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(13 years ago)
Commons Chamber1. What steps he is taking to encourage individuals and organisations to engage in projects that benefit their local community.
Encouraging more social action is a key strand of the big society vision, so we are looking at ways to cut some of the red tape that gets in the way and are busy delivering programmes such as Community Organisers, Community First, the national citizen service and the social action fund.
I thank my hon. Friend for his answer. Will he expand on how these initiatives will impact on the residents of South Basildon and East Thurrock and on what they could hope to see from such great ideas in the future?
I thank my hon. Friend for his positive reaction. I am aware that at least three wards, I think, in his constituency are eligible for the Community First grant programme. This is a fund designed to put money into the hands of neighbourhood groups to help them implement their own plans. It is focused on wards that blend high levels of deprivation with low levels of social capital, and I very much hope that he will engage personally in supporting constituents in those wards to maximise those particular opportunities.
I declare an interest as a trustee of Community Service Volunteers, which had its Make a Difference day on Saturday last week, encouraging people to volunteer and make a difference in their community. What steps will the Government take to ensure that organisations such as Community Service Volunteers can reach out and encourage volunteers like Abbie, who is unemployed, to make a difference by working in her local Marie Curie shop?
Community Service Volunteers is a great organisation and it had a spectacularly successful day. The answer lies in trying to reduce some of the barriers, such as the red tape that I mentioned, that stop people getting involved. It is also important to try to inspire people to step up and get more involved. That is why we believe that programmes such as Community Organisers and Community First, which are about bringing communities together to identify what they want to change and inspiring them to work together to make that change happen, can be a very powerful intervention.
The Minister will be aware that this is national trustees week. Will he address two particular concerns of that campaign? The first is that the number of young people being attracted to become trustees is very small indeed, and the other is the fact that more than half of charities have at least one vacancy on their board of trustees.
The hon. Gentleman raises an extremely important point. We all know the value and importance of the work of trustees and the ability of a really good set of trustees to transform the capability of a charity or voluntary organisation. It is important that the Government will announce some steps to promote wider awareness of the opportunity to take part in being a trustee.
2. What recent steps he has taken to support the voluntary sector.
3. What steps he plans to take to support the voluntary sector.
I refer the hon. Members for Manchester Central (Tony Lloyd) and for Dumfries and Galloway (Mr Brown) to the open letter to the voluntary sector, which was sent to all MPs and published on the Cabinet Office website; it sets out our strategy for encouraging more social action and supporting civil society.
The Greater Manchester centre for voluntary organisation estimates that a quarter of those employed by voluntary organisations are losing their jobs in this two-year period. Can the Minister honestly tell the voluntary sector through the House that with that level of cutbacks there really is a role for that sector? Volunteers need a structure in which to work.
I understand the hon. Gentleman’s point. We all have to recognise that there is less money around so some difficult choices have to be made. I simply refer him to the statement made by his own leader to the BBC on Valentine’s day this year to the effect that he could not have protected the voluntary sector from local authority cuts. There is awareness of the challenge that we all face. I know that the sector in Manchester has benefited from the transition fund and that a bid has been put in to the infrastructure fund from the organisations that support front-line organisations. Eighteen wards in the city of Manchester and 69 in Greater Manchester are eligible for the Community First grant programme.
People in my constituency who are living with cancer and other long-term conditions desperately need benefits advice. It is currently provided by Macmillan Cancer Support, Citizens Advice, Welfare Rights and the Princess Royal Trust for Carers. I attended a meeting with these groups on Monday morning. Let me tell the Minister that they are under real pressure to find the financial wherewithal to go forward. Surely now is the time to make sure that these organisations have the financial support that is required to provide quality benefits advice.
I could not agree more. When I visited my local advice centre on Friday, I had a real sense of the strain and stress that its staff were experiencing. We have set aside a further £20 million of special funding for advice centres. There is also to be a short review to investigate what the Government can do to manage levels of demand on those working in that vital sector, and how we can make life easier for them.
Does the Minister agree that voluntary groups set up by people who do what they do because they want to, and because they have a lifetime of experience in the field—one example is Home-Start in my constituency—often fulfil their roles not only in a more cost-effective way, but better than others?
Would the Minister welcome increased Government spending to enable the voluntary sector to deal with human trafficking? If the money went through the Salvation Army, the big society could help all charities to look after victims.
The latest survey of charity leaders by the National Council for Voluntary Organisations shows that 30% of them expect to cut jobs in the next three months, and that some 60% expect the economic situation, as it affects such organisations, to deteriorate over the next 12 months. Given that voluntary sector capacity is being reduced, is not the truth about the big society that, on the Minister’s watch, it is about to get smaller?
I dispute that. I remind the hon. Gentleman that the leader of his party told the BBC in February that he would not make councils protect cash for voluntary groups. There is a hard economic reality here: a sector that receives £13 billion of taxpayers’ money cannot be immune to the requirement to contribute to a reduction in Government borrowing. The challenge now is for us to find a way of working together to mitigate the damage done to the voluntary sector in the short term, while preparing it for the real opportunities down the track to deliver more public services.
4. What assessment he has made of the potential role of the open government partnership in promoting openness and transparency.
Transparency is an idea whose time has come. It makes choice possible, it encourages accountability, and it can change lives. The United Kingdom Government are already the world leader in transparency, and the open government partnership will enable those huge benefits to be promoted to many other countries around the world.
The open government partnership is an interesting and exciting concept. Can my right hon. Friend tell me the key UK transparency commitments within it?
All the principles underlying the partnership reflect things that we have already introduced: openness about Government spending, openness about salaries, openness about the internal workings of government, and an increase in the publication of outcome data about the way in which public services operate. We have said that commitment to and implementation of the principles of the open government partnership will increasingly be a material factor in decisions by the Department for International Development about where to place direct budget support for developing country Governments.
In the interests of open government, will the Minister agree to publish all the credit card expenses of Ministers and officials under the sum of £500 in all Departments, starting with the Housing Minister?
It is good to hear the right hon. Gentleman being so enthusiastic about transparency. We have already published Government payment card data covering transactions between April and August this year, and we will continue to do so. We will publish the data for 2010 and 2011, and Departments will also have the option of publishing data for the previous year, when the last Government were in office. I look forward to enthusiastic support from the Labour party when the transactions made when it was in office are made public.
I thank the Minister for that response, and in particular for what he said about the last Government. I believe that the limit should be zero rather than £500, because we would not have known about the expenditure of the NHS on finger puppets if a higher limit had applied.
My hon. Friend makes the purist case for the disclosure of absolutely everything, but we have gone infinitely further than any Government have ever gone before in exposing the spending of Departments. Of course we will keep that under review, but the first thing we need to do is complete the publication of the data on transactions below £500, including some that took place under the last Government.
Given the pride the Minister obviously takes in transparency, is it not slightly odd that his Department, which leads on these matters for the whole Government, has the worst record in responding to freedom of information requests? Indeed, some people might think that is almost fishy. Since coming into office, the number of FOI requests answered on time by his Department has nosedived from 90% in March 2010 to only 42% in March this year. What do they have to hide? Will the Minister now tell us when he intends to get his house in order on FOI?
First, I welcome the hon. Gentleman to his post and congratulate him on his elevation to the shadow Cabinet.
The Cabinet Office deals with FOI requests in respect of Cabinet papers under the last Government, and that takes some time to deal with because we need to consult former Ministers in that Government. Any FOI requests relating to the royal family also need to be dealt with sensitively, with a lot of consultation. I notice that the hon. Gentleman does not raise the issue of Government procurement cards, and does not echo the response of his colleague, the hon. Member for Barnsley East (Michael Dugher), who said, when we published these data, that we had gone on a spending spree, when, in fact, we had cut spending under Government procurement cards by 10% compared with the record of his party.
5. What the cost to the public purse was of the provision of trade union facility time by Government Departments in the last year for which figures are available.
Total spend on trade union facility time across the civil service is estimated to be around £30 million a year, while in the public sector as a whole the estimate is £225 million. ACAS guidance suggests this system should be regularly reviewed. Strangely, we have not been able to find any evidence that it was reviewed under the last Government.
I thank my right hon. Friend for that very revealing answer. He will be aware of the current scandal of public sector employees spending 100% of their time on union activities while still drawing their publicly funded salary. My constituents in Lincoln expect their thousands of pounds in taxes to be used to pay for public services, not union activities. This situation clearly does not—
Order. What I want is a question—in one sentence, very briefly, now.
Will my right hon. Friend assure me that as part of any consultation or meeting, such as the one he had today, he will fully examine this scandal?
As I have said, we are going to consult on this. We will want to look very carefully at the phenomenon whereby large numbers of civil servants and other public servants are engaged full time as union officials at the taxpayers’ expense. There may be a case for some of this continuing, but certainly not on the scale we inherited from the Labour party.
But is there not also a point to be made about how much money is saved to the public purse by having good industrial relations? Instead of going backwards, should not the Minister be going forward and talking about how he could improve industrial relations?
If the hon. Gentleman wishes to make the case for why more and more taxpayers’ money should be spent on subsidising union officials, let him do so, and let him explain to his constituents why that is good value when what they want is taxpayers’ money to be spent on front-line public services, on which the most vulnerable people in our society depend.
6. What recent progress he has made in increasing the number of central Government contracts secured by the third sector.
Since May 2010 there have been 702 purchase orders for third sector services by the Department of Health alone. There have also been 94 contracts with third sector organisations from five different Departments: four from the Department for Culture, Media and Sport, 21 from the Ministry of Justice, 15 from the Department for Environment, Food and Rural Affairs, 47 from the Department for Work and Pensions and seven from the Department for Transport. Those contracts have a total value of more than £488 million. Unfortunately, I cannot say how that compares with the previous Government’s record as records were not kept at that time.
I am grateful to the Minister for that answer. In the last week, I met a voluntary third sector organisation in my constituency called Tolsam, which does a lot of valuable work with the young unemployed and those not in education, employment or training. Given the scale of the youth unemployment problem our country now faces, will Ministers consider introducing a requirement that third sector organisations that work with NEETs and the young employed are favoured when awarding contracts?
The hon. Gentleman, who I have discovered has a very honourable record of visiting social enterprises in his constituency, makes a good point. We do believe that there is great merit in including in public sector contracting provisions that reflect social value and social outcomes. We are working on that and we intend to proceed with it.
The Government have launched the Contracts Finder website, which enables third sector companies to find Government contracts. How does the Minister intend to assess how successful that has been and will he publish figures to demonstrate whether or not it has worked?
My hon. Friend makes a good point. We have indeed launched the Contracts Finder website, and I did a bit of mystery shopping to check whether it was possible to use it. I am glad to be able to tell the House that it is a very useful thing. We have already received some feedback from businesses and third sector organisations that have been on the website, and where we have had that feedback we have responded to it. We will be looking at the overall effectiveness of the website in due course and reporting back to the House.
7. What steps he is taking to promote social enterprises.
First, we now have Big Society Capital established—the initial investment was made in the summer. Secondly, we are moving ahead with the establishment of mutuals, with a new mutuals support programme; 45,000 staff are already in social enterprises in health care alone. Thirdly, we have promoted social enterprise in the Work programme, with two social enterprises as prime providers and about 500 more voluntary sector organisations as subcontractors.
I thank the Minister for that answer. Does he believe that the Government and local authorities should be developing strategies to promote social enterprises? If so, why has he axed the clauses that would have made Departments do that from the private Member’s Bill of the hon. Member for Warwick and Leamington (Chris White)?
We do not feel that it is necessary to legislate for strategies at a national and local level. The previous Government specialised in having lots of strategies and fulfilling none of them. By contrast, we are in favour of taking action, which is why we are working with my hon. Friend the Member for Warwick and Leamington (Chris White) to ensure, as I mentioned in answer to the previous question, that there is provision for social outcomes and social value to be measured in contracts. That is, of course, part of his Bill. [Interruption.]
Order. I am sure that when the Minister was conducting his philosophy seminars he had a rather more respectful and attentive audience, and that is what we should grant him.
Allia and Future Business are promoting social bonds to support social enterprises, such as the future business centre in my constituency. There has been a very good uptake by individuals and companies, but not by the banks. Will the Minister have discussions with the banks to encourage them to invest in these bonds, which provide a secure social investment asset?
We believe that social impact bonds have an enormous role to play. The Parliamentary Secretary, Cabinet Office, my hon. Friend the Member for Ruislip, Northwood and Pinner (Mr Hurd), who has responsibility for the civil society, and I recently had a round table meeting with a group of social entrepreneurs and investors who are interested in investing in social enterprise. We are encouraging that and we are taking further steps through Big Society Capital to promote the use of social impact bonds. Of course our payment-by-results systems also make use of social impact bonds.
8. What plans he has for the future of the role of the head of the civil service.
The roles of Cabinet Secretary and head of the civil service are very different and were indeed separate roles until 1981. Following the announcement of the retirement of Sir Gus O’Donnell, the role of head of the civil service will, once again, be separated from the Cabinet Secretary role. The two individual roles will be more focused, and people can be appointed to each on the basis of the skills match to each role. An internal competition is under way to recruit the post holder from among existing permanent secretaries.
Change is the watchword of the Prime Minister and change in government is a vital ingredient of the Government’s reform programme. How will the head of the civil service be able to lead and implement change if he does not have equal authority and equal access to the centre of government as he does now?
Is the Minister satisfied that with the split of the new roles, the various questions of probity, propriety and procedure that were aired in the O’Donnell report on the Werritty affair will be clearly brought to a known figure in the future, or will there be confusion?
T1. If he will make a statement on his departmental responsibilities.
My responsibilities as Minister for the Cabinet Office are for the public sector efficiency and reform group, civil service issues, industrial relations strategy in the public sector, Government transparency, civil contingencies, civil society and cyber-security.
The average pension for a woman retiring from the NHS is £3,000 and the average local government pension is £4,000. Does the Minister accept that if we increase the contributions for a worse pension, more people will simply opt out and we will end up paying more through the state benefits system?
It is in no one’s interest that public sector workers should opt out of pension schemes. The numbers to which the hon. Lady refers do not in any way reflect the pension that people retire on after a full career. That is the average, including many people who serve relatively short times in the public service. At the end of these reforms public sector pensions will still be among the very best available, much better than those available to most people in the private sector, who have no chance of enjoying such pensions. [Interruption.]
Order. There are far too many noisy private conversations taking place. The House will want to hear Stephen Mosley.
T3. Thank you, Mr Speaker. Can the Minister update the House on the progress of negotiations with the trade unions on public sector pension reform?
We have made progress and my right hon. Friend the Chief Secretary and I met the TUC again this morning. My right hon. Friend will make a statement to the House later. As I said, our intention is that public sector pensions will continue to be among the very best available, but fair both to public sector staff and to the general taxpayer, who has had to bear an increasing burden of the cost of paying for these pensions in recent years.
During last week’s debate on the Public Bodies Bill, the Government voted to scrap the role of the chief coroner, despite opposition from Opposition Members and from Back-Bench Conservative Members as well. Responding, the Royal British Legion said that it was
“saddened that this opportunity to do the right thing by bereaved Service families was not taken”
by the Government. As we approach Remembrance Sunday, is it not time that the Government did the right thing and listened to the Royal British Legion?
T4. Can my right hon. Friend say how the British Government compare with the French Government when it comes to the number of contracts they procure with domestic suppliers?
The procurement practice that we inherited from the previous Government militates heavily against the interests of UK suppliers and UK jobs, especially when it comes to very large contracts. Both France and Germany, which do not operate protectionist regimes and which obey the rules, give away fewer jobs to other countries. We are looking at this to see how we can support UK suppliers in a way that the previous Government signally failed to do.
T2. Speaking of fewer jobs, the Public Bodies Bill scrapped regional development agencies. My constituent Mark Davenport invested £6,000 setting up a business installing solar panels. At six weeks’ notice, the investment made by thousands of businesses was wiped out by a dramatic cut in the feed-in tariff scheme. Can the Minister explain to Mr Davenport how the abolition of the RDAs and now the cut in feed-in tariffs is helping jobs and growth?
What the hon. Gentleman needs to deal with is the fact that the regional development agencies in their time never managed to achieve what they set out to achieve and acquired vast liabilities—an astonishing achievement for development agencies. The solar tariffs had to be reduced because they were a disgrace and would have cast ill-repute on the whole of the very important programme that we have for supporting renewables and feed-in tariffs in this country.
T5. People in Edgworth in my constituency found out that their bus service is being scrapped for want of £10,000, although the local authority can still find almost £100,000 to support trade union activity. What action will the Government take to end taxpayer-funded activity within the public sector?
I have already said what we are planning to do in relation to the civil service. Obviously, local authorities must answer for their own affairs, but the guidance is that those arrangements should be reviewed regularly. I urge my hon. Friend to put pressure on his local authority to explain how it justifies spending money that should be spent on front-line public services supporting vulnerable people on subsidising trade union activity instead.
What discussions has the Minister had with colleagues who are responsible for the Work programme about openness and transparency? They are yet to publish any performance data on the programme. Moreover, they have banned Work programme providers from publishing their own performance data, as many of them would like to do.
All the indications are that the Work programme is a successful move, and I will make those representations to my right hon. Friend the Secretary of State for Work and Pensions. We are generally the most open Government ever. We lead the world in transparency and have gone much further than the Government of whom the right hon. Gentleman was a distinguished member ever dreamt of going.
T6. Having heard the excellent news this week on the increase in apprenticeship places, which are up 50% to 442,000, does my hon. Friend agree that the national citizen service can also play a key role in helping our young people into work?
Yes, because it helps them to develop the skills that employers need.
Q1. If he will list his official engagements for Wednesday 2 November.
This morning I had meetings with ministerial colleagues and others and, in addition to my duties in this House, I shall have further such meetings later today.
My hon. Friend makes an important point, and the Chief Secretary to the Treasury will be making a full statement to the House. It seems to me to be absolutely vital that we do something that is fair to both taxpayers and public sector workers. The cost of our public sector pensions system is up by a third in the last decade. It is not fair to go on as we are, but the new arrangements must be fair to people who work hard in the public sector and on whom we all rely. I can tell the House that low and middle-income earners will actually get more from their public sector pensions, everyone will keep what they have built up so far, anyone within 10 years of retirement will see no change to their pension arrangements and, at the end of all this, people in the public sector will still get far better pensions than people in the private sector. I really think it is time that the Labour party was clear that it does not support strikes later this month.
Does the Prime Minister believe that growth of 0.5% over the last year and unemployment at a 17-year high point to the success or failure of his economic plan?
Obviously, everybody wants the British economy to grow faster—that is what everybody wants. Yesterday’s figure of 0.5% was better than many people expected and is it not noticeable that the right hon. Gentleman cannot even bring himself to welcome news like that? The key issue we all have to address is this: there is a global storm in the world economy today and it is in our interests to help others to confront that global storm, but we must also keep the British economy safe. We will not keep it safe if we add to our deficit, add to our debt and put interest rates at risk.
First the right hon. Gentleman blamed the Labour Government, then he blamed Europe, and yesterday he apparently blamed his Cabinet colleagues for the lack of growth in our economy. The truth about this Prime Minister is that when things go wrong it is never anything to do with him.
Let me ask about another of his flagship policies, the business growth fund, which was launched nine months ago with the banks. Can he tell us the number of businesses the fund has invested in?
First, the problem with pre-scripted questions is that the right hon. Gentleman does not listen to the first answer. I did not actually in my first answer blame the last Labour Government, but if he would like me to do so I can start right now, because it was the last Labour Government who left us the record debts and the record deficit, and it is this Government who are having to deal with that.
The right hon. Gentleman asks about the business growth fund. This is one of the schemes to ensure that banks are lending, alongside the Merlin scheme, which is actually seeing an increase in lending to small businesses. That is the record we can be proud of—and something he did not achieve.
We all know by now with this Prime Minister that when he blusters like that at the Dispatch Box he is either too embarrassed to answer or he does not know the answer, so let me help him. The business growth fund was announced nine months ago, it has five offices and 50 staff. How many investments? A grand total of two. It is becoming a pattern with this Prime Minister: fanfare announcement then radio silence. He said in March:
“I’m going to watch those banks like a hawk and make sure they deliver”.
So what is he going to do to get the business growth fund moving?
These are the banks the right hon. Gentleman completely failed to regulate year after year—[Interruption.] Yes, yes, and these—[Interruption.]
Order. The House is getting—[Interruption.] Order. Mr Ronnie Campbell, calm yourself. The House is getting far too excited. It is only six minutes past—[Interruption.] Order. Let me say it at the outset: both the Prime Minister and the Leader of the Opposition must be heard. It is called democracy and free expression.
Let me just give the right hon. Gentleman the figures for what has happened under the bank lending schemes of this Government. We have £190 billion of new credit this year, up from £179 billion last year. That is a huge increase. There is £76 billion for small and medium-sized enterprises, up 15% on last year. We are seeing more bank lending under this Government, but we are seeing also the bank levy, so people in the banks are helping to pay to deal with the deficit that his Government created.
A totally hopeless answer. One of his own schemes, the business growth fund—they trumpeted the announcements, and they have not got a clue what is happening to their own scheme.
Businesses are struggling, but one group in our economy is doing very well, indeed. Over the past year, when many people have seen their wages frozen, directors’ pay has risen by 49%. The Prime Minister expressed concern about that last Friday, but the public want to know: what is he going to do about it?
Let me tell you exactly what we are doing about it, and will do about it. It is this Government who introduced the bank levy—more raised in one year than the bonus tax that the previous Government created; it is this Government who have increased the fees that non-doms have to pay; it is this Government who have had an agreement with Switzerland and Liechtenstein to get hold of people who put money overseas; and it is this Government who have actually seen lower bank bonuses. But, where I agree with the right hon. Gentleman is that I think the Archbishop of Canterbury speaks, frankly, for the whole country when he says that it is unacceptable in a time of difficulty when people at the top of our society are not showing signs of responsibility. It is this Government who are consulting on proper measures to make sure we get transparency in terms of boardroom pay, proper accountability and more power for shareholders. All those things we are doing, and I have to ask the right hon. Gentleman, if he is so keen on this agenda, what did he do for the past 13 years?
I will tell you what we did, Mr Speaker. We introduced the 50p rate of income tax that the Prime Minister and his Chancellor want to abolish, but I am glad that we agree that something needs to be done about top pay. Now, last—[Interruption.] Conservative Members should just calm down. Follow the Prime Minister’s advice: just calm down. Last March, his fair pay review, which he set up, recommended that the Government require by January 2012—so January next year—that every top company publish how much the highest earners get paid compared with the average earner. That type of transparency is the least we should expect. Can he confirm that this will happen from January 2012? Yes or no?
What the right hon. Gentleman will know is that unlike the previous Government, who did absolutely nothing, we are consulting on a whole series of steps to bring responsibility to the boardroom. I have to say that we are a little wary about accepting lectures from a party that told us it was intensely relaxed about everyone getting filthy rich—a party that had a capital gains tax system so that people in the City paid less tax than their cleaner. I know he has forgotten all these things but we remember them and we have done something about it.
Another report to Government; another failure to act. The truth is that the Prime Minister has sat on Will Hutton’s review for the past nine months and has done nothing about it. That is why the recommendation is not going to be implemented. That is the truth about this Prime Minister: he says we are all in it together but he lets the top 1% get away with it while the other 99% see their living standards squeezed and lose their jobs. That is why people are increasingly saying that this is a Prime Minister who is totally out of touch with their lives.
I have to say that in the week when the Labour party has hired a former tax exile to run their election campaign, the right hon. Gentleman has got a bit of nerve to come and lecture us on that. Labour had 13 years to regulate the banks but did nothing. It had 13 years to deal with bank bonuses but did nothing. Now it is in opposition, its message to business is, “Give us some money—you can run our election.”
Q2. Cable theft has cost the rail industry £43 million in the past three years and Gurkhas have even been drafted in to patrol the network. Meanwhile, homes and churches are having their lead and copper pilfered and, in the past month, one churchyard in Huddersfield has had 169 memorial plaques stolen for their metal. Will the Prime Minister join me in saying that now is the time to legislate to stop those stolen metals going to merchants?
My hon. Friend makes an extremely important point. The theft of metal, particularly from war memorials, is an absolutely sickening and disgusting crime. We are working with the Association of Chief Police Officers to put in place an action plan to deal with this, which will involve looking again at the whole regulation of scrap metal dealers. We are determined to do that to put a stop to this appalling crime.
People in my constituency and right across the country are desperately worried about the increasing cost of gas, electricity and home heating oil and about how they are going to keep their home warm this winter. What more can the Prime Minister tell the country he is going to do to help people in that situation? In particular, will he reverse the cuts to winter fuel allowance that hit senior citizens? Surely, it is not good enough simply to say that he is following the Opposition’s plans—he has done so many things differently from the Opposition, so why does he not do something different on the winter fuel allowance?
On the winter fuel allowance we have kept the plans that were set out by the previous Government and I think that is the right thing to do. On the cold weather payments, we have taken the increase that was meant for one year and maintained it, so if there is a particularly cold winter, people will be getting that help. The other step we are taking is making sure that energy companies give people proper information about the lowest tariffs they can get and that we have proper reform of the energy market—something that the Labour party has now suddenly started to talk about but did absolutely nothing about in government.
Q3. Public sector pension reform should be achieved through negotiation and compromise. Does the Prime Minister agree that it is wholly irresponsible and downright destructive for senior politicians of any political party to support strike action while negotiations are ongoing?
I think my hon. Friend is entirely right. It is a very fair offer to hard-working public servants to say, “This is a strong set of pension reforms that will give you pensions that are still better than anything available in the private sector.” Frankly, to have a Labour Front-Bench team who are silent on this issue, with their education spokesman actually encouraging teachers to strike, is the height of irresponsibility.
Q4. My constituents Alan and Linda Eastwood have a son who has been serving in our nation’s armed forces in Afghanistan. In common with the Royal British Legion, Mr and Mrs Eastwood regard the Prime Minister’s decision to abolish the post of chief coroner as a betrayal. Will the Prime Minister tell us why he thinks he is right on this issue and the Royal British Legion is wrong?
This is a very important issue, and I have had discussions with the Royal British Legion about it, as has my right hon. and learned Friend the Lord Chancellor. The point about it is that the current proposal for the office of chief coroner to be established would involve something like £10 million of spending, and we think the money would be better spent on improving all coroners’ services across the country. We are listening very carefully to the concerns expressed in both Houses of Parliament about this issue, but what really matters is: are we going to improve the performance of our coroners? That is what service families want; that is what I want; and that is what we will deliver.
Q5. Public sector workers in my constituency work extremely hard to deliver essential public services, and I know that my right hon. Friend agrees that we value those services tremendously. Will he reassure those workers and confirm that the Government’s reforms—very necessary reforms that they are—will ensure that those services are sustainable and remain among the very best?
I will certainly do that. My hon. Friend makes an important point. The cost of supporting public sector pensions has gone up by one third in the last decade, and we are now spending something like £32 billion. They are a major item of public spending, and obviously we are taking taxes off people, including those in the private sector who have less good pensions, to pay for that pension provision.
I believe that our scheme is fair. For example, a teacher retiring on a salary of £37,000 after a full career would retire on a pension of £25,000 in future. That is more than the £19,000 that they would currently get. This is a fair set of changes. The less well-off are really protected, and the low paid in the public sector will not have to pay the increased contributions. Frankly, I think the whole House of Commons should get behind them instead of playing with strike action like the Labour party.
When the Prime Minister goes to the G20 meeting over the next couple of days, will he try to persuade his colleagues of the urgency of coming up with some detail on the eurozone settlement reached last week? It is not at all clear how on earth Greece will get out of its difficulties, even if the referendum passes. European banks will need shoring up well before next summer, and as for the new rescue fund, which may be needed sooner than we think, it does not actually exist. Will he accept that the G20 now needs to show the same urgency and sense of purpose that it showed two years ago when it met in London? Otherwise, far from getting ahead of events, Governments will be condemned to being dragged along in their wake.
The right hon. Gentleman is absolutely right in what he says about the urgency of the G20 meeting, and the necessity of its agenda. I think some progress was made at the European Council meeting a week ago when, for the first time, it accepted a proper write-down of Greek debt, which must be part of the solution, and a proper recapitalisation of Europe’s banks done to a credible test, rather than the incredible test we have had in months gone by.
The final element that the right hon. Gentleman rightly refers to—and which needs to have more detail and substance added—is to make sure there is a proper firewall to stop contagion in the eurozone. The need has become even greater. Frankly, of course we cannot involve ourselves in Greek domestic politics, but it has become even more urgent to put meat on the bones of these plans to show that we are removing one of the key obstacles to global growth, which is the failure to agree a proper plan to deal with problems in the eurozone.
Q6. According to the Government’s own projections, Britain’s population is set to increase from 62 million today to 70 million by 2027, with two thirds of that increase being driven by immigration. Will the Prime Minister give a commitment to stem that increase by breaking the almost automatic link between foreign nationals who come to work here subsequently being granted citizenship?
We are committed to doing exactly that, and my hon. Friend is right to raise this issue. I think that proper immigration control and welfare reform are two sides of the same coin, and this Government are committed to controlling immigration properly, but also to putting British people back to work. The two work together.
Today, we have announced that, in terms of the illegal immigration that comes through the student route, more than 450 colleges will no longer be able to sponsor new international students, because they were not properly established to do that. Those colleges could have brought in more than 11,000 students to the UK to study each year. That is just one example of how this Government are living up to their promise to get a grip on immigration.
Q7. Does the Prime Minister agree with the vast majority of people that smoking should be banned in vehicles when children are present, and will he encourage the Government to adopt the contents of my ten-minute rule Bill, which aims to put an end to it?
I do think the smoking ban is right. I have to admit, as a former smoker, and someone who believes strongly in liberties and who did not support it at the time, that the smoking ban has worked, and I think it is successful. I am much more nervous about going into what people do inside a vehicle. I will look carefully at what the hon. Gentleman says, but we have to have a serious think before we take that step.
The Prime Minister will be aware of Citigroup’s report, issued yesterday, on green energy investment in Scotland. Does he agree that this report very ably demonstrates that the benefits of green energy in the UK are unlocked only by combining Scotland’s renewable potential with the large-scale investment made possible by the UK; and does he agree that a drawn-out independence referendum is a serious distraction from that?
My hon. Friend makes an important point. In fact, a major financial institution warned yesterday of the dangers of investing in Scotland while there is this uncertainty about the future of the constitution under way. I think it is very important that we keep our United Kingdom together and we stress that when it comes to vital industries like green technology, the combination of a green investment bank sponsored by the United Kingdom Government and the many natural advantages that there are in Scotland can make this a great industry for people in Scotland—but we will do that only if we keep our country together.
Q8. Just after the election, the Prime Minister said that his Government would be the greenest ever. Does he still take that statement seriously? If he does, will he personally intervene to sort out the appalling chaos that is resulting from the slashing, in six weeks’ time, of feed-in tariffs for solar PV, leading to substantial job losses, chaos in the solar PV industry, and devastation for hundreds of community renewables projects?
It is this Government who set aside £3 billion for a green investment bank, much talked about in the past but never done. It is this Government who have put in place a carbon price floor—one of the first Governments anywhere in the world to do so. It is we who put aside £1 billion for carbon capture and storage. So this is a very green Government living up to our promises—absolutely right.
Q9. Will the Prime Minister join me in congratulating the pupils and staff at Whitchurch high school, a foundation-status comprehensive school in my constituency? It is the former school of Sam Warburton, the outstanding Welsh rugby captain; Gareth Bale, the impressive footballer at Spurs and Wales; and Geraint Thomas, the gold medallist. It will be receiving the award for state school of the year for sports—
I have to say that that is a very impressive list of sports personalities who have attended this school; I do not know what they put in the water, but I think we would probably all like to have some. I certainly join my hon. Friend in congratulating such an excellent school.
In the past four years, six children and two adults have been killed in dog attacks, and some 6,000 postal workers are attacked each year. There is cross-party agreement that we need to tighten up the law in this area. Will the Prime Minister take a personal interest and make sure that legislation is brought forward as soon as possible?
The hon. Lady makes an important point. Legislative attempts at this in the past have not always been successful and have not always captured the breeds that need to be captured, so I will certainly take a personal interest, and perhaps I can write to the hon. Lady and set out what the Government intend to do.
Q10. Following the Prime Minister’s answers a moment ago, and given the huge anger about the pay for the top 100 directors, can he give me a personal assurance that he is committed to the transfer of power over pay from the boardroom to the shareholders of our companies?
I do want to see that happen. The answer to this is much more transparency about the levels of pay, much more accountability, and strengthening the hand of shareholders. There is something else we need to do, which is to make sure that non-executive directors on boards are not the usual sort of rotating list of men patting each other’s backs and increasing the level of remuneration. I want to see more women in Britain’s boardrooms, which I think would have a thoroughly good influence.
The Prime Minister has described his Work programme as the biggest back-to-work programme since the 1930s, but he knows that it does not create jobs—it merely links people to vacancies. In Tottenham, there are 6,500 people unemployed, 28,000 people on out-of-work benefits, and only 150 vacancies. What is his Work programme going to do about that?
As the right hon. Gentleman says, the Work programme plays a key role in helping to prepare people for work. That is absolutely vital. It also brings employers in, so that they can offer jobs to those people. I have looked specifically at the issue of Tottenham, because I know from when I visited his constituency with him that, yes of course, there is a shortage of vacancies in the borough of Tottenham itself, but we have to encourage people who live in London to be prepared to travel more widely to look for work. That is absolutely vital, and part of the Work programme should be aimed at addressing exactly that.
Rural fire services attend more primary fires and more road traffic accidents than do those in urban areas, yet they receive less funding. This is typical of rural services across the piece, with residents paying more and receiving less. Will the Prime Minister meet me and a group of other MPs from across the House who represent rural areas, to discuss getting a fairer deal for those in rural areas, particularly the rural poor?
I am very happy to meet my hon. Friend. It is important that we have a fair deal for rural areas. There are obviously very big differences, particularly in the use of retained firefighters, but I am happy to meet him to discuss the issue.
Q12. The Prime Minister knows, thanks to the Leader of the Opposition, that in nine months, the Government’s business growth fund has invested in precisely two companies. At a time when the economy is flatlining, is that good enough?
What this Government have done is cut corporation tax for every business in the country. We have introduced enterprise zones to help employment, and increased the number of apprenticeships by 250,000 over the life of this Parliament. The Opposition criticise the regional growth fund, but there was no regional growth fund under Labour. That is the point. Let me just remind them that we inherited an economy with the biggest budget deficit in Europe, and it is this Government who are helping our economy through the international storms to ensure that we remain safe in the UK.
This week is national adoption week. Does my right hon. Friend agree that we must continue to do all that we can to support children in the care system, and to encourage prospective adoptive parents to come forward?
My hon. Friend makes an extremely important point. In national adoption week, we really need more parents to come forward as potential adopters and potential foster carers, because there is a huge build-up of children in the care system who will not get that help unless people come forward. It is also important that the Government pledge that we will make the process of adoption and fostering simpler. It has become too bureaucratic and difficult, and the result is that it is putting people off. I am absolutely determined that we crack this. It is a matter of national shame that, while there are 3,660 children under the age of one in the care system, there were only 60 adoptions last year. We are now publishing information on every single council, so that people can see how we are doing in terms of driving this vital agenda.
Q13. This week, yet another military academic has called for the reopening of the defence review, and a leading military think-tank has said: “Britain is now cutting military equipment that might prove vital in future.”Will the Prime Minister finally listen to the voices of the defence community and reopen his deeply flawed defence review?
We had no defence review for 10 years, and now the Opposition want two in one go. That is absolutely typical of the opportunism of the Labour party. This is a day, as hostilities in Libya are coming to an end, on which we should be praising our armed services and all that they have done.
Q14. Schools in rural Northumberland were largely ignored by the previous Government. With the schools budget rising from £35 billion to £39 billion in 2015, will the Prime Minister welcome the finance bid put forward by Prudhoe community high school in my constituency?
I will certainly welcome that bid. It is important to note that, because we are protecting the per-pupil funding, even at a difficult time for the economy and public spending, the education budget will be rising and not falling—[Interruption.] As ever, the shadow Chancellor is wrong, even when he is sitting down. He talks even more rubbish when he stands up. I digress. As well as the extra investment in the schools budget, there is also the opportunity for free schools, which I think are going to be a major reform in our country, to bring in more good school places. Perhaps when a future shadow Chancellor attends one of those schools, he will learn a few manners. [Interruption.]
Order. Some people are going to burst they are getting so excited, which is a bit of a shame—and a bit of a problem for them.
Will the Prime Minister listen to both the campaigners outside Parliament today and the 80,000 people who have written to him in recent weeks, and commit to becoming a leading advocate for the introduction of a Robin Hood tax at the G20 summit later this week? Will he ensure that the revenue is earmarked to tackle sustainable development and the growing climate crisis?
As the hon. Lady knows, there is widespread support for the principles behind such a tax, but it must be adopted on a global basis. Let me say this as quite an important warning to those who are pushing so hard for such a tax: we must be careful that we do not allow other countries, including some European countries, to use a campaign for the tax, which they know is unlikely to be adopted in the short term, as an excuse for getting out of their aid commitments. The House and the country can be proud of the fact that we are meeting our aid commitments. Do not let others use the tax as a way getting out of things that they promised.
Q15. The world population passed 7 billion this week. That is an awful lot of mouths to feed. In addition, the UN predicts that over the next 40 years, world demand for food will increase by 70%. That ought to be good news for farmers, but sadly, since 1990, Britain’s capacity to feed itself has fallen by a fifth. Does the Prime Minister agree that that is a disastrous situation, and will he urgently introduce a credible strategy to grow Britain’s farming industry to feed us all in future?
My hon. Friend makes an important point. It is true that we have seen our food security decline and our food production severely challenged over the past 10 years. It is important to remember that farmers are businesses. They need things done like other businesses do on deregulation, predictable income and all those things. This Government are committed to making that happen, which will benefit particularly people in my hon. Friend’s constituency.
On 13 September 2010 at the Select Committee on Communities and Local Government, when asked whether success for this Government will mean building more homes per year than were being built prior to the recession, the Minister for Housing and Local Government replied:
“Yes. Building more homes is the gold standard upon which we shall be judged.”
In which year or years of this Parliament does the Prime Minister expect that gold standard to be achieved?
What we have said is that we are going to expand the building of homes for social rent by increasing and reintroducing the right to buy, which the previous Government so scandalously ran down. That will help. We will also make available Government land, so that builders can get on and build without having to buy that land. They will have to pay only when they have actually delivered the house. We want to see an extra 200,000 homes built in that way, which will give us a far better record than that of the Government whom the hon. Gentleman represented.
Notwithstanding the increasingly maniacal gesticulations of the shadow Chancellor, is it not remarkable that in the middle of the world’s biggest crisis, Britain is able to borrow at lower rates of interest than almost any other country in the world?
As ever, it takes the Father of the House to bring the wisdom to the table, which is that if we did not have a proper plan for getting on top of our debts and our deficit, we would not have 2.5% interest rates, which are the greatest stimulus our economy could have. Instead, we would have interest rates like those of the Greeks, the Spanish and the Italians, and our economy would be hit. Do you know how you get interest rates like that? You get them if you adopt the plans of the Labour party. Its plan is for an extra £87 billion of borrowing over this Parliament. You do not solve a debt crisis by adding to your debts—[Interruption.] The shadow Chancellor can go on making his rather questionable salutes, but it is time for him to take a primer.
Order. I appeal to right hon. and hon. Members who are leaving the Chamber, who unaccountably do not wish to remain for the statement, to do so quickly and quietly, so that the rest of us can listen attentively to the Chief Secretary.
(13 years ago)
Commons ChamberI wish to update the House on progress in the reform of public service pensions and to set out the new offer that we have made as we seek to bring this issue to a conclusion by the end of the year. Our objective is to put in place new schemes that are affordable and fair for taxpayers and public service workers, and that can be sustained for decades to come. That is not easy, but it is the right thing to do and I recognise that this is a contentious area.
Public service workers deserve a good pension in retirement as a fair reward for a lifetime spent serving the public. That is why in June last year, the Chancellor commissioned Lord Hutton, the Secretary of State for Work and Pensions in the previous Government, to take an impartial, dispassionate look at this issue and to bring forward proposals for reform. His landmark report has set the terms of the debate and I am sure that the whole House will share my gratitude for his work.
Lord Hutton’s interim report found that there was a clear justification, based on the past cost increases borne by the taxpayer, for an increase in member contributions. We accepted that recommendation, and increases in member contributions will take place starting next year, although next year’s increase merely reflects the increase already planned by the previous Government. In his final report, he set out a blueprint for a new landscape of public service pensions based on retaining defined benefit schemes, but moving to a fairer career average basis, and increasing the retirement age in line with the state pension age to protect the taxpayer against future increases in life expectancy.
We accepted Lord Hutton’s recommendations in full as a basis for consultation and we have been discussing the recommendations with the trade unions. Those discussions started in February and are still going on. Despite some of the public comment, significant progress has been made. I pay tribute to the Minister for the Cabinet Office and the general secretary of the TUC for their tireless work to reach common ground on reform.
The trade unions have welcomed many of the commitments that we made at the start of this process, including that public sector schemes will remain as defined benefit schemes, with a guaranteed amount provided in retirement, and that all accrued rights will be protected. Everything that public servants have earned until the point of change, they will keep, and those things will be paid out in the terms expected and at the retirement age expected. Final salary means just that: a person’s accrued rights will be based on their final salary not at the point of change, but when their career ends or they choose to leave the scheme. No public sector worker needs to have anything to fear for the entitlements that they have already built up.
We have also reached agreement on the importance of transparency, equality impacts, participation rates and opt-outs, scheme governance, and high level principles to inform consultations on scheme-level pensions. However, the central issue of the value of new schemes remains to be agreed. I believe that two aims need to be met. First, for most low and middle income workers, the new schemes should generate an income at retirement that is at least as good as the amount that they receive now. Secondly, the taxpayer needs to be properly protected from the risks associated with further increases in life expectancy, by linking the scheme normal pension age to state pension age.
In early October, we set cost ceilings to meet those tests. Those cost ceilings are based on Lord Hutton’s recommendations and generate an accrual rate of 1/65th for the new schemes. Scheme-by-scheme discussions have been taking place on that basis since the beginning of October. Although the talks have been productive, trade unions and Ministers have given consistent feedback about what they think needs to change. Last week, the Minister for the Cabinet Office and I met the TUC negotiating team, who pressed for a more generous cost ceiling and explicit protections for those workers nearest to retirement. I have received similar feedback from the Secretary of State for Education and the Secretary of State for Health.
Having listened to those views, I have decided to revise the Government’s offer. Cabinet discussed these matters yesterday, and I met the TUC this morning to set out the terms of our new offer. The offer increases the cost ceiling and provides for generous transitional arrangements for those closest to retirement. I have made available to Members today a document that sets out the detail. This generous offer should be more than sufficient to allow agreement to be reached with the unions, but it is conditional upon agreement being reached. I hope that on the basis of this offer, the trade unions will devote their energy to reaching agreement and not to unnecessary and damaging strike action. In that way, the offer can inform the scheme-by-scheme talks that will continue until the end of the year. Of course, if agreement cannot be reached, we may need to revisit our proposals and consider whether the enhancements remain appropriate.
I can announce today that I have decided to offer an increase to the cost ceiling. Future schemes will now be based on a pension to the value of l/60th of average salary, accruing for each year worked. That is an 8% increase on the previous offer. I will give the House some examples of what that means. A teacher with a lifetime in public service and a salary at retirement of £37,800 would receive £25,200 each year under these proposals, rather than the £19,100 that they would currently earn in the final salary teachers’ pension scheme. A nurse with a lifetime in public service and a salary at retirement of £34,200 would receive £22,800 of pension each year if these reforms were introduced, whereas under the current 1995 NHS pension scheme arrangements they would only get £17,300.
Pensions would remain considerably better than those available in the private sector. To earn the equivalent pension in the private sector, the teacher retiring on £37,000 would need a pension pot of around £675,000, and the nurse retiring on £34,200, a pot of £600,000. Both would require an annual contribution of around a third of salary.
In addition, I have listened to the argument that those closest to retirement should not have to face any change at all. That is the approach that has been taken over the years in relation to increases to the state pension age, and I think it is fair to apply that here too. I can also announce that scheme negotiations will be given the flexibility, outside the cost ceiling, to deliver protection so that no one within 10 years of retirement will see any change in when they can retire or any decrease in the amount of pension they receive. Anyone 10 years or less from retirement age on 1 April 2012 can be assured that there will be no detriment to their retirement income.
We need to be clear about the backdrop against which this offer is made. I fully understand that families across the country are feeling financial pressure right now. These are unprecedented and tough economic times. But reform is essential because the costs of public service pensions have risen dramatically over the last few decades. The bottom line is that we are all living longer. The average 60-year-old today is living 10 years longer now than they did in the 1970s. That is a remarkable and welcome achievement, but it also means that people are living in retirement longer and claiming their pension for longer. As a result, the costs of public service pensions have risen to £32 billion a year, an increase of a third in the last 10 years. While they accounted for just under 1% of GDP in 1970, they account for around 2% of GDP today—more than we spend in total on police, prisons and the courts. And for the most part, it has not been the public service workers footing the bill, but the general taxpayer. We have to reform to ensure that the costs of pensions are sustainable in the long term and to ensure that costs and risks are fairly shared between employees and employers.
I believe this package is affordable. I believe it is also fair to public service workers, and delivers significant long-term savings to taxpayers who will continue to make a significant contribution to these pensions. If reform along these lines is agreed, I believe that we will have a deal that can endure for at least 25 years and hopefully longer. People are living longer, so public service pension reform is inevitable. But we have listened to the concerns of public sector workers and come up with a deal that is fair and affordable. The lowest paid and people 10 years from retirement will be protected, and public service pensions will still be among the very best available.
If reform of this sort is agreed, then no party in this House will need to seek further reform of the overall package. This sustainability is an important prize. I hope that the trade unions will now grasp the opportunity that this new offer represents. I also hope that the Labour party will do the right thing, put party politics aside, and support the proposals, which—after all—came from John Hutton, in the interests of securing a long term consensus on the future of public service pensions. It is the chance of a lifetime to secure good, high quality, and fair public service pensions.
Yes, we are asking public service workers to contribute more. Yes, we are asking them to work longer, along with the rest of society, but we are offering the chance of a significantly better pension at the end of it for many low and middle income earners. It will be a fairer pension, so that low income workers stop subsidising pensions for the highest earners. It will be a sustainable deal that will endure for at least 25 years, and an affordable deal that will ensure that taxpayers are asked to make a sensible contribution, but will keep costs sustainable and under proper control. That is the new offer I am putting on the table today; it is an offer that the Opposition should support and the unions should agree to and I commend this statement to the House.
I thank the Chief Secretary for his statement and for advance notice of it. I welcome today’s signal that the Government are now willing to enter into proper discussions. That is a welcome change from the months of Treasury and Cabinet Office intransigence that came before.
Too often in recent months it has appeared that the Government have not understood that strikes are a sign of failure on both sides. Let us be clear: it was this Government’s decision to rip up the framework established by the last Labour Government and to go much further much faster. In particular, it was the Chancellor’s decision to pre-empt Lord Hutton and impose a 3% surcharge for all employees announced in the spending review last year, before negotiations had even begun. That decision suggested that rather than negotiating in good faith, the Government were intent on acting unilaterally and so provoking confrontation. It is good news, therefore, that the Government have at last made a constructive move to begin proper discussions.
Let me be clear: no one wants strike action. The Government and the unions have a duty to show that they have exhausted every possible avenue. Our focus is on those who rely on services that would be affected by strikes—from parents who will have to take a day off work to those who rely on home help. However, public sector workers—nurses, teachers and dinner ladies—also care too much about the people they serve day in, day out to consider action as anything other than a last resort, yet those who work in front-line public services are also desperately worried about their future and about whether they will be able to afford retirement. It is for the Government to ensure, therefore, that change is agreed and delivered in a way that brings with them the nurses, teachers, home helps and dinner ladies affected by the changes.
It is welcome that the Government have now recognised that announcing tactical offers on the airwaves, rather than constructive proposals in proper negotiations, is not the right way to proceed. However, I would suggest three key tests for a fair agreement. First, on affordability, do the changes deliver a fair deal for taxpayers when times are tough, taxes are rising and spending is being cut? Secondly, on fairness, do they deliver a fair deal for public sector workers on low and middle incomes, whose pensions are far from gold-plated and who have given so much to the services in which they work? Thirdly, on sustainability, do the changes deliver a workable settlement for the long term that does not undermine the sustainability of existing schemes and which can be flexible in the face of rising life expectancy? That is how we will judge the outcome of the negotiations.
To meet those tests, it has always been clear that public sector workers will need to accept higher contributions on average and, given that people are living longer, an increase in the retirement age, too. That was fundamental to the arrangements put in place by the previous Government for capping the Government’s contributions and then, as costs rose, negotiating how to increase workers’ contributions or change entitlements. Equally, however, the Government have to accept that for many low-paid staff, their pension is the only means of security in retirement. In a time of pay freezes, sharp increases in contributions risk hardship today and increased levels of opt-out, pushing up pensioner poverty in the future, which is why we have been critical of the confrontational stance taken by the Government and of the rush to early industrial action in June.
We will see in the coming days whether these moves are sufficient to restore the much-needed trust in these discussions that could ensure that, even at this late stage, there is still time for both sides to step back from the brink. We must all study the detail of what is now on the table, but on affordability will the Chief Secretary set out the cost of these concessions to the public purse? As he rightly sets out the transitional protections for workers in their 50s and tapering arrangements for those in their late-40s, can he say whether both these additional costs will have to be made by savings elsewhere in the system? On fairness, can he confirm that the proposed increase in contributions, if applied across the board, would still mean an increase in contributions for low-paid and part-time workers earning less than £15,000 a year? Have the Government assessed the impact of the pay freeze on opt-out rates from public sector pension schemes to date?
On sustainability, has an assessment been made of the impact of the 3% increase in contributions proposed from April and of whether increased drop-out rates could affect the viability of funded schemes, such as the local government scheme? Is it the Chief Secretary’s intention that those affected as a result of the settlement will have the certainty of knowing that there will be no further changes for 25 years? How will he deliver on that commitment? Will he give the House a timetable for discussions over the next eight weeks, given his aim to secure agreement by the end of the year? I hope that he can reassure taxpayers and public sector workers—teachers, the police, home helps and others—on those points. The Government must leave no stone unturned in their negotiations to seek a genuinely sustainable agreement that is fair for public sector workers and taxpayers, and avoids a strike this autumn.
I am grateful to the hon. Lady for her response, although she left a few questions unanswered herself, which I shall come to.
On proper discussions, I reject what she said about the Government’s stance. Talks have been going on constructively for the last eight months. The Minister for the Cabinet Office and I have spent many, many hours in those discussions, and if the hon. Lady talked to the trade unions, she would discover that they, too, see them as constructive. She also referred to the previous Government’s cap and share arrangement. Let me tell her what Lord Hutton said about it in his report:
“Cap and share cannot take account of the increases in cost of pensions over recent decades because people have been living longer. Also, untested, complex cap and share arrangements cannot of themselves, address the underlying issue of structural reforms, nor significantly reduce current costs to taxpayers.”
In other words, the previous Government’s arrangements were simply not good enough at controlling the costs in the way we need to.
The hon. Lady asked me several questions; let me address them directly. As I said in my statement, transitional protections and tapering are outside the cost ceiling, so they will not be met at the expense of other arrangements, which may be negotiated on a scheme-by-scheme basis. On contributions, there was an assumption, audited by the Office for Budget Responsibility, about the impact that 1% of pay bill would have on opt-out rates, which I accept. We are engaged in a separate track of negotiations with the local government pension scheme—which the hon. Lady also mentioned—precisely in recognition of the fact that it is a funded scheme and that therefore different considerations apply.
On affordability—the first of the hon. Lady’s three tests—let me tell her that, yes, the changes are affordable. Her test is met. This test ensures—[Interruption.] Opposition Front Benchers are saying, “Part-time workers?” The contributions increase has been set out. We have ensured, on a scheme-by-scheme basis, that the contributions will be tiered according to income. Those earning less than £15,000 a year on a full-time equivalent basis will have zero—[Interruption.] The right hon. Member for Morley and Outwood (Ed Balls) likes to hector from a sedentary position. Instead of being the shadow chunterer, perhaps he will sit there and listen. We have made it clear that those earning up to £21,000 on a full-time equivalent basis will have a reduction. The full-time equivalent basis for pension reform is the basis—[Interruption.]
Order. There was quite a lot of chuntering earlier when the shadow Chief Secretary was speaking, and that should not happen. Those on the Opposition Front Bench have had their go, and I am afraid that they cannot pursue the debate again from a sedentary position. Let us hear the Chief Secretary. The House knows that I will allow plenty of time for questions, so we need not get aerated about it.
The full-time equivalent basis for pension reform is being approached in exactly the same way that the previous Government treated it. The hon. Lady’s tests for affordability, fairness and a workable settlement are all met. She did not say, in the end, whether she supported the deal on the table to date. It is incumbent on the Opposition to understand the deal and support it. It is also incumbent on them to make clear their position on strike action. I hope that she agrees with me that, in light of the new offer and the constructive approach taken to the negotiations, she should not support trade unions going ahead with strike action later this month.
I welcome the extensive work that has gone into these proposals and would like to ask a question specific to my constituency and many others. Many teachers in my constituency work in the state sector, but over their careers they will often spend periods in the independent sector too. Will the proposals continue to allow inter-changeability between the two sectors?
If agreement is reached, they will. The arrangements that the hon. Lady describes are an important part of the discussions, but they depend on reaching a sustainable agreement on the future of public service pensions along the lines I have set out.
I look forward to studying the proposals, because with pensions the devil is always in the detail. I have spoken to public sector workers, and the two things that they are most concerned about—and which might have encouraged them to vote for strike action at the end of November—are the large increase in individual contributions, on top of what they already contribute, and the move from the retail prices index to the consumer prices index. I did not hear from the Chief Secretary’s statement whether those two things remain in place, which would be a disappointment to public sector workers.
Those two things do remain in place. I understood from a previous debate that the Opposition supported the switch from RPI to CPI. We are going ahead with the increase in member contributions, which, as Lord Hutton said in his interim report, is necessary to rebalance the substantial increase in costs over the past few decades, which have been borne almost entirely by the taxpayer. Around the table with the trade union negotiators, the main issues raised in recent weeks have been the accrual rate, the transitional arrangements and the guarantee that we are reaching a long-term settlement.
I welcome the Chief Secretary’s statement. On many occasions in Bracknell and Finchampstead, I have met people in their 30s and 40s employed in the private sector—the majority of people in my constituency are employed in the private sector. Can he confirm that many in the public sector would have to contribute a third of their salary and pension contributions in order to get similar pensions in the private sector?
The hon. Gentleman is absolutely right: I can confirm that that would be the case. In some cases the figure would be more, depending on how the scheme-by-scheme talks that will go forward resolve the issue. In order to acquire a pension of the sort that we are rightly talking about for public sector workers, people in the private sector would need to acquire a pension pot of £500,000 or more, which would require a substantial salary contribution, of the order of a third.
The Chief Secretary made much of preserving accrued rights. However, to return to the CPI and RPI, what will the average loss be to public sector workers of making the switch permanent?
I think the hon. Lady may have been trying to welcome the protection of accrued rights, in which case I am grateful for her comments. She is right that the switch from RPI is a change to public service pensions that will reduce the benefits over the long term, although that will depend on the scheme and the individual involved. However, it is the right thing to do, because we are talking about the measure of inflation used by the Bank of England to set rates. The answer to the hon. Lady’s question will depend on the individual scheme and the individual person.
Both the Liberal Democrat manifesto, which my right hon. Friend authored, and the coalition agreement committed the Government to an independent review of pensions, and one cannot get more independent than the former Labour Secretary of State, Lord Hutton. Will my right hon. Friend confirm that what he has set out today is more generous to future pensioners and current employees than Lord Hutton recommended, while maintaining fairness for the taxpayer?
My hon. Friend is absolutely right to celebrate Lord Hutton’s independence in this matter. It is a measure of the Opposition’s lack of interest in the subject that they have not even asked for the statement to be repeated in the House of Lords, so that Members there can hear directly from Lord Hutton. He did not recommend a level of adequacy, but he did say that the floor threshold should be the adequacy rates set out by Adair Turner. The offer that I am announcing today is 40% more generous than those floor adequacy rates.
Is it not true that the vast majority of public servants will still be paying more and working longer, and that a significant number will still lose out? The protections for the lower-paid will not affect trained firefighters, trained teachers or trained doctors, or many other public servants. The accrued rights that the right hon. Gentleman has offered are actually a legal duty, and he will exacerbate the industrial relations climate by making an offer, but at the same time threatening to take it off the table.
I know that the hon. Gentleman has taken a long interest in these matters, but he is wrong in his characterisation. He is of course right that we are asking public sector workers to work longer, to set the normal pension age in line with the state pension age, but frankly that is happening to every single person in this country. Public sector workers cannot be immune from that trend any more than anyone else. He mentioned firefighters. Let me say that good discussions are taking place on the firefighters’ pension scheme. We have delayed setting a cost ceiling to take account of all the factors in the firefighters’ pension scheme, particularly the double accrual.
May I welcome today’s statement and pass on the comments made to me by teachers in South Derbyshire in both the private sector and the public sector? It is important that accrued rights remain and that it is easy to move between the two areas, because the private sector is very strong indeed in Derbyshire.
I am grateful for those comments. It is important that teachers, health workers and civil servants study for themselves what the Government are offering. There has been a great deal of misinformation around this debate. We are setting out a document today that describes the position in detail. A new website, too, will be available for public sector workers to see precisely what it might mean for them. I hope those people will seek to form their own opinion of what the Government are offering.
Will the Chief Secretary clarify one comment he made in his statement, when he said that the offer is conditional upon reaching agreement? Does that imply that any industrial action taken anywhere by any trade union member will mean the offer being withdrawn?
No, this is not conditional on industrial action. Some unions are saying that they are planning strikes on 30 November. Talks on a scheme-by-scheme basis will still be going on at that time. I hope that those unions will feel that, on the basis of this offer, they no longer need to go ahead with that action. I think that would be a constructive response to what I have set out today. The offer is conditional upon an agreement being reached—an agreement by the end of the year on the heads of terms on a scheme-by-scheme basis. It is appropriate that we set out a good offer; as a Government, we want to reach agreement, but at the end of the day the trade unions need to want that, too.
May I commend my right hon. Friend for his statement and for the tone in which he has delivered it—and, indeed, commend my right hon. Friend the Minister for the Cabinet Office and Paymaster General? Will the Chief Secretary welcome the notes of conciliation in the response by Her Majesty’s official Opposition? Although our politics does not lend itself to consensus, is this not a subject on which we wish to reach a broad consensus both for the well-being of public sector pensions and for the country and economy as a whole?
I am grateful to my hon. Friend for his welcome and I agree wholeheartedly with his comments. It is precisely the sort of subject on which there should be a cross-party consensus. I think a consensus could be formed around the proposals we have made today. The shadow Chief Secretary says that she wishes to study our proposals. That is fair enough, but I hope that she will see on reflection that the proposals we are putting forward are the right way to go forward on public service pensions both for public sector workers, who are fully entitled to a proper and decent pension, and for the taxpayer as a whole.
Does the Minister agree that the statement consisted of sacrificing long-term pension rights to pay for a short-term failure to stimulate economic growth? What we are seeing, after 13 years of industrial peace, is the return of mass strike action due to Tory economic failure and a threatening, macho approach to negotiation. [Interruption.]
Order. It would be more seemly if the hon. Gentleman were not standing with his hand in his pocket, but I must say to the Education Secretary that he really should not keep on expostulating noisily from a sedentary position. If he were to do that in one of the nation’s classrooms, he would be in detention by now.
The Education Secretary’s noisy expostulations have been thoroughly in support of what the Government are doing; as such, I welcome them. I think that the tone struck by the hon. Member for Swansea West (Geraint Davies) is entirely out of keeping with the tone of the debate so far. For all the reasons I have given, reform of public sector pensions is necessary. It is important that we get it right and that we do so by agreement if we can. That is this Government’s objective.
I share the disappointment at the rather lukewarm response on the Labour Benches. May I ask my right hon. Friend to stress to the unions that this is not the opening salvo in further negotiations, so they really should take this as a realistic opportunity to come up with a long-term solution for the 25-year period that would be best for the taxpayer? I sincerely hope that the unions take that in the spirit in which it is intended so that we do not have industrial action over the winter.
I am grateful to the hon. Lady for her comments. I sensed from our earlier discussions that the trade unions recognised that this was a constructive step by the Government. It is the best offer that is going to be on the table; I think it is important that it is understood in that sense.
Neither the Chancellor yesterday nor the Chief Secretary today answered the question about part-time workers—specifically about those earning less than £15,000 whose wages would be above that if they were working full time. Will the Minister tell us clearly whether those people will end up paying the 3% contribution? If so, he must understand why there cannot be an easy consensus on the issue.
As I said in answer to the shadow Chief Secretary, the proposals are on a full-time equivalent basis, which is exactly the way pension reform was carried out under the previous Government. Of course, the matter was open for discussion in the consultations about the first year’s contribution increases. We look forward to hearing the results of those consultations.
I welcome the statement and congratulate the Front-Bench team on the work they have done to go as far as they can to help the low-paid. Is it not the truth that we are facing a crisis of spiralling costs from an irresponsible boom in the public sector under the last Government—with unfunded pension liabilities, bankrupt public finances and debt interest set to rise to £76 billion? Is it not the truth that it is always the poorest that pick up the bills for Labour and that a responsible—
Order. The trouble with Members crafting their questions word for word is that they tend to be rather long.
The hon. Gentleman is right that the poorest in society end up paying the price for the loss of financial control that we saw in this country under the previous Government. He referred to the liabilities in public service pensions. Those liabilities are, on the latest figures, more than £1.1 trillion. That is the entire education budget for more than 20 years.
I welcome the flexibility that the Government are showing today in moving this whole issue forward. Where the statement dealt with the Government’s revised offer, the Chief Secretary provided some examples of the benefits that will accrue to some workers. Will he outline some examples of where people will be worse off? To press him on the point about the consumer prices index, he must surely have the facts and figures, but by how much on average will people be worse off as a result of the switch from RPI?
The right hon. Gentleman asks who will be worse off, which is a fair question. One flaw with the current final salary arrangements in the public sector is that the contributions of low-paid workers go towards subsidising the pensions of the highest earners. That is one reason why we want to move to a career average basis. Some of the losers from that would be the highest paid, particularly those such as chief executives of local authorities, who receive a large jump in salary at the end of their career and then get a pension as if that were their salary for their whole lifetime.
There has been much concern over the last few years about a race to the bottom with pensions, particularly given the parlous state of pensions in much of the private sector. Can the Minister reassure us that the proposals currently on the table will remain a gold standard and will ensure generous but sustainable pensions in the public sector in the long run?
My hon. Friend is right to remind us of the context in which 13 million workers in the private sector have no pension provision at all. That is something that will be taken care of as the NEST—National Employment Savings Trust—scheme is introduced. These will remain gold standard pensions. It is quite right that public sector workers who make a lifetime of contribution to serving this country should get the best pensions available, but the proposal will ensure that the costs are brought under control and that it is affordable to the taxpayer—not just now, but in the decades to come.
I very much welcome the tone of the Chief Secretary’s statement. In line with the principle of transparency, which he underscored in his statement, will he make sure that there is an independent valuation of the teachers’ pension scheme?
I am grateful for the hon. Gentleman’s welcome of the tone we have taken. I hope that, in due course, he will welcome the substance as well. As to valuation information, it is being provided in the context of the scheme-by-scheme discussions. The trade unions have put forward many requests for information to be provided so that alternatives can be costed. All that work is going on in the context of the scheme-by-scheme discussions, but the valuation that was going to take place has been suspended on the basis that changes have been made, not least to the discount rate, which make that work invalid. It is best to wait until a new scheme is in place before we carry that work forward.
I very much welcome the transitional arrangements outlined by my right hon. Friend for people 10 years away from retirement. It is particularly important for groups that would have joined the public services at a time when, unlike now, public sector pay was less than private sector pay. Will he outline roughly how many people will be affected?
I am grateful for those comments. The transitional protection is a very important part of this new offer. It is right that people who are within 10 years of retirement should have certainty about their planning for retirement. That principle has been observed on both sides in respect of the state pension age. I estimate that the transitional provision will protect more than 1 million public sector workers from any impact at all as a result of the changes.
Can the Chief Secretary confirm that every penny paid in increased pension contributions will find its way into pension pots?
As the hon. Gentleman should know, in unfunded schemes there is no such thing as a pension pot. The money is not gathered together and invested. The contributions made today do not in any way meet the costs of the pensions being paid out today. What we are offering is what might be called a new deal for public service pensions, whereby additional contributions and longer working will help to ensure that public sector workers can still have the best pensions available. Many low-income workers will actually receive better pensions in retirement.
I welcome the statement, because I think it demonstrates that the Government are listening to the concerns expressed by nurses, teachers and firefighters in my constituency. During the scheme-by-scheme discussions, will the Chief Secretary bear in mind those with physically demanding jobs, such as firefighters? Will they retain the right to retire before reaching the state pension age, while still benefiting from their pensions?
That is a very good question. We are, of course, listening carefully to representations. As I have said, we have delayed setting a cost ceiling for the firefighters’ pension scheme, particularly in the light of some of the issues that my hon. Friend has mentioned, but what we are discussing now is the normal pension age for schemes; early retirement arrangements on an actuarily reduced basis will remain in place.
Most of the examples given by the Chief Secretary have involved well-paid public sector workers who have been in continuous employment, but many of my constituents do not fall into that category. Can he tell us how a low-paid part-time worker earning, say, £8,000 a year and working 15 hours a week would fare?
I cannot give a specific example, because I do not have the necessary figures to hand, but I can say that I expect the lowest-paid people to benefit most from these arrangements. At present, those on the lowest salaries and with the flattest career paths contribute most to the pensions of the highest earners. The change to a career-average basis will ensure that many workers, particularly of the sort whom the hon. Lady has described, end up with more rather than less income in retirement. I consider that to be a right and proper reward for those people’s commitment to public service.
I too welcome the statement, but given that economic growth, economic development and job creation in my constituency depend on the small business community, can the Chief Secretary advise owners of small businesses how they should go about amassing a pension pot of half a million pounds before they retire?
It is true that in the private sector an enormous volume of contributions would be necessary to build up the pension pot that is required to fund the pensions that we are discussing today. The equivalent would be a pension pot of £600,000 or £700,000 a year. That is a measure of the Government’s recognition of the commitment that public service workers make.
The Chief Secretary said earlier that the general taxpayer rather than public service workers had been footing the bill. May I point out to him that public service workers are also taxpayers, and that it has not helped that some people have been able to use the high pensions of the best-paid in the public sector as a typical example of those in the rest of the sector? We all know that pensions in the rest of the sector are very low.
Will the Chief Secretary place in the House of Commons Library some typical examples of the way in which the change from RPI to CPI has affected different sectors? Perhaps he could include examples involving part-time workers such as those cited by my hon. Friend the Member for North West Durham (Pat Glass).
As I said earlier, that depends on a variety of circumstances, but today we are publishing a document that the hon. Gentleman can obtain from the Vote Office, entitled “Public sector pensions: good pensions that last”, and I am sure that it will provide much of the information that he requires.
I welcome my right hon. Friend’s improved offer on public sector pensions, which shows that the Government are serious about meaningful negotiations. Will he challenge the rather misleading claims from some quarters that people will have to pay more, work longer and get less? Surely the truth is that—although people will indeed have to pay more and work longer—far from getting less, they will get much more, not least because on average they will receive 10 years’ more pension payments than the previous generation.
My hon. Friend is absolutely right, and she is also right to warn people against some of the misleading propaganda that is circulating. I think it important for public sector workers—teachers, nurses and civil servants—to take time to study the offer that we are making for themselves. The document that we are publishing will be available on a website, so they can check out the new arrangements. As my hon. Friend says, yes, we are asking people to work longer and yes, we are asking them to contribute more, but many people will receive a significantly better pension on retirement than they would receive now.
I was grateful to the Chief Secretary yesterday for answering my question about public sector workers who will no longer contribute to their pensions. He told me then that he expected 1% of the pay bill to cease to contribute, but added that he did not know who that 1% were. Given that they are very likely to be low-paid part-time workers rather than the highly paid chief executives to whom he has referred, will he make the figures available to the House?
It is true that I gave the figure of 1% of the pay bill. That is an assumption that was audited by the Office for Budget Responsibility and published in the relevant fiscal forecast that it presented. It is precisely for the reason given by the hon. Lady that we have chosen to tier the pension contribution increases according to income, so that no one earning less than £15,000 a year will experience any contribution increase. Those earning between £15,000 and £21,000 a year will experience a much reduced increase, while the heaviest burden of increases will be borne by the highest earners. That is the right and proper way in which to ensure that there are no opt-outs.
While it is true that all taxpayers pay for the pensions that we are discussing, it is low-paid private sector workers working beyond retirement age—such as my dad—who are subsidising public sector pensions while receiving none of the benefits. I therefore welcome the proposed changes, and hope that my former colleagues in the teaching profession will accept them.
Firefighters’ pensions were mentioned earlier. Firefighters from my constituency whom I met yesterday were worried less about change than about whether they would be fit to do their job after the age of 55. Are the Government still prepared to discuss that issue with the union?
Yes, and John Hutton said in his report that he thought it appropriate to retain a lower retirement age for firefighters, the armed forces and the police. It is precisely because of the importance of such issues that the Under-Secretary of State for Communities and Local Government, my hon. Friend the Member for Bromley and Chislehurst (Robert Neill)—who is leading the negotiations—is taking longer than expected to set the cost ceiling. That will enable us to ensure that the arrangements for firefighters are appropriate and will allow them to continue to receive a very decent pension in return for what is a very important contribution to our society.
Like many other Members, I received a delegation of teachers last week, and they told me that their current scheme was fair and sustainable. They will be less than delighted by the Chief Secretary’s earlier answer relating to a valuation of that scheme, for which they have been calling for some time. Does the Chief Secretary recognise that he must come clean about the costs to both taxpayers and employees if he is to win the battle to change hearts and minds?
Of course I recognise that we must win that battle for hearts and minds. That is why I am providing so much information today, and urging public sector workers to look at the Government’s deal directly rather than necessarily relying on the information that they receive from their trade unions.
I do not think it right to suggest that the current teachers’ pension scheme is fair and sustainable. Let us consider the relevant contribution rates. When the scheme was introduced many decades ago, employer and employee each contributed 5%. Now the employer contributes 16%, while the employee contributes about 6%. There has been a big change in the affordability of the scheme, and so far all the cost has fallen on the taxpayer.
Does my right hon. Friend agree that the public sector should examine very carefully the generous revised terms that he has announced before considering strike action? Such action would merely serve to hurt millions in the private sector who pay their taxes in order to produce public sector pensions that they themselves can only dream of.
I do indeed hope that the trade unions will examine the proposals carefully. I was encouraged when they said that they would at our meeting this morning. Of course trade unions need to take time to understand the impact of the changes, but I hope that on reflection they will accept that the new offer constitutes a generous enhancement from the Government, and a fair and reasonable basis on which to reach agreement in the scheme-by-scheme talks that will take place during the next couple of months.
The Chief Secretary said he believed that pension changes should be sustainable and fair. Will he confirm that he intends additional contributions to the local government pension scheme—which is a funded scheme—by scheme members to go straight to the Treasury rather than into their pension fund?
According to reports in today’s press, only 40% of private sector workers receive pension contributions, while 85% of public sector servants receive not only a pension, but a more generous one. Does my right hon. Friend agree that it is time to address these differences, rather than engage in irresponsible strike action?
I wholeheartedly agree that it is time to address these differences, but not by trying to get public sector involvement in pensions down to the level in the private sector. What we need to do is what we have done today: set out an offer that combines affordability for the general taxpayer with proper pensions as a reward for a career in the public service, along with steps to encourage more private sector workers to involve themselves in pensions. That is precisely the basis of the new NEST scheme, which the Minister of State, Department for Work and Pensions, my hon. Friend the Member for Thornbury and Yate (Steve Webb), is taking forward.
Does the Chief Secretary regret the way negotiations have been conducted so far, with him practising megaphone diplomacy, not providing information requested by the trade unions, and causing a great deal of distress and upset to my constituents who are public sector workers?
I think what the hon. Lady has said is total nonsense; that is not an appropriate characterisation of what we have done. I do not regret the way the talks have progressed for the past eight months, and I look forward to reaching agreement on this issue, with or without the support of the Opposition.
Will my right hon. Friend outline how he thinks the unions should respond to the proposals he has set out today? Does he agree with most Members on the Government Benches, who think the unions should respond by today calling off any planned industrial action?
It is for the unions to reflect and decide on their response. I am not standing here at the Dispatch Box to respond for them; it is strange enough to respond for the Liberal Democrats and the Conservative party. I hope that the trade unions will, on reflection, realise that this offer provides a justification for putting renewed effort and vigour into the scheme-by-scheme discussions and much less effort and vigour into any possible strike action.
What is the cost to the public purse of the changes the right hon. Gentleman has announced today?
The cost ceiling under these changes will be 8% higher than the previous cost ceiling we set out.
My question has just been answered.
Well, that is a first—not the fact that the question has been answered, but the fact that a Member has been self-denying to the extent that he sits down when his question has already been dealt with. That is an interesting precedent.
Has the Chief Secretary taken into account the particular responsibilities of devolved Administrations and the rights of their public sector workers—many of them low paid, and all of them tax-paying—and do the terms of today’s offer differ from the previous terms about which he wrote to those Administrations?
The hon. Gentleman makes a very important point. These matters have been discussed regularly at the Finance Ministers quadrilaterals, which bring the Finance Ministers of the devolved Administrations and me together, so people have been kept informed. The tradition has been that the devolved pension schemes follow by analogy the agreements reached at a UK level. I will write to the devolved Finance Ministers to set out what I have announced today, so they can take that into account in their own decisions on these matters.
I strongly welcome the improved flexibility, and ask that we be as generous as that allows. This is not just about fair rewards in future or burdens on the taxpayer; it is also about recruitment and retention now, to keep people in the police, teaching and, in my constituency, GCHQ, working for the well-being and safety of taxpayers and non-taxpayers alike.
My hon. Friend makes the point that public sector workers have traditionally considered the level of pension to be an important part of their reward package, and they are right to think that. I hope my hon. Friend agrees that the offer we have set out today constitutes a very fair reward for a career spent in precisely the sort of public service institutions he has described.
The Chief Secretary will be aware that one of the concerns about increasing contributions is that that will lead to a rise in opt-out rates, particularly among low-paid and part-time workers, most of whom are women. In his answer to my hon. Friend the Member for Slough (Fiona Mactaggart), he mentioned an assumption of 1% of the pay bill, but the schemes and their memberships are very different. Will he ensure that opt-out rates are analysed on a scheme-by-scheme basis, as rising contributions could have a major effect on the viability of some schemes?
We have taken that on board through the proposals for a tiered increase in contributions. The hon. Lady will be aware that 80% of the public sector workers who earn less than £15,000 a year and will not have any contribution rate at all are women.
Some months ago, when the Minister for the Cabinet Office and Paymaster General told the House that one of his key negotiating goals was to protect, if not improve, the pensions of lower and middle-earning public sector workers, not all my constituents were convinced. Today, he and the Chief Secretary have delivered on that promise, and hard-working nurses at the Gloucestershire royal hospital and teachers in Gloucester will welcome the news that many of them will have better pensions than at present. However, does the Chief Secretary share my disappointment that the Opposition Front-Bench team has been unable to welcome today’s news, especially as workers in businesses such as Wall’s in my constituency have recently seen their own pensions significantly watered down?
I agree. My hon. Friend is right to draw attention to the important role played by the Minister for the Cabinet Office and Paymaster General. If I may say so, we make a good team in these negotiations. These are very generous pension schemes, particularly for low and middle-income earners, and rightly so. We must make sure the funding of them is sustainable in both the short term and the long term. That is one of the reasons why I find the Opposition’s lack of welcome for the announcement so frustrating.
Although I welcome the Chief Secretary’s statement, I am disappointed that it has taken eight months to get any serious negotiation and any movement from the Government. I am particularly concerned about two issues. The first is to do with low-paid women workers in the pension scheme, and particularly those who work part time. Has any analysis been done of the possible impacts if they opt out of their pension scheme, therefore receiving less money when they retire from the benefits they then receive? On the firefighters’ pension scheme, we have heard conflicting answers from the Chief Secretary: he has said they will have actuarially reduced pensions, but he has also said they will be allowed to retire early. I am therefore a little confused as to where the Chief Secretary stands on that.
I am very grateful indeed for the first welcome for my statement from an Opposition Member. The hon. Lady is right that it is important to consider low-paid workers, which is why we are proposing to move to a career-average basis, under which low-paid workers will keep more of their own contributions, instead of subsidising the pensions of the highest earners. It is also why we have tiered the contributions increase in order to try to prevent opt-out. The negotiations on the firefighters’ scheme are ongoing, and I am told they are going well. We have delayed the publication of the cost ceiling to make sure we can take into account all the issues raised by firefighters in the discussions.
I welcome today’s statement. Many of the measures will meet the concerns of people such as the firefighters I met yesterday. On career-average earnings, does my right hon. Friend share my aspiration about the system being fairer to those who have taken career breaks, many of whom will be women?
I am grateful to my hon. Friend for reminding me of that important point. Public service pensions must reflect not only the careers of people who spend an unbroken working life in the public sector, but the careers of the many people who take time out. By having a career-average basis, especially when each year’s contribution is revalued by earnings, people who take a career break will still get the full value of the contributions they have made in both parts of their career.
I congratulate the Chief Secretary on listening so carefully and responding so generously to the representations on pensions. The police cannot strike, of course, and Lord Hutton has dealt with them separately, but can the Chief Secretary tell us a little more about the proposals for police pensions?
Those proposals will be brought forward later. Police pensions are being considered by Tom Winsor in his second report. His recommendations will not be about the police alone, but we need to make sure that police officers get a proper, fair and decent pension for the contribution they make to our society.
The Chief Secretary has once again said that all accrued rights will be protected. Will he confirm, however, that the change from the retail prices index to the consumer prices index will, in practice, affect the accrued rights of every single member of every public sector pension scheme?
I do not believe that that is a correct use of the term “accrued rights”. Of course we will protect the accrued rights in full. The RPI to CPI switch will have the effect that I described in my statement. That is the subject of a legal dispute at the moment, but it was the right decision by the Government.
Has the Chief Secretary received any constructive representations from the Labour party regarding this important topic or has its involvement been limited to the irresponsible words of the shadow education spokesman, who is no longer in his place, condoning teachers’ strikes?
I am yet to receive a constructive suggestion from the Labour party, but I live in hope.
I welcome the statement. As the Chief Secretary knows, I broadly support the direction of travel that the Government have been taking, but I had some concerns. I think that tremendous progress has been made and I am grateful for that. I have a technical question that is important to a lot of my constituents: what is the current split between employer and employee contributions for teachers and nurses, and how would that change under his proposals?
I am grateful for my hon. Friend's welcome. Today’s announcement will increase the cost ceiling for the talks. We will make sure that the employer contribution is still significantly greater than the employee contribution, but of course the contributions increase that we are proposing rebalances them to take account of past increases and longevity. On the teachers’ pension scheme for England and Wales, the gross cost ceiling that we are setting out today will be 21.7%, the taxpayer contribution will be 12.1% and the employee contribution will be 9.6%. Of course these matters still have to be discussed in the teacher scheme-specific negotiations, but that is the basic framework that we are setting out today.
The whole House will welcome the statement from one of the most capable Ministers in the coalition Government, who has been keeping the House informed. The point about the transition was the biggest concern to constituents who came to see me. May we have it clearly put on the record that nobody who is within 10 years of their current retirement date will have to retire later or will be worse off?
I am grateful for the hon. Gentleman’s comments, and I hope that Mrs Bone shares his views. He is right to say that nobody who is within 10 years of retirement on 1 April next year will see any change either to their retirement age or to the benefits that they receive.
That answer will doubtless wing its way to Mrs Bone in a matter of minutes.
I congratulate the Chief Secretary on his statement. May I also ask him to continue to negotiate and engage positively with the trade unions in the weeks and months ahead?
The hon. Gentleman can certainly ask that and I certainly will do so. The Government are setting out this new offer, which is conditional on agreement being reached. The Government will continue to work very hard to achieve that agreement, both in the scheme-specific discussions and in the central process, which we will also continue.
Does the Chief Secretary agree that, as longevity is still increasing by about two years a decade and is likely to carry on doing so, we cannot stick our head in the sand or sit on the fence, as we have seen the Opposition do? All parties need to work together to reach a proper consensus, so that we can achieve a long-lasting, sustainable settlement.
I think that it would be in the national interest to have a proper cross-party consensus on today’s proposals. The hon. Gentleman is right to highlight the increases in longevity. By linking the normal pension age to the state pension age we can ensure that the taxpayer is protected from that in future, because as longevity increases, the state pension age can be changed. That is the right way to protect pensions, rather than the previous Government’s cap and share arrangement, which would have meant complex negotiations every three years. That would have resulted in both increases in contributions and reductions in benefits every three years. By setting out this scheme now, we have one that can last for 25 years without the need for further negotiation.
In the private sector, where most people work, getting an annual pension of £10,000 typically requires a pension pot of £200,000, which would buy a very nice house in Kettering. Does the Chief Secretary share my concern that many public sector workers seem to think that private sector provision is far more generous than it actually is?
