Canlyniadau 141–160 o 3293 ar gyfer speaker:Lord Markham

Cass Review - Statement (17 Ebr 2024)

Lord Markham: Yes, and that is an excellent point. Again, I thank the noble Baroness in this area. The questions that she raised earlier in the year in terms of some of the language from the GMC really added to the debate and represented a step forward. Therefore, although I am sure it is happening already, I will doubly check that it is.

Cass Review - Statement (17 Ebr 2024)

Lord Markham: With the wonders of modern technology, I hope I can answer two questions in one. On the previous question, yes, the regulators have been communicated with about making sure that it is very clear. On that point, I say to my noble friend that the regulators have been charged with making sure that very clear guidelines are put out on the drug use that he mentions; those are being set right now....

Cass Review - Statement (17 Ebr 2024)

Lord Markham: I remember that it was the noble Lord who, in the round table that we had on this, made very clearly the same point I was making earlier about puberty and age. It is only when you are right the way through it that you really are in a position where you start to know your own mind and your own body. I agree with the noble Lord that it can be as late as 25, and that is why that is definitely...

Cass Review - Statement (17 Ebr 2024)

Lord Markham: I thank the noble Baroness. She is absolutely right: it is only in that lack of data environment that, dare I say it, ideology can fill in the vacuum and start to drive the sorts of behaviours that we see. Data is always the best way to cut through and provide light when there is a lot of heat in an argument. She makes an excellent point about the Royal College of Surgeons. I am sure that it...

Cass Review - Statement (17 Ebr 2024)

Lord Markham: To take the second point first—it was also made by the noble Baroness opposite—that is absolutely right; it can be a real danger. People with English as a second language might not understand that a “person with ovaries” refers to them. It needs to be very clear. It is fundamental that the first description has to be “male” or “female”; you can then put additional parentheses...

Cass Review - Statement (17 Ebr 2024)

Lord Markham: First, I think I speak for the whole House in agreeing that no one, under any circumstances, should feel that they live in a hostile society —whatever case it is, whether it is transgender, race, sex or whatever. I totally agree with the noble Baroness there. I will absolutely clarify this in the follow-up in writing, but I know that, in this specific area, the NHS has already committed...

Cass Review - Statement (17 Ebr 2024)

Lord Markham: I must admit that I am not sure that I quite understood the question from my noble friend.

Cass Review - Statement (17 Ebr 2024)

Lord Markham: Understood. Again, I will come back in detail on that point. One of the points made to me about the difficulties of trying to recruit to these eight new services was that, when this is such a toxic space, how do you get good-quality people? I think we agree we need that more than ever, because it is such an essential and sensitive area. So I will take that back and make sure that nothing we...

Cass Review - Statement (17 Ebr 2024)

Lord Markham: That is an excellent point—yes.

Cass Review - Statement (17 Ebr 2024)

Lord Markham: I thank the noble Baronesses for their important points and for their sensitivity. First, I echo the Secretary of State’s gratitude to Dr Cass and her team for undertaking a considered, comprehensive and courageous review into an extremely contentious area of healthcare. Officials have described this to me as probably the best report they have seen, in its excellence, thoroughness and...

Written Answers — Department of Health and Social Care: Prostate Cancer: Ethnic Groups (17 Ebr 2024)

Lord Markham: The Department welcomes the recently announced TRANSFORM trial which aims to save thousands of men each year by finding the best way to screen for prostate cancer across all ethnic groups. It will be spread across the United Kingdom, although final decisions on specific locations are yet to be taken. Men will be invited to participate via their general practices. This study, led by Prostate...

Immunisation: RSV - Question (16 Ebr 2024)

Lord Markham: The Government have made a policy decision on the eligibility of a potential RSV programme, which is in line with the JCVI’s September 2023 advice. We are working through the full business case, with costing and operational delivery, for final agreement in line with an autumn start.

Immunisation: RSV - Question (16 Ebr 2024)

Lord Markham: That process is absolutely going on at the moment, as well as operational delivery aspects. For infants, it depends on whether we choose a vaccine that goes into the pregnant mother or the infant, as the delivery mechanisms are obviously different. We are looking at the effectiveness of not just one vaccination versus the other but the delivery mechanism. There is a different delivery...

Immunisation: RSV - Question (16 Ebr 2024)

Lord Markham: It will not surprise the noble Lord to learn that I totally agree. It is absolutely on the road map. I cannot promise it is there today; it is more there for adults. The child digital red book is another objective we are working on, but that is taking slightly longer. But in terms of direction of travel—yes, absolutely.

Immunisation: RSV - Question (16 Ebr 2024)

Lord Markham: I too add my thanks; the noble Baroness is very good at holding our feet to the fire, and it is very important and appreciated. Regarding the age group, we are being guided by the scientific advice on what is most cost-effective.

Immunisation: RSV - Question (16 Ebr 2024)

Lord Markham: Of course, the communication needed for each one is different, and that is a vital consideration. As I said, we found that, often, it is easier to put RSV in the infant rather than the pregnant mother. It is a question of considering which is the most effective way to get the best outcome and the highest take-up rate. That is one of the key criteria we are looking at. Regarding general...

Immunisation: RSV - Question (16 Ebr 2024)

Lord Markham: The goal is absolutely to make sure that the JCVI advice is there for the key winter period the noble Baroness mentions. That is the programme we are working towards, and this is where the logistics come in. It is not just about the effectiveness of each vaccine but, in terms of the maternal versus infant vaccination to which I referred, being confident of getting it in people’s bodies in time.

Midwives: Bullying - Question (16 Ebr 2024)

Lord Markham: This report makes difficult reading, highlighting unacceptable levels of bullying in midwifery. We know that culture and leadership have a significant impact on retention and staff experience. NHS organisations should have robust policies in place to tackle bullying and harassment. Through the NHS long-term workforce plan and the NHS equality, diversity and inclusion plan, we are seeking to...

Midwives: Bullying - Question (16 Ebr 2024)

Lord Markham: I thank the noble Lord for his work in this whole area. That is genuine appreciation, because I know that he looks not just at bullying in this area. He is a very important conduit and I am personally grateful for the work he does on this and how much he cares. It is a combination of all the things that he mentioned. I had a meeting with the chief midwife on this subject this morning because...

Midwives: Bullying - Question (16 Ebr 2024)

Lord Markham: We have the highest level of staffing ever in midwifery, 5% up on last year and 21% up on 2010, against a background of static births. I want to address that point on staffing; staffing levels are high. However, as the noble Baroness says, there are issues around culture. On the national inquiry, again, every one of those 150 trusts was visited by the CQC in the last year or so and action...


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