(9 months, 4 weeks ago)
Lords ChamberTo ask His Majesty’s Government what assessment they have made of the increasing levels of homelessness among former armed forces personnel; and what steps they are taking to tackle homelessness among veterans.
The Government doubt that the statistics available prove that there is an increasing level of homelessness among veterans. However, any homelessness among veterans needs to be tackled, which is why we have established a number of policies to achieve this important objective. We are committed to ensuring that no veteran is rough sleeping due to a lack of provision.
My Lords, we surely all agree, across your Lordships’ House, that the very least we owe those who have served this country in our Armed Forces is that at the end of their service they should have either affordable supported housing with wraparound support or a General Needs home. Sadly, because of the national housing crisis, that is no longer the case. Last year, in spite of the pledges made under Operation Fortitude, there was an increase in homelessness among Armed Forces veterans of 14%, with 2,110 households affected, up from 1,850 the previous year. What steps are the Government taking to join up the work done by the Ministry of Defence, DLUHC and local government to ensure that no one who has served our country ends up sleeping on the streets?
I should say first that the level of veteran homelessness remains very low: less than 1% of households are owed a homeless duty. I agree with everything the noble Baroness has said about the importance of looking after our veterans. The increase can mainly be attributed to improved recording at local authority level. Local authorities now report on all support needs and relevant life experiences, rather than current support needs only. She rightly asks what we are doing. We have a large package of measures. There is Operation Fortitude, a hotline to support veterans into housing—the first of its kind—which has housed over 477 veterans. We have a dedicated £8 million fund, establishing 900 units of veteran supported housing. There is a whole range of help, including online help by the Veterans UK helpline, which helps to join up what we are doing. These different packages were championed by Minister Mercer, but co-ordinated very much with DLUHC and the MoD.
My Lords, everyone regrets anyone being homeless, especially veterans. As a veteran myself, I can say that. When I was the Minister responsible for veterans in the Ministry of Defence, which was immediately after the Labour Government left office, there was a lot of talk about veteran homelessness then. I went to see Veterans Aid, an excellent organisation that operates out of London. The man in charge of it, an ex-RAF wing commander, said, “Not everyone who says they’re a veteran actually is one, but they get better treatment if they are”. Does my noble friend agree that, as she has so rightly said, not everyone who says they are a veteran is one, but they get better benefits if they are?
The way I look at it, we need to help veterans. We have the veterans covenant, to say that those who serve or have served in the Armed Forces, and their families, are treated fairly. It was right that we changed the law in 2012 so that veterans with urgent housing needs are always given high priority for social housing. Of course, local authorities have to make sure that people who say they are veterans are veterans, but we must move forward and not be deterred by the odd difficultly. It is great that so few veterans are homeless; we should celebrate that.
My Lords, as the Minister pointed out, it is right we ensure that veterans are not homeless. One thing that it is important to remember is that the vast majority of veterans transition into civilian life without difficulty. However, for those who come from certain backgrounds, there must be opportunities, all the way through their serving life to talk about transitioning to civilian life and to think about future accommodation. A recent report funded by the Forces in Mind Trust put forward proposals for a road map to end veteran homelessness. Has the Minister had a chance to look at the report? Are the Government thinking about ensuring the opportunity for service personnel, while they are serving, to think about housing post-service?
I have not seen the report but I would be very interested to look at it, and I thank the noble Baroness. In my former life as a private-sector employer in the retail industry, we had many veterans working for us. As their term of duty comes to an end, service personnel must look forward and think about opportunities. The discipline that they learn in the Army, and so many skills, can bring great things to the workforce.
My Lords, homelessness among veterans is not an isolated issue; very often it is connected with other problems, such as mental health challenges. These are challenges that often present years after veterans have left service. What action are the Government taking to ensure that these various aspects of the problem are being dealt with in a holistic way and not just in stovepipes?
I certainly agree. We try to be as holistic as possible in the help we provide. On mental health in particular, we invest £17 million a year in an amazing scheme called Op Courage. We have had 30,000 referrals, which shows the scale of the issue, and we are working now with NHS England on a public awareness campaign to promote Op Courage and what we can do in places such as GP surgeries and trusts in the way that the noble and gallant Lord has suggested.
My Lords, I declare my interest as the chair of GambleAware. Veterans are 10 times more likely than non-veterans to experience gambling harms, and to gamble as a way of coping with distress. The financial consequences of gambling harms are more than likely to contribute to homelessness among veterans. Third sector organisations such as Beacon Counselling, which was commissioned by GambleAware as part of the National Gambling Support Network, do brilliant work to reduce the impact of the heightened risk to the Armed Forces community. Can the Minister tell the House how the Government intend to address the need to protect veterans from experiencing gambling harms and, to that end, how they intend to work in partnership with charities doing vital work in this area?
Veterans can access a range of support, including via the 24/7 Veterans’ Gateway, which deals with gambling, as well as housing and so on. There is also, of course, a national gambling helpline giving advice. There is dedicated support through Op Courage for mental health, which is often linked to gambling. The other things that I have mentioned can all help with this difficult issue, which obviously goes much wider than veterans.
My Lords, the data that supports the conclusion that homelessness among veterans is increasing is uniquely English data. The Scottish data, which was most recently published in August 2023 and relates to the period between 2008 and 2022, shows that the number of veterans assessed as homeless or, importantly, at risk of homelessness has halved from 1,335 to 640. Would it not, on this occasion, be an idea to find out what Scottish councils, NGOs and the Scottish Government are doing to have achieved this?
I am always glad to hear of good practice, wherever it is, but, as I tried to explain at the beginning, we have changed the way that we are counting veteran homelessness in local authorities. That does not mean that we should not do more or not learn from the devolveds when they do things better. A result that halves numbers is very good. However, as I said, there are almost no veterans rough sleeping now, due to the variety of provision that this Government have provided and the underpinning of the priority that homeless veterans get for social housing, which I think everybody supports.