The hon. Gentleman is right about that, and he makes an important point. Part of the reason for setting out some of the information about pension pots today is precisely to widen public understanding of the comparison. That is not to do down public sector workers—in fact, what we are setting out today is a properly positive and generous offer to them—but we are making it clear that there is a wide gulf and we need to raise standards in the private sector too.
I thank the Chief Secretary and colleagues, whose succinctness enabled 47 Back-Bench Members to question the Chief Secretary in 41 minutes of exclusively Back-Bench time. It shows what can be done when we try.
On a point of order, Mr Speaker. Earlier, the Minister for the Cabinet Office said that the time for transparency had come, yet when I asked the Chief Secretary, who is now leaving, to put in the Library examples of how the changes that he announced today will affect different sectors in typical cases, he refused to do so. You will know that pensions are a complicated area. We have been given the information today but we have not seen the details yet. Surely you would agree that putting in the Library some examples of the impact on different sectors would have helped the House to come to some conclusion about whether the deal is good or bad. Can you give us any assistance in ensuring that we get that sort of information, which would be helpful to the whole of Parliament?
The hon. Gentleman is underestimating himself, because I do not think that he needs any help from me. He is a pretty experienced and ingenious Member who is well able to use the resources of the Table Office to pursue his concerns; he has, of course, highlighted them. I just have this lingering suspicion, of which I hope he will cure me, that he is trying to continue the debate, but I am sure I am wrong.
On a completely unrelated matter? No, well we will leave it there for today. If there are no further points of order, we come now to the ten- minute rule motion, and I call the right hon. Member for Lagan Valley (Mr Donaldson), who has been patiently waiting.
I beg to move,
That leave be given to bring in a Bill to impose a duty on the devolved administrations to report annually on the Military Covenant and the effects of membership, or former membership, of the armed forces on service people; and for connected purposes.
My party fully supports the principles of the military covenant, and we welcome the commitments given by the Government in the Armed Forces Bill that strengthen the legal standing of the covenant. We also acknowledge the recent reports prepared by the hon. Member for South West Wiltshire (Dr Murrison), who is in his place, including his recent report on the services available to military amputees. We commend him on his excellent work.
I recently attended an event in the constituency of my hon. Friend the Member for South Antrim (Dr McCrea) to recognise the contribution of the Irish Guards, who have recently returned from operational deployment in Afghanistan. Several amputee soldiers who had been seriously wounded during their time in Helmand province were there, and I was reminded of the importance of ensuring that these soldiers are properly cared for and looked after. They are, of course, based in England and have access to the highest standards of care, but one wonders whether the same level of care and treatment would be available to them if they lived in Northern Ireland.
Yet Northern Ireland provides a major contribution to our armed forces. In fact, more than 20% of the reserve forces regularly deployed on operations come from Northern Ireland, despite the fact that we make up 3% of the UK population. That is a remarkable achievement for the reserve forces in the Province. Sadly, some of those who are deployed are killed or sustain life-changing injuries, and it is important that these soldiers receive the care and support that they need, wherever they live in the United Kingdom and wherever they are based.
In respect of this Bill, I wish to acknowledge the excellent contribution made by service charities, including the Royal British Legion, Help for Heroes, Combat Stress, the Army Benevolent Fund—now known as The Soldiers Charity—and the regimental benevolent funds, whose work should not be forgotten. They very often provide help for soldiers who have been seriously injured on operational deployment. In Northern Ireland we are very proud of the giving by our people to such charities. Northern Ireland donates more per head to the poppy appeal than any other region of the United Kingdom.
We want to ensure that our soldiers receive the care and support that they need when they most need it, regardless of which region of the United Kingdom they are located in. That is why I am introducing the Bill today. We want to ensure that there is uniformity across the United Kingdom in the delivery of the objectives and principles in the military covenant.
For example, we have quite a high number of former service personnel in Northern Ireland suffering from post-traumatic stress disorder, because we had more than 30 years of conflict in which the Army was deployed on the longest operation in the history of the British Army, Operation Banner. Yet I talk to many of those veterans and they tell me that they are not receiving the level of support and care that they need. They contrast that with the level of care that is available in other parts of the United Kingdom. Clearly there is a deficit, and we want to see it addressed. How do we go about that?
Another issue for us in Northern Ireland is the fact that the Northern Ireland Executive are the only devolved Administration that do not participate in the covenant reference group. The Scottish Government are represented, the Welsh Assembly Government are represented, but not the Northern Ireland Executive, so again there is a lack of uniformity across the United Kingdom. Although of course we cannot interfere in the day-to-day workings of the devolved Administrations, nevertheless, as it is Parliament that is charged with oversight of the military covenant, Parliament should place a duty on all the devolved Administrations to report annually on what they are doing to fulfil their obligations under the military covenant. That reporting mechanism would enable Parliament to assess the extent to which there is a lack of uniformity across the United Kingdom in the level of care and support provided to both serving and former armed services personnel.
That is the main thrust of the Bill. We want to ensure that over time we achieve that uniformity and hold the devolved Administrations to account in fulfilling their commitments and obligations under the military covenant. It may be the case that upon receiving the annual reports from the devolved Administrations, we would want to debate those reports here in the House and consider the extent to which the devolved Administrations are fulfilling their obligations.
I recognise that in the Armed Forces Bill, as amended in the other place, the Government have made provision for the Secretary of State to prepare an annual report on the military covenant, and that the report should take account of the views of the devolved Administrations, but it does not place an obligation on the devolved Administrations to provide those views, and if the devolved Administration does not endorse its part of the report, that element of the report is not brought to the House. My Bill would take the devolved Administrations’ obligation a step further and give them a duty to provide such a report. It is only right that we should do so, in the interests of the men and women who serve this country. That would strengthen the provisions of the Armed Forces Bill.
As I said, we are immensely proud of the contribution that the men and women of this country make in our armed forces. We know that these are difficult times and that there is pressure on public services, but we fully endorse the principles behind the military covenant that when our armed forces personnel place themselves in danger in the line of duty and sustain serious injuries, or when their families are left bereaved by the loss of a loved one, they receive the support that they undoubtedly deserve, in terms of adequate care and treatment. Therefore we do not believe it is unjust or unfair to place a duty on the devolved Administrations to provide an annual report to the House stating exactly what they are doing to implement the principles and objectives of the military covenant.
My remarks are not intended as a criticism of some of the excellent work already being undertaken by the devolved Administrations. I know that in Northern Ireland we have particular problems with the way in which our government system operates, but even there, very good work has taken forward key elements of the military covenant. We want that to go further. We want to ensure that wherever they live in the United Kingdom, whatever region of the United Kingdom they reside in or are based in, our armed forces personnel have access to the same level of care and support as they would have in other parts of the Kingdom.
I am grateful for the opportunity to present the Bill this afternoon. I trust that the House will give its support to the measure.
Question put and agreed to.
Ordered,
That Mr Jeffrey M. Donaldson, Mr Julian Brazier, Mr Gregory Campbell, Mr Nigel Dodds, Thomas Docherty, John Glen, Mr Dai Havard, Patrick Mercer, Mrs Madeleine Moon, Sandra Osborne, Jim Shannon and David Simpson present the Bill.
Mr Jeffrey M. Donaldson accordingly presented the Bill.
Bill read the First time; to be read a Second time on Friday 20 January 2012, and to be printed (Bill 243).
(13 years ago)
Commons ChamberI beg to move, That the clause be read a Second time.
With this it will be convenient to discuss the following:
Government new clause 9—Northern Ireland: information about financial resources.
New clause 17—Extension of scope of legal aid in complex cases—
‘(1) Civil legal services other than services described in Part 1 of Schedule 1 are to be available to an individual under this Part if subsection (2) is satisfied.
(2) This subsection is satisfied where the Director—
(a) has made a complex case determination in relation to the individual and the services, and
(b) has determined that the individual qualifies for the services in accordance with this Part,
(and has not withdrawn either determination).
(3) For the purposes of subsection (2), a complex case determination is a determination—
(a) that the individual has complex, interconnected needs in relation to which the individual requires comprehensive civil legal services, and
(b) not all of those civil legal services would otherwise be available to the individual because they do not all fall within the scope of Schedule 1.’.
New clause 43—Funding for civil legal advice—
‘(1) The Lord Chancellor may make funding available for the promotion of civil legal advice on matters not included in Schedule 1, Part 1 where it appears to the Lord Chancellor that the provision of such services would be consistent with the purpose of the civil legal services provided for under that schedule.
(2) The Lord Chancellor may make arrangements by—
(a) entering into funding arrangements with other Government departments and public bodies to facilitate the provision of services,
(b) making arrangements to support the delivery of civil legal advice through the provision of grant in aid to providers of legal services, including any consortia or partnership arrangements into which providers of legal services may choose to enter, and
(c) any additional arrangements which the Lord Chancellor considers appropriate to ensure the provision of services as set out in subsection (1).
(3) In making any such arrangements the Lord Chancellor shall ensure that value for money is achieved.
(4) Welsh Ministers shall be consulted upon the funding and provision of civil legal advice in Wales.
(5) “Civil legal advice” means the types of services given in section 7(1) and includes advice and assistance which is usually given by any representative in the steps preliminary or incidental to proceedings and as to any appeal, mediation and other forms of dispute resolution, but does not include representation for the purposes of proceedings.’.
Government new schedule 3—‘Northern Ireland: information about financial resources.
Amendment 162, in clause 1, page 2, line 7, at end insert—
‘(c) funding for the promotion of civil legal services, not including representation, on matters not included in Schedule 1, Part 1 where it appears to the Lord Chancellor that the provision of such services would be consistent with the purpose of the civil legal services provided for under that schedule.’.
Amendment 123, in clause 4, page 3, line 25, leave out subsection (4) and insert—
‘(4A) The Director must, except to the extent that section (4B) applies, act under the direction of the Lord Chancellor.
(4B) The Director must act independently when performing any functions or duties under this Part.’.
Amendment 116, page 8, line 29, leave out clause 12.
Amendment 104, in clause 12, page 8, line 31, leave out from ‘station’ to end of line 20 on page 9.
Amendment 125, page 8, line 35, leave out subsections (2) to (7).
Amendment 90, page 9, line 27, leave out subsection (9) and insert—
‘(9) Sections 20 and 26(2) do not apply in relation to this section’.
Amendment 148, page 21, line 7, leave out clause 26.
Government amendments 1, 2 and 25 to 27.
Amendment 69, in schedule 4, page 130, line 36, at end insert—
‘(3A) A transfer scheme shall make pension provision and compensation provision for and in respect of persons who become employed in the civil service of the State under paragraph 1 which is at least as favourable as the pension provision and compensation provision applicable to them immediately before they ceased to be employees of the Legal Services Commission.’.
Government amendment 64.
Amendment 71, page 131, line 9, at end insert—
‘“compensation provision” means the provision of compensation under a compensation scheme;’.
Amendment 70, page 131, line 14, at end insert—
‘“pension provision” means the provision of pension and other benefits under an occupational pension scheme;’.
Government amendments 65, 137, 66 to 68, 138, 19 and 54.
We now move on, or perhaps I should say back to, legal aid. When we discussed legal aid on our first day on Report, we had two very constructive, albeit lengthy, debates in which I took more than three dozen interventions. That was partly the reason, along with the many valuable contributions that were made, why we were unable to cover all the groupings—[Interruption.] I know that that disappointed a number of hon. Members in all parts of the House.
Order. Let us not start where we left off the other day. Let us see if we can make progress. We do not want to run out of time, and I am sure that those on both Front Benches want to make good time.
I want to try to avoid delay today, so I shall speak to Government amendments now and respond to the points made in debate later, rather than pre-empting in my opening remarks what hon. Members may have to say about their amendments.
Government new clause 4, which is a technical amendment, has two purposes. First, it seeks to provide clarity about the role of the director of legal aid casework, by ensuring that the exercise of the functions of the office is on behalf of the Crown, and that service as the director is service in the civil service of the state. The second purpose of new clause 4 is to ensure that the Lord Chancellor is treated as a corporation sole for the purposes of part 1 of the Bill.
The new clause is necessary in order to clarify the position in relation to the Lord Chancellor’s ability to hold an interest in land for those purposes, and so applies to charges that transfer from the Legal Services Commission to the Lord Chancellor at the point when the LSC is abolished, and for future charges to be taken over property under clause 24. The statutory charge is the charge that arises under clause 24 on any property recovered or preserved, including costs, by a legally aided person in respect of the amounts spent by the Lord Chancellor in securing their legal aid services and any other amounts payable by them under clauses 22 and 23. The amendment is essential, as the current value of charges held by the LSC is £212 million.
Government new clause 9 and new schedule 3 make provision on information sharing in relation to checking a person’s financial eligibility for legal aid in Northern Ireland. They replicate for Northern Ireland the information gateway for England and Wales created by clause 21 and further provided for in clause 32. Government amendments 26 and 27 are technical amendments that make it clear that regulations made under new schedule 3 will be prescribed not by the Lord Chancellor but by the Northern Ireland Assembly. Government amendment 54 is also a technical amendment that makes it clear that the Bill extends to Northern Ireland for the purposes of new clause 9 and new schedule 3, which create the information gateway, and for the purposes of clauses 38 to 40. I should point out that under paragraph 2(4) of new schedule 3, it will be a criminal offence to use or disclose information contrary to the provisions of paragraph 2.
Government amendments 25 and 64 to 68 relate to the transfer of LSC employees to the civil service when the LSC is abolished. The powers currently set out in the Bill include a power, in schedule 4, for the Lord Chancellor to make transfer schemes to transfer to the Lord Chancellor or the Secretary of State the LSC’s rights, powers, duties and liabilities under or in connection with an LSC occupational pension scheme, of which there are currently two, or compensation scheme. The occupational pension and compensation scheme arrangements for LSC employees are different from those for existing civil servants. When the employees transfer to the civil service and become civil servants, they will join the principal civil service pension scheme.
Amendment 64 confers new powers upon the Lord Chancellor that can be exercised as part of any transfer scheme. Proposed new sub-paragraph (6A), set out in amendment 64, allows for the Lord Chancellor to apply legislation with modifications as far as it is necessary to give effect to any transfer scheme. That is appropriate when transfer schemes are of an administrative nature relating to the specific issues in question. For example, it will allow the Lord Chancellor to provide that an aspect of pensions legislation applies in a particular way to that particular scheme. It will assist, as appropriate, in enabling the continuation of the LSC pension scheme or schemes after the abolition of the LSC so that they can continue for the benefit of their pensioner and preserved members. Those are members who have contributed to the schemes before leaving LSC employment and either draw a pension from the scheme or will be entitled to do so in future.
For compensation scheme arrangements, as well as allowing the modification of legislation, proposed new sub-paragraph (6B), set out in amendment 64, provides that the transfer scheme may amend or otherwise modify the existing LSC compensation scheme. That will allow compensation arrangements for LSC employees transferring to the civil service to be brought into line with those of other civil servants over a transitional period.
Amendment 65 reflects the fact that when LSC employees transfer to the civil service there will no longer be any active members of the two current LSC occupational pension schemes, known as the No. 3 and No. 4 pension schemes. The amendment provides the Lord Chancellor with the power to make a scheme to merge the two residual pension schemes. It is explicit that a scheme exercising this power must not result in members of the pension schemes, or other beneficiaries under the schemes, being deprived of any rights accrued prior to the merger.
The LSC’s No. 3 pension scheme has fewer than 100 pensioner and preserved members, and no current LSC staff members. The No. 4 scheme is for current staff and also has a number of pensioner and preserved members. At present there is much duplication in the administration of the No. 3 and No. 4 schemes, such as producing two sets of accounts and actuarial valuations. Merging the schemes would allow us to cut significantly the administration costs of running two trust-based schemes. The amendment will also give the power to wind up an LSC occupational pension scheme.
Amendment 25 corrects a slip in clause 38(7)(j). The intention was not to make regulations that contain free-standing provision that modifies an Act either directly or indirectly, subject to the affirmative procedure. Amendments 66 to 68 clarify the fact that the regulation-making power provided to the Lord Chancellor under paragraph 10 of schedule 4 can be used in connection not only with transfers affected by schedule 4, but with schemes under schedule 4, meaning schemes dealing with something other than a transfer.
Government amendments 137 and 138 concern schedule 4 to the Bill, which governs transfers of employees and assets following the abolition of the LSC. They are purely technical amendments that simplify existing provisions. Paragraph 10(1) of schedule 4 currently allows the Lord Chancellor to make consequential supplementary, incidental or transitional provision by regulation, and paragraph 10(2)(b) specifies separately that such regulations may include transitory or savings provision. Rather than continue to separate these related provisions, for the purposes of simplification amendment 137 brings them together in a revised paragraph 10(1) and amendment 138 amends paragraph 10(2) to reflect that simplification. That mirrors an identical amendment to clause 115.
Finally, Government amendments 1, 2 and 19 are minor and technical amendments to clause 32 and schedule 5, consequential on the removal in Committee of what was then clause 71.
If the Minister was sincere when he said in his opening remarks that we will make good progress and deal with as many of the groups of amendments as we can today, I applaud him for it, but it is a challenging task. There has been a statement so we have barely four hours left to debate huge chunks of the Bill, which is impractical. It will no doubt be assisted by the fact that, with the exception of the Minister’s Parliamentary Private Secretary, who has just appeared, there is not a single Conservative Back Bencher here. [Interruption.] I apologise to the hon. Member for Hendon (Mr Offord); I thought he was a Liberal Democrat. I withdraw that slur on his character immediately.
There is a serious point. We had a disgraceful situation in the House on Monday when the Minister called in Conservative Back Benchers, one by one, to speak on domestic violence and clinical negligence, particularly as they affect the most severe injuries and brain-damaged children, and to waste time. By wasting time and then voting against amendments that would deal with those issues, the Government prevented us from moving on to a substantive discussion on legal aid. I will not dwell on that point, because I wanted to move on, but I hope that in discussing these amendments, of which there are a broad range, we will be able to do justice to that important subject.
I will speak principally to amendment 123, which stands in my name. I will get my contributions out of the way in one go by speaking to new clause 17, tabled by my hon. Friend the Member for Makerfield (Yvonne Fovargue), amendment 148, tabled by Liberal Democrat Members, who for some reason rejected a similar amendment I tabled, and new clause 43, tabled by the hon. Member for Carmarthen East and Dinefwr (Jonathan Edwards), which is a very good one. I will say at the outset that we support all those amendments. I will not deal with amendment 116, which stands in my name, because my hon. Friend the Member for Darlington (Mrs Chapman) will make a contribution on that later. For the avoidance of doubt, I will say at the outset that the Opposition will press amendment 116 to a vote, and other hon. Members may wish to press their amendments to a vote.
Amendment 123 deals with a fairly straightforward point, but an important one, which is in no way party political. The independence of the new director has raised considerable alarm and concern across the professions and the voluntary sector, and indeed with anyone who deals regularly with legal aid. We attempted many times in Committee, with a variety of amendments, to try to push at this and get the Government to give a little. We asked for an appeals process, a vetting process before appointment, which would give some independence, and for assurances in relation to the civil service, which will be working in this area. Every amendment, as was the case throughout the Committee’s proceedings, was rejected. I hope—this is the case in other common law jurisdictions which have moved to a similar system—that the Minister is listening to these proposals. This is not an issue that divides the parties on the abolition of the Legal Services Commission, but it is an issue that strongly divides the parties on the adverse influence, be it perceived or real, that the Government will bring to bear on to the director post once it is firmly ensconced within the Department.
There is a trend in this Bill towards Government control and authoritarianism, and we will see it when we debate clause 12, whereby the same director of legal aid will get the power to decide whether legal aid is granted to those in extremis—in the worst circumstances—when they have been arrested. We also see the trend in relation to the constraints on the powers of the judiciary, and, although I doubt that we will get time to debate remand today, I note that the Government wish severely to tie the hands of magistrates and judges in relation to whom they can remand in custody. All the time, these measures restrict either citizens’ rights or the rights of independent parties, whether they be the director or the judiciary, to make decisions.
The presenter made a mistake—I hope the Minister is not making the same one—in relation to talking about legal aid, as presenters often do, but I assure the House that Mr Jefferies was clearly talking about conditional fee agreements and no win, no fee. The answer is—
I know the Minister does not want to hear this, but in relation to the director the point is that the Government wish to decide who has merit and who does not. That is the charge that the Government have to answer, and in this case they will do so only by ensuring the independence of the director.
Let me move on, because we are in the midst of a radical reform of the social welfare system. The Secretary of State for Work and Pensions has embarked on restructuring the way benefits are assessed, calculated and provided, local authorities have had budgets radically reduced, and a housing benefit cap is being introduced. In short, the benefits system is in a period of turmoil, and as a consequence the system of checks and balances on state decision making through the first-tier tribunals is also significantly under pressure, such that more staff are being taken on daily to deal with a growing number of appeals against decisions taken by Jobcentre Plus.
When in October last year the coalition produced its Green Paper on the reform of legal aid in England and Wales, we were shocked to see that there were cuts of £450 million, as defined in the latest impact assessment, and that they overwhelmingly came from civil legal aid. Things such as education, employment, welfare benefits, debt, housing matters and clinical negligence were taken out of scope, either in their entirety, as in the case of employment, welfare benefits and clinical negligence, or substantially, as in the case of debt, housing and education.
Means-testing will also change. The Government have proposed the abolition of capital passporting, by which those receiving certain income-based benefits are automatically eligible for legal aid, and the introduction of a new minimum capital contribution, a personal financial contribution towards legal costs.
The philosophy behind the cuts is explained in the Government’s impact assessment, in which they state:
“Legal aid may be regarded as a redistributive transfer of resources from taxpayers to those who are most needy, in relation to both the nature and merits of their case and also to their financial position… The Government may consider intervening if there are strong enough failures in the way markets operate…or if there are strong enough failures in existing government interventions”.
The amendments under discussion simply seek to address the Government’s failure to abide by those principles as set down in their own impact assessment. We are in a period of great need and of great changes to the system, and many meritorious cases are being referred to tribunal. By definition, the financial position of those requiring help with welfare benefits, employment law, debt and housing is necessarily the most precarious of any in society, and £70 a week is often all that stands between some of my constituents and utter destitution. They are in a desperate place.
Let me give the House one example, in relation to eligibility for disability living allowance. There are so many problems with the private contractor Atos that many seriously ill people are being judged fit for work. I leave aside operational issues, such as the fact that, according to its own website, 20% of Atos’s 141 medical assessment centres do not have wheelchair access, because, according to a newspaper report, one third of those refused DLA by Atos have appealed to the first-tier tribunals, and 39% of decisions have been overturned. Furthermore, the report states:
“The tribunals service…has had to double its capacity in the social security section to deal with the large number of appeals, recruiting an extra 170 paid medical panel members.”
In a letter to The Guardian, leading mental health charities and a senior consultant from the Royal College of Psychiatrists say:
“We’ve found that the prospect of incapacity benefit reassessment is causing huge amounts of distress and tragically there have already been cases where people have taken their own life following problems with changes to their benefits.”
These are not just economic issues; they profoundly affect the most vulnerable individuals.
The Government’s proposals will seriously damage access to justice for the most vulnerable in society, and their own impact assessment shows that there will be a disproportionate impact on women. Similarly, there is the potential for the cuts to impact disproportionately on black and ethnic minority clients and on those with disabilities.
That is something the Minister himself acknowledges. When it was put to him that groups with protected characteristics would be affected, he dismissed it, as only a Conservative Minister can, although the Liberal Democrats are getting there, by saying, “Well, that’s because they are disproportionately represented among the most vulnerable.” That is the logic of the Government’s case—“Because vulnerable people get legal aid, and we are cutting it, what do you expect to happen?” Those principles show an absolute absence of moral guidance.
I understand the hon. Gentleman’s argument, but is he proposing cuts in other areas of legal aid in order to maintain his objective of cutting the overall cost while putting legal aid back in place in those fields?
I was going to deal with that at the end of my remarks, but let me do so now. I am grateful to the right hon. Gentleman for giving me the opportunity to do so, because two days ago the Minister said, “Oh, the Labour party wants to reinstate £245 million of cuts.” On the same day, however, he put out a press release saying that the Labour party wanted to reinstate £64 million of cuts, and I have grown tired of responding to him. He has heard my response from this Dispatch Box, in Westminster Hall and in Committee time and again, and it is simply this: we would not have made at present the cuts to social welfare legal aid.
The Minister quantifies those cuts as £64 million, but why did he not proceed with the final parts of Lord Carter’s review and go through the criminal tendering exercise, which was in place and ready to go when the Government took office last year, and which included savings that might have raised twice that sum? I anticipate the figures changing. The figures on savings have changed from £350 million to £450 million within two impact assessments, but, without being more precise than that, we believe that if the Government looked for efficiencies in the criminal legal aid system, first they would save more money than they are by cutting social welfare legal aid, and secondly there would not be the same social or financial consequences.
The Green Paper talks frequently about the possibility of self-representation as a reason for withdrawing legal aid provision, but data provided in answer to a written parliamentary question indicate that there are considerable differences in success rates between those with and those without representation. Owing to a lack of representation, 51,223 meritorious cases that were successful in 2010 at the first-tier tribunals, many of which involved applicants for DLA, incapacity benefit, jobseeker’s allowance and so forth, would not have been successful if the proposed cuts had been in place. The changes will close or severely reduce the operation of law centres, citizens advice bureaux and hundreds of independent advice centres, and limiting the scope of issues which legal aid-funded advisers can help with means that they will not be able to solve people’s problems fully.
New clause 17, in the name of my hon. Friend the Member for Makerfield, addresses precisely that issue. At the end of Monday’s debate, I gave the example of the Wiltshire law centre in the constituency of the hon. Member for South Swindon (Mr Buckland). That will lose 90% of its funding, and that is not untypical of the cuts being made. In most cases they are above 80%.
The specific issue that is dealt with my hon. Friend’s new clause is the interconnectivity of people’s problems. We are all too familiar, as constituency MPs, with the individual who comes in with two plastic bags full of paper and is unable to convey the scale of their distress, let alone the complexity of their problems, which may include unpaid debts, threats of eviction, underlying mental health problems and the inability to access the welfare benefit system. Sometimes we can help, and I pay tribute, as I am sure all hon. Members do, to the constituency staff who have developed phenomenal skills at unpicking these issues and dealing sympathetically with them. In many cases, however, legal expert help is needed, but that help will now be severely compromised. If one is allowed to deal only with the threat of eviction but not with the underlying issues of accessing benefits and dependency on debt, one is working with one hand tied behind one’s back.
The exceptions to the withdrawal of legal aid in certain cases, such as when an applicant for legal aid is at risk of homelessness, are nonsensical distinctions. People who come for aid early on, while they still have manageable rent arrears, can see their case deteriorate rapidly and drastically. The legal aid that would help exactly those people has been withdrawn, and that is Shelter’s No. 1 priority for what should be restored. Let me add, at this point, that we support the hon. Member for Carmarthen East and Dinefwr in his wish to undo what is a calumny in the Bill—measures allowing the Secretary of State by order further to restrict what is in scope for legal aid, but not to expand it. I do not know whether the hon. Gentleman is going to press his amendment to a vote tonight but I hope that, if he has an opportunity to speak, the Minister will give an indication that that glaring error in the Bill will be corrected.
The cost of dealing with a single case of homelessness has been estimated at £50,000 by Shelter. Early intervention is an extremely efficient and cost-effective way of preventing cases from becoming more complex, difficult to resolve and commensurately expensive. The legal aid Green Paper suggests a shift to telephone advisory services, and this brings us to amendment 148. Although these methods are an efficient and often effective means of delivering certain types of advice, clients presenting with complex or chronic problems gain far better outcomes from face-to-face advice.
Research by the Legal Action Group has highlighted the issues faced by the most vulnerable in utilising telephone advisory services. It found that full-time employees were the most likely to access an advice service through the telephone line or the internet, at 43%, whereas people in the lowest social class, DE, were least likely to access advice through an advice line or the internet, at 26%. This class of people was also the most likely to experience a social welfare law problem. The Minister’s own impact assessment says that the bottom 20%, in terms of income, will represent 80% of those who suffer from the withdrawal of these services. Overall, people of social class DE are twice as likely as people in all other social classes to experience problems with debts or benefits.
Issues facing the most vulnerable people include language, comprehension and somewhat more prosaic economic issues such as the expense of calling an 0845 number from a pay-as-you-go mobile when trying to get advice upon being rejected for jobseeker’s allowance. Citizens Advice has noticed a dramatic rise in the volume of cases and the number of people seeking advice in this recession. Advice has been focused on debt, housing, employment and difficulty accessing the benefit system. For example, between April 2008 and 2009, CABs in England and Wales saw daily inquiries relating to redundancy increase by 125%. Local authority cuts combined with the cuts in the Ministry of Justice have inflicted a double whammy on law centres, CABs and third sector organisations. Many organisations that are staffed by a mixture of volunteers and modestly paid staff will be forced to close or reduce staff and service breadth, depth and reach. Indeed, that is already happening.
We agree that the legal aid budget needs to be contained, as I have already said in response to the intervention of the Chair of the Justice Committee, the right hon. Member for Berwick-upon-Tweed (Sir Alan Beith), and that ways of making savings need to be found. When we were in power we did not shy away from taking those decisions and containing the budget. We had begun and were continuing to implement the recommendations of Lord Carter of Coles and we believe that those outstanding recommendations should have been implemented by this Government. Frankly, we are at a loss to understand why the Government have not looked at the scope of criminal legal aid or at how it is delivered in this country, preferring instead to target the poorest and most vulnerable. I accept that those changes would not have been popular with all the legal sector but they would have delivered substantial savings, which would have been greater than the total cuts to social welfare legal aid we have discussed this week. Let me pay tribute to my colleague the noble Lord Bach who, as Minister with responsibility for legal aid, took exactly that line. He was prepared to be very tough on his own profession but he always protected social welfare legal aid.
In the interests of brevity I shall speak only to amendment 116 to which I have added my name. It has been more than 30 years since the National Consumer Council referred to access to advice as the fourth right of citizenship. It was ahead of its time in predicting the coming of an information age in which people’s ability to live full lives as responsible citizens would depend on access to organised, specialist information in order to navigate complex consumer choices, labour markets and state bureaucracy and law. In no area could that be more important than in relation to legal advice in a police station, where the presence of a lawyer acting for a defendant is crucial, although I might not have thought that between 1990 and 1998 when I was a serving police officer in Edinburgh. Solicitors are there to ensure that suspects’ rights are respected, that they are not physically abused, that their confessions are not forged and that they are not detained for longer than is legally allowed. The presence of a lawyer not only protects defendants from police abuse but protects the police from false allegations by defendants about what happened during an interrogation, for example.
Clause 12 provides the Secretary of State with the flexibility to subject legal aid in police stations to a system of means-testing. The Ministry of Justice has made it clear that such proposals would be modelled on the system currently operating in Scotland, where people who earn more than a certain amount—in Scotland, a weekly disposable income of £105—have to pay a contribution towards the cost of their legal aid. The current system of police station advice in Scotland is only a year old, but the Law Society of Scotland has already stated that it is complex process to operate and to explain to clients, many of whom are in a vulnerable situation.
The experience north of the border also shows that the provision of adequate verification undoubtedly lengthens the suspect’s time in a police station and that the solicitor often has no evidential proof that the client is eligible or of what their contribution should be. Solicitors also find that the prospects of claiming the contribution from the client are limited when the detention ends without criminal charges. Consequently, in Scotland in the past year, uptake of advice in police stations has fallen to around 25% of cases—roughly half that in England and Wales.
The Minister will also know that the Scottish situation has been somewhat complicated recently by the judgment in the Cadder case. Previously, when I was a serving officer, suspects could be detained without charge for up to six hours and questioned without the presence of a solicitor. Following that case in the Supreme Court last year, the Lord Advocate issued guidelines, and emergency legislation has since been enacted, to provide suspects who are detained by the police with the right to
“a private consultation with a solicitor”.
That can be either before questioning or at any stage during questioning. Moreover, experience has shown that it is often more expensive to administer means-testing than to operate it. Cutting out legal aid in police stations will lead to false economy, not least because the courts will be clogged up with unmeritorious or unprepared cases, or proceedings without a solicitor present will be open to legal challenge.
Early advice in a police station may save many social and economic costs, most of which must be picked up by other public services. Moreover, who will ask what someone’s earnings are, or how much their mortgage is? Those questions will have to be asked in extremely stressful situations. Will the Minister explain how the proposals will work without the whole process becoming extremely unwieldy?
Furthermore, will the Minister explain why such a provision is in the Bill when I and colleagues received assurances that there was no intention of the clause ever coming into effect? If the Government have no intention of using the power, why leave it in the Bill? The Minister has effectively asked us to sign a blank cheque, but assured us that he will never have to cash it. Much as I trust the Minister, that is no way to propose or to implement new legislation, because it leaves pointless regulation in statute, which because of assurances from Ministers might never have been properly scrutinised. That is a bad precedent, and a dangerous one, which should not allowed to continue.
I rise to speak to new clause 17, tabled in my name. It is well known that many problems in social welfare law are interconnected and that clients invariably approach agencies with clusters of problems, which is why the social welfare law cluster of housing, benefit, debt and employment was introduced in the first place. As my hon. Friend the Member for Hammersmith (Mr Slaughter) said, all MPs have seen constituents who arrive with carrier bags of unopened mail from various agencies. It is impossible to deal with one issue—for example, electricity disconnection—without dealing with problems such as tax credit underpayment and illegal deduction of wages. It is the natural state of affairs that one problem leads to another, and the merit of not-for-profit agencies dealing with that cluster is the availability of specialisms in a one-stop shop, and the ability to drill down to the root cause of the issue, which may be wrongful refusal of benefits or unfair dismissal leading to debt issues and potential homelessness.
My new clause would allow agencies to deal with all the issues. They would not have to take a piecemeal approach, but could make difficult decisions on which issues are legally aidable and which are not, so that the individual would not be left to struggle with the complex non-legally aidable issues alone.
Make no mistake; the issues that the Government wish to remove from scope are complex. The welfare benefits that the Government wish to remove from scope completely have 20 volumes of guidance, thousands of pages of case law, and thousands of statutory instruments, clauses and schedules. The Child Poverty Action Group’s handbook on welfare benefits and tax credits alone has 1,600 pages. In 2010, the Department for Work and Pensions issued 8,690 pages of advice to decision makers. That advice is not specialist. Can people rely on help from Jobcentre Plus or the Benefits Agency, the agencies that turned down their original claim? I do not think so.
The Bill is being enacted at precisely the same time as the introduction of universal credit, which will affect 19 million individual claimants and 8 million households. I remember the change from supplementary benefit to income support. The number of people who needed advice rocketed, and many important cases were appealed by advice agencies, which had far-reaching consequences for many people, not just individual claimants. That is being denied in the Bill.
In 2010, under the current system, there were 160,000 appeals, more than half of which were decided in favour of the claimant. To remove support from individuals who have been wrongly and unlawfully denied their benefit—in more than half of cases that was indeed the decision—and to deal with the rent arrears caused by that denial of benefit at the point of eviction, is perverse in the extreme.
Early intervention and an holistic approach save money. Even the Minister admitted that early advice may reduce costs further down the road, but he chose to save £1 now at the cost, according to research from the National Association of Citizens Advice Bureaux, of £8.80 for every benefit case, £7.13 for every employment case, £2.98 for every debt case and £2.34 for every housing case. This is blinkered short-termism at its most extreme.
I would like to give a couple of examples of linked problems where dealing with just the issue that remains in scope will be counter-productive. A client had multiple priority and non-priority debts, including rent arrears, and was facing the threat of possession proceedings. She had prioritised credit card repayments due to pressure applied by her bank and debt collection agencies, and had fallen behind with her rent. She suffered mental health problems, and her teenage daughter was becoming ill because of the stress facing her mother. She was working and studying to improve her situation, but had lost benefits and was appealing that, with help. Under the Government’s proposals, there would be no help with that appeal. The only help available would be to deal with the immediate repossession issue. The credit card and other debts would not be dealt with and I surmise that it is extremely likely that that client would return in exactly the same position, or worse, at a later date.
A constituent had been dismissed from employment and was being assisted with an unfair dismissal claim. Stress was making them ill and unable to work, and there was also an appeal against benefit sanctions for leaving their job. Owing to the lack of income, the bills were mounting up and mortgage arrears were accruing. Under the new proposals the client would have to wait until they were in imminent danger of losing their home, and that would be the only issue within the scope of the scheme. If ever there were examples of false economy, surely those are such.
The most vulnerable will bear the brunt of the cuts. The Legal Services Commission’s figures show that 62% of those affected by removal of welfare benefits from scope will be those with disabilities. Indeed, there is concern about whether agencies will be able to provide advice even to those fortunate individuals who still qualify for legal aid. The cuts to social welfare law disproportionately affect not-for-profit advice agencies with 77% of the funding withdrawn going from those agencies. Some 54% of citizens advice bureaux and more than 70% of law centres believe that they will not exist after 2013 if this Bill becomes law. There is no clear plan or strategy for the sector, just death by a thousand cuts.
Wigan metropolitan borough council currently has 3,080 cases funded by legal aid, but 2,342 will go out of scope if the Bill is enacted. At a rough estimate of 300 cases per caseworker, resources will drop from 10 specialists to help my constituents to 2. Their ability to deal with even the severely curtailed legal aid cases will be massively impacted, let alone their ability to deal with linked issues. Will the Minister say what cross-Departmental plans are in place to deal with the destabilisation of the not-for-profit advice sector, and how will linked issues, which are often the root cause of an immediate threat of eviction, be dealt with in future?
I want to address briefly the issue of whether those who qualify will be able to navigate the system and reach the help they need and not fall at the first barrier—the telephone gateway. In the all-too-inadequate time allowed in Committee, when the agencies presented their evidence, they all stated that the telephone gateway will be yet another barrier and will deny some clients access to the services they need. Indeed, Steve Hynes, director of the Legal Action Group, commented on research by that group—my hon. Friend the Member for Hammersmith referred to it. He said:
“if you want a legal system that people do not use, deliver it through telephone advice because the people who pass the means test tend to be the ones who do not have telephones”
In my experience, individuals with a number of problems often cannot focus on the most serious issue for many reasons. It often takes a considerable amount of time and experience to untangle the knotted ball of problems into single strands, and then to decide which is the most immediate and serious. For example, I saw a client who was most upset because, for the first time, she could not pay Provident. She was really upset that when it came to collecting the debt, her neighbour would know that she had problems and could not pay. Eventually, she let me examine all the other documents that she had, and it was apparent that she had been paying the company at the expense of her rent and was in danger of eviction. To tease that information out over the telephone without sight of the documents that she eventually handed over would be almost impossible, and I believe that that client would have been told her issue was not legally aidable and sent away still prioritising the wrong debt and facing eviction.
I rise to speak principally about new clause 17, which was tabled by the hon. Member for Makerfield (Yvonne Fovargue).
Before I do so, I should like to comment on amendment 116. My hon. Friend the Member for Edinburgh West (Mike Crockart) made a cogent case for deleting clause 12. The Minister rightly said in Committee that
“the practicalities are the greatest stumbling block, and the costs could be significant.”––[Official Report, Legal Aid, Sentencing and Punishment of Offenders Public Bill Committee, 8 September 2011; c. 437.]
My hon. Friend underlined that that had been the experience in Scotland. It is therefore clear what the Government’s response should be. For the sake of clarity and succinctness, the Bill could appropriately lose clause 12.
I think I am right in saying that the right hon. Gentleman is speaking to an amendment that would effectively get rid of the idea of means-testing in police stations. I agree that this is an issue of great concern to Members in all parts of the House. I am surprised, however, that when he sat on the Bill Committee he did absolutely nothing about it when he could have supported my amendment or that of the right hon. Member for Dwyfor Meirionnydd (Mr Llwyd).
I am not going to give way. The point has been raised, it is on the record. I am sure that the Minister will have heard it. My right hon. Friend the Member for Bermondsey and Old Southwark (Simon Hughes) will speak about this in relation to amendment 148, and I am sure that he will echo the concerns raised by the hon. Member for Makerfield about the telephone gateway.
The right hon. Gentleman will know that the Law Society, the Bar Council, the Family Law Bar Association and the Lord Chief Justice have all indicated that the changes made by the Government in this Bill will curtail access to the legal system but that the projected savings will not be obtained. Given that the right hon. Gentleman sat on the Bill Committee, perhaps he can tell me why all those organisations are wrong but the Government and the Bill he supports are correct.
In a situation where funding is going to be withdrawn from organisations, it is not surprising that their response is that they do not favour it. The Government need to monitor very carefully some of the concerns that have been raised about the impact of withdrawing legal aid, and we have already had assurances that that will be the case.
Will my right hon. Friend give way?
Does my right hon. Friend agree that some of those organisations have an interest in pushing up the legal aid bill because they are its main recipients?
The hon. Lady makes a point that is worth considering. Clearly, certain organisations are financial beneficiaries of some of the funding, but I do not want to throw out all the concerns that have been raised because, equally, there are legitimate concerns that the Government need to monitor very carefully.
I turn to new clause 17. I had hoped that during the debate on Monday we would reach the group of amendments on social welfare in which my amendment 149 on complex welfare benefits was listed. Also in the group was amendment 131, which sought to ensure that advice on housing repossessions was available sooner. I regret that we did not reach that group, as, I am sure, does my hon. Friend the Member for Eastbourne (Stephen Lloyd), who is chairman of the all-party group on Citizens Advice. However, new clause 17 touches on many aspects of what was included in amendment 149. I welcome the fact that the hon. Member for Makerfield has put the matter up for debate today because it provides an opportunity to discuss some of the points that would have been raised on amendment 149. Her definition in trying to ensure that legal aid is extended to complex cases is
“that the individual has complex, interconnected needs”
and that
“not all of those…legal services would otherwise be available to the individual”.
It is reasonable to speculate that many, or most, individuals with complex and interconnected needs will also have welfare benefit issues that will often also be complex. Under the Government’s proposals, welfare benefit cases, complex or otherwise, are excluded from the scope of legal aid.
I acknowledge that the scope of the hon. Lady’s new clause is slightly different from what was proposed in amendment 149. However, if it had been restricted to individuals with complex and interconnected needs who require legal help with complex welfare benefit issues, I suspect that we would have been discussing exactly the same area of legal aid, because virtually every individual who has a benefit advice problem involving issues of legal complexity, significant evidential hurdles or daunting adjudication processes will have complex and interconnected needs. According to Citizens Advice, that more targeted approach would help to achieve a compromise position whereby more complex cases can be covered by the legal help system. When we asked Citizens Advice what it would identify as a single priority as regards what the Government should change, that is what it proposed.
Citizens Advice has calculated the cost impact of its proposal. It says that the current welfare benefits advice spend is £25 million on just under 140,000 cases, and that restricting it to complex welfare benefit cases covering only reviews and appeals, which applies to two thirds of the current welfare benefit cases, would cost £16.5 million and help around 100,000 people. The cost could fall further if, as the Government and all hon. Members intend in practice, decision making first time round is improved and becomes much more effective. The CAB calculation is that if we were to improve first-time decision making by 30%, the costs of that provision could fall to £12 million.
Is it not absurd that the Government should be scrabbling around for money to meet the costs of bad decision making and bad communication between Departments and those who are affected by their decisions? Ought not the Government’s priority be to ensure that those Departments change those processes, which they are more likely to do if they have an incentive, which is provided by the fact that their budget will meet some of the costs if they do not do so?
The right hon. Gentleman is absolutely right. The Liberty briefing paper states that the
“Community Links advice service records that…73% of the benefits related cases handled by their staff arose as a result of errors on the part of the Department of Work and Pensions.”
The Opposition agree with him, but we are where we are, and particularly at this time of change, we need certainty that those people will be properly represented. I think he said that he would not support new clause 17, but will he support amendment 116 and, later, the new clause in his name or the new clause relating to the Dowlers, which is in the name of my hon. Friend the Member for Rhondda (Chris Bryant)? He has given assurances outside the House and said that he supports those positions, but he now seems to be resiling from them. Will he and his hon. Friends support those measures? Will he answer that question now?
As I stated earlier, the simple change in new clause 12 affects a very large number of people—up to 100,000. As I mentioned in the debate yesterday, it is incumbent on Members who propose alternatives that mean the Government will spend more when they are trying to address a very large deficit to identify where funding for such proposals would come from. I hope we have an opportunity to debate amendment 144 this afternoon, because that would more than adequately cover the expenditure that the amendments would necessitate.
The right hon. Gentleman talks about the need for Government Departments to look at how they interconnect. From my constituency case load experience, a significant number of those 100,000 people are likely to develop mental health problems as a result of the predicament in which they find themselves. Surely money invested in provision for them would save the Department of Health quite considerable moneys. Is he confident that coalition Front Benchers have been talking to each other to do that sort of cost-benefit analysis?
The hon. Lady’s intervention is a fair one. I have raised the knock-on impact on other Departments directly with the Minister. I have received assurances that, for instance, the Department of Health has analysed the impact and does not see significant knock-on costs. That is the assurance that I have been given.
I conclude by urging the Minister to make a clear statement that the Government believe that the issue of complex welfare benefits is still up for negotiation, and that they will make progress on it in the Lords. If he cannot give such an assurance, and if the hon. Member for Makerfield presses new clause 17 to a Division, it is with regret that I would feel obliged to support it. I await the Minister’s response with interest.
I have never been a tribal politician, and I understand the dynamics of the House, but I am very disappointed that the hon. Member for Edinburgh West (Mike Crockart) and his colleague, the right hon. Member for Carshalton and Wallington (Tom Brake), had nothing to say on this issue in Committee. Worse still, an amendment that would have dealt with clause 12 was pressed to a Division, but they declined to vote for it. Indeed, they voted against it. The right hon. Member for Bermondsey and Old Southwark (Simon Hughes) came to the debate in the House on Monday and said that he was interested in dealing with the immigration law aspect in the Bill, but again, his colleagues said nothing about that in those lengthy Committee proceedings. The right hon. Gentleman said that he would pursue the matter. The modus operandi of the Liberal Democrat party is to sit on a Committee, do nothing, and then come back on Report and pretend they have done a hell of a lot. I am rather disappointed in the right hon. Member for Carshalton and Wallington in that regard. I have never been a tribal politician, but when I see this kind of behaviour, it makes me a bit sick.
I have three headlines from The Guardian, which are like a tableau. From September, we have “Liberal Democrats urged to defy plans to cut legal aid”; from October, we have “Lib Dem MPs rebel against proposals to cut legal aid funding”; and from yesterday, we have “Lib Dems have their cake and eat it”. That last article features a lovely picture of the right hon. Member for Carshalton and Wallington (Tom Brake). They rebel, and at the last moment, they do not.
I have made my point, so I will move on to the substance of this important debate, because others wish to speak.
I support the hon. Member for Makerfield (Yvonne Fovargue) on new clause 17, the amendments tabled by the Official Opposition, and new clause 43 and amendment 162, which were tabled by my hon. Friend the Member for Carmarthen East and Dinefwr (Jonathan Edwards).
However, I am against clause 12, which threatens through secondary legislation to limit advice and assistance at police stations. I shall not speak for long, but it is important to deal with one or two aspects of the measure. Clause 12 could thwart the fundamental right to legal advice when held in police custody, which frankly is a time when individuals are at their most vulnerable. That the Government did not consult on that measure has been widely criticised by many, and not simply those who allegedly want to raise money. The Lord Chief Justice is not dependent on legal aid, as far as I am aware.
I spoke in Committee of the importance of people having legal advice and assistance when they are detained in police stations. No consultation was held, but the measure was pushed through. Clause 12(3) is particularly worrying, because it would allow the Lord Chancellor to introduce regulations requiring the director to apply means-testing provisions if he or she considers them appropriate. It is well known that advice and assistance on arrest are not currently means-tested. The introduction of that in a police station is utterly inappropriate. What is more, as the Bar Council has pointed out, experience over the years shows that errors and abuses at police stations are responsible for very many miscarriages of justice, which cost not only lives, but finances.
Amendments 90, 104 and 125, which are in my name, would ensure that as a matter of course advice and assistance would continue to be made available for individuals held in police custody—they would not be subject to any means or merits testing. Amendment 104 would remove the word “station”, and amendment 125 would remove the need for a determination by a director. Furthermore, amendment 90 would remove subsection (9) and state in its place that:
“Sections 20 and 26(2) do not apply”.
The first point clarifies that means-testing cannot be introduced at police custody. Negating the application of clause 26(2) would ensure that the Lord Chancellor was unable to replace advice in person at police stations with
“services to be provided by telephone or by other electronic means.”
Clause 12 has a grave potential to destabilise access to justice for some of the most vulnerable in our society. As Liberty has pointed out:
“Justice requires that, as a bare minimum, all individuals taken into police custody have access to legal advice and representation when facing criminal allegations with the potential loss of liberty, disruption and damage to reputation they entail.”
As anyone who has practised criminal law will know, the first couple of hours in custody can be crucial in determining whether a case goes further, even on to an interview. Most people, when facing a police interview, particularly for the first time, are unable to think clearly and may not be cognisant of their best interests. As I said in Committee, at the very least the initial interview at the police station should proceed on the basis that the solicitor will be paid for the first couple of hours. It seems that the Government were unwilling to listen to that concession.
The right hon. Gentleman makes an important point which I support completely. However, there is another aspect to this matter. The solicitors who are available to give such legal advice usually have great expertise in the criminal law. If legal aid is removed and there is means-testing, the wrong type of professionals—those who do not have the expertise—will be available to give advice.
The right hon. Gentleman is absolutely right. I note from my own experience that such people are highly qualified for the work that they do. If two hours are spent with a solicitor who is well-versed in procedure, a lot of work can be done and people’s reputations can be saved. It is vital that we do everything we can to retain that provision. I am not doing any special pleading for lawyers. I appreciate that there should be paring back in some areas of legal aid, but this is a fundamental matter of access to justice and it is important that the Government listen.
It is worth noting Liberty’s point that attempting to introduce means-testing when an individual is in police custody is likely to be “unworkable” because it
“requires documentary verification of financial resources”,
which an individual in custody is clearly unlikely to have on his or her person. That would again result in inevitable delay and the wasting of resources.
The right hon. Gentleman is making an excellent point. Is he aware of any representations on this matter from police sources? They must be worried that suspects will be held in police stations for an excessive time while documentation is sought and possibly not found. They will then be forced either to release the suspect or to take them to court without access to a lawyer, which a lot of police forces would not be willing to do.
The hon. Gentleman is absolutely correct. I will say a few words in a minute about the Police and Criminal Evidence Act 1984, which is important in this regard. Clause 12 will run a coach and horses through it.
I do not believe that clause 12 is well thought through. What is worse, it undermines one of the core principles of our justice system: fair and equal access to justice for all citizens. I therefore cannot support it.
The Law Society’s head of legal aid, Richard Miller, has said:
“This is not only an assault on the rights of citizens, it is also a logistical nightmare to operate in practice.”
He has said that substantial hidden costs undoubtedly will follow and that it will be “simply unworkable”. Max Hill, the chair of the Criminal Bar Association, said that the Government were meddling with a “fundamental right”:
“To contemplate some sort of qualitative testing to decide when and if a member of the public should receive legal representation and advice…is deeply alarming.”
As I said, I will not speak at length, but I will say a word about miscarriages of justice. We know of a spate of miscarriages of justice that occurred in the ’70s and ’80s, and there was an official inquiry into several of them. The Birmingham Six were jailed for life in 1975 for pub bombings. The convictions were overturned in 1991 after evidence emerged of the police’s fabrication of confessions and suppression of evidence. The Guildford Four were convicted of a bombing in the same year. The conviction was secured on confessions that were obtained through coercion, violence and threats by the police. They were acquitted in 1989.
The right hon. Gentleman is making a strong point. However, the Guildford Four were actually the first people to be arrested and convicted under the Prevention of Terrorism (Temporary Provisions) Act 1974, which meant that they were specifically denied access to anyone at the time of arrest. That was not the case with the Birmingham Six, who instead were abused in the police station.
I stand corrected. I am pleased that the hon. Gentleman has corrected the record for me. However, my point still stands.
Stefan Kiszko wrongly served 16 years for rape and murder after being arrested in 1975. He confessed to the police after three days of questioning without a lawyer. That and several similar cases gave rise to the Police and Criminal Evidence Act, which gave a detained person the protection of proper legal advice. It also, crucially, gave protection to the police, which is the point made by the hon. Member for Islington North (Jeremy Corbyn). Clause 12 will undoubtedly drive a coach and horses through the 1984 Act and I believe that it should be resisted at all costs.
I rise to speak on new clause 17. I pay tribute to the hon. Member for Makerfield (Yvonne Fovargue), who was the chair of the all-party parliamentary group on Citizens Advice before I took over. I endorse what my right hon. Friend the Member for Carshalton and Wallington (Tom Brake) said. Originally we wanted to speak to amendment 149 under the social welfare grouping on Monday night and it was disappointing that that group was not reached. Consequently, although I do not agree entirely with new clause 17, I am minded to support it, particularly given how it relates to Citizens Advice.
Some of my points have been made by my right hon. Friend the Member for Carshalton and Wallington. I reiterate that at a time when we are making radical changes to the welfare system by introducing universal credit, replacing disability living allowance and making substantial changes to employment and support allowance, it is unwise to withdraw the support for people who are challenging bad decisions. As we all know, in the process of reform, mistakes can be made. As I am sure the House is aware, the introduction of ESA has generated a significant volume of appeals and 39% of ESA appeals are still being found in favour of the appellant. The position of the Department for Work and Pensions is that welfare advice should not be funded on issues of benefit entitlement because advice is available through DWP agencies such as Jobcentre Plus. However, I strongly believe that the solution is not to take welfare advice out of the scope of legal aid altogether, but to make appropriate distinctions over whether problems involve issues of complexity.
I support a great deal of what the hon. Gentleman is saying. Does he agree that it is inappropriate for people to rely only on advice from Jobcentre Plus when they may need advice because they wish to challenge the decisions of that agency?
I agree with the hon. Lady. It is good to see her taking part in the debate, because she sat on the Work and Pensions Committee with me before she was promoted to her very high place. She makes a strong point that emphasises that the solution is not to take welfare advice out of the scope of legal aid altogether, but to make appropriate distinctions, as it states in new clause 17, over whether problems involve issues of complexity. The issues that end up before tribunals are often extremely complex and involve the interpretation of statutes and case law precedent. It is wholly unrealistic to expect somebody without specialist knowledge to undertake that. Legal advice is essential, in my view, to the fairness of the appeals process.
I declare an interest as—or confess that I am—a lawyer. I was a solicitor for more than 20 years, and I worked for the Treasury Solicitor’s Department and the Ministry of Justice, as well as in private practice and the public sector, on behalf of local authorities.
I am concerned by the removal of welfare benefit, education and debt recovery cases from the scope of legal aid. Those are the kind of bread and butter issues that used to be dealt with under the green form scheme. I wish to reassure hon. Members who are concerned that lawyers are in it for the money that we often used to give advice for nothing to people who came through our doors: we went over the time limit but never claimed for it. So we can knock on the head the idea that lawyers are only in it for the money.
When I acted for local authorities in possession cases, we found that tenants who were going to be evicted were better informed when they had advice from the duty solicitor. I sat as a deputy district judge and it was much better when the people who appeared before me were not litigants in person. If they have a lawyer to give them proper advice, less court time is taken up.
I absolutely agree with my right hon. Friend, who has taught me more than he will ever realise. He has in common with the Lord Chancellor the fact that they both attended the very eminent lawyers’ college, Gonville and Caius.
I saw cases from both sides—tenants and local authorities—and it was very important for people to be able to access legal advice. More and more parents are now resorting to the use of lawyers to get their children into the school of their choice. If they can afford it, that is fine, but what if they just want basic advice on how to attend an appeal? That is very important for parents who cannot afford lawyers.
By happy coincidence, I acted in Hammersmith and Fulham v. Monk, a case that went straight to the House of Lords—at the time, my hon. Friend the Member for Hammersmith (Mr Slaughter) was a very good deputy leader of the council—because it involved an important question of principle. Could one of two joint tenants sever the tenancy by serving a notice to quit on the landlord? The result of that case was that we could rehouse women who were victims of domestic violence and retain the property involved. Mr Monk was legally aided, and it was important that that principle was decided by the House of Lords.
Another local authority wanted to settle the same question, and legal aid was available in that case too, but I took the decision that it would be sufficient for only one case to go forward, so lawyers do put brakes on extensive costs. I have had the privilege of litigating on behalf of the Government and, as the House will know, we have one of the finest judiciaries in the world. Judges can keep account of costs and they do not allow lawyers to go on and on and run up costs, but they also have to take their time when a litigant in person is appearing before them. There are also other ways to reduce costs, such as the Littlewoods clause. If someone has received legal aid and then come into money—by winning the pools, for example—the Government can claw back the money. Judges can also make a wasted costs order against lawyers who waste time in court.
I am a member of the Health Committee and we investigated clinical negligence, which now costs the state £800 million, whereas if it had stayed within the scope of legal aid it would cost only £17 million. That is a huge difference, and I wish the Government would think again. Even the NHS Litigation Authority said:
“The reduction in availability of public funding for clinical negligence claims and the corresponding rise in Conditional Fee Arrangements, backed by After the Event insurance, has also contributed very significantly to the cost of litigation”.
Who can get legal aid? That is a very important question and I have three examples of why that is so. The LSC gave legal aid to the Nepalese Gurkhas, and we know how that turned out. It was a very important principle concerning people who had fought and died for their country. It gave legal aid to Sean Hodgson, who was wrongly convicted and was freed after 27 years. It also gave legal aid to Colin Ross, a cancer patient who won a battle in the High Court for life-saving drug treatment that could give him an extra three years of life. Mr Ross received legal aid to challenge a decision by West Sussex PCT to refuse funding for the drug he wanted.
In the recent case of W v. M, S and an NHS primary care trust, Mr Justice Baker said:
“Given the fundamental issues involved in cases involving the withdrawal of ANH”—
artificial nutrition and hydration—
“it is alarming to the court that public funding has not been available to members of the family to assist them in prosecuting their application. In the event, the applicant’s team has acted pro bono throughout the hearing and during much of the very extensive preparation.”
That goes to the heart of what legal aid is all about. It is important to test legal principles. That is what judges are for, and it forms part of the checks and balances on the Executive. The late Lord Bingham called the rule of law
“an ideal worth striving for”.
The same sentiment applies to access to justice, so that we remain a United Kingdom. I urge the Government to think again about these divisive proposals.
We have heard some naughty stuff from the Opposition. I remember serving on a Public Bill Committee shortly after I arrived in the House. Now, I am a lad from Bradford, and we have this strange practice in Bradford: when we agree with something we vote for it, and when we disagree with something we vote against it. I went into Committee, and of course people soon told me, “That’s not the way you do it. If something comes from the other side, even if it’s a good amendment, you simply don’t accept it.” [Hon. Members: “Name them!”] I understand that that was common practice in the previous Parliament. [Hon. Members: “Name them!”] That is a tad nosey.
I am not a lawyer, but many, many people have come through my constituency door who desperately need, but cannot afford, a lawyer. I have serious concerns about these proposals, and I am very much in favour of new clause 17. Another thing that I quickly learnt when I came here was that there were unintended consequences. I had never heard of those before, to be honest, but I soon realised that when something goes wrong a bit later in the day—six months or a year later, perhaps—we say, “Well, it was unintended consequences.” That is basically a euphemism for, “We got it wrong.” In Bradford, we say, “We made a bad decision.”
Often we make bad decisions—that is the way of it—but, when we analyse why we are making bad decisions, often we find that it is because we failed to gather information or consult. Well, we have consulted on this, and we have a body of evidence. I thank the Liberal Democrat Lawyers Association for the information that it provided for us—no doubt other groups have provided information for other Members—and I am also grateful for the information from Citizens Advice. In particular, there are the case studies. Let us consider the consequences of the proposals. We can all look into the future and guess, but there are examples—case studies—of people receiving legal aid who simply will not receive it if these proposals go through. I am speaking for five or 10 minutes and could give hon. Members a couple of examples, but if I spoke for 20 minutes I could give three or four more; if I spoke for an hour I could give a dozen, and if I stayed here for a week I could give hundreds of case studies, one after another, of people who would be badly affected by the proposals.
We have received valuable information from the Law Society about the fictitious nature of the savings. They just will not be generated. In fact the proposals will probably add to costs in many ways. I am seriously concerned that, given the body of evidence available, including the huge number of case studies and examples from our constituencies, the consequences will not be unintended. These will be intended consequences; what will happen will be what the Government intended to happen. Various suggestions have been made of alternative measures that people could take—for example, they could represent themselves, or seek support from advice services—but the overall intention is that people will just go away. They will not be supported—but they will not go away, will they? Their problems will remain, and will probably get more serious, and indeed more costly.
Does the hon. Gentleman agree that it is worth reminding the House of the costs of taking a case under the legal aid scheme? A welfare benefits case costs £164. That is what the agency gets for dealing with it. It is £200 for a debt case and £174 for a housing case—and I believe that those costs have been cut by 10% from 1 August. These are not high-cost cases; this is extremely good value for money.
The hon. Gentleman is making an important point. Let us consider the parallel of immigration law. If individuals do not have access to a lawyer to deal with an immigration case they go to an immigration adviser, who might end up, over a period, getting a great deal of money out of them, often almost by coercion, in return for very bad advice that often results in disaster. The legal aid process means that people get qualified lawyers giving sensible intelligent advice, which will save us all a great deal more money in the future.
Absolutely. I have come across some pretty scary cases involving several hundred pounds of single-sheet letters from lawyers, but I have had no joy in trying to bring them to the attention of the Law Society. The hon. Gentleman is right. The present system represents good value for money to the public purse.
I thank the hon. Gentleman for giving way; he is being very generous. Community Links, an amazing voluntary organisation in my constituency, provides welfare and benefit advice and is funded, in part, by legal aid. A 10% cut in its fees will jeopardise any remaining advice that it can provide, because it already subsidises the legal aid fees coming in. I presume that he has had the same experience in Bradford.
Hang on.
Occasionally I try to abide by the coalition agreement, but this is not in there. There is in the coalition agreement something about the deficit reduction, and I am up for that—we do desperately need to reduce it—but I am not convinced that this will contribute to that. It is a very dangerous thing if we are going to use deficit reduction as a justification for almost anything that we might do. We have to question what we are doing.
I need to bring my speech to an end. Others need to speak.
One thing that the coalition agreement does say is that we should have a fundamental review of legal aid. I am up for that. Absolutely. Where is it? Why on earth are we taking these measures? The Business, Innovation and Skills Committee is due to undertake a debt management review, and there are a series of other reviews looking at advice centres and the work that they do. We should do that first.
I am grateful to the hon. Gentleman for giving way. He is making a powerful speech on behalf of his constituents, and he is also speaking for many Opposition Members. Has he thought about crossing the Floor and joining us?
Order. The hon. Gentleman is using the word “you”, but as he knows, that refers to me. Could he please refrain from using that word?
I apologise, Mr Deputy Speaker.
Someone once told me that the world is divided into two groups of people. There are those who, when they see somebody walking down the street with a walking stick, believe in kicking the stick away because it will make that person stronger, and there are those who believe that if they kick away the stick, the person will just fall over. We are in grave danger of making some of those who are, by definition, the most vulnerable in our society fall over, and we will still have to be there to pick them up, at even greater cost to the public purse. It does not make sense; we should not do it.
I of course support new clause 17, standing in the name of my hon. Friend the Member for Makerfield (Yvonne Fovargue). However, I will restrict my remarks to amendment 116, standing in the name of my hon. Friend the Member for Hammersmith (Mr Slaughter) and those of many Lib Dem Members, for what it is worth. Clause 12 will effectively provide for means-testing in the police station. I have many concerns about that from my experience as a lawyer. I have practised criminal law as a solicitor for many years—indeed, my wife is a qualified criminal duty solicitor—and shortly before the general election I joined my local chambers as a pupil barrister. I therefore come to this debate with some experience as a criminal lawyer.
I want briefly to talk about the practical difficulties of means-testing people in a police station. Let us imagine the situation—it happened last weekend, in fact. My wife’s pager goes off. It is three o’clock in the morning. She spends the next six hours in Priory Road police station, representing a young man who is suspected of very serious criminal offences. She is not in a position to go through the paperwork or CDS—criminal defence service—application form to make a claim for legal aid in that situation. What the client wants to know is: “How long am I going to be here?”, “What are the consequences if I’m charged?”, “What will happen if I end up appearing before the magistrates court?” and, at the end of the day, “What will happen if I am convicted?” The question is not: “How much do you earn?” That is the last thing that the client will want to put their mind to. Indeed, the solicitor in attendance would not be acting in a proper way if they asked that question. I firmly believe that everybody should be entitled to free and independent legal advice while in a police station. It is a fundamental right in a democratic society, and to remove it would be a huge mistake.
I have spoken briefly about the practicalities, but it is also important to spend a moment thinking about what used to happen. My hon. Friend the Member for Walsall South (Valerie Vaz) mentioned the green form. Yesterday evening I spoke to a solicitor who has been around long enough to remember the days of the green form. He told me that he used to send his secretary, or anybody in the office who was available. Things have changed for the better. People need to be qualified; they have to attend courses. I remember doing them: I did not like it very much at the time, but I went along, I paid the money—or the people who employed me did—I did the homework, I passed the examinations and I carried on with my CPD, or continuing professional development.
I did that because when I am called to a police station as a solicitor, it is important that I know what consent means in relation to an allegation of rape. It is important that I can explain what defences might be available. It is important that I have enough knowledge and experience to be able to say to a client, “It’s in your best interests to speak to the police,” or, “In my professional opinion, it’s not in your best interests to speak to the police.” We must not think that everybody who attends at a police station is guilty of a terrible crime. In my experience the contrary is true. The vast majority of detainees in police stations are either not charged, released on bail pending further inquiries, or, if they are charged, acquitted. A minority of cases make their way to the courtroom and end in a conviction. Everybody is entitled to access to a solicitor. It is a fundamental right, which, in my opinion, this Government are putting at risk.
I should mention the situation before the Police and Criminal Evidence Act 1984. Hon. Members have touched on it, but we had the Birmingham Six and the Guildford Four—great miscarriages of justice—and we learned from that. I think I am right in saying that the current Lord Chancellor was responsible for the 1984 Act, which was the right thing to introduce. Before PACE was introduced, people were making “confessions” that it later transpired were not proper confessions at all. It is important to remember that time. Miscarriages of justice cost the country an awful lot of money, but it is not just about money; it is about the effect on society when people can be convicted for something that they did not do and when they were nowhere near the scene. That seems appalling and very short-sighted.
Another concern for me is adverse inferences from silence. I have not looked at case law recently, but eminent barristers on both sides of the House will be familiar with it. The most recent case I am aware of is Murray v. UK. If my memory serves me correctly—I admit I have read only a summary of the court case—it says that a jury could not be invited to hold an inference against a person’s silence in the police station if that person was prevented from seeking legal advice in that police station. I believe that this is one of the unintended consequences that the hon. Member for Bradford East (Mr Ward) spoke about.
Let us imagine this scenario. A solicitor turns up at a police station to see a client and quickly establishes that the client has enough money to be able to pay for his own legal advice. Acting quite properly in the best interests of my client, I would say, “Keep your mouth shut.” I would tell the client to say absolutely nothing. I cannot afford to hang around because I am not getting paid and I am not sure that I will be paid even if the client makes an undertaking and assures me that the money will be brought to the firm of solicitors for which I work at some point in the future. I would probably be thinking, “I’m going. I’m not going to get any disclosure from the police, but in the best interests of my client I am going to tell him or her to keep their mouth firmly shut.” That provides an opportunity at some point in the future for that suspect effectively to make up their defence. It removes a valuable tool for the judiciary and the jury to decide whether they think an inference should be made from the client’s silence at the police station. This is a massive mistake.
This Government have not consulted on this proposal in clause 12. From a sedentary intervention I told the Minister earlier that it was probably written on the back of a fag packet. With respect, I think it probably was. There has been absolutely no consultation. I have spoken to many solicitors who have said that this proposal just came out of the blue. Nobody expected this. The Law Society was shocked. I have had meetings with the Bar Council and the Law Society, and they have told me that they did not expect this.
I am grateful to the hon. Gentleman, who has much experience in this area. I declare an interest as a duty solicitor still on the books for doing my duty at police stations. I share many of the hon. Gentleman’s concerns about the practical application of a clause that I understand the Government have indicated they have no immediate plans to implement. Will he expand on the details about the interests of justice test? Does he agree that there is specific interest of justice in respect of the advice and assistance at the police station given to a detainee who has already lost his liberty? The issue of stating his case is different from what it would be in court, and he might need specific, independent advice.
I would need more time to think about that, but I am tempted to say that I agree with the hon. Gentleman’s second point. On the first point, however, am I supposed to believe the Minister when he says, “Well, we want this on the face of the Bill, but we are never going to use it.”? That is absolute, utter and complete nonsense. I asked my researcher to make inquiries with the Library and find out on how many occasions the previous Government—of whom I am entirely proud—may have used this provision as a tool. My researcher came back to me to say, “As far as the Library is concerned, there is no example whatever of a Government building provisions into an Act of Parliament that they never have any intention of using.” It is complete and utter nonsense to suggest that that is the case.
I will not give way, because many other Members are keen to speak in this important debate.
It worries me that the Government are ignoring expert advice on a proposal which, in my view, would remove a fundamental right from citizens, and that there has been no consultation whatsoever. The Bar Council and the Law Society have expressed honest concerns about the legislation, but the Government have completely ignored them, which is outrageous. Many members of the Bill Committee took that point on board, but in an article one of them, the hon. Member for Ipswich (Ben Gummer), described the Bar Council as bewigged Scargillites. I assure the House that my colleagues at the Bar are far from being bewigged Scargillites.
It is always a considerable pleasure to follow the hon. Member for Kingston upon Hull East (Karl Turner). His speech was passionate, well informed and full of some good sense. I was unable to support a similar amendment of his in Committee, because on one rather important issue I disagree with him. I do not think it is wrong in principle for a millionaire who has been convicted of murder to be charged for the legal defence they received at the police station. However, I do agree with the hon. Gentleman that what is important is the point at which that charging happens.
I have a great deal of respect for the hon. Gentleman, too. I mean that sincerely.
I recall attending a police station to represent a doctor who had an NHS practice as well as a private practice. If he had said to me, “Listen, I’ll pay you,” I would not have continued to advise him in what was a very important case. When a solicitor turns up at a police station in such circumstances, they cannot be sure they will be paid. Even if the doctor had given me an absolute, cast-iron assurance that I would get that money, the firm of solicitors that employed me would not have allowed me to stay there. That is why I disagreed with the amendment of the right hon. Member for Dwyfor Meirionnydd (Mr Llwyd) in Committee. He suggested that two hours should be free, and then there could be charging. I disagree; I think anybody in a police-station scenario should be entitled to free and independent legal advice.
At the risk of this turning into a mutual affection session, let me say that I understand the hon. Gentleman’s point and agree with the foundation of his argument, which is that the Police and Criminal Evidence Act 1984 was the most significant advance in criminal law in this country since the second world war and we must take into account the abuses that led to its introduction. On that basis, it is an important principle that there should be free and unmolested legal advice at the point of arrest for all people, no matter how much they are worth, so that no one need be worried about the quality of the advice they are getting.
We could, however, debate whether it is appropriate to have retrospective charging for people of means who have subsequently been convicted.
All Members want there to be proper access to justice for all, and informed legal advice that can address miscarriages of justice and uphold people’s basic human rights in police stations. Might those charges be best recovered at the point of conviction? That would not create risks in respect of access to justice. Also, in prosecutions by the Department for Work and Pensions and other agencies, applications are made that cover the costs for the whole of the investigation as well as the court costs.
I bow to my hon. Friend’s superior experience of such matters. There might be a mechanism under which retrospective charging would be possible. We could debate that, and Members on both sides of the House would make reasonable arguments. Given the phrasing of the provision currently under discussion however, such a debate is not possible now.
I hope the Government will be able to provide assurances on another problem. In principle, I am against contingent legislation. I remember sitting up in the Public Gallery when I was very small, watching others in this Chamber discuss prevention of terrorism legislation. The then Opposition, headed by Neil Kinnock, were arguing passionately against that legislation for precisely the reason I am discussing. I do not think that they were right in that circumstance, but I find troubling the idea of putting contingent legislation on the statute book that could be re-enacted by order later without reference to Parliament. I hope, therefore, that the Government will either flesh out their proposals for the retrospective charging of defendants should they be convicted or decide to approach this matter in a different way.
The motivation of my right hon. and hon. Friends on the Front Bench is unimpeachable, as I have found from sitting behind them in the Public Bill Committee.
First, I agree with the hon. Gentleman about that form of legislation and he makes a valid point. A couple of minutes ago, he asked why a millionaire or multi-millionaire should not pay for legal advice and assistance. In my experience, the vast majority of very wealthy people have their own lawyers and in many cases they actually carry their number with them all the time.
The right hon. Gentleman makes a reasonable point. However, a point of principle is involved here. I do not understand why people on low incomes in my constituency or that of the hon. Member for Kingston upon Hull East should be subsidising the legal advice of those who can pay for it at a later date should they be convicted of a crime. We can have a debate about this. All I am saying is that we should have the debate now, perhaps with a new clause, or address it in another place in a different way.
I move on to the new clause tabled by the hon. Member for Makerfield (Yvonne Fovargue). Her expertise in social welfare law is probably unparalleled in this House and I very much value what she brought to this debate. However, I would remind her—I hope that she will not take this remiss—that at the last election she stood on a manifesto promising cuts in legal aid. Although the examples that she gave were pertinent, no recommendation has come from the Opposition Front-Bench team as to the alternatives they would introduce, either to make cuts elsewhere, which would otherwise be seen in her area of advice—
I hope that we can make some progress in this debate now. This is not helping—[Interruption.] The Under-Secretary of State for Justice, the hon. Member for Huntingdon (Mr Djanogly) is laughing. I hope that he is not going back on his earlier promise that we would make progress today. Had the hon. Member for Ipswich (Ben Gummer) been here earlier, he would have heard me deal with that point, in terms and at length, in response to an intervention from the Chair of the Select Committee. Will he stop wasting time?
The hon. Gentleman is a little previous. Had he allowed me to continue my point, as I had asked, he would have heard me address exactly what he said. I did hear what he said, albeit outside the Chamber. Let me deal with this point about the Opposition. If they are to be credible, they have to make alternative proposals for cuts to legal aid, which they promised in their manifesto and have promised since, to this Chamber. A few months ago, during the Public Bill Committee, they clung to the proposals made by the Bar Council and the Law Society, until those proposals fell apart. They fell apart to the extent that the Bar Council and the Law Society have had to revise them in a resubmitted document provided earlier this week. That was the Opposition’s first cost-reduction plan and it was not one of their own making—it was made by others.
Some £245 million-worth of amendments were tabled by the Opposition in the Public Bill Committee, along the lines of those proposed by the hon. Member for Makerfield, but with no suggestions as to where cuts might be made elsewhere. So we get to a point where there is a complete absence of the other side of policy from Her Majesty’s Opposition—it might provide some credibility to what they propose—until perhaps today, when the hon. Member for Hammersmith (Mr Slaughter) appears before the House saying, “We are going to bring in accelerated competitive tendering in criminal defence work.”
This is not filibustering. I will explain why. [Interruption.] I got the impression that a promethean career had been cut short by the principles of the hon. Member for Hammersmith, but at no point—
On a point of order, Mr Deputy Speaker. Can you offer some guidance? When time is short and we are keen to debate the important issues in the Bill, is it right for hon. Members to go off the point so widely?
I am allowing a little latitude, and I mean a little. I am sure Mr Gummer will wish to get his remarks straight back on to the business before us.
I was about to say that in none of that communication did I receive any indication that the hon. Member for Hammersmith disapproved of the previous Government’s termination of competitive tendering for legal services in 2009. On that point he was silent. There was no outrage that the scheme that he is now proposing had been stopped by the previous Government, no sense that he would step down from a position on that point, as he would on the issue of the third terminal. Thus this modern-day Prometheus has been found wanting.
May I ask, therefore, that in their submissions we may have a little more substance from the Opposition on how they might pay for the many amendments that they have tabled on Report, instead of their jumping on every passing bandwagon and every interest group to which they can plead?
I begin by declaring an interest as somebody who used to work for Citizens Advice Cymru before being elected to this place, and who currently serves as the secretary of the Citizens Advice all-party parliamentary group. I shall speak to new clause 43 and amendment 162 in my name. They are probing amendments so I shall be brief, but colleagues in the other place might want to pursue the matter in greater detail, especially as the amendments carry the support of the official Opposition, for which I am extremely grateful.
The amendments are supported by advice organisations concerned that a strict interpretation of legislation may leave holes in the legal aid safety net. From a pragmatic and practical perspective, the intention of the amendments is to allow funding for the provision of advice from third sector independent and impartial advice organisations to assist with understanding a case, without the requirement to provide formal and costly legal representation. That will help the Government achieve some of the savings aims in the Bill. In technical terms, the amendment would give the Lord Chancellor discretion to permit transfers from the legal aid budget to other funding streams for the provision of advice on issues to which schedule 1 does not apply.
If schedule 1 is to be the future shape of civil legal aid, the scheme needs to work alongside advice services which deal with other legal issues, such as debt problems, issues of benefit entitlement and appeals under social security law, employment rights and immigration decisions. On a practical level, it is a waste of resources if legal aid clients cannot receive holistic advice. I know that that is something on which Citizens Advice prides itself. There will also be many cases at the margins of the situations covered in schedule 1, and the Legal Services Commission’s response to the Green Paper highlighted the problem of what it calls boundary issues, warning that
“the administration costs of considering such cases could erode revenue savings that the Ministry of Justice has committed itself to.”
That addresses some of the points that Opposition Members have raised throughout the debate on the Bill and draws attention to the unintended financial consequences of what the Government are trying to pursue. I will close as I want to allow colleagues to speak about other parts of the Bill, but it would be helpful if, in response, the Government could explain how the concerns of civil society bodies about access to advice as a result of the prescriptive nature of schedule 1 will be addressed.
I am conscious that we have had two hours of debate already and I am keen, as are other Members, to get through all four groups of amendments if humanly possible, so I will make only a few comments. It is appropriate that contributions from both sides of the House, including from the hon. Member for Carmarthen East and Dinefwr (Jonathan Edwards), have made the case for the Government to proceed sensitively on this delicate issue.
My position is very clear: I signed up to the coalition agreement without reservation because it was the only realistic game in town. It was important to accept that one of the things that would drive Government policy was the need to reduce the deficit. That is right and necessary, so it is right that every Department should carry its share of that responsibility. As my hon. Friend the Member for Bradford East (Mr Ward) made clear, the coalition agreement stated that there would be a review of the legal aid system to make it work more efficiently. If the Government are also to achieve their other objective, which is to ensure that the vulnerable are protected in a time of economy austerity and reduced spending, we must ensure that this part of public spending protects and assists them as much as possible. That is where the sensitivity arises.
Like other Members who have spoken, I am lawyer, but I am not here to defend the lawyers. We need good lawyers, such as the hon. Member for Walsall South (Valerie Vaz) and many others, who come to law not to be paid six-figure salaries in large commercial firms, but to be paid £25,000 or £35,000 a year, often working 40, 50, 60 or 70 hour-weeks, in citizens advice bureaux. There is a very worthwhile legal advice centre in my constituency, the Cambridge House law centre in Southwark, and many other such places. We are here to ensure that the issues they raise are on the agenda.
We are also here because in constituencies with high levels of unemployment and deprivation, such as mine, and in every other constituency, there are huge numbers of people who from time to time need legal support in the most difficult circumstances. We must ensure that the welfare net is protected. We have a very generous system, which cannot go on in the short term, but we must make the right decisions. All the attempts in the new clauses that concern me try to persuade the Government of that fact. I have five areas of concern and will flag up one relating specifically to the amendment that has not been spoken to already, but which I hope the Government will be able to respond to positively.
My right hon. Friend mentioned the good work that many lawyers do in this area—not the commercial fat cats—and touched briefly on Citizens Advice. Does he agree that the good work done by hundreds, if not thousands, of CAB legal advisers, who are not even lawyers but provide excellent advice, is absolutely unparalleled and that it would be a tragedy if any of the Government’s proposals led to cuts in that work?
None of us can stand up and say that there do not have to be reductions, but of course it is not just the lawyers, the citizens advice bureaux or the other advice bureaux we should be concerned about; it is advice workers and qualified advice workers too.
The right hon. Member for Dwyfor Meirionnydd (Mr Llwyd), who has just left the Chamber, tried to wind us up earlier. I have one objective in these considerations: if I do not think that a Bill was in the right place when it began, I want to ensure that it ends up in the right place by the time it becomes law, As we know, the reality is that sometimes we can make and win an argument in Committee, but it is very rare for a Government to be defeated in Committee. Sometimes the argument can be won on Report. Arguments are normally won when the Government have been persuaded not only in the Chamber, but outside it. I have had meetings with the Under-Secretary of State for Justice, my hon. Friend the Member for Huntingdon (Mr Djanogly) and other colleagues, as have many other Members. The press reports that my colleagues on the Liberal Democrat Benches want to make further progress and changes, and we will continue in that.
We have heard that the Minister was very good and said in response to my amendment 145 which we debated on Monday that he would look specifically at the issue of family reunion, and I take him at his word. I think that that is a case where we need change, and I have no reason to think that, if he is helpful today, we cannot make significant progress. Of course, it would be lovely if all the amendments were made today, but we are not necessarily at that stage.
I cannot, either because there were none or they were very rare. To be serious, however, I have been a Member not quite for ever but for a long time under both Labour and Tory Governments, and I do not want to get distracted by that, because in reality we on the Liberal Democrat Benches all seek to work with the Government to get the right outcome, and we will do so constructively. We shall do that not by megaphone diplomacy but in a way that I hope is persuasive in argument and wins the day.
