My Lords, I remind the House that, in order that we might finish at a reasonable time this evening, there is an advisory time of six minutes on contributions to this debate.
My Lords, it is an honour to be asked to speak in support of the gracious Speech this afternoon, and a privilege to be back in government. I look forward to the many valuable contributions I know noble Lords will make during the course of this debate, and I also thank my noble friend Lord Freud, who will be winding up today.
Her Majesty the Queen underlined the core principles of the programme of legislation set out in the gracious Speech, which is,
“a clear programme for working people, social justice, and bringing our country together”—
as my right honourable friend the Prime Minister said—
“a One Nation Queen’s Speech from a One Nation Government”.
Today’s debate brings together four key topics: health, welfare, culture and education. All are vital to a strong economy and a secure future for our country.
The Government’s vision is for a modern NHS that provides high-quality, joined-up care for patients seven days a week. We welcomed the NHS Five Year Forward View, a plan developed by the NHS for its own future. It shows that the NHS can continue to make dramatic improvements, but only if it continues to implement important reforms and is supported by a strong economy.
The Government are committed to securing the future of the National Health Service. We increased spending in real terms every year in the last Parliament, and we will increase it in real terms every year in this Parliament, too, rising to at least an extra £8 billion a year by 2020. The Government are also committed to ensuring that patients have consistent, high-quality hospital care, which means all those services patients need urgently, or to get the same standard of care as they would during the week, being available on Saturdays and Sundays. The Government are committed to ensuring that people with mental health problems can get the right care at the right time, and we are committed to integrating health and social care through the better care fund, which enables better joined-up care, closer to home.
Work is the best route out of poverty, and the Government will continue welfare reforms that help people into jobs, make work pay and deliver fairness for the taxpayer. It is essential that the welfare bill is sustainable and is fair to the taxpayer. The Government will therefore introduce a full employment and welfare benefits Bill, which will freeze working-age benefits and lower the benefit cap to strike the right balance between incentivising work, fairness for working households and supporting the most vulnerable. To fulfil our commitment to have the highest employment rate of any major economy we are also introducing statutory duties to report annually on full employment, the creation of apprenticeships and the progress of the troubled families programme. We will introduce a package of measures to further reduce youth unemployment by providing young people with the support they need to gain employment.
We will continue to increase the basic state pension through the triple lock, and support saving by introducing the new state pension above the basic level of the means test. We will give people the freedom to use their pension savings as they want, and to pass them on tax-free. Those measures together strike the right balance between work incentives, fairness and ensuring a safety net of support for those who need it.
By driving growth and enriching lives, the Government will also make Britain a great place to live, work and visit. We will build on the strength of our cultural and heritage institutions, keeping our major national museums and galleries free to enter, and securing the protection of our heritage sites. We will also continue to support tourism in this country, boost sport in our communities and build on our Olympic and Paralympic legacy.
A free media are the bedrock of an open society, so we will continue to defend the operation of a free press and deliver a comprehensive review of the BBC royal charter, as well as supporting our world-leading creative industries. We will also take action to protect children online by requiring age verification for access to all sites containing pornographic material and age rating for all music videos. We will enable economic growth by securing the delivery of superfast broadband to provide coverage to 95% of the UK by the end of 2017, and by releasing further public sector spectrum to the private sector. We will also ensure that mobile coverage is boosted, including by holding the operators to their binding agreement to provide coverage to 90% of the UK by 2017.
In the last Parliament, we strengthened the academies programme, building on the trail blazed by the noble Lord, Lord Adonis. Since 2010, our sponsored academy programme has meant that sponsors have taken on more than 1,100 failing and struggling schools. There are many examples of such transformation up and down the country, such as Charter Academy, in Portsmouth, sponsored by ARK since 2009, which has been totally transformed. Some 83% of pupils achieved five good GCSEs, including in English and maths, in 2014, compared with 22% in the school’s last year before becoming an academy five years earlier. Queen’s Church of England Academy, in Nuneaton, has been sponsored by the Diocese of Coventry Multi Academy Trust for just over a year. In that time, a record improvement in the school’s SATs results saw the percentage of pupils achieving level 4 and above go from just 19% in 2013 to 70% in 2014. Wyndham Primary Academy, in Derby, sponsored by the Spencer Academies Trust, has seen a spectacular increase in results. In 2014, 90% of pupils achieved the expected level in reading, writing and maths, up from 64% at the predecessor school in 2012. In 2014, 70% of pupils at the Ryecroft Primary Academy, in Bradford, sponsored by the Northern Education Trust, achieved the expected level in reading, writing and maths, up from 43% at the predecessor school. Outwood Academy Portland, sponsored by Outwood Grange, has seen results increase from 41% of pupils achieving five good GCSEs in 2011, to 76% in 2014. REAch2 Academy Trust sponsors the largest number of primary academies in the country. Results in seven of its schools have improved by more than 20% since joining the trust, and across the trust REAch2 schools have improved on average at three times the rate for the national average.