My Lords, I sometimes worry that Questions such as this convey a wider impression that military service somehow leads to long-term social disadvantage. That is just not the case. A glance at the figures on the national census from England and Wales shows that, if you have not done military service, you have a 20% chance of reaching the age of 65 and only a 5.1% chance of passing the age of 80. By comparison, a military veteran has a 53% chance of reaching 65 and a 31.8% chance of passing 80—a remarkable statistic, even by the standards of this House. Does the Minister therefore not agree that, at a time of grave recruiting challenges, such irresistible evidence of the life benefits of military service should be celebrated and more widely reported?
I can agree that military service leads to many advantages, not only full-time military service but working in the reserves. We should encourage young people to look at this option.
(10 months ago)
Lords ChamberMy Lords, I will repeat the Answer to an Urgent Question in the form of a Statement:
“First, I would like to say how sorry the Government were to hear that four people sadly lost their lives due to Storm Isha, two in this country and two in Ireland. I extend my sympathy to their families and friends. At the same time, I praise our emergency and utility workers, who have worked so hard in some very difficult conditions to help the public.
Forecasters at the Met Office raised a rare whole-country weather warning for the wind over the weekend, in preparation for Storm Isha. The warning encompassed even rarer amber and red warnings for wind in the areas forecast to experience the worst of the storm. Indeed, wind gusts reached a peak of 99 mph in Northumberland and 124 mph across the Cairngorms. Although the storm had the potential to be extremely destructive, the vast majority of the transport and power infrastructure stood up well and recovered quickly, which is a credit to the resilience of our critical infra- structure and the response capabilities of our operational partners on the ground.
Storm Isha was closely followed by Storm Jocelyn, which reached a peak of 97 mph. I am informed that it was the 10th named storm to impact our country this season. Again, the impacts from Jocelyn in England were less than feared. There were operational partners working around the clock to clear any disruption on our transport and power networks.
The forecasting capabilities of our experts in the Met Office, and the accuracy and speed at which they can warn and inform the public of incoming severe weather events, no doubt saves lives and protects our homes and businesses. My officials and those across government were working hard last week, and over the weekend, to co-ordinate the extensive preparation and mitigation measures being taken across the Government. The fact that no escalation to a COBRA-level response was required for either storm is testament to our effective response structures at local and national levels. I am very grateful for the response from colleagues in the devolved Administrations and to local resilience forums around the country. Our local authority and agency partners kept public services running and reacted to any local issues that emerged.
We are adapting to weather events not previously experienced in our country, and events such as these coming with increasing frequency and severity. The UK is driving forward cross-government action to respond to climate risks and their impacts on our economy and way of life. Our third national adaptation programme, published in July last year, sets out an ambitious five-year programme of work, driven by three themes: action, information and co-ordination.
We are ensuring a more integrated approach to climate adaptation over the next five years, through stronger government engagement and co-ordinated policy-making. As part of this, we have already established the right government structures not only to monitor progress but to tackle strategic cross-cutting challenges which will drive the UK’s resilience to climate change. This is all in line with the Government’s broader strategy, as set out in the resilience framework, which committed us to strengthening the links between our understanding of the risks that the UK faces and the action we take to prevent those risks materialising. We must continue to drive forward the initiatives that help us curb the impacts of climate change and, at the same time, build systems that help us to withstand extreme events as they arise”.
My Lords, I echo the words of the Minister in saying how sorry we all were to hear of the loss of four lives as a result of Storms Isha and Jocelyn in the UK and Ireland. Our thoughts are with their families and friends. Our thanks go to the emergency and utility service workers who worked tirelessly to protect homes and lives, often in the most challenging of circumstances. The Environment Agency estimates that the number of homes at risk from flooding could double by 2050 due to the impact of climate change. The UK needs to be better prepared. Will the Minister accept that a COBRA-style flood resilience task force, as proposed on these Benches, is needed to tackle the problem?
My Lords, I very much echo what the noble Baroness said about the emergency services and all who are involved in this. Indeed, without the changes we have made and the effort they put in, these recent storms would have caused much more damage and perhaps more loss of life, so that is very good news.
The COBRA system, which the noble Baroness mentions, is of course already baked into standing cross-government flooding response mechanisms, as the last tier of escalation for the most severe flood events. These mechanisms are stood up to support the operational response at local level, which is obviously necessitated by the increasingly sophisticated weather warnings that we see coming through from the Met Office. We managed well across the country on this occasion and the COBRA unit in the Cabinet Office—the ministerial unit—was not needed. That does not mean to say that officials did not get together. They worked well across the country with local people and the devolved Administrations. In some sense, it is a success that it was unnecessary to have the full COBRA ministerial meeting on this occasion. I have referenced the future resilience work that we are doing. We have brought these much better co-ordination systems into the Cabinet Office and work very closely with Defra, which is responsible for building up long-term flood protection. We have also invested a lot of capital in recent years. There is £5.2 billion available for flood defence projects, which I think is a doubling on the previous period.
My Lords, I thank the Minister for her Statement. I join her and the Labour Benches in offering our condolences for all those who lost their lives, and in thanking the emergency services for everything that they do. UK winters are getting warmer and wetter; there is a lot of variation year to year, but winter rainfall has increased by 27% overall since records began in 1837. The impacts of climate change are here now. The NAO report Resilience to Flooding found that the Government do not have clearly defined targets or an effective strategy in place for making the UK resilient to extreme weather. They do not even track or evaluate spending on resilience to extreme weather. When do the Government plan to publish an extreme weather strategy, to include defined targets, risk assessments, and measures of outcomes?
I thank the noble Earl. I am glad he mentioned the NAO report, because it did welcome the work that had been done—I know this has been welcomed across the House—on setting up the Resilience Directorate and, indeed, publishing the resilience framework in 2022. Setting appropriate targets and ambitions for the level of flood resilience—in particular, for critical infrastructure because that is a key part—is part of the Government’s broader thinking on resilience standards.
