Health and Care Bill

Baroness Greengross Excerpts

Lords Hansard _ Part 1 & Report stage
Wednesday 16th March 2022 Lords Chamber

[Baroness Hayman (CB)]

My Lords, I am glad to have the opportunity to follow the noble Baroness, Lady Fox, because it is important to recognise that she is quite right. We should be able to debate all the amendments that Members wish to debate, in both Houses, on a Bill of this sort—a Bill which, as the noble Baroness, Lady Campbell of Surbiton, said, addresses one of the most fundamental social issues facing society.

However, I disagree that this amendment is nothing to do with health. The last days, weeks and months of your life, the healthcare that you receive, and the options open to you are part of the healthcare provided throughout the NHS and elsewhere. So I believe that it is appropriate to discuss this here.

It is a novel procedure. It is not a procedure that mandates the Government to support the draft Bill that would be brought in. The amendment is precisely designed not to do that but to ensure that a proper and full debate is held. I normally follow the noble Lord, Lord Cormack, closely and often agree with him, but I do not accept that we are imposing something on the other House by passing an amendment to a Bill which is going to have lots of amendments made to it and will go to the other place, where those amendments will be debated and accepted or not accepted.

Most of all, I support this amendment because it is now nearly 20 years since I served on the Select Committee on the Joffe Bill. There have been numerous attempts since then to resolve this most important issue. They have all run into the sand one way or another. Our legislature has not found itself able to produce a result that satisfies everyone that there has been full debate and resolution found to how we should go ahead as a society. In that time, 20 other jurisdictions have managed that task, because they have found a way of providing adequate time so to do. For those reasons, I support this amendment.

[Baroness Greengross (CB)]

My Lords, I want to add my support particularly for what my noble friend Lady Hayman has just said. This has gone on for a long time. I have been involved in it throughout my time as a Member of this House and I do not intend to repeat what I have said before. I want just to say that the amendment in the name of the noble Lord, Lord Forsyth, offers a useful way forward so that assisted dying is given time in both Houses to be debated properly. It must be given serious consideration. Whether one is for or against changing the law on assisted dying, we all surely agree that this is a very serious issue worthy of serious scrutiny and debate. It is unacceptable that, once again, my noble friend Lady Meacher’s Private Member’s Bill risks being lost, due not to lack of support but to not enough time being allowed to take the Bill through all its stages.

Assisted dying is very much related to health and care, and it is appropriate that this amendment should be included as part of this Bill.

[Lord Baker of Dorking (Con)]

My Lords, this is the second occasion on which I have spoken on assisted dying in your Lordships’ House. Five years or so ago, I supported the Bill in the name of the noble and learned Lord, Lord Falconer, and voted for it. I did not speak on the Bill in the name of the noble Baroness, Lady Meacher, but I was ready to vote for it. However, as we know, the vote was not called because the opponents of the Bill feared that, if there was a vote, there would be an even larger majority in favour of the Bill on that occasion than there was earlier, because the arguments against assisted dying are shrinking year by year.

This House has now accepted on two occasions a Second Reading for a Bill to ensure that assisted dying is placed on our statute book. That is the political and democratic decision of this House, yet it has now been thwarted twice, and the thwarting is most extraordinary.

We managed to survive constitutionally in the 17th, 18th and 19th centuries without trying to kill legislation by tabling so many amendments. It was a device invented by Conservative Back-Benchers in the 1970s to prevent a Bill passing through the House of Commons that prevented the hunting of foxes by dogs. A small number of devoted hunters devised this trick. The Member of Parliament was Marcus Kimball; older Members might remember it. It was a political trick which has been used in this House on three occasions: on the Bill of the noble Lord, Lord Grocott, on hereditary Peers; on the Bill of the noble and learned Lord, Lord Falconer; and on the Bill of the noble Baroness, Lady Meacher.

I remind your Lordships that the only way in which we as Back-Benchers in the House of Lords can effect personal influence on social change is through Private Members’ Bills. There is no other way in which we can effect a policy—we are all controlled by the agenda of the Government—yet we are being denied this. The democratic choice of this House in passing the Second Reading on two occasions is very clear, and it is being thwarted. That is very unfair.

