Author Archives: Norman Lamb MP

Norman Lamb MP writes… Integrating Care – Joined up thinking in the NHS

Many of you will have seen last week the headlines following comments by David Prior, the Chairman of the CQC, about the unsustainable pressure on Accident and Emergency wards in the UK. The truth is that patients are getting excellent care in A&E departments up and down the country. The NHS is coping well with the increase in demand. But there is no denying that there has been a big increase in demand on our emergency services. There is no easy fix to this situation, especially at a time when the NHS needs to make limited resources go further. But …

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Norman Lamb writes … Culture change – the foundations

How do you change the culture of an organisation – particularly one as large as the NHS? That was one of the key questions posed by the Francis Inquiry into the appalling failings at Mid Staffordshire Hospital. Today we set out part of the answer.

The overriding message of the Francis report was the need for a culture change across the NHS to make sure that patients always come first. That change will take time, leadership, and engagement from staff. But the measures announced today set the tone, and signal what I hope will be the start of a transformation. They …

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Norman Lamb MP writes… Ending unlimited care costs: an historic step

This Coalition is at its best when it is tackling the country’s long-term structural problems. That, after all, is why we came together with the Conservatives to form a Coalition Government and deal with the record deficit that we inherited from the last Labour government. Nowhere is this more evident than in today’s historic announcement to protect people, for the first time ever, from the threat of unlimited care costs. That is why I have been pushing relentlessly for this reform since my first day in the job in September.

For anyone doubting whether this is a truly “historic” announcement, …

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Norman Lamb MP writes…The government will act in response to the Francis Report

Over the course of four years at Mid Staffordshire hospital, hundreds of patients suffered from appalling neglect and mistreatment. Relatives that voiced concerns were ignored; staff that tried to speak up were silenced. It was a shocking betrayal of trust of patients and their families.

Yesterday Robert Francis QC published his report into the Mid Staffordshire NHS Foundation Trust. The public inquiry lasted more than two years, heard over 250 witness statements, considered over one million pages of documentary evidence, and has produced a report nearly two thousand pages long. It makes 290 separate recommendations.

The story of Mid Staffs, the report …

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Norman Lamb writes: Tackling gun and knife crime – hospitals and police working together

nhs sign lrgTrying to make different departments work effectively with each other is a challenge that all Governments face, and this one is no different. It could be all too easy for objectives that fall between two departments to end up falling through the cracks.

That is why I am pleased to report on the efforts we are taking in the Department of Health to roll out the ‘Cardiff model’. This is a very simple measure that can have a dramatic impact on knife crime in an area.

The Liberal Democrat manifesto included …

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Norman Lamb: another step forward on parity of esteem for mental health

From April 2014, for the first time, people who need mental health services will be able to choose where they receive their care.

In 2008, the Labour government gave patients the legal right to choose who provides their care when referred by a GP. Scandalously, however, that right was specifically denied to mental health service users – a clear, institutionalised bias against mental health services and service users who had to take what they are given, whether they like it or not.

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Norman Lamb MP writes…Preventing another Winterbourne View

The first time I wrote on these pages as a health minister was when eleven former members of staff at Winterbourne View private hospital were sentenced. The judicial process ran its course and the Government process, too, has now reached a conclusion. On Monday I published our response to the shocking abuse that took place at Winterbourne View and the systemic weaknesses that allowed it to happen. Most importantly, I have set out what we are doing in Government to prevent it happening again.

Holding directors to account

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Norman Lamb writes: A landmark for the NHS – and a line in the sand for mental health

The first mandate between the Government and the NHS Commissioning Board was published today, setting out the priorities for the health service over the next two years. It reaffirms our commitment to a comprehensive and universal NHS, available to all based on need rather than on your ability to pay. Its overriding aim is to make the NHS work better for patients.

The Mandate was drawn up following widespread consultation over the summer. Key goals contained within it include:

  • Improving standards of care, especially for the elderly
  • Better diagnosis,

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Norman Lamb writes: The Liverpool Care Pathway and end of life care

I imagine many people had not heard of the Liverpool Care Pathway before it hit the headlines a couple of weeks ago with allegations of patients denied drugs, liquid and sustenance and families experiencing real distress. Set up in the late 1990s, its intention was to help spread elements of the hospice model of care into other settings: hospitals, care homes and people’s own homes. We all want to know that our loved ones – no matter where they are – will receive dignified and appropriate care in the last hours and days of their life.