There are more than 100 risk priorities in our risk register; we are working on all of these and have committed to create by 2030 common but flexible resilience standards right across critical national infrastructure, as well as across the private sector more broadly. One of the lessons of the storms we are seeing is that it is important to work with the private sector as well. One reason that people have been less affected has been the improvements that have been made in power, transport, trains and the rest—partly having early warning, partly working together, and partly having this sense of mission that we must try to respond to the warmer, wetter winters and the arrival of a certain element of Mediterranean weather in our beautiful island, as the noble Earl said.
My Lords, I am glad that the Minister mentioned the private sector, because I would like to take it to an even more granular level—the individual household sector. Has she had conversations with the insurance industry, to make it absolutely clear to home policy owners what damage is covered and how to deal with neighbourhood disputes resulting from falling trees, falling fences and similar damage, where it may not be immediately obvious whose responsibility it is?
The noble Baroness makes a very good point about insurance. We do have discussions with the insurance industry on resilience. Of course, in recent years we have developed Flood Re, which is a very important reinsurance scheme that makes flood cover more widely available to households that are particularly vulnerable to flooding so that people can get insurance. Another part of the picture is the compensation schemes that are part of the flood recovery framework. In England, for appropriate events, there was £500 per affected household and £2,500 for affected businesses provided through the local authority, and some temporary council tax and business rate relief. The arrangements in the devolved nations are a bit different and, in some cases, more generous.
I think we must look at it in the round. How can the Government help? How can they prevent this? Can they communicate much better to make sure that people are not harmed and are kept safe? Where, sadly, there is damage to property, can we make sure that the insurance system helps to minimise government expenditure, which is occasionally necessary?
My Lords, the Minister said in her opening remarks that the problems in the last few days were such that we had not seen before, but is that the case? This is the ninth season that the so-called European windstorms have been sufficiently serious for them to have names attached. On each occasion, we see apparently more serious effects in the UK than in other countries—electricity supply off for days on end, trains and other forms of transport severely disrupted. It is fair to ask why that should be. Do the Minister and her Government not believe that more resources need to be given to local authorities, and indeed to rail companies and other forms of transport, to enable them to prepare more effectively? These windstorms will not go away; they will increase in severity.
My own view on resilience is that it has to be a whole-of-society effort; I was trying to explain that point in relation to the previous question. Therefore, local authorities play an important part. Clearly, this is part of local authority funding in the broadest sense, and there has been some further assistance for local authorities, although I know that difficulties remain. We have tried very hard to focus attention on the local resilience forums; DLUHC agreed an extra £22 million three-year funding settlement for them in England. That followed a pilot, and the good news—I think it has probably been announced before—is that there will be stronger local resilience forum pilots in eight areas, going live in June. They will be in London, West Mercia, Suffolk, Gloucester, Cumbria, Greater Manchester, Thames Valley and Northumbria—so this is investment in the local effort in different sorts of areas. I am a great believer in piloting because you can then share that elsewhere and make things better.
On funding, obviously we need to spend enough on flood protection and resilience, but we also need to try to do it in a better way and with the help of all parts of society. I mentioned earlier the efforts that have been made—by power companies, for example—to improve things and get electricity out much more quickly. We have had a lot of storms; the weather is perhaps getting worse, but we are trying to learn from that and to perform better in these sometimes very tragic situations.
(10 months ago)
Lords ChamberTo ask His Majesty’s Government what assessment they have made of the speed and scope of the operation of the Freedom of Information scheme.
My Lords, the Government have no current plans to alter the law on freedom of information.
My Lords, there are so many problems with the system that I am now asking the Minister to commence a complete overhaul. My experience with the Department for Levelling Up is that it is not a department that levels with you. I have spent 11 months chasing a small request about the Holocaust memorial and have been met with nothing but delay and evasion. The £600 limit has stayed unchanged for years, limiting hours. There is the need for a reference by an MP. Time limits are not enforced. If you complain about delay, the department is given another 40 days to reply. There is no time limit on the allocation of investigations by the ICO; hence there is limitless hold-up in being able to refer to the tribunal. Does the Minister agree that the system is not fit for purpose and needs review?
My Lords, while I am very sympathetic to the noble Baroness’s dilemma in this issue, we have to draw a balance between the rights of individuals, the burden imposed on our public authorities and the Civil Service and, of course, the objective of improving and increasing transparency and accountability. She has had a difficult experience, first, with a complaint that turned out to be too broad and was therefore disallowed under Section 12— and the Information Commissioner upheld that—and I understand that she has now complained again and that the ICO has started its inquiry into that complaint. These are difficult issues. I would say that the number of requests received for information under freedom of information has been going up. In Q3 of 2023, there were 18,555—that is the highest ever—in spite of the progress we have made with making more information available every quarter as part of our transparency returns.
My Lords, I am not sure that I heard in the Minister’s response to the noble Baroness, Lady Deech, an answer to her Question. Have His Majesty’s Government made no assessment of the impact, the scope and the speed of this legislation?
Of course not—I am sorry if I misled the noble Baroness—as we do keep these things under review. The latest review was in 2016, when the Information Commissioner looked at whether we should change the rule, which noble Lords may be aware of, that freedom of information requests can be turned down if they equate to more than 24 hours’ work. However, civil servants are advised to narrow down requests so that they do not fall foul of that rule, and I know that they do that in the Cabinet Office. That rule was looked at by the independent Information Commissioner in 2016; there were some advantages to changing it upwards and some to changing it downwards, and the decision was taken not to make a change. However, as I was trying to explain, we take freedom of information very seriously and the number of requests that we are dealing with across the machine has increased. Obviously, individual cases can be a problem.
My Lords, I know that freedom of information is an embarrassment to government and that, when Governments get their feet well under the table, they regret it. I have just been back to the White Paper which introduced the Freedom of Information Act. It says:
“Openness is fundamental to the political health of a modern state … Unnecessary secrecy in government leads to arrogance … and defective decision-making”.