Does my right hon. Friend agree, however, that in just those cases a high proportion of the advice required is not legal advice, but the advice of a sensible person with some experience in the area? Bodies such as Citizens Advice are very good at providing it.
For example, there is an organisation based in the constituency of my hon. Friend the Member for Bradford East called Christians Against Poverty, and it has people working in my constituency who are really good at dealing with debt. They have been tried and tested by me and others, so if one such element is debt I will often refer my constituent to them. They will unravel those issues and try to get them sorted even when in the county court there might be a legal issue, such as a possession action by the council or a housing association for the person’s flat, which one might need to manage as well.
In our constituencies we all have equivalents of the organisation Christians Against Poverty, to which the right hon. Gentleman refers, and there is no question but that they do marvellous work, but the kind of cuts that the Government are talking about will impact either directly or indirectly and, most certainly, on the citizens advice bureaux in my constituency. The real concern—certainly felt by me and, I think, by every Opposition Member—is that a terrible rock is being thrown into the social system, and the ripples are going to take out more and more people and, therefore, reduce more and more the advice that is out there at the moment.
The hon. Lady and I have inner-city constituencies, and we have exactly the same—not exactly the same, because Highgate and Hampstead must have a slightly different profile from Bermondsey and Old Southwark—
Hampstead and Kilburn, as it now is, sounds more balanced and mixed, but of course the hon. Lady knows about and has experience of the issues.
I think that the Government, given the constraints of the general economic position, are trying as hard as they can to find the support that the hon. Lady and I wish for. Her party, had there been a Labour Government in this Parliament, would have made cuts in legal aid and to public spending across the board, and she would not have liked it, as she did not when they were in power. Indeed, I remember her speaking against her Government pretty well every week in the previous Parliament, owing to what they were doing, and I was with her and made just those comments.
However, this Government have already put some money into Citizens Advice, for example. Transitional funding is being discussed. My hon. Friends have discussed with the Chief Secretary to the Treasury, who made a very welcome statement earlier today, putting more money on the table for public servants and the ways in which that might be extended. I understand the hon. Lady's point and we will try, from the Liberal Democrat Benches, to win that argument, but we have to win it within the confines of what is a very difficult position for everyone, including the Government.
On amendment 116, my right hon. and hon. Friends have made the point about clause 12. May I say to Ministers that if clause 12 is not going to be used, it ought to go? I understand why the Government might want a fall-back or safety-net position, but if it is not to be used they should let it go and say so. That is important because, as colleagues have identified, providing someone at a police station with legal advice and assistance will often save huge grief for them and their families and a huge amount of time for the police and other agencies that come to deal with them. Often, it will also save a huge amount of time for the criminal justice process afterwards. I am clear that, in time-efficient and cost-efficient spend, we ought to retain that and not lose it.
Let me make a substantive point about amendment 148, which is in my name, about telephone advice and the telephone helpline. The Government propose that the community legal advice helpline that is currently in use and does a perfectly good job should, once the changes have come into operation, be the sole method of access to the service for certain issues at the beginning. It is proposed that there should be a mandatory single telephone gateway for four areas at the beginning: debt, inasmuch as it is covered by legal aid; community care; discrimination; and special educational needs, subject to exceptions. The plan is that there should then be a phased expansion of the provision of specialist telephone advice into the other areas of law for which legal aid is available, except for asylum matters, and that there should be a pilot scheme.
The Justice Committee chaired by my right hon. Friend the Member for Berwick-upon-Tweed (Sir Alan Beith) has looked into this matter and said that it was not against a telephone advice line in principle, but it advised caution and the Government have responded cautiously. May I make two points about why the Government have to be really careful? First, there is real concern out there, as I know from my meetings with Cambridge House and other organisations that do legal aid work and advice in my constituency and borough, that if people have to go through a central call centre, which is the only way into the system, they will not get the same service as with NHS Direct, for example. With that service, if someone does not like what they get they can go to their chemist, GP or hospital, but this call centre will be the only way in.
However good any advice line might be, some people are not going to be very able to deal with that service. I know that the Government are not being absolutist about this issue and that the theory is that the person at the other end will spot the person who might have learning difficulties, poor English or whatever and make sure that there is a face-to-face service. However, I am nervous that if someone from Bermondsey, to choose a place at random, phones up the national headquarters, which may be in Bradford, there will not be a full understanding of their circumstances as a recently arrived Eritrean with children, for example, who is barely able to speak English and is trying to sort out their housing when there are legal issues. I therefore ask the Government to think again about how we might make sure that there are ways for people to see someone face to face in their community or part of the world that do not require their having that kind of advice only in the first instance.
The telephone helpline will also direct people who are not legally aidable towards paid-for services. Does the right hon. Gentleman share my concern that if helpline staff do not know of any face-to-face advice agencies or telephone helplines for debt, for example, they might direct people to one of the fee-charging debt-management agencies, which would be totally inappropriate?
That would be inappropriate, and I hope that it would not happen. There should be safeguards.
I want to be constructive about how we might deal with the matter. First, when there is a helpline, as there is already, there should be monitoring not just in theory by the Government. Just as we have lay visitors at police stations and so on, there should be a facility for Members of Parliament and others—perhaps a representative group, such as the Select Committee that my right hon. Friend the Member for Berwick-upon-Tweed chairs—to be able to take part in seeing how the telephone helpline works. There will always be a telephone line, and I am not against that as an option, but it should be monitored by Parliament and Members of Parliament, as well as by the Government.
Secondly, I would be much more comfortable if somewhere was available in each region, rather than having to go through a national central location. If there was someone with the capability of knowing local circumstances, that would be hugely preferable. I hope that the Minister will be positive in his response to our concerns, and I hope that we will be given some encouragement that they will be not just listened to, but responded to at the first opportunity.
I apologise, Mr Deputy Speaker, for the fact that I will have to leave the Chamber soon after I have spoken. I am taking part in the Royal Society’s parliamentary pairing scheme.
I want to support some of the amendments tabled by Labour Front Benchers, and by the hon. Member for Carmarthen East and Dinefwr (Jonathan Edwards) and my hon. Friend the. Member for Makerfield (Yvonne Fovargue). I am here solely because of constituents who have written to me, and it is their words and their concerns that I wish to bring to the Chamber today. My hon. Friend made an important and informative speech, but I will make a much simpler speech, about my constituents and my relationship with them.
I have been contacted not by the 20,000 names on my database of people for whom we have been providing help, but by the people who help them—those who look to family proceedings and the care of children, and who care for those with mental health problems, and the whole range of welfare associations and advice centres. Those workers know from their experience the limits of their own abilities to assist my constituents and, like me, know the limits of my abilities to assist my constituents. It is they who are aware of how much difficulty people will face if the Bill is enacted.
The right hon. Member for Bermondsey and Old Southwark (Simon Hughes) spoke about the telephone gateway. Recently I tried to use uSwitch. I rang it because I accepted the Government’s message to switch my energy company. I had all the papers in line as I sat at a desk with a landline. I called up and had a discussion, but when I was asked for my S number, I asked where I was likely to find that in the papers that I had already described. The person at the other end was unable to tell me. That should have been a simple process for a middle-class educated person.
We make e-mail addresses and phone numbers available to constituents, so why, in my constituency and those of the right hon. Gentleman and so many other right hon. and hon. Members, do constituents come to see us in person? The majority of my constituents do not come in person, but the 20, 30 or 40 people at every constituency surgery do not feel able to deal with their problems over the telephone. Although I have extremely experienced and competent caseworkers, with the best will in the world they often have to say to those who call up, “I’m sorry, but I can’t get to the bottom of your problem unless you bring me the paperwork, and I see you face to face.”
I want to endorse one point, and to amplify it. I gave an example of someone from abroad, but in my experience, even people who were born and brought up here and have spent all their life here often need two, three or four visits before we can sort out what the issues are and get them on their way. It is not one-off bits of advice that they need.
The right hon. Gentleman is absolutely right. This is key to the service that we provide as Members of Parliament. I know that Government Members have argued that we should not provide these services for our constituents, but I believe that we should, and I want to continue to do so.
Sometimes a vulnerable, sick and disabled person who has been wrongly deprived of sickness or disability benefits comes to me. I can say, “This should happen,” “That should happen,” “Yes, there ought to be a review,” or, “There ought to be an appeal.” However, I cannot assemble the evidence with that person. I do not have people with many hours to spend on each individual case who can put together the paperwork and the arguments and do the research. At the end of the day, that expert job is done by an advice person in an agency, who will refer the person to a solicitor, who will provide them with legal aid—or we might refer them directly. That service is absolutely vital, and if the person does not have it, they are totally denied justice.
Is the right hon. Lady aware of any incidents of people coming in with multiple issues, some of which will qualify for legal aid and some of which will not, but they are intertwined because of the person’s situation? Does she think that clarification is needed within the legal aid system in order to have all those issues dealt with rather than excluding some of them?
I certainly do, but of course the challenge for us now is not to be able to make things better but to try to save things from getting so much worse. That is the difficult situation that we are in.
There are tenants who are undoubtedly unfairly deprived of housing benefit, and home owners who are unfairly deprived of help with mortgage interest payments. They can get no assistance in the Government’s new system. In cases of housing disrepair I can write to the council or to the housing association, and very often I can get a remedy with my own resources and caseworkers. Every so often, though, there is a blank refusal by the council to deal with situations involving property that I deem unfit for human habitation, and I cannot persuade it otherwise because of the vast amounts of money involved or the difficulties of transferring people when it has tens of thousands on its waiting list. At that point a legal challenge is necessary—and that is what will be denied people in future.
I am sure that in my right hon. Friend’s constituency, as in mine, there is also the increasing problem of absentee landlords in the private sector who hand over the management of their properties to a managing agent, when often there is no management at all. It is virtually impossible for the individual who is suffering to try to pin down those people’s legal responsibilities without some kind of knowledge and support.
I could not agree more. That is so often the case, and often only the threat of legal action can even get us to the point of knowing who we are trying to deal with. That is an essential point.
Then there are those who are unlawfully evicted, and also those who may even be lawfully evicted, but could not or should not be evicted if they had an opportunity to contest the eviction. This morning we had a call from a family of five with the bailiffs at the door. If it had been a couple of days earlier, they could have been sent to a solicitor. We know about the case now, and the eviction could have been challenged. The family could have been kept in that home, although they would have had to be put under a stringent regime of dealing with their financial difficulties, which came about because things had gone wrong with their housing benefit. In future, they would not be able to get the assistance that they so badly needed, and they would therefore, as now, present themselves and cost the state a lot more money, if they could get the help at all.
Then there are the workers who are dismissed and found possibly to have a case for unfair dismissal. Under the Government’s proposals, they could get assistance only if they were able to claim discrimination. My constituency is hugely multicultural. Will people have to be told, “Can you possibly dress this up as discrimination, so that you can get the legal assistance that you will otherwise be denied”? We do not want to have to go down that path.
There are real differences, I should tell the Minister. If he does not understand indices of deprivation, or the differences between constituencies in this country, I really do not think that he is fit for ministerial office.
Let me end by citing two other types of case, to which I hope that the Minister will listen carefully. I have a constituent whose sister died in Africa. Her young child was brought to Britain with a visitor, and he stayed here because his aunt is the only person who is prepared to take care of him. Lewisham social services want to see that child legally adopted, and the Government are very keen on adoption. However, the child has no legal status in this country. Such cases are complicated when it comes to getting all the paperwork together and arguing the case to the immigration authorities, which have already turned down my constituent’s case once. That is the kind of case that requires legal assistance.
The second case involves a trafficked woman, and it is one of the worst cases that I have ever had. She was trafficked here as a teenager, was raped repeatedly and gave birth to twins. She has never had her immigration status regularised. She cannot conceivably be sent back to Africa now, having been here for 12 years. These are the kinds of case that will be totally denied justice under the Government’s proposals. I appeal to the Minister, on behalf of my constituents and all those who work in advice services in Lewisham and elsewhere, to think again and not just to sit there laughing, as he is at the moment.
I too should declare an interest, in that I have practised at the criminal Bar since 1990.
I congratulate the Minister on at least having the decency to bring in clause 12 through primary legislation, unlike the previous Government, who sought to bring in such a measure through secondary legislation until they were prevented from doing so by the High Court. I am afraid, however, that that is the limit of my congratulations, because—
I do not think that what the hon. Gentleman has just said is accurate. The Lord Chancellor has confirmed that the previous Government had no plans to bring in the legislation that the hon. Gentleman has just mentioned.
I am grateful to the hon. Gentleman. I will send him a copy of the case.
The clause reveals a lack of understanding of the criminal justice system, and especially of the importance of the timing and purpose of police interviews. The hon. Member for Kingston upon Hull East (Karl Turner) has spoken—perhaps until just recently—with passion about police interviews from a defence perspective, and what he said was right. Just in case the Minister is not swayed by the defence, however, I would ask him also to pause and consider this matter from the perspective of the prosecution.
Police interviews always take place at a time chosen by the prosecuting authorities, and the time is chosen because it is advantageous to them. In complex cases, perhaps involving drugs or organised violence, the police may arrange for simultaneous arrests, not least so that they can try to put the account of one arrested person against that of another, and try to break up those whom they believe to be part of a complicated conspiracy. The timing of the arrest might also be brought forward for the purpose of arranging the interview, in order to prevent a crime, or to protect a witness or a police source.
All that will fail if the arrest has taken place and the person has been brought to the police station for interview, yet nothing happens while their means are picked over and the interviewing officer drinks tea. Evidence could be lost, co-accused could flee, and witnesses could be harmed. All that will take place in the period allowed for detention, which is slowly being eaten away. The accused will not have details of his means on him. Surely we are not seriously suggesting that armed police who are looking for drugs, blood-stained clothing or weapons will be asked to look for three years’ accounts or 12 months’ pay slips.
There is a serious point to that. The rapist whom I prosecuted in the summer, who is now serving a seven-year prison sentence, was interviewed at a time that the police chose because it was appropriate for the purposes of their investigation. If they had had to wait while his means were established in order for his legal representation to be provided, it would not have been helpful to their inquiry—it would not have been what they wanted to do, and I am sure it would not have been what the victim of that offence would have wanted them to do.
My hon. Friend makes an absolutely proper set of points, but given the realities of life in the police station, from either a defence or a prosecution point of view, does it not come down to the fact that that is not the time for means-testing? At a later stage—for example, on conviction—a proper account could be made of a guilty person to establish whether they had the means to pay for their legal representation.
My hon. Friend is aware from his practice that at the point of conviction the court will consider applications for prosecution costs, which are effectively the costs of bringing the case before the court. There is nothing wrong in principle with somebody who can afford to contribute being invited to do so—“invited” in the firmest sense of the word. However, it is entirely appropriate to have a system that delays the proper prosecution of criminal justice while people’s bank accounts are checked to determine whether they qualify for legal aid at the police station. The problem is not only the injustice that might result for the accused, but the frustration that might be caused to those whom we task with investigating crime and prosecuting offenders. The introduction of such a counter-productive measure is in no way excused, in my opinion, by a promise never to use it.
I am pleased to be able to contribute briefly to this debate. I am one of a minority of hon. Members in the Chamber who is not legally qualified, but on this occasion I am grateful that so many solicitors and barristers are Members of the House. They have made this a much better debate and brought experience to it. I hope the Minister has listened carefully to what has been said, particularly in relation to the removal of clause 12.
When the House learns from its mistakes, it can introduce much better legislation. I have been here long enough to have gone through the experience of the Guildford Four, the Birmingham Six, Stefan Kiszko and many other appalling miscarriages of justice. It is true that the Police and Criminal Evidence Act 1984 made a big difference and brought about a much fairer system of investigation. However, unfortunately it did not lead to the release of people who were wrongly convicted in Birmingham, which came much later as a result of a huge campaign, which in turn led to establishment of the Criminal Cases Review Commission, which has hopefully reduced the chances of future miscarriages of justice.
My experience and that of many other hon. Members of dealing with immigration cases, miscarriages of justice and many other misfortunes that befall our constituents is that problems often come from the initial point of contact with authority, be that a police or immigration officer, a housing official or someone else. People who are not represented at the initial point of contact when they should be might confess to things that they did not do, suggest they have done things that they could not possibly have done or just become hopelessly confused and accept whatever the official says. How many of our constituents have told us that they have said all kinds of things in good faith to an official, things they clearly did not understand because they were intimidated by the experience? It is at that point that our constituents—all of them—deserve the right of independent legal representation.
The hon. Member for Dewsbury (Simon Reevell) made a good point about the delays that will happen in a police station if clause 12 is operated as drafted. It will be utterly ludicrous if the police arrest somebody and want to interview them, but are unable to get the basic information that they require and so have to keep them at the police station for a long time. That will take up police time and space when releasing the person might be the best course of action, all because there is an argument about whether a solicitor should be available.
On the point about wealthy people getting advice, I am quite sure that Roman Abramovich goes around with the numbers of half a dozen solicitors in his wallet, or at least that his security staff do. I am not particularly worried about the ability of such oligarchs to gain access to lawyers should they fall on the wrong side of the police. I am worried about people who cannot afford to get a solicitor, who do not carry a number with them and who cannot get a duty solicitor because they cannot prove that they are entitled to legal aid. I suggest that the Government should simply accept this point and withdraw clause 12 in its entirety.
I want to make two more quick points about the effect of the trajectory of legal aid. I was concerned about the trajectory of legal aid under the previous Government, as were many Members. The Liberal Democrats used to be concerned, but they have had a damascene conversion. Something far worse is now happening and they support it. When something less bad was happening, they opposed it. I do not know what has happened. Perhaps somebody can explain it to me at another time. I am too simple a soul to understand it.
The changes in legal aid have been devastating for many good solicitors’ practices in inner-urban areas. Many have closed in my area because they cannot survive any longer. There is not enough other work so that they can cross-subsidise within the company. I am not sure that that would be a good principle even if they could do it. The shortage of funding for legal advice has hit law centres badly and they are trying hard to survive. As a result, many people who should be legally represented go unrepresented.
I have the utmost time, respect and admiration for Islington law centre, but it is creaking at the seams with the pressure of the work that has fallen to it because of the number of solicitors’ practices that have closed and the number of people who are in desperate situations and want its help. It is doing its best. It relies heavily on pro bono work and trainee solicitors who work at the law centre as part of their training. That is not a bad thing—in fact, it is a good thing—but the whole system should not rely on pro bono solicitors and on the good will of trainees. I am very grateful to those people, but the system should not rely on them.
Likewise, Islington council, despite the huge problems and pressures it is facing, like every inner-urban area, has to its credit found the time, political determination and resources to open a citizens advice bureau on Upper street, opposite the town hall. It is absolutely packed out, largely dealing with debt advice. A lot of the advice that is given does not require legally qualified people, but can be given by good advisers. However, the resources have to be there to ensure that it happens.
Does the hon. Gentleman agree that what is proposed by those of us in Parliament who work closely with Citizens Advice would still lead to a reduction in cost from the current £25.5 million to £16.5 million, which as I said earlier is a 40% reduction? Citizens advice bureaux are trying to be productive to ensure that they can retain their funding.
Citizens advice bureaux do a fantastic job and they do their best to be as productive as possible. It is hard to measure productivity when one is dealing with advice. It is hard to measure how long it takes to explain to people the seriousness of their situation. As we all know from our advice surgeries, some people get it quickly and others take a long time to understand the reality of their situation. As my right hon. Friend the Member for Lewisham, Deptford (Joan Ruddock) said, it sometimes takes several visits. A solicitor or advice bureau cannot do that; only MPs can do that. That is why we are vulnerable to such visitations every Friday evening, or whenever we hold our advice surgeries.
I support everything that my hon. Friend the Member for Hammersmith (Mr Slaughter) said from the Front Bench about the cuts in welfare rights, and I also agree with the comments by my right hon. Friend the Member for Lewisham, Deptford (Joan Ruddock) and my hon. Friend the Member for Islington North (Jeremy Corbyn). I shall not reiterate everything that they said as time is short, but I want to address clause 12 and ask the Minister to remove it from the Bill.
Before I go into the reasoning behind that request, I have a general caveat. What I am about to say is not a criticism of police officers. In all professions and walks of life there are people who do not do their jobs properly and have mala fide motives. Section 52 of PACE, which was introduced in 1984 by a Conservative Government, gave people arrested at a police station the right to see a solicitor of their choosing. As hon. Members may remember, that particular piece of legislation came about because of several riots over the sus laws, and Lord Scarman was asked by the then Government to investigate the cause of those riots.
In those days, under the old sus laws, the police could stop anyone walking on the street without any justification and without having to show reasonable cause. Inevitably, a lot of the people stopped were young men of Afro-Caribbean origin in London and young men from working-class backgrounds in the rest of the country. As a result of Lord Scarman’s inquiry and investigation, the then Conservative Government passed that piece of legislation, which, generally, was a good one that brought us up to date with many other countries with similar economies to ours and with what we could call western democratic institutions. We would be hard-pressed to find, in any of those countries, a defendant at a police station being denied the right to free legal advice. Taking away that right will almost put us back three centuries. It is not compatible with modern, 21st-century Britain and its place in the world.
We talk about saving money, but more money is saved when people are advised properly at a police station. I agree with the hon. Member for Dewsbury (Simon Reevell) and my hon. Friend the Member for Kingston upon Hull East (Karl Turner). From the prosecution and defence perspective, they talked about how such advice should be allowed. As someone who has both prosecuted and defended for the past 20-odd years, I think that access to legal representation at a police station is not only the fair, right and proper thing for a civilised society, such as ours, to do, but in the long term it saves money. It avoids unnecessary not-guilty pleas and saves unnecessary time going to court and prosecuting people. If people are spoken to by a solicitor, often—in most cases, I would say—solicitors advise their clients correctly. In my experience, if there is evidence against clients, the solicitors and lawyers tend to advise people to plead guilty. This proposal, therefore, will not save money, but waste more money. If the argument is about economy, I would have to point out that it is a false economy.
I shall give an example involving the Crown Prosecution Service. Following the Narey review, which looked into why so many cases going to court were leading to acquittals, Crown prosecutors started going into police stations, looking at cases and working with the police in order to speed up the criminal process. As a result of that direct input by lawyers at the beginning of the criminal prosecution system, the number of cases going for not-guilty pleas has been reduced and many more people now plead guilty.
I also want to mention the disclosure system, which was introduced under a fantastic piece of legislation brought in, again, by a Conservative Government—the Criminal Procedure and Investigations Act 1996. Prior to that, we had a system under which some police officers and police forces withheld material evidence in criminal cases, leading to many miscarriages of justice. The new disclosure regime came into being to deal with that and, as a result, everything now has to be disclosed.
Those were Conservative Government policies, which is why I am so surprised that the Government have proposed clause 12. It will not save any money, but there is a more fundamental point. The worst thing that a person can face is being arrested, detained, taken to a police station—often a very hostile environment—and having no one to speak to who understands the procedures. This proposal will remove a fundamental right.
Despite our financial difficulties, we are still a rich nation in comparison with the rest of the world. When I worked for the United Nations Mission in Kosovo, I helped to deal with criminal justice issues, and one of the first things we did when we got the system up and running was to draft—I was involved in it—the regulation of access to a lawyer for a person arrested by the police. That was 11 years ago in a country that had suffered 10 or 12 years of civil unrest. Its institutions were not working properly and it was financially not very solvent, but even there, 11 years ago, this particular provision was brought in because it was recognised that a person who is arrested and taken to a police station must have independent legal advice.
Does the hon. Lady not think it quite telling that although we had intervention after intervention from those on the Government Benches last night when it was argued that existing legislation allowed action to be taken against squatters, we have had no interventions today to explain why we are wrong about clause 12 or new clause 17, which stands in the name of the hon. Member for Makerfield (Yvonne Fovargue)?
I thank the hon. Gentleman for that observation, and I agree with him.
I shall conclude my remarks, because I know that we want to get on to the next piece of business. My fundamental plea is this: please do not take away the right to legal advice at a police station.
I want to ask the Minister two questions about social welfare law. I also feel obliged, even at this late stage in the debate, to speak briefly to the three amendments standing in my name—amendments 69, 70 and 71—which have not yet been debated.
My first question for the Minister follows the sensible remarks of the hon. Member for Eastbourne (Stephen Lloyd) earlier about how the Government are making significant legislative changes to a number of areas in social welfare law. They include some that he mentioned, such as the introduction of the universal credit and the changes to disability living allowance. I would add to that the substantial changes to housing, child maintenance and the immigration system, where I can already report a shortage of supply in my constituency when it comes to accessing good advice. If legal aid is not to be available to take people through what will be a period of incredible complexity and confusion, what discussions has the Minister had with ministerial colleagues in other Departments to ensure adequate provision and funding for people to receive advice, at least in this transitional period? Failing to put that funding in place will cost the Government more rather than less.
My second question for the Minister relates to the additional £20 million of funding that has been made available to support advice agencies—or really, to cope with the loss of legal aid coverage in certain categories of law. That is particularly important in my constituency, because Trafford law centre stands to lose almost all its funding, given that it is currently funded by an immigration contract and an employment contract, both of which will go. It also receives Equality and Human Rights Commission funding, which is due to end, with a small and diminishing proportion of its funding coming from the local authority. Can the Minister tell us a bit more about the £20 million fund, which my law centre is understandably interested in, but which it rather suspects has already been earmarked to support agencies elsewhere? Is it a one-off fund or will it be available in future years? What is the process for deciding how the money will be disbursed?
Finally, my amendments 69, 70 and 71 deal with the transfer of Legal Services Commission staff to the civil service, which the Minister spoke about in his opening remarks this afternoon. My understanding is that the Bill is proceeding on the assumption that TUPE will not apply to the transfer. Of course, only the courts can finally determine whether that is the case, but in any event, the Bill should proceed on the basis that transferring employees will have at least the same protection that would apply if TUPE applied. In any event, what should apply is the Cabinet Office statement of practice on staff transfers in the public sector, paragraph 19 of which says that
“transfers at the instigation and under the control of Central Government will usually be effected through legislation,”—
as is true in this case—
“in particular those involving Officeholders. Provision can then be made for staff to transfer on TUPE terms irrespective of whether the transfer is excluded from the scope of the Directive implemented by TUPE. Departments must therefore ensure that legislation effecting transfers of functions between public sector bodies makes provision for staff to transfer and on a basis that follows the principles of TUPE along with appropriate arrangements to protect occupational pension, redundancy and severance terms.”
I was grateful for the assurances that the Minister offered this afternoon on some of those points, and I understand that transferring employees will be offered membership of the premium section of the principal civil service pension scheme. I accept that that is at least as favourable as the Legal Services Commission’s own pension arrangements. The terms on which members of the LSC scheme can transfer their accrued rights to the civil service pension scheme will no doubt be set out in the transfer scheme contemplated in schedule 4. Will the Minister confirm that my understanding of the position is correct?
Exceptionally, to deal with new clauses and amendments not dealt with by Mr Slaughter earlier, I call Jenny Chapman.
I speak in support of amendment 116, which would delete clause 12 from the Bill. It is with regret that I will keep my comments extremely brief. Some of the matters discussed today should really have been discussed on Monday. This regret is most keenly felt because the parents of Jane Clough are in the Gallery and had hoped to see us debate changes to bail.
Clause 12, which would allow the Government, based on either a means test or a an interest of justice test, to choose not to provide an arrested person with an independent legal adviser. The powers that the Government seek to gain were not subject to consultation and have generated significant controversy. It is not just Labour that opposes this clause. Members of all parties oppose it. The right hon. Member for Dwyfor Meirionnydd (Mr Llwyd) spoke eloquently against it in Committee and again today. Others who have spoken against it include my hon. Friends the Members for Bolton South East (Yasmin Qureshi), for Islington North (Jeremy Corbyn) and for Kingston upon Hull East (Karl Turner), and the hon. Members for Ipswich (Ben Gummer), for Dewsbury (Simon Reevell), for Edinburgh West (Mike Crockart), and the right hon. Members for Carshalton and Wallington (Tom Brake) and for Bermondsey and Old Southwark (Simon Hughes). Some Tory Back Benchers have told us that they, too, oppose it. The Liberal Democrats have signed the amendment, for which we are grateful.
On this issue, however, the Minister appears to be against the clause. He said to the legal action group conference:
“I am pleased to say we have no intention to take legal help away from the police station.”
It appears, however, that the Secretary of State for Justice is embarrassed by that. He tried to blame it on Labour, saying that it was one of our proposals. A few weeks later, after the bemused Labour Front-Bench team checked with the House of Commons Library, the Secretary of State’s spokesman issued the following statement:
“The remark was made in error by the Justice Secretary during the Second Reading debate. The provisions in clause 12(3)(a) and (b) are new and, so far as I know, there have not been similar provisions in any previous Bills that did not pass into legislation.”
What a shambles—but there is more!
In the Public Bill Committee, the Under-Secretary of State for Justice, the hon. Member for Huntingdon (Mr Djanogly) subsequently said:
“My opinion is that as things stand, the practicalities are the greatest stumbling block, and costs could be significant.”––[Official Report, Legal Aid, Sentencing and Punishment of Offenders Public Bill Committee, 8 September 2011; c. 437.]
This might well be the first time a Minister has argued against his own legislation while seeking to enact it.
There was a time when people did not have access to a lawyer on arrest. Injustice after injustice propelled Parliament into action. It was, in fact, the previous Conservative Government—one who included the right hon. and learned Member for Rushcliffe (Mr Clarke)—who enacted the Police and Criminal Evidence Act 1984, which for the first time provided a suspect in police custody with a statutory right to legal advice. A textbook on police law explains:
“By section 58 of PACE, a person arrested and held in police custody is entitled, if he so requests, to consult a solicitor privately at any time.”
I am deeply concerned. In Committee, the Minister—whose conflicts of opinion match his alleged conflicts of interest—changed his mind again. Having said earlier
“I am pleased to say we have no intention to take away legal help from the police station”,
he said in Committee:
“I am not asking the Committee’s permission to implement means-testing. I am asking for permission to introduce flexibility into the Bill, so that at a later stage it could be considered, subject to full consultation.”––[Official Report, Legal Aid, Sentencing and Punishment of Offenders Public Bill Committee, 8 September 2011; c. 436.]
We know what the Government’s consultations are like. There were 5,000 responses to their consultation on legal aid, and they ignored them all.
At present, police station advice is provided free to anyone who is arrested. What takes place in the police station often determines how the case will proceed, and whether or not the police decide to lay charges.
I congratulate my hon. Friend on her speech so far. Does she agree that the Government are being penny wise and pound foolish? Their proposals present the prospect of many miscarriages of justice, which could ultimately prove very costly for them to sort out.
I could not have put it better myself.
It is essential for people who are detained in police custody to have access to free, independent legal advice, not only because they are at their most vulnerable and because evidence obtained from people in custody may be inadmissible if they have not had access to independent legal advice, but because the presence of a solicitor makes a significant difference to the fairness of the investigation and the subsequent smooth progress of the case. It would therefore be utterly inappropriate to introduce a merit test that goes beyond the fact of arrest.
As for a means test, it would in practice deprive many people who failed it of their right to a lawyer, as they would not feel able to afford to pay privately. However, that is not the only reason for not introducing such a test. Applying it would inevitably introduce delay in the process and prevent the police from proceeding as quickly as they would wish. Clients who are in police custody will not have access to documents with which to verify their entitlements, and clients who do not pass the means test are in no position to instruct the solicitor of their choice on a private basis, because they cannot pick and choose and cannot argue about terms and conditions. In short, they will be completely disfranchised, and in the most terrifying position in which the average citizen can find himself.
It should be clear by now that we oppose the new clause. It is no good hoping and praying, as the Liberal Democrats keep doing, that it will be repealed in another place. I urge all Members to join us in the Lobby when we press it to a vote—unless, of course, the Minister has the sense to withdraw it.
I welcome the hon. Member for Darlington (Mrs Chapman) on the occasion of her first outing at the Dispatch Box.
Most of what was said by the hon. Member for Hammersmith (Mr Slaughter) concerned the scope of civil legal aid, and was therefore not directly covered by the new clauses and amendments. It would have been good if he had discussed all the amendments that he had tabled, but he could not even do that. However, he certainly showed us once again that he knows how to spend taxpayers’ money, but not how to save it. He mentioned only one saving, when he said that he would have proceeded with criminal contract competition to save money rather than cutting social welfare law. Criminal competition in line with Labour’s model would have secured a very small reduction in the £180 million spent on police station advice—a reduction of only about 10%—which is not really enough. The hon. Gentleman will have to say where else he would make cuts. When Labour tried to address contracting, it failed, and it had to pull its contracting proposals in 2009.
Amendment 123, to which the hon. Member for Hammersmith spoke, is intended to alter the provisions in relation to the independence of the director of legal aid casework. That subject was debated substantially in Committee, but having heard the hon. Gentleman speak about it again, I still fail to understand the rationale behind the amendment, and, as I will explain, I consider it unnecessary. Let me briefly explain the role and key functions of the director, and also explain why I believe that independence is important and why it is already enshrined in the Bill.
Under the provisions, the Lord Chancellor is obliged to appoint a civil servant as a statutory office holder who will be responsible for making funding decisions in individual cases, as well as funding decisions in relation to exceptional case applications under the Bill. The statutory office holder is to be known as the director of legal aid casework. The Lord Chancellor is also obliged to provide civil servants to assist the director in carrying out their functions.
Under the new structural arrangements, clause 4 is potentially the most important provision. It ensures that the director has independence in making funding decisions, and is free from any political interference in making those decisions. That independence is enshrined specifically by subsection (4), which the hon. Member for Hammersmith wishes to delete, and which prohibits the Lord Chancellor from giving guidance or directions in individual cases. There are provisions in the clause that oblige the director to comply with directions given by the Lord Chancellor and to have regard to guidance issued by the Lord Chancellor, but crucially they cannot relate to individual cases.
The protection of the director against interference in individual cases is an important safeguard. The Bill already establishes the director in a way that maintains and protects the director’s independence of decision making. The director is a separate office from the Lord Chancellor created by statute. I therefore believe that the Bill already establishes a proper role for the director, free from any political interference in individual cases. I therefore urge the hon. Gentleman to withdraw the amendment.
On a point of order, Mr Deputy Speaker. I want to ask the Minister whether progress has been made on introducing a clause that would allow an appeal against the granting of bail. A concession was given in Committee, and several Members have tabled amendments, but we will not reach them today. Will the Minister update us?
I would dearly have loved to reach the provisions relating to bail, and I think the right hon. Gentleman should ask the official Opposition why we have not done so.
Order. Clearly, that was not a point of order, and the Minister has now dealt with the point raised.
I shall now turn to amendments 69, 70 and 71, tabled by the hon. Member for Stretford and Urmston (Kate Green), which address pensions and compensation.
Amendment 69 looks to ensure that Legal Services Commission employees transferring to the civil service are treated fairly. As drafted, the Bill and commitment between the Ministry of Justice and the LSC will achieve that. The Ministry is committed to ensuring that transferring staff are not put in a less favourable position than that of existing civil servants. The Bill protects LSC employees’ terms and conditions at the point of transfer, with the exception of those for pensions and compensation. The Bill also protects employees’ length of service.
When LSC employees transfer to the civil service, they will be enrolled as members of the premium section of the principal civil service pension scheme. The Government Actuary’s Department has determined that that scheme is “broadly comparable” to the existing LSC pension offer. Broad comparability is the standard defined by the Cabinet Office for the pension offer for staff transferred to organisations within the public sector. LSC staff will be able to choose whether to move any entitlement built up in the LSC scheme to the civil service pension scheme, or whether to leave it within the LSC scheme. Those arrangements have been communicated to LSC employees and their representatives. I will write to the hon. Lady on the TUPE point.
New clause 17 was moved by the hon. Member for Makerfield (Yvonne Fovargue). Her significant experience in the field became clear, as it also did in Committee. Many Members spoke to the new clause, including the hon. Members for Bolton South East (Yasmin Qureshi), for Islington North (Jeremy Corbyn) and for Walsall South (Valerie Vaz), the right hon. Member for Lewisham, Deptford (Joan Ruddock), my hon. Friends the Members for Eastbourne (Stephen Lloyd) and for Bradford East (Mr Ward) and my right hon. Friend the Member for Carshalton and Wallington (Tom Brake).
The new clause is very broad and would widen the scope of legal aid and increase its cost at a time when we are seeking to focus funding on the highest priority cases. It would have the effect of bringing into scope areas which are not covered in schedule 1—and which we intend no longer to fund—by virtue of their interconnected and complex nature. We have undertaken a comprehensive consultation on legal aid with published impact and equality assessments, and we have received almost 5,000 responses. As my right hon. Friend the Member for Carshalton and Wallington pointed out, cases will arise where it will be difficult to separate two or more legal issues in terms of funding. Under the current legal aid scheme, there are provisions in the funding code to cover mixed cases, where the case is partly in and partly out of scope. Those provisions allow funding of the whole case in certain circumstances, and in others they allow funding for aspects of the case. I am pleased to confirm to my right hon. Friend that paragraph 39 of schedule 1 ensures similar appropriate provision in the new scheme. We consider that that approach provides a more proportionate means of dealing with interconnected matters than the new clause proposed by the hon. Member for Makerfield.
On a point of order, Mr Deputy Speaker. The hon. Member for Dewsbury (Simon Reevell) referred in his remarks to claims that the previous Government planned to legislate for means-testing in police stations. The Lord Chancellor wrote to my right hon. Friend the shadow Secretary of State on 2 August. Will the Government confirm that he wrote to apologise and that the letter will appear in the Library?
That is not a point of order, but the hon. Gentleman has certainly got it on the record.
Question put and agreed to.
New clause 4 accordingly read a Second time, and added to the Bill.
New Clause 9
Northern Ireland: information about financial resources
‘Schedule [Northern Ireland: information about financial resources] (Northern Ireland: information about financial resources) has effect.’.—(Mr Djanogly.)
Brought up, read the First and Second time, and added to the Bill.
New Clause 17
Extension of scope of legal aid in complex cases
‘(1) Civil legal services other than services described in Part 1 of Schedule 1 are to be available to an individual under this Part if subsection (2) is satisfied.
(2) This subsection is satisfied where the Director—
(a) has made a complex case determination in relation to the individual and the services, and
(b) has determined that the individual qualifies for the services in accordance with this Part,
(and has not withdrawn either determination).
(3) For the purposes of subsection (2), a complex case determination is a determination—
(a) that the individual has complex, interconnected needs in relation to which the individual requires comprehensive civil legal services, and
(b) not all of those civil legal services would otherwise be available to the individual because they do not all fall within the scope of Schedule 1.’.—(Yvonne Fovargue.)
Brought up, and read the First time.
Question put, That the clause be read a Second time.
‘Criminal Justice Act 2003 (c. 44) | In Schedule 26, paragraph 51.’. |
I beg to move amendment 21, page 29, line 6, leave out Clause 41.
With this it will be convenient to discuss the following:
Amendment 150, page 29, line 36, at end insert—
‘(4A) The amendments made by subsections (2) and (4) do not apply in relation to proceedings which include a claim for damages for loss or bodily injury resulting from exposure to a harmful substance or process where the claim is made against a person who—
(a) carries on business in more than one country, or
(b) owns (wholly or partly) one or more businesses carried on in more than one country or in different countries.’.
Amendment 164, page 29, line 36, at end insert—
‘(4A) The amendments made by subsections (2) and (4) do not apply in relation to a success fee payable under a conditional fee agreement made in relation to—
(a) any proceedings in relation to a claim for—
(i) libel,
(ii) slander,
(iii) misuse of private information;
(b) any proceedings arising out of the same cause of action as any proceedings to which sub-paragraph (a) refers.’.
Amendment 163, page 29, line 41, at end insert—
‘(7) The amendments made by subsections (2) and (4) do not apply in relation to a success fee payable under a conditional fee agreement made in relation to—
(a) any proceedings based on a claim of defamation; or
(b) any proceedings based on a claim of privacy under Article 8 of the European Convention on Human Rights; or
(c) any proceedings arising out of the same cause of action as any proceedings to which paragraphs (a) or (b) refer.’.
Amendment 22, page 31, line 1, leave out clause 43.
Amendment 151, in clause 43, page 31, line 45, at end insert—
‘(6) This section does not apply in relation to a costs order made in favour of a party to proceedings which include a claim for damages for loss or bodily injury resulting from exposure to a harmful substance or process where the claim is made against a person who—
(a) carries on business in more than one country, or
(b) owns (wholly or partly) one or more businesses carried on in more than one country or in different countries.’.
Amendment 165, in clause 43, page 32, line 4, at end insert—
‘(4) The amendments made by this section do not apply in relation to a costs order made in favour of a party to proceedings in a cause of action in relation to a claim for—
(a) libel,
(b) slander,
(c) misuse of private information.’.
Amendment 72, page 32, line 5, leave out clause 44.
New clause 39—Road traffic accident pre-action protocol—
‘(1) The Table in Rule 45.29 of the Civil Procedure Rules 1998 (SI 1998/3132) (Amount of fixed costs under the Pre-Action Protocol for Low Value Personal Injury Claims in Road Traffic Accidents) is amended as follows.
(2) The figure for Stage 1 shall be £200.
(3) The figure for Stage 2 shall be £400.
(4) The figure for Stage 3 for Type A fixed costs shall be £125.
(5) The figure for Stage 3 for Type B fixed costs shall be £125.
(6) Any further amendment to the Table shall not be made by the Civil Procedure Rule Committee but may be made by the Lord Chancellor by rules made by statutory instrument and may not be made until a draft of the rules has been laid before and approved by resolution of both Houses of Parliament.’.
This is an important group of amendments to part 2 of the Bill, which deals with a complex and vital area of access to justice. Because there are only 20 minutes left to debate this group, and I want to be fair to the Minister and give him 10 minutes to reply, I shall speak quickly in the hope of getting through the main part of my argument. I should make it clear at the outset that I wish to press to a vote amendment 21, which would undo the destruction of conditional fee agreements that the Government are pushing through in the Bill. I also ask, with the leave of my hon. Friend the Member for Rhondda (Chris Bryant), the lead signatory to amendment 163, that we press that amendment to a vote.
Conditional fee agreements, also known as no win, no fee agreements, were brought in by a Conservative Government to preserve access to justice for those on moderate means at a time when vast areas were being removed from the scope of legal aid and eligibility criteria were being removed. The provisions were amended, with a remarkable lack of contention from the Conservative Opposition, in the Access to Justice Act 1999, to create their modern form.
The idea of contingency fee agreements was to create a viable market in legal services by introducing success fees paid by losing defendants—wrongdoers, in other words—to compensate lawyers for the cases that they lost, for which, of course, they received no fees. For lawyers, that form of payment by results meant not that they would take on spurious cases, but that they were allowed to take on cases that might be 75:25 or 50:50. That has created a system that works, for the main part, very well. It has created a viable market in legal services and permitted access to justice for millions since it was introduced.
What sort of people have availed themselves of contingency fee agreements? More than half of those who have used them have had an income below £25,000 a year and only 18% have had an income of more than £40,000 a year. Government Members carp on about footballers and models using them, but the average claimant is the average constituent.
How do the Government’s proposals work? First, winning claimants will lose. Victims will have to pay the costs of their insurance and their lawyer’s success fees from their damages—up to 25% of damages, aside from damages for future care, can be taken by the lawyer, and the insurance premium will take up even more of those damages, perhaps wiping them out altogether. To make up for part of those losses, the Government plan a 10% increase in damages for pain, suffering and loss of amenity. Simple maths should be sufficient to show that that will not make up for all losses.
Losing claimants, including those bringing speculative and nuisance claims, will gain. They will benefit because it is unlikely that they will have to pay the costs of the winning defendant—that is part of the perverse, qualified one-way cost-shifting scheme that the Government intend to introduce when the Bill passes.
Losing defendants—wrongdoers, in other words—and their insurers will gain. Wrongdoers will benefit, because they do not have to pay the cost of after-the-event insurance or the victim’s lawyer’s success fees, thus limiting their liabilities and those of their insurers. Winning defendants will lose out. A winning defendant will no longer be able to reclaim the cost of their defence, thanks to qualified one-way cost shifting. To summarise, winners lose and losers win. That is simply wrong.
There was a time when the Conservative party worried about access to justice, but now it appears to be nothing more than the parliamentary wing of the insurance lobby, which according to an investigation by The Guardian has donated £4.9 million to the Tories since the Prime Minister became leader.
I have spent the past few months speaking to victims who have used contingency fee agreements to get justice. I have heard them tell me how our justice system helped them, and their fears that others who suffer in future will not get the help they need. A number of areas of law will be badly—
Will the hon. Gentleman give way?
I would love to give way to the Secretary of State, but I have very little time—[Interruption.] If I have time at the end I will do so.
A number of areas of law will be badly affected by this legislation, and I should like briefly to touch on a few of them—[Hon. Members: Give way!]
I am sorry that the hon. Gentleman had to be bullied to give way to me, but there we are. I do not want him to exaggerate his case. No win, no fee was introduced by the Major Government and worked perfectly satisfactorily until the previous Government amended it. We are talking about how much winning lawyers are paid. The principles of access to justice and of no win, no fee are agreed on a bipartisan basis. They are not threatened at all by the Bill.
I began my speech by informing the house how contingency fee agreements came about. Because the Secretary of State has merely repeated that, I will penalise the Minister by taking a minute off his time.
The Secretary of State believes that there are faults in the current system whereby lawyers are unjustly enriched—he may be right, and my right hon. Friend the Member for Blackburn (Mr Straw) and I, and many other hon. Members, would probably agree with him—but let us cure those faults. Let us not throw the baby out with the bathwater.
Some categories of proceedings are particularly expensive to advance, yet lead to relatively minor awards. For instance, the largest award in a privacy case is £60,000, and below that, £13,000. The vast majority of libel cases end up with awards of less than £100,000. The problem is that in those cases, families such as the Dowlers, and people such as Christopher Jefferies, who was on the radio this morning, would have no chance of access to justice.
That is why I will be very pleased to support amendment 163, which is in my hon. Friend’s name. As I have indicated, there are some cases—libel is a good example—when damages are small, but the defamation is important. Under the Secretary of State’s scheme, more than the sum of the damages could therefore be taken in fees.
Let me go through other areas of law, and I will come to privacy at the end if I have time. On clinical negligence, it is unavoidable that there will be good and bad doctors, just as there are good and bad in any profession. It is just and proper that compensation is paid to anyone harmed as a result of inaction, negligence or incompetence when a medical professional fails to live up to their obligations. I say that despite the fact that when the Secretary of State gave the figures, he conflated the cost of damages, claimant costs and defendant costs and pretended that they were a cost figure in themselves, for which he had to make another apology to my right hon. Friend the Member for Tooting (Sadiq Khan).
On professional negligence, taking on a professional is always risky. No one knows the system better. People are never 100% likely to win such cases. Without success fees to compensate for the risk, many such cases will not be brought in future. So who will lose out? It will be the first-time home buyer whose surveyor negligently fails to spot subsidence, the pensioner whose financial adviser negligently makes a high-risk investment, the hard-working small businessman whose accountant negligently fails to prepare accounts and lands him with a huge tax bill that he cannot pay, and the bereaved family whose probate solicitor takes three years to deal with the case and then charges huge fees. Those are the kinds of case that our constituents experience.
On a point of order, Mr Deputy Speaker.
PPSs are allowed to make points of order. Throughout the proceedings on the Bill Opposition Front Benchers, particularly the hon. Member for Hammersmith (Mr Slaughter), have made points about the perceived failure of Government Front Benchers to declare their interests. However, the hon. Gentleman has failed to point out that on 119 separate occasions the Labour party has received donations from lawyers who make their money from success fees.
Order. That is not a point of order and the matter was dealt with earlier in the week. Let us have no more of that.
Let me just say that if the Government start talking about conflicts of interest on this Bill, they will open a Pandora’s box.
Order. We are not going to open Pandora’s box. We are going to deal with the amendments before us.
I was not talking about the Minister; I was talking about the Bill. I am not surprised that the Minister’s PPS is embarrassed by the Bill, after sitting through our proceedings in Committee.
The common link between parts 1 and 2 of the Bill is the destruction of access to justice in a way that we have not seen since the introduction of legal aid by a Labour Government after the second world war. The insurance industry is being given one of the biggest pay-offs in history which, as we know from experience, will go into the pockets of their directors and shareholders. While other aspects of this Bill display the startling incompetence of this Government, none shows their intent more truly than the provisions in part 2, which would give the whip hand to large public and private corporations, while taking rights away from ordinary people. What is the point in having rights if they cannot be enforced?
I ask the Liberal Democrats to look at amendment 21, which would deal with cases such as Trafigura and pleural plaques, and amendment 163, which would deal with cases such as that of Milly Dowler, and join us in the Lobby tonight.
Amendments 21, 22, 72, 163, 164 and 165 all seek to undermine a fundamental element of the package of reform of civil litigation funding and costs based on the report prepared on behalf of the judiciary by Sir Rupert Jackson and now included in this Bill—the abolition of recoverability of success fees and after-the-event insurance premiums. I must say that I am rather perplexed by the amendments as in Committee the hon. Member for Hammersmith (Mr Slaughter) agreed that the intention of part 2 is
“perfectly sound, and it is one with which we have a great deal of sympathy.”––[Official Report, Legal Aid, Sentencing and Punishment of Offenders Public Bill Committee, 13 September 2011; c. 501.]
I will also deal with new clause 39, which is on the related but slightly separate matter of recoverable costs for low-value road traffic accident claims.
It is worth emphasising, as the Justice Secretary has just said, that we are not proposing to end conditional fee agreements or no win, no fee deals. What we are addressing is the substantial legal costs that go to lawyers under the current no win, no fee regime. Our reforms are designed to make these legal costs more proportionate, while enabling meritorious claims to be brought. This applies equally to defamation and privacy claims and multinational claims as to other categories of case, but it is worth reminding ourselves of some of the disproportionate costs that have arisen and that emphasise the need for our reforms across the board.
The Minister referred specifically to defamation and privacy cases. The problem is that in the vast majority of cases—and in every single instance in privacy cases—the awards are so small that if there is no success fee, it will be completely uneconomic for a lawyer to come forward with a CFA. That may not be the Minister’s intention—I take him at his word—but the effect will be to stop CFAs in libel, defamation and privacy cases.
In some cases, where the balance is against, that perhaps should be the case. In Naomi Campbell’s defamation case against the Daily Mirror, she received damages of £3,500 but the total costs exceeded £1 million.
In relation to clinical negligence claims, which can of course include substantial damages in catastrophic injury cases, lawyers’ costs are about half of the total damages that are paid out. In 2009-10, for example, the NHS paid out £297 million in damages and £121 million in legal costs, over half of which were no win, no fee costs. One of the leading no win, no fee cases against a multinational company is that against Trafigura. In that case, the claimants’ legal costs were more than £100 million, but the damages recovered were only £30 million. As a result, 30,000 claimants in the Ivory Coast received damages of an average of only £1,000.
I will not—[Hon. Members: “Go on!”] I am afraid that I do not have time to give way.
It is these high legal costs which led to Sir Rupert Jackson’s review. Specifically in relation to defamation and privacy, it is these high legal costs which led to the right hon. Member for Blackburn (Mr Straw), when he was Justice Secretary, seeking to introduce similar changes to those we are now proposing to reduce excessive legal costs, but he mistakenly limited them only to defamation and privacy cases. In effect, that is the exact opposite of what the hon. Member for Rhondda (Chris Bryant) proposes in his amendment. The sands seem to have been shifting dramatically in the Labour camp on this issue.
New clause 39, tabled by the right hon. Member for Blackburn, would reduce the amount of fixed recoverable fees on the pre-action protocol for low-value road traffic accidents in the light of the impact of the ban on referral fees. The Department is now reviewing the situation, but to achieve this outcome does not require primary legislation. Instead, a reduction can be implemented through changes to the Civil Procedure Rules. I can give the commitment that we are looking at this. Indeed, my officials plan to consult on appropriate changes to the level of recoverable costs, and any changes will be placed before the Committee for approval. I can also tell him that I do not intend to go to all the trouble of stopping referral fees being paid to claims management companies, only to see those same fees staying with the lawyers rather than going back to consumers in lower insurance premiums or prices in the shops.
I am grateful to the Minister for those undertakings.
I shall take each amendment in turn. Amendment 21 would remove clause 41, the effect of which is to amend the Courts and Legal Services Act 1990 so that success fees under a conditional fee agreement will no longer be recoverable from a losing party in any civil proceedings. Amendment 22 would remove clause 43. I should make it clear that we have listened carefully to specific concerns about the abolition of recoverability of after-the-event insurance premiums in clinical negligence claims and the impact it would have on funding expert reports. Such reports, which can be expensive, are often necessary in establishing whether there is a case for commencing proceedings, which raises particular issues if recoverability of ATE insurance is abolished. In responding to these concerns, clause 43 provides, by way of exception, for the recoverability of premiums in respect of ATE insurance taken out to cover the cost of expert reports in clinical negligence cases.
Amendment 72 would remove clause 44, which abolishes the recoverability of the costs incurred by membership organisations, such as trade unions, of insuring themselves against the risk of paying costs to another party in the event of losing a claim. I strongly believe that the abolition of recoverability should apply equally to the arrangements for membership organisations in order to maintain a level playing field. Amendments 150 and 151 seek to allow the recoverability of success fees and ATE insurance premiums from a losing party in certain claims for damages against a person who carries on business in more than one country or who owns one or more businesses carried on in more than one country or in different countries.
We understand that these amendments seek to protect the rights of individuals—[Hon. Members: “Go on. Give way.”] Oh, all right. How can I resist?
I thank the Minister for finally recognising just how strongly so many of us on both sides of the House feel about this issue and how unfortunate it is that we have not been able to make the case today. Unfortunately, we have not had sufficient answers to make Members on both sides of the House feel that these cases will be able to continue. Will he therefore agree to meet a cross-party group of us before the Bill is sent to the other place, so that we can make at least make our case before the Bill becomes law?
The hon. Lady will be pleased to hear that I have met the Corporate Responsibility Coalition—CORE—and the solicitors who acted for Trafigura. I have acted for a number of people, and of course I shall be prepared and happy to receive additional representations from her.
We understand that the amendments seek to protect the rights of individuals in developing countries to claim damages against large multinational companies, but the amendments go much wider than that, and would provide that a losing defendant should pay the success fee and ATE insurance premium based on whether it is a multinational company, regardless of the nature of the claim or status of the claimant.
Given the concerns that I have been raising in relation to cases brought by claimants in developing countries, I shall concentrate my response on those cases. The amendments are neither necessary nor appropriate. The Government believe that it will still be possible to bring claims against multinational companies, once our CFA reforms are implemented, but—this is one of the major reasons for our reforms overall—we believe that the costs involved will be more proportionate to the sums in issue. What the proposals in the Bill seek to address is not the validity of the claims, but the iniquity of a system that can allow such disproportionate costs. It is worth emphasising that the current system of recoverable success fees and recoverable ATE insurance premiums, with the consequences for high civil costs, is not seen in any other jurisdiction in the world. CFAs will continue to be available, but the Bill also extends the funding options. The Government seek to allow damages-based agreements to be used for the first time to fund such claims. Group actions in particular are suited to DBAs, as legal representatives may recover their fees as a percentage of the damages awarded to each successful claimant.
Amendments 163, 164 and 165 seek to ensure that success fees continue to be recoverable in defamation and privacy claims. The Government are aware of concerns about access to justice and the ability of those with modest means to pursue claims, often against powerful organisations. I am aware that there are slight definitional differences, which I will not go into. However, all hon. Members will be aware of one of the most high-profile cases, involving the Dowler family, who were successful in their claim against News International.
I beg to move, That the Bill be now read the Third time.
At the conclusion of many hours of copious debate on the Floor of the House and in Committee, I pay tribute to members of the Bill team from my Department, who have been working throughout on this marathon Bill, and to my two colleagues, the Under-Secretary of State for Justice, my hon. Friend the Member for Huntingdon (Mr Djanogly) and the Under-Secretary of State for Justice, my hon. Friend the Member for Reigate (Mr Blunt) who, I am glad to say, carried the burden of the day in Committee and most of it on Report as well. I am grateful to them all.
It is an enormous Bill representing a major reform of the criminal justice system and the justice system generally. It is overdue and the Government have made a good start on sorting out some of the problems facing the justice system. I shall mention briefly the legal aid reforms, which have been debated again today. They are extremely important. They make substantial savings and I acknowledge that we have had to make some difficult choices.
I am a lawyer and I have many friends who are practising lawyers. When I was given this post, I wondered whether I would retain any friends in the legal profession by the time we got to Christmas. I am glad to say that I have, but some difficult decisions have been taken at the expense of some members of the profession, who have already suffered reductions in their fees as a result of the previous Government’s changes, and have probably had a bigger reduction in their fee income, I concede, than almost any other group in the country. So let us acknowledge that there are people facing consequences as a result of what we have done, but it was much overdue.
We have, as we keep saying, the most expensive legal aid system in the world. It has gone far beyond what could be afforded. The previous Government made repeated attempts to reform it and kept consulting on reforms and making changes. Even then they found, by the end of their period of office, that real-terms spending on legal aid had gone up quite substantially, compared with when they took office.
What we have done is not just a cheese-paring exercise across the whole field of legal aid. We have gone back to first principles and asked what it is essential that the taxpayer pays for to assure access to justice on truly important matters for that section of society that must have access to justice in the public interest, so that we can all be assured that people get the protections that they are entitled to under our constitution. That is what we have debated, one by one.
I believe that the package that we have come up with will make substantial savings. As I was saying to the hon. Member for Hammersmith (Mr Slaughter) a few moments ago, the idea that we are launching some assault on access to justice and depriving people of access to justice is nonsense. We are not affecting the right. There is no change in the Bill to any particular course of action. Legal aid is available, but it is available to the poorest people for those really essential matters that affect their life, liberty, home and so on, and we have got it back under control.
I know that the Secretary of State is aware of my concerns regarding the advice agencies that provide such vital support to the vulnerable, and I know that additional money has been provided for those agencies. May I press him to give us more detail about this so that we can be reassured that those advice agencies, such as my own in Hastings, will be able to continue their good work?
Those who can remember Second Reading will know that the Under-Secretary of State for Justice, my hon. Friend the Member for Huntingdon and I kept stressing that we accept the need to maintain the funding for many voluntary agencies, particularly citizens advice bureaux, which give not only legal advice, but general advice to people suffering from problems of debt, housing and so on, which we all know are bound to get worse in these rather difficult times. A total of £20 million has been allocated to these bodies this year and we are looking ahead at how to continue that support.
I should point out that our legal aid changes will not take effect for a couple of years, so none of those bodies has lost any legal aid funding at the moment. What we are doing is finding money to make up for reductions in grant to those bodies that are largely from local authorities. The Parliamentary Secretary, Cabinet Office, my hon. Friend the Member for Ruislip, Northwood and Pinner (Mr Hurd) is about to announce how we will distribute the £20 million. I know that he is in touch with my hon. Friend the Member for Hastings and Rye (Amber Rudd) and expects to be able to make the announcement imminently so that we can get on with that.
I have left the debates on legal aid to the Under-Secretary of State for Justice, my hon. Friend the Member for Huntingdon because, as everyone has seen, he is a walking expert on the subject. There seemed to be no point in my taking part in debates on amendments and having to turn to him if a particularly difficult question was asked. However, I have been present throughout the debates and listening to how Labour Members have tackled the matter. They seem to have lost all touch with common sense. When in government they were reducing expenditure on legal aid, or trying to and failing. In their manifesto they committed to reducing spending on legal aid, stating:
“we will find greater savings in legal aid.”
As recently as January this year the leader of the Labour party said, in relation to reductions in legal aid:
“Labour has shown it is ready to make difficult cuts that we believe are necessary for the long term health of our economy.”
As far as we can work out, the various amendments tabled by the Labour party in the course of our debates on the Bill would add £245 million to the legal aid bill, compared with the Government’s proposals.
Evidently, some of the amendments we tabled were not reported to the Secretary of State, because we also tabled amendments intended to speed up the collection of fines, on which the Ministry does not have a good record.
Will the Secretary of State give way?
I apologise to the right hon. Gentleman, but I must press on. Other Members wish to speak and I do not want to take up all the time.
I will turn to the sentencing provisions. We have gone through major reforms in sentencing that contain many common-sense measures, which have not been debated much but which are intended to simplify the system and give greater professional discretion in many cases. The biggest controversy has concerned the repeal of indeterminate sentences, which was accepted very readily by most Members yesterday. That is a much overdue reform. The introduction of indeterminate sentences never worked as people intended. It was a major mistake and a major blot on our justice system that would not have survived challenge in either the British courts or in Strasbourg if it had carried on much longer. We have put in place a system of long determinate sentences for the most serious criminals, which I think gives protection.
We have not debated the other difficult area, knife crime, over which there was some controversy. The Government are determined to get the message clearly across to the public that knife crime will not be tolerated. We wish to stop people believing that knife crime will not be punished properly in the criminal justice system. For that reason, we tabled proposals introducing a mandatory sentence of six months for adults who are guilty of threatening with a knife in circumstances where it might cause physical injury, which is a new offence we have created. That is in line with the six months already specified in the sentencing guidelines for that kind of offence, but it makes it clear that that sentence should normally be expected automatically for that offence, unless it would otherwise be unjust to do so.
Amendments were tabled by my hon. Friend the Member for Enfield North (Nick de Bois) and by the Opposition seeking to extend that proposal to juveniles. I am glad to say that, following discussions with my hon. Friends the Members for Enfield North and for Enfield, Southgate (Mr Burrowes)—the latter is a Parliamentary Private Secretary and so cannot table amendments—we finally agreed, that as 30-odd Back Benchers supported the amendments, to introduce a mandatory offence for 16 and 17-year-olds. Again, that sounds rather formidable, because I am not very keen on mandatory sentences for juveniles, but the offence is very serious, and it is only for 16 and 17-year-olds and—
Will my right hon. and learned Friend give way?
Point of order, if the Secretary of State will just hold on. Point of order, Mr Tom Clarke.
Unfortunately, Mr Speaker, you could not be here earlier, when again, again and again I asked Ministers to give way. Is there something in “Erskine May” which says, “You don’t give way to the right hon. Member for Coatbridge, Chryston and Bellshill”?
No. It is uncharacteristic of the right hon. Gentleman to be suffering from a persecution complex, and I hope that it will not be repeated. He is just unlucky today.
I was about to give way to my hon. and learned Friend the Member for Torridge and West Devon (Mr Cox), but I have the highest regard for the right hon. Member for Coatbridge, Chryston and Bellshill (Mr Clarke), whom I have known for years, and this is the first time that I have rebuffed him, so I will give way, as he insists. He is obviously getting worried about this.
I recall the right hon. and learned Gentleman’s reference to the junior Minister, the Under-Secretary of State for Justice, the hon. Member for Huntingdon (Mr Djanogly), and his walking intelligence and so on. All I have tried to do through my interventions is to secure what non-governmental organisations and aid agencies want to hear regarding amendments 150 and 151, and to find out the Government’s attitude to British and international firms that are involved in abuses overseas.
My hon. Friend the Minister referred to the Trafigura case a moment ago, but we do not believe that our changes to the no win, no fee system will prevent access to justice. Only a few moments ago we heard my hon. Friend point out that, even in the Trafigura case, the millions of pounds paid to the lawyers far exceeded the millions of pounds paid to the claimants. The average citizen of the Ivory Coast got £1,000 out of the action that was brought. We are not stopping the actions; we are getting the costs in proportion to the claim. All those disputes about legal aid and no win, no fee are not about access to justice; they are about the profitability of the actions for lawyers.
I am a lawyer, and I have the highest respect for lawyers and no intention of offending the legal profession, but in the lobbying of this House and the upper House we have had an army of lawyers advancing behind a front of women and children—vulnerable claimants who they say would not be represented if they are not paid as much as they are now. I am afraid I do not believe that.
The fact is that we introduced no win, no fee. These actions were brought because my right hon. and noble Friend Lord Mackay insisted on introducing no win, no fee to this country, and the system worked from the time of the Major Government perfectly well. The previous Government were persuaded to make it more profitable by making the changes that they made, but the costs have got out of all proportion to the claim.
Let me turn to knife crime. There is a serious problem in Enfield, and I had discussions with my hon. Friends the Members for Enfield North and for Enfield, Southgate because of that serious problem with knife crime. It exists throughout the country, but it is localised and can be very bad.
I am grateful to the Secretary of State for allowing this intervention. Does he agree that the important thing about the introduction of the measure to the Bill is that for the first time in youth sentencing services it is clear that, if a 16 or 17-year-old carries a knife and uses it in a threatening and endangering fashion, they will go to jail? Indeed, it sends a very strong message to the courts, so my constituents will rest a little easier when it is passed into law.
That is entirely true, and I congratulate my hon. Friend on his advocacy, but we should both point out that we are talking about the minimum sentence. When we look at the nature of the offence we have created, we find that it is a serious knife offence, and many people—adults and juveniles—will be sent away for longer than the minimum that we specify in the Bill. The minimum catches people who might not otherwise have got a custodial sentence. In really serious cases, juveniles should get more than a four-month detention and training order and adults should get more than a six-month sentence, but there will be a spread of seriousness among individual cases. What we have put forward is a mandatory minimum; in the case of juveniles, my hon. Friend and I agree that it is right that the special way in which the courts treat offenders who are under 18 should be applied. That is where we are.
I am sorry but I shall not give way because other people want to speak.
Let me conclude by going back to the Labour party. Obviously, I am familiar with our own proposals but I have been listening to what the Labour party has been putting forward, which tells us a lot about whether that party is ready for government. I have been facing the Labour movement for a very long time now—particularly the right hon. Member for Coatbridge, Chryston and Bellshill, with whom I am familiar. I do not know what he thinks is happening to his party because the Opposition’s position on this has been pitched at a section of the tabloid press that I have never heard the Labour party aim at so far as they have been doing. I did not expect that from the shadow Justice Secretary. Let me quote from the BBC’s Politics Show on 31 October 2010—a year ago—when he said that he was “not going to say” that I am being
“soft on crime…because he is asking the right questions about rehabilitation rates”.
More recently, when he gave the Howard League lecture on 17 October 2011, he said:
“Reforming prisons to reduce re-offending ultimately means safer communities up and down the country”.
The Shadow Justice Secretary has made extraordinary proposals in relation to the Bill, the most preposterous of which were about knife crime. He tabled a new clause advocating mandatory sentences for 10, 11, 12, 13, 14 and 15-year-olds. I never expected to see even the most reactionary of Labour Members—even the right hon. Members for Blackburn (Mr Straw) and for Sheffield, Brightside and Hillsborough (Mr Blunkett)—putting forward such a proposition. We cannot estimate how many schoolchildren would have been caught by such measures, but our best estimate is that about 350 would have had to be sent away. We would have had to build secure children’s homes to hold them and all the special provisions under the Children Acts would have been set aside. That was not a serious contribution to the debate, and serious contributions are what we should make.
I think the Bill is balanced. As I have said, it has been attacked from the right and the left, and it will be scrutinised carefully in another place. I think we have started to redress some of the problems that the previous Government left behind. It is the inheritance of Tony Blair, a man whom I admire in many ways. By the time he had finished in office he was getting very keen on reforming public services such as health and education. In my modest opinion, he was very good on health and education by the time he finished, but he had no real interest in law and order and the criminal justice system.
Tony Blair shadowed me when I was Home Secretary and he produced a good soundbite but no policy. He produced the phrase,
“Tough on crime, tough on the causes of crime,”
but he did not know what he meant. He had no real interest in the subject and all he did was encourage the right hon. Members for Blackburn and for Sheffield, Brightside and Hillsborough to produce populist stuff that filled the statute book with quite useless criminal justice legislation. This is serious reform to what was caused by that Government, and the right hon. Member for Tooting (Sadiq Khan) who shadows me should look at his party’s record. He should not make things worse by going on proposing preposterous things, as he has done in this debate. I advise him to go away and reflect on the many hours he has spent here, to reflect on the wisdom of my hon. Friends the two Under-Secretaries and to do better next time.
When the Justice Secretary has been in government for 13 years in a row and has had crime going down by 43% with 7 million fewer victims a year, I will be lectured by him about law and order.
May I begin how the Justice Secretary began, with some thank yous? First, I thank the Front-Bench teams on both sides for their hard work during the Bill’s progress through Parliament. By and large, they have got on reasonably well, and have done a huge amount of hard work on Second Reading, in Committee and on Report. I thank them and their advisers for that. I also thank Back Benchers. Debates on Second Reading, in Committee and on Report have generally been well tempered.
Two days ago, some hon. Members cheered the fact that there were three days on Report. I hope that they now regret being so cheery. Government statements—let us be frank, they were filibustering—caused elements of the Bill to be wholly unscrutinised, including provisions on remand, knife crime, women in prison, conditional fee agreements, and social welfare.
The right hon. Gentleman referred to remand. May I take him on to bail? One of the Under-Secretaries gave an understanding in Committee that there would be an undertaking to deal with appeals against the granting of bail. We were told that if that was not dealt with on Report, it would be dealt with in the other place towards the conclusion of the Bill's scrutiny. When I asked the Minister about that, I was boorishly swatted away. Having been a member of the Public Bill Committee, I had tabled amendments on the matter, as did other hon. Members. The subject deserves better than being slapped down, and we should press for some answers today.
I have been in correspondence with the Justice Secretary and, to be fair, he responded to my letter. I am happy to allow him to intervene to put on the record the assurance that he gave me.
I was not here during the incident to which the right hon. Member for Dwyfor Meirionnydd (Mr Llwyd) referred, but I am sure that he was not swatted away. There was probably anxiety to finish the debate.
I am happy to repeat the undertaking that the Under-Secretary of State for Justice, my hon. Friend the Member for Huntingdon (Mr Djanogly) gave then and in Committee. We accept that in principle there is a good case for saying that there should be appeals against the allowing of bail in the Crown court. We are working on the details of that, and we propose to table amendments in the House of Lords to meet that point. There is no difference in this case, and I have already written to say what we are striving to do. We intend to table an amendment to meet the wishes of the right hon. Members for Dwyfor Meirionnydd and for Tooting, and some hon. Members on the Government Benches.
I thank the Justice Secretary for his clarification. I hope that the right hon. Member for Dwyfor Meirionnydd is reassured. However, that illustrates the problem with the way in which the Bill has been dealt with. There have been three Green Papers, consultation, Second Reading and a long Committee stage upstairs, yet at the 11th hour the Government have tabled new clauses at the last possible moment which have not been subjected to the proper due processes that have existed in the House for generations, and for good reason. The way in which the Bill has been drafted, managed and taken through the House has been shambolic. The Bill is bad for the most vulnerable in society; it is bad for the victims of crime; it is bad for reforming offenders; and it is bad for the safety of our communities. That is why we oppose it, and will vote against giving it a Third Reading.
If the Bill remains unchanged by the other place, it will lead to the dismantling of legal aid, which has been a critical part of the post-war welfare state. Some 600,000 or 700,000 people in England and Wales, depending on whose figures are used, will no longer be able to secure legal aid. It is being dismantled in a way that falls disproportionately on those most in need, at a time when they need it most. That is why so many people are furious at the proposals.
I am less worried about the Justice Secretary losing friends; I am more worried about those who need justice not getting it. We and others have offered alternative savings in the legal aid budget, but the Government have dismissed the alternatives and have pushed ahead with slashing social welfare law: debt advice, housing advice, welfare benefits advice and employment advice. None of those who provide that advice are milking the gravy train and making huge sums of money.
Does my right hon. Friend share my touch of cynicism about the impact of the legal aid cuts on social welfare and welfare benefits, given that the people who are represented and receive the support of the legal aid system in order to be represented in the appeals system have a significantly higher chance of winning their appeals? If they do not have that level of representation, there will be fewer appeals, which will have the happy effect for the Government of people not receiving the benefits to which they are entitled.
My hon. Friend raises a very good point, which is about inequality of arms. These are some of the most vulnerable people who, with a bit of advice early on, will find that their quality of life is improved; and all the evidence suggests that it saves the taxpayer money as well. Huge parts of the country will be devoid of the resources required to access justice because law centres, citizens advice bureaux and small high street solicitors will close down. We will have, I am afraid, advice deserts around the country.
But it does not stop there. In a further effort to save costs, the definition of “domestic violence” is being changed, which will lead to between 25,000 and 30,000 women who are the victims of domestic violence being denied legal aid. That could mean that vulnerable women and children who are the victims of domestic violence will continue to suffer as a direct consequence of the Bill.
Another substantive objection to the Bill is the Government’s cherry-picking of Sir Rupert Jackson’s proposals on civil litigation. That will create an obstacle to those who rely on no win, no fee cases to challenge some of the powerful in our society. The Government have even ignored the protestations of those involved in high-profile cases, such as the family of Milly Dowler. Only this morning, on the “Today” programme, we heard the calmness with which Christopher Jefferies articulated how he benefited from a conditional fee agreement in pursuing claims against national newspapers—an option that will not be available to further victims of wrongdoing if this Bill is passed, because there will be nobody left to advise them.
The Government’s policy on sentencing is an utter mess. Despite their claims, it does not bring clarity to the system, it is not based on common sense, and it will not increase public confidence. Totally abolishing indeterminate sentences takes away judges’ power to keep in custody the serious and violent offenders who put society most at risk by reoffending. These proposals in no way fill the gap left by the removal of indeterminate sentences. All this has been done in 73 minutes during the course of the past three days. The Justice Secretary’s policies on sentencing have been startlingly inconsistent over the past 12 months. Let us not forget that he began by saying that he had a target to reduce the prison population: first, the figure was 6,500; then it was 3,500; and then it was 3,000—and this week he has published an impact assessment giving the figure of 2,600.
I cannot end without dealing with the Liberal Democrats. They speak sanctimoniously from their Benches and they brief sympathetic newspapers and communities that they will stand up to this Conservative Government, but when it comes to pushing their amendments to a vote, they withdraw them on the basis of meaningless assurances or simply vote with the Conservative Government. They should be ashamed.
We will vote against giving this Bill a Third Reading. It is a shoddy Bill, and I sincerely hope that the other place is able to carry out major surgery on it.
As we look forward to Christmas and see today the Third Reading of a criminal justice Bill, I am reminded of previous Government Bills that ended up as Christmas tree Bills with baubles being hung on them at any given opportunity as they went through Parliament. I am sure that as this Bill goes to the other place, Ministers will want to ensure that further baubles are not hung on it in the form of extra pieces of law that take the fancy of noble Lords, as well as any little elves.
I am particularly grateful for two important baubles in clauses 113 and 114—the significant victory for victims of crime concerning knife crime and serious injury by dangerous driving. One could look at the bottom of those provisions and see “Made in Enfield” on them. Six years ago, the Galli-Atkinson family in my constituency came to me after the sad loss of their daughter, who was the victim of a road crash in 1997. They told me about the impact on them of losing their loved one through the actions of a dangerous driver. They had campaigned vigorously for changes in dangerous driving legislation and increases in penalties, but when they came to me there was unfinished business with a gap in legislation. That led to my tabling an amendment in 2006 to try to plug that gap by ensuring that there is a specific offence of serious injury by dangerous driving, and that is now in the Bill.
I am sure that the whole House welcomes the fact that we now have a maximum sentence of five years for such offences. That deals with issues such as the very recent incident involving Rachel Jones, who is aged 13. She was crossing a road when she was hit by a car driven dangerously at 98 mph by Carl Smith, who was unlicensed and drunk—an all too familiar story, sadly, across this country. Rachel was left with severe brain damage, and she will be in a wheelchair for the rest of her life. She has no movement in the right side of her body. Her mum, Sheri Ozdemir, described Smith’s two-year jail sentence as “a joke”. Thanks to the Bill, there need be no more jokes like that; such offences will be taken seriously and will attract a five-year sentence.
Clause 114 deals with knife crime. I pay tribute to my hon. Friend the Member for Enfield North (Nick de Bois) for championing this issue locally and nationally, and raising awareness in Enfield and elsewhere of the prevalence of knife crime—
I was talking about knife crime, but I also pay tribute to the work done by the hon. Member for Kingston upon Hull East (Karl Turner) on injury caused by dangerous driving. He made his case very well in Committee, and I recognise my omission.
Knife crime is a real issue; I have seen many cases going through the youth courts. Sadly, there seems to have been a blind spot when it comes to sentencing, however. There has not been uniform enforcement of the law in this area, and there is a need to plug that gap. Under clause 114, anyone carrying a knife who is threatening and endangering life is likely to go to prison. If they are 16 or over, they will have to go to prison unless there are exceptional circumstances. Yes, we must pay due regard to the circumstances of young people, but the intention of the clause is that a custody threshold will have been reached. That has been welcomed in Enfield and across the country.
The Bill is good news for the victims of knife crime and of dangerous driving. The duties in the Bill relating to compensation are now going to be systemic, and that is important to the victims of crime. Prisoners will need to consider their victims as they serve their sentences; when they earn money, it will go into a victims’ fund. We will also at last see an open door to businesses, ensuring that prisons will work. The prisons Minister joined me in celebrating the 2,000th graduate from the National Grid young offender programme. Those people are now getting into real work and getting out of crime. Their reoffending rate is a very low percentage, compared with the national average. The Bill opens up the way for projects such as those, and many more. On prisons, we want to say that we are not locking out the community; we are open for business.
This is a reforming Bill; it does not simply seek to introduce more legislation without due regard. As we look to the new year, I want there to be a resolution that we shall not be coming back to the House next year with another piece of criminal justice legislation. I commend the sentencing part of the Bill to the House.
One of the most important things that the House can ever afford to the citizens of this country is equal and fair access to justice. Notwithstanding the remarks of the Lord Chancellor, I believe that the Bill will make it more difficult for my constituents to have access to justice.
I will not, if the right hon. Gentleman does not mind.
I shall not go into the issue of legal aid, but I want to speak briefly about conditional fee agreements. The Lord Chancellor was absolutely right to say that it was a Conservative Government who introduced them, and they were right to do so. In privacy and defamation cases, the awards are for the most part very small. In privacy cases, they are universally small. No privacy case has ever involved an award of more than £60,000, yet such cases cost many hundreds of thousands of pounds to take to court. Similarly, the vast majority of awards in defamation cases come in at less than £50,000. A few get up to £100,000, and of course prominence is given in the press to the much bigger ones.
I am sure that it is not the Lord Chancellor’s intention, but the danger in the Government’s proposals is that lawyers will simply not be able to take on such cases. Yes, they might take on cases such as the Dowlers or Christopher Jefferies, because they are open and shut cases, but in the vast majority of the cases relating to phone hacking, people are already terrified of taking an action because they do not want to have to go through the whole business of having their privacy re-explored by the national newspapers and in court. Those people will have no opportunity in the future. I should tell the House that I myself have used a conditional fee agreement, and that if it were not for lawyers being prepared to act on that basis, there is no way that the whole phone hacking scandal would have been exposed.
Question put, That the Bill be now read a Third time.
With the leave of the House, we shall take motions 3 to 8 together.
Motion made, and Question put forthwith (Standing Order No. 118(6)),
Capital Gains Tax
That the draft Double Taxation Relief and International Tax Enforcement (Armenia) Order 2011, which was laid before this House on 14 September, be approved.
That the draft Double Taxation Relief and International Tax Enforcement (China) Order 2011, which was laid before this House on 14 September, be approved.
That the draft Double Taxation Relief and International Tax Enforcement (Ethiopia) Order 2011, which was laid before this House on 14 September, be approved.
Income Tax
That the draft Double Taxation Relief (Aircraft Crew) (Brazil) Order 2011, which was laid before this House on 14 September, be approved.
Capital Gains Tax
That the draft Double Taxation Relief and International Tax Enforcement (Hungary) Order 2011, which was laid before this House on 10 October, be approved.
Olympic Games and Paralympic Games
That the draft London Olympic Games and Paralympic Games (Advertising and Trading) (England) Regulations 2011, which were laid before this House on 10 October, be approved.—(Stephen Crabb.)
Question agreed to.
(13 years ago)
Commons ChamberI am incredibly grateful for this debate. I spoke about apprenticeships and vocational training in my maiden speech, and have campaigned regularly since joining the House last year for apprenticeships and apprenticeship rights. I have now worked for many months behind the scenes with Harlow college, Anglia Ruskin university and employers in my constituency to apply for a university technical school in Harlow, which I will talk more about later.
Although universal technology colleges have not yet received the same media attention as free schools and the huge expansion of the academy programme, they are an equally profound reform of our school system. They are hugely popular, and something that we should think about in their own right.
I want to make three points. First, for decades we allowed vocational education to decline. Secondly, for growth, skills and jobs, UTCs represent the reform that we need. Thirdly, the results are positive, and we should support a massive roll-out of UTCs around the United Kingdom. When the right hon. Member for Kirkcaldy and Cowdenbeath (Mr Brown) called the general election in 2010, there were nearly 1 million young people unemployed. The same is broadly true today. However, youth unemployment is not a recent crisis. Figures from the Department for Work and Pensions show that it has grown steadily worse and worse over the past 10 years. In Essex, in particular, nearly 4,000 young people are not in employment, education or training. My constituency is one of the worst affected towns. We have allowed our skills base and vocational education to decline.
In the past 10 years in Austria and Germany, one in four businesses offered apprenticeships to young people, but in England that figure was just one in 10.
I am listening with great sympathy to what my hon. Friend says about his constituency, because in my area of Medway we have had a similar problem with the closure of the dockyard 25 years ago. We lost an enormous employer that had trained hundreds and thousands of apprentices, so for us, UTCs would provide a new opportunity to develop in that area. With the Royal School of Military Engineering and MidKent college, there is a real partnership approach. I look forward to learning—
Order. The hon. Gentleman is developing a most interesting argument, but I want to hear Mr Halfon.
I agree with my hon. Friend, and I think that my remarks later will address some of his points.
