Lord Stoneham of Droxford (LD)

My Lords, in the interests of her husband’s care, my noble friend Lady Walmsley has not been able to stay until this late hour; she sends her apologies to the House. I will speak on behalf of these Benches. We are disappointed that the BMA is planning to call a five-day strike on the votes of a minority of its members. We welcome the constructive approach of the Secretary of State. We believe that more attention should be paid by the BMA to the effect on patients and on other NHS staff, some of whom are paid much less well than resident doctors but will have to do their best to minimise the damage. Resident doctors had a 29% pay increase last year. Another increase of that size, if it were granted, would be extremely damaging for the national economy. Many other public service workers who are less well paid than resident doctors have not received such pay rises. Under these circumstances, we believe the BMA’s demand to be unreasonable, unfair to patients and other workers, and, potentially, hugely damaging to the important work of the Government to restore the standards of care in the NHS. Public sympathy is not with the residents doctors at this time. Nor do they have the support of consultants, who will, of course, do their duty and step up to the mark to protect patients even though they are not in support of this strike. Like all public sector workers, doctors need—and normally deserve—the support and trust of the public. It is unwise for them to jeopardise that support and trust by taking unnecessary action. A strike is unnecessary because the Secretary of State has made it absolutely clear that he accepts that there is a good deal more to be done to improve the lives and working conditions of resident doctors. He has shown many times that he is eager to meet them in order to work out how to make those improvements. I urge the BMA leadership to take him up on that offer. We on these Benches accept that many NHS staff have worked under unbearable strain for too long. There are issues around placements, rotations, lack of team support, backlogs preventing specialist training, the physical state of hospitals, and the stresses of not being able to deliver good care. In that context, I have a particular question for the Minister. One of the areas that the Secretary of State mentioned in his response to a question in another place from my honourable friend Alison Bennett MP, about the reality of working conditions, was this issue of corridor care. We know that this is a result of the effect on the flow of patients through the hospital caused by delayed discharge from the wards of patients who are fit to go home but for whom the appropriate social care or physical adaptations are not available. While we wait impatiently for the Casey review on social care, what are the Government doing about delayed discharges? Will the Minister ensure that local authorities have the resources to fund necessary adaptations to help people live safely at home? If I was a doctor or nurse in A&E, committed to delivering good-quality care, I would find having to deliver poor-quality care extremely distressing. This is surely critical to the morale of the NHS, affecting recruitment and retention even more than the pay issue. I can assure the Minister of our support if something effective were to be done about it.