Health and Care Bill: Bishop of Carlisle supports amendments requiring specialist palliative care services

On 18th January 2022, the House of Lords debated amendments to the Health and Care Bill. The Bishop of Carlisle spoke in the debate, supporting amendments tabled by Baroness Finlay of Llandaff that would require specialist palliative care units to be set up in the UK:

The Lord Bishop of Carlisle: My Lords, it is always a pleasure to follow the noble Lord, Lord Patel. I am pleased to give my wholehearted support to Amendment 47 and to Amendment 52, to which I have added my name, which compellingly requires the commissioning of specialist palliative care services in every part of England. Throughout my life and work I have often had the privilege of being present with families and communities, supporting people of all ages through the final chapter of their life, so I have seen at first hand the enormous difference that high-quality palliative care can make to their experience of dying, death and bereavement.

However, as the noble Baronesses, Lady Brinton and Lady Masham, pointed out, 90% of people might need such care, but as things stand at present only about half of them will receive it. What is more, it is all too often those in our most deprived communities who are dying without the help and dignity they deserve.

To that end, a compelling body of evidence has been provided by Marie Curie, the end-of-life charity, which has been mentioned several times already in this debate. Building on that evidence, this amendment will not only prevent many people with a terminal illness dying in pain but deliver significant cost savings to the NHS by reducing unnecessary hospital admissions.

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Health & Care Bill: Bishop of Carlisle supports amendments on health inequality on behalf of the Bishop of London

On 13th January 2022 the House of Lords debated the Health & Care Bill in its second day of committee. On behalf of the Bishop of London, the Bishop of Carlisle spoke in support of amendments seeking to reduce health inequalities:

The Lord Bishop of Carlisle: My Lords, I will speak on behalf of my noble friend the right reverend Prelate the Bishop of London. She has added her name to Amendment 65, and we on these Benches support the other amendments in this group that seek to reduce health inequalities. As we have heard, these amendments would help to ensure that the Bill does not forget the underserved and disadvantaged in our society, many of whom have been mentioned already.

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Votes: Adjournment

On 8th December 2021, the House of Lords held a vote on a motion for adjournment, in which Bishops took part:

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Votes: Armed Forces Bill

On 8th December 2021, the House of Lords debated Commons Reasons regarding amendments to the Armed Forces Bill. Votes were held on further amendments to the bill, in which a Bishop took part:

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Health and Care Bill: Bishop of Carlisle welcomes legislation and highlights multifaceted aspects of care

On 7th December 2021, the House of Lords debated the Health and Care Bill in its second reading. The Bishop of Carlisle made a speech welcoming the bill and outlining the multiple aspects of care in need of attention going forwards:

The Lord Bishop of Carlisle: My Lords, this is a health and care Bill. I will address certain specific aspects of that care that deserve further attention.

First, on integrated care, like the noble Lord, Lord Kakkar, I welcome the clear desire for integration, collaboration and local flexibility, and the placing of integrated care systems on a statutory footing. But can the Minister assure us that, in ICBs and ICPs working together to ensure co-ordination in the design and delivery of integrated care, there will be an adequate focus on prevention rather than just cure, especially in mental health needs, not least among young people with learning disabilities?

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Bishop of Carlisle – need to improve palliative care, not legalise assisted suicide

On October 22nd 2021 Peers debated the Assisted Dying Bill of Baroness Meacher, at its Second Reading.

The Lord Bishop of Carlisle: My Lords, it is a privilege to follow the noble Lord, Lord Alton. I too congratulate the noble Baroness, Lady Davidson, on such an excellent speech

My colleagues on these Benches have already expressed our profound opposition to any change in the law on assisted dying so I will not repeat the cogent points that they have already made. I hope it will be apparent that our position is not only theological but rooted in our pastoral experience and that of many chaplains in hospitals and hospices and clergy across the land, with arguments that, as this debate has effectively revealed, are important to a wide variety of people, whatever their beliefs.

I remember, when we last debated this issue in your Lordships’ House, being asked in a radio interview, “What’s new in this debate?” In terms of arguments rather than opinions, I am not at all sure that much was new then, and even less is new now. So in the brief time allocated to me today, I will simply reiterate two issues that have been raised several times but which seem of particular significance in this powerful, respectful and very moving discussion, in which we know that compassion motivates every one of us.

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Health and Social Care Levy Bill: Bishop of Carlisle expresses concerns on government approach towards social care

On 11th October 2021, the House of Lords debated the Health and Social Care Levy Bill in its second reading. The Bishop of Carlisle spoke in the debate, raising several areas of concern over the bill and the government’s approach to social care funding and practice:

The Lord Bishop of Carlisle: My Lords, it is a privilege and a little daunting to follow the noble Lord, Lord Forsyth. I should declare an interest in this debate, given that I share with my brother in caring for our 93 year-old father who has dementia. He lives with each of us for six months at a time.

To be positive for a moment, I should also say how grateful I am that the ongoing nettle of funding social care is being grasped, at least tentatively, by this proposed levy when, for so many years, it has been studiously avoided or ignored. Nor would I wish to quibble with the obvious benefit of this proposal for our hard-pressed NHS, resolving as it will at least some of the backlog of diagnosis and treatment that has built up during the pandemic. Despite the hesitations already expressed about Sir Andrew Dilnot’s proposals, I am glad of signs that some of them—now 10 years old—are being partially implemented. I am also delighted that the question of integration between health and social care is, at least on the surface, being taken seriously at last.

But—and it is quite a significant but—there are several problems with this proposal, in addition to those which have already been raised, which demand our attention. First, we have already referred to the relatively small amount of money raised over the next few years that will actually go into social care when the whole social care system is already on its knees and in danger of breakdown.

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Votes: Procedures & Privileges

On 13th July 2021, the House of Lords debated a report from the Procedures and Privileges Committee regarding proposed changes to procedures in the House. Votes were held on a motion to approve the changes, and amendments to the main motion, in which Bishops took part:

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Bishop of Carlisle raises need for proper support for paid and unpaid carers

The Bishop of Carlisle spoke in a debate on social care in the UK on 24th June 2021, raising the issue of staff retention in the paid care sector, and the need for recognition and support of unpaid carers:

The Lord Bishop of Carlisle: I congratulate the noble Baroness, Lady Jolly, on securing this timely debate. I should declare an interest as co-chair of a newly formed archbishops’ commission on reimagining social care. Understandably, much of the current discussion of social care involves the issue of funding. That is fundamentally important, but I believe the time has also come for a radical—in the sense of going to its roots—reappraisal of the values and principles underlying social care, not only for the elderly but for those with disabilities and severe mental illnesses. It has been clear for many years that we need an inspiring, cross-party, long-term vision for social care which involves rethinking how we want it to be understood as well as delivered, with those in need of care valued for who they are rather than simply regarded as an inconvenient burden. It has also been clear that that should include reference to some of the underlying societal conditions that contribute to the overall need, such as deprivation, lack of family support and loneliness.

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Bishop of Carlisle asks about support for young carers

On 10th June 2021, during a discussion on support for carers, the Bishop of Carlisle raised the issue of young carers and the impact of caring responsibilities on education:

The Lord Bishop of Carlisle: My Lords, I declare an interest as co-chair of the Archbishops’ commission on social care. Given that there are 750,000 young carers in England and that some 27% of them regularly miss school because of their caring responsibilities, can the Minister tell us whether Her Majesty’s Government have any plans to identify these children and offer them extra support, not least in the wake of the added disruption to their education that has been caused by the pandemic?

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