Author Archives: Paul Burstow

Paul Burstow writes…Care Act shows how Lib Dems in Government make society fairer

Knowing that you will receive the best care possible means the world to everyone who finds themselves or their loved ones in need of social care.

That is why I made it my first priority as Care Minister, and together with Norman Lamb – our current Care Minister – and other Lib Dem colleagues we have worked hard to reform our badly out of date care system and drag it into the twenty first century.

Today, that work reaches a major milestone with the Care Act coming into effect. As the independent health charity the Kings Fund put it, on social care “the coalition has made more progress in five years than the previous government did in thirteen”.

The Care Act creates new rights and protections for people who need care and new rights for the friends and family who selflessly care for them. It puts in place for the first time a national rules to determine when a person is eligible for care ending the unfair postcode lottery that existed in the past. This means that  people with the same level of care needs will now be treated in the same way wherever they live. It also puts people’s wellbeing at the heart of all care decisions, and creates new responsibilities for local authorities to make sure that support is available to stop people developing care needs in the first place.

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Paul Burstow MP writes… Mental health and employment support must be available to all who need it

For most people, work plays a defining role in their lives. It provides structure, the money to live and enjoy life, and for the lucky ones, it can provide a sense of achievement and purpose. Every one of these elements is a component in supporting good mental health, and helps to explain in part the vicious cycle of mental ill-health and unemployment, as well as the critical role that employment can play in mental health recovery.

But it’s sadly not true to assume that work is always good for you mental health. Surveys have found the mild to moderate mental health problems – including stress, anxiety or depression – are the most common reasons people are signed off work, and mental ill health costs UK employers £26billion every year: £8.5billion in sickness absence, £15.1billion in lost productivity and £2.4billion in staff turnover. That’s an average of more than £1000 for every employee, so it’s in everybody’s interests to make sure that employers do everything they can to improve employees mental health, and to encourage them to seek support and treatment as soon as mental health problems develop. While there are some fantastic employers who ‘get’ mental health and its debilitating impact on their employees as well as their business, a recent survey conducted by CentreForum found that two thirds of people said they had been treated unfairly in keeping a job, and 75% said they had stopped themselves applying for work due to fear of discrimination. This needs to end.

That’s why the Mental Health Commission I chaired made the workplace one of our priorities for action. As we recommended, there should be a concerted effort to make UK businesses and services mental health friendly employers, with all organisations with more than 500 employees signing up to a mental health kitemark and 90% of these organisations on board by 2020. I am proud to be able to say that we established the first government funding for the Time to Change campaign – which works to end mental health discrimination – during my tenure as Minister responsible for mental health. It is fantastic that under Norman Lamb, the government have committed to continue funding this crucial work.  To maximise our impact, we now need to ensure that all public sector bodies have taken up the mantle, and use public sector procurement to filter this commitment throughout the distribution chain. At the same time, Norman Lamb has called on all FTSE 100 companies to sign up to the Time to Change initiative – and this is a call we should all echo.

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Paul Burstow MP writes…We must transform mental health services for young people #timetotalk

Time to talk 2015From day one of this government, Lib Dems have prioritised mental health, so long neglected and overlooked by previous governments. In 2011, I published the Coalition Government’s mental health strategy, No Health Without Mental Health. Four years on, that strategy has been translated into action by a succession of initiatives. Investing in expanding the adult talking therapies (IAPT) programme, building from scratch a children’s IAPT programme, putting in place liaison and diversion services investing in liaison psychiatry, the first ever waiting time standards for mental health and Nick’s announcement of an ambition for zero-suicides across the NHS.

Achieving parity of esteem is never going to be a quick win, we are making real progress and helping to set the agenda for any future government. Thanks to the Lib Dems there is now a challenge on mental health, and, with the Children and Adolescent Mental Health Task Force established by Norman Lamb reporting in March, there is an opportunity to establish a roadmap for real reform for children and young people in the next parliament.

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Paul Burstow MP writes…We need urgent action on home care

Care in the home Some rights reserved by British Red CrossThe extra £2 billion for health care services announced in the Autumn Statement last week is fantastic news. It is testament to Norman Lamb’s effective and high profile campaigning for urgent funding for the NHS, as well as the hard work behind the scenes by many colleagues making the case.

But in reality these additional funds will not be enough to put the NHS on a sustainable footing. As many of us know only too well, social care is in crisis, and with an ageing population, the existing strain can only become greater. If we don’t address this issue urgently, we risk creating a wholly avoidable additional burden on the NHS which would put its stability entirely out of reach.