We want to build on these and many other success stories, and bring about that dramatic improvement in standards to many more schools. There are still too many pupils in failing schools, and we have seen many instances of obstruction and delay, where a sponsored academy solution is needed to bring about improvement. Indeed, the average time it takes for a school to become a sponsored academy is 13 months, and that is just too long. Every day a school spends in special measures is a day too long for its pupils. Sadly, these delays are often about putting the interests of adults ahead of the interests of children, preventing pupils in those schools from getting the quality of education they deserve. The Education and Adoption Bill will strengthen our ability to deal with failure much more swiftly by making it clear that for any school that Ofsted has judged inadequate, there must be a sponsored academy solution.
Downhills Primary School, in Haringey, was a high-profile case in which a national union-backed campaign put up barriers to the process through a series of repeatedly unsuccessful appeals and reviews, causing ongoing delay to our transformation of a school that had been failing pupils for more than a decade. Under the sponsorship of Harris, the academy group sponsored by my noble friend Lord Harris of Peckham, the school has been judged by Ofsted as good with outstanding leadership, and reading, writing and maths results have soared by a quarter. The Education and Adoption Bill will give us new powers and will help to prevent these obstacles in future, including by requiring governing bodies and local authorities actively to progress and facilitate the conversion of failing schools into academies.
The Bill also provides new powers for us to intervene in not only failing schools but coasting schools—those that consistently underperform and do not support their pupils to make the progress they should. We will now be able to identify additional support for these schools—for instance, from national leaders of education. Where necessary, we will be able to progress academisation for these schools, bringing in new leadership where it is needed.
To be clear, this Bill will not impact on schools that are performing well or on schools that are already on a good trajectory of improvement. In schools where head teachers have the capacity to improve sufficiently, have a credible plan and are working effectively with their governors to make progress, we will give them the time to do that.
Your Lordships will know that reforming schools so that every child, whatever their background, has the best possible chance in life is a major priority for this Government, as well as being my personal passion. I look forward to debating these important reforms with your Lordships and will ensure that draft regulations and guidance, including on the definition of coasting schools, are available before the Bill reaches your Lordships’ House.
We spent significant time in this Chamber considering adoption during the passage of the Children and Families Bill. Since then, there have been significant improvements in the adoption system. These include: establishing a national Adoption Leadership Board, bringing together leaders from across the sector; investing £200 million in local authorities and a further £17 million in the voluntary adoption sector; and launching a £19.3 million Adoption Support Fund to provide therapeutic support for adopted children. All those things have led to significantly more children finding permanent, loving homes through adoption. The number of adoptions has increased by 63% in the last three years. Children are also spending less time waiting to be adopted, with the average length of time between coming into care and being placed with a family down by nearly four months, according to the most recently published quarterly data.
However, it is still the case that the adoption system is highly fragmented, with most agencies operating on a very small scale. This prevents children being matched quickly with the best parents for them, and it means that support services are not commissioned on a sensible scale. This is starkly illustrated by the 3,000 children who are still waiting, despite there being enough approved adopters.
That is why the Conservative manifesto committed to the introduction of regional adoption agencies. These agencies will work on a much larger scale, across local authority boundaries, to match children without delay. We want to work with local authorities to deliver these, providing financial and practical support, and we have been delighted with the enthusiastic response with which our proposals have been met from across the sector. However, if some local authorities are unwilling to rise to the challenge, government needs a backstop power that can be used to direct local authorities which do not get involved voluntarily. That is why we are bringing this legislation forward now.
As I have mentioned and as we discussed today at Questions, a core principle of this Government’s programme of legislation is a clear programme for working people and families. The second Bill—the Childcare Bill—will extend one of this Government’s most successful schemes by doubling the number of hours of free childcare on offer to working parents of three and four year-olds to 30 hours per week. The two year-old entitlement remains for the most disadvantaged of families so that every child, regardless of background, has a fair start in life.
The additional hours for working parents of three and four year-olds will be implemented from September 2017 but, in confirming the Government’s commitment to support working families with the costs of childcare, on Monday the Prime Minister announced plans to introduce the changes for some families a year earlier than planned, with some areas offering the new, additional 15 hours from September 2016.