Thanks largely to my hon. Friend the Minister for Further Education, Skills and Lifelong Learning, and the Minister of State, Department for Education, my hon. Friend the Member for Bognor Regis and Littlehampton (Mr Gibb), the Government have increased the number of apprentices to a record level this year—up 50% to 442,700, with increases at all levels and age groups. However, we are starting from a low base. In 2009 there were about 11 apprentices for every 1,000 workers. In France that figure was 17, in Austria 33, in Australia 39, and in Germany 40. In 2009 our young people were four times worse off for apprenticeships than young people in Germany.
Considering that the Berlin wall fell only 20 years ago, that is deeply shocking and shows just how uncompetitive the UK economy has become. For years Germany reaped the benefits of its skills policy and a culture that valued apprentices and gave prestige to vocational learning. Germany built up its manufacturing and high-tech industry while we lost out, not only under the previous Government but, honestly, during the 1990s. I agree with the analysis of Lord Baker, who was one of our finest Education Secretaries and was, in many ways, the forefather of the UTC movement, along with the late Ron Dearing. Lord Baker wrote in the Yorkshire Post in 2008:
“One thing our country has missed out on is good vocational schools. Several attempts have been made since the 1870s, but they have generally fallen by the wayside. The 1944 Butler Education Act established three types of school—grammar, secondary modern and technical, but the first to disappear was the technical school as it had become”—
to quote the Latin—
“‘infra-dig’. Ironically, this English pattern was adopted by Germany in 1945 and became very successful: their youngsters who attend technical schools acquire skills in engineering, construction, manufacturing and design. Germany’s technical schools today have more applicants than their grammar schools and Germany produces several times the number of qualified technicians than the UK.”
We simply cannot afford to keep producing generation after generation of rootless university graduates with purely academic qualifications who lack the skills that industry needs.
What are UTCs, and why will they succeed where other attempts have failed? As Lords Baker and Adonis said when first proposing the UTC model, we need a vocational route that is rigorous, attractive and as prestigious as the best academic routes. That simply does not exist in our current schools system. As the Prime Minister put it recently, the expansion of UTCs will be
“the next great poverty-busting structural change we need…offering first-class technical skills to those turned off by purely academic study.”
However, the key reform is that major local employers, especially in manufacturing and industry, will help to write the curriculum, which has never been tried before. As the recent schools White Paper said:
“Pupils at the JCB Academy in…Staffordshire, will study a curriculum designed to produce the engineers and business leaders of the future…They will complete engineering tasks that have been set by JCB and other Academy partners including Rolls-Royce, Toyota and Network Rail.”
Early results are positive. They prove that UTCs are an instrument of social justice, as well as economic efficiency. At the JCB academy, for example, students wear business suits. There are reports that truancy has been reduced significantly and GCSE results, particularly in the core subjects of English and Maths, have massively improved.
As Lord Baker said a few weeks ago,
“10,000 students are now set to attend University Technical Colleges by 2015”.
That means 10,000 fewer youngsters on the dole, and 10,000 more students learning the high-tech skills of the future to support British industry, manufacturing, and growth.
We are fortunate in Northern Ireland to have technical colleges—the South Eastern Regional college campus in Newtownards is an example—that give young people exactly what the hon. Gentleman is referring to: an opportunity to train, build their confidence and get a job outside, or be directed towards one. I encourage him to look up the South Eastern Regional college website to see exactly what he hopes to achieve in action.
I would be delighted to look at that website, and I would like to study it more, because it is good to see successful examples in action.
So far, 18 new UTCs have received support from the Education Secretary, with 13 announced last month, and 130 companies are supporting them, which I think is a record in industrial investment. For the past three years the Baker Dearing Educational Trust has worked with the Department for Education, the private sector, universities and further education colleges to build the network. The Chancellor has doubled the funding for UTCs and found money for at least 24. The Opposition always go on about cuts and the legacy of youth unemployment—left by the last Government, as I have mentioned—but we are talking about a concrete investment of at least £150 million, with more funds levered in from the private sector, to tackle that very issue. This is not small beer.
I agree with the thrust of everything that my hon. Friend is saying, so is it not disappointing that at least one union leader in the education sector has come out against UTCs? Is that not incredible?
My hon. Friend is almost a mind reader, because I was about to say that it is disappointing that, not so long ago, John Bangs of the National Union of Teachers said of UTCs:
“There is a real fear about a move towards selection by division, selection by direction and selection by assumption, with these routes being mapped out for kids for evermore”
That is the mindset of the left, which we have to consign to the dustbin, because UTCs will create opportunity and social justice for everyone. He is also wrong, because there are no tests to enter a UTC at 14: they are inclusive, not exclusive. To be fair, it is no accident that the Baker Dearing Educational Trust is a cross-party project that is strongly supported by Lord Adonis—who, although he is from the other side of the fence, is someone I admire greatly. The chief executive officer of the Baker Dearing Educational Trust, Peter Mitchell, was a head teacher for 18 years in Walsall and Staffordshire. He turned round a failing school and was mentioned twice in the chief inspector’s report as “outstanding”. I believe that the UTC movement should unite the House, not divide it.
In conclusion, I want to talk briefly about Harlow’s bid for a UTC, which I mentioned at the beginning of my speech. Harlow is a new town. It was built after the second world war, with a vision to change people’s lives and create jobs and growth, but its potential is still unfulfilled. School results have risen sharply over the past 10 years. Most secondary schools now perform around the national average, and this year two secondary schools became academies. I am sure that the Minister will have watched the excellent recent television programme about Passmores school.
Harlow college is now widely recognised as one of the best further education colleges in the country, with pass rates exceeding 99.5%. Anglia Ruskin university opened a campus in the town this term that now has approximately 200 students studying for degrees. Wherever I go in Harlow, parents are delighted with the idea of a new apprentice school, which is exactly what it is, and they have no ideological objections. In fact, the Harlow bid for a UTC is not opposed by the local state schools. Harlow council and Essex county council have said that they support UTCs, and would like to see a UTC in Harlow.
In the first round, we assembled a strong bid, but found out only very late in the process that Harlow was to benefit from an enterprise zone, specialising in bio-tech and medical technology. In his feedback, Lord Hill was very fair and made the point that we should now reflect the new enterprise zone in our bid. That was the right decision; it is worth taking the time to get the bid right.
The Harlow partners are responding to that feedback. Anglia Ruskin is broadening its university courses, to meet the needs of the emerging “MedTech” enterprise zone, with firms like Bupa Home Healthcare. Harlow council is delivering the proposed “MedTech” campus—a specialised industrial estate, which will employ the highly skilled technicians that a UTC provides. Harlow already has several biotech and pharmaceutical firms, such as GlaxoSmithKlein, and is in the London-Cambridge science corridor. We have several strong local hospitals—primarily Princess Alexandra hospital and the Rivers private hospital in Sawbridgeworth. The Health Protection Agency is considering a move to Harlow, partly because of its own financial position, and partly because of the enterprise zone. I hope that in due course it too will have a need for medical technicians and engineers. In the second wave of UTC applications we hope to include medical technology as one of the Harlow specialisms, and to submit an even stronger bid. I hope that the Minister was listening very carefully to that last statement.
If there is one thing that I would urge the Minister to do, it would be to go much further and much faster. As the Baker Dearing Educational Trust has said:
“The Government has committed to funding 24 UTCs. But we hope to see 100 within five years.”
We know that public spending is constrained, but UTCs offer us the chance to get back to the great vision of Rab Butler, who sought to establish a high-quality technical education in Britain for the first time. It is worth quoting what Rab Butler said in this very House about his Bill in 1944:
“It is very wrong that in so many parts of England, particularly in industrial areas, which I have visited myself, that decades have been allowed to elapse before the technical development necessary for education in those areas has come to anything at all. There are many towns and cities I have been to in which the technical college has always been the mirage in the distance across the other side of the desert. We cannot allow that state of affairs to go on, and that is why we insist that there should be a proper development of technical education...Compared to our competitors, friends and enemies, we shall…depend more than anything else on the skill of our people...therefore…we must concentrate upon producing the most highly-skilled technologists the world can show.”—[Official Report, 23 March 1944; Vol. 398, c. 1086.]
Exactly the same is true today.
It is not enough just to support and fund UTCs; we have to evangelise about them. Just the other week the statement on UTCs was tacked on to the end of the statement on free schools at the end of a long day—just after the former Defence Secretary had also addressed the House. UTCs, however, are not just an extension of free schools; they will transform our skills base and the lives of young people, and they will be a conveyor belt to professional apprenticeships. They are the phase 1 of an apprentice revolution in Britain and the reaction from the public—parents, students and others—has been unbelievably positive. That is why they have to be centre-stage, not backstage. When the second round is announced next year—including Harlow, I hope—I would like UTCs to get a separate statement in their own right, showing that they are a forceful answer to the youth unemployment that we have inherited. They will then prove that the apprenticeships are no longer second class, and are now first class.
I hope that, ultimately, every British student will be able to say—just as my hon. Friend the Minister for Further Education, Skills and Lifelong Learning said yesterday at a UTC reception in the House—“I only became an academic because I wasn’t clever enough to be practical.”
I congratulate my hon. Friend the Member for Harlow (Robert Halfon) on securing this important debate, and thank him for encouraging me to contribute to it, albeit very briefly. I am a great admirer of the work that he has done to promote education, both in the House and in his constituency. In the short time for which he has been a Member of Parliament, he has made an enormous contribution to education and to education debates.
Yesterday I was fortunate enough to host a reception on the House of Commons Terrace for university technical colleges—which was also attended by my hon. Friend—together with Lord Baker of Dorking, who, as my hon. Friend said, is chairman of the Baker Dearing Educational Trust, and is a passionate advocate of UTCs. That reception was instructive. It was attended by people from all over the country, from the great and the good to the UTC community and the many who want to be members of that community—and it was clear from the attendance at that reception that very many people want to join it. It was also highly informative to hear so many positive stories from those who have been involved in the UTCs that have been set up, and to learn how well the schools are doing.
It was said at the reception that the UTCs had become a movement. I have the impression that there is a once-in-a-lifetime opportunity to harness the enormous energy and good will towards UTCs that emanate from the Government, universities, further education colleges and, in particular, private businesses. In many ways, that is not surprising, because the enthusiasm spans the political divide. In most respects, UTCs have secured a cross-party consensus. Both Lord Baker and Lord Adonis have, in different ways, put their fingerprints on their creation. Just to complete the all-party celebration, we have a coalition Government who are expanding the new schools and delivering a big increase in their number. I am delighted to say that my constituency will gain a UTC, and that large numbers of private businesses are supporting it. The right hon. Member for Birkenhead (Mr Field)—I hope he does not mind my mentioning this—told me that he had taken Lord Baker to his constituency to lobby him for the creation of a new UTC.
As I have said, this is very much a cross-party movement, and I hope that it will continue to be so. Let me explain why. I think all parties clearly understand that Britain lags behind some of our European neighbours in its approach to technical education. My hon. Friend mentioned Germany—a country which, as a European industrial powerhouse, boasts a long history of taking its technical education seriously. Consequently, the Germans have benefited. Germany is now an incredibly successful exporter as a result of its continued investment in its technical skills base.
UTCs offer our country a real opportunity to plug a gap, to catch up and to take the next step on a journey towards supporting, and indeed creating, a more technically based economy and industry. That journey has been damagingly slow for the UK. Rab Butler’s Education Act 1944 recognised secondary technical schools under the tripartite system, but there was little progress until Lord Baker’s city technology college scheme in the 1980s. In fact, it has taken more than 60 years for this whole strategy to reach the point of lift-off.
Technical education has often not been taken seriously, and has frequently been recorded as secondary to the academic route. Well, we can finally put that right, and in so doing, plug a skills shortage and unlock the boundless potential of thousands of young people in this country whose gifts just happen to lie in the technical rather than the academic area.
I congratulate my hon. Friend the Member for Harlow (Robert Halfon) on securing this debate. Both he and my hon. Friend the Member for Reading East (Mr Wilson) are well-informed and passionate promoters of education in their constituencies and throughout the country. I also listened intently to the intervention by my hon. Friend the Member for Rochester and Strood (Mark Reckless), in which he extolled the importance of university technical colleges.
UTCs are an innovative and important part of our school reforms. Through new academies for 14 to 19-year-olds, we are for the first time providing opportunities for school pupils to develop the technical knowledge and expertise that employers demand and our economy needs. UTCs offer pupils high-quality technical and vocational education and clear progression routes at 19 into either higher or further education, or work or apprenticeships.
As Members will know, UTCs sit alongside free schools and academies at the heart of our ambitious reform of the school system. They aim to drive up educational attainment for all pupils and students, regardless of their background, and to improve our performance in relation to the highest-performing systems in the world. UTCs offer choice to parents and pupils, in particular those best suited to a more technical approach to education. They also provide competition to other schools, thus encouraging them to raise their game.
UTCs specialise in subjects that need modern, technical, industry-standard equipment, such as engineering, construction, product design and life sciences. These disciplines are taught alongside business and ICT. Students also integrate academic study with practical education, and so study the core GCSEs alongside technical qualifications, thus covering the basics of English, mathematics, science and often a language and one of the humanities.
UTCs are sponsored by a local university, employers and, in most cases, a further education college with strengths in the UTC’s specialist subject areas. That helps to ensure aspirational pathways to higher education, as well as access to opportunities within industry. UTCs are unique in that they develop their education around the needs of local employers and industry. Crucially, the UTC specialisms and the curriculum are designed by the university and employer sponsors. UTCs link local partners into the design and delivery of the education, and also provide mentoring and meaningful work experience for pupils. UTCs have much the same freedoms as free schools and academies. That allows them to be innovative, such as by choosing to employ engineers with an industry background alongside qualified teachers, by developing and delivering innovative projects for pupils, and by using an extended school day of 8.30 am to 5.30 pm and a longer school year of 40 weeks to prepare students for the world of work.
Two UTCs are already open: the JCB academy in Staffordshire, and the Black Country UTC in Walsall. Thanks to the leadership shown by Lords Baker and Adonis, as well as the late Lord Dearing, coupled with the vision of Sir Anthony Bamford of JCB, the first UTC opened its doors in September last year. It specialises in engineering and business. Its belief is that no matter how good an engineer someone is, if they cannot do business too, they will not survive. That is the reality of manufacturing in the global economy, and we must prepare our school leavers to join it if they are to compete—and succeed—in the years ahead.
The JCB academy is delivering its curriculum in partnership with a range of national and local employers. For instance, Rolls-Royce has set students the challenge of designing and manufacturing a small piston pump. This involves designing and manufacturing a specific rig, modelling in 3D animation software, producing drawings and then visiting the factory to see how the real ones are made. The whole project has allowed pupils to see their work from initiation to design and then on to delivery, with Rolls-Royce engineering apprentices helping pupils throughout. Senior Rolls-Royce staff presented to the pupils how a jet engine works and the realities of planning in local and international businesses. The benefits to pupils are clear: they get top-quality technical education. The benefits for Rolls-Royce are also undeniable. It gets the continuing professional development of engineers, graduates and apprentices; an increased pupil awareness of Rolls-Royce as an employer; and a role in helping to shape education in the region. This is leading the way in how employers are now getting involved in UTCs up and down the country.
The second UTC that opened earlier this term is now providing similar opportunities for its pupils in one of the most deprived areas of the black country. There, the partnership between Siemens, Walsall college and the university of Wolverhampton is reinvigorating the black country’s engineering heritage. It is, of course, early days, with one school open for just half a term and one open for just a year and a half, but already we are beginning to see the effect of the approach, and it is impressive. The JCB academy reports exemplary behaviour and attendance, as pupils are engaged in their lessons. That positive impact is found not just in the technical subjects, as standards of English and maths look to be on the rise as well. We look forward to hearing their results next summer.
On 10 October, my right hon. Friend the Secretary of State announced the next wave of UTCs due to open in 2012 and 2013 across the country. Between them, they will provide a new generation of school leavers with the technical expertise that industry demands. More than 130 major national and local employers were involved in developing these successful projects—that is a truly immense contribution from industry in our education system. These UTCs will join the two that are already open and three projects in Hackney, Aston and Greenwich that were previously approved. The new projects ensure there will now be UTCs in every region. Russell group universities are joining companies such as Rolls-Royce, Procter & Gamble and BlackBerry, and outstanding colleges and academies. The first of these new UTCs will open at the start of the next academic year and the rest will open the following year.
My hon. Friends and other hon. Members will be aware of the huge interest in one of these new UTCs in particular—the Silverstone academy. It will be based within the grounds of the 800 acres of the Silverstone circuit, it will cater for 540 pupils when at full capacity and it will specialise principally in high-performance engineering and motorsport. It is sponsored by Tresham college of further and higher education, the university of Northampton and Silverstone Circuits Ltd, and it is due to open in September 2013. It will be a unique establishment that will allow students to work alongside nationally and internationally renowned engineering businesses already located at the circuit. It will provide opportunities for students to access work experience and to progress on to a wide and diverse range of job opportunities or further and higher education. The UTC expects significant demand from pupils; indeed, it has already received inquiries and that is before—
(13 years ago)
Ministerial Corrections(13 years ago)
Ministerial CorrectionsTo ask the Secretary of State for Culture, Olympics, Media and Sport how much his Department spent on hospitality for events hosted by each Minister in his Department in each of the last 12 months.
[Official Report, 13 October 2011, Vol. 533, c. 538W.]
Letter of correction from John Penrose:
An error has been identified in the written answer given to the hon. Member for Dudley North (Ian Austin) on 13 October 2011.
The full answer given was as follows:
Since October 2010, the Department has spent a total of £890.36 on events hosted by the Minister for Sport and the Olympics, my hon. Friend the Member for Faversham and Mid Kent (Hugh Robertson).
The correct answer should have been:
Since October 2010, the Department has spent a total of £1,628.25 on events hosted by the Secretary of State for Culture, Olympics, Media and Sport, my right hon. Friend the Member for South West Surrey (Mr Hunt) and £890.36 on events hosted by the Minister for Sport and the Olympics, my hon. Friend the Member for Faversham and Mid Kent (Hugh Robertson).
Olympic Games 2012: Scotland
To ask the Secretary of State for Culture, Olympics, Media and Sport what assessment he has made of the benefits to Scotland of the London 2012 Olympic Games; and if he will make a statement.
[Official Report, 19 October 2011, Vol. 533, c. 1000-01W.]
Letter of correction from Hugh Robertson:
An error has been identified in the written answer given to the hon. Member for Glenrothes (Lindsay Roy) on 19 October 2011. The funding amount given for the Legacy Trust UK was incorrect.
The full answer given was as follows:
[holding answer 17 October 2011]: The Government and the London Organising Committee of the Olympic and Paralympic Games (LOCOG) established the nations and regions group (NRG) to ensure UK-wide engagement and to maximise the legacy from London 2012. This group works directly with representatives from each of the nations and English regions to realise the sporting, economic, and cultural benefits of the 2012 games.
As part of the funding of the London 2012 activity in the nations and regions the Department is contributing towards the costs of the Scottish Government employing the Inspire programmer in Scotland from 2010-11 to 2012-13.
Scotland stands to gain from the wide range of opportunities created by the 2012 games, through businesses winning games-related work, increased tourism and cultural celebrations. Some examples of how Scotland will benefit from the games are given as follows.
Over 19,800 schools and colleges across the UK have registered for LOCOG's London 2012 education programme Get Set, 1,251 schools and colleges are registered in Scotland, 44.7% of the total number of schools and colleges in the nation. 95 schools in the Fife area have registered for Get Set including Glenrothes High School.
Over 1,700 cultural or sporting projects across the UK have been awarded the Inspire mark. In Scotland 36 projects have been awarded Inspire marks. In June 2011, the Festival of Sport was launched in Scotland, Fife council participated in this Inspire marked project. The aim of the festival was using the inspiration of the games to profile physical activity and increase the membership of sports clubs.
The Legacy Trust have awarded £4.7 million for ‘The Scottish Project', a diverse range of cultural, sporting and educational activities, bringing together thousands of volunteers, artists and the public to leave a lasting legacy from London 2012 and Glasgow 2014.
In addition, 25 contracts have been awarded by the Olympic Delivery Authority (ODA) to businesses in the nation. These include KN Environmental Services Ltd from Perth who provided materials for the Aquatics Centre, Millstream Associates Ltd from Aberdeen who provided procurement services and Mason Land Surveys Ltd from Dunfermline who provided engineering services. The hon. Member can find a list of contractors on the ODA suppliers map at the link as follows:
http://www.london2012.com/get-involved/business-network/oda-suppliers/map.php
So far 4,072 companies in the nation have registered on Competefor (the website where London 2012 contract opportunities are advertised), and 48 contracts have been awarded to Competefor suppliers. Not all the information on ‘supply chain' level contracts is in the public domain. There may be other companies that have secured ‘supply chain’ contracts in the nation.
Locations across the UK, particularly those that are hosting international teams in pre-games training camps (PGTCs), have additional opportunities to realise the economic benefits of the games. Two agreements have been signed with teams to hold PGTCs in Scotland, with the National Olympic Committees of Zambia and Namibia. In addition, Hampden Park will host rounds of the football competition.
The Department is currently working with Glasgow 2014 Ltd on the post-games relocation of shooting range assets to Scotland. Furthermore, there is the potential for relocation of other facilities as part of the LOCOG post-games games equipment and assets transfers.
The correct answer should have been:
[holding answer 17 October 2011]: The Government and the London Organising Committee of the Olympic and Paralympic Games (LOCOG) established the nations and regions group (NRG) to ensure UK-wide engagement and to maximise the legacy from London 2012. This group works directly with representatives from each of the nations and English regions to realise the sporting, economic, and cultural benefits of the 2012 games.
As part of the funding of the London 2012 activity in the nations and regions the Department is contributing towards the costs of the Scottish Government employing the Inspire programmer in Scotland from 2010-11 to 2012-13.
Scotland stands to gain from the wide range of opportunities created by the 2012 games, through businesses winning games-related work, increased tourism and cultural celebrations. Some examples of how Scotland will benefit from the games are given as follows.
Over 19,800 schools and colleges across the UK have registered for LOCOG's London 2012 education programme Get Set, 1,251 schools and colleges are registered in Scotland, 44.7% of the total number of schools and colleges in the nation. 95 schools in the Fife area have registered for Get Set including Glenrothes High School.
Over 1,700 cultural or sporting projects across the UK have been awarded the Inspire mark. In Scotland 36 projects have been awarded Inspire marks. In June 2011, the Festival of Sport was launched in Scotland, Fife council participated in this Inspire marked project. The aim of the festival was using the inspiration of the games to profile physical activity and increase the membership of sports clubs.
The £4.6 million programme ‘The Scottish Project', includes a diverse range of cultural, sporting and educational activities, bringing together volunteers, artists and the public to leave a lasting legacy from London 2012 and Glasgow 2014. The Legacy Trust, Creative Scotland and other partner organisations have contributed financially to the programme.
In addition, 25 contracts have been awarded by the Olympic Delivery Authority (ODA) to businesses in the nation. These include KN Environmental Services Ltd from Perth who provided materials for the Aquatics Centre, Millstream Associates Ltd from Aberdeen who provided procurement services and Mason Land Surveys Ltd from Dunfermline who provided engineering services. The hon. Member can find a list of contractors on the ODA suppliers map at the link as follows:
http://www.london2012.com/get-involved/business-network/oda-suppliers/map.php
So far 4,072 companies in the nation have registered on Competefor (the website where London 2012 contract opportunities are advertised), and 48 contracts have been awarded to Competefor suppliers. Not all the information on ‘supply chain' level contracts is in the public domain. There may be other companies that have secured ‘supply chain’ contracts in the nation.
Locations across the UK, particularly those that are hosting international teams in pre-games training camps (PGTCs), have additional opportunities to realise the economic benefits of the games. Two agreements have been signed with teams to hold PGTCs in Scotland, with the National Olympic Committees of Zambia and Namibia. In addition, Hampden Park will host rounds of the football competition.
The Department is currently working with Glasgow 2014 Ltd on the post-games relocation of shooting range assets to Scotland. Furthermore, there is the potential for relocation of other facilities as part of the LOCOG post-games games equipment and assets transfers.
Westminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
(13 years ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Thank you for calling me to speak, Mr Robertson.
“It’s an issue that crosses party lines and has tainted our politics for too long...an issue that exposes the far-too-cosy relationship between politics, government, business and money. I’m talking about lobbying—and we all know how it works. The lunches, the hospitality, the quiet word in your ear, the ex-ministers and ex-advisors for hire, helping big business find the right way to get its way. In this party, we believe in competition, not cronyism. We believe in market economics, not crony capitalism. So we must be the party that sorts all this out. Today it is a £2 billion industry that has a huge presence in Parliament… I believe that secret corporate lobbying, like the expenses scandal, goes to the heart of why people are so fed up with politics. It arouses people’s worst fears and suspicions about how our political system works.”
All those words were from our Prime Minister when he was in opposition.
The purpose of today’s debate is to ask how far we have got. How far has the Prime Minister delivered on those promises? The political class is probably less trusted than at any time in history. After the expenses scandal, the public have the right not to trust us. They will look at what we do and will almost always reach the worst conclusion on our motives. It will probably take at least a decade for MPs and for politics to win back the trust and confidence that we enjoyed in the past.
What have the Government done in their 18 months in power? They certainly promised, in the coalition agreement, a compulsory register of lobbyists, but progress has not been promising. All parties promise to end the excesses of lobbyists when they are in opposition. In government, both the Tories and Labour have bottled it.
The reason why the previous Government did not progress on instituting reforms was revealed in a frank interview by a former Cabinet Office Minister, who said it was because he and the Government were lobbied. We members of the Public Administration Committee were also lobbied, and we made the point that the people we had before us, giving their excuses as to why there should be no interference and why they should carry on in their own way, were professional persuaders and, in many cases, professional deceivers. They had to present the best case, and of course they were brilliant at doing that, because they train people on how to give evidence to Select Committees.
Thank goodness that the Public Administration Committee took a stronger line; its recommendation was that we need more safeguards to cleanse the parliamentary stable. We were short of a smoking gun when we made our report in January 2009, but smoking guns appeared within weeks; there was the sting involving the four Members of the other place and the “cash for legislating” campaign, and the extraordinary, shaming episode of politicians for hire. A group of distinguished politicians with great reputations were shown on television putting their integrity and reputation up for sale for a certain amount of money. Potentially, that episode was a greater scandal than the expenses one, but as far as I can see, we are making virtually no progress on improving that situation.
I congratulate the hon. Gentleman on securing such an important debate. The definition of lobbying is difficult to grapple with when drafting legislation. Where would he place trade unions? Does he consider them lobbyists?
The answer is yes. Trade unions are lobbyists, as are charities and all kinds of bodies.
The main argument that was made to Labour Cabinet Office Ministers is presumably the same one that lobbyists are making to the present Minister. Lobbyists find it impossible to defend the existing secrecy and the fact that large organisations and rich and powerful bodies can buy access to the Government—that is indefensible, and no one would pretend that it can be right. As that argument does not work, they have invented a new one about how reform will upset all the good people—the nice, friendly, cuddly charities and the trade unions—who will also be damaged. That was the main thrust of the argument used against the previous Government to undermine reform.
I am sure that the Minister will be happy to tell us how many meetings he has had with lobbyists. How much has he been lobbied?
I congratulate the hon. Gentleman on obtaining this debate. I have much sympathy with what he is saying, but it is very difficult for constituency Members who are approached or lobbied by investors or unions not to be seen as being lobbied. Surely that is part and parcel of an MP’s job.
One MP who gave evidence to the Committee was taking £70,000 a year from a commercial company. [Interruption.] Wait a minute. His offence related to the fact that the commercial company had interests in his Department. He said that jobs were going in his constituency and he was doing his job as a constituency MP. The answer the Committee members gave was that we all do our jobs as constituency MPs by fighting for jobs in our constituency, but we do not have to take a £70,000 bung for doing so, which is what the public look at.
I congratulate my hon. Friend on securing this debate and, as ever, I am following his remarks with close interest. Is not transparency the greatest safeguard? Do we not therefore need not only a register of lobbyists and an open record of contact between the Government and lobbyists, but full disclosure on the funding of lobbyists?
That is exactly what we need, and it was the main recommendation of the Select Committee.
I hope that the Minister will tell us whether he has had the same treatment as his Labour predecessor. Has he been approached by the lobbying organisations explaining how difficult reform would be, how difficult it is to reach a definition of “lobbyists”, and how reform will be so unfair to charities and trade unions? Will he tell us what he has declined to tell that splendid organisation, SpinWatch, which is investigating these matters—how many times and on what dates he has been lobbied, and what messages were conveyed to him? It looks as though the lobbyists have succeeded again by lobbying the Government to delay any activity or any sign of reform.
We MPs are regularly contacted by interested bodies. We do not necessarily have all the information in front of us, but we have hard-held opinions—opinions that make us, and blend with us, so that we form a view on what we should do in the House. Does the hon. Gentleman feel that a balance is needed? Members have a job to do and have hard-held opinions that we wish to hold on to, but it is not wrong for lobbyists to come along and give us their opinions and their information.
Indeed, it is not. That, of course, goes on as part of the system. Lobbying lubricates the parliamentary system, and always has. We lobby and our constituents lobby; of course that goes on. We are against what the Prime Minister has called “corporate lobbying”. Those who engage in it are the people who are potentially the most damaging: those who are seeking contracts, but do not want to do it on the basis of open tendering, and instead want to go behind the scenes to have secret meetings with Government. Some extraordinary decisions have been taken by all Governments on the award of contracts.
We want to make sure that no Minister’s judgment will be distorted by the possibility of the revolving door. It is extraordinary how, shortly after retiring, former Ministers find lucrative jobs with companies that they once dealt with as Ministers. When a contract has been awarded—sometimes for billions of pounds—who is to say that no one tipped anyone the wink by saying, “If you go for company A rather than B or C, we’ll make sure you are looked after, and get your hacienda in Spain. You will have a lucrative job in retirement”? There are many examples—hon. Members may be aware of them—from all Governments of the revolving door after Government, and the possibility that Government influence has been used.
The problem is not that those concerned are doing well out of their contacts, or are sullying their integrity. The problem is that the decisions they take in Government may be corrupted by the prospect of future employment and riches. There are strong cases for believing that that has happened, and might happen again. Unless we can jam the revolving door and bring reform, that will continue. We cannot reform the system without transparency.
In 2006 there was a proposal to amend the Bill that became the Companies Act 2006, which would have got a handle on how much companies spend on lobbying. The hon. Gentleman voted against the amendment. Is that an inconsistency, or has he changed his mind since then?
Is this “Mastermind”? I really cannot account for the tens of thousands of votes I have taken part in on clauses of Bills. I shall disregard the hon. Gentleman’s intervention as worthless.
In November last year, the Deputy Prime Minister promised legislation in the current parliamentary Session, which ends next spring, but that has now been delayed and we are likely to have no change until 2013. Let us look at what has been happening since then. Has there been reform? Has there been a new atmosphere in the House? Do we treat lobbyists differently? I wrote to an hon. Member to say that I would mention him this morning. I shall not mention his name or constituency, but I spoke to him at length this morning. What he is doing might be entirely honourable—he takes an income of £30,000 from lobbyists—but it is not acceptable or wise in the present post-scandal Parliament. I believe that suspicions will be aroused and people will say, “Where there’s smoke, there’s fire.” There may well be no fire. I am sure the man is behaving in the right way.
Surely in that case it is the job of constituents to vote the offending Member out. The issue is transparency. That is clear and on the books, and everyone can make his or her own judgment.
Yes, but the problem is that the public will, with some justification, believe the worst of us after the expenses scandal. They had all those assurances before. The excuses will not work, and we need clarity and simplicity in the way we behave. It is entirely wrong for a Member of Parliament to be employed by a company—£30,000 is a substantial amount, many times the minimum wage—and, having taken that money, to raise subjects on which the company concerned is campaigning, and then say, “Of course, this is about the interests of my constituency; it approached me on the issue.” That is what the hon. Gentleman in question says. I believe that the public are right to be suspicious of us, and I refer to the words of the Prime Minister in that regard.
Would the hon. Gentleman consider it permissible to do that for nothing?
No. The position is this. Someone may want to lobby on a subject, but what a Member is allowed to do should be a question of their interest, conscience, constituency and so on. If someone who is taking a considerable sum of money from an outside body appears then to be pursuing its business—what it is asking for—that is extremely foolish and dangerous. I have explained that at length and had a long conversation with the Member in question. I believe that there is only one Member in that position.
When I came into Parliament 25 years ago, probably a majority of the Members in one of the parties took money from outside sources. Some were openly referred to as the Member for this or that company. In the previous Parliament, one was referred to as the Member for Boots, with some justification—there is some truth in that view of things. We are Members for our constituencies, and are paid handsomely for our work. We are paid a full-time wage. We should not have income from outside. There is a splendid book on the subject, which I commend to hon. Members, that suggests that all MPs should put any income they receive above their salary into a charity fund. That would do something to restore the public’s trust in us.
What else has been going on? New interest in the debate has been precipitated by the Werritty scandal. That will continue and other hon. Members might want to speak about it. We have allowed honeyed words to be used, and have talked about a blurring of the ministerial code, when we know that what happened was a flagrant abuse of the code. The investigation will continue, and many matters arise from the Werritty scandal, which should be of interest to us.
Is not one of the ironies of the Werritty case the fact that Sir Gus O’Donnell’s report declared that Mr Werritty was not a lobbyist?
Indeed. I read it with some interest. Yesterday, three very senior figures, including past Cabinet Secretaries, came before the Public Administration Committee to discuss the matter. I was very concerned about what has happened. We know that in this case it seemed that a secret foreign policy was being created. Money was coming in from organisations that many of us would regard as having extreme aims, to subvert Government policy. Where commercial firms were involved, were they there to buy influence, or to influence contracts? Anything on those lines is entirely wrong, and if those contacts were made, they should have been made publicly and declared. They were not. We will have to learn the lesson there.
Even on smaller matters, can we trust the Government, who last year altered the ministerial code so that all meetings with lobbyists should be declared by Ministers, when this week we learn that one Secretary of State enjoyed a five-star dinner at the Savoy, held by a major lobbying firm, and that among the other guests was a company that was lobbying his Department? Instead of transparency and openness, we have the Secretary of State defending himself and saying that on that day he was eating privately, not ministerially. [Interruption.] Indeed, he is eating very well, and his eating habits are a matter of some interest to the House, and parliamentary sketch writers. However, that is a small example, although not of enormous significance: it is a sign of the lack of any conviction in government about instituting genuine reform.
On the case that my hon. Friend cites, is he aware that that Minister was performing a quasi-judicial role, and that if a judge had had such a dinner, people would have gone to prison for contempt of court?
My hon. Friend is entirely right. We cannot deal in excuses and half truths any more, because of the position we are in. If there is a rule—and the Government created that rule, for goodness’ sake—let Ministers abide by it and not make silly excuses.
Advocates and paid representatives of some of the worst and most oppressive regimes in the world use this building and this House, to invite MPs—sometimes naive MPs—to visit their countries, to try to win their support. Among such countries, Azerbaijan and Equatorial Guinea are very active at the moment. Should we allow that to continue? Should we allow this building and its facilities, and the good will of Members to be used, in the way that other Parliaments have cosied up to oppressive regimes?
No, I am not.
I thank my hon. Friend for his remarks and I congratulate him on securing the debate. I am a vice-chairman of the all-party group on the Kurdistan region in northern Iraq. I have been there twice, and the visits are declared in the register. They have been incredibly educational, because I wanted to visit a progressive, Muslim and democratic nation that follows the rule of law. Surely my visits were a good thing?
My comrade Robert—as I call him—and I serve together on the Public Administration Committee, and we have many common causes. I would not suggest that there was anything untoward in what he does, and I am sure that he does not receive an income from the Government of that country. However, other MPs do, directly or indirectly, from some regimes. Money is being paid—it is all there. It is a question about the way in which we are going.
I want to pay tribute to Tamasin Cave of SpinWatch and the other organisations that have persisted in their support for the Select Committee’s recommendations about what all Governments are doing. We must ask ourselves: are the Government serious about the matter? Are we making any progress in rebuilding our reputations? Are we quelling what the Prime Minister called the public’s “worst fears and suspicions”? We have to be concerned about those fears and suspicions. The perception of how this place behaves is crucial.
I congratulate the hon. Gentleman on securing the debate. He has outlined the need for people to know about Members being approached and lobbied. Would it not be helpful if all Members did what some Members already do—I have done this in my constituency—which is to make it clear to the public and our constituents when we are lobbied and when we have refused to be a victim of a lobbying group, so that other lobbyists get the message that there is no point in lobbying MP X because he or she has made it abundantly clear in the local press that he or she will not be lobbied, receive favours or be fêted? That would help address the issue of perception that the hon. Gentleman is talking about.
I agree entirely with the hon. Gentleman. That is precisely what we should do. We must take a puritanical line with ourselves to ensure that the public believe us. When the public read about what is going on and see the drip, drip of stories about links between MPs and others, they will assume that we are all in the business of being influenced by outside sources.
I have spent the past 18 months encouraging constituents to lobby me, either as individuals or in groups. We have to be careful that we do not say, “A plague on all your houses”. Some constituency lobbying is extremely valuable, informative and educational, and we should encourage it.
I am grateful to hear from a former lobbyist. I believe that the hon. Gentleman’s previous career was lobbying for the abuse of small, loveable animals for fun—that was his message. I am sure that he would have found a welcome in the current Government if he was still lobbying for animal abuse, which is what he believes in and is his passion.
If I may correct the hon. Gentleman, I recall that he was rather supportive of a donation of £1 million to the Labour party by the Political Animal Lobby, which he supported hugely, in the 1990s.
I certainly supported all animal welfare groups for many years in my political capacity, which is what my constituents want.
No, they certainly did not give me money. I hope that the hon. Gentleman is not suggesting that.
My hon. Friend said a moment ago that we should be much more puritanical. I think that I am a Labour Cavalier rather than a Puritan, but we should have all sorts in our party.
My hon. Friend and I served on the Council of Europe for some years. I was astonished at the delegates bringing girlfriends, wives, staff and children, all at the same time, filling up the Members’ room and using expenses to put them up in nice hotels. Does he think that we should stop all that, and that Members should go on any such delegation visits by themselves?
The situation is quite clear. If that happens, anyone who goes out, including staff, should not add any cost to the public purse. If my right hon. Friend would like to investigate the case, he would find that even dinners at an embassy are now paid for at a rate of €30 for any guests.
Transparency about those who are getting through to the Government at the moment arose when the issue about good, selfish and commercial causes was raised again. According to a report in The Guardian, there have been 10 times as many meetings between the Government and corporate lobbyists as there have been with trade unionists. There have been four times as many meetings of corporate lobbyists with the Government as there have been with charities. Already, a process is going on secretly behind closed doors. The loud and insistent voices come from those who can afford to buy expensive lobbyists and access to Government.
I share the hon. Gentleman’s concern for transparency, and I am sure that a number of the cases to which he has alluded are regrettable or wrong. However, we must not besmirch the names of many people who work in the public affairs sector. I used to work in the related public relations sector. I hosted a reception for B&Q the other day in Parliament and many Members turned up, and I dealt with a public affairs company hired by B&Q for that purpose. There is absolutely nothing wrong with that—it wanted to get the message to parliamentarians about its excellent community work. What is wrong with that?
What is wrong with it is the incestuous relationship between Parliament and the lobbying world. Many Members, particularly new ones, used to be lobbyists—there is a bigger number than ever before—and many MPs hope to become lobbyists when they retire.
I have been speaking for a long time, so I will make my final point. Our great problem is that the tentacles of lobbying are sunk deep into the body politic, and it is very difficult to remove them. Two Governments have so far failed to do so, in spite of the Select Committee’s urgings. Of course there can be excuses and explanations, saying that there is nothing sinister about the issue, but I return to one of my previous points, which is that we must restore our reputation with the public.
Our reputation is in a terrible state after the expenses scandal. The public have a right to be suspicious of us and to disbelieve our excuses. If we give them a chance to say, “This action by an MP could be misinterpreted,” as in the case of the Member who was receiving income from a lobbyist, we should have a code of conduct that will remove any doubt. A person cannot eat privately one day and ministerially the other. He or she cannot blur the differences by ignoring the fact that someone who is giving advice and is present in a meeting is taking income from undeclared outside sources. That cannot be allowed—we cannot go on like that. We cannot have groups in this building taking money from oppressive regimes without its being clear what their programme is. The Prime Minister, when he was in opposition, stated clearly in splendid words that lobbying would be the major scandal of the future unless we have clear and simple root-and-branch reforms now that make no compromises and leave no loopholes. That is what is called for and it is also our purpose.
I shall end now, Mr Robertson—it is a pleasure to serve under your chairmanship—as I understand that many Members wish to speak so that we can use the opportunity to ask the Government what they have done to honour the Prime Minister’s fine promise and when reforms will be introduced to ensure that we have a transparent system with a compulsory register.
Order. Before we go any further, let me say that a number of people wish to speak in this debate. Those on the Front Bench will have 10 minutes each, so there is 40 minutes between the rest of you. I would be most grateful if you all looked at timing your speeches.
I will start by declaring an interest: I am a former lobbyist and an unpaid board member of a group which spends part of its time lobbying this place and other places.
I congratulate the hon. Member for Newport West (Paul Flynn) on securing this debate. I hope that I encourage him when I say that I sympathise with much—but not all—of what he has said.
The Government’s progress in their first 18 months of office is rather more promising than that which their predecessors achieved in 13 years. The coalition agreement strikes the right balance between encouraging lobbying and ensuring transparency. People should know what we are up to over and above what they can obtain from the register and under the Freedom of Information Act. None the less, we must be cautious about some of the unintended consequences. I do not want to over-simplify things because, as I have said, I am on the same page as the hon. Gentleman in so many ways. The solution is not only the register but the codes of practice and the professional standards that underpin the register. As a former lobbyist, I attach the greatest importance to those matters.
As a Government and a party, we promote and champion self-regulation over statutory regulation. Having dealt with a number of regulators in my previous life, I have some experience of such matters. My experience of the Advertising Standards Authority as a regulator was pretty good. The organisation had teeth, it did things and it applied standards with which the lobby industry was entirely comfortable. My experience with other organisations, such as the Market Research Society, was less than satisfactory. When trying to table a complaint against an individual member of the MRS, we found that the president of the MRS was the very same person against whom we were lodging the complaint. I am talking about not just blurred lines, but real confusion, and I had a similar view of the Press Complaints Commission. I am probably one of the few Members in this Chamber who took Piers Morgan to the PCC when he was editor of the Daily Mirror. I was astonished by the complete contempt that he showed for that body—it was as if it was not there. He did not give a damn. At that particular moment, it was, as far as he was concerned, a toothless organisation.
The hon. Gentleman has more recent experience of the organisation than me.
The Leveson inquiry is investigating this matter. There is the huge question whether there needs to be a fully independent, backed-under-law body to which the public can go with press complaints. We have already debated that at length in the House, but will the hon. Gentleman, as a Conservative, support something much stronger—if not statutory—than the PCC to which the public can go with complaints about appalling press behaviour?
I suspect Mr Robertson may get at us if we drift off lobby groups too obviously. All I will say is that there is a huge difference between a trade organisation and a regulator, and confusion arises when people try to be both. Any measure that separates the role of a trade representative and a regulator has to be something that we view positively.
The hon. Member for Newport West has mentioned definitions. With the greatest respect to him, he over-simplified the situation. There are many worthy charities representing large numbers of people—in some cases, they represent smaller numbers of people—that fall into the lobby category. We must all ensure that we do nothing to interrupt the ability of the charitable sector to lobby us hard. If we do not permit or encourage that, we will create a worse situation as far as public confidence is concerned.
I note what my hon. Friend has said about lobbying by charities. Although many charities do a remarkable job, does he not agree that charities would be better off focusing on their charitable works? In 2009, Oxfam reportedly got 25% of its funding from the state, but then spent £25 million on what was described as “helping people to lobby Government”. Surely, most of Oxfam’s excellent work should be primarily focused on the front line.
I agree with my hon. Friend up to a point. One purpose of the charities, however, is to persuade Government and political parties to recognise the needs of their charitable members and to legislate—or not legislate—accordingly, so it is a perfectly legitimate activity. Age Concern, for example, does very good work in informing and persuading us.
On charities, what aspect of registration, transparency and financial disclosure does the hon. Gentleman fear might impede their legitimate activity?
There is absolutely no problem with transparency. I was also involved in setting up a rural charity, so I do not have a problem with that in any respect. Bureaucratic red tape or cost impacts that cannot be justified would be a problem. There are people who make legitimate donations to charities because of the good work that those charities do. They like to do so in private, and they would be less inclined to donate if they thought that their donations were going to be seen by all and sundry. To want to contribute to a charity in private is a perfectly reasonable thing. We need to be a wee bit careful in exposing all donors to all charities, because that might have a detrimental effect on charities that rely on people who like to do such things under the radar. I am not saying that there is not a solution, but a balance needs to be struck.
I agree with a lot of what the hon. Gentleman is saying, but much of the speech by my hon. Friend the Member for Newport West (Paul Flynn) dealt with direct payments to people who are elected. For example, if a company pays a councillor, it is regarded as a bribe and it is illegal, but similar payments to an MP are perfectly legal. Is that not the kind of contradiction to which my hon. Friend was pointing?
The hon. Gentleman makes a reasonable point. However, I am not as convinced as others that simply because somebody undertakes, in a way that is perfectly above board, a piece of work on behalf of a charity that it necessarily constitutes deceit in the eyes of the general public. There are plenty of Members of Parliament and elected members of other devolved institutions who have done their job with great distinction and worked on behalf of a charity that backs a cause that they were particularly aligned to, and they have not suffered at the ballot box as a result. What they have done has been open and accountable. We must take care not to assume that all those things are always seen as negative, because they are not and in some cases they can be seen as positive. As my hon. Friend the Member for Harlow (Robert Halfon) has said, as long as the information is out there, it is up to the electorate, who I guess we all trust, to make a judgment. In many cases, that judgment has been made positively in respect of Members who have done it. I simply put the argument as it is without necessarily having a solution to it.
There are very good reasons for encouraging constituents, singly, in small groups or as official delegations, to lobby Members of Parliament on behalf of causes or concerns in the constituency. I would hate to see us introduce any measure that made it more difficult for our constituents to do that. The hon. Member for Newport West has goaded me on the animal welfare arguments. Of course, there are some fantastic charities, such as the Royal Society for the Protection of Birds, that represent many millions of members and that can organise themselves on a constituency basis and lobby for a particular cause in that area. Good luck to them, because that is what they are there for, that is what we pay our membership for and that is what they should be encouraged to do. As I have said, we need to be careful about an unintended consequence that would actually put off all those people, make their access to us more difficult and make all the more awkward their ability to persuade, inform and educate us. We should not be involved in anything that suggests that.
On donations, we must be—as ever—extremely sensitive, for all the reasons that the hon. Member for Newport West has mentioned; I agree with him about that. However, that is not to say that all donations should always be made public, come what may, for the reasons of charitable good will that I mentioned earlier.
To be frank, if we end this process of trying to make lobbying more open, accountable and transparent, which is a process I support, by coming up with a system that is more toothless, more pointless and more expensive than the current one, rather than contributing to the restoration of public confidence in and enthusiasm for MPs and our political institutions, we will have the opposite effect. For that reason, I hope that we treat this matter with considerable caution.
I listened with some amazement to the hon. Member for Carmarthen West and South Pembrokeshire (Simon Hart) saying that we should be careful, because people will be put off lobbying. I assure him that the people of Bassetlaw do not require paid advisers to lobby their MP eloquently and effectively. We have a word for it—democracy. My problem and my constituents’ problem is that access to MPs, and therefore access for my constituents, is squeezed and blocked by the number of paid lobbyists representing interests, gaining access preferentially and using their contacts, which stops the rest of us getting the access to the Government that we should be getting.
My hon. Friend the Member for Newport West (Paul Flynn) has used the term “incestuous”. I think that a better term to use is “interchangeable”, because we are becoming a Parliament of paid, professional lobbyists. The reason is that the political class, the advisers and the researchers are entirely interchangeable with the lobby industry—they are literally interchangeable. People spend a couple of years as an adviser, then a couple of years as a lobbyist, then they go back to being an adviser, then they go back to being a lobbyist and then they go into Parliament as an MP. That is the way into this place, although I will not embarrass the dozens and dozens and dozens of colleagues who have entered the House in that way.
What does the hon. Gentleman propose as a measure to stop that career development, because it is clear that many of our colleagues have followed the path that he has just described? Is he going to introduce legislation to stop that?
The hon. Gentleman will want to listen to my speech. He may have a “career” in this House, but I have a vocation here, attempting to represent the interests of my constituents. That seems to me what being a Member of Parliament should be about.
Let me give an illustration of this interchangeability, or “incestuous relationship”, as my hon. Friend the Member for Newport West has described it. We will go to the top and start with the Prime Minister, because of course the founder of Shandwick lobbyists was Lord Chadlington. Lord Chadlington was the Prime Minister’s patron to get his parliamentary seat in Witney and, as was reported in The Sunday Times in 2007, he offered the Prime Minister his little farm and pool, in which the Prime Minister’s family were invited to swim. Actually, he did a lot more than that, because the little farm is the same building that he gave the Prime Minister and that the Prime Minister used for the first six months that he was a Member of Parliament. And Lord Chadlington is a man who formed a lobbying company, which was eventually sold on to Huntsman—sorry, Huntsworth lobbyists. People can see that Huntsworth does not lobby me that often. [Laughter.]
Huntsworth has its tentacles across the world. One of its subsidiaries is called Quiller. The Minister will be smiling, because Quiller employs lots of people from lots of different political parties, including advisers. I have never heard of it myself, but apparently two of them were advisers to the Labour party; they were a Mr Smith and a Mr Slinger. I never came across them myself. There were also a Mr Alistair Murray, who advised the Liberal Democrat party, and a Mr Parkinson, a Ms Roycroft and a Mr Malcolm Morton, who were all aides to Conservative MPs. Indeed, the Minister will know Mr Malcolm Morton, because he was an adviser to the Minister. Saying that is not to criticise either the Minister or Mr Morton, but it demonstrates the interchangeability between the political world and the lobbying world. That preferential access is gained by personal contacts, which is what is fundamentally wrong with the current situation.
Would my hon. Friend also include those people who have worked for trade unions in this sphere, for example people who have been the head of education and research for their union or people who were trade union liaison officers?
Double standards.
The Minister says “double standards”. That is what the Government are attempting to do; they are attempting to distract us from this issue, because of the Werrity scandal, and make us look at another issue. This issue has nothing to do with “standards”; it is to do with access. If a Minister’s researchers and advisers become paid lobbyists, of course they have better contact and communication with that Minister, whether that is a Conservative Minister, Labour Minister or any other Minister. Of course that is the case and that is the problem.
The question, “What should be done about it?”, is fundamental. Before I answer it, however, there is another aspect that we must consider. Let us take the case of Bell Pottinger and the Werrity scandal. In that case, the question that arises is about the international role of lobbyists, because what has not come out is information about the role that Bell Pottinger was playing in Sri Lanka. People have been distracted from that issue, not least because Lord Bell is doing quite a lot of the public relations to try to cover his tracks and what was going on, which was Bell Pottinger representing the Government of Sri Lanka. According to the Catholic bishop of Mannar, under that Government 146,000 people have disappeared without trace, including many members of his congregation, and Bell Pottinger is there in Sri Lanka representing the interests of that Government. That is why transparency is important, and that is why we need to know if Ministers are having meetings with the Sri Lankan Government that were set up by Mr Werrity or indeed by anyone else. What is going on? Bell Pottinger is being paid to facilitate such things on behalf of the Government of Sri Lanka.
I will conclude now because other Members wish to speak, but what we need are the following principles, which I will put to the Minister. The first principle is transparency. There must be absolute transparency in all the meetings that we have as politicians, and there is not. The lack of transparency is the fundamental weakness that exists, with people claiming that “private engagements” have happened. There should be no such thing as a “private engagement” for a Minister, and there should be very little of it for an MP. There should be transparency.
Secondly, where money and profit are involved, transparency is all the more urgently required and should be all the more available, because of the paying for access scandals that have bedevilled politics in this country.
The third principle relates to preferential access. There needs to be action on preferential access. How do we do that, because someone cannot stop their researcher from working for a lobbying company? It is a free world. However, there needs to be a recording of all ministerial meetings, and all MPs should be recording what lobbyists are attempting to do if they are successful in influencing them. Also, there should be a full ban on paid professional lobbyists having passes in order to access this place.
It is a pleasure to serve under you today, Mr Robertson. I congratulate my hon. Friend the Member for Newport West (Paul Flynn)—
I congratulate my honourable comrade on the Public Administration Committee on his remarks today. Underneath all the rhetoric from all parties, there is quite a lot of overlap. Although we need to be transparent and open, we should not necessarily see all lobbying as a sort of great conspiracy. I declare my interests, as set out in the Register of Members’ Financial Interests.
In my view, there are three kinds of lobbying. The first, which has already been described, is constituents writing to us or contacting us on a range of issues. The second involves charities and pressure groups. Many of those charities have huge budgets for public relations and public affairs. Many also have former special advisers working for them who know the Government inside-out, and therefore have what might be described as privileged access. The third kind is the traditional lobbying being highlighted today, which involves private firms, trade unions and big public sector agencies, and the public affairs firms that they hire.
I am proud that in my constituency we have a large bingo club with 40,000 members, and I was only too pleased when, a couple of weeks ago, the Bingo Association came to lobby me about various taxation issues. I cannot see anything wrong with that; it is a good thing, because I want to support my incredibly popular bingo club. We should not condemn all lobbying as sinister and retrograde, because some of it can be used to inform us. Tonight, I have an Adjournment debate on university technical colleges, and e-mails and letters that I have received from all kinds of interest groups have helped me to prepare for it.
It should be clear to my hon. Friend that that is not part of our concern. I have tweeted him about his 40,000 bingo club members, and commiserated with him on the fact that such is his constituents’ despair over the future of the economy that they have all resorted to gambling.
My hon. Friend’s wit has no bounds, which is why I enjoy sitting on the Select Committee with him so often.
I support groups and websites such as SpinWatch, the Alliance for Lobbying Transparency, the Sunlight Centre and Guido Fawkes, because the more openness and transparency the better, but this will be incredibly difficult. Let us say that there is a lobby company called Westminster Communications—I do not know if there is—[Interruption.] There is. Okay, let us call it Westminster X. If we say that that company has to lobby, there is nothing to prevent it rebranding itself as Widget Strategies Ltd and describing itself as a management consultancy, as opposed to a political one. How do we then register all the businesses that come to see us? Do we have a blanket diary entry and register everything? It is not as easy as it looks.
The case of Adam Werritty has been briefly mentioned. I do not think that that was a lobbying scandal; it was to do with the relationship between special advisers and Ministers. Sometimes the boundaries of special advisers are unclear. Under the previous Government there were Lord Levy and Alastair Campbell, who became a semi-civil servant. There is a lot of confusion, and that is why the Adam Werritty thing needed to happen. The Government need to make the role of special advisers much clearer, including how many there should be and what their duties are.
I agree 100% with my hon. Friend the Member for Newport West—he is almost my hon. Friend—about the issue of revolving doors, or Ministers leaving Whitehall and getting jobs. We had an interesting Select Committee sitting with Ian Lang, whose committee—the Advisory Committee on Business Appointments—seems not to keep records of individuals whom it has advised not to take up Government jobs, or of individuals who have taken up jobs after leaving Government.
Will the hon. Gentleman accept from me that it is not so much ex-Ministers who get these jobs, but senior civil servants, who award massive contracts in their Departments and very shortly afterwards go to sit on the boards of some of the companies involved?
I agree with the right hon. Gentleman. There are scandalous cases of senior civil servants walking out of one door and in through another. I find it particularly outrageous that the Government spend millions of pounds hiring head-hunters and recruitment consultants, yet some of those recruitment consultants have former senior civil servants on board who worked in the human resources department and—surprise, surprise—the job is given to that head-hunting agency. There is no difference between head-hunting agencies raking it in from the taxpayer, and being hired by the Government to carry out some of the activities that my hon. Friend the Member for Newport West described.
I regret that the previous Government did not do more. I was not around at the time, but a report by the Public Administration Committee urged the Government to compile a register on lobbying. However, the Government never failed to miss an opportunity to miss an opportunity. It is rich of many Opposition Members to start to have a go at the Government now, when they had so many years to get this right and did nothing.
I welcome the Prime Minister’s confirmation that he will go further and bring in a proper register of lobbyists, including of organisations such as think-tanks and trade unions, which are politically active and part of the lobbying landscape. The hon. Member for Bassetlaw (John Mann) condemned people who work as special advisers and then become MPs. I was one of those dreaded people. My work as a political consultant and as a special adviser helped to prepare me for Parliament. The hon. Gentleman would not criticise a lawyer who had spent all his life learning law before becoming a judge.
I agree with the hon. Gentleman, and the answer is that there must be openness and transparency, but it is not so terrible if a businessman hires someone who has worked in Government or for the Opposition because they understand what has been going on.
We must be more careful and much tougher with quangos—paid for by the taxpayer—that hire paid lobbyists to lobby the taxpayer for more money. Figures show that the Ordnance Survey and the Audit Commission spent more than £600,000 on lobbyists in 2009. Transparency and openness are key; all the problems will go away if everyone is clear about what is happening, and about which lobby groups are lobbying which Ministers and MPs, but there will be a difficulty with the definition.
I warmly congratulate the comrades, my hon. Friend the Member for Newport West (Paul Flynn), and the hon. Member for Harlow (Robert Halfon). It is an unusual alliance; perhaps they met around the sides of politics, from the ends of the Back Benches. I completely agree about transparency; it is key. Several Members have referred to the fact that the Secretary of State for Communities and Local Government has said that he was eating in a private capacity, not a ministerial one. I suspect that he might, on occasion, have eaten in both capacities on the same evening and that, like a cow, he has more than one stomach, and is therefore able to ruminate on behalf of several people.
On a point of order, Mr Robertson. That seems to be a case of fatism. Is that not inappropriate?
We need to remember that, in essence, we politicians are all lobbyists. We go through lobbies and try to advocate causes, and nearly every one of us—if not all of us—was in one shape or form a lobbyist before we came into Parliament. For example, my hon. Friend the Member for Bassetlaw (John Mann) campaigned for workers’ rights when he was working for a trade union; I, as a vicar, argued that my local authority was not doing the right thing by local youth services; others have campaigned for better policing, and so on. We are by nature lobbyists—advocates—trying to persuade people of a better cause. For a couple of years I was a paid lobbyist for the BBC, doing its lobbying in Brussels. I am proud of that work, because at the time Rupert Murdoch was saying that the BBC licence fee was illegal state aid, and that the BBC should be closed down. I am delighted that we won that battle in Brussels, and I believe that it is perfectly possible to be an entirely honourable lobbyist.
I remember when the Mental Health Bill was going through the House in 2007. As a Back-Bench member of the Bill Committee, I knew remarkably little about mental health and the specifics of legislation. If it had not been for a wide range of people who lobbied me and argued about elements of the Bill, I would not have been able to make as effective a contribution. In the end, I tabled the amendment that became the following provision in the Act:
“In this Act, references to appropriate medical treatment, in relation to a person suffering from mental disorder, are references to medical treatment which is appropriate in his case, taking into account the nature and degree of the mental disorder and all other circumstances of his case.”
To the ordinary eye—and, I suggest, to most MPs, unless they have a background in mental health—that seems a perfectly innocuous statement of what should be the case, but every single word of that provision was fiercely battled over, and rightly so, because of its effect on people who might be sectioned. It was not just mental health charities such as Mind and others that lobbied and provided advice; it was also pharmaceutical companies. If there is a list of evil people in the country, it starts with journalists, then politicians, and then lobbyists, and way at the far end are lobbyists for pharmaceutical companies, but my experience in that situation was that they provided invaluable advice. In the end, it was for me to decide the rights and wrongs and how I could best serve my constituents, but if people had not had such access to me, it would have been impossible for me to do a proper job.
The main opposition to any reform comes from those who wish to muddy the issue and suggest that we wish to hamstring some worthy body. The Prime Minister has given the definition of “secret corporate lobbying”; we should realise that that is the subject of this debate and the area in which reforms are long overdue.
My hon. Friend misunderstands me, I suspect. I do not seek to muddy reform; I want reform. I want a register, and I will suggest a couple of other things as well, but I think that we must be absolutely honest, and part of that involves honesty about the important role that good lobbying can play in the political process, particularly for Opposition Members. Ministers have a host of civil servants who can produce briefings and so on; Opposition Members simply do not have access to that much support. Often it is provided by organisations. If at any point a Member succumbs so completely to the blandishments of some organisation that they effectively become its subsidiary, they stop being a good parliamentary Member and constituency representative. That is the line that I want to draw.
We should also bear in mind that lobbying is a British tradition. It is because there was a lobby outside St Stephen’s chapel that the whole system arose. I remember clearly that when Paris lost its bid for the 2012 Olympics, Delanoë complained that the British had engaged in lobbying. I saw all too often in Brussels that although Britain was good at advocating its case, other countries were not, because they simply did not understand how to go about it properly.
Some industries are particularly lobbyacious—and, Hansard reporters, that is a word, because I have created it. Broadcasting is particularly lobbyacious, because so many elements of its work are determined by legislation. We must take special care to ensure a level playing field for everybody.
There are enormous problems, many of which have been referred to, including corrupt lobbying: offers of financial inducements, nice holidays, easy trips and so on. Some methods are directly corrupt and illegal, and the House should deal ferociously with Members who abuse in that direction. Sometimes Members would be best advised not to go to the meal or engage. The rules applying to this House are much stronger than those that apply to the other House. If one wanted to engage in dodgy lobbying, one would be far better advised to do so through the House of Lords—the House of patronage—rather than through the House of Commons. That is another reason why I support reforming the House of Lords to make it an elected second Chamber.
Another way in which it is probably much easier to do a dodgy deal is with civil servants rather than elected Members. There is far less openness; often even the names of people who make important decisions on tenders are not known to the public. Some countries have purposely selected individual Members of both Houses as being more pliable and biddable than others, and have enabled long-term relationships with them. Those relationships need close scrutiny.
What counts as a lobbyist is also a problem. I do not mean to say that we should not have a register; it is one reason why we should. The Prime Minister was a lobbyist before he came into Parliament, and most journalists advocate most of the time in one way or another, especially those with opinion columns. When my constituents set up an organisation to oppose the closure of the Treherbert baths or protect the minor injuries unit at Llwynypia, they are lobbyists. My hon. Friend the Member for Bassetlaw is absolutely right. If their space to lobby me were crowded out, I would be failing utterly in my job. Every single diplomat who works for the Foreign Office is also, in essence, a lobbyist. I often feel that they are sent abroad to eat for their country. It is important to recognise the advocacy role of what we do.
The first key thing is that there should be no paid advocacy. That is a rule of this House, but it is more honoured in the breach than in the observance. We need absolute transparency about funding and who is engaged in lobbying, and particularly about who meets any Minister or civil servant engaged in making key decisions.
On the point about influence, does my hon. Friend think that that should apply to Select Committee Chairmen, who have a lot of influence over policy?
That is a good point. Members of Select Committees that publish influential reports are often targeted by lobbying organisations. It would be no bad thing if each Select Committee had an open register of lobbying meetings held.
Passes to this place are a problem. When I worked in Brussels, getting a pass to enter the European Parliament on legitimate business was a simple, straightforward and open process. Here, it is clandestine. Lots of people end up finding an hon. Member who is prepared to give them one of their three passes. We should have a complete review of the system. Of course we must ensure security in this building, but everybody should have equal access. I would prefer to open the doors than keep them closed so that only some people have enhanced access. Nobody should have enhanced access due to big bucks or cronyism. That last element is difficult to control. I look forward to legislation introducing a register soon. I am not naive about the difficulties of determining what a lobbyist is, but it is essential that we clean up the industry.
I said that I would call the Front-Bench spokesmen at 20 minutes to 11, but I will give a few minutes to another speaker, as that is only fair.
I will be as brief as possible.
I worked in the public affairs industry for a year in 2009, but for a company signed up to the Association of Professional Political Consultants, which adheres strongly to transparency. There is a danger of exaggerating such people’s influence. Hon. Members returning after this debate should look in their recycling bins to see how much power the people that we are fretting about actually have. The truth is that we are inundated with lobbying all the time, and we throw away most of it. At the end of the day, it is down to our judgment whether we believe these people. As MPs, we are approached by companies or pressure groups that often smack of commercial interest and we can spot it a mile off. We might also get people who do not articulate their case very well, but we are the ones who can judge that and give them a voice when they may not have one.
I agree that there is a need to improve transparency, and particularly a need for a register of lobbyists. They should be required to list their clients and disclose whether anyone who works for them has had a previous Government role. However, I am nervous about going down the route of disclosing every meeting with people who are trying to lobby us, because it suggests that we base our opinions on the number of people who have lobbied us about something, rather than exercise judgment, which is what we actually do.
My final concern about publishing the details of such meetings relates to an unintended consequence whereby people say, “You met that group, so why can’t you meet us? You’ve met the People’s Front of Judaea, but what about the Judaean People’s Front?” It is difficult enough for Ministers to balance their work load. Do we really want to create a situation whereby organisations start to feel that they almost have an entitlement to meet Ministers on the basis that they have met somebody else?
I congratulate my hon. Friend the Member for Newport West (Paul Flynn) on securing the debate, which has been a good one. He is a doughty campaigner and several important issues have been raised. Among the many important issues raised by the hon. Member for Carmarthen West and South Pembrokeshire (Simon Hart) was that of unintended consequences. My hon. Friend the Member for Bassetlaw (John Mann) stressed the importance of the principle of transparency. The hon. Member for Harlow (Robert Halfon) made the point that there is a great deal of common ground between politicians in the House, and I shall revert to that. My hon. Friend the Member for Rhondda (Chris Bryant) pointed out that lobbyists fulfil a useful role and that it is the question of regulation that concerns us. I also thank him for introducing us to a word with which I was not familiar—“lobbyacious.” Finally, we heard, briefly but pithily, from the hon. Member for Camborne and Redruth (George Eustice), who underlined the complexity of the subject and warned us to be careful not to introduce unintended consequences.
I hope that Members agree that we should all do our best to establish a genuine consensus in the House on how best to register lobbying activity. It is well worth remembering that how best to regulate lobbyists featured in the manifestos of all three main British political parties during the general election campaign. The Labour party stated:
“We will create a Statutory Register of Lobbyists to ensure complete transparency in their activities.”
The Liberal Democrat manifesto stated that the improper influence of lobbyists should be curbed by
“introducing a statutory register of lobbyists”.
Indeed, the Conservative manifesto said:
“We will regulate lobbying through introducing a statutory register of lobbyists and ensuring greater transparency.”
The coalition agreement also has a commitment to a statutory register.
I hope that the Minister will indicate when the long-waited consultation paper will see the light of day. I read with interest his interview in the current House magazine, and it was rather unfair of it to refer to him as “Nick Clegg’s babysitter”. [Hon. Members: “Aah.”] I am glad that hon. Members agree that that is a rather unfair description. I dare say that some would prefer to describe the Minister as “David Cameron’s handmaiden.”
In that interview, the Minister alluded to several other constitutional issues, which mean that the register of lobbyists has slipped from the Deputy Prime Minister’s initial target of later this year. I sincerely hope that the Minister’s work load will not prevent him from keeping his promise of at least a consultation document in the next few weeks. If he could provide us with a publication date today, that would be most helpful.
When that consultation document is published, I hope that there will be a widespread debate and that the Government will listen carefully to the views expressed by all.
Although the hon. Gentleman rightly urges the Government to take action on this and for us to fulfil our election manifesto commitment, does he not regret that his own party did not follow through the recommendations of the 2009 report of the Public Administration Committee?
If the hon. Gentleman will bear with me, I will address that point in a moment.
It is important for the Government to learn from the unfortunate episodes that we have witnessed in this House in recent times. I also urge them to study carefully the experiences of other legislatures, particularly in Australia and Canada. There is no easy formula or one-size-fits-all approach—nothing can be taken off the shelf—but we can learn from what has happened in other countries.
I would like to make a few suggestions about the principles that I believe should underpin any future statutory register of lobbyists. Building on the cornerstone of transparency, to which several Members referred, the Public Administration Committee stated in its 2009 report that information in a statutory register must include
“the names of the individuals carrying out lobbying activity and of any organisation employing or hiring them, whether a consultancy, law firm, corporation or campaigning organisation.”
Secondly, it stated that the information should include,
“in the case of multi-client consultancies, the names of their clients.”
Thirdly, it recommended the inclusion of
“information about any public office previously held by an individual lobbyist—essentially, excerpts from their career history.”
Fourthly, the report said that there should be
“a list of the interests of decision makers within the public service (Ministers, senior civil servants and senior public servants) and summaries of their career histories outside the public service”.
Fifthly, it stated that there should be
“information about contacts between lobbyists and decision makers—essentially, diary records and minutes of meetings. The aim would be to cover all meetings and conversations between decision makers and outside interests.”
Those five points are a good starting point. Some will suggest that they do not go far enough, while others will say that they go too far. They are, however, a useful point at which to begin our discourse. As the hon. Member for Harlow suggested, some may wonder why the report was not implemented when Labour was in government. I shall pre-empt that argument by saying that, while it is true that Labour did not take up the Committee’s call for a statutory register, it nevertheless indicated in January 2010 that, if a voluntary system proved ineffectual, it would be necessary to go further. I suggest that the time has indeed come for us to go further.
There is a danger that our approach to this admittedly complex and difficult area could end up being too broad and general. We must also be mindful of unintended consequences, as a number of Members have said. We are all advocates and ambassadors for our constituents, and many of us support a wide range of organisations that do not fit the widely accepted definition of a lobbying organisation. We must be careful that we take that into account when we define which bodies and individuals should be included in a statutory register of lobbying interests.
Finally, a register of lobbyists will not wholly solve the problem of the exercise of inappropriate influence. Let us not forget that the friend of the right hon. Member for North Somerset (Dr Fox), Mr Adam Werritty, was not a lobbyist as such. If anything, that episode clearly demonstrates that it is necessary for us to have in place a number of safeguards that are vigorously enforced. A statutory register of lobbyists, however, would be a vital element in ensuring that faith is restored once again in our parliamentary democracy.
It is a great pleasure to serve under your chairmanship, Mr Robertson. I congratulate the hon. Member for Newport West (Paul Flynn) on securing the debate, which has largely been helpful and balanced.
The contribution of the hon. Member for Rhondda (Chris Bryant) was useful because it put into context the fact that lobbying can be very helpful and that it enables Members of Parliament to be better informed. He gave the example of the Mental Health Bill. I had the same experience in opposition, when I worked with many disability organisations and charities. In opposition, some of the assistance and resources of lobbyists are needed to help the argument and ensure that legislation is framed properly and that well-informed questions can be asked. The problem occurs when those types of contacts are not transparent. The right hon. Member for Oxford East (Mr Smith) and my hon. Friend the Member for Harlow (Robert Halfon) made that point. The issue is transparency.
I will say this from the start as it may pre-empt some interventions: we are committed to introducing a statutory register. We will publish our proposals for consultation before the end of this month, and then I hope we can engage in that debate. Several hon. Members have alluded to that matter. The reason we are publishing our proposals for consultation is very simple: we want to get it right. We need to get the definition of who would be captured by the term lobbyist correct. We must not stifle legitimate lobbying or the ability of our constituents and other people to talk to us or Ministers, but we need to ensure that the relevant information is out in the open. We must deal with the issue correctly, so we will publish our proposals and have a thorough consultation on which everybody—Members and those outside—can have their say. We can then ensure that we strike the right balance.
Is there not an element of “There’s a hole in the bucket, dear Liza” in all this? As the Minister says, when the proposals are published, there will be consultation and debate. No doubt that will involve a considerable degree of lobbying. What will be his attitude to the lobbying approaches he receives as Minister during that consultation period?
Let me come on to that at in a moment because I want to set out my thoughts logically.
I thank the hon. Member for Caerphilly (Mr David) for his relatively consensual approach because it is important that we get dealing with the issue right. The subject affects all parties, and all parties have lessons to learn. We need to ensure that we approach the issue on that basis. He struck the right note, but to encourage other Labour Members also to take such an approach, I will remind them of what they did or did not do in Government. An amendment tabled by the Liberal Democrats on having more transparency on lobbying was mentioned. Every single Labour MP here who was in the House at the time happily voted against that. The hon. Member for Newport West clearly paid very little attention to the new clause when he voted against it because if he had read it, it sounds as though he would have agreed with most of it.
The Minister has eight minutes to build some kind of consensual approach to the subject, instead of which he is involving himself in petty political point scoring. Can he tell us how often he has been lobbied about the lobbying reforms since he has become a Minister and will he have talks with the Opposition to ensure that we have a consensual approach? Such an approach will possibly take us into the next Government, which is when many of us think these reforms will take place.
I would have slightly longer to respond if the hon. Gentleman had not interrupted me. I was coming on to his point and was trying to deal with the questions he raised in his speech.
On the hon. Gentleman’s comment, the Government have made a lot of progress on transparency. We publish all the meetings that Ministers have with external organisations. If he had troubled to look at the written answers I have given—and, indeed, my meetings—he would see that I have had one meeting with the independent chairman of the UK Public Affairs Council on the subject. I have had no meetings to discuss the issue with lobbying companies and no meetings with anti-lobbying companies either. We will publish a comprehensive consultation, so that everybody can have their say.
That information on meetings has been published. If the hon. Gentleman had looked for it before the debate, he would have seen it. The details are available on data.gov.uk for the benefit of hon. Members. We also publish hospitality and gifts received by Ministers and special advisers, details of Ministers’ overseas visits, details of permanent secretaries’ meetings and Government procurement information so that we can see what the Government are spending and lots of other information.
The meetings that Ministers in the Department for Education hold are a very good example of departmental meetings. The sorts of people to whom they talk are not surprising. The most frequent meetings are with the National Society for the Prevention of Cruelty to Children, Barnardo’s and the National Children’s Bureau. Those are the sorts of people one would expect Ministers in that Department to meet, so that they can talk about serious and important issues. Transparency is very welcome.
The previous Government did not make progress on the matter. Just before the election, they committed to a statutory register in response to the events that took place in March 2010. At that time, several former Ministers were accused of behaviour that, following the report of the Select Committee on Standards and Privileges, led to their being banned from the House for a significant period. I only say that to calm down some Labour Members who get rather paranoid about the speed with which the Government are working. As I have said, we will publish the consultation paper this month and we will make progress. The previous Government did not do that during the 13 years they were in office, so can we just have a bit of calm? I am very happy to work with the hon. Member for Caerphilly who speaks for the Opposition on a consensual basis.
Yes, and I am very pleased to do so.
The hon. Member for Newport West also referred to Ministers who take up roles on leaving office. My right hon. Friend the Prime Minister strengthened the guidelines on that in the ministerial code he published last year. Ministers must seek the advice of the Advisory Committee on Business Appointments and they must abide by it. That was not previously the case. Ministers had to get the advice, but they did not have to abide by it. In addition, for the first time, my right hon. Friend introduced a ministerial code that bans former Ministers from lobbying for two years after leaving office. So, they are absolutely not allowed to go straight out of office, get a job and start lobbying the Government again. That is a very helpful step forward.
I welcome my hon. Friend’s remarks about the advisory committee, but does he not think it would be better if it published its recommendations for everybody to see? We could then see which Ministers had followed the advice and who had not.
I listened very carefully to what my hon. Friend said about the inquiry that the Public Administration Committee is undertaking at the moment and the evidence it has heard. Clearly, when it publishes its report, the Government will look very carefully at its recommendations and respond in due course. I look forward to the Committee’s report.
The Minister referred to the website data.gov.uk. I have just had a chance to go on that website and can see that the Cabinet Office information has not been updated since December 2010. Does he think that that is transparent?
My understanding is that all the meetings up to the end of April this year have been published. However, I will check up on the matter. It was my understanding because that information has been provided.
On the point the hon. Member for Bassetlaw (John Mann) made, even some of his colleagues—I will not embarrass them by pointing them out—thought that his line about trade unions not being encompassed by the transparency rules is unsustainable. Given the fact that the party he represents gets 85% of its donations from trade unions and a quarter of its donations from a single trade union, I am afraid that his argument is simply not defensible.
But every trade union official who seeks to influence Members and Ministers is engaged in lobbying, and they should be covered by the transparency rules just like everyone else. They have nothing to hide and it is important that the hon. Gentleman recognises that as, to be fair, I think several Labour Members do.
There will be some challenges about definitions and what we encompass in our consultation. That is why we want to listen and ensure that people can make a case and approach Members of Parliament, and that there is nothing untoward going on. We need to ensure that there is transparency, that people know what is going on, that Members of Parliament and Ministers are using their judgment about the arguments when they are making decisions and that people are not getting privileged access.
Transparency is a good thing. We will introduce our proposals this month and listen to what people have to say. I am very happy to have a dialogue with the hon. Member for Caerphilly to try to reach a consensual approach between the parties because the position will then be much clearer. The hon. Member for Newport West made a valid point that we need our constituents to have much more confidence in the system. I hope that we can reduce the chances of abuse and problems occurring in future.
(13 years ago)
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It is a great pleasure to see you in the Chair, Mr Robertson, on a fine morning in Westminster. Having said that it is a fine morning in Westminster, it is a difficult time for families in Telford, who are struggling with higher food prices and energy bills, and who are worried about their jobs and their children’s futures. People in Telford are experiencing a significant squeeze on their living standards as a result of the global economic crisis and the deficit reduction strategy being pursued by the coalition Government. The global financial crisis has hit every country. The downturn was not created in Britain; it was caused by the irresponsible actions of the banks, which pushed up deficits in every major country. Every country, therefore, faces the challenge of getting its deficit down. The question is how quickly that should be done, and how to ensure that economic recovery is not choked off, which would make things worse.
I will return to that theme later, but I want to focus specifically on Telford and the situation that my constituents find themselves in. There is a very worrying trend in the number of people out of work and claiming jobseeker’s allowance in Telford. As of September this year, 2,929 are in that position. That is an 85.1% increase on the same period in 2006, with a 6% rise since last year. Some 345 people have been claiming for 12 months or more; that is 5% of 16 to 64-year-olds, and 6.6% of the economically active population. More than 1,000 people aged 24 and under claimed jobseeker’s allowance in September. A third of the total number of people unemployed are young people. More than three people— 3.4 people, in fact—are chasing every vacancy that is notified to Jobcentre Plus. The actual figure is probably higher than that, as companies tell me that they get hundreds of applications for every job that they advertise. I visit companies in my constituency, and they always get a flood of applications when they advertise a post.
Telford has a large number of public sector jobs, and some of the biggest private sector employers are reliant on public sector contracts. Uncertainty over job cuts and low growth in the economy generally—in fact, a virtual flatlining of growth—has left people worried about their future. In turn, that has a number of consequences, such as a sapping of confidence in the local housing market. A report published yesterday by the Home Builders Federation shows that in 2000, house prices in Telford and Wrekin stood at 3.41 times average earnings. In 2010, that had risen to 6.1 times average earnings. Lower-quartile house prices—the properties most likely to be bought by first-time buyers—have risen from £42,750 in 2000 to £107,500 in 2010. People are struggling to secure mortgages, and entry into the market is very difficult for first-time buyers. There is a burgeoning private rental market in Telford. Every week, when I pick up the Telford Journal, there are significant numbers of properties up for private rent—a clear sign that the sales sector of the local housing market is struggling, and that there is a lack of confidence.
That is the backdrop to an intense squeeze on living standards for those who are in work. We all know that inflation is high, with the retail prices index at 5.6%—the highest annual rate since 1991. The Government seem to be largely ignoring that fact. They are keen to downplay the importance of inflation in the economic landscape, like someone who thinks that if they cover their eyes the problem will just go away. For those on low and fixed incomes, including pensioners, inflation is a hammer blow, particularly when interest rates on savings are not keeping pace with inflation. Meanwhile, wages are being squeezed. Indeed, the Governor of the Bank of England has said that real wages this year are likely to be no higher than they were in 2005. This is the first time since the 1920s that wages have fallen over a six-year period.
Food prices are on the rise, and the big six energy companies have announced sharp rises in prices. Families now face average bills of more than £1,200 a year for gas and electricity. Across the west midlands, approximately one household in four lives in fuel poverty, spending more than 10% of its income on fuel costs. I regularly see constituents in Telford who complain bitterly about fuel prices. Households in poor-quality housing face even higher energy costs. We need a major review of how the energy market operates, and we need to bring greater competition into the market. Privatisation effectively created a six-company cartel for energy, with the big providers dominating the scene. We need to diversify that market if we can, or at least do what the Prime Minister suggested—I support him on this—and ensure better information on bills, so that people can compare prices against those of other providers. That is crucial. We need energy companies to invest more, and to try to bring down prices.
I mentioned the number of young people claiming JSA in Telford. The next generation has seen the future jobs fund and the education maintenance allowance scrapped. Alongside that, two thirds of universities plan to charge the new £9,000 tuition fee, and average fees will be more than £8,000. Clearly, the situation is very difficult for young people who are looking to get into employment, training or education. We need a massive drive to get young people into education, training or work. Our activity needs to be focused on the needs of young people in towns such as Telford.
Does the hon. Gentleman accept that one of the ways that standards of living can be improved for the constituents of Telford and The Wrekin is by ensuring that public finances are managed well, both nationally and locally? Given that Telford and Wrekin borough council has a new Labour administration, does he support my call for a council tax freeze in the coming years to help those who are struggling to make ends meet?
Clearly, the council will have to look at its budget very carefully. It will have a number of pressures in the next year or so. We will have to consider the Government’s funding proposals for the local authority. Clearly, the council will look at its budget-setting. Its difficulty is that massive cuts are in place, and they are affecting the poorest people in our community. The answer to the hon. Gentleman is that we will have to wait and see. At the moment, I do not know what the council’s position will be on council tax.
