The Minister for Disabled People, Health and Work (Sarah Newton)
I beg to move,
That the draft Mesothelioma Lump Sum Payments (Conditions and Amounts) (Amendment) Regulations 2019, which were laid before this House on 15 January, be approved.
Mr Speaker
With this it will be convenient to discuss the following motion:
That the draft Pneumoconiosis etc. (Workers’ Compensation) (Payment of Claims) (Amendment) Regulations 2019, which were laid before this House on 15 January, be approved.
Sarah Newton
These two statutory instruments will increase the value of lump sum awards payable under the Pneumoconiosis etc. (Workers’ Compensation) Act 1979 and the diffuse mesothelioma scheme, which was set up by the Child Maintenance and Other Payments Act 2008. Those schemes stand apart from the main social security benefits uprating procedure, and there is no legislative requirement to review the level of payments each year. None the less, I am happy to increase the amounts payable from 1 April this year by September’s consumer prices index of 2.4%.
The Government recognise the very great suffering of individuals and their families caused by the serious and often fatal diseases resulting from exposure to asbestos, coal dust and other forms of dust. The individuals affected may be unable to bring a successful claim for damages, often owing to the long latency period of their condition, but they can still claim compensation through these schemes.
I will briefly summarise the specific purpose of the two compensation schemes. The Pneumoconiosis etc. (Workers’ Compensation) Act 1979, which for simplicity I will refer to as the 1979 Act scheme, provides a lump sum compensation payment to those who have one of five dust-related respiratory diseases covered by the scheme, who are unable to claim damages from employers because they have gone out of business and who have not brought any action against others for damages. The five diseases covered by the 1979 Act scheme are diffuse mesothelioma, bilateral diffuse pleural thickening, pneumoconiosis and byssinosis, as well as primary carcinoma of the lung if accompanied by asbestosis or bilateral diffuse pleural thickening. The 2008 mesothelioma lump sum payment scheme widens the criteria for compensation to those who have contracted diffuse mesothelioma but who are unable to claim compensation for that disease under the 1979 Act scheme—for example, those people who were self-employed or whose exposure to asbestos was not due to work.
Payments under the 1979 Act scheme are based on the age of the person with the disease and their level of disablement at the time of their diagnosis. All payments for diffuse mesothelioma are made at the 100% rate. All payments under the 2008 scheme are also made at the 100% disablement rate and based on age, with the highest payments going to the youngest people with the disease. In the last full year, from April 2017 to March 2018, 3,680 people received payments under both schemes, totalling £49.2 million.
I am aware that the prevalence of diffuse mesothelioma is a particular concern of Members, given the number of deaths from this disease in Great Britain. It is at a historically high level. The life expectancy of those diagnosed with diffuse mesothelioma is poor, with many people dying within 12 months of diagnosis. The disease has a strong association with exposure to asbestos, and current evidence suggests that around 85% of all mesotheliomas diagnosed in men are attributable to asbestos exposures that occurred through work. Our latest available information suggests that there will continue to be around 2,500 diffuse mesothelioma deaths per year before the number of cases begins to fall during the next decade, reflecting a reduction in asbestos exposures after 1980.
John Woodcock (Barrow and Furness) (Ind)
The Minister will be aware that Barrow and Furness has the highest number of asbestos-related cancer deaths in the whole of England and Wales. Is she aware of how many sufferers who were previously compensated under the scheme covering pleural plaques are now falling victim to terminal asbestosis and finding themselves ineligible for any compensation under these schemes? Does she not feel that that is unjust? Will she meet me and representatives of my community to discuss that?
Sarah Newton
I am always happy to meet colleagues from across the House if they have particular constituency issues or if people who really need support are falling between the cracks. There are three different schemes available to support people, and we are talking about two of them today. I would be happy to meet the hon. Gentleman to explore those issues and to discuss the three compensation programmes to see whether there is more that we can do. We are absolutely committed to ensuring that people get the support to which they are entitled.
We expect to see a decline in the number of people being diagnosed with diffuse mesothelioma in the coming years, but many people will continue to develop the condition and the other respiratory diseases, based on their exposure, for some time to come. That is why the Government are committed to working in partnership with their arm’s length bodies and agencies to improve the lives of those with respiratory diseases. I want to give the House an example of that commitment.