It is important that the hourly rate for the childcare entitlement strikes the right balance between being fair for providers and delivering value for money to the taxpayer. To get this right, we will conduct a review of funding for the entitlement, and the Government have committed to increase the average amount per hour by which each free place is funded.
The Government understand how important childcare is to parents and families and we have already made more high-quality provision available for parents through our reforms, introduced 15 hours a week of free childcare for disadvantaged two year-olds, legislated for tax-free childcare and given families flexibility and choice.
The gracious Speech sets out a clear programme for taking this country forward. It is no doubt challenging and ambitious but this Government are committed to achieving it. I welcome the debate today on these important matters.
My Lords, among the many excellent contributions this evening, I was heartened most by that from the noble Lord, Lord Stone of Blackheath. His description of the impact of mindfulness training on many Peers means, as I understand him, that their kindliness has increased. Therefore, I am expecting a much warmer ride in Oral Questions in future—except perhaps from the noble Baroness, Lady Jones.
I will begin with the Full Employment and Welfare Benefits Bill, which is a necessary and important part of the Government’s commitment to ensure that it pays to work rather than to rely on benefits, and to deliver fairness to the taxpayer while continuing to provide support for those in greatest need. The noble Lord, Lord Touhig, made a point about the anti-poverty impacts around lowering the benefit cap. The cap has had the effect of increasing the incentive to work. Where we have already introduced it, capped households were 41% more likely to move into work than a comparable group—and work clearly is the key route out of poverty.
Many noble Lords referenced welfare reform and the cuts. The noble Lords, Lord Hunt and Lord Kirkwood, my noble friend Lord Fowler, and the noble Baronesses, Lady Pitkeathley and Lady Thomas, all asked where the cuts will come from. Clearly, as all noble Lords know perfectly well, I am not in a position to tell them that. We are looking at how to make those savings and will set out those savings when the work is complete.
The noble Lord, Lord Kirkwood, raised the issue of universal credit. He has understood that important reform more, I think, than virtually any other noble Lord here. He said that he would like it go faster. I have promised in the past to make sure that I communicate what is happening with universal credit to noble Lords and I am just looking for the right way to do that. It is the most important reform that we have seen in this area, not just for a generation but for some generations. Therefore, it is important that this House understands it, and I will make sure that that is done to the fullest of my ability.
The noble Lord, Lord Morris, talked about welfare helping people to obtain personal independence. As my noble friend Lady Stedman-Scott said, we need to ensure that work always pays. Indeed, research on universal credit has already found that people who are on that benefit enter work more rapidly and earn more than do their JSA equivalents.
The noble Lord, Lord Hunt, asked whether enough funding would be available for discretionary housing payments. Total payments remain at more than £100 million, which is six times their level at the beginning of the coalition Government. Mid-year returns showed that the majority of local authorities were spending below the 50% level: that is, below the full amount that they could.
Both the noble Lord, Lord Hutton, and the noble Lord, Lord Kirkwood, gave some interesting food for thought to my new colleague, my noble friend Lady Altmann, who I think is sitting on the Front Bench for the first time. Your Lordships can imagine how pleased I am to have a colleague of her calibre covering this important part of DWP responsibility. She will be thinking about those comments from the noble Lord, Lord Hutton, in particular, who has direct experience in this area, and I know that she is grateful for the support that has been given to the reforms that the last Government brought in.
On financial and digital inclusion, referred to by the noble Lord, Lord Kirkwood, we are working hard with local authorities and relevant charities to ramp up both of those, and clearly we have had a breakthrough with the deal between the Treasury and the banks to ensure that safe basic bank accounts are available to all universal credit claimants. We are still working with credit unions—it has been a big programme—to make sure that they are in a position to deliver low-cost credit to those who need it.
Let me turn to the Childcare Bill. A number of noble Lords queried who would be eligible for the new benefit, would it support those who could afford it already, and would it be targeted at the most vulnerable—the noble Baroness, Lady Jones, asked whether it would be targeted at the youngest. There were questions, too, from the noble Lord, Lord Hunt, the right reverend Prelate the Bishop of Durham and the noble Baroness, Lady Tyler. We will consult on detailed eligibility criteria, and this information will be available in due course. We want the scheme to be as simple as possible for both providers and parents. Children from disadvantaged backgrounds are able to access their 15 hours of entitlement early at the age of two, and lower-income families also receive support through working tax credits, which will increase through universal credit.
The right reverend Prelate the Bishop of Durham asked a rather direct question about why we are forcing parents to work. We know that childcare costs can be high. We want to help make childcare more affordable for families and to make it easier for parents to return to work if that is what they choose to do.
