Lobbying (Transparency) Bill [HL]

Debate between Baroness Chisholm of Owlpen and Lord Lansley

Committee: 1st sitting (Hansard): House of Lords
Friday 18th November 2016 Lords Chamber

[Baroness Chisholm of Owlpen (Con)]

My Lords, as has been noted, this amendment would reflect the normal practice that Ministers rather than Secretaries of State are referred to in legislation. While this change might be welcome for the sake of consistency, it does not change our overall position. We believe that the existing legislation as it stands is effective and we do not think that it needs to be supplemented.

[Lord Lansley]

I am grateful for those responses.

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[Baroness Chisholm of Owlpen]

My Lords, the Government believe that the self-regulatory codes administered by the lobbying industry work well, and the 2014 Act on transparency of lobbying aims to complement rather than replace the existing non-statutory codes. It is not necessary to regulate through a statutory code of conduct as the existing systems are working well. In that regard, the amendments in this group that remove the requirement for a statutory code of conduct would be welcome. However, they do not change our overall position: we cannot support the Bill as we believe that existing legislation achieves what it set out to do and that further regulation is not necessary.

[Lord Lansley]

I am grateful to the noble Lord sponsoring the Bill for what he described as a “concession”. From my point of view it is a very welcome one. There are a number of codes. People may argue about their relative effectiveness. I know from observing the behaviour of some of the organisations—for example, the APPC—that the members on that register take this very seriously. They see it as their role to enforce it, to make judgments and to improve the code as they go along. It is demonstrating itself to be flexible. There are good instances of self-regulatory activity in this country and wherever we can support self-regulatory action we should.

I am grateful to the noble Lord. I take it that he is accepting Amendment 2 and that Clause 7 should not stand part of the Bill—as well as Amendment 14, which follows from that. I would be very grateful if the House would agree the amendment.

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[Baroness Chisholm of Owlpen]

My Lords, the amendment would reproduce wording that is identical to Schedule 1 of the Transparency of Lobbying Act 2014. The schedule sets out the role and functions of the registrar. We believe that the 2014 Act effectively fulfils the purpose for which it was passed and that it does not need to be changed or amended.

[Lord Lansley]

My noble friend will not be surprised that I agree with her, but since the Bill would repeal that schedule to the present Act, it is necessary, were the Bill to make progress, for the schedule to be reinserted. I am very grateful for the support on that issue. I beg to move.

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[Baroness Chisholm of Owlpen]

My Lords, in some cases, such as Amendment 5, what is proposed seems to be a logical amendment to the original Bill. However, in others, such as Amendments 6 and 7, the wording is identical to that used in the 2014 Act. As those proposals already exist in statute, they would unnecessarily duplicate existing legislation. Overall, the Government believe that the definitions in existing legislation are effective and fulfil the regulatory aims the Government believe are necessary. As such, the definitions of “lobbying” and “lobbyists” do not need to be changed, as proposed in the original Bill or this group of amendments.

[Lord Lansley]

I am grateful for those responses. As my noble friend on the Front Bench will understand, my purpose here is to try to see how these elements of the existing legislation should be incorporated into a Bill that would otherwise repeal the whole Part 1 of the original Act. They would be lost and I think they would need to be reincorporated before the Bill could properly make progress.

I am very grateful for the support of the noble Lord, Lord Brooke, on Amendment 4. On Amendment 5, I do not necessarily agree with the points he made but I do not think we should detain the Committee now. We can come back to it if we have the opportunity on Report. I am certainly willing to reconsider. For the moment, I do not plan to move Amendment 5.

I am grateful for what I think was the noble Lord’s acceptance of the other amendments, with the exception of Amendment 9, on the trade unions. I am not sure whether he was willing to let go—

Community Pharmacy in 2016-17 and Beyond

Debate between Baroness Chisholm of Owlpen and Lord Lansley

Thursday 20th October 2016 Lords Chamber

[Baroness Chisholm of Owlpen]

The point about the pharmacy integration fund is that we want to think up more joined-up ways in which we bring everything together. That is why we very much focus on the deployment of clinical pharmacies and pharmacy services in the community and primary care settings. It will include groups of general practices, but it also includes care homes and urgent care settings, such as NHS 111.

[Lord Lansley (Con)]

I am grateful to my noble friend for repeating the Statement. She has rightly highlighted that over recent years the number of community pharmacies has increased—indeed, by more than 1,000 pharmacies in the last five years. That is welcome, because it is a means by which there is a reach into the community that is unparalleled elsewhere in the health and care services. But it is about how we go about diversifying pharmacy income. For a long time, it has been clear that it should not be wholly reliant on dispensing fees and the global sum, as it has been in the past. We need additional services, enhanced and locally commissioned services, to grow. My noble friend’s Statement said exactly that, but the question is how we do it. By and large, it will not be done out of the public health budget of local authorities, although some will be. It is potentially mainly out of things such as the better care fund, enabling us not just to have pharmacies embedded in GP and other health services but using the community pharmacies’ reach in the community to deliver support to people with chronic conditions. Will my noble friend say that there will be an effort to promote this? At the moment, we have no good data from the past two years on local commissioning of those enhanced services. Can we get those data sorted out so that we can see whether pharmacies are being used as they should be and diversifying their income?

[Baroness Chisholm of Owlpen]

I agree with everything that my noble friend has said—data are extremely important. Of course, with those new reforms we will have the opportunity to make changes and be absolutely sure that the integrated services are working as we want them to work.

Community Pharmacy

Debate between Baroness Chisholm of Owlpen and Lord Lansley

Monday 17th October 2016 Lords Chamber

[Baroness Chisholm of Owlpen]

There is no reason why this should stop that happening. As I mentioned, the pharmacy access scheme absolutely ensures that no area will be left without access to community pharmacy, and that targets the rural areas in particular.

[Lord Lansley (Con)]

My Lords, I know that my noble friend will agree that community pharmacy has a tremendous reach in that 1.6 million people every day visit a community pharmacy. It can play a vital part in enhancing care in the community, particularly, as my noble friend said, looking after those who are older and/or with chronic conditions. It tries to ensure that people are diagnosed and looked after, and that their needs are met in the community, not defaulting to costly hospital admissions. In that respect, my noble friend said that value-added services are key to this. They are, and for years we have wanted pharmacies to be able to diversify out of reliance wholly on dispensing fees and the allowable profit margin, to raise resources themselves by services provided to the NHS locally. Can my noble friend say to that extent how far clinical commissioning groups themselves use the opportunity of local pharmacies to offset what would otherwise be the pressures of demand upon NHS services?

[Baroness Chisholm of Owlpen]

I thank my noble friend for that question. On the last part, I may have to get back to him, because I do not know the answer to that. It is important to remember that the proposals that the Government have been consulting on are part of a wider package of reforms to ensure that the NHS funds are allocated in the most efficient way possible, while promoting a high-quality community pharmacy service which is fully integrated with primary and urgent care and which makes better use of pharmacies’ valuable skills.