Would the Minister care to say that she strongly agrees with those principles?
I certainly agree with openness wherever we can make things open. Of course, that White Paper goes back to the Labour Government of the early 2000s, and I remember a certain Prime Minister commenting on freedom of information and the problems it had created. Of course, we need open information, but it has to be a combination of using the Act and also bringing in other measures—I mentioned the quarterly transparency returns, and there is the contracts finder and the changes we are making in the Procurement Act—and generally having an attitude of trying to be helpful and open, and not use these things as an excuse.
My Lords, in order for freedom of information to work, it is necessary for Ministers and government to keep proper minutes of meetings. We still have a United Kingdom Civil Service in this country; why are the Government not taking action when Scottish Government officials’ bedtime ritual is apparently not to have a cup of coffee or cocoa but to delete all their WhatsApp messages? Increasingly, the Scottish Government have meetings without proper minutes being kept. What has happened to the fundamental principles of the Civil Service that there should be proper records kept so that freedom of information requests can be dealt with, or if there are inquiries, the information is available to them?
I agree with my noble friend; records are important, both for the record and for the next steps agreed at meetings, which one wants to make sure are carried forward in the interests of efficiency. Obviously, the Scottish Government are a separate Government with their own rules. The Cabinet Manual, as we have discussed before in this House, is in the process of being revised, but that applies to the Civil Service across the piece. We have also introduced new guidance; it is called—a rather difficult mouthful—Using Non-corporate Communication Channels (e.g. WhatsApp, Private Email, SMS) for Government Business, for UK Government, Civil Service and Ministers. That is on GOV.UK and is absolutely designed to make sure that WhatsApps of substance in policymaking or government business are recorded for posterity.
My Lords, the Information Commissioner has found that some government departments have a consistently poor level of performance for FoI request handling. Departments find ways to avoid responding—for example by denying that information is held—and seem to have worked out that there is no meaningful penalty imposed as a consequence. Given that these departments repeatedly fail to comply with the law, do the Government intend to review the sanctions imposed for this failure?
At the moment, as I was saying, we do not have plans to change the Freedom of Information Act. However, we have worked hard to clear the backlog that was created on freedom of information as a result of the pandemic. Some departments have done better than others. We have worked very closely with the Information Commissioner on just that. As I have explained, the casework continues over time. The Cabinet Office gives advice centrally; we try to delegate these things to the appropriate responsible department, but we do encourage good practice and compliance with the complexities of the Freedom of Information Act and its different sections.
My Lords, has there been any estimate as to how much money the Freedom of Information Act costs the Government, at a time when there are scarce resources to spend on services on the front line? Is there a figure for what the total cost to government of this particular piece of legislation is?
It is a good question. I do not have a figure; I have explained that freedom of information is a duty across nearly 100,000 public authorities, because we are not only talking about central government today but schools, the NHS, local authorities and even some publicly owned organisations, so individual costs will be borne by individual departments. In the Cabinet Office, there is also a dedicated unit, because we are responsible overall for the Act, which is why I am answering Questions. But a lot of freedom of information requests are actually dealt with by civil servants as part of their day-to-day job, because they have to comment on where there are policy issues or advice to Ministers that it would be difficult to make available. Obviously, as the Minister, I try to encourage them to make things available wherever possible under the Act.
My Lords, I was pleased to hear the Minister say that she supported freedom of information. Will she continue to shout that loud and clear? I was the author of the original White Paper, and we made the point that unless our constituents and electors have knowledge, there cannot be democracy. I hope she will make that point loud and clear.
I support the noble Lord. I think this was probably his approach when he conceived the legislation, which is not entirely easy because of the burdens. You have to have a balance between letting sunlight in wherever we can by making things available—not using them as an excuse for cover-ups; we have perhaps had too many of those historically—and keeping secret private advice to Ministers so that they can take decisions in an objective fashion, consider options that are not always welcome and come to the right conclusions. I think that is very important, and I speak as someone who, strangely, has been both a civil servant and a Minister.
(11 months, 1 week ago)
Lords ChamberWith the agreement of the House, I will repeat a Statement made yesterday in the other place by the Minister for the Cabinet Office, John Glen:
“With permission, I would like to make a Statement on the Government’s response to the Infected Blood Inquiry. I made clear my intention to do so at Cabinet Office questions on 23 November, and the Minister of State at the Ministry of Justice, my right honourable friend the Member for Charnwood, reiterated this on the Floor of the House on 4 December.
First, and most importantly, the suffering of the victims must be recognised. The distress and trauma that each individual has faced as a result of this tragedy is unimaginable, and the Government understand that no measures can fully compensate for the losses and hardships that they have suffered. The priority here must be to ensure that victims get the justice they deserve.
With the interim compensation payments issued last October, the Government recognised the immediate and urgent needs of those most severely impacted. This was the start of the process, not the end. The Government have accepted the moral case for compensation, and I am fully committed to ensuring that we bring this matter to its long-awaited conclusion.
In April 2023, the Government welcomed the publication of the Infected Blood Inquiry’s second interim report, which set out a detailed framework for compensation for both those infected and those affected by infected blood, and it is a significant step towards the culmination of the inquiry’s deeply important work.
The inquiry has taken a wide-ranging and innovative approach to compensation, and I was pleased to see that the Government’s commissioning of Sir Robert Francis KC’s compensation study assisted in the inquiry’s work. It is now a year on from the Government’s acceptance of the moral case for compensation, and I understand the calls for urgency. I know that, from many of those infected and affected, there is anger and frustration with the Government’s response so far.
The inquiry’s recommendations are not without complexity, and it would be inappropriate for the Government to prejudge the findings of the final report. For these reasons, the Government are not yet in a position to share any final decisions on compensation. However, Members on both sides of the House have made it clear that we must do right by the victims, and the Government recognise this. I am personally committed to making sure that we do that.