On household incomes, the Government’s decisions on VAT rub salt in the wounds of every family in Telford. The latest report from the Office for National Statistics states:
“The poorest fifth of households in the UK spent a higher proportion of their expenditure on goods and services that attracted Value Added Tax (VAT) in 2009/10 than in 1986…Poorer households in 1986 spent a smaller proportion of their expenditure, than poorer households in 2009/10, on discretionary items which attracted VAT…the data shows the poorest fifth of households in the UK pay more in VAT as a percentage of their disposable income than the richest fifth.”
VAT is hitting the poorest people in our community the most. We need a quick rethink on our VAT strategy. We need to ensure that we support households that find it very difficult to make ends meet.
I mentioned pensioners earlier, and I wanted to say that many of them in Telford tell me how important the winter fuel allowance and free local bus travel are. The yearly tax-free payment to help people pay for their heating in winter was worth £250 for over-60s and £400 for over-80s. I was extremely disappointed that the coalition decided that the payment will revert to £200 and £300 for the two age groups in the winter of 2011-12. I urge the Government to think again in their pre-Budget report.
I do not claim that Telford has problems that have emerged only in the past 18 months—frankly, that would be ridiculous. Telford and Wrekin has higher than average levels of multiple deprivation, especially in wards in the south of the town, and we have a significant number of children living in poverty. The End Child Poverty campaign group, which fights to give poor families a voice, estimates that 30% of children in the Telford constituency were living in poverty in mid-2010, compared with 23.1% in England as a whole; in some wards, the figure was approaching more than double that. Children are classified as being in poverty if they live in families in receipt of out-of-work benefits, or in receipt of in-work tax credits, and with a reported income of less than 60% of median income. Telford and Wrekin’s NHS trust states that 9,305 children are living in poverty in the borough.
Those problems have no quick fix. I am proud of the work of the previous Government, who introduced tax credits and a range of benefits to support children. Sure Start children’s centres have been a major success in the town, and the Building Schools for the Future programme promised the opportunity for every child to enjoy state-of-the-art learning facilities. Locally, that policy was supported on both sides of the council chamber, I am pleased to say, but we must still do more to support families.
People in Telford regularly raise the issue of the cost of child care and the continuing inflexibility of the labour market, and we need to do much more work on those policy areas, but the key to improving living standards in the town is to secure growth in the economy and attract more high-paid work. That approach helps people who are struggling and who are having their living standards squeezed, and supports business.
Immediate action should include the following five points—they will not come as too much of a surprise to you, Mr Robertson. First, a £2 billion tax on bank bonuses could fund 100,000 jobs for young people and build 25,000 affordable homes. Secondly, long-term investment projects, such as new school buildings, should be brought forward—we have done well in Telford with that kind of approach. Thirdly, the VAT rise should be temporarily reversed, which would give a £450 boost for families with children. Fourthly, there ought to be a one-year cut in VAT to 5% on home improvements and repairs, to help small businesses. Fifthly, there ought to be a tax break for every small firm that takes on extra workers. In short, in Telford we need Labour’s five-point plan for growth.
I commend the hon. Member for Telford (David Wright) on securing this debate, which I am sure is important for his constituents. He covered a wide range of issues, and I hope that I can set out some of the action that the Government are taking. I absolutely understand his concern about the challenges that families face. I am sure that he welcomes the swift action that the Government have taken to address many of those underlying concerns. As my hon. Friend the Member for The Wrekin (Mark Pritchard) said, if we are to provide the long-term stability that families need, the first thing that we must do is secure the public finances. The truth is that the Government inherited from Labour—the party that the hon. Member for Telford represents—the largest public budget deficit in peacetime history: it was some £156 billion, which is more than the deficit in many other developed countries, and it accounts for around 11% of our country’s annual income.
The hon. Member for Telford (David Wright) set out five points for growth, but he could have had a sixth point: stop taxpayers’ money being used to fund unions in local authorities. Most people in Telford and Wrekin would rather see their taxpayers’ money spent on a weekly bin collection than on full-time union officials who will possibly campaign in local elections.
My hon. Friend makes an important point. Councils have a real challenge in ensuring that they are using their money most efficiently. An important recent report by Scope showed a huge divergence in how councils are approaching their budget challenges. By making decisions on what is most important for our constituents and local residents, we can ensure that the money goes where it is needed most. I have great sympathy for his point about weekly bin collections. Ensuring that public finances are secure is at the heart of what our Government are all about.
Let me set out for the constituents of the hon. Member for Telford some practical ways in which the Government are taking account of the pressure on families’ finances. The cut in fuel duty made by the coalition counters some of the measures of the previous Administration. Rather than recognising the problems faced by families, the previous Government put this country on an ever-increasing fuel duty escalator, creating some of the problems that we are dealing with. Rather than continuing on that escalator, the Government decided not to implement Labour’s planned increase of 5p per litre in April this year and, in the Budget, announced a further 1p cut as well, recognising the real challenges faced by families.
The other important issue that the Government have taken into account is the real financial problem that council tax causes families. A council tax freeze recognises the financial challenges that the hon. Gentleman rightly outlined. Our measures recognise those challenges and try to help families to make ends meet in these difficult times.
As a Minister in the Department for Work and Pensions, I very much feel that employment is the way out for many of the hon. Gentleman’s constituents, and would enable them to achieve the standard of living that I know he wants them to enjoy.
Does the Minister agree that the fantastic recent news that Jaguar Land Rover has decided to invest in my constituency will create an awful lot of employment, and not only in South Staffordshire? It will benefit many people working in the supply chain industry in Telford and across the region.
I thank my hon. Friend for mentioning that very real example of how British industry—indeed, the manufacturing sector—is benefiting from the stability that the Government have achieved by getting our public finances in order and ensuring that people feel that it is right to continue to invest in our country. It is not only large employers, such as the one that he cited, but smaller employers who look to the Government to ensure that Britain is a great place to do business. The work undertaken by our colleagues in the Department for Business, Innovation and Skills shows the Government’s commitment to the issue.
We are improving support for new businesses with a 40,000-strong network of experienced business mentors. We are working to strip away regulations, and we are cutting corporate taxes. We will bring the headline rate down to 23% by 2014, making this country one of the most attractive places to set up a new business. We are giving micro-businesses a three-year exemption from all new domestic regulations from April 2011, and we are helping small and medium-sized enterprises to create new jobs by investing £180 million in 250,000 new apprentices. Those are the sorts of practical ways in which the Government are supporting the constituents of the hon. Member for Telford, so that they are not, as perhaps happened under the previous Government, consigned to unemployment, but given the opportunity to get into work.
If we look at the unemployment figures for Telford from 2008 to 2010, the sad truth is that the rate nearly doubled. Even more tragically, under the previous Administration, the number of young people who sought jobseeker’s allowance increased from a little more than 500 to more than 900. At a time when the economy was growing, the previous Administration did not do enough to help individuals get into work, and the recession has made a difficult situation worse for the hon. Gentleman’s constituents. That is why my Department has been looking at a wide-ranging set of reforms. The universal credit will ensure that work will pay, and the Work programme will ensure bespoke and individual support to get people into work in long-term, sustainable jobs. That practical support will give his constituents the sort of job that will secure them the standard of living that he is fighting for them to enjoy. I hope that he will support the introduction of the universal credit and the Work programme, which will benefit his constituents in the way that I outlined.
As the Minister with responsibility for disabled people, I note the challenges that many of the hon. Gentleman’s disabled constituents will face, so the Department has been looking very carefully at how we can support and help disabled people into not just short-term but long-term employment, and help them to retain jobs that they may already have. I was pleased to note that Remploy Employment Services has supported almost 200 individuals in the past year in the hon. Gentleman’s area. It has helped individuals with disabilities or in challenging circumstances to get into work, and throughout the Shropshire area it has helped more than 500 people to get into employment. That practical help will really make a difference to the residents of Telford. That success story applies to the broader employment market as well.
Telford jobcentre has around 1,000 new vacancies every month. I hope that the individuals whom the hon. Gentleman represents will be able to get skills under their belt through the Work programme and take advantage of that job market. No one is saying that it is easy or straightforward. It is a challenge, particularly in an area that has had a great history of industry that has evolved and changed. I speak with a little knowledge, having been born and brought up not far away. The communities face real challenges. However, through the Work programme and the support that we can give people to get the right sort of apprenticeship training, we can help many of the hon. Gentleman’s constituents. Perhaps they have felt that they did not have the relevant support to get into employment before, but we will provide support to help them get the sort of jobs that will give them the standard of living that I know the hon. Gentleman wants them to be able to enjoy.
I share the hon. Gentleman’s concern about fuel prices and the challenges that families face, but I hope that he is reassured by my earlier comments on the actions that the Government have taken, particularly around fuel duty, to ease the burden on motorists. We know that the challenge goes further than that, and that the problem falls particularly on our older constituents. We have therefore prioritised the importance of the winter fuel payment, which will be £200 for those born before 5 January 1951, and £300 for those aged 80 and over. Indeed, we have gone further than the previous Government by permanently increasing the cold weather payment, which is a very targeted way of getting support to vulnerable constituents, about whom I know he will be concerned when he is talking about fuel duty. We are increasing that payment from £8.50 to £25. Again, in a practical way, we are recognising the challenges facing families, and particularly the most vulnerable in our communities. I hope that I have been able to draw together the issues that we are putting in place to help the hon. Gentleman’s constituents.
It is interesting that the hon. Gentleman brought up the issue of VAT. There is nothing fair about the deficit that the Government and the people of Britain inherited from the Labour Administration. It is not fair that so many families were trapped in a cycle of dependency. Our decisive dealing with the deficit has ensured that those with the broadest shoulders bear the greatest burdens and support the most vulnerable and those facing the biggest challenges in society. We have made sure that those on the highest incomes contribute more towards the entire fiscal consolidation, not only in cash terms but as a proportion of their income and consumption of public services combined. That is why we introduced the new fairness premium.
On the hon. Gentleman’s analysis of the role that VAT could play in trying to redress what he called an imbalance in fairness, I draw his attention to the fact that fairness is very much at the heart of the Government’s approach to addressing the fiscal deficit, and across the whole piece we are making sure that those who can pay bear the biggest burden.
Child poverty is an area for which I have direct responsibility. I hope that the hon. Gentleman welcomes the child poverty strategy that the Government introduced in April. I also hope that he welcomes our evolving idea for a commission to look not only at child poverty but social mobility. I am sure that he wants to ensure that his constituents have social mobility, so that they can enjoy a better quality of life and standard of living. By drawing those two important issues into one commission, the Government can be held to account, and there can be the right level of scrutiny of our policies. The child poverty strategy underpins the Government’s ambition for children to be able to realise their potential throughout the country, whether they live in the north, south, east, west or, indeed, the midlands—the area that the hon. Gentleman represents.
The universal credit is one of the most potent tools for addressing child poverty. I am sure that the hon. Gentleman will have followed very closely the debate in this place and the other place. The introduction of universal credit, which tries to simplify our overly complex benefits system, will help around 900,000 individuals, including more than 350,000 children, out of poverty by making sure that work pays. People will understand that our very complex benefits system can be simplified and made to work for them, rather than there being a jungle of different benefits, as is the case at the moment.
The hon. Gentleman mentioned the importance of child care in making sure that work pays. I agree that that is important. I know from my constituents—I am sure that this is true of his as well—that the costs of child care can make all the difference to being able to get into work. The Government have recognised the difficulties that families face. We have reaffirmed our commitment to helping parents with the costs of child care by investing an extra £300 million in child care support under the universal credit system. Individuals who perhaps found it difficult to stay close to the labour market when they had children, because they were not able to do a full-time job, will for the first time have access to child care cost support. Individuals working fewer than 16 hours a week will be able to get the support that will enable them to do a few hours’ work a week. That will keep them close to the labour market, and perhaps when their children are older, they will be able to take on more work. The Government are trying to help families through difficult times in practical ways, so that they can build better lives.
I have covered many of the issues that the hon. Gentleman raised. If I have left any out, I am sure that he will raise them with me separately. I hope that I have reassured him and his constituents that the Government absolutely understand the pressures that families are under at the moment. We are taking very practical steps to alleviate some of the financial pressures that families face. We are looking to the long term and putting in place the sorts of building blocks that will help families, individuals, and parents, and will help children to get the right start in life. We will help people to get the support that they need to get good jobs and keep them in the long term. We are trying to give them the standard of living that the hon. Gentleman and I want them to enjoy.
(13 years ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
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It is a pleasure to serve under your chairmanship, Ms Dorries, for what I think is the first time.
Members may wonder why we are having yet another debate on High Speed 2. In fact, we are not; we are having a debate on high-speed rail in the north. I requested this debate partly because when we discussed the issue in the main Chamber a couple of weeks ago, I felt that there were not enough contributions from the north, and I wanted to rebalance the equation. I do not want to debate the merits of HS2 today, and I do not really want to talk about anything south of Birmingham if I can help it. I want the debate to focus on the north, and I do not intend to stop at the Scottish border. I deliberately used the word “north” to encourage Scottish Members to participate in the debate.
I will try to make clear the terms of the debate, and also state what the debate is not. I used the phrase “high-speed rail in the north” to ensure that the debate was not about HS2—which to my mind is ultra high speed—but about high-speed rail as a concept. Equally, I make a plea for a slightly more consensual style, compared to previous debates. New infrastructure projects understandably excite high passions, but wandering into Prime Minister’s questions wearing a colourful badge that cannot be read by anyone watching TV, let alone other Members, does not benefit either set of arguments, and diminishes the dignity of the House. That does not mean, however, that we have to accept a mushy consensus on infrastructure projects. I accept that we will disagree, but I hope that we can do so in a polite and measured way.
If I were given billions of pounds to spend on transport in the north of England, would I immediately reach for high-speed rail links to London? Perhaps not. When “The Northern Way” transport compact first got going in 2006-07, it did not mention high-speed rail because that was simply not on the agenda. It focused on improved connectivity in the north of England, rather than between the north and the south, and it highlighted the importance of the trans-Pennine corridor. That importance was emphasised by the Government’s switch from the S-route to the Y-route, together with the issue of what to do with the Woodhead tunnels. I would also welcome a little reassurance from the Minister on the northern hub. Even if it is to be delivered in parts, will the sum of those parts still equal the whole of the vision? I trust that it will.
We must consider how we differ from our European counterparts. If I think of the Liverpool-Manchester metropolis, it rather reminds me of the Rhine-Ruhrgebiet in Germany, another heavily industrialised urban area. One difference, however, between this country and the Rhine-Ruhr area is the comparatively poor transport links found in our metropolises. We can learn a lot just by looking at Germany for a change.
I have no shortage of material for this debate, and although I could probably speak for an hour and a half without trying, I promise that I have no intention of doing so. I will try to take a step back and look at some of the more thematic policy issues and the effect that a decision to proceed with any form of high-speed rail north of Birmingham will have on Government policy making. I do not want to see half-baked solutions that run to other people’s political timetables.
Quality of policy making is crucial; it is what I came into politics to try to improve, and no matter what party is in power, I think that the quality and detail of public policy making in this country is bad. The quality of our understanding of transport in the north of England is, to my mind, entirely due to work by “The Northern Way” over the past five years, and I mourn its loss greatly. I do not blame the Government entirely for that loss, and it is a shame that many of the local actors who had the chance to fund “The Northern Way” after the closure of the regional development agencies did not take the opportunity to do so. The loss of “The Northern Way” has created a fundamental problem, because we have lost the pan-northern perspective and the ability to weigh up differing priorities in Yorkshire, the north-west and the north-east. We are seeing a retreat back to lists of regional priorities, with Manchester wanting one thing, Liverpool another, and Leeds something else, and there is no body that tries to pull those things together and says, “Your proposal is slightly better than that one.” We need some form of co-ordinating body that would allow such prioritisation.
I participated in the Transport Committee inquiry into high-speed rail—I assure hon. Members that it was a mammoth undertaking, and I do not think that my life will ever be the same—so I know how much controversy there has been not only over the detail of the route, but about which field the line will or will not go through, how noisy or quiet it will be, how big this will be and how small that will be. We have perhaps never seen such controversy over a single infrastructure project. The debate was based on the single premise—the single fallacy—that merely building infrastructure automatically promotes economic growth. It does not. It is not a case of “Build it and they will come”; we need look only at so-called Stratford International station to know that. Stratford International station in east London is remarkable in having no international train services—most impressive. It is a classic example of the sort of white elephant that those of us who are concerned about levels of public expenditure do not wish to see.
The Department for Transport’s promotion of high-speed rail has focused on the three Ls—Lille, Lyon and Lleida—as examples of how investment in high-speed rail in Europe has brought economic growth to the surrounding areas. However, for every city named by the DFT, the anti-high-speed rail campaign provides an alternative, and says that high-speed rail makes no difference at all, is a total waste of money and that we should not bother. At the end, it is rather like the Eurovision song contest on a city basis, with “nul points for Zaragoza,” and “dix points for Brussels.” That is not informative, and what matters is not so much the location, the name of the city or how good its PR effort is, but what the local government in the area chooses to do in response to hearing that it will get a high-speed rail link. That critical variable is often overlooked in the debate.
In evidence to the Transport Committee, Professor Tomaney from Newcastle university stated:
“The stations themselves do not, on their own, provide those development opportunities. What is required is much larger-scale economic development planning.”
Hon. Members may think that I, a Conservative, would hide my head under the desk at that statement—“How could he possibly suggest economic planning? What an appalling thing to do!”—but it is more subtle than that. If we know that a high-speed rail link will go to the centre of Manchester, we have to deal not only with issues of dispersal, an integrated transport system and whether the buses and suburban trains interlink, but wider policy issues about housing and jobs, and schools policy in particular, which is often overlooked in transport planning. We should look at the wider policy, not just at issues of transport, and as the Government move forward and consider how to progress with high-speed rail, they must look at more than just transport.
There are risks, and it is silly to pretend that high-speed rail will be only a good thing and that nothing bad could ever happen. Professor Roger Vickerman also gave evidence to the Transport Committee, and pointed out that although the arrival of the TGV in Lyon and Lille benefited those two cities, it also sucked in some of the economic activity from towns in their immediate peripheries. Unless the correct decisions are taken locally, high-speed rail could arrive in one city and cause a diminution in economic activity in a neighbouring city, suburb or minor area. That is a possibility, but certainly not a given. There are no givens in this debate because, as I say, the situation depends entirely on the decision making at local and regional level. Whether someone is a supporter or a detractor—a friend or foe—of high-speed rail, they have to agree that that must be part of the debate, and I argue strongly that it has been absent from the debate so far.
As a fellow member of the Transport Committee I, too, was on the visit to which the hon. Gentleman refers. Although we heard that argument made in Lille, in Frankfurt we heard a counter-argument: the Frankfurt to Cologne line had a significant impact in improving the whole region, not just the two places where there was a station. People argued strongly in Frankfurt that there was a benefit for the whole region between those two areas.
I thank the hon. Gentleman for that intervention. He is correct and almost makes my point for me: it is horses for courses. We can all point to examples of high-speed rail achieving one thing in one area and a different thing in another. The most interesting aspect of the German example that he points to is that Frankfurt is at the confluence of about four different Länder. It is quite difficult for Frankfurt to have regional planning when, at the level at which that tends to occur, it has about four different bodies to try to liaise with. That again shows the difficulties, but also that if the will is there, the correct decisions can be made that lead to economic growth.
That is perhaps the challenge that we have to face: at what level do we seek to take the decisions? I am firmly of the view that local transport consortiums—or whichever range of acronyms we wish to append to the matter this week—are crucial for moving forward. I would welcome information from the Government on how that is progressing. We can point to Transport for Greater Manchester as a very good example of what can be done. It is interesting and welcome that the differing integrated transport authorities are all moving at what I suggest is a slightly different pace in their own particular direction. Standardisation is being lost, and there is, I think, more local sensibility. That can only be a good thing, but it still does not resolve the problem that I shall refer to, with apologies to the hon. Member for West Lancashire (Rosie Cooper), as the Skelmersdale problem. I mean no disrespect to that fine town.
Skelmersdale is in the travel-to-work area of at least two major conurbations—Manchester and Liverpool—yet it is not in either the Greater Manchester or Merseyside city regions. It is in the district of West Lancashire. That poses a challenge for transport planning, because we seem to have in this country a culture that says, “You are where you are. You are defined by your boundaries, not by your economic patterns or what actually happens in an area.” We also seem to have an unwritten rule that says, “You can only be in one club at any one time. You can’t be in both the Greater Manchester area and the Merseyside area at the same time. Heaven forfend!” That has consequences, as I hope the hon. Lady would agree, for her constituents, in terms of improving transport links to both the main areas.
The hon. Gentleman encapsulates the problem that my constituents have. The new town of Skelmersdale is 50 years old this year. It has no railway station and very poor transport links, and it is therefore isolated. If we could extend the development of high-speed rail through the north-west, that would bring economic benefits right round, not just to the Skelmersdale part of my constituency, but to the Ormskirk and Burscough areas, with the Burscough curves joining lines up to Preston. It is nonsense that in the 21st century we should be caught between two stools. We have no railway station and no transport links, and are therefore losing out on a huge economic benefit.
I thank the hon. Lady for that informative intervention. I know that there is no shortage of transport proposals in West Lancashire. She has not even mentioned the Ormskirk bypass yet. We could go on and on, I am sure.
To my mind, city regions have the best potential. I know that potentially they are also controversial. I am sure that many people would not want a return to Merseyside. However, I welcome the proposals from Lord Heseltine and Terry Leahy; if we are to have elected mayors in our great cities, they probably need to cover more than just the council of that name.
As a proud Merseysider, I have to correct the hon. Gentleman and tell him that Merseyside still exists, certainly in transport terms. One of the important things that he is telling us is that interconnectivity between city regions that cover places such as Skelmersdale, and from Wirral to north Wales, is among the most important factors. There is already some good practice on the ground, certainly in Merseyside, in that respect. Is his point that we should deal with the reality of people’s lives, rather than having arbitrary decisions made in Whitehall about what councils do or do not exist?
Order. I ask hon. Members to keep to the substantive issue of the debate when making interventions.
I agree entirely with the hon. Member for Wirral South (Alison McGovern) that this should be about people’s lives. Let us imagine that high-speed rail is coming to Liverpool. That will have an impact on the lives of people outside the former Merseyside as well as inside it, whether they are in Cheshire, Halton, Skelmersdale or wherever, and we have to respond to that.
I would like to turn the focus slightly away from Lancashire and Merseyside for a second. The hon. Gentleman is making a very powerful argument for the importance of local networks and making the most of high-speed rail. That applies in Scotland as well. Does he agree that it is important that a decision and commitment is made at an early stage that the routes will run to Glasgow and Edinburgh, not just because that will benefit our areas but because it will bring particular added value to communities further south, which will gain from the extra business that the extension to Edinburgh and Glasgow will bring to communities all along the line?
I thank the hon. Gentleman for that intervention. That is precisely why I used the phrase “high-speed rail in the north”—because I did mean north as far as Scotland, and not just to the Scottish border. As I said, we seem to spend a lot of time trading cases of where high-speed rail has worked and where it has not. I have tried to ban the word “transformative” from my lexicon, because I have got so bored of hearing people tell me that high-speed rail will be transformative. I am not quite sure in what way or with what evidence—they just like to say it because it sounds good.
I congratulate the hon. Gentleman on securing this important debate, because it is on an issue that we have been talking about, but that there has not been much action around. When he talks about local areas, does he really mean that? I ask because I think that the programme will never take off unless there is a national planning committee that can oversee everything about the idea.
I thank the hon. Gentleman for that intervention. I spent an hour at lunchtime trying to work out whether I was a Liberal or not. I was reading the yellow book from 1928, called “Our Industrial Future”, which recommended precisely what he has referred to—a national infrastructure planning commission that would take the decisions. That is all well and good, but I come from a different political tradition. I discovered that I was a Conservative after all. The reason why I am talking so much about local decision making is that for high-speed rail to have the impact that we all want it to have—in particular, for the rebalancing of the economy that the Government so value—there are decisions that will have to be taken at local level. My concern is that if we do not think about that now, it will not happen, so I hear what the hon. Gentleman says, but the tenor of my remarks is designed to draw attention to where we need better local decision making, and where the DFT needs to factor local priorities into its planning.
I will try to draw my remarks to a close, because I have been going on for almost 20 minutes. In particular, I would like the Government to convene something analogous to “The Northern Way”, be it a ministerial committee for transport in the north of England, an advisory group or whatever. It should be something that will bring together all the different voices in the north for the purposes of understanding and reprioritising. A large number of projects have been proposed, with varying cost-benefit ratios that we have all looked at and analysed to the nth degree. We need some way of working out what the pan-northern priorities are. At the moment, I am concerned that that will not occur, so I hope that the Minister can reassure me on that key point.
I congratulate the hon. Member for Blackpool North and Cleveleys (Paul Maynard) on securing this important debate, with the specific title and terms of reference that he spelled out. I also congratulate him on his powerful description and analysis of many issues involved; I agree with a great deal of what he said, although not with every full stop and comma.
I want to make a few points about the project and how it relates to the north-west of England and the north of the country beyond Birmingham. I would like to draw an analogy with trams. At the moment, Manchester is trebling the size of its tram network, while Liverpool, Southampton and Leeds do not have trams. The important point that I draw from that is not that Manchester’s case, which is good for the tram network, was much better than the case of the other cities, but that the 10 districts of Greater Manchester and the three political parties were united. To cite the comments of my right hon. Friend the Member for Knowsley (Mr Howarth), the politics in Merseyside were dysfunctional when it came to trams. Having all-party support and as much backing as possible for a project is almost as important—in some ways more important—than different economic cases, a cost-benefit analysis and an economic impact analysis.
It is important to keep such an all-party group together. This country has too little infrastructure, which damages the whole economy. One of the reasons why we have too little transport infrastructure is that we have not always been able to build an alliance between the parties. I could give example after example of where we should have had motorways, railways, trams and runways where we do not have them. Therefore I welcome a detailed debate, whether it comes from the Front Benches, the Back Benches or people with constituency involvement. The high-speed rail system is a major piece of infrastructure, which, whatever its impact to the north and the south, will help the country as a whole, and it is important to understand that.
I have read many cost-benefit analyses over the years, and while it is important to prepare them, the way in which the Treasury, the Department for Transport and other Departments look at them means that they contain so many variables that one can make them say anything one likes.
The important thing about the project is that it has been justified on two grounds. The first is that there is an immediate issue with capacity between Birmingham and the south, and the second, which comes along later, is that it will help rebalance the country, and the country certainly needs rebalancing.
On the second justification, I have spent my political life trying to get investment into the north of England and into Manchester in particular. If we want to use the project to rebalance the country, it is odd to start building it from the south to the north and not put a spade in the ground in the north of England for potentially 15 or 16 years. The reason for that is the reason that we always get from the Department for Transport: the capacity problem. Such an analysis of why we invest in infrastructure is one of the reasons why 95% of our capital expenditure on transport in England goes into London and the south-east—it is crowded there. If we use that as a basis for our investment decisions, we will always put it there and increase crowdedness, effectively subsidising congestion. I would argue that if we want to make an impact on the north-south divide, we need to start in the north and look at all the projects that are determined by congestion and overcrowding as economically transformative. I know that the hon. Member for Blackpool North and Cleveleys will object to my use of that term; I rarely use it, but it is important in the context of getting as many bangs for our bucks economically, as well as dealing with the immediate transport problem. I ask the Department to look at the issue generally.
I think that the claims for the impact on the north of England from High Speed 2 are ambiguous. I did not go on the trips—I was not serving on the Transport Committee at the time—but there is certainly a case that Cordoba, Turin, Lille and Lyon have benefited. One could also make the case that high-speed rail has sometimes had a negative impact on those cities. The same is true with roads, or with any transport infrastructure, because roads go both ways: they can take economic activity away from or into an area.
I represent Stoke-on-Trent, where there are fears that High Speed 2 could reduce connectivity if the line passes the city and does not stop there, while the capacity on the west coast main line—the Manchester-London route—is diminished. While Stoke-on-Trent might benefit from the growth of Manchester or Birmingham, there are fears in the city about its own connectivity with HS2.
There is a fear. There are genuine worries in Stoke, and potentially Coventry and south Wales, that there could be a negative impact. I would ask those areas please not to have a dog-in-a-manger attitude and say, “Let us not have this excellent new piece of transport infrastructure.” Let us work out how we can get investment in those areas, using either high-speed rail or something else. If people end up just opposing the project, they will damage the economic and transport base of the whole country.
Does not the point that was semi-raised by my hon. Friend the Member for Stoke-on-Trent Central (Tristram Hunt) underline the need for some form of regional transport planning? We do not want to build stations with no connections to the wider community and area; we want Stoke and other similar cities that are not on but near the line to have good links. We can see that in the best European systems, which is why the benefits are more widely spread there.
Absolutely. It makes sense that people can connect to other places if a high-speed line is built. I know that the timetables of the rail system in the north, which I know better than that in the midlands and Scotland, are slower than they were in 1880s—I say that in nearly every debate in which I speak. Taking out congestion points and improving the northern system and that in the rest of the country must be the best way to use the investment that is going into the project.
I want to finish on some points made by the hon. Member for Blackpool North and Cleveleys and by the Action Alliance, which opposes high-speed rail, in the document that it sent out today. First, if someone had £33 billion to spend in the north or the whole of England, they would not necessarily sit down and say, “This is it”; they would probably sit down for a long time and not agree to spend anything. However, the project is out of the starting blocks, and there are many benefits to be had from it. If someone were to ask, “Should the country have motorways?” the answer would be, “Yes, we should have motorways.” In the same way, we should have high-speed rail. That, together with all-party support, is the real justification for the £33 billion.
The hon. Gentleman makes a good point. High-speed rail is important to the north of England, but it needs to be developed alongside the classic network and also alongside aviation and road. We need a strategic transport policy that covers everything. High-speed rail is not the panacea, but it is part of a strategic transport plan.
The hon. Gentleman is right. Even though I am a member of the Labour party, I am always slightly cautious about having the perfect plan. When one is involved in transport plans or economic development—it does not matter whether it is in the private or the public sector—one has to be opportunistic and take what is there. Sometimes it can take too long to wait for the perfect plan. That does not mean that we should not think about how we can connect different parts of the system.
Like the hon. Member for Blackpool North and Cleveleys, Action Alliance makes the point that high-speed rail does not automatically bring with it economic benefits. Let us take, for example, the economies of Manchester and London, or Birmingham and London. Some argue that high-speed rail exposes them to bigger markets, which is true because the train goes both ways. A dynamic city or region is at a real advantage. What city would not want to be in a bigger market so that they can attract more people and investment? Although it is possible to fail in such an area, it is easier to succeed if there is high-speed rail.
I, too, was struck by the Action Alliance analysis that when we improve connectivity, the stronger city benefits and the weaker city loses out. If we follow that logic through to the end, it means that we should close the M6, the M1 and the west coast main line, which is ridiculous.
It is ridiculous, but that does not mean that Action Alliance does not have a point in saying that it is dangerous; the world is dangerous. We have to take our opportunities to create jobs where we can. It does not automatically lead to growth, but it would be negative not to take this opportunity to have growth. To emphasise that point, let me make one more comparison between Manchester and Liverpool—I am not having a go at Liverpool because this, unlike the story about the trams, has a happy ending. There is a more solid case for saying that airports have a real economic benefit for regions. Unlike roads, they rarely have a negative impact. Merseyside county council did a lot of work on Liverpool airport. It extended the runway and got an estuarial take-off. The whole scheme should have had many advantages, but they were realised only when John Whittaker and the Peel Group took the opportunity and bought Liverpool airport and brought some commercial acumen and ability to it. There are real advantages here. I hope that we can keep the all-party alliance together because this project is important for the country as a whole. As it is called high-speed rail, perhaps it should be done from north to south because that would be slightly quicker than the schedules that are envisaged at the moment.
I was not expecting to be called. I would have preferred to wait a little before making my speech. I will be fairly brief. I want to touch on the business case figure for high-speed rail, which is estimated at 2.6, including the wider economic benefits. That is considerably higher than the business case of Crossrail. I know that we can all doubt the Department’s methodology, but nevertheless let us put that on the table first.
One of the arguments against the project is whether we can afford it. It costs £32 billion and we are in a time of recession. It is also worth saying that it will cost £2 billion a year, which will kick in more or less when Crossrail finishes. On a cash-flow basis, therefore, it is not too tough. The business case is predicated on capacity constraints. I have some conservative figures here. Over the last decade and a half, rail journeys have increased by around 5% a year. This business case assumes an increase of 1.6% a year. We do not know whether that will happen; it may not, but the figure is certainly not aggressive.
The business case has been criticised because it does not take into account people’s ability to work and be productive while travelling and therefore overestimates the benefit for time saving in terms of economic activity. It has been shown in a number of debates that such a view is false because if these trains are so full that everyone is standing up, no one can work on PCs or anything else. The business case is supported if we assume that.
In his excellent remarks, the hon. Member for Blackley and Broughton (Graham Stringer) talked about the north-south divide, for which this project is not a panacea. However, to say that it will not make a contribution is just fatuous. We have already talked about the pamphlet from Action Alliance—I like to call them the Amersham-based Action Alliance—that came out today. The argument that the benefits would accrue more significantly to the bigger city does not stand up to any kind of scrutiny. It implies that the M6 and the M1 are bad because they fix the north-south divide and I find that hard to believe.
I will not speak about the wider benefits of the project other than to say that the chambers of commerce in the north-west, Leeds and Scotland have come out strongly in favour of these transformative—actually, transformative is not a bad word—benefits. The impact on the north-west economy is calculated to be around £10 billion and we need that. It is easy to unpick the business case by saying, “Actually, my town is not really on the route and it is not too good for my town because we will have to do this and we will have to do that.” The truth is that we have to look at some of these decisions regionally. If £10 billion is injected into the north-west economy, it is just not possible that that will not help Warrington, whether or not Warrington is on the spur.
I have three points for the Minister. One is about timing. Once we accept and buy into the transformation benefits, there is an issue for the north-west in how the Government are going about this. Broadly speaking, Birmingham and the west midlands will receive this infrastructure, in which we all believe, about a decade sooner than Manchester and a further decade before Scotland, which is not even on the map yet.
Does that not back up the argument that if this were to be a project that was about to begin, it should start in Scotland and move south, as well as from the south moving north?
There is certainly a case for not necessarily starting all the construction work in London and coming north. I do not know whether it should start in Scotland, Warrington or Manchester, but there is a case for going both ways. Let me come back to this timing point. There could be a decade of benefits accruing to Birmingham in inward investment, and a decade of benefits accruing to the west midlands in better links. We are all guilty in this debate of talking about links to London. It is about links not to London but to the continent of Europe through St Pancras. That decade is a worry. Given the current fashion for bringing forward infrastructure projects and the fact that the business case for this project is stronger than that of Crossrail, will the Minister tell us why we are not taking the opportunity to start some of the construction work in the north more quickly? That would take away the problem of the lost decade, which, without wishing to sound as if I lack confidence in our project management abilities, can sometimes turn into a lost decade and a half. Therefore, I am interested in hearing what the Minister has to say about the timing of the project.
We also need to pin down some of the existing uncertainties, especially on the north-south dimension. I may be wrong, but I do not think that it has even been accepted for certain that Piccadilly will be the final destination. That needs sorting out, as does the link to the airport. I do not want to become embroiled in the arguments about having a third London airport, but if we have a high-speed link between Manchester airport and Heathrow—a journey of, for example, 60 or 70 minutes, which would not be much slower than the journey to Gatwick—I find it difficult to see how there will not be some impact on, or some marginal benefit to airport congestion in the south. The whole issue of Scotland needs to be sorted out, at least in relation to the north. We have a plan—a business case—and we are beginning to understand where the route will be. However, I also want some assurance about when the route north of Birmingham will be set out, because we can then start to plan and to put in place the sort of local initiatives that we need to make the whole project work.
Finally, on local initiatives, I was struck by evidence that the north-west is a little different from Birmingham in terms of shape. Manchester and Leeds sit at the bottom of the north-west, which has a much longer shape, so connectivity matters much more, while Birmingham is more central to the west midlands. The northern hub has been mentioned, as has the need for it to be clearly linked with the whole project. I completely agree with that point, but I also agree with those who have said that we cannot just do nothing until everything is sorted. I am keen to hear assurances from the Minister on those three points.
May I remind hon. Members that if they have requested to speak via the normal channels, but wish to speak at a certain point in the debate, they should let the Chair know, so that they can be listed accordingly?
I congratulate the hon. Member for Blackpool North and Cleveleys (Paul Maynard), and I hope that I will not test his rules for us too much. I may mention the case for High Speed 2, but I hope that he will forgive me. I shall do so from a perspective that is different from that previously taken, so I hope that it will not trouble him.
I want to make two points. First, we sometimes forget about connectivity in the north, although everyone assumes that they know about north-south connectivity now. Secondly, I want not only to consider northern cities and to build on the comments of other Members, but to look at bits of connectivity that are smaller but none the less truly important. I hope that the Minister will answer my questions about those minor bits of transport connectivity in the north of England and in Wales.
It is worth dwelling for a moment on the problem that is regularly experienced by my constituents, many of whom travel by train and are frequent users of the west coast main line. The problem is not that they cannot get to London quickly enough, because they can certainly get to London quickly, although they have trouble getting to other places fast enough; their problem is that they will probably not easily find somewhere to sit comfortably. That is a problem of capacity, not speed—I can see hon. Members nodding, for which I thank them. Watching the media, I sometimes have the impression that people think that congestion happens only in the south, and that the north of England is a traffic-free zone, where people always sit comfortably on trains. That is just not the case—if only it were. The west coast main line is very crowded.
I regularly meet people from businesses in the Wirral and the wider Merseyside area who wish to grow their businesses, but the problem is that their ability to do so is partly limited by their ability to travel. I must declare an interest in that, in a previous life, I worked for two years for Network Rail, so I am not averse to discussing engineering. I know from my time there, as the Minister will also know, that we do not begin such projects by asking ourselves what the biggest piece of infrastructure is that we can conceive of to solve the problem. We should try to do the straightforward things first, and it is worth bearing that hierarchy in mind.
The rail industry has struggled with problems of connectivity and congestion for many years. One solution is to have longer trains and longer platforms, but the west coast main line has a very limited ability to do that. Another solution is related to signalling and whether more train paths can be fitted in, but that is again very limited. I well remember—this is an important point—the impact of the west coast main line modernisation project on Liverpool, particularly when it was the capital of culture and that project was at its height. We are therefore out of options, which is why we are where we are and why we are looking at High Speed 2. There is no question but that it is needed. Business men in my constituency are desperate to travel around to grow their businesses. They ask me all the time about rail fares and about the congestion from which they suffer, and we should always keep their perspective in mind.
To my mind, the case for High Speed 2 has been made, although others may still question it, but we need to consider other elements of rail in the north. I agree with hon. Members who have spoken about the value of The Northern Way and asked whether some group might be convened to look at what projects are necessary for the whole north of England. In my previous life working in the cultural sector, one of the hardest problems was building the cultural economy in the north of England, where there are very important visitor destinations in Liverpool, Manchester and Newcastle. The pathways between them are extremely difficult. Liverpool to Manchester is not too bad, although, given that they are only 38 miles apart, the time it takes to travel between them is not good enough, but I hope that will be assisted by electrification. However, Liverpool and Newcastle, which are two extremely important visitor destinations for this country, are not well connected, and a future priority for the Government must be to look at that.
There is a huge amount of latent demand in our economy that we should try to develop. That is true of not only the visitor economy, but other parts of the country’s economy, including the energy sector, which would be assisted by transport connectivity. At the end of the day, the transport economy is there to serve the rest of the productive economy. I might just add that I have been encouraged by the support shown for central planning in this debate, albeit tempered by the need for localism, as was mentioned by the hon. Member for Blackpool North and Cleveleys.
A cross-north path is very important, not least to the people of Yorkshire, who want much better connectivity to Manchester and Liverpool.
The hon. Lady is making a very good case for connectivity across the north. We have always said that High Speed 2 is not the only solution and that we should create such connectivity. Recently, I took the train from Wrexham to Leeds, which took me four and a half hours, whereas people going to London arrived in about two and a half hours. Does that not make her point?
I could not have come up with a better example. Wrexham is a town I know well. Hon. Members may not know that it is a fairly large industrial hub for the Deeside industrial area. Wrexham is a lynchpin, and so is Leeds, for business and legal services. The hon. Gentleman has lighted on a classic example. I implore the Minister to keep the Wrexham to Leeds example in her head, to remind her of the scale of the challenge in the north.
I do not really like making north-south comparisons, because the south has plenty of connectivity problems, I know; but the way London acts as the hub in the middle of large spokes—that is not what we have in the north—creates some of the difficulties.
I thank the hon. Lady for giving way and congratulate my hon. Friend the Member for Blackpool North and Cleveleys (Paul Maynard) on obtaining this important and worthwhile debate. On connectivity, I am a Yorkshire MP and there are two stations in my constituency on the Leeds-Manchester line, Slaithwaite and Marsden. Already there are concerns, because of electrification and the northern hub project, about the number of stopping services that will be available once the line is sped up. However, that is not necessarily a reason for us to be wary, or to be anti-high-speed rail; it just highlights other areas for investment in the rail network. I welcome the debate and what is being said.
I thank the hon. Gentleman for his comments. He clarifies exactly my point: we should be talking about what is necessary additional to High Speed 2.
My hon. Friend talked about connectivity generally and the fact that it takes quite a time to get from Liverpool to Manchester, which is a distance of 38 miles. In this general discussion I would like to drive that further. For example, Skelmersdale does not have a railway station at all, so in rail terms it could take for ever to get from Skelmersdale to Manchester, or Skelmersdale to Liverpool. Skelmersdale to Preston takes for ever. To go by road—by bus—from Skelmersdale to the local hospital in Southport takes one hour and 23 minutes. I have done it.
The hon. Gentleman talked about the Ormskirk bypass earlier. People can get up and down Lancashire, but not across it. I fought and fought on that.
Order. That is a speech, not an intervention.
Sorry. Add to that the fact that there is no railway station, transport is poor and people cannot use the roads either: it is impossible. We are not talking about big things. We cannot move.
My hon. Friend’s intervention brings home why all the things we are discussing matter. When I worked in the rail industry and spent a lot of time talking to engineers, I was constantly impressed by their abilities. However, sometimes I think that they forgot, a tiny bit, about the people. We should focus on articulating, as my hon. Friend has just done, issues such as being able to get swiftly to hospital. For people who live in Skelmersdale, having options in the current hard times in the labour market, and being able to get swiftly to the employment centres of Manchester or Liverpool, is crucial. We are not engaged in a dry discussion about the best way to engineer a railway; the discussion matters to our constituents on a daily basis, and my hon. Friend made that point well.
Before coming into Parliament, I did a lot of travelling in my previous job, in the north-west and in Yorkshire and the Humber. Getting to places from Durham is not just a matter of arriving swiftly, or at all: it is a question of the pressure being put on the roads. To go north-south from Durham, where I live, to Yorkshire, I used to travel by train. If I was going to Manchester, and had plenty of time or was staying overnight, I went by train. If I wanted to get there in a hurry, or to go to Liverpool, I drove, adding to the congestion on the motorways. We need to take that into account as well.
My hon. Friend is right. We should not aim to design bits of railway across the north just for fun, because it would be nice to have a bigger train set. We should consider the total impact of what we are doing, not least on the economy, but also, as my hon. Friend said, on the environment. People’s stress levels are also affected. People tell me that one of the great things about the new west coast main line timetable is the fact that, because it is swifter, they arrive in a relaxed way. The performance of that bit of the network has largely been good, so they arrive ready to work in a relaxed way, which is what we want.
I want to conclude by talking a little about Wales and Cheshire. I hope that that will not test the definition of the north too much. We sometimes wonder about Cheshire and how far it qualifies as part of the north. Wrexham, as I mentioned in response to an intervention, is a crucial place industrially. It links to the Deeside area where lots of businesses are located. Connectivity between Wrexham and Liverpool is very poor. There is the Wrexham to Bidston line, on which there is one service an hour—it is terrible, and I have raised it with Ministers before. We need electrification of that line and a much better service at some point in future. It would be a massive help in getting people from north Wales to Liverpool airport. The line goes through areas of severe deprivation, where we want to get people to work as quickly as possible.
The hon. Member for Weaver Vale (Graham Evans) was here earlier, and there are also issues to do with connectivity in the bit of Cheshire closest to the River Mersey. It is astonishingly difficult to travel by rail through that part of the network. I hope that in planning for the coming of High Speed 2 we will look not just at the major towns that we need to connect but at all the smaller elements of rail. The High Speed 2 project enables local areas to consider some of the planning, and work out what would best help them to make the most of High Speed 2. It is not just the major cities across the north but the smaller communities that need to be connected in, additionally, to the larger project.
The case is really made on the basis of capacity alone, but we will not achieve the benefits that are possible unless in the intervening years we focus on cities in the north, and the way to ensure the best possible connections between communities and the economies they want to work in.
The winding-up speeches will begin at exactly 20 to 4, so perhaps the remaining two speakers will divide the time accordingly.
It is a pleasure to serve under your chairmanship, Ms Dorries. I shall be brief to allow others time to contribute. I am particularly pleased to have the opportunity to speak, and I congratulate the hon. Member for Blackpool North and Cleveleys (Paul Maynard), my colleague on the Transport Committee, on securing the debate.
It is good to see that the subject is the impact of high-speed rail in the north, rather than concerns about its impact on particular constituencies. I am conscious that the debate about high-speed rail has so far been dominated by MPs with understandable concerns about the effect of HS2 on their constituencies and the lives of their constituents. I would not decry any hon. Member for doing their job in representing the interests of their constituents. Any infrastructure project of this size will cause a significant amount of disruption and heartache for the people it affects.
I have personal experience of the issue in my constituency, because of the difficulties with the Metrolink extensions, which the hon. Member for Blackley and Broughton (Graham Stringer) has mentioned. Constituents have understandable concerns about changes to the local infrastructure and the impact of those changes on their lives. I understand why some residents turn against schemes that they support in principle, because of incidents in their area. That is why it is vital that the decisions that are made about the local environment and how it will be protected are clear and transparent to the people most affected on the particular route. No doubt we will have the same issue to contend with when there is more clarity about the exact routes through to the north of England, once the decisions about those routes have been made.
The last time that I took part in a debate on high-speed rail, it was timely because the Transport Committee was about to embark on its inquiry into high-speed rail. By coincidence, this debate comes the day after the Committee took quite some time to discuss the draft report. After listening to all the arguments, both for and against, I am even more convinced of the need to press ahead with high-speed rail to the north and beyond. I have always been a strong supporter of creating a high-speed rail network that connects not only Birmingham and the west midlands but the northern cities of Manchester and Leeds, and Scotland. There is clear evidence that a new network is required to cope with capacity demands in the future, which is the principal argument for supporting high-speed rail to the north.
By pressing ahead with a high-speed rail network, we can ensure sufficient rail capacity for the foreseeable future. Some opponents of high-speed rail have argued that upgrading the existing main line networks would deal with any capacity constraints, but that would only address the problem in the short term. Ultimately, at some point a high-speed rail network will be necessary. For a change, we are considering long-term need rather than short-term necessity.
Some £10 billion has already been spent on upgrading the west coast main line, but on 1 March this year the new chief executive of Network Rail made it clear that the west coast main line would be at full capacity within six to 10 years. In answering my question, he said that
“the West Coast line, within 10 years at the absolute maximum, and probably six years, will be at capacity, and that is with additional carriages included in the area. We can look at other tactical interventions in that line to put more capacity in there, but in the end it comes down to capacity: we will, across a number of key parts of our network, run out of capacity.”
The chief executive of Network Rail is absolutely clear that, even with extra costly improvements, the west coast main line will not have enough capacity to deal with growth in rail travel. We need the high-speed rail network to accommodate future rail travel.
Competing services and franchises are already battling for space on the existing network. We in Manchester are lucky that we have three trains an hour to London—a train every 20 minutes. Due to the success of that franchise, Virgin wanted to extend the service to four trains an hour, but doing so would have adversely affected both local and regional services, and so Virgin’s plans were opposed locally. At every review of timetables, certain services lose out. As attempts are made to tweak the timetable to optimise capacity and services, local trains are always the losers. The creation of a high-speed rail network will release significant capacity on the existing network, allowing the expansion of those regional and local services that are completely constrained at the moment by the needs of longer-distance inter-city services.
High-speed rail is about not only improving capacity, but economic benefits. The HS2 business case concluded that phase one to the west midlands would generate £20 billion in economic benefits, and the total benefits for the Y network to Leeds and Manchester were estimated at £44 billion, including an estimated £6 billion in wider economic impacts. Geoffrey Piper, the chief executive of the North West Business Leadership Team, has argued that HS2 is
“vital for the long term prosperity of the region.”
The hon. Member for Blackpool North and Cleveleys has rightly mentioned our visit as members of the Transport Committee to France and Germany, where there are clearly big differences in the economic benefits of high-speed rail between different areas. What is certain, however, is that high-speed rail brings economic benefits.
My only word of caution about high-speed rail relates to the potential impact on investment in the classic railway network. The north of England is crying out for investment in the rail network, and we are desperate to see the announcement of funding for the northern hub in the next control period. Opponents of high-speed rail sometimes argue that we should not proceed with the scheme because it will result in a lack of investment in the existing network as all the money is diverted into paying for the high-speed network. That must not happen, and I hope that the Minister can assure us that it will not happen.
The coalition Government have already shown a commitment to investing in rail infrastructure despite the difficult economic times. In Manchester, we all warmly welcomed the announcement in the Budget of funding for the Ordsall curve—or the Ordsall chord, or whatever people might want to call it. That project will have a dramatic impact on capacity and journey times. The investment in high-speed rail must not come at the expense of investment in the existing rail network. Instead the two must go hand-in-hand to ensure that Manchester and the rest of the north of England reap the full benefits of high-speed rail.
Thank you, Ms Dorries, for squeezing me in at the end of the debate. It is a pleasure to serve under your chairmanship. I shall try to be brief.
I congratulate my hon. Friend the Member for Blackpool North and Cleveleys (Paul Maynard) and geographical co-partner in the Fylde area, who set the tone for the debate, which has been of a much higher standard than previous debates on this topic. The cross-party nature of the debate today has been extremely successful.
Having said that, I shall disagree with my hon. Friend in saying that we have already had high-speed rail in my constituency. That involved the first west coast main line in the 19th century, which went from Euston station to the Euston hotel in Fleetwood, which was the end of the west coast main line. The train ran at between 30 mph and 50 mph—apparently it did not frighten the cows, but it transformed Fleetwood. As the hon. Member for West Lancashire (Rosie Cooper) has said about the railway in her constituency, that railway has now gone, although the line itself is still there. In fact, the Minister has actually stood on that empty railway line, which runs from Fleetwood to Poulton. One can see that the decline of Fleetwood was matched by the decision to end that railway. Perhaps if the 1928 yellow book on rail safety had been put into practice, we would not have had that disaster.
High Speed 2 will be transformative, but the line will go through my constituency, as is the case with other hon. Members who have spoken today. The argument is not between north and south, because there will be similar arguments in the north to those in the south about exactly where the line should be.
Like the constituencies of the hon. Members for Manchester, Withington (Mr Leech) and for Wirral South (Alison McGovern), for my constituency this issue is about connectivity and releasing capacity. I want to add to that something that has been mentioned in the past, particularly by the hon. Member for Blackley and Broughton (Graham Stringer). If anybody remembers the last time that the west coast main line was upgraded, they will know that it took more than 10 years and caused absolute chaos. Anybody who thinks that we can tinker any further with that line and produce any extra capacity must take a serious look at the history over the past 15 years.
I appear to be running out of time, so I will conclude by welcoming what the Government have done already. I particularly support those hon. Members who have said that high-speed rail is not the key answer to the north-south divide, but it is a start. This issue is not about a poor north and a rich south, because we have really successful businesses in the north, including BAE Systems, the nuclear industry and what is coming in the future, but it is about the national economy. For the coalition Government and MPs alike, high-speed rail is becoming the touchstone of the coalition Government’s commitment to do something about that divide between the north and the south, which exists, and even more importantly about links to Scotland. I support the hon. Member for Blackley and Broughton, who asked, “Why did we not start the building from Glasgow and Edinburgh down?” And I also hope that the hybrid Bill, which will be introduced by the Minister, will mention not only Birmingham but Manchester and Leeds, and hopefully Glasgow and Edinburgh, too.
Thank you, Ms Dorries. It is a pleasure to serve under your chairmanship.
I add my congratulations to the hon. Member for Blackpool North and Cleveleys (Paul Maynard) on securing what has been an excellent debate, with worthwhile contributions from all parties, including an interesting contribution from the hon. Gentleman himself. He made many good points. He also spoke about the need for an all-party consensus on this issue and today he has spoken, if I may say so, like a one-man all-party consensus. He said that even today he has searched his soul and he remains a Conservative, and that is fine. However, in bemoaning the loss of the regional development agencies and the Northern Way, he is speaking like a Labour Member.
I will of course give way to the hon. Gentleman, but before I do so I will just add that, in castigating his own Government, he is acting like a Liberal Democrat.
For the avoidance of doubt, I am fully behind the decision to abolish the regional development agencies.
If the hon. Gentleman says so, that is fine. How he will get on with his colleagues after today I do not know, but whenever he puts forward sensible proposals, we will work constructively with him to further shared objectives, if he is willing to do so.
The hon. Gentleman made some important points about the northern hub, but Opposition Members believe that it is important to guard against letting the Government off and facilitating them by easing up on lobbying about delivering the project in parts and effectively leaving sections of the northern hub on the shelf.
Will the hon. Gentleman give way?
The Labour Government had 13 years to deliver the northern hub but they did not do any of it. We have already committed to delivering a major plank of it—the Ordsall curve.
The Minister knows that much progress was made in planning under the Labour Government. It is critical to the area that the current Administration finish the job we started and I hope that, in her reply, she will expand on her attitude towards taking the project in parts.
Does my hon. Friend agree that it is slightly odd of the Minister to describe us as having had 13 years to deliver the northern hub? The Labour party might have been in government for 13 years, but much of the first half of that time was spent sorting out the mess created by privatisation, and much of the second half was about developing the kind of proposals that we have spent our afternoon talking about.
My hon. Friend is absolutely right. She knows that we took forward high-speed rail and the High Speed 2 project. We want the project completed by a future Labour Government.
Does the hon. Gentleman recall that only a few years ago, in 2007, the then Labour Secretary of State for Transport, Ruth Kelly, produced a White Paper that ruled out high-speed rail for 30 years? It was the Conservatives who led the debate on high-speed rail.
Let us see what the Minister says today about taking forward what are Labour’s proposals. I want to come on to why it is critical that she strengthen her commitment to the north of England.
In the manner of the debate, it might help if northern Members of all political complexions could keep some consensus about the issue we are trying to debate.
The hon. Gentleman makes an important point. I am trying to set out the grounds for a consensus. I might suggest that if people did not keep intervening on me—[Interruption]––and disagreeing with me, I might be able to make more progress.
I will give way one more time and then I really need to make some progress because I have only 10 minutes.
Does the hon. Gentleman agree that Shadow Front-Benchers have been ambivalent about this issue over the past 18 months? The Evening Standard recently stated that Labour had announced:
“a root and branch review of…transport policy with nothing ruled in or out,”
including high-speed rail. Is that no longer the position?
I do not know whether the hon. Gentleman has been in the House over the past couple of weeks for the important Back-Bench debate on high-speed rail, in which we set out with crystal clarity our support for the project. We were absolutely right to look at the project again in Opposition because it is a major one and will require substantial and sustained investment. We have concluded that we will back the Government, and try to strengthen their resolve when we think they are not giving enough of a commitment to the north.
I am sorry to have to intervene yet again. On Monday, the hon. Gentleman’s party announced support for a version of HS2 that would go through Heathrow and up the M40, which was the model that the Conservative party proposed pre-election, so can he confirm that he is not now supporting the Government model?
The hon. Gentleman makes an important point and I want to get on to it. I hope that I can now get an opportunity to do so.
We believe that the north of England and Scotland, indeed the whole UK, deserve a proper commitment from the Government to a new high-speed line running right up to Manchester and Leeds. Many Members on both sides have made that point today, and I hope that they will support us in agreeing that failure by the Government to legislate for that in one go leaves a question mark over their commitment to jobs and growth in the north. We urge the Government to reconsider, and I hope that the Minister will come back having done so.
The first stage of High Speed 2, as far as Birmingham, is vital transport infrastructure. It relieves the already mentioned congestion and overcapacity on the main line from Euston and cuts journey times to the west midlands significantly. It provides new capacity to shift freight on to rail, and could provide—from the outset, Opposition Members hope—fast links to Heathrow airport from across the country. On that point—as it was raised—the Minister was quoted as saying that our alternative suggestion was unhelpful.
Given the strength of our support for the overall scheme and the widespread unease about the current route, which is shared by many Government Members, I hope that the Minister will make clear what she really thinks in her closing remarks. Does she recognise that linking directly to Heathrow would strengthen the project because it would be cheaper overall than building the proposed route with a separate spur, it would increase the opportunity to lever in private investment in a way that the Old Oak Common proposal does not, and it would generate a complementary benefit for Heathrow by providing a rail substitute for short-haul flights, thereby releasing capacity, and that it is therefore worthy of serious consideration?
The second stages of HS2 beyond the west midlands to Manchester and Leeds would provide benefits that dwarf those of the first stage. The hon. Member for Blackpool North and Cleveleys does not like the word “transformative”, but this project could redraw the economic geography of the UK and that is why there is such wide-ranging support for the stages beyond Birmingham, not only from Members, as demonstrated today, but from business groups and local authorities across the north. Once completed, HS2 would bring Leeds and Manchester within 80 minutes of London and 96 minutes of Liverpool. In addition to the tens of thousands of extra jobs, it would create new businesses, new investment, a modal shift from domestic air to rail, more reliable journeys, more frequent trains and more seats, and God knows we need that on the line. A clearer commitment now to the extension beyond Birmingham, would make the business case for HS2 stronger and private sector investment more likely and secure valuable political and business support across the north.
There has been no shortage of warm words from Ministers in recent months, but we need a commitment to one hybrid Bill. There is no need to delay getting spades into the ground on stage one if the Government decide to re-consult and put the route to the north in the Bill.
I remind the hon. Gentleman that the two Front-Bench speakers have a total of 20 minutes, so will he please make this his last minute?
Absolutely. I was in my final minute. I hope that the Minister will make her commitment to the north clear, as it is currently under question. We know that we cannot start talking about detailed ticketing prices, but when will she agree to begin setting out the funding model as it affects passengers? High-speed rail that only the wealthiest people can afford will never deliver the full potential that communities across the north richly deserve.
Thank you, Ms Dorries. It is a pleasure to serve under your chairmanship. I congratulate my hon. Friend the Member for Blackpool North and Cleveleys (Paul Maynard) on securing this debate. I am sorry for my coughing fit during his speech; I was moved to tears not by emotion but by the flu. We have had a good debate—well informed, constructive in tone and cross-party—and I thank all hon. Members for their contributions.
On the points raised, the opponents of High Speed 2, who are thin on the ground today, claim that better, faster transport between north and south will pull economic activity into London and suck it out of regional cities. That is defeatist and thoroughly misguided. As my hon. Friend the Member for Warrington South (David Mowat) pointed out in his usual incisive and informed manner, isolation is not the way to ensure that our northern cities thrive. I have every confidence that bringing north and south closer together by shrinking journey times will provide a major boost to growth in the north. That confidence is based on the evidence from our European neighbours, which has been discussed in some detail.
It is not only places served directly by HS2 that will benefit from the project; so will many other towns and cities as trains run off it on to the existing network. From Preston and Liverpool in the west to York and Newcastle in the east, journey times will be reduced and connectivity improved, and the economic boost will be felt across the north of England.
This debate has rightly focused on passenger traffic, but does my right hon. Friend agree that a spin-off benefit is that High Speed 2 will release capacity in the classic network for freight transport by rail, boosting all parts of the United Kingdom?
I agree thoroughly. I will come to that in a moment.
The hon. Member for Blackley and Broughton (Graham Stringer) has been influential not just today but in the general debate on the issue. On the route up to Scotland, the Government are always open to working with the Scottish Government on such proposals. Why did we decide to start in the south rather than the north? As he will be aware, the rationale is that crowding is more serious on the southern leg of the west coast line, but we are anxious to press ahead as quickly as possible. I understand the frustration expressed by my hon. Friend the Member for Warrington South about the pace of delivery, but I emphasise, agreeing with the points made by the hon. Member for Blackley and Broughton, that in order to make progress on the project as quickly as possible, we need to retain cross-party consensus.
I welcome the assurances given by the Opposition in the Back-Bench debate on the Floor of the House, but Labour’s decision to propose a new route after the consultation closed was odd. It strikes me as last-minute, and looks suspiciously like game playing. However, I assure hon. Members that all route proposals submitted by the 50,000 people who took part in the consultation will be considered thoroughly.
The Minister is being clear—well, specific—about the point “submitted to the consultation”. Is she saying that our suggestion is being considered or not?
I am saying that all 50,000 responses from the people who took the time to submit them before the consultation deadline will be thoroughly considered.
We see phases 1 and 2 of the high-speed rail project to Manchester and Leeds as the starting point for delivering a genuinely national network, but we should not underestimate the benefits that Scotland will gain from the proposed Y network even before high-speed rail goes north of the border. Trains running off the high-speed line to Scotland will cut journey times to about three and a half hours, producing major economic and connectivity benefits for Scotland, tipping the balance in favour of rail rather than air and providing significant environmental benefits as people switch from planes to trains.
We are not pursuing HS2 just because of the positive economic benefits. The case for high-speed rail rests on the pressing need to prevent big problems that would otherwise be heading down the track towards us. The demand for inter-city transport capacity is growing strongly. If we sit back and fail to deal with the capacity time bomb set to explode within the next 10 to 20 years, we will do lasting damage to our economy. As the hon. Member for Manchester, Withington (Mr Leech) pithily put it, in the end, it comes down to capacity. If we do nothing, our key transport arteries will clog up, choking growth and destroying jobs in the north and elsewhere. It is neither viable nor responsible to sit back, do nothing and hope for the best, as other Governments have done in the face of similar problems. HS2 is not about shaving time off the journey between London and Birmingham; it is about delivering the transport capacity between our cities that is essential if our economy is to thrive in future.
However many times they are tweaked and repackaged, none of the alternatives proposed comes near to matching the benefits that HS2 can offer. None can release the capacity that is crucial, as my hon. Friend the Member for Milton Keynes South (Iain Stewart) pointed out, to the Government’s high-speed rail strategy. On the contrary, the options favoured by opponents of HS2 would apply major new pressures to timetables on our existing railways, fundamentally damaging reliability, as the hon. Members for Wirral South (Alison McGovern) and for Manchester, Withington pointed out. They would also involve immense disruption to the line during construction, as my hon. Friend the Member for Lancaster and Fleetwood (Eric Ollerenshaw) discussed.
Turning to the points made by my hon. Friend the Member for Blackpool North and Cleveleys, the Northern Way did effective work. Like him, I want local enterprise partnerships and local authorities to have more of a say in transport decisions. I agree that it can be beneficial for local authorities to come together to make joint decisions about travel to work areas, but we do not want such solutions to be imposed from above. They must be bottom-up and proposed by the areas concerned. Like him and the hon. Member for Blackley and Broughton, I have great admiration for the work done in Manchester to deliver an integrated authority that considers transport issues across the board for a major travel to work area.
I assure the House that investing in HS2 does not mean that we will stop investing in and improving our current transport networks. We recognise fully the importance of continuing to enhance our existing network, particularly by improving links between northern cities, not least because that is essential if we are to spread the benefits of HS2. Despite the deficit, we are undertaking the biggest programme of rail improvements since the Victorian era, many of which will benefit the north. Electrification will benefit Manchester, Liverpool, Wigan and Blackpool. The Ordsall chord project, which has received the go-ahead 30 years after it was first proposed, will benefit Liverpool, Manchester, Leeds, Newcastle and Hull. That is only phase 1 of the northern hub project. Our commitment to it demonstrates how seriously we view its importance and that we recognise the benefits that it can bring. We will assess it and consider carefully, when deciding what improvements can be delivered in the next rail control period, whether we can deliver the whole programme.
The intercity express programme will create new jobs in the north and a brand-new fleet of trains. New Pendolino carriages will be delivered on the west coast in the next few months. Manchester’s Metrolink extension is going ahead, and just a few days ago, Burnley and Accrington residents welcomed the fact that funding had finally been secured for the Todmorden curve. We are committed to continuing strong investment in the north of England to help its economy grow, complementing the benefits that will be brought by high-speed rail.
In conclusion, the HS2 consultation received more than 50,000 responses, every one of which will be used to inform the Government’s forthcoming decisions on high-speed rail. I welcome the valuable contributions made in this debate.
Will Members please leave the Chamber quickly and quietly?
Westminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
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Although I welcome the fact that the Under-Secretary of State for Business, Innovation and Skills, my hon. Friend the Member for Kingston and Surbiton (Mr Davey), will respond to the debate, it could equally have been replied to by a Minister from the Department for Communities and Local Government. The account that I am about to give relates not only to the responsibilities of the Department for Business, Innovation and Skills—from the perspective of consumer protection, company regulation and good business practice—but to those of DCLG in relation to building control and inspection.
Both Departments have responsibilities for tackling cowboy builders, which in this case involves companies associated with a Mr Robin Kiddle. He once had a company called Cavendish Conversions Ltd, but it is now “In Liquidation”, as stated on the credit check website, company-director-check.co.uk. Mr Kiddle then formed a new company called Cavendish Loft Conversions Ltd, in what I say was a cunning and despicable way to avoid paying my constituent, Ms Lisa Handley, when she successfully sued his former company.
Alas for Ms Handley, the judgment was against Cavendish Conversions Ltd, not Mr Robin Kiddle. He emerged, phoenix-like, from the ashes of that company to appear as owner of a company with a very similar name, with the insertion of the word “Loft” into the title. With one leap, he was free of the winding-up petition that was granted in August 2006, having been advertised in the London Gazette in June of that year. He simply carried on trading in his new guise.
There were insufficient funds in the liquidated company to pay what Ms Handley was entitled to from the winding-up. She estimates that, thanks to the shambolic cowboy building work of Mr Kiddle’s company, she is now some £90,000 the poorer, and her home is now unsaleable other than at a huge loss. In its current state, no mortgage company would make a loan.
I am no building expert, but I have visited my constituent’s home and I was appalled at what I saw. Even I could recognise that invading the loft space of the adjoining semi-detached house is a serious matter, and something that any self-respecting builder would not do. That also brings into question the laxity of the inspection system, which should be there to protect consumers. More of that later, for that is another area where systems designed to protect consumers have failed in spectacular fashion.
This unhappy saga dates back to October 2004, when Ms Handley and her partner approached Cavendish Conversions Ltd about a loft conversion. The agreed price was £24,750—originally £28,576—on the proviso that £7,000 was paid in cash. Drawings were completed by someone trading as MR Designs, and submitted to Colchester borough council. Work commenced in March 2005.
Seven years have elapsed since Ms Handley first approached the loft conversion company; that is a longer period than the second world war, but in this battle my constituent has been abandoned and let down by all those whom consumers are led to believe are there to protect them. If the Minister tells me that there are statutory measures to protect consumers from cowboy builders such as Mr Robin Kiddle, whatever name he trades under—he is listed as being associated with two other dissolved companies—I have to tell him that they are not effective.
In summary, my constituent and her partner dispensed with Cavendish Conversions Ltd after a litany of criticisms and complaints about the poor and unsafe work carried out on their semi-detached house in Colchester. Detailed records kept by Ms Handley—the box file that I have with me today are just my records of this appalling failure of fairness and justice to my constituent—list a catalogue of failures that bring shame on those responsible for the shoddy workmanship, and for providing protection to the consumer.
In March 2005, Ms Handley made her first complaint to the Federation of Master Builders. Perhaps if it had acted then, we would not today be hearing of nearly seven years of failure of the system that we are told is there to assist consumers and protect them from cowboy builders. In June 2005, she made a formal complaint to the FMB. Much correspondence has followed, including lots of letters sent on her behalf to the FMB and others. I have also tabled parliamentary questions and written to Ministers in both this and the previous Government.
Ms Handley had requested money for remedial works. By then, Mr Kiddle had set up another company, virtually identical in name but with the word “Loft” inserted between “Cavendish” and “Conversion”. The original company was liquidated—how convenient! I submit that this was a deliberate move by Mr Kiddle to ensure that my constituent would not be able to extract any money from him, because her legal action was against the company, not him as an individual. It is my contention that that move could in itself represent fraudulent behaviour in breach of the Fraud Act 2006. Essex police have so far declined to take the matter forward. As a result of today’s debate, I shall be drawing the matter to the personal attention of the chief constable, to request that it be investigated at the highest level.
Where is the Federation of Master Builders in all this? Cavendish Conversions Ltd was a member of the FMB, but the FMB proved more of an obstacle than a help to Ms Handley when she sought its support. Although I had hitherto always thought highly of the FMB—in many respects, I still do—I have to say that its dealings in this particular case did not constitute its finest hour. To put it bluntly, the FMB proved to be more a defender of its rogue member than a help to the aggrieved consumer. The culpability of the FMB is obvious. As Ms Handley told me, referring to what happened in July 2007 when the regional complaints committee hearing took place,
“They found no fault with Kiddle or his workmanship or the fact that he had lied and deceived the FMB; and they condoned his conduct.”
Ms Handley is a fighter, not a quitter. She took on the FMB with such effect that it eventually felt obliged to strip Mr Kiddle’s new company, Cavendish Loft Conversions Ltd, of membership of the FMB. Perhaps this shut the stable door after the horse had bolted, but it is hoped that it will ensure that others thinking of engaging the company in future will notice that it is not recognised by the FMB.
What is extraordinary is that the FMB awarded membership to the new company in clear breach of its own rules, which state that a company has to be in existence for three years before membership can be considered. In effect, it simply allowed Mr Kiddle to switch membership from a liquidated company, against which there was clear evidence of poor and unsafe work, to a new company. Interestingly, both the liquidated company and the new company were given the same FMB membership number—12901. We can make of that what we will, but I contend that, if the FMB regarded them as the same entity, they should have compensated my constituent, not abandoned her.
Ms Handley asked me:
“Are the FMB fit to be a TrustMark approved scheme operator when they are willing to give such a highly regarded status to a cowboy builder?”
Mr Kiddle’s original company was in clear breach of both the Federation of Master Builders code of practice and the Government-endorsed TrustMark standards. An attempt by Ms Handley to involve TrustMark in spring 2006 did not make any significant progress. After this debate, I hope that the Minister will instruct his officials to investigate the body that had responsibility for TrustMark, because it is clear to me that its inept performance was a further example of those in the building industry who have a responsibility—so we are told—to protect the interests of consumers backing the builder, despite the clear and justified complaint made by my constituent. I ask the Minister: who regulates those who have responsibility for allegedly looking after the interests of aggrieved consumers? Clearly, the current arrangements are not working.
Essex trading standards was contacted in March 2008. Sadly, it was not able to help bring about a resolution to the situation relating to Mr Kiddle and his performance. The Health and Safety Executive was also consulted, but a blank was drawn there as well. In December 2008, Mr Kiddle was required, under section 235 of the Insolvency Act 1986, to be subject to an oral examination. Again, it did not produce a satisfactory outcome. Ms Handley told me:
“Kiddle told a pack of lies—he committed perjury.”
A year later, there was a further court hearing. I shall return later to aspects relating to a letter that Ms Handley wrote on 25 February 2010 to Lord McKenzie, who was, seemingly, then the relevant Minister, in which she said:
“I possess factual, documented evidence of fraud, abuse of power, misrepresentation, corruption and perverting the course of justice.”
I can vouch for the fact that her signature was forged on one document relating to the so-called inspection process, but more on that later.
To confuse matters a little further, in addition to the two companies with the name “Cavendish” that are associated with Mr Robin Kiddle, there is a third company with the word “Cavendish” in its title. This is Cavendish Lofts Ltd, which is not to be confused with either Cavendish Loft Conversions Ltd or the liquidated Cavendish Conversions Ltd. By an amazing coincidence, Cavendish Lofts Ltd is owned by a Mr Eric Anthony Kiddle, who I believe is the brother of Mr Robin Kiddle. By an even greater amazing coincidence, the registered address of the companies run by the brothers Kiddle is the same: Normans Corner, 41 Church lane, Fulbourn, Cambridge. I believe that Mr Robin Kiddle lives in Braintree, Essex.
Mr Robin Kiddle is confused about how many years he has been engaged in the building trade. When I checked his websites this morning, I read on one:
“we are a family run business with over 20 years experience”.
However, on another site, the business is said to be a
“family firm with over 15 years experience.”
Both are clearly misleading statements, because the company has only been in operation for six years.
The registration date for Cavendish Loft Conversions Ltd is 31 August 2005. That is significant. The company was established after the serious problems with the work on Ms Handley’s house emerged, but before legal proceedings were concluded. Cavendish Lofts Ltd, run by Mr Eric Anthony Kiddle, was registered on 16 August 2004. His company states that he is a member of the Federation of Master Builders and
“the new MasterBond and EBC”,
whatever those are. No such claim is made by Mr Robin Kiddle in respect of his company but, remember, he had been stripped of his FMB accreditation. Although the brothers operate identical businesses—albeit with different names—from the same address, it is the actions of Mr Robin Kiddle that are central to my debate.
I now come to another organisation that is supposed to protect consumers: the Construction Industry Council. In the case of my constituent, the CIC’s performance is just as bad as the FMB’s. The CIC seems more interested in protecting the approved inspector, Mr Ron Hilsden, who is trading as RH Building Consultancy, based in Cherry Hinton, Cambridge. Mr Hilsden seems to have failed to notice the shoddy workmanship of Cavendish Conversions Ltd during inspections of my constituent’s home. It is in the paperwork associated with those inspections that Ms Handley’s signature was forged. That paperwork consists of the initial notice submitted by RH Building Consultancy to the building control service of Colchester borough council with a signature, presumably that of Mr Hilsden, dated 14 February 2005, and the forged signature of Ms Handley, dated 11 February. I am not sure who appointed the approved inspector, but I wonder if it is perhaps more than a coincidence that RH Building Consultancy and Mr Kiddle’s company are both based in the Cambridge area.
On 14 December 2009, I wrote to Lord Mandelson, who was Secretary of State for Business, Innovation and Skills at the time, and told him:
“It now transpires that crucial documentation includes a forged signature in the name of my constituent. Despite this, the building industry’s regulators have been unable to assist her. They have been shown to be useless in defending the consumer—it is time for the Government to intervene!”
There is further evidence relating to the activities of Mr Hilsden that perhaps should be the subject of an independent investigation—not one carried out by the CIC, whose performance in this matter falls well short of giving my constituent and me any confidence. For example, it failed to address matters relating to the Building Act 1984. There is a serious suggestion that offences have been committed, and Ms Handley is prepared to give evidence in support of that contention.
There is obviously a lot of detail associated with what has transpired over the past seven years that time does not permit me to mention. That said, my constituent is prepared to make herself available—I am prepared to make myself available, too—to any investigatory body that the Minister feels should look into the whole situation. Clearly things have gone seriously wrong with the way that Mr Robin Kiddle has been operating his separate loft conversion companies with confusingly similar names. The following matters need consideration: the manner in which he has avoided paying to put right the appalling shoddy work carried out at my constituent’s home; the prospect of the police being called in to review the manner in which the first company went into liquidation; and the abject failure of the bodies with responsibility for protecting consumers. In the case of Ms Handley, those bodies have not done the job that they are supposed to do.
As Ms Handley said in a heartfelt letter that she wrote to the then Prime Minister on 15 November 2009:
“I am a victim of a rogue builder, a corrupt approved inspector and an even more corrupt system operating under the guise of offering quality workmanship and consumer protection when nothing could be further from the truth”.
Later in her letter, she told the Prime Minister:
“I have been the victim of fraud, corruption, blatant cover-ups and perverting the cause of justice from the builder through to central Government. Why are my human rights, as a private citizen of this country, being so easily dismissed? Why are laws on the statute books being so easily flouted and ignored? And why are senior officials within the Construction Industry Council getting away with allowing their members to break the law whilst they go to any lengths to cover it all up?”
Minister, I trust that today’s debate is not the end of the matter. Serious issues have been exposed in what I have said this afternoon. They need to be seriously investigated. My constituent Ms Handley and I are available to help with such an investigation.
I thank my hon. Friend the Member for Colchester (Bob Russell) for bringing this matter to the House and securing the debate. It certainly gives me a chance to put on the record our view about consumer protections. Clearly, he will be aware that I am not au fait with all the details of his constituent’s case. The record will show that my hon. Friend has referred to his box file, which could no doubt add to my weekend reading. However, I would welcome his writing to me with a summary of the proposals, possibly providing a bit more detail than he has had time to do today. Although I cannot say that there will be a formal investigation, I will at least look at the matter with my officials and provide him with some comments that I hope he and his constituent will find helpful. I will take a dispassionate but constructive approach to the problems that he has raised.
Like him, I have constituents who have had problems with, shall we say, cowboy builders, who disappear and are difficult to trace or who reappear in a different form. The Secretary of State has raised the matter in the past, and we are therefore minded to consider what can be done in terms of consumer legislation and the consumer framework. My hon. Friend recognises that no law or framework can deal with absolutely every single circumstance, but we clearly need to improve things. I hope that he will not take what I will say today as being complacent and that he will recognise that we are trying to develop the strengths of the existing system and to improve it where we can.
My hon. Friend knows that loft conversion work comes under general consumer legislation covering the construction industry. He also knows what an important role the construction industry plays in our economy and how many of the business people in that sector are honest traders who do a fantastic job, many of whom have small businesses. He has given an example of a builder who appears to have been trading in a dishonest manner. Obviously, I will need to look at the details of the case before I can comment further, but we are aware that a small minority of builders apply their trade in a dishonest way and deliberately target specific groups of consumers—for example, vulnerable consumers and the elderly—and we therefore need protections.
I point out that Ms Handley is a very articulate person and is not a vulnerable person. I am concerned that she could be duped in that way. What the Minister says is right, but if a very articulate person can be duped, we are talking about serious issues.
From the way in which my hon. Friend has articulated his constituent’s case, it is clear that his constituent is a very capable lady who can fight her corner. However, I am sure that he accepts the point that we need to ensure that vulnerable consumers are protected in the regimes that we design, because if can protect vulnerable consumers, we are much more likely also to support those who are more articulate.
We must take a multi-pronged approach to protecting consumers in the broadest sense. The new Government have taken an approach that seeks to empower the consumer and make sure that they have all the relevant assistance from organisations to get the right information, so that they can make the right choices. The matter cannot simply rest there. We must have a legislative framework, which, of course, there is. The question is whether that framework can be reformed. We currently have the Supply of Goods and Services Act 1982, which requires traders to provide the services being offered with reasonable care and skill, in a timely manner and at a reasonable cost. However, the Government are examining how that law might be modernised and simplified, so that consumers can have a clearer understanding of their rights and a greater awareness of their right to redress when they have experienced shoddy workmanship or have paid for goods that turn out to be defective.
On 19 September, I announced that, subject to consultation, we hope to introduce a consumer bill of rights, which will bring together 12 separate pieces of legislation to try to achieve those objectives. The 1982 Act is accompanied by other measures to protect consumers from unfair selling in their homes. Builders, including those undertaking loft conversions, fall within their scope. The Cancellation of Contracts made in a Consumer’s Home or Place of Work etc. Regulations 2008 give consumers the right to cancel a contract that they have signed without penalty within seven days. That cooling-off period is a valuable protection. It may well not have applied in the case presented by my hon. Friend, but he will understand that it is an important part of the protection framework.
In addition to empowering consumers and having a legislative framework of consumer protections, there are enforcement bodies. It is important to ensure that enforcers, such as the Office for Fair Trading and local authority trading standards officers, have the right tools at their disposal to deal with dodgy builders. The Consumer Protection from Unfair Trading Regulations—known as the CPRs to those, such as myself, who write lots of letters about them—give enforcement bodies more effective means of tackling unscrupulous practices and rogue traders. That was a welcome reform introduced by the previous Government. CPRs can be used to ban traders in any sector from unfair commercial practices against consumers, particularly in relation to the sale and marketing of services. The regulations also ban any commercial practices that use harassment, coercion or undue influence that is likely to impair significantly the average consumer’s freedom of choice in relation to goods or services.
Taking those various measures together, there is a robust legislative framework. However, I have indicated that we want to reform it, because it is clearly not perfect. We also support a project being undertaken jointly by the Law Commission and the Scottish Law Commission, which is examining how private law might be reformed to provide consumers with a simple, clear right of redress where they are the victims of misleading or aggressive selling. We have also given funding this year worth £3.2 million to scambuster teams, so that they can continue the fight against rogue traders. We maintain their funding, despite the difficult financial circumstances, because we want to chase these rogues down.
That is all very well. This situation involved a company knowing that it was going to be taken to the cleaners and going into liquidation, and the owners starting up another company and carrying on as if nothing had happened. Where is the legislation to deal with that?
There is legislation, and the Insolvency Service, for which I am the Minister responsible, can take action in certain circumstances. One reason why I invited my hon. Friend to write to me is to consider what action could have been taken in that case. The Insolvency Service targets cases of misconduct or criminality and submits reports to the court for disqualification of directors for terms of various years based on the seriousness of the offence. I had a case in my constituency that was not dissimilar to my hon. Friend’s, and that was the route that we were advised to go down.