Last summer, I hosted a lung health summit, bringing together the Union of Democratic Mineworkers, my hon. Friends the Members for Sherwood (Mark Spencer) and for Mansfield (Ben Bradley) and representatives from the British Lung Association and the NHS. This was an opportunity to discuss the important work that the Government and our partners are doing and to listen to the first-hand experiences and problems, brought to my attention by my hon. Friend the Member for Sherwood, that miners are encountering today as they try to get an appropriate diagnosis and therefore the financial support that we want them to receive.
A huge amount of work has been done as a result of that lung health summit, and I was delighted—as I hope everyone will be—to see that the recently published NHS long-term plan recognises the objective of improving outcomes for people with respiratory disease. The long-term plan sets out how the NHS will take action in a number of areas. This includes expanding programmes that support earlier diagnosis of respiratory diseases—including the pioneering lung health checks trialled in Manchester and Liverpool—and increasing access to proven treatments such as pulmonary rehabilitation. As part of the engagement process for the Government’s long-term plan, an NHS England respiratory oversight group has been created, which includes membership of the British Lung Foundation. In addition, NHS England has been working closely with the taskforce for lung health, which has also recently published its own five-year plan to improve lung health.
I want to take a few moments to talk about the work of the Health and Safety Executive in this regard. It does excellent work, the length and breadth of the country, but we seldom have an opportunity to reflect on that in this House. As a nation, we should be really proud of our long history of trying to prevent illness and injury at work. The very first factory inspectors were appointed under the Factory Act 1833 to prevent injury and overworking among child textile workers, and we have come a long way since then. The Health and Safety at Work etc. Act came into force in October 1974 and the Health and Safety Executive was formed in January 1975. The HSE is now well established as a mature regulator with a mission to prevent work-related death, injury and ill health. This is borne out by the most recent published HSE statistics, which show a long-term downward trend in the rate of self-reported non-fatal accidents and fatal accidents to workers. Indeed, the UK consistently has one of the lowest standardised rates of fatal injury when compared with any other large economy.
Turning back to the importance of these regulations, I am sure we all agree that, while no amount of money can ever compensate individuals or their families for the suffering and loss caused by the diffuse mesothelioma and pneumoconiosis covered by the 1979 Act scheme, those who have those diseases rightly deserve some form of monetary compensation. Finally, I am required to confirm to the House that these provisions are compatible with the European convention on human rights, and I am happy so to do.
Sarah Newton
It is an absolute pleasure to follow the hon. Member for Bolsover (Mr Skinner). He probably does not realise how much we have in common. It was wonderful to hear him talk about when he came into the House back in 1970, when the subject of his maiden speech was mining in his constituency. When I had the privilege of being elected to represent my home in Cornwall in 2010, the subject of my maiden speech was very much my community and my ancestors, who were Cornish miners. They were mining different things—minerals, tin in particular—but of course suffered the same risks of exposure to dust. In our case it is silica dust rather than coal dust. I have always had the passion, as the hon. Gentleman does, to speak up for those people in my constituency and for my ancestors. My grandfather worked in the docks in Falmouth and was exposed to the very risks that so many hon. Members have spoken about this afternoon.
The hon. Member for Bolsover and others have asked why we are not automatically uprating these particular compensation schemes. Well, let me gently say that this debate makes a powerful case for why it is important that we do have an annual debate. I will absolutely think about what has been said about automatic uprating, but if we had automatically uprated the schemes this year and the provisions had gone through on a motion along with every other social security payment, would we have had the benefit of this debate? We have had the benefit of the hon. Gentleman reminding the House of the huge contribution of Mick Clapham. As he said, it is really important that we do not forget these things and that we do not forget the hard work that has been undertaken by colleagues from all over the House over many years. These are hard-won successes, so it is important that we take these opportunities to remember.
Mike Amesbury
This really is about doing the right thing and working together. Obviously we have heard very powerful historical stories from Members right across the Chamber, but automatic uprating is the right thing to do.
Sarah Newton
Of course we want to do the right thing, which is why we are here today, uprating the scheme. However, we should pause to reflect on the fact that this debate has enabled us to look at this dynamic situation; the hon. Member for Bolsover was absolutely right to describe it as such. My right hon. Friend the Member for Hemel Hempstead (Sir Mike Penning) said that he has doubts about some of the forecasts around the schemes. We have also heard from other Members who want us to look at research and at what more we can do. If we did not have the opportunity of this debate, how would hon. Members have been able to raise those matters? I will seriously look at the question of an automatic uprating, but today has also proved the importance of giving hope to so many constituents through such a debate.