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Paul Burstow MP writes…Putting mental health at the top of the agenda

Mental health is so often in the news for the wrong reasons its good to finally have a few things to cheer about. Last month, though little noticed, Nick Clegg announced the start of a genuinely preventative programme in mental health with the launch of a series of front line mental health support pilots for blue light workers. People working in the emergency services experience some of the highest levels of work related stress, so it is absolutely the right place to start. And with poor mental health costing UK businesses £26 billion a year, taking mental health seriously in the workplace needs to be on every employers’ agenda – with government leading the way.

This followed on from ministerial commitment from Norman Lamb to continue funding for Time to Change, the campaign to end mental health stigma, and a rallying call for all FTSE 100 companies to sign up. It is a clear statement that good mental health should matter to all of us, and its heartening to see that companies like Royal Mail, Marks and Spencer and Barclays have already come on board.

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Paul Burstow MP: Liberal Democrats announce package of measures to help carers

Care in the home Some rights reserved by British Red CrossThere are 6.5 million carers in the UK today looking after friends and family who started to need a little help to carry on their day to day lives. Sadly for both carers and those they care for, a little help can become a lot more as conditions deteriorate and people are able to do less for themselves.

That one in eight of us is willing to selflessly prioritise the needs of our loved ones is truly inspirational. But too often as …

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Paul Burstow writes… Time to prepare for life in an ageing society

Grey_Pride_logo_headerLast week Anchor launched their grey pride manifesto, calling on political parties to do more for older people. Not only to end the discrimination that we know many older people suffer, but to face up to the many challenges that living in an ageing society presents, challenges for which we are “woefully unprepared”, as last year’s House of Lords Committee on Demographic Change warned.

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Paul Burstow writes … Depression touches all of our lives

Depression #5 (staring at the park)Depression affects as many as 1 in 4 of us in our lifetimes, 1 in 10 adults at any one time. So the truth is, it affects all of us – whether we have experienced depression ourselves, or as partners, parents, children, siblings, friends and colleagues of those who have, and may well still suffer. The misery that it brings is cruel and pernicious – we know it shatters lives. But despite the fact that depression touches all of our lives, it is still far too poorly understood.

As Minister for Mental Health, I awarded government funding to the Time to Change campaign to challenge the stigma of mental ill health and I’m pleased to say that the funding has continued throughout this parliament, and should, in my view, continue in the next. It has been very successful and has helped change mindsets in a range of fields. Celebrities and politicians have been brave enough to talk publicly about their own experiences of depression, and it has helped.

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Paul Burstow MP writes… Making the pursuit of happiness as important as GDP

cf reportOver the past 12 months I have been working with mental health experts and the think-tank CentreForum, grappling with the challenge of how we can improve mental health care.

Today sees the publication of our final report, The pursuit of happiness: a new ambition for our mental health. It reflects the expertise of many, makes a number of recommendations to transform not just health services, but the mental health of the nation, and it has one overarching call – that the pursuit of happiness should be a priority …

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Paul Burstow MP responds… On the Carer’s Bonus

Care in the home Some rights reserved by British Red CrossMy post last week on the Carer’s Bonus generated a lot of feedback. Thank you.

A few quick responses. The £250 payment would be available to around a million people based on underlying entitlement to the benefit. So, for example, pensioners who are eligible for Carers allowance but because of overlapping benefit rules do not receive it would receive the Bonus.

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Paul Burstow MP writes..Carer’s Bonus is only the first new policy to help carers

CarerJust as public services, communities and workplaces have seen a shift in how families are supported to balance childcare responsibilities with busy working lives, we now need a similar shift to meet the care needs of a rapidly growing older population too.

Thanks to the Liberal Democrats the Care Act and Children and Families Act have both extended the rights of Carers of all ages, but there is still much more to be done to recognise the hidden treasure that are Carers.

Caring responsibilities can come at any time in a person’s life …

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Paul Burstow writes … How can we achieve the home care workforce that we all deserve?

Care in the home Some rights reserved by British Red CrossA couple of weeks ago the diary of a home care worker shone a light on highs and frankly far too many lows that care workers all around the country face, day in, day out.

When we have all heard too many shocking stories of neglectful, malicious, taunting “carers” which now dominate perceptions of social care, this is the antidote. It was been truly inspiring to read the dedication, compassion, and genuine care motivating this fantastic woman.