I also give enormous credit to the right honourable Member for Kingston upon Hull North on her continuing hard work to advocate for the victims of the infected blood scandal. The Government recognise the strength of feeling across the House on this matter and the importance of what the amendment seeks to achieve.
The Government are working through the implications of the amendment. Cabinet Office officials worked hard under my predecessor, my right honourable friend the Member for Horsham, to develop this policy and we are reviewing this work in the light of the amendment made two weeks ago today.
I am also pleased to provide the House with an update on the wider progress we have made in this area, and on the steps we are taking to address the concerns of this House. First, I announce that the Department of Health and Social Care will fully implement a bespoke psychological service for people infected and affected by infected blood products, delivered by NHS England. Our intention is for this service to go live in early summer 2024. We recognise the harrowing impacts of the infected blood scandal and the psychological impact this has had on many infected and affected individuals. This announcement is an important step for victims in England. The service will provide tailored support to meet the unique needs of infected and affected individuals.
The Government are also urgently appointing clinical, legal and social care experts to advise the Cabinet Office on detailed technical considerations early in the new year, which will ensure that the Government have the relevant expertise to make informed choices in responding to the inquiry’s recommendations on compensation.
Finally, I reiterate the commitment that the Government will seek to provide an update to Parliament on next steps through an Oral Statement within 25 sitting days of the inquiry’s final report being published. As my predecessor made clear both to this House and to the inquiry, there are a number of technical issues that must be considered as they will have a significant impact on public finances. It is important that any decisions on compensation funding are taken carefully, and the House should expect the Government to work through the associated costs to the public sector while, at all times, considering the needs of the community and the far-reaching impact that this scandal has had on their lives.
The victims of the infected blood scandal deserve justice and recognition. Their voice must be heard, and it is our duty to honour not only those still living and campaigning but those who have passed without recognition. This is my highest priority, and I will continue to progress this work with all the urgency it deserves. I commend this Statement to the House”.
My Lords, I would like to pick up from where the noble Baroness, Lady Chapman, left off. We need to occasionally remind ourselves of the history of this. I thank the Minister for repeating the Statement and thank the various campaign groups that continue to persevere for justice and compensation and to ensure that we are kept informed about the current situation.
I particularly thank Colette Wintle and Carol Grayson for their briefing and their amazing campaigning over the years. They reminded us that the history of this started in 1991 with the HIV litigation, when the Conservative Government blocked compensation. In 2003, the Skipton Fund was set up, but that was blocked by the Labour Government. In 2009 and 2010 there were other incidents that were also blocked by that Government. In 2012, the coalition Government also blocked compensation, delaying things for a further decade. This year, given that Sir Brian Langstaff’s second interim report made it absolutely clear that compensation should be set up and run from now, it is extraordinary to have a three-page Statement, in which the first page says all the right things but the second and third pages then put it into the long grass.
It is good news about Clause 40 in the Victims and Prisoners Bill. It had its Second Reading in your Lordships’ House yesterday and, had we heard the details of the Statement before that, some of us might have changed our speeches. It is almost as if Ministers have not yet seen Sir Brian Langstaff’s recommendation on 5 April. To remind your Lordships’ House, he said:
“I recommend that a compensation scheme should be set up now and it should begin work this year”.
The Statement says that the Government will work through everything before starting the scheme. Can the Minister say on what grounds they are going specifically against Sir Brian’s recommendation that the scheme should start immediately? Time is not on the side of the victims or their families.
From these Benches, we too welcome the proposals for a bespoke psychological service for people infected by and affected by the infected blood products. But can I ask the Minister if there is new funding for this? There has to be funding outside the existing mental health budgets, which are severely under strain. If there is not, it will just put further pressure on an overwhelmed service and lead to further distress for people who believe that it will be available to help them when it is not. Even worse, others who have been waiting years for urgent mental health services will find that they cannot get them.
It is important because, as the Factor 8 scandal campaign has said, in a recent case of a young man whose father, mother and sister all died of AIDS when he was three years old, he has received nothing. He gets no ongoing support and struggles deeply with his mental health. Factor 8 says that it is “unimaginable” that his case is not
“described as ‘one of those most severely impacted’”.
There is also reference to setting up a group of experts. Who is appointing these experts? It would be normal for the chair of the compensation panel to choose their experts. There would usually be two panels —one would be medical advisers and one would be legal advisers. There is, of course, the important element of making sure that there is the voice of the people affected. Can the Minister say whether this is being done by the Government in advance of the panel being set up?
It would really good if we could have some speeding up of this process. There is no time, as everyone has said—but we have been saying this for close to 30 years, and it needs to be actioned now.
My Lords, I thank the noble Baroness for her comments about cross-party support because, after all, this dreadful scandal dates back, I think, 40 years and has involved many different Governments. She is also right that we have to recognise what has gone before us and do the right thing. It has been an awful scandal and, even more, it has left a stigma—particularly in the days before HIV and AIDS were properly understood—on all those involved. She is right to say that the amendment to the victims Bill has helped to focus minds on this issue.
Obviously, the Government recognise the strength of feeling across the House and the importance of what this amendment seeks to achieve. We are working through the implications as drafted and considering the question of primary legislation and, having this amendment, what is the right vehicle.
As I said, the inquiry’s final report is expected in March 2024. There was, I suppose, a small ray of light in the last day or two, as the inquiry said it would announce the date of its report on 17 January. The Government have already made it clear that, within 25 sitting days following the publication of that report, we will provide a full response to Parliament with an Oral Statement on the next steps. That gives us a better timetable than we have had before. I understand, of course, the points made about speed, and I look forward to being able to fill in on them.