As I do not know the details of my hon. Friend’s case, it is difficult for me to comment further, or indeed pass any judgment, on what has happened. However, that is why I started my remarks by inviting him to write to me with a synopsis of the case to see how it could potentially have been dealt with in a different and more successful way.
In the remaining time left to me, I want to touch on TrustMark, which my hon. Friend mentioned in his speech. It is sometimes difficult for consumers to know whether a builder is entirely genuine and can be trusted. For extra peace of mind when people are looking for tradespeople, the TrustMark scheme has been developed as a form of accreditation. It is a fairly easy way for consumers to identify a builder who has agreed to abide by industry standards for competence and fair trading, and to be independently inspected to ensure that they are meeting these standards.
In his case, my hon. Friend explained how the Federation of Master Builders, which I assume—I am not absolutely sure from his remarks—was accredited by the TrustMark scheme in this case, appears, from the remarks that he has made, not to have taken the action that he and his constituent wanted it to take. Again, one needs to look at the detail before making a judgment on exactly what happened. However, TrustMark scheme operators, such as the FMB, are required to investigate complaints against tradespeople and can de-list traders where it is found that traders are not up to the required standard. In many cases, TrustMark can carry out that role in addition to other schemes, such as the competent persons scheme and those operated by other trade bodies. It is, therefore, an important body in the building industry.
I do not know about the involvement of TrustMark and whether it investigated how the FMB dealt with the complaint. That is one of the reasons why I invited my hon. Friend to write to me, so that we can have a look at the details of his case. Clearly, the TrustMark scheme, which I think is valued and highly thought of by many people, needs to ensure that, if cases are brought to its attention, they are dealt with in a proper fashion, which is the way forward. The TrustMark scheme has an important role to play, and it is therefore important to ensure that it retains the confidence of consumers and those in the industry.
I hope my hon. Friend feels that I have dealt with his case. I have given him the chance to contact me personally, and he has given me the chance to describe the overall system that is in operation to support consumers.
(13 years ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
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It is a pleasure to serve under your chairmanship, Ms Dorries. I feel privileged to be able to introduce a debate on the Government’s policy on preventing carbon monoxide poisoning.
I think you will agree, Ms Dorries, that many of the best campaigns in this House derive from constituency experience and the constituents who come to us with particular problems. About 10 years ago, a little boy, Dominic Rodgers, was found dead in bed by his mum, Stacey Rodgers. He had died from carbon monoxide poisoning. He was 10 years of age. He had been killed by a faulty boiler in a house next door—the gas had leaked across from one premises to the next. At that time, I promised that young lady that I would never give up campaigning against unnecessary deaths by carbon monoxide.
Over the years, through the all-party parliamentary gas safety group and in other ways, we have had a constant campaign to try to reduce the number of deaths and serious injuries from carbon monoxide poisoning. Many people do not realise how prevalent they are. The group has just had a major inquiry, chaired by Baroness Finlay. The latest statistics found in evidence that, every year, approximately 4,000 people are diagnosed by accident and emergency departments as having been poisoned by carbon monoxide. If they were poisoned by carbon monoxide, that means that they could have died from it.
I was talking to a casualty surgeon this week, at the launch of the Baroness’s report. Simon Clarke, an accident and emergency consultant from Frimley Park hospital, said that the other week he had a young woman come in who was not dead but severely affected by carbon monoxide. The two budgerigars in the house, however, were dead. Interestingly, I read a recent report that people do not keep budgies and canaries much these days—except in this case. The old use of the canary in the mine was to prevent the miners from being trapped by rising carbon monoxide.
Carbon monoxide poisoning is a very real problem that we face in this country. Many people do not recognise it because it is a silent killer—carbon monoxide is odourless and we cannot tell when it is around. The poisoning symptoms are tricky, and people might feel that they have a heavy cold or the flu. They might present themselves to their GP or even to A and E, but be sent home to the very environment that can kill because the symptoms are not recognised. We need a fully trained work force carrying out regular inspections in rented and owned property in this country.
When I started campaigning, the real problem was student accommodation, particularly if not very good landlords had not inspected the gas appliances, which became neglected and ceased to work properly. Time and again, we read of tragedies involving students dying of carbon monoxide poisoning. The regulations were changed, and landlords now have to inspect their property annually and have the appliances in such accommodation checked every year. What a fantastic lifesaver! We now rarely hear of students or people living in rented accommodation suffering from carbon monoxide poisoning. Yet that regulation does not apply to ordinary people’s homes.
We are keen on warm zones and green zones and all the good things we do to insulate our homes, such as having double or triple glazing, cavity wall insulation and thicker stuff in our lofts or attics, to make our little domestic idylls warm and cheap to heat. At the same time, however, we block out all the draughts and incoming fresh air which, often, saved us from carbon monoxide poisoning in the old days. Both this Government and the previous one had programmes to improve people’s ability to keep warm at low cost, but at the same time we added to the danger because less fresh air was coming in. This week in London—they are still in the city I think—we had a wonderful couple, Ken and Kimberly Hansen, whose young daughter of 17 died of carbon monoxide poisoning two years ago when she was at a sleepover at a friend’s house. Ken and Kimberly are from Buffalo, in up-state New York, which gets very cold in winter. As our winters get colder, we will have the same problem, with people again trying to keep warm and cut down energy bills but not venting through chimneys any more, so when it gets cold they block off that bit of air that seems to cause a draught in the apartment or house and then, of course, the carbon monoxide kills.
Deaths can also be caused when people to whom we refer, probably disrespectfully, as “cowboys” are not properly licensed to attend to gas appliances in the home such as boilers and other vectors.
We are considering not only gas but solid fuel, such as wood burning stoves or barbecues. My next-door neighbour the hon. Member for Colne Valley (Jason McCartney) will be saying something about barbecues, because he lost a constituent who used a barbecue on a camping holiday only this year. All forms of gas—propane, bottled gas, liquefied petroleum gas—kill people as well, with approximately 50 deaths a year from all sources, of 4,000 reported cases in A and E.
If people go on holiday—to France—they should take a portable gas detector. I do not have a portable one with me, but one for the home, which is still quite small. In France, there were 200 deaths last year from those little gas heaters that the French are so fond of in their bathrooms and kitchens. An early-day motion tabled by the all-party group, appropriately in July, was intended to make people aware of what was happening.
Carbon monoxide poisoning is a great danger to our constituents. What we really want is regular servicing by properly trained engineers, and that annual check in all homes if we can have it. If we cannot have that, in the short term, we really need a detector in every home—such detectors are cheap. I sometimes ask the financial and insurance community why on earth a home insurance policy would be given without a detector in the home. The detectors can cost as little as £15 to £25, and they should be given to everyone who buys a home insurance policy or gets a mortgage. Forty-five thousand people a month in the spring and summer change their house, so why does a detector not go into a house every time one changes hands? I would like dual use with a smoke alarm, but a detector alone would be a great lifesaver. We have run the campaign for 10 years and I have become very intolerant of the slow approach. We want the detectors in the short term—now.
Tomorrow, with my colleagues and on an all-party basis, I shall promote a symbolic Bill, which privately I call Dominic’s Bill after the little boy who died in my constituency, to demand a carbon monoxide detector in every home in the United Kingdom. That would save us from many deaths and many cases of poisoning through carbon monoxide. I have to tell you, Ms Dorries—I know of your interest in health—that even cutting down long-term exposure that is not fatal would be a great breakthrough, because all the research shows that any exposure to carbon monoxide influences health and ability to function and can damage brain function.
I do not want to detain the Chamber, except to say that the campaign came from constituents and from a brave young woman, Stacey Rodgers, who instead of turning in on herself and destroying herself as many of our constituents do when they have a tragic loss, started campaigning, as did that American couple. She has been campaigning for 10 years, going into schools and doing something; there is no one better than her at explaining to young people the dangers of carbon monoxide poisoning.
In a sense, we have reached a day of celebration, in that the “Preventing Carbon Monoxide Poisoning” report came out on Monday, and Baroness Finlay should be given all the credit for it, although there was also the work of the people who gave evidence. The Minister had input into the report, so he must pretty much approve of the 17 recommendations and I hope that he will take them on board. I also hope that he will look at our Bill. Let us get some action. Let us cut the deaths and the exposure to carbon monoxide, and let us do something practical for the short and the long term for our constituents.
May I check with Mr Sheerman and the Minister that it is okay for Mr McCartney to speak—you have cleared it?
It is a pleasure to serve under your chairmanship, Ms Dorries. Thank you for allowing me to speak in this important debate about a topic that involves saving lives. I pay credit and honour to my hon. Friend the Member for Huddersfield (Mr Sheerman), whose constituency adjoins mine and who is co-chairman of the all-party gas safety group. We have both, tragically, had the deaths of constituents from carbon monoxide poisoning, the most recent occurring only this summer.
A number of carbon monoxide incidents in the country and throughout Europe were caused by the inappropriate use of barbecues. Barbecues were used in tents or under awnings, which perhaps seems practical when it is raining, but people were not aware of the carbon monoxide implications. The result was tragic for Hazel Woodhams from Slaithwaite in my constituency near Huddersfield. She was on a camping holiday in Norfolk when she died. The charcoal barbecue that had been used to cook on had filled the tent with carbon monoxide overnight—it had been brought inside the tent to keep it dry overnight. Her partner was also poisoned. He is still on sick leave after nearly losing an arm due to poisoning, and his kidney was damaged as well.
Even when people are aware of the dangers of carbon monoxide, they often associate them with appliances in the home and are unaware of the deadly carbon monoxide that barbecues can produce. Portable barbecues and charcoal packaging usually include a warning not to burn a barbecue indoors, but most do not give an explanation why. People may believe that it is due to the risk of fire, but they may not be aware of the deadly risk of carbon monoxide poisoning. A clear, meaningful warning would help draw the consumer’s attention to the potential hazard.
I will finish my contribution to this important debate by asking the Minister whether he agrees that retailers selling barbecues for boating or camping have a duty to warn customers of the dangers of carbon monoxide. Will he help us and the all-party group on gas safety to promote the use of carbon monoxide alarms at the point of sale of barbecues?
It is a pleasure to serve under your chairmanship, Ms Dorries. I start by paying tribute to the hon. Member for Huddersfield (Mr Sheerman) and my hon. Friend the Member for Colne Valley (Jason McCartney) for the work that they and the all-party group have done. The commitment that the group has shown, both in producing the report and in raising awareness of the dangers, is enormously valuable.
As the hon. Member for Huddersfield said, this is an area where MPs working away over a period of time can genuinely influence change, as they clearly have done already. On a personal note, the first thing I did after visiting the all-party group last year was buy a carbon monoxide alarm, so I echo his comments about the desirability of doing that. I am sympathetic to the comments made by my hon. Friend the Member for Colne Valley about retailers, and my officials and I will look at what options are available to us.
We are very much aware of the threat that carbon monoxide poisoning can pose to people in their own homes, and of the devastating impact it has on people’s lives when things go wrong. Both Members spoke movingly about the terrible consequences of getting this wrong, and about the twin tragedies in their constituencies. I suspect that we would find similar tragedies in constituencies up and down the country. It is a tragic waste, often of a very young life, when such tragedies occur. That is why we are committed to supporting a range of measures taken by industry, health care professionals and others to prevent such tragic incidents occurring. That includes ensuring that we have appropriate regulation. I am not always a great fan of regulation, but regulations to ensure that we have properly trained gas engineers are entirely appropriate, as is raising public awareness of the dangers of carbon monoxide poisoning and working to improve early diagnosis of the symptoms. We wish to see that built into the training for any professionals.
There is a well-established, strong regulatory environment in relation to gas safety and exposure to carbon monoxide. It is a legal requirement that installation and maintenance of gas appliances be undertaken only by a suitably qualified and Gas Safe Register engineer. There are also legal requirements placed on landlords to ensure that they exercise a duty of care over their tenants. That is absolutely right. An annual check of gas fittings and appliances is required, and appliances must be maintained in a suitable manner. Those measures are important in providing protection for the public. When they have their boiler fitted or checked, they can be assured that it is done by a competent and properly trained professional. If that does not happen, the consequences can be devastating for the lives or welfare of individuals and families, as we know from too many bitter experiences.
It should be on the record that we do have a system. Unlike New York state—we were talking about comparisons only this week—we have a regulatory framework, which is delivered by the Gas Safe Register. However, the Minister is aware of how many cowboys are out there. They are not registered; they do work on the side, and they do it very badly. We must be aware of the many who hire such people.
The hon. Gentleman is correct. We have shifted the Health and Safety Executive’s focus away from monitoring low-risk, unproblematic business areas so that it can concentrate more of its efforts on the rogues out there in a whole variety of sectors. Our regulatory regimes should focus on the people who act as cowboys, as the hon. Gentleman says, not simply in one area but in a variety of areas. That is where we must make a difference.
Gas Safe Register operates the statutory registration scheme for gas engineers. There is now a good kitemarked list of registered engineers. We have the highest ever total of people—more than 130,000—now on the list. It is quick and easy to find a Gas Safe Register professional who can do the job in a proper, effective way. There is no need for anyone to turn to a cowboy, but that does not mean that it does not happen. There are industry-backed schemes for other fuels such as oil, and there is the heating equipment testing and approval scheme for solid fuels. That enables consumers easily to find professionals with the appropriate qualifications, so that they can make sure that fittings are safe.
Will the Minister take on board what one of the witnesses who gave evidence to the inquiry under Baroness Finlay told us when I was part of the team? He told us that things may look good on paper, but he knew of cases where someone who was a taxi driver one month was a gas fitter a month later after satisfying the gas-fitter regulations.
There are often anecdotes, but it is always difficult to know how substantial they are. I believe that we have a good system. I do not claim that it is flawless, because I do not think that such a system has yet been invented by mankind. Clearly, it is important to ensure that the training provided is of an appropriate quality. That does not mean that people cannot change careers, but I accept the hon. Gentleman’s point that people who make such career changes need to have the appropriate skills, particularly in such a sensitive area.
The message to the public is simple and compelling. We can avoid the devastating consequences that the hon. Gentleman and my hon. Friend the Member for Colne Valley described by using people who have the requisite skills, training and certification. In that way, families can be certain that the person who has done the job is not operating in an unregulated environment. It is certainly not sensible to hire cowboys, as the hon. Member for Huddersfield rightly pointed out.
Of course, as we have heard today, and as we see in the report, there is a big challenge to get the message out. One of the report’s contributions was to underline again the nature of the challenge in building awareness of the issue. We have made good progress with smoke alarms, but we have much further to go with carbon monoxide alarms.
It is worrying; we have smoke alarms in 85% of homes, but the figure for carbon monoxide detectors is still languishing at 18% or 19%, which causes serious concern.
It does, and that is why the work done by the Gas Safe Register organisation is tremendously important. We have given it the task, as did the previous Government, of running communication campaigns and undertaking other activities to encourage the use of its services to raise awareness of the dangers. There have been major campaigns targeting particularly vulnerable groups, and we recently had the first gas safety week. Also, there are other influences. The hon. Gentleman will have seen the recent “EastEnders” storyline relating to carbon monoxide poisoning. If we can get that kind of media penetration into the public consciousness, we have a real chance of building awareness in a way that Governments struggle to do. Something that people see in a soap opera on a Tuesday night has much more impact.
The Minister is generous in giving way. One of the first campaigns that I got involved with in Parliament was on seat belts, and I organised and drove through legislation on that. This is a good moment to mention Jimmy Savile, who sadly died the other day; he was a great part of that campaign. However, even despite “Clunk-click, every trip,” and all the television advertising, we never got more than 35% of people wearing seat belts. Wherever we advertise, and regardless of “Coronation Street”, “EastEnders” or whatever, we will not increase the number of people using gas detectors unless we bring in regulation. Is the Minister willing to consider legislating for every home to have a detector?
We have rules relating to landlords and tenants, and I would be happy to consider such a measure in those cases. It is difficult, however, for Governments to instruct the public about what they should do in their houses, and we do not have such regulations for smoke alarms. I will certainly take the hon. Gentleman’s point away and give it due consideration.
Is there not an alternative? I know that the Government do not like regulation, but could it not be put in law that a house could not be insured unless it had a gas detector? That would make insurance companies deliver on the measures that I have suggested. As I say, why should insurers and big mortgage providers not ensure that every home has one of these cheap items?
I praise the hon. Gentleman for his work in encouraging insurance companies to act, but it becomes quite problematic if Governments start instructing insurance companies in law, and telling them what they should put in their policies. I have a lot of sympathy with the hon. Gentleman, but it is about the degree to which coercion is used and measures are imposed on society. This issue is one of many challenges that society faces when it comes to the health and welfare of individuals, and we must decide where to draw the line between regulation, advice, guidance and encouragement of the kind that is provided in various campaigns. I am not giving him an absolute no, but I am not sympathetic to the idea of an all-encompassing regulation. It is difficult to legislate against all the different risks to society.
The Minister and I work well on these issues, but let us return to seat belt legislation. Would he remove the regulation on seat belts for adults?
A lot of people were, but I would not change it. We introduced seat belt regulations for the back seats of cars. The issue is about where we stop legislating against risk in society, and where we start. As for my preference, on such issues, particularly when we are talking about requiring people to have something in their homes, I am instinctively in favour of the work done by the hon. Gentleman and the all-party group to encourage people to do things differently.
As I have said, I will happily look at all the recommendations in the report, and I have listened to what the hon. Gentleman has said today. We will also look at whether there are further things that we can—and should—do. Work is already under way on some of the conclusions in the report, and that is right and proper. We share the common objective of trying to ensure that people do not tragically lose their lives through carbon monoxide poisoning. The question is how best to do that, and the work carried out by the hon. Gentleman and his group has given the Government a timely reminder about a number of other things that they might consider doing.
A real opportunity is coming up with the green deal; 27 million homes will be improved with Government help and money. The Minister of State, Department of Energy and Climate Change, the hon. Member for Bexhill and Battle (Gregory Barker), was helpful and amended regulations on the green deal—well, they were amended in the House of Lords—to ensure that if a house becomes airtight as a result of the green deal, it will be obligatory to put a carbon monoxide monitor in it. We will soon see a change in the way we look at homes in this country, because smart metering will provide a chance for every house in the country to look at how its energy is provided.
The hon. Gentleman makes some sensible points. I have committed to looking carefully at all his comments and recommendations, and at the content of the report. I will not give him an instant reply, but I share his objectives, and we should try to mitigate the risk of carbon monoxide poisoning whenever possible and prudent to do so.
I join the hon. Gentleman in paying tribute to his constituent. When I attended a meeting of the all-party group last year, I saw a number of people from different areas who have engaged with this issue because of tragedies that they have suffered. We owe it to those people to look at the best ways to ensure that such tragedies do not happen to other households and families. I give the hon. Gentleman a commitment that I will look carefully at all the recommendations in the report and at his comments this afternoon, and consider further sensible and prudent measures that can be taken to reduce the likelihood of tragedy striking elsewhere.
We must also look at the health care arena. The hon. Gentleman made the point that early diagnosis in an A and E department or a doctor’s surgery is extremely important in ensuring that somebody who has been exposed to carbon monoxide is helped, and that their condition does not become worse so that they potentially lose their lives.
It is crucial that medical professionals are aware of the risks and symptoms of carbon monoxide poisoning, so that they can provide early and effective diagnosis. A lot of work has already been done to increase that awareness and knowledge. Three years ago, in 2008, and again earlier this year, the chief medical officer and nursing medical officer wrote directly to all GPs and accident and emergency consultants about carbon monoxide poisoning. Those messages also contained an algorithm developed by the Health Protection Agency to aid diagnosis. Similarly, earlier this year guidance was issued to smoking cessation clinics on the detection and diagnosis of carbon monoxide poisoning from sources other than smoking. Just last month, GPs and other health professionals were alerted to the new estimate of the number of people who attend A and E departments each year displaying signs of carbon monoxide poisoning. There is, therefore, a concerted and ongoing programme to raise awareness and keep the issue on the agenda for front-line health care professionals. That is an important part of the support and strategy that the hon. Gentleman and his colleagues on the all-party group believe need to be implemented.
Much has already been done, and the hon. Gentleman has had considerable influence in this area over the years. We recognise, however, that there is more to do, and that continued efforts are required to prevent tragedy striking as a result of carbon monoxide poisoning. The group’s recommendations in the report are enormously helpful, and we will consider them carefully with our officials. As I have said, some of the recommendations are already in place, and work is being done to make changes. New thoughts and ideas will be considered carefully as a team, and we will respond in detail on issues that have been raised, setting out what we believe we can and cannot do. We intend to do everything that we can, and we recognise the importance of the issue.
I will give one last little prod, which I know is not necessary because the Minister is a good colleague on these matters. Carbon monoxide detectors carry VAT, as do flue gas analysers. I know that it is difficult to remove VAT, but it would be a step forward if people did not have to pay that tax. Would the Minister’s colleagues in the Treasury consider that? These days, a lot of our constituents are in much more danger of carbon monoxide poisoning when they travel to France and other countries. I know it is difficult, but is the Minister talking to the European Union and the European Commission about what is being done to protect people in other parts of Europe?
I think the hon. Gentleman will have to talk to the Treasury on the tax front. I would like to sort things out in this country first, but I will ensure that the hon. Gentleman’s message filters through to Brussels.
Question put and agreed to.
(13 years ago)
Written StatementsThe Government are committed to advancing equality for lesbian, gay and bisexual (LGB) people and to ensuring freedom of religion or belief for all people.
To further both of these aims, the Government are committed to removing the legal barrier to civil partnerships being registered on the religious premises of those faith groups who choose to allow this to happen. This will be done by implementing section 202 of the Equality Act 2010. This is a permissive measure; section 202 states that there will be no obligation on faith groups to host civil partnerships.
The Government published a consultation document on 31 March providing detailed proposals on the scheme to be introduced that would allow this to happen. Today, we are publishing an analysis of the consultation responses and the Government response, confirming our intention for the scheme to allow religious premises to apply to be approved for civil partnership registrations to be in place by the end of this year.
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A copy of the document will be placed in the House Library.
I wish to inform Parliament that the Department for Communities and Local Government has obtained approval for an advance from the Contingencies Fund to allow the recruitment and appointment of committee members for the reformed Homes and Communities Agency’s Regulation Committee, ahead of Royal Assent of the Localism Bill, which is currently before Parliament.
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(13 years ago)
Written StatementsThe then Secretary of State for Defence, my right hon. Friend the Member for North Somerset (Dr Fox), announced on 18 May 2011, Official Report, column 351, that a submarine design, powered by a new generation of nuclear propulsion system, the Pressurised Water Reactor (PWR) 3, had been selected and the Initial Gate investment approved.
Historically the Ministry of Defence has operated an onshore nuclear submarine reactor prototype at the Vulcan Naval Reactor Test Establishment (NRTE) site in Caithness, in support of in-service nuclear submarines and the development of new reactor core designs. Confidence in the technology is such that it is not now necessary to undertake reactor core prototyping activities; instead the PWR 3 reactor core design will be supported through an extensive test and validation programme using computational modelling, analogy from current reactor designs and testing of individual components and systems.
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(13 years ago)
Lords Chamber
To ask Her Majesty’s Government how many police stations have been closed since May 2010.
My Lords, this information is not collected centrally. Decisions about resources are, rightly, matters for chief constables to take locally with their police authorities. What is important is how visible and available the police are. We want to see police officers on the streets, preventing and cutting crime, rather than behind their desks. Modern policing reaches people through many means, not just through police stations.
My Lords, I am most grateful to the noble Lord for that illuminating Answer. Could it be that the Government do not collect this information centrally because the information is too embarrassing to them? Can the Minister confirm that the recent Sunday Times survey that showed 350 public counters due for closure in the next few months is accurate? Can he also confirm that his ministerial colleague in the Home Office, Lynne Featherstone, has been running a campaign in her constituency against police cuts and the closure of public counters? Does he agree that this is somewhat hypocritical, and does it not show that she knows that these cuts are going to have an impact on the police’s ability to fight crime?
My Lords, I am aware of the research in the Sunday Times to which the noble Lord refers. I am not sure it was conducted on the most scientific basis and therefore we will not take much notice of it. I am also aware of what my honourable friend Ms Featherstone had to say about issues in her own constituency. I understand her views were purely about her own constituency, and she is a very good constituency MP. I can assure the House that, like all government Ministers, she is fully committed to what the Government and the Home Office are doing to make the necessary savings—savings forced on us by the profligate manner in which the party opposite behaved when they were last in government.
My Lords, I declare an interest as a member of the Metropolitan Police Authority. Does the Minister agree that the economic situation and budget cuts may force the new police commissioners to choose between maintaining police numbers and selling police properties?
My Lords, I thank my noble friend for that question, and I am aware that she is a member of the Metropolitan Police Authority. The question is about police contact, and the important thing to remember is that police contact is not just about stations; as I made clear in my original Answer, it is about police stations and all other means by which we can achieve that police contact. Police stations are not necessarily always the best means of doing that.
My Lords, I, too, declare an interest as a member of the Metropolitan Police Authority. Given that contact is the key issue, how does the Home Office view the decisions by the Mayor of London and his deputy for policing to cut by nearly a half the number of sergeants responsible for safer neighbourhoods and liaising closely with local communities? Is that not a significant reduction in contact with the community?
The noble Lord is a member of that police authority and will no doubt put those questions to the mayor in due course. The important point is that those decisions are made by the appropriate authority. It is not for us to micromanage these things; it is for us to make the appropriate resources available to the police. We accept that the cuts that we are having to make, which were forced on us by the previous Government, are difficult. However, they are challenging but manageable, and all police authorities will manage to achieve them.
My Lords, will my noble friend the Minister encourage chief constables to use those early-retired persons who are prepared to volunteer their services both to man desks in police stations and to carry out other non-police but essential back-up tasks? This is working extremely well in a number of areas of the Metropolitan force, and I believe that it should be widely extended across the country.
My noble friend makes a very good point indeed and I will certainly take it on board. It is quite right that we should make use of the expertise that we have to make sure that policemen who are still available for front-line duties can do them and are not wasted behind the doors of the police station doing bureaucratic jobs.
My Lords, perhaps I can help the Minister, who said that he does not know how many police stations have closed. In my county of Essex, seven police stations have closed, but, worse than that, we now have no more 24-hour police stations, and most police stations are open only between noon and 6 pm. Given that the Chief Inspector of Constabulary said that a 12 per cent cut in police budgets was the most that could be saved, how can the Government justify a 20 per cent cut in Essex? What impact will this have, and why did they not listen to the chief inspector?
My Lords, that is obviously a matter for the authorities in Essex. We accept that things will be difficult, as I have made clear in all the supplementary answers that I have offered to the House. The noble Baroness will be aware of the most recent report from HMIC, Adapting to Austerity, which was published in July this year and which sets out a summary of forces’ workforce plans for the spending review period. The number working in front-line roles is expected to fall by just 2 per cent on average, but it must be for each force to decide how to do that itself.
Since the Official Opposition are leading with their chin, does my noble friend recall that under the doctrine of collective responsibility Labour Ministers were seen on the picket lines and at the protests against the closure of hospitals in their constituencies?
My Lords, it is not unusual for the Opposition to lead with their chin, so perhaps I ought to remind them of what one of their own former police spokesmen said only too recently. Vernon Coaker, the former shadow Police Minister, said:
“Ideally, you want the station to remain in the town but if that's not possible and they don't have the money then we have to look at alternatives … A lot of areas do operate without a station but they all have a presence”.
My Lords, what would the Minister’s reaction be to the recommendation, if it was made, that the police station at Penrith close?
My Lords, I am not aware of such a suggestion, but, if it was made, obviously I would want to discuss it with the chief constable of the authority I happen to live in. However, it would be for him and not for me or for any other Home Office Minister to decide what was appropriate for Cumbria policing and policing in Penrith.
My Lords, would the Minister care to comment on the Government’s priorities for the police service in this country, given that they are introducing, at great public expense, an untried and unpiloted new system that replaces police authorities instead of using that money in the way the overwhelming majority of the public want it to be used: on the police service in their locality, including police stations?
I will not rehearse the debates that we had at some considerable length on the police Bill when it recently went through this House. This House and another place, Parliament as a whole, decided in favour of police commissioners, which we feel is the right way forward and is what we will do. It will create much greater local accountability. If the noble Baroness looks at what we have at the moment in the form of police authorities and what we will have in the future with police and crime commissioners, she will, in due course, recognise that that will be a great improvement.
(13 years ago)
Lords Chamber
To ask Her Majesty’s Government what conclusions they have reached from the discussions of European Union Finance Ministers in Luxembourg on 4 October concerning the case for member states to work together to solve their current economic problems.
My Lords, the Government support the euro area’s commitment to ensure financial stability of the euro area. A comprehensive and sustainable solution is urgently needed and is in the UK’s interest. This can be achieved only by the euro area working closely together. The Government also recognise the urgent need to boost growth across the EU and are pushing completion of the single market, promotion of trade, reduction in regulation and greater innovation.
My Lords, I thank the Minister and the whole Government for having shown steady and firm solidarity with our eurozone partner countries and for their strenuous efforts to solve current financial and economic problems. Does he agree that such a firm stance must be maintained to stop deep market panic despite the monumental shock of the Greek referendum decision?
I am grateful to my noble friend for recognising the constructive role which the UK Government have played in pushing forward the many strands of important discussion in the EU at the moment. I indeed agree that the agreement signed last week has to be delivered by all member states, including Greece. We will be working hard to play our part to that end.
Does the Minister agree that, in this very grave moment of crisis for Europe and for Greece, we should be urging the Greeks to recognise that, for all the inevitability of hard and painful times that lie ahead for them, it is the eurozone that is forgiving half their debts, rescuing their banks and providing the financial support to keep their economy afloat? Should the British Government not hold out a hand of friendship to Greece, for whose democracy we have a proud historical record of support, and not indulge in arrogant lecturing by a Government whose economic policies are leading to depression in this country?
My Lords, we hold out a hand of friendship to all our EU partners and to many other countries, but it is for Greece to make its own decisions. I am not going to lecture the Greeks, but it is clear that all parties to the deal last week have to deliver on their commitments.
My Lords, is it not high time that the usual channels got together and arranged for a debate in this House on the crisis in the eurozone, since we have had no opportunity other than on Statements and Questions to pursue the matter so far? In particular, should we not have some views expressed on the contingency plans which need to be made should a country leave the eurozone?
My Lords, without wishing to encourage a huge rush of additional speakers, we already have a decent number of very interested and expert noble Lords down for a debate on Europe tomorrow. Indeed, this House is taking the matter very seriously.
My Lords, is it not obvious to all but the most blinkered zealot that, whether the Greeks default or not, in the medium to long term the only prospect of survival for the eurozone—even that is not guaranteed—is with such a centralisation of political and fiscal ancillary powers that we would effectively have created qualitatively two different European structures? Will the Government enlighten us on what contingency planning they are making for the day that will inevitably come when that decision or those decisions have to be made?
My Lords, I do not accept the very simplistic idea that we are headed for a two-speed Europe. There is already a variable geometry in Europe in other areas apart from the euro, such as justice and home affairs, where there are different arrangements for certain member states. The critical lesson out of all this is that the UK must stick to its own fiscal deficit reduction policies because it is those which are giving us the benefit of 10-year interest rates today at 2.2 per cent, whereas countries such as Italy, which had interest rates very similar to ours before the financial crisis, have interest rates not at 2.2 per cent but at 6.2 per cent. So we must stick to keeping our own house in order.
My Lords, further to the question put by the Minister’s noble friend Lord Higgins, have the Government given any thought to the cost of returning first Greece and in due course the other crippled economies of the eurozone to their national currencies and, if necessary, supporting that transition with some variation of the Marshall plan? Have they thought about that concept, compared with continuing to throw unknown trillions at a project which cannot be saved?
My Lords, the first thing to understand is that the UK is not part of the stability mechanism that the eurozone is putting in place, and we will not contribute to specific bailouts. On the other hand, the eurozone takes about 40 per cent of our exports and it continues to be the principal interest of the UK Government to make sure that the eurozone and the whole of the EU prosper and grow, to the benefit of our own economy.
Could the Minister spell out the difference between a variable geometry Europe and a two-speed Europe?
My Lords, I think that I have already done so. The two-speed Europe that people seek to paint is one between the eurozone and the rest, but thanks to the work of the Prime Minister at the 23 October Council, the very important principle was accepted that those matters which relate to all EU members and the whole of the EU, such as the single market, will of course continue to be the province of the EU 27. That is the critical acceptance which has been made by the Council and the Commission at the prompting of the Prime Minister.
NHS: Private HealthcareQuestion3.22 pmAsked By To ask Her Majesty’s Government whether general practitioner practices are permitted to advertise their own private healthcare services using the NHS logo.
My Lords, the Department of Health does not permit organisations, including general practitioner practices, to use the NHS logo to promote their non-NHS services, including private healthcare services.
I thank the noble Earl for his response, but of course most of us in the Chamber have read in the newspapers recently about the case of a GP practice writing to its patients. I believe that what happened there goes straight to the heart of general practice; that is, the relationship between the doctor and the patient. It is a relationship that I fear the Government show no sign of understanding. Will he give an assurance that the proposed form of commissioning in the health Bill will not result in the nightmare possibility of the doctor changing from the person who decides the best medical treatment for the patient to the person who decides what can be afforded?
My Lords, I can give that broad assurance, but the noble Lord will know that it is already within the GMC code that doctors have to consider the totality of the resources available to them and take account of the needs of all their patients. With that qualification, of course our reforms are designed to ensure that the highest-quality care is delivered to every patient according to his or her needs.
My Lords, is the noble Earl aware that in the 1980s, when I was president of the General Medical Council, it was unethical for doctors to advertise and those who did could be disciplined? However, I and a number of other members of the council were summoned before the Office of Fair Trading and were accused of restraint of trade. After a lengthy hearing, it was agreed that GPs should be allowed to advertise, but that consultants should not in order to preserve the gatekeeper function of a GP for access to special services. Has the situation changed?
My Lords, the issue of advertisements is slightly different from the issue surrounding logos, in particular the NHS logo. What I can tell the noble Lord is that where independent providers have their own logo and wish to use it, they can within the specifications outlined in the NHS guidelines. In cases where organisations are providing both NHS and private services, and those could include a general practitioner, then the information relating to the private services must not carry the NHS brand or logo type, and information relating to the private services must be kept separate from the NHS ones.
I have been a national health dentist. Surely the national health logo could be in the premises without necessarily being on the advertisement. It is important that practitioners should be clear on these matters. Patients want to know what services are available, whether they are national health or private and what the choices are, and it would be a deficiency on the part of a national health practitioner not to at least have information available. How can you differentiate so that it is not claimed that the NHS logo has been involved when you are basically a national health practice?
My Lords, other than for GPs, dentists and pharmacists, where use of the logo is voluntary—although it is very widely used—providers of NHS services are required to display the NHS logo as a sign of their commitment to the NHS patients that they treat. That is fine as far as it goes. However, where private services are also being delivered from the same premises, there are clear rules laid down that the NHS logo must be nowhere near any information about those services and that patients have to be absolutely clear what service they are receiving, whether it is NHS or private.
On the basis of that answer, does the noble Earl accept that it is inappropriate for an NHS general practitioner, during an NHS consultation with a patient, to offer their own private, non-evidence-based services instead of an NHS service —in other words, to offer their own private services in the context of an NHS consultation? I speak from personal experience.
My Lords, except in limited circumstances, which must be set out in their contract, primary medical service contractors—GPs, in other words—cannot directly or indirectly seek or accept from any of their patients a payment or other remuneration for any treatment. The prohibition not only relates to treatment provided under the primary medical services contract but extends to any treatment that may be provided to the patient.
My Lords, we all agree that the NHS logo must be one of the most trusted brands in the UK. It is currently outside diagnostic and treatment centres which are privately run, so can the noble Earl tell the House whether the Government will issue guidance to any qualified private providers about the use of the logo?
My Lords, perhaps I may press the Minister, following on from the question of the noble Baroness, Lady Jolly. I looked at the NHS brand guidelines website and it is most specific about the colours, size, margins, borders and even communication principles. It is silent, however, about who cannot use the NHS logo. It has a list of organisations which can use it but is silent about who cannot. Given that we may be heading towards a world with a multiplicity of providers, will the Minister undertake to look at the NHS brand guidelines with a view to making it clear under what circumstances the brand may or may not be used?
I will, of course, look at that point. However, the NHS logo is considered to be the cornerstone of the NHS brand identity. The letters NHS and the logo type are trademarks managed by the branding team at the Department of Health on behalf of the Secretary of State for Health, who technically holds the trademark. They are extremely well recognised and trusted, and use of them is very carefully controlled indeed.
Are the Government satisfied that the general practitioners in the focus of this Question were not subject to double payment—first, paid under the terms of their GMS contract for general medical services to patients on their list, and, secondly, then receiving private payments for giving the service that had already been paid for under the GMS contract?
My Lords, I have already indicated that there must be a clear separation between NHS services provided by a general practitioner and its private services—or indeed services for which it is entitled to charge that fall outside its contract. The rule is that patients should be left in no doubt about which service they receive.
My Lords, the prospects for carbon capture and storage in the UK are good. We have six other applicants in the European new entrants’ reserve 300 competition. Through FEED, we have developed substantial practical guidance on the delivery of CCS projects. We will launch a streamlined selection process for future CCS projects as soon as possible and expand on our plans in the next eight weeks. I can confirm that the £1 billion remains available for this.
My Lords, while it is regrettable that the Longannet project has been withdrawn, it is satisfactory to note that these other projects are coming forward and, in particular, that the Government will speed up the selection process. Would the Minister agree that a successful demonstration of carbon capture and storage on a commercial scale could not only reduce carbon emissions but also lead to the creation of many new jobs and substantial overseas earnings?
My Lords, it is difficult to disagree with any single word that the noble Lord, Lord Ezra, said. He is obviously a leading expert in the field. It is gratifying to hear him make a statement like this and be so supportive of the Government’s plans.
My Lords, is it not clear that the withdrawal of the Longannet proposal demonstrates what most people who have studied this know, that carbon capture and storage is a lovely idea but is both technologically improbable and economically prohibitive? Is it not about time, when there is great financial and public spending stringency, that the Government stopped throwing money at this lost cause?
My noble friend Lord Lawson makes several good points. The reality is that that is why, having been the negotiating Minister for the project, I decided to call a stop to it. I felt that the financing for this particular project was going off the dial. We have been given an envelope with which to invest, one that is more than generous for the prospect. It is part of the coalition agreement and there is support from all sides of the House that we press on with this groundbreaking technology. Britain is famous for groundbreaking technology and we should—and will—continue to invest in that.
My Lords, I declare an interest as a member of the Engineering and Physical Sciences Research Council. Does the Minister agree that it is likely that there will be a considerable use of fossil fuels, particularly coal, in many parts of the world and there is clearly a commercial advantage in Britain being first? Would he remind the House how much money we spend on research in this area through the research councils? Does he feel that that is sufficient money in view of the importance of this area?
I can only talk about what the Government have spent in FEED, which is their investigative, exploratory work on this. To date, we have spent more than £60 million—quite a significant figure. As I said earlier, we have committed £1 billion to the project. We will learn even more as we go into the next project and I hope that we will be successful.
My Lords, I very much welcome the renewed commitment of the Government and my noble friend to carbon capture and storage in future. Will the Government look at fossil fuels other than coal? How do they see co-operation with other nations, for instance China, in developing this technology to our mutual benefit?
I am grateful to the noble Lord, Lord Teverson, for his very good points. The reality is that if we all had our time again we would start on gas, which is going to be fundamental to the future of our energy supply. I am at one with the noble Lord, Lord Lawson, on this, for a change. I very much hope that in the next competition we will have a lot of applicants for a gas project and that we can become world leaders in its carbon capture and storage.
My Lords, does the Minister agree with me that of course all these low-carbon energy approaches are risky and expensive? This is further evidence that for CCS this is particularly the case. We have had our two large projects stopped; it could be incredibly expensive and feasibility is far from demonstrated. Does not that teach us that we had better get on with nuclear power in a more aggressive way and expand our nuclear capability?
I am delighted to say that on 31 October EDF put its 30,000-page document in for planning for the first new nuclear power station to be launched for 27 years. I can only totally agree with the noble Lord.
My Lords, I am very grateful for the Minister’s comments about gas. It is certainly true that if we could be back in time we should have had a much broader approach to the competition. How does the Minister intend to communicate to the Treasury the lessons learnt from this negotiation? This is an important technology and cannot be done on the cheap. We must provide sufficient funds to get this technology out and proven, so that we can become a world leader in it.
I am very grateful for the support of the noble Baroness, Lady Worthington. I can confirm that the Treasury has agreed to £1 billion of support for this, in addition, one hopes, to European money for which we are applying. In my own view, that is a very significant figure in these current times to support this project.
My Lords, the Minister indicated in his Answer that European funding may be available for CCS. Given the collapse of Longannet, will the UK still be able to meet the timescale for that funding, and can that funding be used for capital support for carbon capture and storage projects in this country?
I can confirm to the noble Baroness that that is the case. I would not say that Longannet has collapsed; we have merely said that we are not going to proceed with it. But I can confirm that that is the case.
My Lords, I beg leave to present a petition from Lewisham SOS NHS.
The petition prays that the House will recognise the clear present and future danger of the Health and Social Care Bill 2011 to the health and well-being of people and that the Bill be withdrawn from further consideration forthwith.
That Lord True be appointed an alternate member of the Select Committee in place of Lord Hunt of Wirral, resigned.
(13 years ago)
Lords ChamberMy Lords, I would like to remind the Committee that if either Amendment 3 or Amendment 4 is agreed to, I cannot call Amendment 5 by reason of pre-emption. I call the noble Baroness, Lady Williams of Crosby.
I apologise for the slight delay in rising to my feet—my understanding was that the Minister was proposing to start the debate by making a statement. I apologise for delaying the House. Let me say right away that I do not resile in any way from the amendment which the noble Baronesses, Lady Jay and Lady Thornton, the noble Lord, Lord Patel, and I have put down. We believe that it is important to have an absolutely solid basis by which the whole of the House and the public can understand exactly the accountabilities and responsibilities of the Secretary of State. It is therefore of great importance that this House, in this crucial Committee sitting, is able to reach a clear understanding of what those responsibilities and accountabilities are.
I very much hope that that will be possible as there are still legal questions about the particular meaning of both the amendment put forward by the noble and learned Lord, Lord Mackay of Clashfern, and the amendment put forward in the names of the noble Baroness, Lady Jay, myself and others. There are still difficulties and differences of opinion between legal voices about exactly what the forethought of those amendments is and just how clearly they lay out the responsibilities and accountability of the Secretary of State. Some Members of this House will recognise that one difficulty is that the Secretary of State is extremely anxious to avoid any further micromanagement of the health services because he believes that it would reduce professional discretion. I think that many of us sympathise with that argument.
The difficulty is that many of us also believe that the Secretary of State should have clear accountability for the very large sums involved in financing the NHS at present. We also have regard to the fact that there are certain crucial responsibilities revolving around things such as national emergencies for which we believe the public would expect the Secretary of State to be the person responsible. So on constitutional grounds, and on grounds of financial accountability and clear responsibility in certain areas of national concern, we are anxious to see that the Secretary of State retains those responsibilities. However, the possibility of drafting legislation which comprises both the issue of having no micromanagement and the issue of the crucial ultimate responsibilities of the Secretary of State has proved somewhat elusive. In that situation, I hope very much that the Government will consider pressing ahead with trying to draft acceptable legislation for Report stage, when I hope there can be broad agreement about what the responsibilities are. I cannot answer for my noble friend the Minister, of course, but I hope that he will give consideration to that request.
Perhaps I may quickly add three other considerations. The first, which I have mentioned already, is the area of legal ambiguity. I think that all Members of this House will have heard clashes of opinion about the precise meaning of the amendment before us. I regret that, and I hope the legal profession will forgive me for saying that when there is more than one lawyer in a room there is very often more than one opinion. That is exactly the situation in which we find ourselves. Secondly, many of us feel—I would certainly speak for myself and my party, and this point was raised by the noble Baroness, Lady Jay—that it is absolutely critical to look at Clauses 4 and 10 together with Clause 1, rather than trying to take them separately. They are intimately interrelated. Many of us recognise that to make a change in Clause 1 without taking on board the implications of Clauses 4 and 10 would leave us in a world of deep twilight uncertainty.
The third issue is perhaps a bigger one; perhaps it constitutes a vision that I profoundly hold. I think we all recognise that the NHS is deeply cherished in this country. It is something to which people cling, as they find themselves facing financial hardship, as one of the few certainties and areas of trust that they can rely on. However, we also know without any doubt of the essential need for change in the NHS—my noble friend the Minister and others have made this absolutely clear—if we are to be able to finance an aging population, and not least, although we often neglect this, the very welcome survival of far more people with chronic sicknesses than used to be the case even 20 years ago, all of which lays heavy responsibilities on the health service. Because of that, I for one feel strongly that the greatest prize that this House could give to the future of health services in this country would be to reach a broad political consensus on the issue, so that the NHS and other health services, as they go forward, find that they are based on a solid rock of acceptance and consensus that will carry us through many of the ups and downs that we are bound to face in the next few years.
My Lords, in response to the obvious concern over the Secretary of State’s responsibilities, as narrated in the Bill, I attempted to find, from a completely impartial point of view, a solution that would commend itself to everyone. In due course, I came up with an amendment, which your Lordships have seen. My first action was to send a copy of it to the noble Lord, Lord Owen, and others, including the noble Baroness, Lady Thornton. I hope that demonstrated that there was nothing partisan or anything of that sort about it. In trying to put the amendment together, I looked very closely at what the Constitution Committee had said. I think the noble Baroness, Lady Jay, and I demonstrated last time that we had considered these matters in some detail.
I also considered all that had been said about concerns on this matter in the Second Reading speeches, of which there were quite a few. I have endeavoured to meet these concerns in the amendment. As I say, I hoped that the House would find it acceptable but a number of questions have been raised and, as the noble Baroness said, lawyers are apt to disagree on these matters. On the other hand, lawyers are usually reasonably able to reach agreement when they set their minds to it. Therefore, I have no intention of moving my amendment today so there can be no question of its acceptance or otherwise today. An amendment to it has been proposed by my noble friend Lord Greaves. He told me that his idea was to find out what the meaning of “ultimate” was. Maybe I should briefly deal with that now. “Ultimare” is the Latin verb from which it comes, which means to come to the end—not always a comfortable position. The definition in the Oxford English Dictionary is:
“Lying beyond all others; forming the final aim or object”.
That is the sort of idea that I had—that it is the final responsibility of the Secretary of State; in other words, in ordinary language, “The buck stops here”. That was my object in using that phraseology.
During my researches in the Oxford English Dictionary I noticed that Dr Johnson said in 1758 that to be idle is the ultimate purpose of the busy. As I say, I have no intention of moving my amendment today. I hope that we can reach agreement on this matter in informal discussions outside the Chamber. A large number of important practical issues remain to be considered in subsequent Committee days. This sort of question, which is primarily rather theoretical but very important from the point of view of people’s attitude to the National Health Service, should be determined. However, it would be more conveniently determined in discussions between ourselves outside the Chamber. Certainly, I would be willing to participate in those discussions if the amendments before us today are not proceeded with.
My Lords, before we move further forward with our debate, I hope that noble Lords will find it helpful if I make a very brief intervention. I am aware that a number of noble Lords wish to speak and I have no wish to prevent that. The Committee must, of course, proceed as it sees fit. However, I felt it might be useful to those intending to speak if I indicated now rather than later what the Government’s preferred course is in relation to this group of amendments. Some noble Lords will be aware that the Government regard the amendment tabled in the name of my noble and learned friend Lord Mackay and the noble Lord, Lord Kakkar, as having particular merit in the context of this debate. Notwithstanding that, and having spoken to a number of noble Lords during the past few days, including my noble and learned friend, it is my view that the best course for this Committee would be for none of the amendments in this group to be moved today, and instead for us to use the time between now and Report to reflect further on these matters in a spirit of co-operation. I shall, of course, say more when I wind up the debate but it may assist the Committee to know that that is the position that I shall be taking.
In the spirit of co-operation across the House it might be useful if I outline the position of these Benches, too. During the past few days I have said to anybody who would listen to me that this is the position in which I thought we probably ought to end up. Those who have been sitting with me on the Long Table can bear testament to that. The reason I added my name to the amendment of the noble Baroness, Lady Williams, is because I feel strongly that that is the right way forward. I am very pleased to hear that the noble Baroness has not resiled from her position on that. I have talked to several lawyers and consider that the amendment in the name of the noble and learned Lord, Lord Mackay, may address political issues but does not fully address the legal issues concerning the responsibility of the Secretary of State.
I have what I can assure noble Lords is a sparkling 10-minute speech, but I do not intend to make it now. However, I may save it for a later occasion. I think this is a good solution if other noble Lords agree with it. I look for an assurance from the Minister about how the discussions on this matter should proceed. We have a record on this Bill of cross-House discussions involving all the people with an interest and expertise in matters relating to it. In that spirit, I wish these amendments to be withdrawn so that not only our lawyers but our medical experts, and, indeed, the Constitution Committee, can be persuaded to have another go at this issue. Towards Christmas we may find a solution that suits us all. If not, I may instead have to make my 12-minute sparkling speech on Report. I hope that the House will feel that this is a good way forward.
My Lords, it is clear that around the whole House it is felt that the constitutional position of the Secretary of State is of immense importance. The House must give careful thought to that issue in order that we get it right, because the National Health Service is important to every citizen, as we heard earlier during our consideration of a Question. What the health service stands for, how it carries out its responsibilities and where responsibility and accountability rests are of great importance.
The House is indebted to all those Members who have put their names to the amendments. They are thoughtful amendments that represent the best interests and work of this House. It is a great credit to those who have put their names to the amendments that they are happy to consider withdrawing them today, because it is important that the House should not take precipitous action, that we accept the thoughtful response from the Minister and that we give plenty of time and opportunity to try to resolve this. There is actually a shared commitment around the House, and I therefore have every confidence that the House will reach agreement. I very much hope that noble Lords who have tabled these amendments will accept this opportunity to meet with the noble Earl and resolve this matter before the next stage of the Bill.
My Lords, I am hugely grateful for the position where we now find ourselves. I am in total agreement with the previous speakers that we need to move this issue on, take back Clauses 1 and 4, use the same sort of language, and bring the matter back on Report. I should like to put on record how I am totally in awe of the work of my noble friend Lady Williams in this regard. We have also been hugely helped by the clear thinking of the noble Lord, Lord Marks of Henley-on-Thames.
While I am thanking people, I should also like to say how much I welcomed the approach of the noble and learned Lord, Lord Mackay of Clashfern. We should recognise the amount of work he put into his amendment. It was useful to take a fresh approach to what was becoming a thorny problem and bring to the House new language to look at, because, for reasons that we have already rehearsed, we were not too happy with the proposals. One of the matters that I should like the Minister to take back with him—here I borrow some language from the noble Lord, Lord Hennessy, which I think he used at Second Reading—is consideration of whether we can maintain the DNA of the Bill when producing the new work that will come before us on Report.
From these Benches, I repeat that we need a reworked clause with completely unambiguous language that will reflect the duties of the Secretary of State for the 21st century and the new NHS that we are trying to forge.
My Lords, I think I can add the support of these Benches to the extraordinary way in which this matter has been resolved. It is a great tribute to my noble friend Lady Thornton, who has led so many of the debates across this House, during which many aspirations have been drawn out, problems identified and voices collected. The Minister responded clearly to what the noble Baroness, Lady Williams, expressed so well: the peculiar trust and confidence that is held in the National Health Service in this country and how careful we must be in our processes to honour that expectation and trust, so that clarity on the legal responsibilities and the future of the NHS is absolutely secure.
My Lords, I would not presume to speak for my noble colleagues on these Benches, but it seems to me right that someone who would be openly classified as a supporter of this Government should rise to say thank you to my noble friend for his statement, which finds support not only on the Benches opposite or on the Lib Dem Benches but, I presume, on these Benches also. I say that as someone who has actively taken part in the proceedings thus far.
My personal view is that this House owes a debt to the Minister. I would guess that it was not necessarily the case that all of his colleagues immediately jumped to the same conclusion as him, but he jumped to it having listened to the debate last week. We should express our appreciation not only for the fact that he jumped to that conclusion but for the tone that he has set in delivering it. If that tone prevails during the rest of Committee we will all be the better for it and, much more importantly, the country and the National Health Service will be the better for it.
I have one substantive comment to make to my noble friend. None of us will want to question in any way the professional expertise of the legal profession. I am sure that it is to the benefit of the House that legal minds apply themselves to trying to find a way forward that would be broadly acceptable. I say gently to my noble friend that this is also about medicine and the delivery of medical care and, if he would permit me to use a not very fashionable word, it must also be seen in a political context. Those are aspects of the deliberations which I hope that he will bear in mind, and not simply adhere to the consensus legal opinion, no matter how good or persuasive it may be, before that is tested in both the medical and the political world.
My Lords, as one who has been involved peripherally in the discussions over the past few days with the Minister, I follow the noble Lord, Lord Mawhinney, in paying tribute to the Minister for his great patience and courtesy in the number of times and the way in which he has sought to talk to everyone involved in this.
Further to the question of my noble friend Lady Thornton and the noble Baroness, Lady Williams, in exactly what form would the Minister see further discussions taking place? Several Members of the House have referred to the possibility of the Constitution Committee—which, as the House knows, I have the privilege of chairing—taking this up again. There have already been informal discussions in private sessions of the committee about ways in which we might take this forward. It would be helpful if we could have some indication of how the Minister sees that happening and how it may develop. I very much take on board the points made all around the House about the way in which the Bill as a whole, not simply this clause, has been discussed and how helpful that has been.
My Lords, I am sorry to create just a small ripple in the sea of calm and tranquillity that represents this Chamber this afternoon, but I follow on from what the noble Baroness just said and ask: is there no procedure that we could adopt which would bring the decision of the House on this matter of the duty of the Secretary of State to provide health services back before Report? Report will not be for two months, perhaps, by which time we will have been discussing all the other issues in the health service in a sort of vacuum. How can we discuss all the things that we want a health service to do if we do not know whether the Secretary of State is going to have a duty to provide them? It seems rather odd that we are putting the cart before the horse, or whatever the correct analogy is. This is an important matter. I feel very strongly that we should know as soon as possible whether the Secretary of State will have a duty to provide health services in this country. If we do not have that reassurance, we will have not a National Health Service but a national health shambles.
My Lords, I say gently to the noble Baroness that I had understood that the whole purpose of the proposal made this afternoon by the noble Baroness, Lady Williams, was to give us a chance to look at all the practical issues in the Bill before returning to this umbrella of principles. I can see that one could argue it either way. I have no more right to speak on behalf of my Benches than my noble friend but I share his views entirely and, indeed, I expressed them last week. What is being proposed must be the right way to proceed. It has consensus support around the Committee and I think that we should get on with it and let the Minister explain how he will conduct the discussions. Let us just leave it there.
My Lords, perhaps I may intervene briefly not in any way to damage this positive outbreak of peace but to make a practical suggestion. Much of the Constitution Committee’s report turned on the judgment of the noble and learned Lord, Lord Woolf, in the Coughlan case.
My Lords, I must intervene on that point. That is only the secondary point of the report.
Perhaps I may be allowed to deal with it, whether it is the first or secondary point—I do not have the report with me. The point that I wish to make is that we have the noble and learned Lord available to us in this House. If we are to have some arrangement to consider how we go forward on this, I think that it would be sensible to discuss the matter with him because he has sat on cases where the role of the Secretary of State has been a key factor in the courts.
My Lords, I discovered at the end of last week that it is possible to table an amendment as part of a group if the debate on that group has been adjourned and the first item in the group has not been put to the House. I did not know that that was possible until I asked. We can all do something new every day in your Lordships’ House. Therefore, I put forward a small amendment to question the use of the word “ultimate” in relation to the Secretary of State’s powers. My noble and learned friend Lord Mackay very kindly responded to that before I had a chance to speak to it.
I picked up this issue following comments made last week by the noble Lord, Lord Harris of Haringey, concerning “ultimate”. I went home, looked at dictionaries and did my own research, as did my noble and learned friend. I looked in the most recent and biggest dictionary that I could find, which was the Shorter Oxford English Dictionary. I also looked online, as one does nowadays, and spent a happy time looking at what online dictionaries say. If I can gently tease the noble Baroness, Lady Thornton, it is a much better exercise than looking at Twitter, if I may say so.
My Lords, I am not going to reveal all my researches and enlighten the Committee on the meaning of “ultimate”, except to say—
Perhaps I may say to the noble Lord that I very happily follow him.
If the noble Baroness wishes, I shall put lots of information about the word “ultimate” on the Labour Lords’ Twitter account. It might enlighten people more than some of the stuff that has appeared. I say all that gently and in a teasing way. I am now quite convinced that there are difficulties with this word and I merely promise the Committee that, if it reappears on Report, I shall be probing it again.
I thought that my noble friend Lady Williams of Crosby made a wonderful speech this afternoon. If we can get this right, it will do two things. First, it takes out the really difficult sting of part of this Bill. There are other issues in the Bill—I understand that, and we will debate them—but this particular issue threatened to wreck the Committee stage by setting it off on an entirely wrong note. If we can get this right it will help us in the next 12 sittings to have a proper Committee stage and not just political arguments.
The second point is that the wording, which was in the amendment tabled by my noble friend Lady Williams, from the present legislation has lasted for well over half a century—more than 60 years in fact. If it needs updating—50 or 60 years after the health service was founded—we need to find wording that will last another half a century as the basis for a publicly funded, publicly provided, available-to-everybody health service.
These amendments have presented your Lordships’ House with a very difficult task. I join others in paying tribute to my noble friend the Minister, my noble and learned friend Lord Mackay, and to the noble Baronesses, Lady Thornton, Lady Williams and Lady Jay, for the wisdom they have shown in proposing to withdraw their amendments today.
I shall take just a moment or two of your Lordships’ time, if I may, to say why I think these amendments present the Committee with such a difficult task. The point was made by the noble Baroness, Lady Jay, in her speech last week. The central feature of this part of the Bill is to transfer, by Clause 10, the duty under Section 3 of the 2006 Act to provide the specific services carried out by the NHS from the Secretary of State to the commissioning groups. The challenge that we now have to meet is to achieve a balance between ensuring a decentralised structure and retaining a truly National Health Service for which the Secretary of State has ultimate responsibility. Given that transfer of provision, what the Secretary of State has to do—and all he can do—is to exercise his functions specifically accorded to him by the Bill. He has to exercise them in such a way to ensure that services are provided, however Clause 1(2) is ultimately worded, and to fulfil his duty under Clause 1 to promote a comprehensive service. That is why the crucial task of this Committee is to look at those functions and ensure that his functions and powers are up to the task and meet that balance.
A further point that I see as being of considerable importance is the proposed duties to provide autonomy by the Secretary of State under Clause 4 and on the board under the new Section 13F introduced by Clause 20. The problem is that the autonomy provisions in the Bill threaten to undermine the Secretary of State’s primary duty to secure the provision of services. We have to deal with what is at best tension and at worst inherent conflict between the Secretary of State’s overall responsibility, however expressed, and the duties to promote autonomy. That conflict must be expressed when we come to it, whatever we do about Clause 1(2).
I have some confidence that your Lordships’ House and the department will be able to achieve consensus and I remind your Lordships that not only have we heard from Labour, Liberal Democrat and Cross-Bench Peers in favour of amending the Bill as presently drafted, we have also heard from my noble and learned friend Lord Mackay and from the noble Lords, Lord Newton and Lord Mawhinney, both former health Ministers, who yield to no one in their commitment to and understanding of the NHS. There remains much to be done but I suggest that there is reason for optimism that we might achieve a resolution of all these issues that is effective in helping to secure the future of the health service.
My Lords, this has been an excellent debate. It has proved one thing in my mind: an issue of this importance for the Bill—the overarching duty of the Secretary of State for the NHS—has benefited enormously from having a Committee of the Whole House to consider it. Without unnecessarily detaining the Committee, I hope it will be helpful if I say something on the record about each amendment.
I begin with Amendment 3, tabled by my noble friend Lady Williams, the noble Lord, Lord Patel, and the noble Baroness, Lady Thornton, and Amendment 5, tabled by the noble Baroness, Lady Thornton, and the noble Lord, Lord Hunt. Both amendments would have the effect of restoring the Secretary of State's current duty to provide services in Section 1 of the National Health Service Act. There has been extensive discussion of this both today and at Second Reading, so I shall not recap all the arguments. The core argument is that the duty to provide no longer reflects the practical reality of how NHS services are delivered or our proposals for the Secretary of State's functions in the new system.
Before I explain further, I should make clear that we are now discussing the Secretary of State's relationship with NHS services rather than his duties in relation to public health, where his direct responsibilities for provision remain firmly in place. In that context, I refer noble Lords to Clause 8 of the Bill. While I understand that many people are attached to wording that dates back to the founding Act of 1946, it is now more than 20 years since the Secretary of State had any direct responsibility for the provision of services. Only a tiny minority of NHS services—those still provided by PCTs —are carried out under the Secretary of State's delegated function of providing services. In future, all NHS services will be provided by NHS trusts or foundation trusts, both of which have their own self-standing powers to provide services and do not rely on the Secretary of State's duty to provide under Section 1(2), or by independent providers. The Secretary of State will have no powers to provide NHS services. That is the reality.
I am grateful to the noble Lord, Lord Warner, and to my noble friends Lord Newton and Lady Cumberlege for their persuasive arguments articulating the need to reflect this reality in legislation. As my noble and learned friend Lord Mackay helpfully explained, the Secretary of State has never had an unqualified duty to provide services; he has had a duty to provide or secure the provision of services. In recent years he has relied on the latter part of that duty to fulfil his functions, while the former part has ceased to have any practical relevance. I hope that that answers the question posed by the noble Baroness, Lady Jay.
There is another reason why it would be wrong to reinstate the duty on the Secretary of State to provide. Under the legal framework of the Bill, the Secretary of State no longer possesses powers to direct others to provide services. Therefore, unless we were to re-impose a system of regulations or directions by which the Secretary of State could delegate his duty to provide and control its exercise, which would risk replicating the micromanagement of the status quo, it is hard to see how this legal obligation to provide services could be fulfilled. For obvious reasons, it would be undesirable to create a situation in which the Secretary of State provided services himself. Also, in practice he would lack the capacity to do so, for example in terms of staff and facilities.
Instead, the duty we propose in the Bill is a more accurate reflection of what Ministers do. In line with policy that has evolved over two decades, the Secretary of State will not provide services or directly manage providers; nor will he have the powers to do these things. Instead, providers will be regulated independently. Rather than intervening in day-to-day decisions by local providers, the Secretary of State will have powers to hold to account the regulators, Monitor and CQC, for the way that they are performing their functions, and powers to hold the NHS Commissioning Board to account for the way that services are commissioned. In other words, the Secretary of State—
My Lords, I hesitate to intervene on the noble Earl, who knows I hold him in the highest possible esteem, but I think he is now treading on some contentious legal issues. Bearing in mind the wonderful consensus that we have now reached, I would just ask him to consider whether, at this stage, some of those issues are really helpful because the noble Earl will know that the Secretary of State does, by his servants, agents or otherwise, provide services and, indeed, there have been times when there has been a pandemic when the Secretary of State has had to make such provision. These are contentious issues which I am sure could intrigue us for many hours, but since we have happily come to the conclusion that we have had a surfeit of such happiness and wish to go forward, I gently say to the noble Earl that this might be a moment when we could swiftly do that.
My Lords, I would not have intervened otherwise, but I respectfully disagree with what the noble and learned Baroness, Lady Scotland, has just said. I am finding it very helpful to listen carefully for this reason: it seems to me that the Secretary of State must have a duty to secure the provision, as has been said by the Minister, for the purposes of giving effect to our international treaties, including those on human rights. Therefore, what he is saying at the moment is very important to me in trying to see how one can get wording that will include that as well.
The reason I did not make my 12-minute speech was that we are now going to go into a period of consideration. I respectfully say to the Minister that we could start the whole debate all over again if he continues telling us what the Government do or do not believe on this because that is presupposing, and possibly pre-empting, the discussions that we are about to have. The noble Lord may find it useful, but we have had a lot of this discussion. We have now, I thought, agreed to move into discussions outside the Chamber.
I appreciate that the noble Earl is moving to a position of not addressing those questions, but it is important that he tells the Committee whether the Government have a fixed mind on these matters or whether they are going to approach with an open mind the discussions that we, in an outbreak of consensus, have agreed should happen and try to build on that consensus. If the views are closed, it raises some very difficult issues for the Committee.
No, my Lords, there are no closed views. That is the reason why I suggested earlier that it was time to reflect and engage in discussions in the spirit of co-operation. I would not have said that if I had had a closed mind to them. There would not have been any point in the discussions. I simply wished to do noble Lords the courtesy of answering their questions and addressing the points that they had made. If noble Lords would rather that I did not do that, then we can make life easier for ourselves. I will certainly write to noble Lords if they would like to inform me afterwards that they wish to receive a letter. If they do not, I will not write. It is entirely up to them. I do not wish to make work for myself unnecessarily.
I have said that I believe the balance of advantage for this Committee lies in our agreeing collectively not to amend the Bill at this stage and I am pleased that there seems to be consensus around that view. I believe instead that it would be profitable for me to engage with noble Lords in all parts of the House, both personally and with the help of my officials, between now and Report to try to reach consensus on these important matters. I would just say to my noble friend Lord Marks that that includes the issues that he has helpfully raised this afternoon. I believe that he is right to associate Clause 4 in particular with the matters that we have been considering. Those discussions can be carried out in an informal way with interested Peers or in individual meetings in the House or my department. There is a place for either type of discussion. My concern is only that it is an inclusive process involving Peers from all sides of the House, and that will include listening to the views of the Constitution Committee should it choose to continue its valuable role.
With that, I hope that no noble Lord will feel cheated by the brevity of my contribution and I shall sit down.
I am happy to withdraw my amendment given the statement made by the Minister. I also join the many people in this House who have said how much we appreciate his almost unending patience with us and his willingness to listen and engage in extremely informed and very intelligent debate. It gives me pleasure on this occasion to withdraw the amendment.
My Lords, I rise to move this amendment in my name and those of my noble friends Lady Thornton and Lord Hunt of Kings Heath. As we make steady progress through this Bill, your Lordships will encounter many amendments more elegantly drafted than this one, I have to admit. Given the evident affection in which lawyers are held in your Lordships’ House, I trust that this member of the junior branch of the profession will be forgiven for the drafting of this amendment, especially as I was not responsible for it—
But I did subscribe to it. There is a sort of collective responsibility on these Benches, too.
This is a probing amendment—it could hardly be anything else in the circumstances—that tries to deal with what actually constitutes the health service. Of course, this phrase runs through the Bill but there is not within the Bill a definition of what constitutes the health service, let alone “a comprehensive health service”—the words used in Clause 1, which we will be returning to on Report. The amendment seeks to add to Clause 1(3) and the intention is to reflect Section 3 of the 2006 Health Act, which laid out clearly, to a reasonable extent at any rate, the scope of the Secretary of State’s duties. The Secretary of State was obliged to,
“provide throughout England, to such extent as he considers necessary to meet all reasonable requirements”
broadly six categories of service, amplified in Schedule 1 to the Act by more detailed requirements around medical inspection for pupils at schools and issues of that kind.
It clearly is impossible to lay down in legislation everything that might be brought within the purview of the Secretary of State or indeed any other body for the purposes of defining precisely what a national health service should be and what would constitute a comprehensive health service. Clause 10 in any event transfers some of those responsibilities to commissioning groups, as the noble Lord, Lord Marks, has pointed out, but it is not entirely clear from the clause, to put it mildly, what functions will be included in their responsibilities.
Will the noble Lord explain what he actually wants, because I am now thoroughly confused? First, he seeks the reincarnation of a section of the 2006 Act, which, if I remember rightly, was a consolidation Act—in other words, merely a record of what had already happened in history. He then goes on to say that he does not want to ossify—although he did not use that word—the service; he wants flexibility but accepts that it is not possible at any one time to define everything that the service provides. I simply do not know what he is saying.
My Lords, I am saying that the Bill should lay down at this stage a range of services that will be part of a national health service but that that should not be limited by reference to a particular moment. There will have to be flexibility, but the Bill should clearly indicate, as the 2006 Act did, areas that, taken together, constitute a national health service. It is a simple enough proposition. The content would have to be debated as we go forward, but this is a probing amendment that is designed to ventilate the issue in the hope that some consideration might be given in the course of proceedings on the Bill to the changes that are required.
Ultimately, some decisions will have to be taken about what services are to be provided, not least about the services in Clause 1(3) that must be provided free of charge. People are entitled to know what services they will get free of charge at any given time. As I have said, at some point these matters should be elaborated. There is also an issue about how public health services are to be regarded in the light of the Bill’s current proposals; for example, in relation to the role of Monitor, competition issues and the like.
Amendment 7 seeks to establish a method of taking this discussion forward so that all of us may be clearer about what we are entitled to expect of a National Health Service and, for the purposes particularly of new Section 1(3) of the National Health Service Act 2006, what services would be provided free of charge. I hope that we can look at that matter and perhaps return to it on Report. In that light, I beg to move.
I thank the noble Lord, Lord Beecham, for moving this amendment and for giving us an opportunity to discuss a definition of the services of the National Health Service. Perhaps the Committee will forgive me if I make now the arguments that I had hoped to make in the later debate on mental and physical health in the health service, for which I am unable to be present. Those arguments are also pertinent to this amendment.
I seek reassurance from the Minister that the new arrangements for the health service will have a specific duty to focus on support of the relationship between the parent and the child, or whoever is acting in loco parentis for that parent, particularly during the early years and in adolescence. Professionals say that adult mental health hinges on the relationships between the primary carers and the child in early life and in adolescence.
The Government’s White Paper highlighted that mental health is important to public health. It follows that in the future we have to be even more careful to ensure, without being overly intrusive, that the relationships between parents and children in the earliest years and in adolescence are as supportive as possible. The health service should have an important role in that. For instance, there is tremendous pressure to generate more early years nursery places. In a recession, we want parents to work and to help build capacity. Nurseries need to be cheap, yet we know that high-quality early years intervention is crucial to better outcomes for children. We also know that the people who work in those settings are often underpaid and not properly supported, and that there can be a high turnover of staff. In driving people, for understandable reasons, to use nursery provision more, there is a danger that the relationship between the parent and the child could be undermined.
The evidence indicates that high-quality early years education produces better outcomes in school for children. Professor Jay Belsky at the University of London investigated this issue. Exposure to poor-quality early years education and nursery care over a number of years can have serious, although small, deleterious effects. But if a lot of children go through these experiences, the overall impact can be significant. It is very hard to measure—this is probably why it does not get prioritised enough—what difference it makes if there is not sufficient support for relationships between parents and children in the earliest years and in adolescence. It is easy to measure cognitive performance in schools, whereas the relationship between parent and child in the earliest years and adolescence is hard to measure. However, qualitatively I am very clear, after consulting with colleagues in the mental health profession, that it is hugely important to get that support right.
I know that the Department of Health works closely with early years services to try to offer such support, but there are still shortcomings. For instance, there is not sufficient support in adult mental health services for adults as parents in children’s centres, and more work could be done. An old chestnut is that, if a parent is presenting with mental health issues, thought is not always given to the fact that the parent has children who will have needs. If a parent is mentally ill, what are the mental health needs of the children? Again, if a child presents with mental health problems, a proper assessment needs to be made to look at whether perhaps the best input is to support the parents. That may help the child to get better.
Noble Lords will be pleased to know that I will not say much more. A few years ago I remember working with a young man who was just coming out of adolescence. His father was an alcoholic and he had experienced domestic violence in his home. I was seeing him and working with him once a week for six months. The issues he had were that he was experiencing growing paranoia, he was fearful and distrustful of the staff, he was mercurial and unpredictable in his behaviours and he had a difficult relationship with women. If there had been better support for that family, perhaps the nascent problems we saw at the time could have been nipped in the bud and he would not have had those difficulties.
I am sorry if I am not explaining myself sufficiently clearly, but I would be grateful if the Minister could reassure the Committee that in any of the new arrangements there will be a particular focus on getting in early to support families, both parents and those acting in the role of parents, in their relationships with their children to make sure that those relationships are strong. Children will then have a good basis from which to grow and enter adulthood. I hope that that will be a priority in the new arrangements.
My Lords, Amendment 7, tabled by the noble Lords, Lord Beecham and Lord Hunt, and the noble Baroness, Lady Thornton, seeks to set out a new definition of the health service in England as,
“those services provided under section 3”,
of the 2006 Act. While I know that the noble Lord has the best interests of the NHS at heart, I fear that this amendment might achieve the opposite of what he intends because its effect would be to narrow the definition of the health service.
Section 3 of the NHS Act 2006, as amended, will set out the services that clinical commissioning groups will be required to commission, including, for example, maternity services, hospital accommodation and, in answer to the noble Earl, Lord Listowel,
“such other services or facilities for the care of pregnant women, women who are breastfeeding and young children as he considers are appropriate as part of the health service”.
Defining the health service as meaning only those services set out in this section would limit the application of the provisions of the Act, excluding other vital parts of the health service that are not defined in Section 3. For example, that definition would exclude primary care and specialised services, which would be commissioned by the NHS Commissioning Board, and public health services, which would be provided or commissioned by the Secretary of State or local authorities. Clause 1(1) of the current Bill retains the Secretary of State’s duty to promote a,
“comprehensive health service designed to secure improvement … in the physical and mental health of the people of England, and … in the prevention, diagnosis and treatment of illness”.
This clearly sets out what the health service must do. Any attempt to define it more precisely might have the perverse effect of leading to an NHS which delivered fewer services.
I can assure the noble Lord that services commissioned by clinical commissioning groups will be covered by the wording of the unamended clause, and thus these services will be covered by the Secretary of State’s duty to promote the comprehensive health service. As part of the health service, those services must remain free of charge. Clinical commissioning groups will be responsible for commissioning the services listed in Section 3 of the 2006 Act such as hospital services and maternity services. They must arrange those services, although as with primary care trusts at present, Section 3 will permit them discretion to determine precisely what services are necessary to meet the reasonable requirements of their local population. The Commissioning Board will issue commissioning guidelines and monitor the commissioning activity of CCGs with a view to ensuring that no essential services go uncommissioned in any given locality.
I thank the Minister for providing me with the strong assurance that to him and his colleagues the strengthening of the parent/child relationship is absolutely crucial in what they are doing. There is strong agreement with that point and I thank him for that. I will look forward to reading with interest in Hansard the later discussion on mental health.
The Minister mentioned the availability of essential services. To highlight the current concerns, an effective and well respected foster care charity operating in all the nations of the United Kingdom had to create its own child and adolescent mental health services in Wales because there was so little available in that nation. On children’s homes, it has been recognised for a long while that often our most vulnerable children are placed in children’s homes with staff who are poorly equipped to meet their needs. There have been important steps forward in improving that situation but, crucial to that, is ensuring that those staff get the mental health support they need. That is becoming more widely available over time, but it is still piecemeal. We need to ensure that those kinds of situations do not continue into the future.
I am grateful for the Minister’s assurances about the Government’s priorities in this area and, as I say, I look forward to reading the debate in Hansard.
My Lords, I am grateful to the noble Earl, Lord Listowel, for once again bringing his expertise on this issue. He is perhaps the leading proponent in your Lordships’ House of the concerns around children’s health and other matters relating to children, and his contribution today certainly falls in line with our experience of his many contributions in that area of policy.
I am also grateful to the Minister for his reply. I did not, and the amendment does not, suggest that we should have an exhaustive, finite list of responsibilities or functions which comprise the National Health Service. That would clearly be inappropriate. I thought I had made that clear but perhaps failed to do so. The noble Lord rightly pointed out that, under Clauses 10 and 11, responsibilities are effectively transferred from the Secretary of State to clinical commissioning groups. Had this amendment been taken forward, it would have identified for those groups the services which they should carry out. Of course, the transfer imposes the duty to arrange for the provision of services to the extent that each commissioning group considers necessary. That provision raises the question of the extent to which there is still a commonly accepted view of a National Health Service. That is an open question that we will no doubt return to in different forms as we go forward, but in the circumstances I beg leave to withdraw the amendment.
My Lords, I will also speak to Amendments 10 and 14. The purpose of these amendments is to strengthen the responsibilities of the Secretary of State for improving quality by changing the requirement to act with a view to reducing inequalities to providing services or making arrangements for others to provide services that ensure an improvement in quality. Furthermore, in the light of Clause 1 removing the Secretary of State’s role in providing services—although we still have that matter to resolve—it probes the extent to which the Secretary of State might be able to effect an improvement in the quality of services.
In general, we would welcome and support an explicit duty being placed on the Secretary of State to improve quality—of course we would. The grouping of these amendments has two components. First, it makes the point that quality and inequality affect communities as well as individuals, so planning must be on a geographically defined basis. Secondly, there are amendments designed to make the Secretary of State more directly rather than indirectly accountable—that goes back to the Clause 1 argument again. Amendments 9 and 10 tighten up the Secretary of State’s duties. As amended, the provision would state that the Secretary of State must exercise the functions of the Secretary of State in relation to the health service by providing services or making arrangements for others to provide services to secure continuous improvement in the quality of services provided. This mirrors the changes that we have argued for in relation to Clause 1, to make the Secretary of State more directly responsible rather having responsibility at one stage removed.
As I am sure the noble Baroness, Lady Finlay, will explain to the House, the amendments in her name are also important. This is the first time—but certainly not the last—that the idea is introduced of responsibility for an area-based population. The amendments acknowledge that quality and inequality affect communities as well as individuals. We support this idea of area-based responsibility and will later seek clarification on how basing some commissioning on GPs can be reconciled with the need to plan for geographical populations. Indeed, Amendment 14 is on the same theme, making the Secretary of State directly responsible and going back to that formulation of provision as opposed to being one step removed. As amended, the provision would say that in discharging the duty under subsection (1) of the proposed new Section 1A of the 2006 Act, the Secretary of State must either provide services that ensure, or make arrangements to ensure continuous improvement in the outcomes that are achieved. Actually, the amendment is defective because the word “must” has to be left in.
I am extremely grateful to the noble Baroness, but she skated over what an area-based population is. Presumably, if the Secretary of State has responsibility for individuals he has responsibility for a lot of individuals who happen to live cheek by jowl to each other. I am sure that it would be helpful to the Committee—and it would certainly be helpful to me—if she told us what an area-based population is or might be.
The amendments that open the debate are in the name of the noble Baroness, Lady Finlay, so I suspect that she will also take the opportunity to explain that to the Committee. However, I think that we will have several debates as we move through the Bill that are about the concerns that some of us have if the commissioning of services is based on GP lists and not on a population in an area. What this probing amendment seeks to do is to help to open up that discussion about how you make sure that there are not people in an area who may not be on a GP list and who fall through the cracks in terms of health provision in that area.
This series of amendments seeks to do two things. One is to raise the point about equality and inequality as it affects communities as well as individuals. For example, the provision of family planning services in an area affects an area as well as the individuals who make use of the services, and you would indeed plan those services. That may not be a good example because of course that is public health, but I think that the Minister will see that you have to look at how you plan services in terms of not only the individuals but the needs of an area.
I am sorry to interrupt, and this may be another question for the noble Baroness, Lady Finlay, but what is a primary care trust if it is not concerned with the population of the area as that primary care trust is defined? This all seems to me like gobbledegook.
My Lords, it is about the people in the area—but of course primary care trusts are going to be abolished by this Bill.
The noble Baroness said that this was the first time that we had had area-based planning, but a primary care trust is an area-based entity, planning for the population of an area.
I think that the noble Lord misheard me. I said that it was the first time that we had discussed this in the process of this Bill. I beg to move.
My Lords, I shall speak especially to Amendments 10A, 10B and 11A, and address my remarks principally to Amendment 10A, whose aim is to avoid fragmentation and inequity through a loss of contiguous, coterminous and comprehensive area-based structures for healthcare resource allocation planning, commissioning and service co-ordination. The amendment would ensure that the sensible changes that were just agreed today over GP contracts for this year are carried forward into GP consortia arrangements. The Secretary of State, Andrew Lansley, himself discussed issues around area-based practice at the congress for the Royal College of General Practitioners last month, and had a fairly extensive and open discussion with the GPs there on this topic.
I move to the Bill as it stands. I hope that with some of the background discussions that have been happening, my amendment will not just be dismissed and will be quite seriously considered, because it might solve a problem.
In the Bill, the new commissioning consortia’s duty—
I am sorry, I may be the only person in the Committee who is thick enough not to understand what is going on, but I have to say that I do not. I asked the noble Baroness, Lady Thornton, to define something that she said she was in favour of, which was area-based entities, but she palmed that off on to the noble Baroness, Lady Finlay. I would be grateful if she would define what an area is. Is it a county, a city, a town or a village? Is it the north-east or the south-west? Who in the context of this Bill does she see as having responsibility for defining the area and addressing the issue in the area?
I would be grateful if the noble Lord would bear with me for a couple of minutes while I go through a few paragraphs and try to explain how this clause poses some problems, because I agree that it is pretty complicated.
The new commissioning consortias’ duty in the Bill is to arrange for health services provision that applies to those enrolled patients registered with them. This contrasts with primary care trusts, and the other structures that will be disbanded when the new structures come in, because the population of the consortia will be drawn from the patient lists of member general practices rather than from residents living within a defined geographical area. That means that as clinical commissioning groups they will have the freedom to choose who they take on to their registers, regardless of where they live. As a consequence, the population for which a clinical commissioning group is responsible may not include all individuals and families living in the local area, so may not represent an area-based population. However, it may have some people whose primary residence is a long way away but who decide to register with a GP because that is where they work and where they are during the week.