I told my Whip three weeks ago that I was going to come in and support my noble friend Lord Forsyth’s Bill and vote. He said, “It doesn’t matter; it’s a matter of conscience”. He confirmed that in an email to me last week and in a conversation I had with him on Monday. I do not believe my Whip was lying—it was the Government’s view—but suddenly the Whip was changed last night, right at the last minute. Somebody must have spoken to people in the House of Lords, because the view has been very clear since my noble friend Lord Forsyth tabled his amendment. It was clear that the Government—a Conservative Government—were going to be asked to prepare a Bill on assisted dying and, in a reasonable amount of time, find time for it to be debated.

The great social reforms we have had in the last 50 or 60 years all started with the Government of the day being prepared to find time for them. The Wolfenden report in 1957 recommended the decriminalisation of homosexual activity. That was opposed by many Conservative Back-Benchers, yet the Conservative Government of the day made time for it to be debated. When David Steel produced his Abortion Bill, the Government of the day—I think it was the first Wilson Government—made time for it to be debated. Thirdly, when Roy Jenkins as Home Secretary introduced a Bill to abolish hanging, the Government of the day found time for it to be debated.

That is the principle, so I expected that we were going to have a free vote tonight. I am simply amazed that the Government have now suddenly changed the Whip. Someone has spoken to them. I do not expect the Minister to accept that, but somebody from the other House has certainly spoken to the Government and said, “We don’t want to be in a position to have to draft a Bill on assisted dying and find some time in the not-too-distant future for it to be debated”.

We are not suggesting that the Meacher Bill should come back and be debated in May or June this year, in this parliamentary Session, but there are other parliamentary Sessions in which it could be introduced: 2022-23, 2023-24 or 2024-25. If it has not been decided by the next election, I very much hope that all of the four major parties in our country—the Conservatives, Labour, the Liberals and the Greens—have a clear undertaking in their manifestos that, if they were elected, time would be found for the two Houses of Parliament to make up their minds whether they wanted assisted dying on our statute book. I am quite happy to leave that decision to the British people because, unlike the noble Baroness here, I happen to believe that the argument has moved decisively as far as the people of this country are concerned. There are now far too many people who have seen relatives or friends die long, lingering and miserable deaths.

The original argument against assisted dying was sanctity of life. I found it extraordinary that in the debate of the noble Baroness, Lady Meacher, not one of the Bishops or Archbishops addressed the sanctity of life. Other arguments are now put forward: the vulnerability of people who are dying, with relatives gathering around and wanting to polish them off—things of this sort, all of which can be addressed by amendments to the Bill.

I am very surprised that a Conservative Government should decide to vote against my noble friend Lord Forsyth. He and I go back a very long way. Thirty years ago he was the chairman of the Conservative Party in Scotland—that was when we had a Conservative Party in Scotland—and I was the chairman of the Conservative Party in England. I got to know him very well, and I can think of no one who more embodies conservatism in his whole mind and being than my noble friend. Whether it was a question of lower government expenditure, lower taxes, greater freedom of choice on housing or greater freedom of choice for parents, he was there. Conservatism runs in his blood—he has the bluest of blood—and I think it an insult to him and a disgrace that the Whips on my side of the House have said we should vote against him.

I hope that this amendment will be passed and that this House will recover the sense that, without it being passed, your Lordships’ democratic choice, which has been exercised on two Bills, is being totally disregarded by a political trick. That is simply not right.

Procedure and Privileges

Baroness Greengross Excerpts

Tuesday 13th July 2021 Lords Chamber

[Baroness Greengross (CB) [V]]

My Lords, when I entered the House of Lords 21 years ago, I never imagined that one day I would be moving and debating amendments to government legislation remotely from my dining room table. Much of the technology that we have come to use every day did not exist at that time. Had this pandemic happened even a few years earlier than it did, I am not sure how Parliament would have coped. As Covid-19 restrictions ease and the world starts to open, it makes sense that increasingly Members return to the Chamber.

