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Bishop of London leads debate on ambulance handovers

The Bishop of London tabled a question for short debate on 3rd November 2022, concerning ambulance handovers in light of an upcoming strike:

The Lord Bishop of London: To ask His Majesty’s Government what progress they are making on ensuring swift ambulance handovers, as set out in Our Plan for Patients, published on 22 September, given the decision of ambulance workers across 11 trusts to ballot for strike action.

My Lords, I start by saying how grateful I am to your Lordships’ House for setting time aside for what I think is an important and timely debate. I am also grateful for the briefing from the House of Lords Library.

Last week, the GMB union announced that it was balloting ambulance workers over strike action across 11 trusts in what would be the biggest ambulance workers’ strike for 30 years. I think it would be wise to ask ourselves what has happened across the whole system to bring us to this point. Ambulance handover delays are an increasing issue across the trusts in England. The NHS contract for this year sets out that 90% of handovers should take place within 30 minutes and 65% within 15. However, the Association of Ambulance Chief Executives notes 40,000 cases of patients waiting longer than an hour for handover—this was recorded this year and is the third-highest volume on record.

Long handover delays increase the risk of harm to patients while they are in ambulances. The NHS Confederation says that eight out of 10 patients who were delayed beyond 60 minutes were assessed as having had an experience that had potentially harmed them, and nearly one in 10 experienced severe harm as a result. The number of ambulances waiting to transfer their patients also impacts on the availability of ambulances, and the response times therefore increase. This in turn risks increasing further harm to those who are waiting for an ambulance in the community. Florence Nightingale famously once said that hospitals should do no harm. It is a sentiment that I believe is appropriate to the wider healthcare system. The healthcare system should do no harm.

Bishop of London asks about health disparities white paper

The Bishop of London received the following written answer on 17th October 2022:

The Lord Bishop of London asked His Majesty’s Government whether they still intend to publish a white paper on health disparities; and if so, when.

Health and Social Care Levy (Repeal): Bishop of London speaks in debate

On 17th October 2022, the House of Lords debated a bill to repeal the Health and Social Care Levy. The Bishop of London spoke about the importance of sustainable funding for the health and social care systems:

The Lord Bishop of London: My Lords, I have some technical questions about the implications of repealing this levy, but they prompt more significant questions about the sustainability of health and social care funding, as other noble Lords have already suggested. The sustainability of health and social care is hugely important to me, not just as a former Government’s Chief Nursing Officer, but as a bishop. This is about funding a service well with a long-term view, so that those who work hard to care for us have the resources to do the job. This is about the fact that every person is of great value in God’s sight and should be treated with dignity and equity. This is about a thriving economy because, without a healthy population, we will not have an economy that grows.

When the levy was introduced, the then Financial Secretary wrote to the Treasury Select Committee to justify it, saying that

“it would not be possible to fund this from existing tax revenues, nor would it be responsible to fund it through borrowing.”

This uncertainty about the direction does not inspire confidence that the Government have a sustainable plan to fund health and social care. If repealing this levy will not affect health and social care funding, can the Minister guarantee that a detailed breakdown of how this tax cut will be funded will be set out clearly?

Bishop of London asks about the government’s health strategy

The Bishop of London asked about the government’s plans to publish a health disparities white paper on 17th October 2022, during a debate on childhood obesity:

The Lord Bishop of London: My Lords, the National Food Strategy to tackle obesity, the new tobacco control plan and the health disparities White Paper were key to the Government’s aim to level-up health. The most recent NHS Providers report found that 95% of trust leaders said that the cost of living had either significantly or severely worsened health inequalities in the local area. Given the worsening situation, can the Minister confirm when the health disparities White Paper will be published? If not, can he point to what else the Government are doing to reduce inequalities in health?

The Bishop of London pays tribute to Her Majesty Queen Elizabeth II

On 10th September 2022 the House of Lords met to hear tributes to Her Majesty Queen Elizabeth II, whose death had been announced. The Bishop of London paid tribute:

The Lord Bishop of London: My Lords, I share with this House, our country and many across the world the profound sadness at the death of the late Her Majesty Queen Elizabeth. In June this year, we gathered at St Paul’s Cathedral for the national service to celebrate her Platinum Jubilee. In that service, words were read from the letter to the Philippians:

“Let your gentleness be known to everyone”.

Bishop of London speaks in a debate on nursing

The Bishop of London spoke in a debate on nursing staffing on 16th June 2022:

The Lord Bishop of London: My Lords, I thank the noble Baroness, Lady Tyler, for securing this timely debate. This issue is close to my heart. I draw noble Lords’ attention to my interests as set out in the register, specifically as a former government Chief Nursing Officer for England.

In my role as chair of a health inequalities action group, and as a Bishop with oversight of a diocese that includes some of the best hospitals in the world, I have had the privilege over the last few months of listening to a wide range of nurses. They have talked about their continued passion for high-quality nursing care, the wonderful teams of which they are a part, the innovations that are happening and their pride in their work.

Bishop of London asks a question about PPE allocation

The Bishop of London asked a question during a debate on Personal Protective Equipment during the COVID-19 Pandemic on 14th June 2022:

The Lord Bishop of London: My Lords, I recognise the considerable pressure that the Government, the NHS and Ministers were put under, but can the Minister tell us what is being done so that we can learn from this situation and not replicate it in the next pandemic?

Bishop of London asks about Levelling Up report

On 19th May 2022, the Bishop of London asked a question on the government’s Levelling Up report:

The Lord Bishop of London asked Her Majesty’s Government what metrics will inform their annual Levelling Up report.

Queen’s Speech: Bishop of London speaks on health and levelling up

The Bishop of London spoke in a debate regarding the Queen’s Speech on 17th May 2022:

The Lord Bishop of London: My Lords, it is a pleasure to speak in the debate on the Motion for the humble Address. I declare my interests as outlined in the register. There is much in Her Majesty’s gracious Speech to commend it to your Lordships’ House. However, it is unfortunate that it did not include any detailed remarks on the relationship between health disparities and the levelling-up agenda. While there was a valid emphasis on restoring the strength of the economy, it was a shame to hear so little detail on the circumstances that will enable us to economically bounce back: namely, our health.

Thankfully, the actual levelling-up report highlighted health as one of its mission areas, stating:

“By 2030, the gap in Healthy Life Expectancy … between local areas where it is highest and lowest will have narrowed”,

and that, by 2035, healthy life expectancy will rise by five years. The measurement of these missions, along with an independent body to ensure that they are seen through, will be vital to their success and essential in the wider context of health inequalities which we are facing post pandemic. Without these metrics and this accountability, we may well miss the goal of levelling up entirely.

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