On the living wage, the market is more than 80% privately run, and it is for those businesses to decide what to pay employees in a competitive labour market. However, I can assure the right reverend Prelate that, according to the 2013 providers survey, the average hourly wage in full-day care nurseries rose by 7% between 2011 and 2013 to £8.40, which is above the UK living wage of £7.85.
The Education and Adoption Bill will ensure that all children have the opportunity to attend a good school. It provides powers for us to intervene to secure swift action in schools that are not providing children with a high quality of education and that cannot demonstrate the capacity to improve. There was a challenge from the noble Baroness, Lady Morris, and the noble Lord, Lord Griffiths, who asked, essentially: why academies? Sponsored academies have played a significant role over many years in improving many failing and underperforming schools. The evidence has shown that schools in sponsored academy arrangements improve their performance faster than maintained schools. The Government greatly appreciate the work of my noble friend Lord Lingfield to create the Institution for Further Education, and we look forward to its continued growth and development.
The same two noble Lords asked about how we will deal with failing academies. We want all schools to be good or outstanding, and this includes academies. Where an academy underperforms we shall take swift action to tackle this. Decision-making has been devolved to a regional level through eight regional schools commissioners, critically supported by outstanding head teachers.
As to the question raised by the noble Lords, Lord Hunt and Lord Storey, about removing consultation on academy conversions, there comes a point when children’s education has to be paramount—and we are talking here about schools that have been failing children for years.
The noble Lord, Lord Hunt, asked about centralising education. Systems across the globe are shifting power and responsibility to leaders of education and the Government’s education policies effectively embody that trend. We believe that education professionals know best and that is why we have appointed the eight regional schools commissioners.
The noble Lord, Lord Touhig, and the right reverend Prelate the Bishop of Norwich asked about the role of diocesan schools. Church schools and academies play a crucial role in the education system and we will, of course, engage with the church and other faith groups as the Bill progresses. As to the point raised by the noble Baroness, Lady Jones, new school places will be a priority in areas of need.
The noble Lords, Lord Addington and Lord Storey, asked about the training of teachers for pupils with special educational needs and mental health needs. It is vital that there is appropriate training for those working with children with those needs. That is why we have developed specialist resources for initial teacher training, funded development of the SEND Gateway online portal, funded 11,000 new SENCOs, funded 1,000 staff to take postgraduate qualifications, and supported the highly successful Achievement for All approach.
The noble Lord, Lord Kirkham, asked about the need to create well-rounded pupils. Clearly excellent teachers already do that. Our Character Innovation Fund is an example of this support. As to the related issue raised by the noble Baroness, Lady McIntosh, and the noble Lords, Lord Bragg and Lord Berkeley, about the role of arts subjects, our new progress 8 performance will, from next year, further incentivise schools to offer arts subjects at key stage 4.
As to the Government’s commitment to ensuring that everyone can get the care they need seven days a week in their hospital services, our priority is to ensure that the services which patients might need urgently are available seven days a week and that hospital patients get the same standard of care on any day of the week. We are still working with NHS England and others on the detail of this implementation.
A number of noble Lords raised the issue of funding, including the noble Lord, Lord Hunt, and the noble Baronesses Lady Jones, Lady Emerton, Lady Tyler and Lady Walmsley. I thank the noble Baroness, Lady Finlay, for her support for our commitment to invest at least £8 billion to implement the NHS’s own vision for the next five years. This sets out plans for delivering seven-day services where it will make a clinical difference to outcomes. The exact budget for future years will be determined in the spending review, taking account of our ambitions to achieve the best possible care for everyone whenever they need it.
As to the other points on the NHS, the noble Lord, Lord Hunt, and the noble Baroness, Lady Emerton, asked about the spend on agency staff. We agree that this requires urgent action. Last year, the total agency bill was £3.3 billion, which would pay for every one of the 22 million accident and emergency attendees last year. We have ordered a clampdown as part of a package of tough new financial constraints to cut down waste in the NHS, including setting a maximum hourly rate for agency doctors and nurses, banning agencies that are not improved and setting a cap on total agency staff for each NHS trust.
My noble friend Lord Fowler asked about alternative methods of funding. A review of evidence has been gathered. It was included in the comprehensive review by Derek Wanless a few years ago. It showed that general taxation is the most fair and efficient method. Indeed, evidence suggested that other systems seemed likely to prove more costly. The noble Baroness, Lady Walmsley, mentioned the English-Welsh border. I assure her that Welsh residents are able to access primary care services in England on the same basis as English residents.