I note the moves by the noble Lord, Lord Cormack, and others to restore the normal working practices of the House to what they were prior to the pandemic. While I understand this desire to uphold the traditions of the place, it would in my view be a mistake not to embrace the various changes and improvements that have happened during this time—in particular, the use of technology, which we now have an opportunity to incorporate into normal practice going forward.

I welcome moves to allow those with a long-term disability to continue to work remotely. My personal experience of participating remotely at the start was very mixed, as, like many of us, I struggled with using this technology at first. However, as things turned out, it was very fortunate for me that Parliament was working remotely. In October last year, I was diagnosed with advanced cancer and over the next six months I went through a course of intensive chemotherapy. During this time, the Domestic Abuse Bill came to the Lords and, due to remote participation, I was able to table and speak on amendments aiming to prevent the abuse of older people, which I have continued to do. Had it not been for remote proceedings, my involvement in this and other legislation during this time would have been significantly less or nil. Also, were it not for remote Divisions, I would have struggled to vote on this and other important legislation. For Members who have health or disability issues, the hybrid proceedings model is very good and removes barriers to participating.

I also welcome and fully support the amendment from the noble Lord, Lord Adonis, proposing that the House meets at 1 pm on Mondays, Tuesdays, and Wednesdays, rather than at 2.30 pm to 3 pm, as the Government propose. As the noble Lord outlined, starting later means less time for questions and debates, and means Divisions happening later in the evening, when potentially fewer Peers will vote.

I will not, however, support the amendments in the names of the noble Lords, Lord Cormack and Lord Balfe. For those concerned with the traditions of this place, I would argue that, in implementing hybrid proceedings and remote Divisions over the last year, the Lords have in fact upheld one of the greatest traditions of the world’s oldest Parliament. During this crisis, the House showed resilience and agility by finding a way to uphold its important constitutional role in challenging times, as it has done so often in our nation’s past. The House of Lords, often perceived as stuffy and old fashioned, has in fact shown the world how a modern Parliament can embrace technology and change—something it has done much better, in my view, than the other place.

Official Development Assistance

Baroness Greengross Excerpts

Thursday 24th June 2021 Grand Committee

[Baroness Greengross (CB) [V]]

My Lords, I welcome this debate and thank the noble Lord, Lord Campbell, and other speakers for their important contributions today. I shall keep my comments brief: most points have already been covered.

During the gracious Speech, the Government committed to provide aid where it has the greatest impact on reducing poverty and alleviating human suffering, but rather than providing aid where it has the greatest impact there, the Government have cut global health spending by up to 40%, affecting people of all ages. This is occurring at a time when the pandemic is having the greatest impact on low and middle-income countries. Specific health initiatives have been devastated by these cuts and are sure to set development back enormously. These include a 95% to polio eradication, a 90% cut to addressing neglected tropical diseases, an 80% funding cut to UNAIDS and a reduction of 80% to addressing WASH programmes providing water, sanitation and hygiene to people in poorer nations. How is this increasing the UK’s ability to strengthen relations globally and to meet its commitments to help younger and older people in poorer countries?

Development aid is not purely an act of charity. By limiting the spread of deadly diseases such as AIDS and Covid in poorer nations, we help keep our own country safe. In the recent resurgence of nationalism in this country and elsewhere, we have, sadly, seen a less internationalist or global approach by this Government. I conclude by remarking that we live in a global society where it is in everyone’s interest to eradicate poverty and prevent the spread of deadly diseases. If we reduce our international development contribution as a nation, we do so at our own peril.

Civil Procedure (Amendment No. 4) (Coronavirus) Rules 2020

Baroness Greengross Excerpts

Wednesday 23rd September 2020 Lords Chamber

[Baroness Greengross (CB) [V]]

My Lords, earlier this year, research by Age UK found that there were 750,000 private renters over the age of 60 in the UK. Older renters are often forgotten, and many live in constant fear of being evicted. This happened even before the pandemic. Some 28% of those who have been shielding during the pandemic usually work; half of these people are over the age of 50. That is why I, along with a cross-party group of 46 other Members of this House, recently wrote to the Chancellor asking him to give those who need it most job security and a decent income while the risks of Covid remain high. As the coronavirus job retention scheme or furloughs come to an end, there is a risk that many of these people will end up in rent arrears and face eviction.