I reiterate the news about the bespoke psychological service for people infected and affected by infected blood products and the appointment—I hope, imminently —of clinical leader and social care experts. The role of social care experts will be to advise on technical issues that require a high level of relevant knowledge in order to make informed choices in responding to the inquiry’s eventual recommendations on compensation—things such as tariff schedules. These experts will be independent and will be appointed solely to advise on technical issues. Our feeling is that it is right to get on and make those appointments: the Minister for the Cabinet Office was very clear about that. That probably means that it is not possible to do the chair and the experts at the same time. He made it clear that that process was ongoing, would be communicated early in the new year and that he was working, as it were, right over Christmas on this important issue.
In relation to the psychological support service in England, I understand the concerns that the service cannot go live until early summer 2024. The reason for that is that we need time to recruit suitably experienced and qualified staff and for all the necessary arrangements to be made for them to start seeing patients. What is good about the scheme is that access is anticipated to be primarily by people referring themselves. There may be onward referrals from GPs and hospitals, but people will not be reliant on that.
The noble Baroness, Lady Brinton, was right to run through the history of this again and remind us of that and of individual cases. I am the process of reading Caroline Wheeler’s book on this blood scandal in preparation for today and have been shocked by the individual cases. I commend that, and think it has been influential in this whole matter. We have made a Statement because we promised to do one before Christmas and, as I have said, the Minister for the Cabinet Office is working relentlessly on moving these schemes forward so that we are in the best possible stage of readiness for the final report when it emerges.
My Lords, as a former Member of Parliament, and like many other former MPs in this House, I had constituents affected by this awful condition. I will ask my noble friend a point of clarification. In the original Statement, the Government welcomed
“the publication of the infected blood inquiry’s second interim report, which set out a detailed framework for compensation for both those infected and those affected by infected blood”.
However, on certain occasions in the Minister’s responses in the other place, he referred only to those who were infected by this blood. For absolute clarity, is it the Government’s intention to compensate those both affected and infected?
I thank my noble friend Lord Lancaster for his comments. Of course, many people who had constituencies had similar experiences to him, including Mr Glen himself. The interim compensation scheme that we set in train last October paid out £400 million in interim compensation to a combination of infected people and their bereaved partners if they were registered on the scheme. That gives some understanding of the way we look at this—or at least how we did then —but, obviously, the report is much more wide ranging. We were able to deliver payments quickly then because of the clear parameters of eligibility. As my noble friend suggests, the final report will no doubt be much broader, which is one of the reasons why we have to do so much more work on the complexities involved.
My Lords, I welcome the Statement repeated by the Minister and pay tribute to the campaigners who have campaigned for nearly four decades. There is an urgency to this issue: as we heard, there is a death every four days, and the families and the victims need an explanation. Can the Minister explain why it has taken Governments so long to accept the moral case for compensation?
That is a question for many previous Governments. I can speculate, as can the noble Lord, but this Government have accepted the moral case. That has implications, and we have made interim payments. This is not a difficult matter; I always go back to the need to give the victims the justice they deserve and our intention to do that.
The Government’s Statement on their response to the Infected Blood Inquiry is a deep disappointment—that is an understatement. The Commons Minister said, and our Minister repeated it—I in no way criticise our Minister for this; I respect her greatly—that the
“distress and trauma that each individual has faced as a result of this tragedy is unimaginable”.
Yet the Minister went on to do absolutely nothing about it, other than establish a psychological service 40 years on. In my view, all this does is recognise the extraordinary depth of the damage done to these people—nothing more.
The Government have had the full and final recommendations on compensation and redress from the inquiry since April 2023, when it said that the compensation scheme should be set up and work should begin in 2023—of course, the Government ignored this. The noble Baroness, Lady Brinton, mentioned the Government appointing legal and clinical experts to advise them further on the operation of the compensation scheme, when the inquiry made it very clear that the chair of the arm’s-length body should make those appointments.
As president of the Haemophilia Society, I remind the House of the sheer numbers of people affected in this appalling way by those administrative errors. Over 5,000 people with haemophilia and other bleeding disorders were treated with contaminated blood products brought over from the United States that were taken from prisoners, drug addicts and others. This is a shocking history, and it is surely time that all those directly or indirectly affected should be compensated fully and immediately.
I am sorry for the disappointment that the noble Baroness found it necessary to express. I cannot help sharing it, to some extent. I thank her for reminding us of the numbers involved, which may be even more than she talked about. We do not exactly know, which is one of reasons why we are not in a position to do the necessary moving forward.
I reiterate the point made on previous occasions when we have discussed this: the lack of a timetable is very worrying to us all. As I explained, we will have a firm date for the final report very shortly, by 17 January. We expect the report in March, and within 25 sitting days we will provide a proper response to Parliament, with an Oral Statement on next steps. We have to move forward, as well as being disappointed and complaining about the slowness of this. This is a major scandal and we are, as a Government, trying to move forward and sort it out.
My Lords, as a former Health Minister who was called to give evidence at the inquiry, I know how thoroughly Sir Brian Langstaff conducted it. That is why it has gone on for so long— I think over a year longer than originally intended. I therefore welcome the steps the Government outlined in the Statement and the action they propose to take immediately. However, as has already been said on all sides, it is not only the tragedy of the case but the length of time which makes a final settlement so urgent.
Most of the supplementary questions I planned to ask have already been asked, about interim payments and the composition of the new clinical, legal and social care expert committee, which is to advise the Cabinet Office. I understand that similar supplies of infected blood went to other countries in Europe and around the world. How have they dealt with it, and to what extent have we been guided by their examples?
I thank my noble friend Lady Hooper for her question. In another life, she and I worked together on food safety and health issues. I know how much she knows about these issues, and there are many difficulties and tragedies in these areas.
I will write to my noble friend with an answer on the international practice. I am reading the Caroline Wheeler book, which talks about some of this. We may not have done as well as we could have done, and we need to learn from that for the future. The noble Baroness is right to ask about what they did. I know that some countries had similar problems but others did not. We should learn from that for the future.
(11 months, 1 week ago)
Lords ChamberThat the draft Regulations laid before the House on 9 November be approved.