We will continue to take mental health as seriously as physical health, and to hold the NHS to account for achieving the objectives set out in the NHS mandate; that is, to ensure that mental and physical health conditions are given equal priority. A number of noble Lords, including the noble Baronesses, Lady Masham, Lady Tyler, Lady Hollins and Lady McIntosh, the noble Earl, Lord Listowel, and the noble Lord, Lord Stone, asked what we are doing for mental health sufferers. We are providing significant additional investment of £1.25 billion over the next five years to boost the mental health of children and young people, and investing more than £120 million to introduce for the first time waiting time standards for mental health. We will also trial the collocation of IAPT staff in jobcentres to help improve health unemployment outcomes. The Department of Health and the DWP are working together to explore innovative ways to improve employment and health outcomes for people with common mental health problems. This year, 75% of people who need psychological therapies will be able to access treatment within six weeks and 95% within 18 weeks.
We recognise that mental health support and care for offenders and those in prison can be improved, which is why various departments—including the Department of Health and the Ministry of Justice as well as NHS England, NOMS and Public Health England—are working together to reconfigure services so that mental health needs are identified and to ensure that a range of services are available to support the mental health needs of prisoners and to prevent them escalating. The noble Baroness, Lady Hollins, asked about learning disabilities. We expect to publish a response to our consultation in the autumn.
The noble Lord, Lord Hunt, mentioned integrating health and social care. With the £5.3 billion better care fund we are finally doing what has long been talked about but never delivered: joining up the two systems. It is vital that we make systematic changes in a way that is safe. We therefore cannot demand them overnight but will ensure that we build on the progress that local areas have made to date. The noble Lord and the noble Baroness, Lady Emerton, asked about the regulation of plastic surgery. The Department of Health is working closely with stakeholders to implement recommendations from the Keogh review. The Royal College of Surgeons has set up a speciality committee to look at standards for training and certification of cosmetic surgeons. Health Education England is developing standards of qualifications for non-surgical interventions such as dermal fillers.
The noble Baronesses, Lady Walmsley, Lady Emerton, Lady Campbell and Lady Jones, asked about nurse training. For 2015-16, Health Education England has increased the number of adult nursing training places and there has been a growth over the past two years of 13.6%. However, we recognise that more can be done and we will continue to ensure that we recruit and retain the staff we need to deliver health and social care for the future.
There was a question about the professional accountability Bill. I recognise the disappointment expressed by the noble Lord, Lord Hunt, and the noble Baronesses, Lady Emerton and Lady Walmsley, that there is no Bill on this issue in the Queen’s Speech. However, the Government have been clear about their commitment to take forward the recommendations made by the Law Commission on this issue and to bringing forward legislation as soon as parliamentary time allows.
I shall pick up the points made by the noble Lords, Lord Sharkey and Lord Giddens. The total budget for the National Institute for Health Research for 2014-15 is more than £1 billion. Further funding will be subject to the spending review this year, so that is a slightly standard response on questions of money.
I turn now to the subject of the BBC. The noble Lord, Lord Hunt, asked whether we will reduce the BBC’s budget. All aspects of the BBC, including how it is funded, are up for debate as part of the charter review. This is one of many issues that will need to be looked at. The charter agreement, including the level of the licence fee required to deliver on the BBC’s public purpose, will be reviewed before the end of 2016. On the issue of the decriminalisation of non-payment of the licence fee raised by the noble Lords, Lord Hunt and Lord Bragg, the open, independent and evidence-based review into TV licence payment enforcement is due to report to the Secretary of State by the end of this month, and until that review is completed we should make no presumptions about its conclusions. A number of noble Lords, including the right reverend Prelate the Bishop of Norwich and the noble Lords, Lord Hunt and Lord Storey, talked about the value of the BBC. I can assure them that this will be borne in mind in the context of the forthcoming charter review.
The noble Lord, Lord Hunt, talked about the funding disparity in the arts between London and the regions. In the current financial year, 55% of Arts Council England’s national portfolio funding will go to organisations outside London. The noble Lord, Lord Bragg, emphasised how valuable the arts are. The Government agree with this policy and it is being continued through, for instance, the cultural elements of the northern powerhouse, the new Factory theatre in Manchester and the designation of Hull as the UK City of Culture for 2017. I also share the noble Lord’s view on the importance of the arts in schools, which is why the last Government invested funds in cultural education and music hubs.
The noble Lord, Lord Lee, asked about investment in tourism. My new ministerial colleagues are closely focused on tourism and will reduce the barriers faced by the industry in line with our manifesto commitments.
The noble Baroness, Lady Kidron, raised issues around young people online. I commend the noble Baroness’s work and agree with her on the importance of empowering children to make the best use of the internet, and I will ask colleagues across government to look at the Schillings report in more detail.