Sir Mike Penning
The Minister is being very generous and the House is listening very carefully because this is such an important debate. This House is not going to turn down the uprating—never would. But we could actually have a proper debate on this subject through the Backbench Business Committee or in Government time. Actually, half the things that we have been talking about today are nothing to do with what is actually on the Order Paper, with all due respect, Mr Deputy Speaker; we have been having a more general discussion. That is probably the answer. I accept that the Minister has to take this question away, but this is a golden opportunity to say that this House accepts that the scheme should be automatically uprated. We should then have a general debate on the issues, but that should not be a reason not to uprate the schemes.
Sarah Newton
My right hon. Friend makes a really important point. I have already committed to taking this matter away, but this debate has been very valuable. As we have seen from the quality and range of contributions, this debate has allowed the time for Members to raise a lot of important matters. Quite rightly, we have roamed far and wide, but this was an important debate none the less.
Peter Grant
Following on from the comments of the right hon. Member for Hemel Hempstead (Sir Mike Penning), with respect I do not think that the opportunity for us to talk to ourselves—and possibly to people watching—for an hour or so justifies the potential uncertainty for sufferers. Just now, they do not know how much they are going to get next year or the year after. I would quite happily forgo the chance to listen to my own voice for 10 minutes if I knew that my constituents could be certain for the rest of their lives that their payments would always keep up with inflation. This is the fourth time in three weeks that businesses has collapsed hours early, so there are plenty of other opportunities—through the Backbench Business Committee and elsewhere—to have these debates if Members so wish. I appreciate that the Minister cannot give a definite answer from the Dispatch Box just now, but I really hope that she will take this point back to her colleagues and come back with a positive answer at some point in the future.
Sarah Newton
I am happy to confirm what I have already confirmed to other hon. Members across the House—that I am absolutely happy to take that away and look at it.
I thank the hon. Member for Weaver Vale (Mike Amesbury) for his support for these upratings. He asked me a number of questions that I would of course very much like to answer. Before doing so, I join him in paying respect to his constituent Brian Jamieson. One of the things the hon. Gentleman asked me about was engaging with unions. Of course, trade unions play a really vital role in our society. I have already had a meeting with the National Union of Mineworkers, together with the hon. Member for North West Durham (Laura Pidcock), where we talked about a range of issues that the hon. Gentleman raised today. I will continue that dialogue, as well as meeting the Union of Democratic Mineworkers too.
Nick Smith (Blaenau Gwent) (Lab)
This debate reminds me of my own grandfather, George Winter, who suffered from pneumoconiosis. I cannot remember the exact percentage he had, but it was high, as was true of many miners in Tredegar in south Wales, where I am from. He was crushed in a pit fall in the Ty Trist colliery in Tredegar in his thirties. He had a broken femur and a crushed ribcage, and he was hospitalised for nine months. He always taught me, as I am sure that many Labour Members have been taught, that the trade unions were the most important vehicle for promoting good health and safety to make sure that people were respected and looked after at work.
Sarah Newton
I thank the hon. Gentleman for sharing with us the tragic case of his grandfather. That reminds us, as so many colleagues have done today, of the sacrifices that people have made in these essential industries. So much of what we look around at has been created by people who made the sacrifice of working in these very, very physically demanding and dangerous industries. He is right to remind us of the sacrifices that the families have made.
The hon. Member for Glenrothes (Peter Grant) recognised—I join him in this—the work of Willie Clarke and John MacDougall, and other NUM officials, in creating the schemes that we have before us today. He also talked about Peter Quinn, his grandfather, and his premature death as a result of exposure to asbestos. We heard from my hon. Friend the Member for Sutton and Cheam (Paul Scully) about his father, who died 30 years ago. That really shows how the exposure to these dusts has had such a catastrophic effect on so many people’s lives, not only in this House but across our country.