Relevant document: 3rd Report from the Secondary Legislation Scrutiny Committee. Considered in Grand Committee on 18 December.
(11 months, 1 week ago)
Lords ChamberTo ask His Majesty’s Government why the status of the Minister for disabled people was downgraded from that of Minister of State to that of Parliamentary Under Secretary of State.
All Ministers speak with the authority of the Government, and it is for the Prime Minister to decide how responsibility is allocated. The role of Minister for Disabled People has been undertaken at both Minister of State and Parliamentary Under-Secretary of State level in the past. The new Minister has been at the Department for Work and Pensions since 2019 and has the ability to get things done and extensive experience of the issues that disabled people face.
My Lords, disabled people are horrified by the Prime Minister’s decision. DWP estimates that 16 million people have a disability— that is one in four—and they face multiple barriers in their lives beyond DWP. It is harder to get a job— 29 percentage points less—their financial position is much worse, they have to spend much more on energy, and other barriers remain for health, education and transport. The former role of the Minister of State for Disabled People could focus on influencing change but the new PUS is covering a large portfolio including housing benefit, the military covenant and youth. Why have this Government once again downgraded support for disabled people?
I do not see it as a downgrade at all. The previous Minister was also the Minister for Disabled People, Health and Work. To the extent that portfolios are changed, when Ministers are experienced—I know this myself—you can sometimes improve how the work is done through these other areas. There is a big example here in the back to work package announced in the Autumn Statement. We really need that multibillion-pound package pushed through with vigour and energy, which I am sure the new Minister for the Disabled will deliver.
My Lords, not only have the Government downgraded the role of Minister for Disabled People but a recent report of the Women and Equalities Committee concluded that:
“The National Disability Strategy does not resemble a strategy”,
and that engagement with disabled people in its formulation was poor to say the least. What steps are the Government taking to try to restore—or perhaps I should say build—the confidence of disabled people and the organisations that represent them?
The Government are doing just that. The noble Baroness will know that the national disability strategy promised in the 2019 manifesto was held up in the courts. That is now behind us because the courts found in favour of the Government. We are also developing a disability action plan for the next 12 months. These are immediate actions to help people. The consultation on the action plan closed in October, and we will carry that forward very soon.
My Lords, when the definitive Disability Discrimination Act 1995 was passed, not only was there a senior Minister of State in charge but the then Prime Minister, John Major, took a direct personal interest in that matter. Does the present Prime Minister take any personal interest?
The present Prime Minister does take an interest. I re-emphasise that the Budget had a major package for the disabled. The Secretary of State for Work and Pensions represents the disabled at Cabinet. Even more importantly, we all have a duty in relation to the disabled. I work to try to get the disabled into public appointments; we debated One Login in the Moses Room and talked about its accessibility. The whole point about the strategy is that it is cross-cutting, and it helps us to move forward and help the disabled into life, because they can make such a great contribution.
My Lords, so important is the title “Minister for Disabled People” that I managed to persuade Mrs Thatcher, when she was Prime Minister, to change the name to that from its original name, Minister for the Disabled, because disabled people do not like being called “the disabled”. At first the Prime Minister objected, saying, “They’ll want to change all the notepaper”. I said, “Yes, they will, but make them use up all the old notepaper first”. Using this economic principle, could we not find some way of doing what the noble Baroness, Lady Brinton, suggested and restoring the name, even though the pay may not be restored to what it should be?
Mims Davies is the Minister for Disabled People, Health and Work, but I do not think we should spend all our time focusing on titles. I do not want to tread on my noble friend Lord Younger’s toes but, having studied this subject in preparation, I was trying to talk a little about what we will actually do for the disabled. Of course we need to respect them and talk about them in an appropriate way but, as noble Lords will know, it is important to have action and get things done.
My Lords, words matter, but action matters even more. Are my back-of-an-envelope sums right—is Mims Davies now the 13th Minister for Disabled People since the Government came to power in 2010? If so, does the Minister think that all this moving around is damaging things? For example, it is introducing massive delays to the Access to Work scheme, which left one autistic woman waiting 13 months to get a job. We need some action now, do we not?
The noble Baroness may be right: perhaps Ministers do move around more than is ideal on occasions. I was delighted to discover that I was not moving in the last reshuffle and can continue. The key thing is to focus on the work in hand, and I believe Mims Davies will do that, with support from across the Cabinet.
My Lords, was not one of the greatest Ministers for the Disabled the late Alf Morris, and was he not a Parliamentary Under-Secretary?
I thank my noble friend. I also mention my noble friend Lord Hague, who in the 1990s took through Parliament some ground-breaking legislation on the disabled that has changed the infrastructure of the UK. Those of us who were in business found it quite challenging at the time—I see noble Lords around the House nodding—but it has had a beneficial effect across the UK economy.
My Lords, even with a Minister of State in place, we have repeatedly seen regulations and legislation over recent years ignore the needs and concerns of disabled people. You can point to Covid regulations, the aborted social care cap and, most recently, the Online Safety Act, which was silent on the needs of adults with learning disabilities. Given that, how will this Government take a more holistic look at legislation and ensure that the varied needs of the varied communities of people with disabilities are addressed in regulations and legislation going forward?
I mentioned the convening work done across departments, which is important in relation to legislation, as the noble Baroness says. Obviously, the Covid inquiry is looking at what happened during Covid, and these are the sorts of issues that I hope it will tackle. On individual Bills, I know from those I have done that we often debate disability—perhaps sometimes in response to amendments from the noble Baroness and others. That is very useful because it gives departments an opportunity to explain what they are doing. We have duties to the disabled and other groups, and we need to make sure that we take them seriously.
My Lords, given the cross-cutting work that the Minister has described and feels so confident about, can she tell the House when the Government are next due to report to the United Nations Committee on the Rights of Persons with Disabilities? What are the challenges from the last reporting cycle that the Government will be keen to address in that report?