Used properly, the Pathway ensures that individuals receive whatever treatments are right for them in their final days. The Liverpool Care Pathway itself is very clear that patients should be involved in decisions about their care if possible, and that carers and families should always be included in the decision-making process.

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Norman Lamb writes… Lessons from Winterbourne View

On Friday last week, eleven former members of staff at Winterbourne View private hospital were sentenced for the shocking neglect and abuse of their former patients. Six have been jailed, and five others given suspended sentences. I hope that these sentences will send a clear message that such criminal behaviour will not be tolerated and that there will be real consequences for the perpetrators. It was abuse of power of the worst sort.

The case should reinforce to everyone, from frontline workers, to regulators, service commissioners, managers and board members, that they have a shared responsibility in preventing abuse of people …

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Norman Lamb writes: Time to change

Over the next few weeks’ telly-watching you may see adverts encouraging people to talk about mental health. For those of you that can’t wait, you can watch them online here. These adverts are part of the Time to Change campaign, England’s biggest ever attempt to end the stigma and discrimination that faces people with mental health problems. This is a brilliant campaign. I remember speaking at its launch back in 2008. In the time since then, it has made a real difference.

It can be extraordinarily tough to talk about mental health problems, and this only adds to the hardship caused by the illness itself. I welcome the fact that more and

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Norman Lamb MP writes: One suicide is one too many

On average, someone commits suicide in England every two hours. That’s over 4,200 suicides a year. That figure may shock you. But what is just as shocking is that a lesbian, gay or bisexual person is twice as likely as a heterosexual person to self harm

I was drawing this awful statistic to people’s attention because Monday was World Suicide Prevention Day. It was also the occasion for me to the launch the Government’s new Suicide Prevention Strategy – the first for ten years. It is based on evidence of what works. Credit is due to Paul Burstow who …

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Norman Lamb MP writes… Liberal reform in employment law

On the last day before Parliament’s summer recess, while many MPs were packing their bags for home, I was handling the last of seventeen committee sessions for the Enterprise and Regulatory Reform (ERR) Bill.

Along with important measures establishing the Green Investment Bank and creating a powerful new competition authority, the Bill contains a whole range of provisions designed to improve regulation, increase

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Norman Lamb MP writes…Employee ownership: moving from niche to mainstream

I’ve written about employee ownership on these pages before – but today am doing so from a very different position. As the Coalition’s minister for employment relations, employee ownership is part of my remit. I’ve gone from being an enthusiastic advocate of greater employee ownership, to being the Liberal Democrat minister responsible for delivering it.

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Norman Lamb MP writes… Fairness: from the farm to the shopping trolley

The Groceries Code Adjudicator Bill was announced in the Queen’s Speech on Wednesday. This is an issue which the Liberal Democrats in general, and Andrew George in particular, have campaigned on for many years. I can remember meeting with farmers shortly after I was first elected back in 2001, and hearing from them the difficulties they faced as suppliers for the biggest supermarkets. A commitment to introduce “a powerful independent regulator of Britain’s food market” featured in our last manifesto (in fact, …

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Norman Lamb writes… Putting two national treasures back on their feet

Royal Mail and the Post Office are two of our most recognisable and most trusted brands. For hundreds of years the post office has been at the heart of our communities – with a value that goes beyond mere economics to the social and the symbolic. Royal Mail, meanwhile, is a service that covers every part of the country and reaches every part of society. The public, quite rightly, is fiercely protective of both institutions.

Sadly previous governments left them both in a mess. Labour opened up the postal market, thereby exposing Royal Mail to the full force of competition. Ludicrously, …

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Our time to lead the debate: Employee ownership

In the debate on so-called crony capitalism two things are clear. First there is genuine and widespread anger at corporate greed and irresponsible capitalism. Second, politicians from the left have been groping around, without much success, trying to come up with convincing responses. Ed Miliband drew a distinction between producers and predators. But he failed to offer any answers.