It has been suggested that individuals and families who are not enrolled within a local commissioning group’s general practitioners may not be covered and would therefore need to be covered by a small number of more centralised clinical commissioning groups, which will effectively mop up those individuals and families who lack membership within a local clinical commissioning group. I would therefore be grateful if the Minister could confirm the arrangements for those patients, such as people who are homeless, and who may for whatever reason not be on a particular general practitioner’s list. Can he also explain to the Committee how these patients will be allocated to receive primary medical care services since that allocation duty currently falls to primary care trusts, which will not be there in the future? The services will be designated from the commissioning board, which is at quite some distance from patients who do not have a GP and from individual GPs.
The combination of removing geographical responsibility for the provision of healthcare, together with the removal of practice boundaries, creates a number of risks: an inability to plan for local services; a risk of worsening health inequalities and social segregation; and fragmentation between social care and healthcare—the former being based on local authority boundaries and the latter then being based on a potentially England-wide catchment area, depending on who registered with a GP. Allocating resources based on the GP-registered list rather than any geographical population will mean that there would not be coterminosity with public health—or, importantly, with local authority services, which are responsible for much social care and for the safeguarding of children and vulnerable adults. A lot of those responsibilities for safeguarding held by a local authority relate to the geographical area of a local authority.
With GPs potentially competing for patients across the whole country there could be fragmentation, especially if someone registers near their place of work as when they are ill they are likely either to be at home or to return home, which may be many miles away. They may need services at home, particularly medical and nursing care, if the condition is sufficiently serious to require them. Yet the GP with whom they are registered for primary medical services would then be at a distance that would make home visiting impossible.
In April of this year the Health Select Committee emphasised the importance of aligning care to geographical boundaries, making this point:
“Aligning geographic boundaries between local NHS commissioning bodies and social care authorities has often been found to promote efficient working between the two agencies. There will in the first instance be more local NHS commissioning bodies than social care authorities; the Committee therefore encourages NHS commissioning bodies to form groups which reflect local social care boundaries for the purpose of promoting close working across the institutional boundary. History suggests that some such groups will find the opportunities created by co-terminosity encourage more extensive integration of their activities”.
To paraphrase that, I hope that my amendment is in line with the recommendation of the Health Select Committee.
The local authority will take over many functions of current PCTs, especially over safeguarding, as I said. This is important, particularly for children who are unable to transfer their own care. Different children from the same family who are at particular risk and on an at-risk register will potentially be registered in different places by abusive parents who deliberately want to ensure that they limit, or almost exclude themselves from, surveillance. I am sure I do not need to remind the House that the tragedy of Baby P was an example of a parent who avoided surveillance and, tragically, avoided it far too effectively.
The other difficulty is that there are families who have very complex lifestyles, with different members registered at different distances, particularly if they are mobile families. This will make it very hard to obtain an overall picture of the health, education and safeguarding services if these are not coterminous. Where local authority, education authority and health provision are coterminous, there is a much better chance of a good transfer of important data on the welfare of these children who are at risk.
Public health is a major and very welcome focus of the Government. This amendment is also necessary to ensure that the NHS will adequately address those issues of health improvement such as smoking cessation, screening for disease, immunisation and so on, where treating people as a population rather than a collection of separate individuals is more effective. Public health can achieve optimal population health outcomes only if there are area-based organisational structures and frameworks in the health system. That becomes particularly important in more rural areas, as it ensures optimising efficiency, accountability and effectively integrated care.
The amendment also supports the Secretary of State’s responsibility for issues of health protection, such as the control of an epidemic of infectious disease. Such an epidemic cannot be dealt with just by treating individuals. It requires an area-based approach, using vaccinations, population monitoring and so on to ensure disease containment. Additionally, without coterminous working of health and local authority, planning of capacity becomes harder.
General practice can certainly do much to improve its quality of service in some areas, particularly access to primary care through extended hours, out-of-hours coverage of the population and decreasing the dangers that are encountered with the lone-worker GP who does not have contact with other colleagues. General practice could go towards federated models of practice; that is not incompatible with the spirit of this amendment. However, all these improvements need geographical areas to function properly and drive up quality of care.
Epidemiological research has been a strength of the UK, building on registers of a precisely defined denominator of patients, categorised by age, sex and so on, and known to be living in a particular environment. Weakening it by multiple registration will break the link of geography with health and may impede the aim of driving up quality. It will certainly impede our ability to carry out effective quality-based research on improving health in the future.
Another area that I want to address briefly is that of the medical examiners in relation to coronial jurisdictions. Their work depends on them being geographically area-based and seeing the death certificates of all the general practitioners within that area as they come through. There is a concern that if there is wide fragmentation it may be more difficult to pick up trends that should not be there.
Amendments 10B and 11A seek to delete “or” and insert “and” to make subsection (1) of proposed new Section 1A of the 2006 Act refer to the prevention, diagnosis and treatment of illness, and then go on to public health. I suggest that these amendments are logical as they would ensure that the Secretary of State has a duty to improve all three of those aspects in relation to illness. The measure also emphasises the importance of public health in conjunction with the prevention, diagnosis and treatment of illness. I stress that “illness” includes both mental and physical illness.
My Lords, my noble friend has, as always, been extraordinarily persuasive in her detailed argument in support of her Amendment 10A. I apologise to her and to the Committee for not having discussed it in detail with her beforehand. The intention underlying the amendment is in every way admirable. Amendment 10B, to which she spoke more briefly, deserves a great deal of attention and would greatly improve Clause 2 of the Bill. My only concern with her remarks about area-based populations relates to the definition that would be attached to the clause. New Section 1A(1), as inserted by Clause 2, is defective in my opinion in that it refers to,
“securing continuous improvement in the quality of services provided to individuals”.
The provision of services in the National Health Service does not relate simply to the treatment and improvement of the health of individuals. As the term “public health” implies, it deals also with the improvement of the health of communities. After all, public health doctors were called community physicians until quite recently. In many ways I would have preferred to see the clause include, after the word “individuals”, “and/or communities” to make that position entirely clear. I warmly support the principles underlying my noble friend’s amendment but the wording requires a little attention as throughout my professional career I have been very familiar with the hazards that arise in attempting to draft and redraft documents in committees, large and small. I do believe that this matter needs to be given attention by the Minister.
My Lords, I am not altogether sure whether I rise to support these amendments or not. I promise the noble Lord, Lord Mawhinney, that the phrase “area-based populations” will not pass my lips after this utterance. There is a question which it is apposite that I raise with the Minister under this group of amendments as it has puzzled me for some time. Under the present arrangements, we have a public body called a primary care trust which can cope with a set of circumstances in which people are thrown off a GP’s list, have not got onto a GP’s list or have a lifestyle which means that they are disinclined to join a GP’s list. There is a mixed bag of people. This group of people live in a particular area, however that is defined. It is an area for which, somewhere in the country, a primary care trust is responsible. In the world of clinical group commissioning which is based on practice lists, I am not altogether clear how this group of people are safeguarded.
I am sure that the brilliant minds of the officials in the Department of Health have thought of this and have a cunning plan that, no doubt, the noble Earl will divulge to us. However, it is an issue that has caused concern, and I do not feel equipped to answer that concern because I am not clear as to how the Government will cope with that group of people.
My Lords, perhaps I may ask a couple of questions in this short debate and thank the noble Baroness, Lady Finlay, for her comprehensive presentation. This is a difficult area of the Bill. First, what happens with someone whose main residence is in one place but who is actually very dependent on out-of-hours care because of the nature of their job. There must be literally hundreds of thousands of commuters for whom the natural place they would like to go, due to the recollection of personal data and all the rest of it, would be the clinical commissioning group in their home area, but because they spend a great deal of time at work a long way away they will in fact depend on out-of-time services. I am troubled by the low quality of some of those services in comparison to what we might call mainstream NHS care.
The second question is perhaps easily answered. Can the Minister say something about the relationship of both new structures to NHS Direct? I am not clear as to whose responsibility NHS Direct will be. Will it continue as a kind of separate freewheeling service or be linked to a clinical commissioning group; and, if so, at which end of the spectrum would it be linked?
My Lords, I am particularly concerned about the area-based issue because, like many people, I have been banging on for years about the importance of coterminosity between health and social services. However, my experience over the years has been that that has not made much difference to the co-ordination of care between health and social care.
I want to raise a point about the new arrangements. I understand that we are trying to move away from the old RAWP funding formulation, which has always been deeply unsatisfactory and open to political manipulation, to the funding of real groups of patient populations on a risk-assessment base. To achieve that, there is no doubt in my mind that you must have real people on real lists, whether or not that clinical commissioning group has a responsibility to provide for a population within the group. You must be able to work towards a funding solution for those clinical commissioning groups that reflects real need and moves away from the old area-based populations.
I think that that may be the response I would give the noble Baroness, Lady Finlay. I did not really understand the brief amendments in this group that were not specifically related to this question so I address my issues to that.
My Lords, I completely support the amendment in the name of the noble Baroness, Lady Finlay, but wonder whether what she wants could be achieved—it might be a small step in the right direction in relation to legislation generally—by simply removing from the Bill the words “provided to individuals”. The term “individuals” has a jarring effect. “Provided to people” might sound a bit better, but “individuals” has a slightly impersonal feel, especially as we are concerned as a Committee and as a House about the “national” character of the National Health Service. References to individuals jar in that regard as well. Simply requiring improvement in the provision of services might achieve what the noble Baroness seeks in her amendment.
My Lords, I should like to ask a few questions about Amendment 10A. I thank the noble Baroness, Lady Finlay, for her introduction, but we do not yet have a precise definition of what she means by area-based populations. All sorts of different services have different catchment areas. At the beginning, the noble Baroness cited family planning services. She said that she felt that perhaps it was a bad example, and I think it probably is because there are so many different services that require different boundaries. I am for coterminosity as far as we can get it, because when I was a regional chairman, I saw that where you had coterminosity between the health service and local government, you could achieve a great deal. That worked well, but when one examined it carefully, it was not so much about the boundaries; it was about the relationships built between different people. That was what made the services work extremely well.
With regard to GP practices, GPs usually want people within their area, especially if they will have to do home visits. I have been in the situation—I am sure that many noble Lords have—where I had an emergency in London but my GP is 52 miles away. That can be coped with; you can still manage that, although it is quite awkward in some respects. My anxiety about allocating patients to different GPs—being neat and tidy and trying to get all the boundaries sorted—is that I do not know what it does for choice. Perhaps the noble Baroness will say something about that. What happens when people want to choose a different GP who is out of their area, which is what we want to do locally but are unable to because the boundaries have been so clearly fixed, I have to say, by the GPs themselves?
My Lords, the noble Baroness, Lady Finlay, has somewhat stolen my thunder because I had meant to say almost exactly what she said, but I was going to mention it when we got to the part of the Bill describing the clinical commissioning groups. Schedule 2, which relates to clinical commissioning groups, states:
“A clinical commissioning group must have a constitution … The constitution must specify”,
the name, the members and the area of the group. That is there. I would like the noble Earl to describe how that area is to be measured and whether it is to be coterminous with existing boundaries, particularly local authority boundaries, for the very reason given by the noble Baroness, Lady Finlay.
My Lords, most of the points I wanted to raise have already been raised so I will not repeat them. I congratulate the noble Baroness, Lady Finlay, on her comprehensive overview of her amendments. What concerns me most is those patients who fall through the net of the new general practice commissioning groups. If it is not area-based and there is not a primary care trust responsible for allocating those patients, where will people who do not speak English very well, asylum-seekers, the homeless, mentioned by the noble Baroness, and Travellers go? What about those patients whom I remember well, whom most GP practices did not want on their lists at all and who were rotated around general practices in order that they got medical treatment? What will happen to all those patients? There are many of them and some of them have severe disabilities and some are severely mentally ill. They fall into all sorts of groups. I am extremely concerned that without an area base or a responsibility on a PCT or a commissioning group to deal with patients in a particular geographical area, those patients will suffer hugely.
I want to make one final point. The other service that will suffer hugely is our accident and emergency departments, because if those people do not have GPs, that is where they will go. I was a casualty officer in central London for a whole year, once upon a time, and I virtually ran a general practice there then for patients who were unattached to general practices. That problem will increase, and I hope that the Minister will address that in his comments.
My Lords, it may help the Committee if I explain how the GP contract is being renegotiated; I hope that I get this right. Instead of a GP contract covering a rigidly defined area, as now, there will be an outer ring as well. If patients move a bit further away but stay within that outer ring area, instead of being forced to change their GP, they will be able to remain with their current GP. Therefore, I think that the problem of choice, to which the noble Baroness, Lady Cumberlege, alluded, should in large part be solved by the negotiations that the Government have just had with GPs. There is of course a difficulty in defining any area but to date the areas have been defined by GPs, and they will still have to define the outer area or outer ring to which it is practical for them travel to carry out home visits and so on.
As I understand it, a decision has not yet been taken on what will happen with people who, like most of your Lordships, are classified as temporary residents. Many of us live a long way from here and, if we need to see a GP, we register as a temporary resident with one somewhere in Westminster. I am not sure how those arrangements will work in the future but they have served us reasonably well until now. The danger in relation to allocation relates precisely to those patients to whom the noble Baroness, Lady Tonge, referred—those who have been thrown off GP lists or cannot get themselves signed on to a GP list for whatever reason but still have healthcare needs. If those needs are not met, that will impact on the very social fabric of our society. I hope that I have clarified some of the points.
I should like to ask a couple of questions to clarify where the debate is going. As my noble friend Lady Tonge said, for a number of years some groups have found it almost impossible to get a GP. It is almost a case of GPs selecting the people they want on their lists; it is an unwritten code. That is why asylum-seeking families, refugee families and others with very high needs will always find it difficult to get a GP, and I want to ask the noble Baroness, Lady Finlay, how her amendment will assist that.
Equally, as has already been mentioned, areas of high need have in my experience always been in inner cities, where it has been difficult for some people to register with a GP. We know that attendance at A&E departments has become extremely high in some areas—almost unsustainably so—and I want to ask how the amendment will address that too.
There are also families who are placed by local authorities in temporary accommodation in other areas. Currently, a local authority is responsible for such a family—for example, social services or family support may be involved with the children. However, if that family is placed in another borough way out of the catchment area, I am not sure who their GP will be. Perhaps the Minister can respond to that as well and say how that would work with a local authority having responsibility for a family placed well outside the area. Would that family still be able to get support by going on to a GP list in the new area? Would that connection be made? Over the years we have worked very hard to make sure that social care, healthcare and local authorities all work together in partnership. Perhaps we could have an explanation of how it is going to work when families with very high needs are spread around.
My Lords, your Lordships will have realised by now that I am basically a simple-minded soul. I am struggling to discover what this issue is but it seems to come down to one specific point: do clinical commissioning groups have the same responsibilities as primary care trusts for planning services for all the people that they think live in their area? That is the core question. Do they have an area base—I dare to risk upsetting my noble friend—for their activities? I understand that it has been decreed that no practice can be part of two clinical commissioning groups; they cannot overlap and have to be distinct and separate. In a sense they are the same as primary care trusts. Do they have a responsibility to plan and provide services for all the people known to be in that area? The rest of this is all peripheral. I require services from the NHS both in London and at home in Essex, and I normally get them. But people in Westminster, where my flat is, know perfectly well that there are lots of second homes in Westminster, and presumably the health authorities and primary care trusts know that as well and plan on that basis. It is a simple question: does somebody have a responsibility to plan and provide services for all the people in their area? Yes or no?
Yes, my Lords. I hope that I can reassure noble Lords on their very valid concerns on this topic. Perhaps I can say a few general words first of all about quality. The Government’s ambition in modernising the NHS is to create a health service that delivers outcomes as good as any in the world. We all know that at its best the NHS is world-class, but we also know that there are important areas where the quality and outcomes of care could and should be improved. If we are to safeguard the quality of services and drive improvement, we must take positive action. We are addressing the structural weaknesses in the system and seeking to embed the principle of quality throughout. This is why the Bill creates a legal duty for the Secretary of State and for the NHS Commissioning Board and clinical commissioning groups to be guided by the need to improve quality in all that they do.
In doing this we are building on the work of the previous Government under the noble Lord, Lord Darzi, and in particular we are using the definition of quality that he introduced—care that is effective, safe and delivers a good experience for patients. By positioning the quality duty in the context of a duty in Clause 3—to bear in mind the need to reduce inequalities within the population in designing services, particularly the most vulnerable members of society—we intend that these reforms will deliver the vision of high-quality care for all, as he so ably articulated.
Amendments 9, 10 and 14 place a duty on the Secretary of State to provide or secure the provision of services that in their turn should secure continuous quality improvement. We have already debated at great length Clause 1 and the duty to provide, and I shall not rehearse that discussion again, but I should like to be clear that it is the role of commissioners to drive quality improvements and the role of the Secretary of State to seek to improve quality by exercising his functions. He will do this, for example, through the mandate that he sets for the board, or the outcomes framework which he will issue and to which the board must have regard when it exercises its duty in relation to quality.
The amendments also place a duty on the Secretary of State to secure continuous improvement in the quality of services. Similar amendments were debated at some length in another place. It was clear throughout those debates that there is extensive and wide-ranging support for the principle that the health service should strive to provide the best possible service to patients. I thank the noble Baroness, Lady Thornton, for indicating her support for that principle. I am sure that we share it. As drafted, the Secretary of State, and in practice the Department of Health, is required to seek to achieve continuous improvement even if external factors mean that in particular cases such improvement may not be delivered. In our view, the clause as drafted should do what is necessary to deliver improvement in the quality of services while not imposing unreasonable or unrealistic burdens on the Secretary of State and the NHS. We believe that this duty, taken alongside those placing the same duty on the board and clinical commissioning groups, and the expectations that the Secretary of State will set through the outcomes framework, already ensures that the principle of securing continuous improvement in service quality is embedded throughout the health service and the wider care system. I hope that I have reassured the noble Baroness, Lady Thornton, of the Government's commitment to the continuous improvement of quality within the health service, and that she will not press her amendments.
I turn to Amendments 10A, 10B and 11A, tabled by the noble Baroness, Lady Finlay. They seek to strengthen the duty by inserting “and” in place of “or” where the clause lists the areas that the duty to secure quality improvement applies to. The noble Baroness expressed concern previously about the wording. I assure her that “or” is the appropriate word and that we are not allowing the Secretary of State to neglect certain aspects of healthcare when exercising their duty. There is no risk that the courts could misinterpret the unamended clause as meaning that the Secretary of State has to exercise his functions with a view to securing continuous improvement in the quality of services in only some rather than all areas that the Bill specifies.
The duty refers to quality in respect of services provided to individuals. In many cases, particular services provided to an individual will relate to one or more of the matters referred to in new subsection (1)(a) and (b), but not to all of them. For example, the service may be to prevent or diagnose illness but not to treat. Another service might be to treat but not to diagnose. The use of “or” makes it clear that the duty applies to the quality of all services, whatever the purpose for which they are provided. Although I am certain that it is not the noble Baroness's intention, the use of “and” would inaccurately suggest that the duty could apply only to the provision of services that prevent or treat illness.
Amendment 10A seeks to extend the duty to improve the quality of services from those provided to individuals to those provided at a population level. Of course it is just as important for public health services to improve as it is for any other sort of health service, but new Section 1A already recognises that with its explicit reference to public health services in subsection (1)(b), which refers to the,
“protection or improvement of public health”.
The wording is echoed in Clauses 8 and 9, which set out the new public health duties of the Secretary of State and of local authorities.
Clauses 8 and 9 provide examples of steps that may be taken under those duties and that might therefore be subject to the duty of quality in new Section 1A. They include providing information and advice, for example, as well as preventing or treating illness. This means that new Section 1A already applies to a wide range of public health services. Any public health activity that involves the provision of a service to individuals—albeit that the general purpose is to improve or protect health at a population level—such as vaccination or smoking cessation, would be covered by the duty in the clause as drafted. Of course, improving the health of populations cannot be achieved without improving the health of individuals. I make it clear that some steps may be taken to improve or protect public health under Clauses 8 and 9. These extend beyond services provided to individuals.
I turn to questions that were raised. The noble Baronesses, Lady Thornton and Lady Finlay, spoke about the importance of commissioning for an area-based population. We completely agree with the general sentiment. That is why CCGs, contrary to the perception of some noble Lords, will commission for all unregistered patients within their geographic area, as well as for those on their registered lists and others to be defined in regulations. I refer noble Lords to Clause 10(3), which is on page 6. It is also why we are establishing health and well-being boards to agree a holistic strategy for their area. That is Clause 190.
We amended the Bill in another place to clarify that clinical commissioning groups have responsibility not only for patients registered with the GP practices that comprise their membership, but for those usually resident in the clinical commissioning group’s area who are not registered with any GP practice. We must also ensure, when we exercise the power to set out other persons for whom a CCG has responsibility, to provide through regulations that a CCG has responsibility for ensuring that everyone in its area can access urgent and emergency care. I turn to my noble friend Lady Tonge, who asked me about that issue.
Will the Minister clarify the phrase “clinical commissioning group area”? I thought that it was not going to be defined. I obviously got the wrong end of the stick. GPs are free to have patients on their lists from wherever; therefore, what does he mean by their “area”?
My Lords, I will address that question in a moment, if I may. The noble Lord, Lord Warner, asked how clinical commissioning groups will deal with the non-registered population in practice. Individual clinical commissioning groups will have responsibility for ensuring that patients resident in their area who are not registered with a GP have the same access to the care for which the clinical commissioning group has commissioning responsibility as a patient registered with a GP. Individual clinical commissioning groups will need to ensure that they have sufficient geographical focus to be able to commission emergency care services for anyone who needs them when in their area. The National Health Service Commissioning Board will be responsible for establishing a comprehensive system of clinical commissioning groups covering the whole of England, and the board will be responsible for commissioning primary medical care for the unregistered patient population. I think that my noble friend Lady Tonge is confusing two issues.
Can I just be absolutely clear that I have understood the noble Earl? Is he saying that a clinical commissioning group with a defined geographical area for which it is responsible also has a responsibility to find out about the needs of all those who are not registered with a GP, including homeless people, asylum seekers, rough sleepers and you name it? Is he saying that the group has a responsibility to find out how many of those people are in its area and that it must commission services for them?
Let me be clear: each clinical commissioning group will have a specific geographic area and will have responsibilities linked to it. This addresses the question asked by the noble Lord, Lord Rea, as well. Unregistered patients of any shape or kind are one example. Clinical commissioning groups will be informed by the work done in the health and well-being boards, whose job it will be to define the health needs of an area and what they believe the priorities are for commissioning in that area, and to produce a joint health and well-being strategy that addresses those priorities. The interaction between the health and well-being board and the clinical commissioning group should ensure that the marginalised groups of people to whom the noble Lord refers will be catered for.
The noble Earl has been extraordinarily helpful in his comments. However, in new Section 1A, entitled Duty as to improvement in quality of services, subsection (1) states:
“securing continuous improvement in the quality of services provided to individuals for or in connection with … the prevention, diagnosis or treatment of illness, or … the protection or improvement of public health”.
However, it reads as if (a) and (b) were qualifying clauses, qualifying the services provided to individuals. As I read it, it does not make it clear that the quality of services provided to communities would be embraced by this even though it refers to public health. That is my concern, and I would be grateful if the noble Earl could in due course consult as to whether I am totally mistaken in that view.
I will cover that point in a second. I should perhaps clarify that the area covered by an individual clinical commissioning group will be agreed with the NHS Commissioning Board and, as I will explain in a minute, that area should not without good reason cross local authority boundaries. That is a different issue from the issue raised by the noble Lord, Lord Rea, of GP practice boundaries, and we need to distinguish the two in our minds.
The right reverend Prelate asked why we could not remove the words “provided to individuals”. The duty on the Secretary of State to act,
“with a view to securing continuous improvement in the quality of services”
is worded to refer to the “services provided to individuals”. This is because the NHS treats patients on an individual basis. Overall improvement in the quality of the treatment service will improve the health of the population as a whole, but we must not forget that there is a separate, complementary duty to improve the health of the population as a whole using public health mechanisms. Improvement is necessary in both prevention and treatment, and the Bill sets out separate duties in relation to other population-based activity; for example, population-based public health research.
In answer to the noble Baroness, Lady Finlay, the Government accepted the NHS Future Forum’s recommendation that the boundaries of local clinical commissioning groups should not normally cross those of local authorities, and this is now reflected in the proposed authorisation framework for CCGs, subject to the agreement of the process with the NHS Commissioning Board. However, we do not believe it would be in patients’ interests to make this an absolute rule. One of the key roles for clinical commissioning groups will be to manage relationships with local hospital providers and in some areas patient flows into acute hospitals do not match local authority boundaries. The proposed authorisation framework makes clear that CCG areas may cross local authority boundaries only where, for reasons like these, it is demonstrably in the interests of patients.
In answer to my noble friend Lady Cumberlege, whose comments I very much welcomed, all relevant clinical commissioning groups will be required to appoint a representative to the health and well-being board if part or all of their area falls within or coincides with the local authority area. That will provide a vehicle for NHS and local authority commissioners to work together on the health and well-being of the population. There is nothing to prevent health and well-being boards from inviting other clinical commissioning groups that have large numbers of registered patients within the local authority area to attend and be represented. I hope that goes some way towards addressing the concerns that the noble Baroness raised. She expressed a general fear about lack of coterminosity between local authorities and CCGs, leading to fragmentation. As I have said, there is going to be a presumption against CCGs crossing local authority boundaries, but there is an important point in this connection in Clause 20, which will impose a duty on the board in new Section 13M in relation to promoting integration; in particular, new Section 13M(3) will impose a duty on the board to,
“encourage clinical commissioning groups to enter into arrangements with local authorities”
where this would assist with integration of health and social care.
The noble Baroness also referred to GP practice boundaries. She will know that the previous Government, as well as the present Government, were keen to ask patients about the choice of GP practice. It is our aim, which we expressed in the White Paper, to give every patient a clear right to register with any GP practice they want from an open list without being restricted by where they live. Many, if not most, patients are quite content with their local GP practice, but a significant minority have problems registering with a GP practice of their choice or with securing access to the high quality and range of care services that they deserve.
I can inform the Committee that agreement was reached with the BMA today. NHS employers have been discussing our proposals with the General Practitioners Committee of the BMA as part of the annual GP contract negotiations, and the agreement that we have reached with that committee is that from April 2012 GP practices will agree with their primary care trust an outer practice boundary whereby they will retain, where clinically appropriate, existing patients who have moved house in the outer boundary area.
There will also be a choice pilot in two or three cities, or possibly parts of cities, whereby patients will be able to visit a practice either as a non-registered out of area patient, for which the practice will receive a fee, or as a registered out of area patient. Practices will join the pilot on a voluntary basis. I think that that represents a very satisfactory way forward. We can look at which model works, if either of them does, and see what the problems are with each.
The noble Baroness asked about the risk of cherry picking patients. We do not see that as a danger. Under their contracts, GPs have a measure of discretion in accepting applications to join their patient lists. However, they can refuse to register a patient only on reasonable and non-discriminatory grounds. They cannot turn patients away simply on the grounds of their medical condition, or for that matter on the grounds of their race, gender, social class, age, religion, sexual orientation, appearance or disability. In future, we want to make it easier for people to choose the best GP practice for themselves and their families. The pilot arrangements that we have agreed will be invaluable to understanding more fully the issues of GP choice.
I hope I have covered most of the points that have been raised. I hope that my answer to the question posed by the noble Lord, Lord Warner, satisfied him, but I just reiterate that CCGs’ responsibility for planning for homeless people and all the groups that he mentioned is a core part of the CCGs’ functions.
My Lords, I take it that the answer to my question is that CCGs do have a duty to plan for everyone in their area. However, along the way, the Minister indicated that some of the information that will enable them to do this will come from health and well-being boards and their assessment of the needs of the population. The fact is that the health and well-being boards do not cover the same areas. They might cover the area of a number of CCGs, but they do not relate to the specific area of any specific CCG. The question is therefore: do the health and well-being boards have a duty to translate their information into the areas covered by CCGs?
I am grateful to my noble friend. The point I was seeking to make was that health and well-being boards will be in a very good position to assess and have a sense of the unregistered and, if I can express it this way, the more dispossessed elements of society. I think CCGs will find that an invaluable source of information in planning the commissioning of services.
My noble friend asked me a yes or no question: are CCGs just like PCTs? In terms of population responsibility, the responsibilities are very similar. CCGs are responsible for patients on the registered lists of their constituent practices as well as having specific area-based responsibilities, as I pointed out, linked to their unique geographic coverage. It is possible for individuals within that area to be registered with a GP practice which is a member of a different CCG. They would therefore be the responsibility of that other CCG. So that is a slight complication. However, it is important to remember the critical role of health and well-being boards in planning in a holistic way across an area covering not just the NHS but public health, social care and other services.
I am sorry to press the Minister further. I want to ask one further question and then I will shut up—I promise. Health and well-being boards, and possibly CCGs, will cover widely differing kinds of area: urban populations where there may be many more homes and people, asylum seekers and the like; conurbations of one kind or another; and a rural periphery. Let us make this oversimple. Do the CCGs in the conurbations know what their situation is in respect of homelessness, asylum seekers and all the other things that the noble Lord, Lord Warner, talked about?
My Lords, there are perhaps several issues bound up in my noble friend’s question. It is entirely possible that a CCG will cover two local authority areas. In that event, it will have a clear duty to work in partnership with both local authorities to improve health and well-being and to secure more integrated services. Do health and well-being boards need to translate their assessments for each clinical commissioning group area? The CCG will need to use the joint strategy of the health and well-being board to inform its commissioning plan according to the needs of its local population. It is in its interests to ensure that the information is translatable.
I would be happy to write to my noble friend because there is a clear narrative here, although I may not be expressing it entirely clearly. Obviously, there will be instances where boundaries do not coincide. As I have said, we are aiming for that not to happen but it will in some cases and it has to be dealt with in terms of the duties that we set out.
I will not torture or tweak the Minister any further but I will ask him to make a sensible response on this issue after today’s Committee sitting. It would be extremely helpful if he could take two or three areas—perhaps an urban area and an urban/rural area—and show us where there is a health and well-being board and where there are pathfinder groups of CCGs, and how this would work in practice. I think that we would find this much easier to understand if there was a diagram.
I am sorry to torture the Minister further. He seems to be saying that clinical commissioning groups are PCTs by another name, with the exception of public health services and community services. That is the impression I get. Can he tell us how much it will cost to transfer the bureaucracy of the PCTs to the bureaucracy of the clinical commissioning groups?
I am sorry to press the Minister on the point I made about homeless families who are placed in different boroughs or areas by their local authority. Under the present system, the GP practice where the family was originally based would wash its hands of that family and say, “You are no longer in my area”. Is the Minister saying that wherever a family has been placed, they would still be able to retain the services of the GP where it originated from or would they have to register with a practice close to the temporary accommodation in which they may have been placed. Such placements can last for many years. Will the family have to seek a GP close to where they have been placed or could they still use the GP services from whence they came?
It would depend how far the family had moved away from the GP practice. What I was trying to say was that the agreement we have reached with the BMA comprises two elements. One is that the outer boundary of a GP practice is going to be flexed in a sensible and pragmatic way so that if you move a few streets away from where you were previously living, you can still be treated in the same GP practice. The other element of the agreement is the pilots that we are looking at. They are only pilots and we will set them up in order to experiment and learn lessons from how they work. It is impossible for me to give my noble friend a generalised statement at the moment because it will depend on the circumstances. At present, the rules will remain roughly as they are other than the flexed boundary rule that I have mentioned.
My Lords, I thank the Minister most sincerely. Apart from anything else, he has explained the BMA agreement far better than I did in my attempted few sentences. I hope that that has provided some reassurance to the House.
I am grateful to him for explaining the problem with the wording in Amendments 10B and 11A, and I accept that he has assured us of the totality of the Secretary of State’s duties overall in relation to the two proposed subsections. I thank him for explaining, in relation to the other amendment in this group, that the mandate set by the Secretary of State is one to which the Commissioning Board must have regard. That was precisely why I was concerned about also having “areas” because the Commissioning Board will be contracting with GPs themselves for their clinical services, which is separate from the role of the clinical commissioning group. So I have a little nagging doubt and that is why I put this right at the front of the Bill. I am sure we are going to return to the word “area” as we work our way through the Bill.
For the moment, however, I am grateful for the noble Earl’s explanations. I also thank all noble Lords who have contributed to the debate, particularly the noble Lord, Lord Warner, for what I think was a flash of brightness in the fog when he asked for a diagram that will set this out geographically for us. That will be most helpful.
My Lords, this has been a very worthwhile discussion. As I said at the outset, there are two issues here. I am grateful to the noble Earl for reassuring us about the issues to do with quality, which he has done very satisfactorily indeed. I should give the noble Baroness, Lady Finlay, a vote of thanks. I knew that she would explain the issues about area-based clinical commissioning groups much more clearly than I. Moreover, the noble Lord, Lord Newton, put his finger on it when he asked whether the clinical commissioning groups will be structured on the basis of clearly defined geographical areas contiguous with each other and inclusive of the entire population. I think the noble Earl said “yes” to that question.
I am less happy about something that I think we will return to, which is how people who already fall through the gaps in care and access to primary care will be treated and whether their situation will be worse. That is because right from the outset I said that what we had to do was apply what is in this Bill to patients and conditions to see how it works for them. In Kingston at the moment, for example, a GP practice has been able to deregister 48 people with mental illnesses who live in a home. They have been scattered among GPs throughout the area. I think that that is very unsatisfactory and there does not seem to be any way of challenging the decision. It worries me that if we are establishing clinical commissioning groups that will have even more independence to take those kinds of decisions, things will get worse for those who need primary care rather than better.
I will not press any of the amendments tabled in my name, but we will return to this issue. I beg leave to withdraw the amendment.
My Lords, in moving this amendment I shall speak also to Amendments 105 and 180. I am pleased that they are supported by my noble friends Lord Patel and Lord Alderdice, and the noble Lord, Lord Patel of Bradford. The amendments concern the duty of the Secretary of State set out in Clause 2, in Clause 20 in respect of the National Health Service Commissioning Board, and in Clause 23 in respect of the responsibility of clinical commissioning groups. I speak as a psychiatrist and as a former president of the Royal College of Psychiatrists.
It is time for a paradigm shift in the way we think about the health of the people of this country. When the word “illness” is mentioned, I suspect that in most people’s minds there are images of physical illnesses such as heart disease, stroke, kidney failure and so on. The current wording in the Bill places a duty on the Secretary of State, the NHS Commissioning Board and clinical commissioning groups to promote comprehensive services in respect of both the physical and the mental health of the people of England. The Bill makes no specific mention of mental illness in respect of their duty as regards the improvement of the quality of services. I suggest that the word “illness” should be changed to “physical and mental illness” so that there can be no question about the Government’s commitment to ensure parity between services for physical illness and services for mental illness. The amendments would also be in keeping with the Government’s mental health strategy, No Health Without Mental Health, which states:
“We are clear that we expect parity of esteem between mental and physical health services”.
Noble Lords might think that there are some pros and cons to these amendments. I have discussed their purposes with mental health charities, service users, practising psychiatrists and other noble Lords. I believe that the pros strongly outweigh any possible cons, but I will deal with the suggested cons first. It has been suggested that there is no need to emphasise that illness encompasses both mental and physical aspects because of course it does; it is so obvious that emphasis is unnecessary. But the stigma associated with mental illness is still such that, on the whole, people do not self-disclose when they have a mental illness in the same way that they might talk about diabetes or cancer. I am sure that noble Lords can remember a time when cancer was a taboo subject, largely because of fear and ignorance. Unfortunately, a lot of the manifestations of mental health problems still evoke fear in the minds of the public. Until we start to name mental health and mental illness much more explicitly, I believe that we will allow mental illness to remain something which is not discussed in polite company, something that is kept out of sight and out of mind in spite of the fact that in each of our lifetimes, one in four of us will have mental health problems. Probably everyone in this House has someone in their family or among their friends or colleagues who is experiencing the symptoms of mental illness at this time.
It is not the same as including children or older people in the definition; nor to including a discrete group of conditions. Mental illness is relevant to every age and social group in the community. We all of us experience either good or less good mental health, just as we all experience good or less good physical health. Our physical health varies according to the presence of specific disorders, as does our mental health, and this applies just as much to children as it does to adults. Imagine a child with a complex neurological disorder who also has a mental illness. The child needs to be treated as a whole person with co-ordinated care by people who understand that the child’s mental and physical illnesses have equal priority.
The second possible con is that in labelling mental health in this way, specifically mentioning mental and physical illness, we might exacerbate the split between the two. Perhaps in 100 years’ time we will have adopted a sufficiently sophisticated understanding of health that defining health and illness as being about both physical and mental aspects will no longer be necessary. However, at this point in time, clarity is more important than any disadvantage that may come from naming both.
Another comment has been that mental illness is simply just another condition, similar to diabetes or stroke, perhaps, but this is not a 21st-century way of thinking about mental illness and mental health. The Government very helpfully earlier this year published their mental health strategy and called it No Health Without Mental Health. That is the point of these amendments: there is no health without mental health and there is no public health without mental health.
Given the scale of the changes the Bill introduces, the financial climate within which they will be implemented and the current underfunding of mental health services and care, I am keen to ensure that the Bill enshrines such a principle in law so that commissioning bodies can be under no illusion that they have an equal responsibility to commission high-quality and continuously improving mental health services as they have for services for physical illnesses. It would be extremely regrettable if the importance of mental health commissioning was overlooked because adequate reference to the parity that mental illness should enjoy with physical illness was omitted from the text of the Bill.
Mental health is part of the continuum of health, both for individuals and populations, and it cannot be thought about as if it was a discrete disorder or set of disorders. Medical science today is demonstrating what it should have taught us many generations ago: that physical and mental illnesses are inextricably linked. Do not misunderstand me: I am not suggesting that mental health problems are all down to biology and genetics; environment and relationships play an enormous part in supporting our mental health. This point was made very well on the “Today” programme yesterday, when a service user, a patient who had lived with schizophrenia, spoke about his experience of his illness. Professor Robin Murray from the Institute of Psychiatry, spoke about genetic imaging and other research into schizophrenia which so clearly shows that it is a brain illness, albeit strongly influenced by social and environmental factors.
The mind/body split has unhelpfully been set in concrete within the NHS, which uses different NHS trusts to treat mental and physical illnesses. This unfortunately fails to recognise the fact that depression, for example, is a very common co-morbid condition associated with diabetes, stroke and heart disease. It is not surprising, really, given that the brain is just one organ among many.
Mental illness in someone with a recognised physical illness is often overlooked, delaying that person’s physical recovery. As noble Lords will be aware, people who have severe mental illnesses are at an increased risk from a range of physical illnesses, as well as greater levels of obesity, and they have a shorter life expectancy. This is in part because, just as mental illness in those with physical illness is overlooked, so is physical illness overlooked in people with mental illness. We need to do more in all health services, including public health, to ensure that the connections between mental and physical illnesses are better understood; that service responses are co-ordinated; and that diagnostic overshadowing of one by the other is avoided.
We also need to recognise the part that education, training and research will play in achieving parity of esteem for mental and physical illness. Many factors contribute to the poor physical health of people with mental illness and, for many people with severe mental illness, social stigma, poverty, limited housing options and reduced social networks contribute to the problem, as do difficulties in accessing physical healthcare. I hope noble Lords will support me in inviting the Minister to agree to these small but significant additions to the Bill about which I feel so strongly. I beg to move.
My Lords, my name is on the amendment and I am pleased to support it. Before I say what I wish to say, I declare an interest as an honorary fellow of the Royal College of Psychiatrists, an honour bestowed on me by the noble Baroness, Lady Hollins, when she was the president of that college, having been introduced in glowing terms to her by the noble Lord, Lord Alderdice—exaggerated glowing terms, I may add.
Noble Lords may wonder why I received that honour—and so do I—but I remember that at the time I was for several years chairman of the Clinical Standards Board for Scotland. It was during that time that I recognised that the provision of services for mental health was quite appalling compared to the services for physical health. It was through writing of standards for illnesses such as schizophrenia, to which the noble Baroness referred, that I discovered how appalling the situation was, not only in the environment where the care was delivered but in the care itself, and how that led not only to limitations in care but to limitations in resources for research and other end-producing standards.
It was of interest to read:
“Everything in my portfolio straddles the interface between health and care—mental health, social care, long-term conditions, cancer. Take for example mental health. The interdependencies between good mental health and good physical health are clear. Mental health sits at the point where health, social care and public health intersect. Delivering better outcomes in physical health will require mental health to be given parity of esteem. So that both mental and physical health problems get equal recognition in the commissioning and delivery of health and social care”.
These are not my words but the words of Mr Paul Burstow, the Minister of State for Health.
“Parity of esteem” is not defined in the document. However, it would be reasonable to expect that this would mean recognition of the equal importance of mental and physical health. Perhaps the Minister will help us with a definition so that we clearly understand what is meant by parity of esteem. You would expect this recognition to be evident in terms of access to mental health services; funding for services proportionate to the disease burden; and mental health being equally at the forefront of the minds of the new clinical commissioning groups and structures.
Sadly, however, this is not the case. For example, for a young person with a physical health problem such as diabetes, to which the noble Baroness referred, who is nearing an age where he is about to start receiving his care in an adult service setting, none of us would expect there to be any problem or difficulty with this move. However, consider a young person with a mental health problem about to make the transition to adult mental health services. Recent research indicates that as many as a third of all the young people who arguably needed continuing care did not make this transition. These young people fall into a gap that would not be acceptable in physical health care. Furthermore, even where a service is available, only 5 per cent of young people experience an ideal transition.
Next, consider the disease burden that is attributable to mental illness. Mental illness is a cause of suffering, economic loss and social problems. It accounts for over 15 per cent of the disease burden in developed countries—more than that caused by all cancers. In the UK, at least 16.5 million people experience mental illness. Despite this burden, a proportionate allocation of funding to mental health services often does not reflect that personal and economic scale. Nationally, some 12 per cent of the total NHS budget is allocated to mental health. While it is difficult to call for increased expenditure in the current economic climate, there is clearly a need.
There are clear benefits from mental health being regarded as the same as physical health. For example, poor mental health is associated with the increase of diseases such as cardiovascular disease, cancer and diabetes, while good mental health is known to be a protective factor. Poor physical health also increases the risk of people developing mental health problems.
The amendments are therefore appropriate. They will ensure that the Bill enshrines the principle of equality of physical and mental health in law so that commissioning bodies know their responsibility to commission high-quality and continuously improving mental health services, as they do for physical health. That commissioning bodies have such a responsibility can in no way be assumed from the present wording of the Bill. While it places a duty on the Secretary of State, the NHS Commissioning Board and the clinical commissioning groups to promote comprehensive health services in respect of both the physical and mental health of the people of England, the Bill makes no specific mention of mental illness with respect to their duty to the improvement in quality of services. It refers simply to the prevention, diagnosis or treatment of illness. I support these amendments and hope that other noble Lords will do the same.
My Lords, in speaking in support of these amendments I declare that I was formerly the chair of the Mental Health Act Commission. I have a long-standing interest in working to promote better mental health and in particular how we can best improve quality and outcomes in services. I echo what the noble Baroness, Lady Hollins, and the noble Lord, Lord Patel, have said and shall try to put a little bit more flesh on the bones.
It is clear to me from my work over the years in this area that we cannot and should not try to separate physical and mental illness. The separation of mind and body has been the focus of philosophical debate for many years but it is obvious to anyone who has at some time been unwell that physical problems have a profound impact on our mental well-being and that being unwell from a mental illness has profound impacts on our physical well-being. To quote the great American author and thinker, Henry David Thoreau:
“Good for the body is the work of the body, good for the soul the work of the soul, and good for either the work of the other”.
I could cite a great many examples that demonstrate that truth. As the noble Lord, Lord Patel, said, compared with the general population, people with depression are twice as likely to develop type 2 diabetes, three times more likely to have a stroke and five times more likely to have a myocardial infarction. Approximately 10 per cent of people have serious depression, but this rises among those with cerebrovascular disease, where rates of major depression are twofold. Among those with diabetes or cancer it rises to threefold, and among those with recurrent epilepsy it can be as high as a fivefold increase. In fact, living with a physical illness can adversely affect our relationships, causing isolation and anxiety, which can be just as debilitating as the physical illness itself.
Apart from the obvious common sense of these amendments, I am keen to see them passed because there is a need to bring these issues to the fore. Mental illness has for far too long been perceived as a Cinderella service lacking the serious attention it needs as part of a fully integrated health service. By creating parity between these twin aspects of our well-being and health, we can ensure that the improvements in quality that we all want to see are realised that much more effectively. In fact, I would go as far as to say that this is one of the single most effective things we could do to bring about these improvements.
By emphasising parity in health and mental illness for the Secretary of State, the clinical commissioning groups and the NHS Commissioning Board, we will see some very tangible benefits. For example, we could see a broadening of the Government’s health inequality agenda so that their indicators of disadvantage include mental illness and learning disability. The Royal College of Psychiatrists and the Disability Rights Commission have called for that. That would also help ensure that clinical commissioning groups seek improvements in health through the inclusion of mental illness in the annual health checks undertaken by GPs.
The implications for improvement in commissioning are profound and speak directly to the stated aims of the Bill: that is, continuous improvements in health and in the quality of services. While it is correct that the Bill calls on the NHS Commissioning Board and clinical commissioning groups to promote a comprehensive health service with,
“respect to both physical and mental health”,
there is still a need to be absolutely clear about the need for parity of esteem in physical and mental illness. This is not clear from the Bill as it stands. As the noble Lord, Lord Patel, said, it simply refers to,
“prevention, diagnosis or treatment of illness”.
That is likely to perpetuate the current imbalances which exist with respect to mental illness services and needs. For example, we currently spend approximately 12 per cent of health and social care expenditure on mental health services. The actual burden of disease is as high as 20 per cent when taking account of all disability adjusted life years. Bear in mind also that there will be only one secondary care specialist on the clinical commissioning group boards, who in all probability will be a representative from the physical health services. This amendment does not mean that there should also be a representative from mental health services but it will ensure that the clinical commissioning group is absolutely clear that it must commission equally high- quality and continuously improving mental health services.
By ending the unhelpful dualism between mental and physical health that has so characterised our services, we will see a holistic approach to health and healthcare. At the same time we will start to end the stigma that so many people have lived with and that has been the cause of so much misery and lost opportunities to help people be well. I am sure all noble Lords will agree that the stigma attached to mental illness has caused service users and their families a great deal of harm. I am pleased to say that public attitudes to this have been changing. In the 2011 Attitudes to Mental Illness survey, the percentage of people agreeing that,
“mental illness is an illness like any other”,
increased from 71 per cent in 1994 to 77 per cent this year. We should continue to support this positive trend in attitudes by emphasising the parity across mental and physical illness as these amendments seek to do.
The statistics show that this is not just a technical or even a semantic issue. The potential benefits are profound. In the same attitude survey, we learn that only 50 per cent of people would feel comfortable talking to their employer about mental illness and nearly a third said they would not be comfortable talking to a close family member or friend. The trends are moving in a positive direction compared to previous years but I am sure noble Lords will agree that we still need to do a great deal more to ensure that people are able to access help quickly and appropriately. Parity between physical and mental illness is one way in which we can strengthen that process.
I know that the Minister is a great supporter of issues related to mental health. I hope that he will support these vital amendments.
My Lords, I am grateful to the noble Baroness, Lady Hollins, and the noble Lord, Lord Patel of Bradford, for bringing these amendments forward. I have been happy to put my name to them—and I thank the noble Baroness, Lady Finlay of Llandaff, who very graciously withdrew her name in order that I could show my support for the amendments.
Like the noble Baroness, Lady Hollins, I am a fellow of the Royal College of Psychiatrists, albeit I am a recently retired psychiatrist. I would like to support these amendments, but coming from a slightly different perspective from some other noble Lords. When I came into psychiatry many moons ago, we learnt that some 50 per cent of all hospital beds in my part of the United Kingdom were mental hospital beds. That is no longer the case, because there has been a great move towards community care—or at least having people with mental illness in the community, which is not always the same thing. It has many advantages, but one disadvantage is that people have lost a sense of the size and severity of the problem. They tend to think of mental illness as a bit like cancer or diabetes, or something of that kind—as another disorder, along with all the rest. But it is not; it is something quite different.
Whenever any of us suffers from a physical illness, it feels like something that has happened to us that we have to respond and react to. But when something happens by way of a mental illness, what is attacked is our very selves, because having mentation is what it is to be a sentient, conscious, reflective human being. I am not talking about people feeling a bit down or depressed or reacting to circumstances or difficulties; I am talking about mental illness. Those differences have sometimes been misunderstood and forgotten, including by psychiatrists in recent years. What disappears, what is attacked and what is under pressure is the very thing that makes you a human being.
One case in which that is most commonly seen is dementia. When my grandfather died and I was consoling my mother, she said, “John, my father died two or three years ago. It was only the shell that passed away yesterday”. In truth, the person is gone. That does not mean that we do not care for the rest, but the person has gone. Whether it is an organic disorder, or an organic-related disorder like dementia, or a psychotic disorder such as progressive schizophrenia, or even a neurotic disorder such as obsessive compulsive disorders and anxiety states, it attacks what it is to be a human being. It is a very different thing. All sorts of aspects of the being are attacked—the volition, the will, the capacity to want to do things, disappears. The capacity to care for the rest of the self is often attacked. This means that the very kind of service that you have to provide for people with serious mental illnesses is quite different. Whereas it might be legitimate to say of many physical illnesses that we expect the person to come along and to understand that they have to make a bit of an effort, with someone who has a serious mental illness, whose very capacity to understand and to care for themselves and address those kinds of things, they are attacked by the illness itself, and that expectation must be modified and be quite a different thing.
That leads me to be very supportive of the notion in the noble Baroness’s amendment, which I share with her, that in the health service we need to understand the differences as well as the similarities and crossovers between mental and physical illness. Noble Lords have said that they have some optimism that the stigma is less of an issue now than it used to be, and they hope that we might get to a point where it will disappear. I am somewhat of a sceptic about that, because I think that there is something fundamentally different about having a physical illness, when you can feel the lump or the bump and reassure yourself, and mental illness, when frankly at times all of us have some uncertainty about our own stability in that regard—and with good reason. It provokes a very understandable anxiety about the very existence of the self, which means that there will always be a degree of fear about it that does not necessarily exist in physical disorders. I am always encouraged when people become more understanding, of course, and I am always encouraged by opinion polls that say that that is the case, but I retain a little uncertainty that we are really there.
When I was training I used to come over from Belfast to the Royal Free Hospital in London for supervision every month. Sometimes the consultant was not ready to see me, so I would sit down among the patients in the clinic. I remember when the consultant came out one day and said, “I’ve decided that you’re really quite stable, John”. I said, “I’m sorry, what do you mean—why on earth have you decided that?”. He said, “You don’t seem to have any anxiety about sitting among the patients in the psychiatric clinic”. The truth is that many of us have those kinds of anxieties. It is a different thing.
When it comes to service provision, there is a greater tendency to ignore, forget and set aside the need for the resources for people who are suffering with mental illnesses. One of my concerns, as we move into a time of increasing austerity—and I suspect that will be the case for quite a period of time—is that there will be a temptation to focus on those services where patients can be demanding, emphasise their needs and promote the requirements that they have. Those who suffer from mental illnesses will find themselves shying away and not necessarily having the provision for it. Therefore, to put on the face of the Bill that the responsibility is for people with mental illness and physical illness is an important preventive factor for the next number of years—we can easily judge them to be years—of financial and economic pressure.
It is not just that kind of pressure that exists. Over the last number of years, I have noticed with many of my colleagues in psychiatry that there has been a tendency to slip back towards the provision of care for those who have psychotic illnesses or organic mental states and to try to forget about those with neurotic disorders who may sometimes be dismissed as the walking wounded. They are severe debilitating disorders that destroy lives and damage families and relationships, but many do not get the attention now that they should. Putting it on the face of the Bill would help to keep it in people’s minds.
We are not necessarily talking about disturbances of personality. It is a different kind of a matter. I hope that when the Minister comes to reply he will understand that this is not merely a question of the needs of a particular section of the community or a particular disorder or group of professionals. It is about a particular aspect of being a human being, which affects all of us, inside and outside this House, and is extremely important for our health service to recognise and have always brought to its recognition—whether through the Secretary of State, referred to through Amendment 11, or the National Health Service Commissioning Board, referred to through Amendment 106, or at the level of a clinical commissioning group, referred to through Amendment 180. The issue is not with the precise amendments but the precise problem, which I hope that my noble friend the Minister will be able to reassure us upon.
We have heard very powerful arguments from all sides of the House in support of these amendments, from deep and distinguished professional expertise, which in turn is backed by the professional institutions. I know the Minister will want to pay heed to that.
I would like to offer a lay view. These amendments would redress a deep imbalance. The Minister may well say again, as he did in his letter to Peers who spoke at Second Reading, that the Government's good mental health strategy,
“makes clear an expectation of parity of esteem between mental and physical health services”.
And so it does. But that is not the same as making it happen.
The Minister may point out again,
“in law, the term ‘illness’ covers all disorders, both physical and mental, so it is perfectly adequate for any Act of Parliament to refer succinctly to ‘illness’”.
The trouble is that however enlightened the intentions in the strategy, and whatever parliamentary draftsmen may say, we live in a culture which has for centuries relegated mental illness to the realm of the weird, the unmeasurable and the stigmatised, as others have said. Even after the great advances of the last 150 years, neither the resources applied nor that general public understanding which supports political action is remotely adequate for a realistic approach.
What I have seen is that bouts of mental illness severely erode the ability to cope with the problems that life throws up. They do not mean that the sufferer has to be treated like a being apart but they crucially impair the ability to earn a living. How many of those with chronic mental illness hold down a job? They can irreparably destroy relationships, which I heard a lot about when I was on the board of the Tavistock and Portman NHS Foundation Trust, and as a consequence of this combination the sufferer often loses their home. This is devastating; it is arguably more serious than many physical illnesses in its consequences.
When I used to volunteer for Crisis at Christmas, probably over half the homeless people I met were mentally ill. Dedicated professional volunteers came and attended to their coughs and colds, their teeth and their toenails. They sewed their buttons on and gave the heroin addicts methadone but there was never even the most limited talking therapy. I have had colleagues who have kept their proneness to clinical depression secret, even when medication controlled it perfectly adequately, out of fear for the career consequences, and others whose alcoholism was treated as only a disciplinary matter—contrast that with diabetes or severe allergies. This damaging general culture can be changed only if there are enough professional resources to make an impact on it and if there is no excuse, by means of the words—or lack of them—in the statute, to treat mental illness less seriously than physical illness.
How is it that, in answer to the Question which my noble friend Lady Thornton asked on 3 October, the Minister was able to say that the Churchill Medical Centre, a GP practice, deregistered 48 patients with dementia and mental disabilities,
“due to the resources required to support those patients”?—[Official Report, 3/10/11; col. WA 102.]
Are patients deregistered because they have asthma or congestive heart disease? I think not. Osteoporosis units are funded—good—but local psychotherapy units, which so often have to deal with the residue left by more superficial, short-term and cheaper treatments, are not. Cognitive behaviour therapy, excellent for some purposes, is so widely offered exclusively that it tends to push out a range of other treatments. This does not happen in cardiology. Counselling is often the initial treatment of choice; cheap and with a lesser degree of qualification required.
I heard recently of a single mother, abused and abandoned by her partner, a drug addict, who was not really managing to cope with bringing up small children. She would have had a few weeks of counselling in her GP’s practice and medication, followed by brief interventions by clinical psychologists but, like many others, this did not shift either her depression or her behaviour. Her anxiety was too deeply entrenched for short-term counselling to make much difference or prevent her taking her negative feelings and distress out on her children. In fact, she was one of the lucky few. She had a small, local psychotherapy unit near her and she received huge support from her weekly meetings over a long period but that unit, the Camden psychotherapy unit, will shortly lose its funding.
The trend for the full range of mental health treatments to be available only to the rich, or those who can wait a year or more, will be exacerbated if there is not parity of esteem between mental and physical illness. Noble Lords may not be aware that the treatment they or their family might expect is simply not available to more than a very few poor people. It must be emphasised again what is at risk when people's mental health is jeopardised. It is not only their happiness; it is their job, their relationships, their capacity to be effective parents, their resistance to drugs, alcohol and crime, and their home. It is of course also our economy, our well-being and our ease and peace of mind which are impaired. Explicit parity of esteem is essential to redress this cruel imbalance. These amendments serve that purpose. I urge the Minister to accept them.
My Lords, I am very pleased to—I am sorry; I know how difficult it is for my noble friend. Would he like to go ahead?
I am sorry but I am really quite slow in standing up, as noble Lords will observe.
I do not want to take a huge amount of time. I am not a member of the Alderdice-Patel-Hollins club and I will therefore not attempt to go down their professional path. I am, however, for the moment at least, a member of another club in that I chair a mental health trust—the Suffolk Mental Health Partnership NHS Trust—so I have an interest to declare. I want to express my strong general support for the basic thrust of these amendments, whatever the wording: to emphasise, in the words of the Government’s White Paper, “No health without mental health”. We need to ensure that mental illness is treated with parity in these matters, so far as we can.
I will make only another couple of observations. First, it is worth remembering that one of the notorious pressures on A&E departments at the moment is people turning up with mental illness problems, in effect, and needing the attention of mental illness specialists. This spills over and crosses the boundaries. I still think it right that there should be separate mental health trusts, but we need to recognise these linkages. Secondly, we need to recognise that this is an area in which integration with social services is particularly important. Integration is key because of the extent to which mental illness services are provided not in hospital but in the community and on a combined operation. As an aside which we will return to, the CQC needs to improve its act in terms of assessing community services for the mentally ill, which in my view it is not at present sufficiently equipped to do. That is a point we shall come back to. My main point is strong support for the principal thrust of these amendments, which I hope my noble friend will feel able to accede to.
My Lords, briefly but warmly, I support Amendment 11, which seems to me to be desirably explicit and logical in the structure of the opening clauses of the Bill. It is desirably explicit because, while I am sure that the Minister actually wants continuous improvement in the quality of service in connection with the prevention, diagnosis or treatment of physical and mental health, those words do not appear in Clause 2. There remains in the wider public some feeling that mental health has a lower priority than physical health. I believe that there has been a huge improvement in the priority given to mental health—I have a lot of experience of that because of my family circumstances—but the feeling I have referred to exists. Therefore, to be explicit on mental health in this clause is good.
The amendment is logical in the Bill because under subsection (1) of the new clause in Clause 1:
“The Secretary of State must continue”,
to promote,
“a comprehensive health service designed to secure improvement … in the physical and mental health of the people of England”,
yet we do not have that phrase in Clause 2, where we come on to,
“improvement in the quality of services … in connection with … the prevention, diagnosis or treatment of illness”.
That directly contributes to what is expressed in Clause 1, so we need to carry over that phrase and avoid its omission in Clause 2. That is why I support this amendment.
My Lords, I will be brief on this. I strongly support the amendment because it is important to recognise that mental health and acute clinical health go hand in hand. Most hospitals throughout the country started with psychiatric services outwith the main hospital buildings. Over many years we have tried desperately to integrate the service. We no longer have the concept of the psychiatric Bedlam that was the case in the past.
For the last five years or so of my clinical practice, a rotation of junior doctors came to work for me. They would spend four months on general medicine, four months on surgery and four months on psychiatry. As a consequence, I learnt quite a bit about psychiatry, although I am not sure that they learnt an awful lot about surgery. That was an example of integrated care. The importance of it is that a lot of the acute psychotic and suicidal admissions to hospital come through the accident and emergency department. They do not come through the separate door of a psychiatric unit at the other end of the hospital or in a different block. They come to the acute part of the hospital.
I am not saying that the Bill team necessarily overlooked this but, as has been pointed out by the noble Lord, Lord Williamson, if proposed new subsection (1)(a) is to refer to the Secretary of State’s duty to and responsibility for “physical and mental health”, it stands to reason that, as is currently the case, the Secretary of State delegates responsibility for the provision of the health service to the strategic health authorities and PCTs. Their successor bodies will be the national Commissioning Board and the clinical commissioning groups, so it stands to reason that those two bodies must also have responsibility for mental and physical health. It is vital that the three major groups who have responsibility for the health service in this country—the Secretary of State, the NHS Commissioning Board and the clinical commissioning groups—should all have a responsibility to deal with these two areas of healthcare, because they form part of an integrated service.
My Lords, some years ago I had a meeting with a newly appointed Secretary of State for Health, although he was not that newly appointed—he had been there for three weeks. At the end of our conversation about mental health, he said, “You know, I’ve just realised something. I’ve been in this job for three weeks, I’ve had about 50 meetings and this is the first time I’ve heard the words ‘mental health’”. That says it all. That is how our health service is run and, unfortunately, how the priorities are set. I should just like to review four key facts to show why this is not at all satisfactory.
First, according to the official survey, one in six adults suffers from mental illness, mainly clinical depression or crippling anxiety disorders. These are serious conditions, as has been said. For example, a very good WHO study compared the debilitating effect of depression with that of angina, arthritis, asthma and diabetes. Depression is at least 50 per cent more debilitating than those conditions. That is why half of all the disabled people of working age in our country are disabled by mental illness. It is not a small segment but a massive chunk. It is the largest illness among people of working age.
However, coming to my second point, only a quarter of those who are mentally ill are in treatment, compared with more than 80 per cent of those with the kind of physical illnesses that I mentioned. Last year the chairman of the Royal College of General Practitioners wrote to his members with the question: if you have a patient who needs psychological treatment, can you get it normally, sometimes or rarely? Only 15 per cent said “normally”. That is the situation that we are in, which is shocking. The treatments that are available are good. They are recommended by NICE but simply not delivered on a proper scale, even though they are meant to be delivered according to the NICE guidelines.
Thirdly, what is even more extraordinary is that these are cheap treatments. It is quite easy to show from the experience of the Improving Access to Psychological Therapy programme, for example, that they completely pay for themselves through savings on out-of-work benefits, lost taxes, unnecessary visits to the GP and unnecessary references to secondary care. However, if we ask what commissioners’ priorities are, these treatments are of lower priority than many of those for physical conditions that are often much less disabling.
Finally, what is so extraordinary about this, as other speakers have said, is that the problems of people with mental health difficulties also rebound on their physical condition. We also know that many physical conditions rebound on mental conditions. Many physically ill people—those suffering from angina, lung disease or a stroke, for example—suffer from depression. Several proper clinical trials show that, with proper psychological treatment of these mental conditions, the physical condition will improve to the extent that all the money is, again, repaid in savings in physical care. Therefore, we should give much more priority to these conditions.
We also see cases where people are referred with physical conditions that have no physical explanation. Something like half of all referrals to the secondary sector fall into that category of medically unexplained symptoms. Again, many of those will respond to psychological treatments.
Despite all this, we all know where mental health stands in the priorities of commissioners. It counts if there is a serious risk of homicide or suicide. Then they really get to it. However, if not, it is, unfortunately, the easiest area to cut, which is happening on quite a scale at the moment. Two years ago the regulator, Monitor, recorded the fact that mental health services are cut by more than physical health services whenever there is a shortage of money. Monitor recorded this in its advice to trusts on how to budget in the future; it was part of its guidance. It is invariably the case that mental health is cut more than physical health when there is a shortage of money. It is just extraordinary. That guidance was eventually recanted but it is the reflex throughout the commissioning world. I am making the point that this is not only important but a very big thing. That is why it is important that we include the phrase “physical and mental illness”, and do so from the beginning of the Bill. If we do not, people will tend to forget mental health, as the department did for three weeks when it was briefing the then Secretary of State. I urge the noble Earl to take this amendment very seriously.
My Lords, I rise briefly to support the eloquent speech by my noble friend Lady Hollins and other noble Lords who have spoken in this debate, if only to give the House a hat trick from the psychiatrists who are here today.
In 1845 the Lunacy Act first separated physical and mental health with the building of the asylums. Before that, in the Poor Law Commission’s provision of service to the general population, around 30 per cent of the medical time of general practitioners and specialists who were engaged by the Poor Law Commission was spent on people with mental health problems and what we would call learning disabilities. That division, however good it was in developing the services in other ways, has led to a separating out which continued after 1948, to the detriment of the development of services.
This Government and their predecessor have done an enormous amount to right that imbalance. As I have pursued my career in psychiatry, I have seen a dramatic difference in the investment that has been made in mental health services. However, there is still a lack of parity and when people talk about illness they still mean physical illness. I do not know whether the wording “physical and mental” is quite right in this amendment. However, it seems to me that the time is right to have an explicit provision on the face of the Bill regarding the equal importance of mental health and physical health in building a healthy nation. Unless we address physical and mental health together, we will not improve public health. It would be a good time to get such a provision in this Bill as it moves forward with a new style of NHS. I hope the Minister agrees that this is too important a matter to let it go.
My Lords, I speak as somebody who supports Mind and as somebody with a brother I followed who had acute mental illness and died from it two years ago. I have listened to noble Lords’ speeches, and that of the noble Baroness who moved the amendment, on this amendment and the consequential Amendments 105 and 180. I agree with everything that they have said. It is important to highlight the fact that health and illness include both mental and physical aspects; to me that is not problematic. However, the question I want to ask is, do we still need to speak of them in almost separate categories? The noble Baroness, Lady Murphy, referred to my anxiety; namely, that because we have separated out mental and physical illness, would inserting the words “physical and mental” in relation to illness continue to exacerbate the problem? Is it necessary to put “physical and mental” in this part of the Bill, or will the noble Earl tell us where that matter can be spelt out elsewhere, not necessarily in the Bill?
Noble Lords will probably say of my next point, “We would expect him to say that”. I am one of those who believe that human beings are psychosomatic spiritual entities. The element of the spiritual well-being of people is not on the face of the Bill but I am absolutely convinced that, as it stands, my needs would be taken care of because it talks about,
“the prevention, diagnosis or treatment of illness”.
Illness can be physical or mental but it can also be spiritual. I will not detain noble Lords long but when I first became a vicar of a parish in south London I was invited into a home because somebody said that there was a presence there. I did not understand that phrase but I went into the home where there was a young girl who had not been able to move for nearly three weeks. The GP, a psychiatrist and a psychologist had visited the house. Sometimes the girl shouted a lot in the middle of the night. I went into the house and asked how the girl had got into that difficult state. Somebody said that they had been to a witches’ coven that night where a goat had been sacrificed and the young girl was absolutely petrified that she would be sacrificed next. She could not speak apart from shouting. Doctors, psychiatrists and psychologists had attended the girl. All that I could do was to say a prayer in that little house, anoint the girl with oil and light a candle. I left and received a telephone call later to say that the young girl was no longer terrified and had started to speak. That was not mental or physical illness; there was something in her spirit that needed to be set free.
I am content that the Bill covers all those aspects of the human person simply by using the word “illness” and through establishing a well-being and health board, which suggests to me that that board has a responsibility to ensure that physical, mental and spiritual well-being are taken care of. After all, in our schools these days we emphasise not only the personal, but the physical, mental and spiritual dimensions of a person. Hospital chaplains will tell you that the work they do does not address purely a person’s physical and mental aspects. I do not want to divide up a human person. Therefore, I believe that the Bill covers people’s needs without inserting the words “physical and mental”.
My Lords, on balance I agree with the most reverend Primate. I speak purely as a lay person but I am very happy to support the noble Baroness, Lady Hollins. I have no medical training. One almost has to declare that as an interest in this debate. However, mental illness can lead to physical illness and massive social exclusion.
I want to share my experience with the House as it is as relevant today as it was at the time to which I refer. Back in 2003, the then Prime Minister and Deputy Prime Minister commissioned the Social Exclusion Unit to carry out work on how we could attack the cycle of deprivation associated with mental illness. The report was published in 2004 with a 27-point action plan. At that time it was a rule of procedure that a couple of Ministers who were not involved in the matter on a departmental basis chaired the steering group that oversaw the work. I was one of the two Ministers. The other was Rosie Winterton, who is now the Labour Chief Whip in the other place. We launched the report at the headquarters of BT. We did that simply because one of the BT occupational medical staff was on one of the relevant overarching boards, but BT’s record as an employer in relation to the mental health of their employees was absolutely first class. Therefore, we were happy to use the BT headquarters for the launch.
Two departments later, as I travelled round Whitehall departments, I wondered what had happened to the 27-point action plan. These things are developed but the Ministers and civil servants involved with them move on. The relevant civil servants were very surprised to hear from a Minister who had had such a tenuous connection with the work he was asking about. The noble Baroness opposite is aware of this as she was involved with the Social Exclusion Unit. The civil servants told me that the action plan was still in place. I have not familiarised myself with what has happened to it over the past couple of years and I would like to be given an update on it. I would like to share with noble Lords some of the points contained in the factsheet that the Social Exclusion Unit published as they relate to some of the myths that have been mentioned. We need to expose those myths and meet them head on.
Four myths are exposed in the Social Exclusion Unit’s factsheet. I will not detain noble Lords for long as this has been a fascinating debate. The first myth is:
“People with mental health problems are dangerous and violent”.
However, the factsheet adds:
“People with mental health problems are more likely to be the victims rather than the perpetrators of violence. Less than 5 per cent of people who kill a stranger have symptoms of mental illness”.
The second myth states:
“Mental health problems are rare”.
We have heard that myth being busted in tonight’s debate. Indeed, the factsheet states:
“Common mental health problems affect up to one in six of the general population at any one time. Almost everyone will know someone who has had mental health problems at some point in their lives”.
The third myth states:
“People with mental health problems are incapable of work”.
However, the factsheet states:
“US research found that up to 58 per cent of adults with severe and enduring mental health problems are able to work with the right support”.
I will give an example of that in a moment.
The fourth myth states:
“People with mental health problems do not want to work”.
However, the factsheet states:
“35 per cent of people with mental health problems who are economically inactive would like to work, compared to 28 per cent of those with other health conditions. Many successful people have had mental health problems”.
In fact, as part of the exercise, I went for a day and a half around London to look at projects manned exclusively by people with mental illnesses. One was at a restaurant, and the only person involved in the restaurant who did not have a mental health problem was the chef, who had come down from a Park Lane hotel to do the training. Everyone else in the kitchen and the front office had a mental health problem. In fact, nine months later, I took my private office staff for their Christmas lunch there. My visit had been in April and I said, “If I am still around at Christmas we will come here for our private office lunch”. Indeed, we did that. When visiting the three projects, I was driven around by one of the patients. I have never felt as safe in a van driven by anyone else. I had no problem whatever. The idea that normal activity cannot take place or that you cannot be included socially is, of course, a myth.
I want to share one of the other aspects that we put out in a factsheet on this issue. The factsheet states:
“Nearly one-fifth of respondents to the Social Exclusion Unit’s consultation argued that mental health services needed to become more socially focused”—
and more holistic. The factsheet continued:
“GPs issue sickness certificates when they assess that a person cannot perform their usual work. Mental health problems are more likely to be listed on the sickness certificates in the most deprived areas of the country”.
That is another fact that we must take on board.
“It is important to ensure appropriate pathways of care between primary and secondary services; up to 28 per cent of referrals from primary care to specialist services are inappropriate”.
I will not read out all the facts, but shall quote the final two. It is stated:
“The range of services is more limited in rural areas, with specialist services often absent”.
That is the reality of many services, but this is the one that we are dealing with. It continues:
“In 2002, 87 per cent of rural households were 4km away from a GP surgery”.
My final example states:
“A person with schizophrenia can expect, on average, to live for ten years less than someone without a mental health problem, mainly because of physical health problems”.
One therefore has to deal with: stigma and discrimination—and we have heard examples of that; the role of healthcare professionals, which we dealt with in the factsheets relating to employment, welfare and benefits; and the role of families and carers, in particular. I shall leave alone the criminal justice system and other issues. Putting the amendments in the Bill is simple—it does not cost anything in terms of money; it should not upset the parliamentary draftsmen; but it sends a massive signal to the whole structure of the National Health Service that Parliament has highlighted and identified this issue, which relates to both Houses. We do not want it to be put in a backwater. We do not want it to be the first thing that is cut. People have to be treated holistically, because we know that if their mental health problems are not treated properly, physical problems start and we then get the queues at accident and emergency—and other pressures on GPs.
I am therefore very happy to support the amendments in the names of noble Lords from all around the Committee. The work of this Government, which I applaud, was mentioned, and I have provided examples of the work of the previous Government where we were trying to deal with the relationship between social exclusion and mental health. It went right across the board—every government department had a role in this. The issue should not be left just to the health department or the National Health Service. It must be dealt with properly by every department—the economic ones as well as the health ones.
My Lords, it is particularly apt that I follow the speech of my noble friend because, in supporting these amendments, I wanted to relate a little of my experience as the Social Exclusion Minister who came in and tried to learn from all the other things that we had done in government—and what we had missed and needed to come back to. One of the issues that we came back to that is particularly apposite to the amendments related to people who do not fit into any category, who are the most vulnerable and who turn up at different places to try to get a service. No service treats them as an individual who has several problems.
Most of these people have mental and physical health problems and probably have an addiction. They are probably difficult to deal with and are likely to get aggressive because they know that they are not getting the response they need to help them move forward. We set up some pilot projects which I now work with as chair of the Cyrenians in the north-east—a charity which took up one of those pilots and extended it. The pilot is paid for now by Newcastle City Council and the PCT, which is much bigger than the subsequent clinical commissioning groups will be. I was not sure whether I should raise this matter in the previous group of amendments or in this one, but I do not want to keep having to rise to speak because there are issues here that the Government need to address. I chose these amendments because they relate to the Secretary of State, the national Commissioning Board, and the clinical commissioning groups.
Some things will have to cross those boundaries and be paid attention to by more than just a clinical commissioning group on its own, because the people we are talking about do not remain in one place. Sometimes there are insufficient of them in one place for a clinical commissioning group to take account of what they are going to need. We have people who go round and find the most disadvantaged and the most dispossessed—the ones who are not fitting in anywhere. We use ex-clients to go and find them. Most of the money comes from the local authority.
We persuaded the PCT to appoint a community matron with whom we work and to whom we send those people. She is then able to assess their physical and mental health needs. This has substantially reduced in-patient care, and because we have a different system we can show that fewer people end up in A&E and are then admitted to hospital. Such an arrangement can save money but is also able to provide interventions at an earlier stage—and that was what attracted me about the amendments, because they relate to prevention, diagnosis and treatment.
However, we do not work just with the homeless; we also have three projects for addicts. One of them is a 12-step, 12-week day-centre programme. The programme is fairly tough and the addicts have to be abstinent. We pay for that with money from three PCTs which were so enthusiastic about the work and what it was producing that they are now funding another centre for addiction, where we take in on a residential basis mothers and their children to seek to prevent the children going into care—because that was what was happening. We still have a small problem with the acute providers because sometimes when a family was going to come to us the providers had increased the methadone rather than helped the mothers to come off the methadone. We use the recovery method rather than methadone.
I hope that the Committee can see that these are complex cases, with complex interventions that are aimed at preventing more difficult interventions later.
I cannot see one clinical commissioning group commissioning any of this work, because it will be too expensive and there will not be a sufficient body of people to justify the work and money that it would need to put in. That is why, in the new architecture, the Government need to think how they will respond to those more complex problems, where the voluntary sector is coming up with more innovative solutions, but they need also to deal properly with what is often called dual diagnosis—I think it is often triple and quadruple diagnosis—where people have more than one problem. We need to bring the different groupings together to make sure that the needs of that individual or that family are addressed in a holistic way. It is important to recognise that more than a physical illness is brought to the table, as it were, in those cases. At least the amendment acknowledges that both physical and mental illness must be addressed.
We will get a complex architecture under the Bill, and it will be all too easy for people to fall back through the cracks within that architecture and for there not to be a holistic approach. The next set of amendments, which talk about integration, are also important, and I will come back to them, but the Government need to think again about how to address those complex issues in a way that allows the whole person in that patient to be addressed in a more effective way than we are often able to do at the moment.
My Lords, I first want to ask a quick question to my noble friend Lady Hollins or the Minister. Would the words physical and mental include those people who have a drug and/or an alcohol problem? Would addiction come under “mental”? I do not want those people to fall through the net, as was said by the previous speaker.
I just wanted to say a word or two about the drafting involved in this. The noble Lord, Lord Williamson, pointed out that the opening clause, which is the foundation of the health service, states:
“The Secretary of State must continue the promotion in England of a comprehensive health service designed to secure improvement … in the physical and mental health of the people of England, and
(b) in the prevention, diagnosis and treatment of illness”.
That is precisely the phrase that is the subject of the amendment, but it comes earlier in the Bill. I cannot believe that when the people who put the health service together in 1946 used that phrase, they did not have in mind that physical and mental health involved the idea that if there was illness, it could be either physical or mental. If we are to change an exactly similar phrase later in the Bill, consideration needs to be given as to whether we should do it at the beginning which is, after all, in many ways the most important place.
I have every sympathy with all that has been said, and I am sure that it is right that we take serious account of it. We must remember the point made by the noble Baroness, Lady Murphy, about the need for integration of treatment for mental illness along with physical illness. Anything that separates them might not be conducive to progress. I have every sympathy with the proposal.
My Lords, I congratulate the noble Baroness, Lady Hollins, on bringing forward the amendments and all those who have spoken in what I think has been an extremely useful debate. All those months ago, we had all-Peers meetings about this and many other issues. I am sure that the quality and comprehensive nature of the amendments owes something not only to talent and expertise but also to the fact that the experts in the House have been working with many organisations over a long period. I congratulate everyone on the quality of the debate and the amendments.
The amendments approach the Bill holistically—I do not really like that word. They concern the Secretary of State's responsibilities, the duties of the Commissioning Board and the duties of the clinical commissioning group—the triggers, the levers that may make this a reality. Because of that, I am very attracted to them. It is also important that they express the expectation of parity of esteem between mental and physical health services. As has been said, my Government and this Government have certainly made progress on this issue. I look forward to hearing the Minister’s comments, and I hope that he will find some way to recognise the support for the amendments across the House.
My Lords, I agree with the noble Baroness, Lady Thornton, that this has been a debate of very high quality, covering a topic of huge importance. All the amendments deal with the same matter. Each seeks to amend the duty of quality to include an explicit reference to the prevention, diagnosis or treatment of physical and mental illness. Amendment 11 does so for the Secretary of State; Amendment 105 applies to the NHS Commissioning Board; and Amendment 180 applies to clinical commissioning groups.
I completely share the noble Baroness’s concern that we should never forget mental health in the drive for improving quality—quite the contrary. The noble Lord, Lord Patel of Bradford, and many others, mentioned parity of esteem between mental and physical health and the need to end the dualism in thinking that has in the past hindered an holistic approach to care. Noble Lords have expressed the concern that the Bill is wrongly silent in not referring explicitly to mental illness. I hope that I can successfully plead not guilty to that charge. First, I reassure all noble Lords on the central point of drafting, which is that all references to illness already include both mental and physical illness. The term illness is defined in Section 275 of the National Health Service Act 2006 as including mental disorder within the meaning of the Mental Health Act 1983. As a result, references to the prevention, diagnosis and treatment of illness would already apply to both physical and mental illnesses without the need for those additional words. The definition is already there. Therefore, the signal mentioned by the noble Lord, Lord Rooker, is already there.
The new duties placed on the Secretary of State for Health, the NHS Commissioning Board and clinical commissioning groups continuously to improve quality as defined by the noble Lord, Lord Darzi, already apply to the provision of both physical and mental health services. That is not to say—and I would not seek to suggest—that such services need no improvement. The noble Lord, Lord Patel, was quite right to draw attention to variations in mental healthcare around the country, despite the significant additional resources that have been directed to mental health services in recent years.
I fully agree that the National Health Service must look holistically at both the physical and mental needs of the patients whom it is there to serve. That is why the NHS outcomes framework, which we published last year, seeks to drive better health outcomes for those with mental illness. That is where the difference will lie in future. For example, Domain 1 of that framework, which focuses on preventing people from dying prematurely, includes a specific indicator on premature mortality in people with serious mental illness. Domain 2 of the framework focuses on enhancing the quality of life for people with long-term conditions, regardless of whether these are physical or mental health-related. However, to guard against the risk that there might be an overriding focus on physical health, there is also a specific indicator looking at the employment of people with mental illness. Clinical experts, including the Royal College of Psychiatrists, agree that this is an important outcome for people with mental illness and one that the NHS can make a significant contribution to improving. Finally, Domain 4 of the framework focuses on:
“Ensuring that people have a positive experience of care”,
including a specific indicator to capture the experience of healthcare for people with mental illness.
My Lords, I thank the noble Earl for his answer and indeed for the sustained interest and commitment that he has always shown to mental health services. I have been heartened by the enormous support across the House for my amendments and was impressed by the breadth of interest shown in mental illness.
There is wide recognition of the need to try to bring mental illness more into view, particularly perhaps to make it more explicit in the Bill. The indicators of better outcomes, about which the Minister spoke, are indeed welcome. We have heard how much they are needed. I hear every day of how mental health services are being disproportionately cut. We are still a long way from the kind of holistic service that we would all like to see. That is the difficulty and why I still feel quite strongly that we need to name mental and physical health. This may not be the right place in the Bill to do it, but I still think that when they hear the word “illness”, people think about physical illness. It may be defined but I do not think that it is what people hear. I have heard Ministers of Health and Secretaries of State speaking about health and illness over many years and nearly always when they do so we know that everybody is hearing “physical illness” and not hearing or thinking “mental illness”. We know that mental illness includes addiction and a wide range of different disorders and conditions.
