(3 weeks, 2 days ago)
Lords ChamberI thank the noble Lord for that question. It is a point I agree with: this is about the overall economic picture as well as the health costs. It is something that we need to look at as we think about the way medicines are used in this country. I think that the macroeconomic picture is different from the simple health economics picture, and it is something that is an active part of discussion. It is something I have discussed with macroeconomists, looking at ways in which we might think about introducing that as part of the system.
Given the changes announced in the United States in the past year about its approach to medical research and pharmaceuticals, have the Government made any assessment of the gap that is widening in the US in terms of other countries being able to fill the gap, particularly for medical research? Is there a plan, because this is a global marketplace and unless we are quick other countries will soon take up the slack that America is creating?
We should not be under any illusion: the US is the major powerhouse in pharmaceutical research and development and will remain that powerhouse. Despite some of the changes, there is enormous investment going into, in particular, private sector R&D in the US. However, the noble Baroness is right that there are changes in public sector funding. As I hope she will be aware, we launched a £112 million global talent scheme, with £54 million coming from the Government and the rest from the Royal Society and the Royal Academy of Engineering, looking for global talent to get to the UK. We believe this is a time when we can attract global talent into our leading universities and biotech scene.
(2 years, 7 months ago)
Lords ChamberMy Lords, I am pleased to contribute to a debate that addresses six key areas, all of which address public safety. I also look forward to hearing the maiden speech of my noble friend Lady O’Neill further on in the debate.
With my noble friend at the Dispatch Box, I attended an all-party briefing meeting on the Bill two weeks ago, and I recall him saying, in the discussion about the Bill, that, despite putting this on the statute book, he hoped it would never be needed. This begged the question: why is it needed? In his opening remarks today, he gave an example of the ambulance service in strike mode, where there were very real concerns about the service that would be supplied. I am concerned that, across all six sectors, we have some form of safety net as far as the general public are concerned, notwithstanding my appreciation of people’s need to strike. I declare an interest: many years ago, I worked for the NHS in an operating theatre. On a personal basis—it was not because I was stinking rich that I could afford to do so—I would not have withdrawn my labour under any circumstances, and I did not: it was an emergency operating theatre.
I agree that there is tension here. Some of the most eminent trade unionists in the country are sitting in this Chamber—I notice the noble Baroness who opened for the Opposition—and they will have a lot of experience. It is quite right that they articulate that because this is a matter of tension, as is so often the case in legislation before this House. Just before this debate, we heard the tail-end of a Third Reading debate on abortion clinics. Tension between competing interests—firmly believed and firmly held views—is the nature of the work we do. At the end of the day, the Government have to use their judgment.
So I recognise that there is a tension between the Bill my noble friend has brought forward and the existing Trade Union and Labour Relations (Consolidation) Act 1992. It looks as though the Bill will remove the protection and status from trade unions and workers in areas where minimum service levels are needed. I just want to articulate, if I may, on a personal level. When I leave home and come here during the week, I leave behind carers in charge of somebody I love very much. The last time there was an ambulance strike, I basically said, as I went through the door, “Don’t take him out for a walk today.” That was because I did not want to put that additional risk into his life, because I knew things were really not good with the ambulances.
I have every respect for the ambulance service—I have had many occasions to be grateful to it personally—but that is how people out there feel, whatever their admiration, and there is a great deal of admiration for all those who work in our essential services. That is the mindset that is starting to creep in among people who have responsibility for others. It is, I hope, to relieve that mindset that my noble friend feels there have to be minimum service levels that not only the Government but the rest of us who care for vulnerable people, or who may have accidents or other things that happen to us during the course of the strike, can rely on. There is a creeping fear in this country about what may happen to me or my loved ones. It is a spill-over from the lockdown, I believe, but people are taking a lot more notice of their safety and their loved ones’ safety.
The Government, when they come into office, have a contract with the people to protect them. It is a duty. Article 2 of the convention in the Human Rights Act is about safeguarding the right to life, and the Government should take appropriate measures to safeguard life by making laws and taking steps to protect you if your life is at risk. It is not just a matter of high-profile cases that we might know about that occur around the world or in third-world countries. The Government and Ministers have responsibility for the population of this country, regardless of how they voted, to make sure that our laws do not put that fear into people’s hearts when they shut the door behind them in the morning, that those services we have been able to depend on, particularly in the areas of health, fire and social services, will be there if they are needed in an emergency. That does not take away people’s rights to strike, but it provides what we might refer to as a safety net when it is needed. That is why I support my noble friend.
Of course, I hear what the noble and learned Lord, Lord Judge, says—I never fail to listen, as I am sure we all do, to what he says—and I am very pleased that the affirmative resolution has been written into the Bill for the secondary legislation. As a former member of the Delegated Powers Committee, other members of which are in the Chamber today, I would have found it outrageous had it not been an affirmative resolution. The Minister has quite a hard task. I hope he never has to use the nitty-gritty of the Bill, but there are those of us who are fearful when we close the door behind us, because of the activities of the essential services at the moment—I speak no detriment to them for doing it—and I hope that he will get that balance right.