We see power and wealth concentrated in the hands of the few – the benefits of success going to those at the top rather than being fairly shared between all those who generated that wealth. Even worse, company bosses too often get …

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Norman Lamb MP writes: Why we need to keep an open mind on Hinchingbrooke

Last week’s announcement that the management of Hinchingbrooke Hospital would be transferred to Circle Healthcare was always going to be controversial – a hospital with debts approaching £40million, whose situation had become so perilous that it had to be rescued by an external provider. Both Labour and Unison quickly exclaimed against this as ‘privatisation,’ despite the fact that the Labour Government had initiated the tendering process.

Circle is a 49% employee-owned organisation, different from the traditional private company. It makes them a part-mutual organisation run in the same manner as John Lewis. Put simply, they are part-owned and part-run …

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Norman Lamb writes… The NHS: safe in our hands

The NHS is our most treasured institution; designed by a Liberal it is based on a great British idea – that we will care together, collectively for one another in our time of need. Treatment free, when you need it, not when you can afford it. That’s an idea that must never be undermined.

People want to see Liberal Democrats in government protecting and improving the NHS, and this week we have shown that’s exactly what we are doing. The government is pausing – stopping the clock on its NHS reforms to listen, reflect and improve the legislation – in direct …

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Facing the future – the Lib Dem policy approach

Now is an exciting time for Liberal Democrats. We have the chance to implement ideas in Government – an opportunity denied our predecessors for many decades. For the next five years, instead of contributing ideas from the national sidelines with no real prospect of them ever being adopted, we have a real chance to realise key elements of our agenda. We have all come into politics to make a difference, to be effective. Liberal Democrat Ministers know that they carry the weight of the party’s principles and expectations as they work in coalition with Conservatives.

But even as we …

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Norman Lamb: “A Queen’s Speech of which Liberal Democrats can be proud”

It is worth spending a moment reflecting on just how remarkable today’s Queen’s Speech is from a Liberal Democrat perspective.

We have become conditioned to believe that the policies we develop will never be implemented. A good intellectual exercise but nothing more. Yet here we have a programme for government of which we can be proud. It contains an extraordinary list of Liberal Democrat commitments on which we fought the general election.

Right from the start the speech grabs attention:

My Government’s legislative programme will be based upon the principles of freedom, fairness and responsibility.

Who would have dreamt of those words introducing the Queen’s speech just a few weeks ago?

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Norman Lamb on the NHS

Fast approaching its 60th birthday, the NHS is at a crossroads.

We have seen 10 years of heavy investment under Labour – desperately needed after years of chronic Conservative neglect. However, the money came with a merry go round of reform, throwing the service into disarray as staff and patients struggled to cope with constant restructuring.

So, although spending on health has now hit the European average, cancer and stroke survival rates in the UK are still poor compared to much of Europe, while health inequalities have actually widened under Labour. The diagnosis is clear: the centralised state has poorly served the worst off, the very people who need help most of all.

The Tories solution is to reduce accountability even further by creating an unelected quango to control our health service, which would ultimately have the power to close local hospitals. And should we ever really trust the Conservatives to maintain funding for health and social care – particularly given that the priority they chose at their conference last October was a massive cut in inheritance tax for million pound estates?

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Recent Comments

  • User AvatarEddie Sammon 21st May - 7:31am
    I'm not trying to make you change your opinion, just trying to reduce the anger from both sides of the debate.
  • User AvatarEddie Sammon 21st May - 7:28am
    But if you believed in God, and God said you shouldn't do this, but the Lib Dem activists said you should, who would you listen...
  • User AvatarAndreas Christodoulou 21st May - 6:52am
    I want to see each and every one of these 11 MP's make a proposal to allow registrars to be allowed to opt out of...
  • User AvatarPeter Fournier 21st May - 3:28am
    In your article you say we must not do anything that "renormalises” smoking". But, ecigarette use does not equal smoking. There are no second hand...
  • User AvatarR Uduwerage-Perera 21st May - 2:23am
    Homophobia v Racism? Sorry no difference in my opinion, it is plain bigotry. Ruwan Uduwerage-Perera English Party Diversity Champion Ethnic Minority Liberal Democrats - Vice...