I am absolutely delighted that the former Minister, my right hon. Friend the Member for Hemel Hempstead, was able to join us today and speak so passionately, as did my hon. Friend the Member for Chatham and Aylesford (Tracey Crouch). I recognise the really important contributions that they both made, as well as the former Member for Wythenshawe and Sale, in bringing in the 2014 diffuse mesothelioma payment scheme. As was so rightly pointed out, that filled the gaps in the schemes we are talking about today, meaning that many, many more people are getting financial support.
I want to add my own tribute to my hon. Friend the Member for Chatham and Aylesford—our meso warrior. This really shows the difference that individual Members of Parliament can make in this House by banding together with other colleagues to make such important changes to people’s lives. I take on board her very sensible suggestion that we look at the age of people when they are diagnosed as well as their occupation. We need to be constantly looking for new trends to make sure that we are aware of people working in new or different occupations who had hitherto been thought not to be so directly affected and who might benefit from these schemes. I know that she takes a particular interest in teachers and teaching.
Tracey Crouch
I perhaps ought to put it on the record that, because of my passionate speech on Second Reading of the Mesothelioma Bill, when it was quite clear that I wanted to make changes to the legislation, my right hon. Friend the Member for Hemel Hempstead (Sir Mike Penning), as the Minister at the time, made sure that I was not put on the Bill Committee. Newer Members of the House looking to make a difference in this place should perhaps make a more anodyne contribution on Second Reading and then do their bit in Committee.
Sarah Newton
My hon. Friend is a doughty parliamentary campaigner, and she shares a very interesting tip with newer Members of the House.
I am very happy to take away my hon. Friend’s suggestion, which was powerfully backed up by the former Minister, my right hon. Friend the Member for Hemel Hempstead, that we should look at the surplus within the scheme, which is funded by a levy on the industry. Those surpluses could well be used for further research. I will take that away and look at it. It was rightly pointed out that we need to be very mindful of future projections about the numbers of people who might be affected to make sure that the scheme has adequate funding to meet any future unanticipated needs. I will look at that again to determine whether there is more that we could do on that.
I want to reassure the House on the two points raised about what more the Health and Safety Executive is doing to raise awareness of the risks of asbestosis, especially in schools. The Department for Education and the HSE have been working for long periods on what more can be done to be raise awareness of the good management of asbestos, whether in hospitals or in schools. The Department for Education has taken a real interest in this. There is now a new assurance scheme that started last March, and funding is made available through the Department for the upgrading of school facilities. We are making a lot of progress in assessing the risk and skilling people up to manage asbestos when they find it and then ultimately replace it. The Health and Safety Executive is always informing all the different workplaces of the risks of asbestos and what can be done to reduce them.
It is absolutely fair to say that the Health and Safety Executive has had to make efficiency savings in its budgets over the past few years. However, in no way, shape or form can one say that that is leading it not to be able to do its job well. When I meet the chief executive and the chairman, as I do regularly, they tell me that they have the resources that they need to keep people safe at work. We have only to look at the evidence of what is happening in workplaces to see that the HSE has been innovative and creative, working in partnership with others. As I said in my opening speech, there are far fewer people acquiring injuries, and having fatal injuries, at work. That is to the great credit of the Health and Safety Executive, as I think a lot of Members across the House have recognised.
Finally, there is the question of the equalisation of the sums that are paid out between the people who are directly affected by the conditions and their loved ones. The same issue is raised each time this debate is held. The Government’s view is that it is most important that the funding is given to the people with the condition who would most benefit from it. Of course, I fully understand that families can be devastated and very badly affected, but there is still the recognition that they are able to get compensation, even if it is not at the same level. When we have to make decisions about how we use our precious resources—the taxpayers’ money that is available—it is only right that we target that money by giving it to the people to whom it can make the biggest difference.
We have had a really excellent debate in which we have managed to raise a lot of issues around the health service, education, the Health and Safety Executive, and research. I am very grateful for Members’ contributions and for the support across the House for these very important schemes that are having a very positive impact on people’s lives. I look forward to working with Members who have asked to meet me on how we can work even more closely together and make an even more positive contribution.
Question put and agreed to.
Resolved,
That the draft Mesothelioma Lump Sum Payments (Conditions and Amounts) (Amendment) Regulations 2019, which were laid before this House on 15 January, be approved.
Resolved,
That the draft Pneumoconiosis etc. (Workers’ Compensation) (Payment of Claims) (Amendment) Regulations 2019, which were laid before this House on 15 January, be approved.—(Sarah Newton.)