I take note of what the noble and learned Lord, Lord Mackay of Clashfern, said and his question about where the amendment would best fit. I am willing to withdraw the amendment but I hope to hear more discussion and thought about how to show more explicitly in the Bill that there is a real intention in a 21st century Bill to have parity for mental and physical illness. In 100 years’ time somebody could be standing here arguing to take away the words “mental illness” because they are no longer needed, but we are such a long way from being able to do that. I am not arguing that mental illness is just a medical condition—not at all. It is a condition, as the noble Lord, Lord Alderdice, reminded us, which affects the very essence of our being. It requires integrated services and integrated approaches; it requires medical attention. But it also requires an awareness of the social recovery models of support and help. I will bring back the amendment at the next stage. I beg leave to withdraw the amendment.
(13 years ago)
Lords Chamber
To ask Her Majesty’s Government what plans they have for developing the role of the magistracy in the Big Society.
My Lords, noble Lords will be aware that this year is the 650th anniversary of the establishment of the magistracy. I was sworn in as a magistrate nearly six years ago and I now sit both on adult and youth matters. The lay magistracy is a triumph of volunteerism and localism. Even in central London where I sit, most of my colleagues have lifetimes of experience of living and working in London and bring this experience to their adjudications on a daily basis. Like jurors, magistrates are unpaid and unqualified; unlike jurors, however, we will hear hundreds of cases a year and we are trained and advised by experienced legal advisers who keep us on the legal straight and narrow. Some 95 per cent of criminal cases are dealt with in the magistrates’ courts. I believe that all this adds up to a unique institution which is a cornerstone of civic life.
So what of the future? In this short debate I want to concentrate on areas where I believe the magistracy could play a greater role in enhancing the public’s faith in the justice system. There seem to be three main problems affecting the public perception of the court system. The first is the poor administration and slowness of the court system itself. The second is the public scepticism on the appropriateness of community-based sentences and the third is the representativeness of magistrates themselves. To tackle the first issue—the poor administration of the court system itself—when I first sat only six years ago I was amazed at the complete lack of computer support. The whole process in court was paper-based. Now it is common to book trials online, for lawyers and JPs to check sentencing guidelines online and also to call up maps and photos of locations for traffic matters, and things like that. Nevertheless the bulk of the process is still paper-based. I was heartened to note that in the new Westminster court house in Marylebone every desk position in every court has a plug and phone jack to enable a computer to be set up. Digitising the criminal justice system is a huge and complex task but progress is being made and the benefits are there to be reaped. I understand that 2014 is the target date for completing this task.
However, court is a team effort and each member of the team needs to contribute to the effective management of the case load. Digitising the system will reap big benefits but will never replace a properly motivated and appreciated court team. The Government need to keep that at the forefront of their mind when introducing sweeping changes. It has to be a concern that cuts to staff will hold up progress towards digitising the courts process and reduce staff morale, which in turn will affect performance and the public view of the effectiveness of the system. Magistrates can help by setting the tone of the court itself—making sure it is well managed, making progress whenever possible and putting the interests of justice first without cutting corners or delaying decisions. I believe that magistrates can and do help the process by using courtrooms when appropriate and being sympathetic to other people using their computing systems.
The next matter is public scepticism on the appropriateness and effectiveness of community sentences. I believe that this scepticism is exaggerated mainly by the press and that most people want community sentences to be used as much as possible. They also want them to be tough and effective. I read the speech made by the noble Lord, Lord McNally, to the University of Hertfordshire at the beginning of October and I agreed with his aspirations for community punishments. It is, however, in the role of magistrates that we see a lot of people who have reoffended while on community sentences but we do not see those who succeed and never offend again. There are, of course, some limited interactions with people while they are completing their community orders but this tends to be the exception rather than the rule. I would also point out that those who point to the ineffectiveness of short-term prison sentences when compared to community sentences in stopping reoffending only tell half the truth. In my experience, the vast majority of those given short-term prison sentences have previously failed on community orders, so to say that short-term prison sentences are ineffective is misleading.
Nevertheless, I welcome the development of community -based sentencing options, such as restorative justice programmes, neighbourhood justice panels, community courts, and other initiatives which I know the Ministry of Justice is pursuing. I believe that these are worth while and worth supporting. The noble Lord, Lord McNally, went into some depth on his aspirations for neighbourhood justice panels and spoke with feeling—I read it with feeling—about the potential benefits of such a system. As far as I can see, the system will be based on the approach now taken with youths and locally recruited youth offender panels. As I said, I share his aspirations but I think that it is fair for me to point out the potential pitfalls of such a system.
I believe that the courts and victims in particular could become separated from the sentencing process itself. At present it is rare for victims to be in court when an offender is sentenced, and it will be even rarer if there is a separate and subsequent neighbourhood justice panel meeting at which the activities of the community sentences are agreed. I accept that this is a conundrum with no easy solution that we also grapple with in youth courts. At its heart is the fact that there needs to be a level of trust and confidence between those who give the sentences and those who administer them: namely, the probation service and youth offender teams. Poorly administered community sentences can and do undermine both magistrates' and victims' faith in the sentence. Breaches in particular need to be brought to court in a timely manner.
I have visited a number of unpaid work projects over the years and have invariably been impressed by them, but sentencers need to be confident that the programmes offered are realistic, achievable and above all properly administered. I will add that I believe that localism is a good aspiration for the courts system. Even in London, most people regard themselves as local to a particular area and would like to see community sentences carried out in their areas.
I move on to the representativeness of magistrates. Magistrates, like jurors, should be drawn from the communities in which they live. It is desirable that they are drawn from all areas, and this is particularly important for areas where there is a high crime rate. Achieving this is difficult and I know that the matter is taken very seriously by the committees responsible for the recruitment of magistrates. Nevertheless, it is a fair generalisation that certain groups are underrepresented on the Bench. I would nominate Afro-Caribbean men as an important and underrepresented group. Having said that, I believe that Benches are quite diverse, but it is perhaps inevitable that those with the time to give to this public service predominate. The Ministry of Justice should play an active role not just in communicating opportunities to serve as a magistrate but more generally in promoting the role of the magistracy itself.
I have two simple suggestions to increase diversity on the Bench. First, adverts for magistrates should be placed on buses and tubes. They used to be, but I have not seen an advert for many years, and I have long-standing colleagues who came on to the Bench after seeing those adverts. My second suggestion is that there should be a modest payment to local magistrates. We are not paid at the moment, whereas local councillors, tribunal members and Members of this House are paid. I remember that the justification for starting to pay local councillors was precisely to increase the diversity of those who serve on local councils.
In conclusion, I have spoken about three areas: poor administration of the courts system, public perception of community sentences and the representativeness of magistrates. In each area, magistrates play a crucial role in the development of the courts system. All communities have the right to be confident that their local court services are delivered to a nationally consistent and high standard. It is of paramount importance that members of the public maintain their trust in the courts system and in the thousands of lay magistrates who sit every day to decide on matters that affect their fellow citizens. This debate was framed as a question. It is a genuine one and I look forward to the noble Lord's response.
My Lords, as I am the first speaker after the introduction by the noble Lord, Lord Ponsonby, I thank him on behalf of us all for bringing this interesting subject to the House, and for the comprehensive way in which he dealt with it. I first declare an interest; from 1970 to 1993, when I was appointed to the Front Bench of your Lordships' House, I was a magistrate in both adult and juvenile courts. I assure your Lordships that in those 23 years I had my fair share of sleepless nights after some cases, worrying about whether I had done the right thing by certain defendants.
We are all aware of the long history of the magistracy: both the lay magistracy and, since the 19th century, the stipendiary system. By performing duties as lay magistrates, non-lawyers have been one of the earliest examples of the so-called big society for centuries, and I have frequently explained to foreign friends that they are in effect a sort of jury with limited sentencing powers. The lay magistracy has long since ceased to be the province of the local squire, and no longer conjures up a vision of Tory ladies wearing flowery hats, although when I joined the Bench I was told—I ignored the instruction—that I was expected to wear one, with or without decorative flowers.
As the noble Lord, Lord Ponsonby, said, magistrates’ courts deal with well over 90 per cent of all criminal cases, as well as a wide range of civil matters. I will confine my remarks to their role in administering the criminal law. It is perhaps not quite good form for me to refer to one of my earlier speeches in your Lordships' House, but my maiden speech some 18 years ago was on the theme of law and order. The point that I made then, which bears repeating, is that the criminal law is there first and foremost to protect the public. It does this by punishing the wrongdoers—I will use the right word: criminals—and thereby acting as a deterrent to them and others from further offending. The possibility of rehabilitation is a very worthy objective, but one which perhaps all too often does not work.
The recent outcry from the usual libertarian sources that the penalties imposed on the looters, arsonists and rioters last August were too severe was typical of the muddle-headed thinking that pervades some quarters. In arguing for the rights of the hooligans and criminals, they ignored the rights of the people who had their homes, businesses and jobs destroyed, in many cases just for the so-called fun of it—in many cases, it transpired, by people with existing records of criminal activity that had hitherto gone largely unpunished.
The deterrent effect of the recent sentences will last only as long as the short-term memory of the potential perpetrators lasts: not long, I am afraid. What they will remember is that in future they should disguise themselves better from the CCTV cameras that, despite being decried in some quarters as an undesirable Big Brother device, did their job on this occasion.
The police have the power to require people to remove masks. This is not quite adequate. On four occasions I have attempted to persuade political parties on both sides of the aisle to make it an offence to wear a disguise at any public demonstration, just as it is an offence to carry an offensive weapon. To no avail, I am afraid, but I repeat my appeal tonight.
As to softer sentencing for the rioters and looters, I am reminded of the procession of mothers pleading for a light sentence for their child, who may have committed the most despicable offence, by telling the court: “He’s a good boy really”. Just like some of the recent offenders who to their horror, instead of a slap on the wrist, got a short—and sometimes not so short—sharp shock despite not having any previous convictions.
Community service orders are regrettably inadequately staffed and funded and sometimes consist of futile lamppost-counting operations. Your Lordships may have read in the paper only yesterday of a man who had to be punished with a curfew for persistently failing to turn up for his community service duties on Mondays because he had a hangover as result of spending Sundays drinking in public houses and watching football. Where an unemployed man gets enough money to get drunk in a public house is beyond me.
One problem we face is that things like ASBOs and referral orders, which we used to call probation, are in some cases regarded as a badge of honour. I well remember leaving court one day and a young man whom I had just put on probation was heard telling his friends outside that he had “got off”. I will not repeat what he said about the magistrate who was stupid enough to do that. That typical attitude is part of the problem.
The magistracy, both lay and stipendiary, as well as the rest of the judiciary, has a part to play in the big society. It is to ensure that law-abiding citizens who want to give something to society—big or small—can safely and freely go about their daily lives without fear for themselves, their homes, their possessions and their businesses.
My Lords, I greatly welcome this timely debate and add my thanks to my noble friend Lord Ponsonby for having secured it. I should declare that I am the honorary president of the Bradford Court Chaplaincy Service, which is, in my opinion, an excellent example of a court service involved in the big society, and I shall talk more about this unique service in a few minutes.
This is a very timely debate because, as noble Lords are aware, the Constitution Committee of this House is currently hearing evidence on the judicial appointments process. I understand that there has already been much discussion about the importance of diversity in this process and about how it makes our judiciary not only more representative of the broader population it services but ensures that the integrity and authority of the courts are sustained. This is also a very important issue with respect to the big society.
I am not a great fan of the term “the big society” as I am still far from clear that it actually means what it professes to mean. It sounds like the sort of thing that we are all involved in and suggests a model for society that is based on inclusion, but I do not see many plans for increasing inclusion. In fact, we are in grave danger of seeing a far less inclusive society as we continue to witness the retraction of the voluntary sector and restrictions in access to education. However, let us leave the political divisions aside for now and accept the big society for what it should be: a fair society, based on transparency and accountability in which everyone feels they have a chance and a stake.
On such a definition the role of the magistracy can be seen to be vital. What is the magistracy? Well, most magistrates are, of course, justices of the peace, like my noble friend, who act on a voluntary basis to administer the law in our lower courts, and they do this with the authority of being highly respected members of their communities. Can a single magistrate represent all of the local community? Of course not, and we should not expect them to, but in terms of the big society and inclusion, we should expect the magistracy as a whole to be accessible to all and not limited in how we regard respect.
Just as the big society is remarkably diverse, we need also to see a magistracy as a whole that is diverse. We should be accustomed to seeing more women and people with disabilities, more lesbian, gay, bisexual and transgender magistrates, more black and minority ethnic magistrates as well as those who are younger, older, of all faiths or none, married, single or in a civil partnership and, of course, wealthy or poor.
If it is the administration of justice that we are speaking about, then we should ensure that there is also a justice of administration: a justice that reaches out to those who are excluded and actively brings them into the process and a justice that recognises that no single group can expect to make judgments in the interests of the community if it is not rooted in the community that it presides over. That is the real basis of respect and it is something that must be tangible.
I mentioned that I am fortunate to be the honorary president of the Bradford Court Chaplaincy Service, and I want to end by talking a little about that service because it says a lot to me about the place of a modern court service in the big society. The Bradford Court Chaplaincy Service was established as a charity in 2008 with the aim of providing a multifaith chaplaincy service to all court users, including people of faith or with no faith, irrespective of race, culture, creed, special needs or sexual orientation. It is a truly inclusive service working as an integral part of the court and providing vital support, without prejudice, at what is often the most stressful period in someone's life.
The service was founded by a former chair of the Bradford magistrates’ Bench, Mary Carroll, together with four of her colleagues on the Bench, working together with local hospital chaplains and community members. This is very important because it was an initiative that really came from the local community, first through the wisdom and foresight of the JPs and secondly through the involvement of other local community members. It was also supported at the time by the then Lord Chancellor, my noble and learned friend Lord Falconer, which shows how much government has a role in supporting the big society. It really is the big society at work. Currently, the service has two part-time chaplains, one Muslim and one Christian, and around 40 volunteers who come from all walks of life in the local communities. They work mainly with defendants, many of whom are unrepresented and often very vulnerable. They also provide a service for all the staff of the court services. They provide 10 sessions in the magistrates’ and coroner’s court and nine sessions at the Crown Court every week. Last year, the service saw approximately 1,400 people.
The volunteers and the dedication they demonstrate do not just happen; a service like this needs a great deal of support, time and resources. The big society cannot mean that everything is voluntary. Such an approach would not thrive as the court chaplaincy service demonstrates. The volunteers are supported by the part-time chaplains, who provide daily guidance, advice, training, ongoing mentoring and supervision. This ensures that the volunteers can get on to do what they do with confidence and skill and, of course, that confidence in the service provided by having a professional structure passes to those who use the service and those who refer people to it. That to me is the key to a successful big society approach in our magistracy combining the power of volunteers who come directly from the full range of local communities with the support of professionals and the wider structures of the courts and other partners.
It is too soon to judge the full impact of this service, but I have no doubt that in time it will also become an important vehicle by which a more diverse magistracy is drawn from the local community. When we see this kind of initiative replicated across the country, then we will have a big society. For example, among many of its achievements, one of the most distinct and valuable aspects of the service is its contribution to community cohesion. By placing the focus of the service on chaplaincy and creating a truly multicultural service, the Bradford Court Chaplaincy Service has made cohesion a reality. This is a service that can work across the communities of faith in Bradford and with non-believers alike. The volunteers command a range of languages and dialects, cultural backgrounds and understanding and with all this bring a unique perspective on diversity into the courts. I cannot think of many examples of statutory services that have such an eclectic and diverse make-up of staff. So I hold this service up as an example for noble Lords in thinking about these issues, an example that I hope I have demonstrated captures the true essence of what the big society means and how the magistracy can play a significant role in its development and realisation.
My Lords, when I was a very new, young and arrogant solicitor, I frequently appeared in the magistrates' court in the village of Ruabon in north-east Wales, an industrial part of Wales where coal was mined, steel was made, beer was brewed and chemicals were manufactured. I was always amused by the chairman of the local Bench, Lord Maelor, a former Member of this House, formerly Thomas Jones, the Labour Member for Merioneth. He lived all his life in nearby Ponciau, having worked down the pit as a young man. He later served as a non-combatant in the First World War. Indeed, he was imprisoned in Wormwood Scrubs for refusing to obey an order on the grounds of conscience. In court, he always went out of his way to identify the defendant who was before him: “Was his uncle a member of Capel Mawr?”, “Did he live on Gutter Hill or was it Y Ffennant?” and so on.
Lord Maelor taught me two lessons. The first was that order is preserved in a community not by the police, but by the people: the elders, the relations and the parents. By far the worst area for vandalism and crime in the area was the brand new housing estate, Plas Madoc. It was so new that only young married people or partners lived there. Though they had moved in from the settled villages around, there were no rules, no frowns and no social disciplines in their community. The second lesson he taught me was that he would give youngsters a chance, but would follow through his sentences by his deep involvement in the community and by his continuity in office. He was the one you would come back before if you breached the probation order he was always ready to hand out.
I have been greatly helped in preparing for this debate by a study carried out by Dr Jane Donoghue of the Centre for Criminology at Oxford, which was published only last Saturday, 29 October, as Anti-Social Behaviour, Community Engagement and the Judicial Role in England and Wales. I commend the study to the Minister. She points out that a central principle of the concept of the big society is co-production: how communities and individuals connect and come together to design and produce solutions to shared problems.
In the context of the magistrates’ court, the informal mechanisms of the past—that individual relationship between the magistrates and the community they serve—are of limited value in today’s world. It appears that training designed by Her Majesty’s Courts Service and the Judicial Studies Board in 2008 to support magistrates in community engagement has not been systematically implemented. Dr Donoghue’s research shows that for the most part magistrates’ involvement does not go beyond attending occasional meetings with their local ASB unit. The reverse side of that coin is that community groups have very little engagement with the courts. They live in two separate worlds.
Participants from all the 17 ASB units studied expressed their disappointment and concern that magistrates so rarely engaged with the local community, and argued that a culture change was necessary, where magistrates would be required to allocate time to listen to the concerns of the local community. Some said that the courts do not think about the impact of an ASB on a community, that they do not understand the effect of ASBs on certain areas and that the community has no confidence in magistrates or the courts.
On the other side, it seems that some magistrates worry about judicial independence. Dr Donoghue found that in one area magistrates discontinued an existing practice of making visits because they were concerned not to be seen to be influenced by local residents. In only one of the 17 areas studied was it felt that magistrates had a high level of engagement with the local community and were willing to talk to residents, attend local meetings and become involved in the life of the community.
The other problem identified by Dr Donoghue’s research was a lack of supervision. Ten of the areas studied had no experience of any kind of the supervision of court orders by magistrates or district judges. This was because there was a significant lack of continuity between repeat offenders and sentencers. It is highly unlikely that an offender in breach of an order will be seen more than once by the same magistrate or district judge. There is no formal system in place to ensure that an offender appears before the same sentencer in every court hearing related to their case.
Dr Donoghue’s conclusion is that most courts have not yet embedded into their structure the principles of community justice. Magistrates still see their role as adjudicators of fact and meters out of punishment and no more. If the concept of the big society is to have flesh put upon its skeleton, community engagement and problem solving in partnership with community groups and agencies should become a formal, standardised part of a magistrate’s training and part of continuing professional development for existing district judges and magistrates.
Nobody could ever question the commitment of Lord Maelor to his community, and the result was this: clear confidence and trust in the Ruabon magistrates’ court by the whole community. He did not sit above the throng; he was a part of it, and it was a pleasure to appear before him, as I have no doubt the noble Lord, Lord Elystan-Morgan, would confirm if he were here.
My Lords, I spent over 30 years on the Bench, working with the most wonderful people. We came from a vast variety of backgrounds, all shapes and sizes, ages and colours, and reflected the community in which we lived. We had teachers, nurses, shop-floor workers, postmen, licensees, doctors, trade union officials, small shop owners—I could go on. We also had representatives of a vast number of voluntary organisations, including the WRVS, who incidentally also manned the refreshment bar. The experience they brought gave me a wealth of knowledge and added so much to our court life.
It is important to get a balance in every way in the make-up of a Bench, members having left any partiality at home, and then, working as a panel, to try to achieve a just and fair result. One of my cherished moments was when, as a known active Conservative, I was elected chairman. I was told the qualities required to be a magistrate were: a desire to serve the community; an ability to listen and come to a view using sound judgment; an ability to understand and to communicate; and to have commitment and reliability. Above all, I have always believed that good old common sense goes a long way.
I suppose you could say the magistracy was the original seed of the big society, having been in existence for hundreds of years, consisting of local citizens serving their local community. I believe that ever bigger and more intrusive government in recent years has sapped our strength and impeded anyone from daring to have imaginative proposals. Even if we had an idea, there have been too many obstacles in the way. For me, the big society means bringing decision-making back to communities so that local people have a real stake in running their own lives and supporting those who need a helping hand so that they can improve their lives. It means giving people the opportunity to bring colour and happiness to others less fortunate than themselves, while at the same time experiencing the genuine pleasure that can be had from joining a group of people who get things done, so contributing to a thriving community. Excessive regulation and bureaucracy have in recent years strangled initiative and enthusiasm and brought about a culture that the state always knows best. The big society is where we can all help each other as we try to do our bit to promote local well-being.
Over the years I have been saddened by the closure of so many courthouses. I was always told that the magistracy meant local justice for local offenders in a local venue, but court closures have removed that vital local component. Of course, I understand that in painful financial times difficult decisions have to be taken. My experience tells me that it will be the same people who always volunteer and who will spearhead the big society. So please, whether it is the magistracy or the big society, let us return trust to local people so that they can make their local environment work for them in a unique and distinctive way. Let us keep as little regulation in our lives as possible.
The big society is about service to others. It fosters responsibility and ever more closely weaves together an already complex and at times fragmented society. Service in all its forms is a most cherished principle that we must keep before us and applaud to the rafters. Let us ensure that we keep it small and bound to local communities.
My Lords, this debate is timely but a little premature for my contribution. Let me explain. Earlier this year the Magistrates’ Association set up a public engagement programme for greater understanding of people’s views on the future of summary justice and the role of magistrates. I was privileged to be asked to chair this inquiry and it is right that I record my interest at this stage. I should also point out that I have served as a magistrate for over 14 years in West Sussex.
The terms of reference of the inquiry were fairly wide:
“To inquire into the role of magistrates and the future delivery of summary justice through engaging with experts and members of the public across the country”.
We have just completed this major exercise and hope to produce our report before next April. Our intention is to inform future policy development as affecting the magistracy. To avoid any confusion, let me add that “summary justice” is a term we apply to all forms of dealing with offenders other than in the Crown Court.
The evidence was gathered by a panel comprising the chairman of the Magistrates’ Association and three or four other national members involved in the criminal justice field. Local Members of Parliament played an important part in a number of consultations, with their overview of the magistracy in their constituency. The evidence-givers included local police, local victims of crime, local magistrates, professionals from intervention agencies, ex-offenders and local legal practitioners. The audience included the local public.
This has been a remarkable and informative exercise. Let me spell out some of the key questions that were addressed. Do the public still support the concept of ordinary—that is, non-legally qualified—citizens being involved as members of the judiciary in the delivery of justice in England and Wales? Do the public have confidence in magistrates? Do magistrates provide a good quality of service? What do we mean by local justice; is “local” still a meaningful concept in that context? What is the role of magistrates in restorative justice? Should magistrates be involved in pre-court or non-court activities, such as the administration of cautions and local justice panels, to deal with offenders? Should magistrates be involved more fully in the management of sentences? Should magistrates be more involved in the rehabilitation of offenders and reintegrating ex-offenders into the community? Does the make-up of the magistracy properly reflect society? Are there any barriers to achieving this? Should courts be more accessible?
Magistrates have existed, as has been explained, for more than 650 years, and we celebrated this in Westminster Hall earlier this year. In all these years, there have been many changes. At present, about 30,000 volunteers serve as magistrates. If the big society is looking for evidence of the involvement of volunteers, it need look no further; magistrates have set a very good example. We see people drawn from far and wide in our diverse community who use their local knowledge, supplemented by training provided by the Magistrates’ Association and the Ministry of Justice. They contribute to maintaining peace and security in the community and deal with more than 95 per cent of cases before the courts. In the present economic climate, it is not a service that the Government can afford to pay for if they have to pay for it.
Magistrates have been impacted by a number of external factors such as criminal justice legislation, which shapes the role and functions of the magistrates. Society being able to convey its confidence or lack of confidence in the decision-making process of the magistrates is also important. This was obvious when, after the recent riots, sentencing by magistrates generated a good deal of publicity. Let me in advance of the report give a flavour of what we found during our consultation. We expected criticism, but instead we found a good deal of understanding about the way magistrates performed their duties. Even victims and offenders had no criticism of the way they were dealt with by the courts.
The incidence and nature of crime may vary from place to place and from generation to generation, but it is obvious that crime is something that all societies have to come to terms with in their own way. We can debate the underlying causes of crime, but most research and consultations have tended to refute rather than confirm the causes of crime and the effectiveness of punishments and treatment. Magistrates tread delicately but effectively, particularly when the public and political mood continues to be conditioned more by tabloid reporting than by the considered way in which magistrates reach their decisions.
It is not possible to elaborate more fully at this stage on a number of our findings, but I trust that my noble friend Lord McNally will offer us the first opportunity to debate and discuss the report with his department. Suffice it to say at this stage that there was an emphasis in its broadest sense of diverting as many young offenders as possible from the criminal justice system. This is not a soft option but an entirely realistic approach to the strictly limited contribution that courts and prisons can make to reduce crime. We were told repeatedly that local justice should remain local in a magistracy that is representative of our diverse society. It is important that liaison with the probation service is enshrined in its duties and that its role should define the extent to which it should be involved in restorative justice, pre-court and non-court activities, the management of sentences and the process that rehabilitates offenders.
In conclusion, the time is right for politicians and others to secure a clear shift in the public's perception of crime and punishment. Six hundred and fifty years of history and more than 30,000 volunteers as magistrates are the envy of the world. Let us make sure that they are not ignored in the challenging times ahead.
My Lords, I thank the noble Lord, Lord Ponsonby of Shulbrede, for instituting this debate. In the limited time that I have, I would just like to endorse the point, which was made very forcefully by the noble Baroness, Lady Seccombe, and others, that local justice is the essence of the work of justices of the peace. I have the greatest conceivable regard for the magistracy system, which has served this country for nearly 800 years, stands high in the reputation of the public, delivers the most extraordinary service, and itself is a demonstration of volunteerism that all recognise.
However, the centralisation of the Courts Service has brought about serious drawbacks both to the public and to the magistracy. It is no longer justice of the people, by the people and for the people. The non-reporting now of cases because they are no longer within the purview of the local newspaper has been a disaster for the greater punishment of someone being held up to local ignominy as a result of a local offence. That is almost gone from the town I live in. Indeed, every one of the four courts in which I spent most of my first five years in the law—Sudbury, Long Melford, Boxford and Hadleigh—closed, and justice is no longer accessible, geographically or psychologically. I realise that this is more a problem of rural than of urban areas, but I ask that the Government take on board what has been said in this debate and at least stop further court closures and expensive centralised court systems and go back, wherever they can, to the dual or triple use of buildings, which rendered the expense of magistrates’ courts absolutely minimal.
I have two other quick points to make.
My Lords, we are very short of time in this debate.
I was told that I have four minutes but will take less time if I can.
My first point is that unless the public understand the role of the magistracy, the magistracy will not be able to do its work as effectively as it has in the past. I fear that young people today do not by and large understand, largely because of the centralisation of courts, the role of JPs and the work that they do. I hope, therefore, that my noble friend Lord McNally will take back to Mr Gove, his colleague in the other place, the importance of maintaining citizenship education as a compulsory component of secondary education, because that is one upholder of knowledge about magistracy and magistrates’ courts.
My second point relates to the magistrates’ courts mock trial competitions that are currently being run by the Citizenship Foundation—I speak here as its founder and still president—and the Magistrates’ Association. More than 400 schools and 6,000 pupils are involved. It is a massively important element of the education of the public about the magistrates’ courts system, but it is in danger because of the withdrawal of funding.
I will say no more because I am getting serious looks from the Front Bench.
My Lords, like other noble Lords before me, I start by thanking my noble friend Lord Ponsonby for initiating this debate on what plans Her Majesty's Government have for the magistracy in the big society. It is a timely debate and we look forward to the Minister’s response.
I served for a number of years as a magistrate as part of the Coventry Bench and I have direct first-hand experience of the work, and the dedication to that work, of magistrates up and down the country. As my noble friend Lord Ponsonby said, magistrates, or justices of the peace, have been around for 650 years. They were “good and lawful men” back in the 14th century—and they were all men then—appointed to every county to “guard the peace”. Perhaps it could be said that they were the trailblazers for the big society, or its original seed, as the noble Baroness, Lady Seccombe, said. I pay tribute to the work that they have done and continue to do to this day. They are men and women living locally, giving their time freely, committed to sitting a minimum of 26 half-days a year, and making a real positive contribution to their community. They are delivering local justice for local people by local people. The former Lord Chief Justice, Lord Bingham of Cornhill, observed that the lay magistracy was a “democratic jewel beyond price”.
Noble Lords will be aware that all criminal cases start in the magistrates’ court and that more than 95 per cent are concluded there. At this point, I pay tribute to the work of the Magistrates’ Association in the support, advice and guidance that it gives magistrates. It was 90 years old recently and has made an important contribution to the development of the magistracy over that time.
The big society as an initiative is something that we hear less about from the Government today than we did at the start of their period of office. But we can all point to organisations, people and initiatives that make a welcome and positive contribution to local communities, and lay magistrates fit that bill wonderfully. Magistrates are appointed by the Lord Chancellor and the Secretary of State for Justice on the advice of local advisory committees. The appointments process is rigorous in its approach of selecting the right people to undertake this important work.
Having an appointments process that is rigorous and robust but also adaptable is paramount to ensuring that we make the best appointments. Can the noble Lord, Lord McNally, tell us if the Government are looking at the appointments process of both lay magistrates and the advisory committees to ensure that we have the best chance of appointing people who truly reflect their local communities? How are the Government engaging with employers and the voluntary sector to ensure that there is a steady stream of applicants? Are they working with, for example, local Sure Start centres to get younger women with children to consider putting themselves forward as magistrates? My noble friends Lord Patel and Lord Ponsonby made important points regarding diversity.
I am sure that noble Lords are aware of the Magistrates in the Community programme, which was started by the Magistrates’ Association. In recent years it has increased the public's awareness of the role of magistrates in the criminal and civil justice system. It involves magistrates attending schools, colleges, community groups and employers to give presentations and to discuss what magistrates do and how they are appointed.
Quite rightly, the Government want to make good use of community sentences. The local crime community sentence programme builds on the success of the Magistrates in the Community project and involves magistrates and probation officers together speaking to community organisations to deliver information on how offenders are dealt with when they have committed a crime that has resulted in a community punishment. When the noble Lord, Lord McNally, responds, can he tell the House what value the Government attach to these initiatives? What support are they giving them and what do they see in terms of further development?
Both the previous Labour Government and this Government recognise the importance and worth of real community engagement in criminal justice strategies. It can increase confidence in the criminal justice system and help to diminish anxieties about crime, although some would say—I should say at this stage that I do not agree with them—that this raises concerns about judicial independence, as the noble Lord, Lord Thomas of Gresford, told your Lordships’ House. It is an obvious and natural progression, and essential for enhancing community confidence in the justice process. Can the noble Lord also give some insight to the thinking of the Government and perhaps tell the House how he sees this being further developed? When does he expect the training material and other briefing devices to be fully reflective of this?
In conclusion, I am aware that I and other noble Lords have posed a number of questions to the noble Lord, Lord McNally, and it may not be possible to answer all the points in the time that he has. If that is the case, I should be delighted to receive responses to the points raised in writing. I again thank my noble friend Lord Ponsonby for initiating this debate. We have had excellent contributions from all around the House and, like others, I look forward to what the noble Lord, Lord McNally, has to say.
My Lords, first, I thank the noble Lord for the courtesy of those last remarks. Indeed, if I am to sit down at the right time, I will not be able to cover all the points that were made. However, I will write to all noble Lords if I do not manage to cover all the specific points. I also thank the noble Lord, Lord Ponsonby, for introducing this debate. As he knows, my first job in politics was working for his late father, who I am sure would have been proud to see the noble Lord introduce this debate. I am also grateful that we have had the experience of a number of magistrates, including the noble Lord, Lord Ponsonby, my noble friends Lady Miller and Lady Seccombe, and the noble Lord, Lord Kennedy of Southwark.
One of the concerns raised by the noble Lord, Lord Ponsonby, was the poor administration of the court system. We are looking at that in terms of introducing new technologies as well as perhaps also bringing forth legislation at some stage to improve court management. I agree with him that courts should retain the personal touch; I take that point. The noble Lord, Lord Ponsonby, and a number of other noble Lords referred to community sentencing. He is right that I want us to explore more community sentencing. However, as the noble Baroness, Lady Miller, reminded us, if such sentences are to carry public respect they will have to be tough and effective.
Noble Lords referred to diversity. At the Ministry of Justice I am the Minister with responsibility for encouraging diversity. It has to be said that one of the encouraging things about the magistracy is that it is a whole lot more diverse than other parts of the judiciary. Other than make that point, I shall say no more. A number of good suggestions were made this evening. I will not make the usual point that times are hard and question whether we can afford to advertise on buses. However, I will take back the suggestions made by the noble Lords, Lord Ponsonby and Lord Kennedy, and others about how we encourage technology.
I hear what the noble Baroness, Lady Seccombe, and my noble friend Lord Phillips said about court closures. There is a whole variety of reasons why we have moved to court closures, including the inadequacy of some of the older courts and the increased use of technology. We will explore that, and I think it will be a factor in making the courts more accessible.
On recruitment and retention, I know that my honourable friend Jonathan Djanogly and my right honourable friend Nick Herbert in the other place are in close and regular contact with the Magistrates’ Association. Indeed, Nick Herbert is addressing the Magistrates’ Association conference on 8 December. However, I take the point that the noble Lord, Lord Kennedy, has made. I will go back to the department to see how much outreach we are making. It is extremely important that we encourage as many people as possible to come forward in terms of encouraging diversity.
I was fascinated by the comments made by the noble Lord, Lord Patel, about the court chaplaincy service. In the big society, the churches, the religions and the faiths have a big part to play. They already have a structure of which we should make use. Two of the most fruitful visits I have made were to Norwich and St Albans, where the cathedrals are used not just as faith centres but as community centres. What the noble Lord described about the chaplaincy service seems to be an inspirational example of how this could happen.
The noble Lord, Lord Thomas of Gresford, made two points. The first was his memories of the local magistracy. My colleagues back at the MoJ are aware that I frequently refer to Tommy Croft and Billy Quinn, although they are not names that have run down history. I was born on an ICI estate and Billy Quinn and Tommy Croft were two local magistrates. They both worked in the local ICI plant but, my God, they knew the community and their community knew them, which is always an interesting aspect of the magistracy. On Dr Jane Donoghue, I have not had the benefit of that study but I will certainly follow up on that. From what the noble Lord had to say, there are some interesting points about training and engagement.
We welcome the research referred to by my noble friend Lord Dholakia in his intervention. I think that it will help to inform our thinking on the future of the magistracy, particularly in relation to plans for developing neighbourhood justice. I certainly hope that when the report is ready, we will have a dialogue on it. I would welcome that.
It has been pointed out a number of times that this year is the 650th anniversary of the magistracy. I was pleased to be at the John Harris Memorial Lecture given by the Lord Chief Justice on this. As someone who is a kind of fake historian, I liked the idea of the concept of the King’s peace being set in statute in 1361 and the novel proposition that decent members of the community, not themselves lawyers, should be vested with the power to administer justice. That is one of the things which has been of lasting value to the magistracy. It comes from local communities and its strength lies in the fact that it is still the bedrock of our judicial system. My noble friend Lord Phillips referred to the mock trial competition. It is true that we have had to reduce our support for that. We still give it money and of course we also provide the court and staff for the competition, so we have not abandoned it entirely.
As the noble Lord, Lord Kennedy, intimated, the problem with these dinner time debates is that to do justice to those who have contributed, the Minister should really be given half an hour to speak, but I will cover some of the issues in writing. What I would say, however, is that my gut instinct, going back to Tommy Croft and Billy Quinn, is that as long as I am a Minister, I will take the role of the magistracy as the bedrock of our criminal justice system. Some of the ideas put forward in the debate tonight will be taken back and studied very carefully. What I want to say as well is that although we are looking at other proposals such as neighbourhood justice and restorative justice, they will be seen as complementary to and in no way undermining the magistracy. I look forward to a dialogue with the magistracy and I will study the suggestions that have been made in this debate, not least those on how we achieve greater outreach so as to increase diversity. Again, I thank sincerely the noble Lord, Lord Ponsonby, for promoting a debate which has been extremely worth while.
(13 years ago)
Lords ChamberMy Lords, as they say in commercial television, welcome back after the break. In moving Amendment 12, I shall speak also to Amendments 16, 17, 182, 183 and 184 tabled in my name and those of other noble Lords. I have also added my name to Amendment 18 to which my noble friend Lord Rooker will speak—I hope. The theme of these amendments is that of giving greater prominence in the Bill to the issue of service integration not just within NHS services, but across the health and social care boundary. At the same time, I will try to give some clearer meaning to this term by offering a definition in Amendment 184. This is a very complex issue and it has not been helped, if I may say so, in some of the public discourse by the way that the term “integration” has been used in a wide variety of ways by different people.
I shall start with some remarks about integration and its relationship to competition, which has been the subject of quite a lot of debate around this Bill and NHS reform. In recent months, the term “integration” has been bandied about as a kind of panacea for the NHS in the challenges it faces, but with little clarity about what it means. The Future Forum put the issue of integration on the map in its report. Some of this affection for integration has grown because it has been seen as a useful term by opponents of competition. They have tried to make the argument stand up that somehow if you have integration of services, you cannot support competition because the two are incompatible. I do not believe that to be true. It is perfectly possible to have the right kind of integration within a competitive market. Kaiser Permanente, among others, has shown this to be the case in the United States. Indeed, it was the very competitiveness of that market which caused Kaiser to offer patients more clinical integration in order to survive and flourish in the marketplace. That integration was done on the basis of reducing the use of in-patient hospital services. It is worth noting that there are NHS-Kaiser Permanente partnerships in six areas of the NHS which are adapting lessons from Kaiser’s experience in the US to apply in this country.
Having got that off my chest, I turn now to the issue of how integration and competition can coexist and how we need to be clear on what we are talking about when we use the term “integration”. There is, I suggest, good and less good integration. Much so-called organisational integration is effectively mergers of providers with little benefit to patients and often involving a reduction in choice. We see this in integration horizontally across organisations of the same kind and vertically between community and hospital services. The former is often done to save costs and reduce competition, while the latter is too often a way of securing patients for in-patient services and maintaining hospital income. Some will disagree with that, but it is certainly a perspective we should think about. Organisational integrations of this kind have sometimes fallen foul of the competition and collaboration panel. They are to be viewed with a sceptical eye, although I accept that integrated commissioning can be a major benefit for patients.
The integration, however, that is likely to benefit patients the most, and the cost structure of the NHS the greatest, is integration that brings together the assessment and delivery of health and social care services at the point of assessment and delivery to the individual person. This is the type of integration we have attempted to define in Amendment 184. At a time when such a large part of the NHS’s work involves patients with long-term conditions, who often require social care as well as healthcare, this is the type of integration that NHS and social care organisations and personnel should be focused on, particularly those commissioning services. These commissioners need to look for a new breed of service integrators who can take responsibility for integrating services for individuals across the health and social care boundary or divide, depending on your perspective. The Conservative’s community care reforms of 20 years ago produced care managers as integrators of social care in a mixed economy of providers. We now need to apply the same thinking to the whole spectrum of health and social care, especially for those with long-term conditions.
None of this will be easy, but if the NHS is to meet the financial and other challenges it faces and reduce its dependence on expensive, often unsustainable and often inappropriate, acute hospital services, it must begin the process of improving service integration at the level of the individual and not just the organisation. It is important that we use the Bill to set a new direction of travel on service integration for both the NHS and the social care worlds. The word “integration” needs to move from a term of rhetorical flourish to a reality that benefits people at the local level.
Of course, simply putting words in a Bill will not on its own change things; they will need to be backed up by changes in the professional culture, the use of IT and the financial reimbursement system. Later in the Bill I shall move amendments to help integration in the areas of tariffs and the use and extension of an electronic patient record. In the mean time, I want to establish a bridgehead in the Bill with this group of amendments that give more prominence to integration and try to define it. My co-signatories will expand on some of the arguments.
I should make it clear that I do not regard the wording of these amendments as the last word on the subject. I am sure they could be improved and they may have consequences for other parts of this leviathan of a Bill that we have failed to spot. I also recognise that the Labour Government had integrated care organisation pilots and that the Department of Health and the King’s Fund are working on the issue of integrated care following the Future Forum report. It is no purpose of these amendments to pre-empt or damage that work. I and my co-signatories are seeking to establish today whether the Minister is up for amending the Bill to give more prominence, more precision and greater reality to the term “integration” to shape the future commissioning and provision of services in ways that will benefit patients. We will be glad to sit down with him and his officials to improve the wording of the amendments and their placement in the Bill. I beg to move.
I support the amendments to which my name is attached. This is an important issue. As the noble Lord, Lord Warner, mentioned, at some of the seminars we heard the word “integration” used in different forms with no clear definition of what it meant.
Future Forum, of course, put integrated care at the heart of NHS reform, but who will ensure that integrated care is not crowded out by the emphasis on competition and any qualified provider? What can clinical commissioning groups do to stimulate providers to work together to meet the needs of the patient?
As the noble Lord, Lord Warner, mentioned, integrated care takes many different forms and may involve whole populations; care for particular groups or people with the same diseases; and co-ordination of care for individual service users and carers.
There is good evidence of the benefits of integrated care for whole populations and for older people. There is mixed evidence of its benefits for people with long-term conditions such as diabetes and for people with complex needs. I will return to that later. Of course, Kaiser Permanente is one of the good examples of managing integrated care for long-term conditions but there are not that many.
The commissioning groups will need support from the NHS Commissioning Board as they set about commissioning integrated care. That includes advice on matters of contracting and procurement, outcomes and quality measures to include in contracts, and the tariffs and incentives to use. Work is also needed on how to create the right incentives to support integrated care. Payment by results was designed primarily to support choice and competition in relation to elective care. Alternative forms of payment are required to support integrated care, especially for people with chronic diseases and to support more co-ordinated, unplanned care when funding is tight. That will have to involve the providers.
Other factors that appear to support integrated care commissioning include robust performance management, sufficient time and resources from the provider side, and adequate investment in the main stages of the commissioning cycle, such as needs assessment, service design, contracting and tendering, and outcome-based evaluations. As management and resources shrink, there are obvious questions about whether clinical commissioners will have the necessary time and support to plan and contract for changed services in profound ways. To be more specific, there need to be resources at a national level to avoid commissioners at a local level reinventing the wheel many times over.
To turn briefly to long-term conditions, in the next decade the health and social care system will have to contend with an ageing population, increasing numbers of people with complex long-term conditions, budget constraints, increasingly sophisticated and expensive treatments, and rising expectations of what healthcare services should deliver. An integrated care approach to meeting these challenges—through better co-ordination of health and social care services, reducing the fragmentation or duplication of care—has the potential to improve support for the management of these complex needs.
Let me share a true story as an example of the issues here. Somebody approached me just before Second Reading of the health Bill. I mentioned this at one of the seminars and have since checked the authenticity, and visited the person in the hospital where care is currently provided. This person has insulin-dependent diabetes and was found to have an ulcer on the leg. He saw his GP who suggested that dressings would be required to try to heal the ulcer. During the process of that treatment, a specialist diabetic nurse who came in contact with the person suggested that they might be better getting advice from a specialist unit. While the GP suggested that the care provided was satisfactory, the person demanded to be referred to a hospital. By the time he got to the hospital, three of his toes were necrotic. They had to be removed last week. The patient needed an angiogram to decide whether the blood flow was satisfactory so as to put stents in so that he would not lose further parts of his limbs.
As we all know, it is crucial for diabetic patients to avoid certain complications. Good glycaemic control is required to manage that, so that their sight and renal functions do not deteriorate, their cardiovascular functions remain good and they also do not lose limbs because of necroticism. This shows the need for integrated care that requires the whole team to work together. For a start there need to be good records and IT that can transfer information between different carers, GPs, practice nurses, specialist nurses, and specialists in diabetes. There needs to be screening for eyes, kidneys, blood pressure, diet, cardiovascular disease and so on. Most importantly, there needs to be joint training for people who look after these patients, whether that is in the community or in specialist units.
If you are looking for good outcomes for patients, integrated care is what matters. It should be based on the journey of care—the patient pathway of care. That is what we need to establish. I hope, as the noble Lord, Lord Warner, said, that we can have further discussion to try to improve this Bill and see if we can deliver that.
My Lords, this is a topic very close to my heart. The delivery of social care is almost wholly towards people with health problems; if you do not have a health problem, a disorder or disease, you will not be in receipt of social care. But we have always had this curious distinction between who delivers what. We have had these great silos whereby enormous amounts of spending in the health service would be better spent transferred to social care services. We have known that for years and years, but it has not really happened as fast as it should have done.
The commissioning and delivery of services has been almost wholly down these isolated silos. We have tried to chisel away at this over the years with joint trusts for delivery of services to children and other joint trusts for delivery of services to mental health, and so on. But for the mainstream older person coming through healthcare services, we have not had that integration very effectively, and we have therefore wasted money buying health services when we should have been buying social care services. So it is crucial that people get better cost-effective packages of care, which include the whole pathway.
It is also true that we have a system at the moment whereby in the past 20 years we have moved hundreds of thousands of seriously disabled older people out of NHS care into independent sector nursing homes and, in the beginning, local authority care homes and contracted private homes, leaving behind the teams of people—healthcare professionals, medics and nurses who used to care for them in hospitals—completely isolated back in the hospital. They are not delivering those community services that the independent sector nursing homes and local authority care homes so desperately need to provide—comprehensive health and social care service in residential care. It has always seemed extraordinary that we have allowed these silos to grow up, whereby the person sitting in the hospital, the consultant geriatrician or the psychogeriatrician, does not think that it is their business to provide a service for the wider community of patients in their patch. It seems extraordinary to me that we could have got ourselves into this position.
We need something to move back again to a situation in which people think epidemiologically about a community, about how the best services could be provided from vertically integrated care between hospital and community services—and of course that community care must start with what comes from primary care—but also fundamentally from what is commissioned from social care as part of the package. Perhaps we can get it in somewhere in this Bill that we need to do this. We all know about Kaiser Permanente and the examples of how it works in the States. It works very effectively when you can commission from a range of services across health and social care directly. That makes a great deal more sense than trying to narrow the trenches; a trench always pops up somewhere else when you chisel away at a trench between local authorities and NHS authorities. You do not need to do that if you are very clear about commissioning a package of services across the divide and across NHS primary care and social care. This is extraordinarily important as the population continues to age and, without it, we will not be able to generate that wonderful £20 billion of savings that we are always going on about. We will get better value for money if we contract across an integrated care pathway across health and social care.
I do not know whether this is the right point to get this proposal in. Like the noble Lord, Lord Warner, I am sure that it should go somewhere and that we should have a real commitment in the Bill. If it is the right point, we can get people to translate this into the sort of unbundled tariff that we need to get the financial packages right and move away from the counterproductive system of payment by results. Unfortunately, that again tends to fossilise an old-fashioned way of doing things, which is too expensive. I give my full support to this amendment.
My Lords, my name is added to some of these amendments and I will add little to the eloquent speeches of my noble friend and of the noble Baroness and the noble Lord from the Cross Benches. I want to endorse only the important points of principle that they have set out. As someone who has spent a large part of a long working life at the margins or the crossover points between health and social care, I am only too well aware of what goes wrong if you do not have proper integration. It is very important, as the noble Lord, Lord Patel, reminded us, to come at this from the experience of the patient, the user and the carer. Their needs rarely come neatly packaged as health and social care; there is always crossover between them. That is especially true in the case of long-term illness but it is also a concern to those who have had an acute episode, especially in these days when people are discharged early from hospital but still need medical, nursing and social care at home.
Almost 40 years ago, I wrote a book called When I Went Home, a study of patients discharged from a local community hospital. One patient I interviewed said to me, “What I don’t understand is why they don’t talk to each other. Why did they discharge me without arranging it with my family—without even telling my family I was coming home—and why weren’t the services I needed at home all geared up for when I got there?”. I have lost count of the number of times that I have heard this story repeated over the years. Patients, users and carers do not understand different funding mechanisms, professional boundaries or sensitivities about exchanging information—and why should they? We have been saying for at least 40 years that we must improve integration. Let us for goodness’ sake use this reform as a means of achieving more commitment to integration, to which everyone pays such a lot of lip service but which in reality is still sadly lacking.
I must emphasise that we are at a point where not only do we risk not making integration better but where it could become worse if we do not really emphasise the importance of integration in this legislation. I am thinking of things such as the pressure on local authority budgets and on the voluntary sector, which is so often such an important part of an integrated care package. I am thinking of the mismatch in timing between the reforms in social care and those in the health service. I always think, too, that we should remember that it is people, not structures, who promote integration. Those currently employed in health and social care are working in a confused situation. They are often uncertain about their futures and their working relationships. They are therefore really not in a good place for cutting across professional boundaries and perhaps giving up some of their power to develop the flexible ways of working which are so necessary for integrated services. We owe it to them, as well as to the patients, users and carers, to be as explicit as possible about the importance of integration. I hope we will do that in this Bill.
My Lords, I would like to make a contribution. I was very interested that the noble Lord, Lord Warner, said in his introduction that he felt that integration was sometimes used as a defence against competition. He cited Kaiser Permanente, as did the noble Lord, Lord Patel. Closer to home, I was really interested to see that Assura Cambridge—Assura is an independent company—was involved in an integrated care organisation. It was a pilot that was designed to improve the quality of end-of-life care locally and to ensure that 50 per cent of patients who knew they were dying would do so in a place of their choice. After five years, the aim is to increase this figure to 75 per cent.
Assura Cambridge, which is a partnership between Assura Medical and 16 GP practices in Cambridge, worked with a range of care providers to plan, co-ordinate and improve the delivery of care to patients in the last year of their lives. The project team was led by Assura Cambridge and included representatives—this is important because it shows real integration—from Cambridge University Hospitals NHS Foundation Trust, Cambridge Community Services, NHS Cambridge, which is the primary care trust, the Cambridge Association to Commission Health and the DoH integrated care organisation pilot team. This collaboration and partnership had a very simple system, which was to use “just in case” bags. The system was adopted to ensure that GPs had the appropriate medicines to hand for terminally ill patients in advance of their need. By taking this very simple step, the integrated care organisation was able to ensure that 87.5 per cent of deaths occurred in the patient’s usual residence or place of choice, compared to only 50 per cent of deaths without using the system.
In this case it was Assura Medical that acted as the glue to ensure that collaboration brought about an integrated solution, which has since exceeded the project’s aspiration. That is very interesting: it needed someone from outside the NHS to bring all these people together. When I talked to some of them, they said, “We haven’t got the time to do that. We just couldn’t fit all that together”. It was an outside organisation that was able to do that.
Recently I went to the Royal College of GPs’ annual conference in Manchester—no, I am sorry, Liverpool; I know there is a great difference between the two, but I have been travelling a lot recently. There was great debate about the ethical issue of GPs commissioning. The person promoting this was Professor Martin Marshall. He asked the audience of GPs—the place was packed—what the most frequent diagnosis that came through their surgery door was. As you might expect, the GPs mentioned coronary heart disease, diabetes and so on. Professor Marshall said, “No, it’s LIS”, and everyone looked very puzzled. He said, “Lost in the system”. I thought that was interesting. “Lost in the system” is the problem when we do not have integration.
It seems to me that integration happens on three levels, so maybe we have to define it more closely. The first is within community services. A GP said to me the other day, “District nursing—they’re the enemy”. When you start at that base, we have an awful lot of work to do just to get integration within the community. As the noble Lord, Lord Patel, said, you have to get the whole team to work, and to work beyond the team as well.
I have done a bit of work with maternity services. This is the next tier up—integration between community and hospitals. One of the things that we have tried very hard to do is to get midwives to have caseloads, so that they are there when the woman is pregnant, looking after her. They will perform the delivery, which will not necessarily be at home—it can be in hospital—and then do the postnatal care. It is brilliant. It is what women want and it provides continuity and integration. Try getting that to work—it is very difficult, because of the territories; hospitals often do not want the community midwives to come in, on to their territory, and perform the delivery. Integration happens in some places but it is very hard to roll out. That is the second tier—the hospital and community tier.
My Lords, I rise to support these amendments. I agree with virtually everything that my noble friend Lord Warner has said. However, I disagreed with the assertion that Clause 2 may not be the right place for the measure. Clause 2 is headed “The Secretary of State’s duty as to improvement in quality of services”. If there is anywhere that needs improvement, it is in the integration of services. Therefore, I think this clause is the ideal place to insert the measure.
There is general agreement that the principle of seamless care—that is another term for integration, from the point of view I am talking about—for individual patients is a good one and we should support it. By that I mean the ease with which patients can move between one set of carers, hospitals, homes and social care and another. At the moment it does not seem to happen as well as it should in many places, so the Bill is, theoretically, a way in which we can stimulate the mechanism by which it can all happen. However, for integration of care between providers to happen with the minimum of disruption to the individual patient, we need to ensure that there is much more collaboration and consultation between them. It is not only between doctors, nurses and other carers that this collaboration is needed, but particularly across the divides between those funding and managing the different care streams. That is where these amendments can help.
At the moment, we have patients waiting for far too long, as we have heard, in an environment unsuited to their needs—elderly patients sitting in acute hospital beds waiting far too long to go home or into social care. A range of problems get in the way, such as a lack of planning, a lack of facilities, or closure at the weekend of offices where these arrangements should be made. To me, integrated care means the close working arrangements that allow not only the rapid and efficient transfer of patients but the ability to discuss the best course of treatment for a given patient. It means the ready consultation between different specialists, perhaps in different hospitals. It means different trusts, whereby patients can have access to the best treatment available.
I am reminded of the example of orthopaedic surgeons, some of whom specialised closely in hand surgery or re-do hip surgery—second operations on hips that have gone wrong the first time round. Those highly specialised orthopaedic surgeons are not available in every hospital. The ability of one group of orthopaedic surgeons to transfer a patient to the best care possible in another hospital should not be thwarted. We should not be putting any barriers to ready consultations and, if necessary, the transfer between hospitals of patients seeking the forms of treatment that are most relevant to them.
Of course, competition is seen as a driver to improving standards. However, let us be clear; there must be a balance between competition and integration, and between competition and collaboration. I am pleased that Monitor will, I believe, have a role in improving integrated care. I hope that we can persuade the commissioners and providers to support integration also. That is why I support these amendments.
My Lords, I also support the amendment. Like the previous noble Lords who have spoken, I think that this amendment should be put into this part of the Bill. As the noble Lord has just said, the Secretary of State’s duty is to improve the quality of services. The greatest need in our nation is to ensure that the quality of services is improved. How is that to be done? The amendment is a helpful pointer to integrating the clinical delivery of health and social care. The Secretary of State should have a duty to make sure that the delivery of those is integrated. I also know that if that is not done, the duty—already provided for in the first two subsections—will not be carried out. Integrating the delivery of services will be important.
I already have my copy showing how the new NHS structure will work, and if the noble Earl wants a copy, he is more than welcome to have one. The proposed structure of the reformed NHS under the Bill is complex. Some of the relationships are not clearly defined. I happen to believe that integrating the delivery of health and social care will go some way to addressing this complex structure. People will know that the two areas are being integrated in their delivery. The NHS Commissioning Board is of course key, and will become even more so in the case of the failure of a clinical commissioning group. I should have thought that the Commissioning Board needs to know that it is working to make sure that both services are integrated.
It is also clear in the Bill that the role of Monitor will need to be defined and watched carefully if it is not going be the route for introducing harmful levels of competition. If you are going to integrate the delivery of health and social care, Monitor and whoever is delivering will have to be sure that this is being done in an integrated way. Part of the solution, it seems to me, is to ensure the clinical integration of the delivery of health and social care. The amendment is intended to ensure that there is another, further duty on the Secretary of State to ensure the delivery is integrated.
My Lords, it is clear from all the contributions this evening what an important element in all medical care integration is. Of course, all of us have intuitively known that all along. If any of us have a medical problem, we all hope that we will get a diagnosis which will integrate the perspectives of the different specialists who may be relevant and the results of different diagnostic tests and that we have a package of care prescribed for us that is coherent and will be delivered in a predictable way with a clear structure of responsibility for delivering it. No one would deny that.
Amendment 12 is about the integration of social care, secondary care, and hospital care, NHS care. This is the first opportunity to discuss the issue. Things are not working well at all in this area, and I do not think that they ever have. I know from my experience in Lincolnshire—and it will be hard to persuade me that Lincolnshire is very different from any other part of the country in this matter—that there is a whole mass of perverse incentives and behaviours at the expense of the patient. If any social worker under pressure of a budget is confronted with a crisis—some old person who can no longer cope in some way—his or her first reaction, naturally, is to try to secure an admission to an acute hospital, especially if the patient under means-testing would be a drain on their budget, to get the patient on to the National Health Service.
Equally, any social worker is extremely reluctant to accept patients from acute hospitals on discharge. All kinds of ruses are adopted to try to keep the patient a bit longer on the NHS budget rather than on their budget. At present, there are financial penalties, at least in theory, for social care organisations and social services departments of local authorities which decline to accept patients who need social care as a condition of their discharge from an acute hospital, but there are all kinds of ways of avoiding that and delaying the evil moment when the patient suddenly falls on to the budget of the social services department. That system is not working well at all. That causes enormous anxiety, literally every day of the week—it is not an exceptional situation—to patients, their families and carers, who are the victims of it.
The perverse incentives can work in exactly the other way. I remember all too clearly how, at the time of the previous Conservative Government, they closed down most of the geriatric and other chronic wards and facilities in general hospitals, pushing patients out on to the means-tested social care sector. That was very cynical. There may sometimes have been clinical excuses for doing that, but they were just excuses. I knew at the time that the motivation was to try to massage the growing deficit of the NHS, which would have been even worse if it had been accounted for on the basis of constant business. I remember talking about it to the Secretary of State at the time, but she asked me not to say anything about it in public. It was a scandal. That is another example of the perversities that can exist in this area.
Sadly—I deeply regret this—the Government have not taken the opportunity to adopt the obvious solution, which would have been the radical reform, which is to integrate social services with the NHS and the provision of medical care. That worked extremely well in Northern Ireland, where I had the privilege of being shadow Secretary of State for several years. I saw how that system worked, where there is integration. Two distinguished noble Lords from Northern Ireland are here, the noble Lord, Lord Alderdice—the noble Lord, Lord Empey, has just left the Chamber. I think that they will bear me out in saying that it works extremely well in Northern Ireland.
I am quite sure that the Government considered the theoretical possibility of adopting the Northern Ireland model in England. Why did they not do it? In what respect is Northern Ireland different from England such that a system that works well in Northern Ireland could not work well here?
My Lords, I think it is entirely appropriate that integration is included in the Secretary of State’s duty with regard to the improvement of the quality of services. I do not think that anything can improve services more than making them patient-centred, and it is the whole business of integration that will make services focus on the patient. Therefore, we welcome the language. Again, I do not know whether it is in the right place but we welcome the fact that it is there, as well as the definition.
Integration is critical. We have heard about the savings that we need to make, and integrating care is cost-effective as well as being good for patients. I want to talk briefly about social care and the community, and about how the community care too. I come from the south-west, so I will also mention Torbay, which is the jewel in the crown in our neck of the woods. The thing that has worked in Torbay was that when PCTs were set up, the local council decided that, working with the area health board, it did not want a PCT, it wanted to have a care trust. The key to the whole thing was having not only shared governance but a shared budget. There was only one pot of money to fight over and all decisions were made by councillors, non-execs and the executive round the same table. So, in Torbay care is totally integrated.
In Plymouth there is another small integration pilot going on in the DGH whereby many patients from Cornwall go over the border to the acute hospital. Somewhere in the region of a quarter of Cornish patients do not go to Truro; they go to Plymouth. Discharge has historically been a huge problem—bed blocking, Friday afternoons, all the usual sorts of things. It was a joint appointment between the PCT and social services. A social work team was put into the hospital and they liaised with all the right people when discharge was coming along. There was liaison with patients, carers, GPs, social services, care homes, domiciliary, district nurses—the whole thing—to make sure that when the patient was ready to leave the acute service they went to their next port of call and everything was all teed up ready for them to go on. That was effective. It saved time and it was much better for the patient.
I return to the amendments. There is a whole series of interesting additions which are all to be outcomes—but outcomes need measuring. So how do we measure, and what are the indicators for the effectiveness of integration of services, or the equitable provision of care, or the safety of the service? These are good things to achieve and aspire towards but I am not sure how they will be measured. I would like some clarification from the Minister as a general point. Some of the outcomes from the original Bill were added to. How will the success or otherwise of achieving these outcomes be measured and how will it be reported?
My Lords, the noble Earl, in his thoughtful introduction of the Bill on Second Reading, identified the challenges that face all mature healthcare systems such as our own in terms of the changing population demographics, with an older population, more chronic disease and the need to improve clinical outcomes through integration of the new technology innovations and pathways of providing care.
In trying to understand how those important objectives will be achieved by the Bill we need to try to identify potential strategies. One of the most important is to ensure that the health service focuses on integrated care in the future. We know from quite a lot of important experience around the world that integrated care has the opportunity to improve clinical outcomes. We have heard of the patient with diabetes that the noble Lord, Lord Patel, described who ended up with the potentially unnecessary amputation of toes. Integrated care could have improved the clinical outcome in that case by avoiding a deterioration of the patient. Careful supervision in the community and the appropriate integration of different specialties and disciplines could have avoided that outcome. We know that integrated care has the opportunity to drive improved patient experience. We have heard about the potential for integrated care to improve patient safety. The example given by the noble Baroness, Lady Cumberlege, of the remarks made by Martin Marshall with regard to “lost in the system” puts patients at great risk, and the importance of integrated care and enhancing patient safety should not be neglected.
We also know that integrated care can achieve the important objective of taking our system towards a value-based healthcare system where, in addition to improving all the good clinical outcomes and improvement in experience and safety, the healthcare system can also deliver better value and ensure that the vital resources available and devoted by Government to the provision of healthcare can be used most effectively. Therefore, I strongly support the amendments that speak to the need to emphasise in the Bill the importance of integration.
The Bill has the important purpose of ensuring that a legal framework exists for driving forward future provision of the National Health Service, and also provides an important opportunity to set a vision and ensure that those ultimately responsible for implementation have an appropriate focus at the outset and can design the service moving forward in such a way that it achieves the objectives and meets the challenges that the noble Earl set at Second Reading. To ensure that there is a focus on integration is a very important objective. It will help achieve those important challenges. Failure to emphasise integration would run the serious risk of losing the opportunity to drive forward the improvements in healthcare and in the utilisation of resources that the health service desperately needs.
My Lords, the noble Baroness, Lady Pitkeathley, mentioned that she wrote a book 40 years ago. I wish I had written a book about the experiences of older people in various parts of the healthcare system. Many noble Lords talked about integration at different levels. My view is that integration just within acute hospitals will be ever more complex in future because they will be treating many people with dementia. The treatment of people with dementia in different parts of acute hospitals is a growing scandal. It poses a challenge to health professionals of all kinds, many of whom have never bothered to think about the issue of dementia. They will have to think about it for their own specialisms in future.
I have taken part in this sort of debate many times and come to the conclusion that the debate rests on a single factor: information. It is the sharing and availability of information and data about outcomes. Everything else is secondary. The previous time we had a serious discussion about this was when we discussed the proposals of the noble Lord, Lord Darzi. Some of what he achieved, in particular in improving stroke care in London, rested on the willingness and ability of people just in different parts of the NHS—let us not be too ambitious—to share information. I ask the Minister what the department has learned since the passage of the legislation of the noble Lord, Lord Darzi, about the crucial issue of sharing information about patients and their treatments, and other data on outcomes. Until we address that issue, and until health professionals feel able to maintain client confidentiality while sharing information just with other professionals, everything else will be redundant: we will never crack any of this until we get that right. Therefore, I ask the Minister how the department’s thinking was influenced in the preparation of the Bill by what the noble Lord, Lord Darzi, achieved.
My Lords, integration has been said to be important and I agree. I agree also how important specialised nurses are to those with long-term conditions such as diabetes, stroke, epilepsy, Parkinson's, tuberculosis, spinal injuries, many neurological conditions, rheumatoid arthritis and many more conditions. Specialist nurses should not be cut. They are the vital link between primary and secondary care. Pain control should be included in integration. Nothing so far has been said about it. Last night, I was at a presentation about rheumatoid arthritis, and it was stressed that pain control is important.
Integration means much more with long-term conditions. Occupational therapists are employed by local authorities to adapt houses. What is going to happen in the new regime to the wheelchair service? Who is going to look after that? What about housing for those with serious disabilities? What happens now? If there is no suitable housing, patients stay in hospital far too long. Professionals should all be working together.
I want to intervene briefly. I support much of what my noble friend Lord Warner said in his opening speech. There are some things on which we need to tread carefully. Integration is critical, but it can become a phrase that is used but is not backed up by good practice. We have to be sure that we introduce or develop integration in ways that improve the outcome for patients. I serve as a non-executive on an acute trust in the north-east of England, the County Durham and Darlington NHS Foundation Trust. It has just merged with, or taken over—I am never very sure—the community trust. The Government have been encouraging this throughout the country. There are mergers and a coming together of community services and acute services. In some places, the community services are joining the mental health trusts and so on and so forth. We have been very conscious throughout that process that in the private sector the majority of mergers do not succeed. Very often that has been shown to be a problem in the health service. That is not a good idea. When we are looking at integration, we have to be very aware of what outcome we want. We should not just say, “If we bring all this together, it’s bound to save money and it’s bound to be a better service”. It will end up that way only if it is exceptionally well planned, if the outcomes are worked out and are absolutely clear to people, and if we do it not just because it is the fashion of the day, or because the Government are asking for it to happen, or because the words are used in the Bill.
I entirely agree with my noble friend Lord Warner. This should not be used as a means of excluding or cutting out competition. One of the best examples of integrated care that I have seen was when I was Minister dealing with social exclusion and had the real privilege of going to Preston. I was able to give £1 million to the local mental health voluntary organisation. It was working with people with learning difficulties who were trying to make sense of individual budgets. It was inspirational to meet the individuals who had been part of that development, which had been co-ordinated by the voluntary organisation—I think it was Mencap. It offered and provided one person to work with the patient, the client or whatever label you want to put on them. That person’s job was to help the client negotiate their way through all the different organisations from which they needed care and to work out more effectively what they needed.
I spoke to one young woman who had been living at home with her father. He was very concerned because she was becoming housebound, obese and more mentally ill, and she also had learning difficulties. Technically, every agency was working with her but nothing was actually happening to change her experience of life and her ability to get out and contribute, as well as her ability to find the right way through the organisations. She talked to me at great length with incredible enthusiasm and took me round the places that she now had contact with. She was volunteering in a group for severely disabled children, where she was simply holding someone’s hand, being there and being a friend throughout the process. She told me she had reduced the number of hours of care she needed because she did not have time for it because she was so busy. She was busy being active as a volunteer in a whole range of things because the care she needed was now properly integrated and she had an advocate to help her work through the myriad of different things that she wanted; for example, where she needed particular drugs or care because of some physical illnesses. I was able to see true integration, with incredible enthusiasm from the patient, but it needed to be negotiated by the voluntary organisation. They were then able to get a pattern of care—a pathway, as we now call it—that made sense to her, that reduced her dependence on carers and professional intervention, but which worked for her. She was simply one example.
I also think that the integration of care for children is really not as good as it should be. I have seen some examples of where it works brilliantly and others where it simply does not work at all for some of our most disabled and disadvantaged children. Again, we can do it better. Integration is absolutely where it should be but it will have to be organised in different ways for different types and groups of patients. There will need to be people who can help negotiate the way through the pathway.
My experience in the County Durham and Darlington NHS Foundation Trust is that you have to be absolutely clear about what your outcomes will be. However you organise the different pathways and different coming together in groups—we are in the middle of doing that at the moment—there needs to be clarity about what you are trying to do in enabling the individual who is the concern of the local authority, the acute trust and the community trust. Someone has to negotiate that pathway with them, and that will frequently be someone who is not embedded in any of those areas of responsibility, although it may be someone from there. There will have to be different ways of doing it.
The Government are going to have a very difficult job in making absolutely sure that integration is working for the patients rather than simply saying, “Well, we are doing yet another reorganisation which we hope will save money”. My experience is that if that is all people think of at the beginning, it does not work, it saves no money and it becomes increasingly frustrating for the person whose care it is supposed to improve.
I went to see someone in a community hospital that I have a lot of experience of. It is a fabulous place that traditionally takes patients from a number of different areas. The local authority recommends people, the GPs recommend people, and of course the acute trust recommends people it wants to get out of acute care and into the community hospital. Trying to get that knowledge and understanding into the acute trust, now that it technically runs the hospital, is quite difficult. It rings up at the beginning of the day and asks how many beds the hospital has. The hospital might say four, and the trust rings again at the end of the day and says that it needs those four beds. The community hospital matron might say that the GPs have taken two of them and the local authority has taken another, so the beds are no longer there for the acute trust.
We need to make sure that we get integration right and recognise that we have to get the best and not simply use integration as a term that will cover everything.
My Lords, the hour is late and I will not speak for long, but I want to address one issue in this very important debate from the perspective of local government, in which I have so far spent two-thirds of my life. The issue is social care services, which are referred to in so many of the amendments.
This is partly a question of definition. What do we mean by social care? Do we mean the services provided by adults’ services departments, or do we take a broader view, such as the position of children’s services, which were split away from social services departments, having first been integrated after the Seebohm report in the early 1970s? I have had and continue to have misgivings about that separation, but I take it that, for the purposes of these amendments, we should look at children’s services as well as adults’ services in relation to social care.
As the noble Baroness, Lady Masham, has pointed out, there is also a housing aspect, which needs to be taken into account. That, of course, is a function of all principal councils. It is not a function of county councils, which are basically responsible for adults’ services and children’s services. It is, however, a function of district councils, and their role in relation to this provision also needs to be looked at.
There is also the issue of finance and budgets. The National Health Service benefited enormously from investment by the previous Government. There was very much greater investment in that than in social care, so there are questions about how the funding of integrated care between local government and health is to go forward. Perhaps when he replies the Minister will comment on the experience of community budgeting, which in some cases has been looked at, to see how that can be developed. If it has not been sufficiently piloted, perhaps he will indicate whether the Government will consider using that mechanism for community budgets to pilot further integration along those lines. The Government should also bear in the mind the impact of their proposals for the reform of welfare and the benefits system on the position of people requiring social care.
The noble Baronesses, Lady Cumberlege and Lady Armstrong, mentioned personal budgets, which clearly have considerable potential in the promotion and use of integrated care and for avoiding the cost-shunting that sometimes occurs. There is clearly a requirement for the kind of support to which the noble Baroness, Lady Armstrong, referred in helping people to navigate their way through that system and to maximise the efficiencies that can be obtained from it.
Therefore, while I certainly support the first of these amendments, I think we need to be clear about what we are looking to integrate beyond simply adults’ services.
In that context, finally, in relation to role of the health and well-being board, there is the responsibility of producing joint strategic needs assessments. It is not clear to me—perhaps we will debate this issue later—the extent to which those boards will be able to redirect the provision of services as opposed to providing an assessment and being consulted on the commissioning that clinical commissioning groups will carry out.
My Lords, the hour is indeed late and I have done my best to cut back on bits of my speech. On behalf of the opposition Front Bench, I commend these amendments for beginning the process of retipping the balance of the Bill from its current predominance of measures dealing with NHS structures, governance and competition. Today’s amendments start to explore ways of addressing in the Bill the need for the NHS, public health and social and community care to work together to achieve improvements in quality of services in diagnosing and treating patients. Integration is a means for achieving this and is not an end in itself.
It is worth reminding ourselves of the recent warning from Chris Ham, chief executive of the King’s Fund, of the very real risk in the Bill of integrated care being,
“a sideshow involving small-scale pilots, with competition the main game in town”.
He also said:
“If the Government is serious in its endorsement on the Future Forum's advocacy of integrated care, it must demonstrate its commitment by putting the best civil service brains on the case and ensuring that the mandate given to the NHS Commissioning Board has the promotion of integrated care at its heart”.
We are certainly not at that stage yet, as the contributions in this debate have demonstrated.
The Bill offers the opportunity for the promotion and enabling of integration to be embedded into the work of the Secretary of State, the NHS Commissioning Board, clinical commissioning groups, health and well-being boards and Monitor, and further amendments throughout the Bill will allow for debate and development of these areas. The Royal College of Physicians has referred to these bodies needing to have, under the Bill, an explicit duty of mutual co-operation and collaboration, and this should be the aim. The Secretary of State, the Commissioning Board and Monitor all need to ensure that national policy promotes, not just enables, the supporting context for integration.
We support working towards a strategic definition of integration that encompasses the NHS, public health and social and community care. Nuffield, the King’s Fund, National Voices and the Local Government Association are all undertaking comprehensive work on producing clearer definitions, so there is no shortage of expertise in this area. Our hope is that this work will help lead us to a more coherent approach and ensure that current provisions in the Bill can be strengthened. As we know, the Future Forum is currently consulting on what now turn out to be the non-legislative steps that can be undertaken. But whatever recommendations it comes up with need to be in the context of a Bill which provides the strategic context, framework and direction. The National Voices key principles of integration have much to commend them in taking this work forward.
Amendment 18A has a particular focus on integrating public health with local authorities. We strongly support the proposed role for local authorities for public health and this amendment would help to address fears of some public health professionals that this might lead to public health becoming divorced from the NHS. Amendments 182 to 184 look to clinical commissioning groups having particular regard for outcomes which show “effectiveness and integration” and integrating “assessment and delivery” by those who provide health and social care services. CCGs need to demonstrate that their commissioning plans address the physical health, mental health and social care needs of their local population under the joint strategic needs assessment.
In this regard, one of the major ways of promoting integration will, as many noble Lords pointed out at Second Reading and today, be by strengthening the powers of health and well-being boards. We strongly support giving health and well-being boards the power to sign off the commissioning plans of CCGs and will be supporting amendments to achieve this later in the Bill. If health and well-being boards own the health and well-being strategy, they must also own the plans to deliver it.
Finally, at the beginning of the debate on how we use legislation to promote integration of services and care, as a carer myself perhaps I may endorse noble Lords who have underlined the importance of this issue to carers. Carers, particularly of people with long-term conditions, oversee care packages across the NHS, local authority social care, the independent agency and provider sector and the voluntary sector. Carers are often the principal players in organising the care package and the ones who fight to hold it together. Hours can be spent going over the same information for different parts of the system or ensuring that one part of the system is aware of decisions and developments, and any possible knock-on effects, taken in other parts of the system involved in the care pathway. Joined-up support is the key enabler for people with severe disabilities or long-term health conditions to remain at home and it is crucial that the Bill gets this important issue right.
My Lords, all the amendments in this group have the entirely laudable aim of improving the integration of services across health and social care and improving access to services. I agreed strongly with many of the messages which the noble Lord, Lord Warner, delivered in his excellent speech, and with so many of the powerful contributions from other noble Lords. The only person with whom I felt seriously out of sympathy was the noble Lord, Lord Davies of Stamford. I would simply say to him that the Bill contains a number of provisions to encourage and enable the NHS, local government and other sectors to improve patient outcomes through far more co-ordinated working.
For example, the reformed system that this Bill will give form to—the provision of high-quality, efficient and fair services—represents the fundamental goals of the health and care service. This clause puts on to a statutory footing the three domains of quality identified by the noble Lord, Lord Darzi, in his next stage review: effectiveness, safety and experience. Every aspect of healthcare quality fits into the Darzi domains, and that is a tribute to the noble Lord’s work in co-producing the quality framework with patients and the professions, and it is also why the domains still provide the framework for quality.
In answer to my noble friend Lady Jolly, or at least to give her a partial answer, we seek to measure success in meeting these fundamental goals through the transparent accountability mechanisms of the outcomes frameworks for the NHS, public health and social care. Integration and access, though laudable objectives that I share with all those noble Lords who have spoken about them, are a means to this end. If integration and access help the NHS to meet the quality and fairness duties—and by fairness I mean reducing inequalities—then integration and access will need to be factored in to commissioners’ plans. Commissioning guidance will set out how best to achieve this based on the accredited evidence of what works best that NICE is developing in its quality standards and other guidance.
The point is often made that high-quality care must surely be integrated care. Integration is not an outcome, it is a possible feature of the process. Where it will improve outcomes and reduce inequalities, integration should most certainly happen, and this Bill provides for that. But we must not sacrifice outcomes for process. I thought the noble Baroness, Lady Armstrong, injected a welcome dose of reality on that theme borne out of her considerable experience, and although I did not fully agree with everything that the noble Baroness, Lady Wheeler, said, she also made some very sensible comments on that point. Indeed, the NHS Future Forum’s Phase 1 report highlights well the practical rather than legislative challenge of bringing about more integrated services for patients. I shall quote from its summary report, which states that,
“legislating or dictating for collaboration and integration can only take us so far. Formal structures are all too often presented as an excuse for fragmented care. The reality is that the provision of integrated services around the needs of patients occurs when the right values and behaviours are allowed to prevail and there is the will to do something different”.
My Lords, I am most grateful to the noble Earl for giving way. Of course we all agree about the importance of the right values and behaviours. I know he did not like my questions, but perhaps he would answer at least two of them. First, what concrete, specific measure in this Bill, if any, addresses the perversities currently existing in the integration of social care and NHS care? Secondly, what about Northern Ireland? Why is the system that exists in Northern Ireland, where the provision of the two is entirely integrated, not suitable for England?
My Lords, if the noble Lord will be patient, I will proceed and answer his questions at the end, as I normally do.
It was in recognition of these practical challenges that the Government asked both the NHS Future Forum and the King’s Fund, jointly with the Nuffield Trust, to provide further advice on the practicalities of achieving more integrated services around the needs of patients. We look forward to receiving their advice later this year. So we share entirely the intentions of noble Lords, and that is why Clauses 20 and 23 contain proposed new Sections 13M and 14Y to create duties for national and local commissioners to promote integration across health and social care—that is the first part of my answer to the noble Lord, Lord Davies.
New Section 13M creates an NHS Commissioning Board duty to promote integration. Rather than simply requiring the board to encourage clinical commissioning groups to work closely with local authorities, as under this amended duty, the board is required to promote integration by taking specific action to secure that services are provided in an integrated way where it considers that that would be beneficial to the people receiving those services. The duty requires the board to exercise its functions with a view to securing that health services, health and social care services and health and other health-related services are provided in an integrated way where it considers that this would either improve the quality of health services and the outcomes they achieve, or reduce inequalities in access to and outcomes from health services. By other health-related services, I mean services such as housing, which may have an effect on the health of individuals but are not health services or social care services.
This requirement would cover both integration between service types—for example, between health and social care—and integration between different types of health services. Whatever the combination and however they are integrated, the practical effect should be that services are co-ordinated around the needs of the individual. This would apply to all the board’s functions not just when exercising its commissioning functions, including when it exercises public health functions under arrangements with Public Health England.
The duty also requires the board to encourage clinical commissioning groups to enter into partnership arrangements with local authorities under Section 75 of the NHS Act 2006 where this would secure the provision of services in an integrated way, or that the provision of health services is integrated with the provision of health-related services or social care services. Proposed new Section 14Y creates a similar duty for local clinical commissioning groups.
The changes to the regulatory framework give Monitor a role in Clause 59 in relation to improvement in quality and fairness as well as efficiency.
The question then is: what actual risk exists of fragmentation at the national level? There is no such risk. Our outcomes frameworks span public health, the NHS and social care; the Secretary of State will aim to improve outcomes in all three components of the care system; NICE will provide quality standards across the whole patient pathway that will push for integrated care; and the care system, nationally as well as locally, will have to pay attention. The Secretary of State’s duties and his actions are, in other words, an embodiment of integration.
Our reforms are firmly focused on improving quality and outcomes for patients. We are not in the business of dictating the processes by which this improvement might be achieved, or trying to measure success in terms of whether a particular process has been put in place regardless of whether it actually delivers a good outcome for patients. I make no apology for that. We are of course committed to enabling and facilitating integration, but integration is neither a necessary nor a sufficient condition of a good outcome.
Perhaps more importantly, our reforms aim to encourage measurement and reporting throughout the system that will tell us whether it is achieving what we have said it should achieve. Accountability should finally have arrived at all levels in the system. Improvement should result and will be understood through the outcomes frameworks in terms of the actual outcomes achieved and those that matter most to patients, service users, their families and carers and the wider public.
My Lords, this has been a good debate. The hour is late but I want to make a couple of points in response to the noble Earl. There is probably a fundamental difference between him and me and, I suspect, other Members on this side of the Committee about whether integration and access are just bits of process and whether we should focus entirely on outcomes. I say gently to the noble Earl that the public care about some of those processes. That is why we had targets for access; they care about access and integration. The outcomes framework will not adequately measure either of those areas, which are of public concern. Indeed, they are important contributors to good outcomes. Therefore, we probably have a philosophical difference of view over how we approach those issues.
I do not want to go over this ground tonight. However, we must look at the Bill to see whether it can give stronger signals to professionals and the culture in which they operate about the importance of integration, not just within healthcare but across the boundary between healthcare and social care. I hear what the noble Earl says but, looking at the Bill, I do not believe that the Bill goes far enough in changing that culture. I will certainly talk to some of these outside experts with a number of colleagues to see if we can come back with some amendments. I am happy to talk to the noble Earl about that with my colleagues before Report stage. I hope we can convince him that we can strengthen the Bill in this area. With that, I beg leave to withdraw the amendment.