But it is also deeply depressing …

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Paul Burstow writes: Standardised tobacco packaging – a step in the right direction

cigaretteAs Chair of the All Party Parliamentary Group on smoking and health, I welcome the publication of Sir Cyril Chantler’s review of the public health case for introducing standardised packaging for tobacco products.

The Review is a thorough assessment of the public health evidence, particularly as it relates to marketing smoking to young people. One of the key objectives of the all party group is to help prevent the next generation of children and young people from taking up the habit.

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Paul Burstow writes… Realising the potential of an ageing society

Senior citizens dancing pensioners Some rights reserved by StevenM_61Last summer, Nick Clegg asked me to chair a working group looking at the issues of an ageing society and how Government should respond.

The UK population is living longer and today there are more people over the age of 65 in the UK than there are children under 15. This change is a direct consequence of public policy, of bearing down on preventable deaths. But an unsophisticated debate about the impact of ageing has portrayed this as a disaster. Our everyday language tends to stigmatise, portraying ageing as a threat and older people as burdens hogging resources and hoarding assets.

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Paul Burstow MP writes…Government makes concessions on Care Bill

nhs sign lrgOver the last week I have been working with 38 degrees who ran a strong campaign raising concerns about a key clause in the Care Bill that made changes to the way in which a hospital in serious financial or clinical trouble would be handled in the NHS.

Trust special administration (TSA) as it is known, was introduced by Labour in 2009.  It is a blunt process that should only ever be used in exceptional circumstances of financial or clinical failure.

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Paul Burstow MP writes…My two suggestions to improve the Care Bill

Knowing that you will receive the best care available is of critical importance to everyone who finds themselves needing support from social care services. This is why when I was Care Minister, I was passionate about making that a reality – and I still am. As Minister I published the Care Bill, overhauling decades of complex, arcane and out of date legislation to set out a social care system fit for the twenty first century.

The Care Bill, which I subsequently scrutinised as Chair of the Joint Committee on the Bill, is a piece of legislation I – and Liberal Democrats …

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Paul Burstow MP writes… Government should make New Year’s resolution to tackle mental health employment scandal

Mental health has rightly gone up the political agenda since the coalition came to power. Long neglected, mental health problems cost the UK in excess of £105 billion annually and affect one in four of the population.

Earlier this month saw publication of the most comprehensive picture of progress on mental health. The government’s Mental Health Dashboard brings together in one place mental health data from a wide range of sources for the first time. Its aim is to monitor the progress achieved in implementing the No Health Without Mental Health strategy.

My successor at the Department of Health, care …

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Paul Burstow MP writes…Standardised cigarette packaging – reviewing the evidence, or just kicking the can down the road?

The news today that the Coalition Government is launching an independent review of the evidence for standardised packaging is welcome. It marks an important shift from the position Health Secretary Jeremy Hunt took in July that he would wait until the “emerging impact of the decision in Australia can be measured”. Australia of course led the world when the previous Government, with all Party support, introduced standardised packaging in December last year.

More welcome still is that news that the Government will take the legal powers to introduce standardised packaging in the Children and Families Bill

A four month review …

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Paul Burstow writes … we must pay greater attention to the mental health needs of children

The recent report from the Chief Medical Officer, Prof Dame Sally Davies, on children’s health makes for sobering reading. Together with warnings about a lack of physical activity, and vitamin deficiencies, the need to pay greater attention to the mental health of our children and young people came out painfully clearly.

Current estimates put the annual costs of mental health problems among children aged 5-15 at around £2.35 billion across the UK. Yet only around one in four children are receiving help from specialist services within 3 years, and, as the report’s atlas of variation reveals, access may be most …

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Paul Burstow writes… The care bill must deliver for carers

Across the country today, almost a million people are selflessly caring for friends and family with cancer. Their work is incredible and inspiring, and not only means the world to those they care for, but makes a massive contribution to our society. For far too long their role has been overlooked. It is why while I was Care Minister I made sure that the Care Bill enshrines new rights for carers in England.

The Bill rightly puts carers at the centre of care – as equal partners in care planning who, for the first time, will have clear …

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Paul Burstow MP writes… Parity for mental health: learning lessons from across the pond

The last few weeks have seen the good, the bad and the ugly in the world of mental health. We had the very welcome announcement from Norman Lamb that the government is leading by example, with commitments from 13 departments to sign up to ‘Time to Change’. That was the good news. The bad came in the form of the thoughtless and stigmatising portrayal of mental illness in Halloween customs sold by ASDA and Tesco, companies that should have known better. The ugly could be found on the front page of The Sun with its irresponsible …

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Hard won new rights for vulnerable young carers are a welcome step forward

Young CarerFor far too long, the needs of hundreds of thousands of young carers who do incredible things to look after and support members of their family have been overlooked. They pay a big price with their school work, their social lives, and very often their own health.