One in five people aged between 50 and 64 are carers, as research from the Centre for Ageing Better in August last year showed. Many of these carers are forced to reduce their working hours and their income to care for loved ones, as we know. ONS figures from April this year found that 17% of employed carers had to reduce their working hours during the pandemic, while Alzheimer’s Society figures from 2019 showed that 112,000 people have left employment to care for family members who have dementia. Dementia Carers Count found that 36% of family carers provide care in excess of 100 hours a week.

The broken social care system means that carers’ incomes have been reduced during the pandemic; they are at greater risk of falling into rent arrears and now could also face eviction. A 2018 survey conducted by Mind found that one in four people said that having an unstable tenancy had impacted negatively on their mental health. A 2017 study by the Association of Mental Health Providers found that people with mental health problems were more likely to be evicted for either financial reasons or disproportionate anti- social behaviour. The same study found that people who are evicted tend to have worse physical and mental health than the average person. Moreover, the process of eviction itself can have profound psychological consequences and is associated with increased suicide risk. Do the Government have any plans to help these varied—

[Viscount Younger of Leckie (Con)]

I am sorry to interrupt the noble Baroness. Could she conclude her remarks?

[Baroness Greengross [V]]

Yes, I have concluded.

[The Deputy Speaker (Lord Brougham and Vaux) (Con)]

I remind noble Lords that the time limit is two minutes.

Apprenticeships: Rural Economy

Baroness Greengross Excerpts

Thursday 14th July 2016 Lords Chamber

[Baroness Evans of Bowes Park]

Our definition of a quality apprenticeship is underpinned by four principles: it must be a job in a skilled occupation; it should have substantial and sustained training lasting a minimum of 12 months and including off-the-job training; it must lead to competency in an occupation; and it must develop transferable skills.

[Baroness Greengross (CB)]

My Lords, is the noble Baroness aware that in many rural areas, the reason it is quite difficult to provide opportunities for apprentices is that it is too difficult for them to reach the place where they are going to work? Have the Government considered giving special help for travel in rural communities so that more apprentices can be successfully employed?

[Baroness Evans of Bowes Park]

The noble Baroness makes a very good point about difficulties with travel. We are seeing examples in local areas of action on this. For instance, in rural Norfolk and Suffolk, the local job centres have used funding from the flexible support fund to help young people with the costs of leasing a moped, with the required safety equipment, clothing and training. So there are initiatives that other parts of the country can learn from in order to make sure that young people can access the apprenticeships that they want.

Care: Costs Cap

Baroness Greengross Excerpts

Monday 14th September 2015 Lords Chamber

[Baroness Chisholm of Owlpen]

This is indeed a concern, but I must emphasise that this delay is not a decision that has been taken lightly. A letter from the Local Government Association dated 1 July was clear that we need to think carefully about all the options, including postponing new initiatives. Therefore, we will make further announcements and they will follow in due course. Furthermore, we will continue with other efforts to support social care, in particular through the better care fund, which will drive the integration of social care and the NHS.

[Baroness Greengross (CB)]

My Lords, when the care cap was postponed, the duty on local authorities to assess and meet the eligible care needs of self-funders was also postponed. There are about 460,000 of them. Last April, the department sent a letter to local authorities advising them on how to prepare for assessing self-funders. They have been given £146 million to carry out early assessments starting this October, which will cover about 50% of those self-funders. As the postponement is now planned, will the Minister tell us whether this money has been handed over and what will happen to self-funders who will now remain outside local care eligibility assessment and the advice system for another five years?

[Baroness Chisholm of Owlpen]

Indeed, £146 million was allocated to support local authorities to prepare for implementation of the cap in April next year. It is likely that money spent to date on preparing for the reforms will have wider benefits in terms of improving local authorities’ systems and their understanding of their self-funding population. This is important because local authorities have a number of population-wide duties under the Care Act 2014, for example, the duty to provide information and advice services to facilitate a vibrant and diverse—