can provide advice when The Earl of Clancarty (CB): My Lords, Asthma pollution levels are high? UK finds that, of the 2.3 million people with asthma in England who pay for their prescriptions, more than Baroness Blackwood of North Oxford: I thank my three-quarters struggle to afford them, let alone follow noble friend. She is right that we need to improve our an essential treatment plan. Does the Minister agree response to those at high risk of respiratory illness. that prescription charging sends out entirely the wrong That is partly why we are improving our offer on signals to the whole community about the seriousness mobile lung-health screening, specifically as part of of the condition which causes the deaths of many the national targeted lung health checks programme. young people? The great tragedy is that most of those It is also why we are offering smoking cessation advice deaths are avoidable. Should we not as a priority look and treatment as part of that service. We offer the again at the exemptions list? general population and vulnerable groups advice via the daily air quality index, but she is right: we need to Baroness Blackwood of North Oxford: I thank the improve our monitoring of air pollution if we are to noble Lord for his question. I have met with Asthma make progress on this issue. It is something that I will UK on this issue. As an asthmatic myself, I understand take up with the department. the challenges of keeping up with medication, especially when in the middle of an exacerbation. At the moment, we do not intend to review the prescription charges Lord Brooke of Alverthorpe (Lab): In view of the list. However, there are some exemptions in the gravely damaging effect of asthma on children, does prescription list, and we have committed to work with the Minister agree that the abolition by the former Asthma UK to ensure that those who are eligible for Mayor of London of the west London zone for congestion low-income exemptions and for the pre-payment charge charging has increased the amount of air pollution in are accessing them and to look at any other ways in London over recent years? Many children have died which we can help those who need life-saving medication. and many people have suffered as a consequence. Will she ask the candidates for the Tory leadership whether Baroness Wheeler (Lab): My Lords, I am sure that they are prepared to reintroduce such a zone in London? the Minister will know about the recent shocking report from the BMA describing the UK health system as complacent about the risks of asthma. It comments Baroness Blackwood of North Oxford: The noble on and documents some of the tragic deaths of young Lord is asking me to step in and comment on matters children who would still be alive if their chronic asthma that are slightly outside my brief. However, I am had been properly cared for. It shows a sorry litany of pleased that we have brought in the clean air strategy, absence of a proper asthma plan across primary and which is a significant step forward. He is also asking secondary care and failure to refer children suffering me to commit the Mayor of London rather than repeated attacks to a specialist respiratory team or to leadership candidates to a policy area. We do need to 1437 Asthma [LORDS] National Health Service: Bullying 1438 [BARONESS BLACKWOOD OF NORTH OXFORD] throughthenationalSocialPartnershipForum’scollective move further and faster on air pollution; that is what I call to action; the interim people plan, which, through expect to see in the prevention Green Paper which will its new offer for our people, will create a healthy, be published shortly. inclusive and compassionate culture where bullying, harassment and abuse will not be tolerated; and our The Lord Bishop of Carlisle: My Lords, given the alliance of healthcare organisations, which is promoting recent report of an upsurge in acute asthma attacks civility and respect throughout the NHS. among schoolchildren at the start of each school year, and given that—as we have already heard—there are Lord Clark of Windermere (Lab): I thank the Minister three deaths per day from asthma in the UK, many of for her Answer. As she said, the latest survey shows them preventable, what plans do Her Majesty’s that over 25% of NHS staff had personally experienced Government have for encouraging better health education bullying from fellow employees in the previous 12 months. regarding the seriousness of this disease? Does she agree that that is appalling and intolerable, and that
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