The role of carers at any age is still not valued or recognised anywhere near enough. This is despite the strides Lib Dems in government have made recognising carers needs and, for the first time, establishing the right in legislation to have these needs assessed.

But, as the Care Bill for adults and the Children and Families Bill passed through parliament in tandem, many of us realised that young carers were once again falling through the gaps. They were not covered by the new rights in the Care Bill and were overlooked by the Children and Families Bill.

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Paul Burstow writes: Greater focus on funding, prevention and integration essential to improve the social care in England

The law governing social care in England is a dog’s breakfast. The product of 60 years of piecemeal legislating it is complex, confusing and sometime contradictory patchwork that is out of date and hard to understand. The government have recognised the need to change this and last year published the draft Care and Support Bill, Caring for our future: reforming care and support, to overhaul the legal framework.

As the Minister at the time I led drafting the Bill drawing on the recommendations of a Law Commission Review.  My aim throughout has been to secure a modern legal framework that is …

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Paul Burstow MP writes: Mental health, no excuses

Over the past few days Channel Four has been highlighting mental health with its #4goesmad series of programmes. With the aim of debunking the myths and stigma surrounding mental health, they are well worth a watch.

I watched both Ruby Wax and Jon Richardson programmes.  Both told powerful and compelling stories  of people coming to terms with their mental health and talking openly about it often for the first time. One such moment was when a successful chef told his restaurant staff that he had, quite recently, contemplated suicide. Getting this confession out into the open was a symbol of that …

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Paul Burstow writes: Have Your Say on Care and Support

A fortnight ago I wrote about how the Care and Support White paper and draft Bill signalled the biggest overhaul of social care in over 60 years.

The media storm triggered by that announcement inevitably focused on a single issue – namely who pays for care.

And while of course that issue is very important (and is something I care deeply about), it doesn’t address the urgent problem of fixing our broken system of social care.

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Paul Burstow MP writes… Radically reforming social care

Most of you will have a friend or family member who needs some kind of care and support to help them get through the day.

In fact, more than 80% of us will need some form of care once we turn 65 – which is why getting social care right is so important.

It’s important because it touches upon some of the most essential things in life, like being healthy, happy and independent.

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Paul Burstow MP writes… Let’s talk about poo

I never really thought I’d be giving interviews on the topic of poo, but that’s exactly what I was doing yesterday.

It’s all part of a drive to encourage more people than ever before to spot the signs of bowel cancer. So on Monday I launched the Government’s first ever national bowel cancer awareness campaign, in the hope that we can save lives across the country.

Of course, nobody actually wants to talk about poo, but we need to get over that little bit of embarrassment and make that trip to the GP.

At the moment, most of us …

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Paul Burstow MP writes… Want to know how we can improve three million lives?

If I said the words “telecare” and “telehealth” to the person on the street it’s likely they wouldn’t have a clue what I was on about. They’re hardly phrases which just trip off the tongue.

But dig under that jargon and you’ll find that these are really very simple technologies which can help elderly people and those with long-term conditions right across the country.

Yesterday I hosted a launch of the Three Million Lives campaign. Very simply this campaign is a public declaration of how Government and industry will work together to make sure millions of lives are transformed. And because the …

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Paul Burstow MP writes… Time to Care: patients not paperwork

Being a nurse is a tough job, and we all admire those who have a calling to care for others. But when a loved one is sick in hospital we quite understandably worry and want the best for them.

One of the most important tasks of government is to ensure that good standards of hospital care are maintained wherever people live and whatever their needs. To make progress on this key issue we must free-up nurses from red tape and allow them to carry out the work they’re trained to do.

As a Liberal Democrat health minister I have seen and heard …

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Paul Burstow MP writes… A Future-proof Health Service

The Liberal Democrats have always recognised that if we want the best health service in the world, we must continue to innovate and invest.

That is why I want to highlight how new funding announced on Monday will ultimately support life-saving research and help to protect millions of vulnerable people living with long-term conditions at home.

I have long championed the benefits of telecare and telehealth (home-based alarm and monitoring devices), so I want to highlight the fact this high-tech equipment will now be accessible to another three million people over the next five years.

This week I met a care …

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