This not being my area, I am not able to answer the question fully, but officials are due to represent the UK and attend the meeting of the UN in March to discuss these issues. I am certainly happy to take away any particular concerns that the noble Baroness would like me to pass on.
My Lords, many people, including everybody in this and the other House, want to help disabled people. We have talked in this House about their having work. Does the Minister agree that hundreds of thousands of small companies would be prepared, if approached, to give disabled people what they would really like: the opportunity to work—if they can—and be part of society in the normal way?
That is a great point, and noble Lords will know that I am very concerned about small businesses and how we can help them. This point needs to be taken into account in the work we are doing, following the Autumn Statement, to help millions more disabled people into work. I came from Tesco, and we employed a lot of disabled people who made a very valuable contribution to the business over many years. Some noble Lords will have met the leading official on the Procurement Act in the Cabinet Office, who was a blind senior civil servant. It just goes to show what a contribution they can make in both small and big business.
(11 months, 1 week ago)
Grand CommitteeThat the Grand Committee do consider the Trade Union (Deduction of Union Subscriptions from Wages in the Public Sector) Regulations 2023.
Relevant document: 3rd Report from the Secondary Legislation Scrutiny Committee
My Lords, the regulations are known as the check-off regulations and stem from Section 15 of the Trade Union Act 2016. This is the last secondary legislation to be brought into force as part of that Act; each aimed at modernising industrial relations in the UK. I am pleased to take this final piece of legislation through, as I had the honour of taking the Act through the House some years ago.
The regulations define a relevant public sector employer for the purposes of Section 15 of the Trade Union Act. That provision requires relevant public sector employers, which allow employees to pay union subscriptions directly through payroll, to charge trade unions a cost substantially equivalent to the cost that they incur for providing the service. In addition, public sector employers must be satisfied that there is an alternative way of union members paying their subscriptions aside from check-off, such as through direct debit.
Should employers not be able to secure payment substantially equivalent to the costs of providing check-off, or should there not be an alternative payment available to employees, employers must cease to provide check-off. The Government believe that this will ensure that check-off services are provided by public sector employers only where there is no cost burden to the taxpayer and to guarantee members have choices about subscription payment methods.
The regulations will not come into force until a reasonable transition period has taken place to allow everyone adequate time to make arrangements to comply with the regulations. To this end, they will come into force on 9 May 2024, six months after laying. This is a generous transition period, considering that the regulations were previously due to be laid in 2017. Therefore, employers have had a significant awareness of the impending changes.
The Government have also provided to the House the Explanatory Memorandum and a full impact assessment, and we will publish guidance on GOV.UK to be issued to public sector employers to help them to familiarise themselves and comply with the regulations.
I will remind noble Lords why the Act’s reforms to check-off in the public sector are significant. The Government are committed to the responsible and transparent use of taxpayers’ money and so believe that the administration of payment of union subscriptions for public sector workers should not be carried out at the expense of the taxpayer.
During the passage of the Trade Union Act 2016, the House debated the original drafting of Section 15 at length. It suggested that check-off services should not be provided by public sector organisations on behalf of their unions, owing to the cost burden on the taxpayer. However, through the legislative scrutiny and amendments made in this House, Section 15 of the Act was revised to no longer require public sector employers to remove check-off services, but rather that the costs associated with doing so should be recharged to trade unions and alternative options should be available to trade union members. The Government were grateful for the scrutiny of the House in refining the provision and continue to believe that this strikes a fair and appropriate balance between providing value for money and fostering good and modern industrial relations in the UK.
The regulations will apply across the public sector to those bodies listed in the Schedule. There was significant engagement in this House on the organisations in scope, resulting in the Government considering the ONS definition of “public authority” too broad. As a result, the Government decided to use the list of bodies from the Freedom of Information Act and its Scottish equivalent as the starting point to define the scope of the regulations, making it clear that the intention was to include only organisations that are funded wholly or mainly from public funds.
Of that list, the Government have removed organisations that do not routinely employ staff, are an advisory body or expert panel, are funded by a levy on a finite or discrete group, or are predominantly commercially focused, to ensure that the scope is proportionate to the aims of the regulations.
The Cabinet Office has also engaged each Secretary of State on the proposed scope, seeking their confirmation that the regulations capture all bodies necessary to deliver the policy aim. In addition, a two-week consultation was undertaken with the Scottish Government to ensure that Scottish bodies were appropriately captured.
The check-off regulations will deliver benefits to the taxpayer. The impact assessment has identified that the intervention will equate to a present benefit saving of approximately £1.5 million per year and just over £12 million over the next 10 years. These benefits arise as the regulations seek to alleviate the burden for public sector employers that offer check-off services but do not yet charge trade unions for the cost of administering them.
I wish to be clear that the regulations we are considering stem from the Trade Union Act 2016, which was introduced, as noble Lords will remember, as a 2015 manifesto commitment. Despite delays owing to other government priorities relevant to the UK’s exit from the European Union and the coronavirus pandemic, this has been a long-term ambition of the Government in our aim to modernise industrial relations in the UK.
The purpose of these regulations is to deliver value for money for the taxpayer and choice for individuals in a balanced way that reflects the discussion in this Committee. They do just that, and I beg to move.
My Lords, I have seen many Chekhov plays; this is not half as enjoyable an “Enterprise”.
This SI comes here under an Act of 1992, as amended in 2016. The House of Commons briefing on it reminds me that the Conservatives tried it on in 2014 but were blocked by the Liberal Democrats in the coalition. So they brought it back later and it is to come into force in May, a maximum of six months before the next election in the dying days of this dying Government.
The instrument is extraordinary in the sense that it goes through a list of more than 200 bodies, some of which are in any sense autonomous public bodies. I used to work for several universities and I note that they are caught up in the scheme—but, then, so are the Crofting Commission, the Highlands and Islands Enterprise, the Gaelic Media Service, Historic Environment Scotland and even the Scottish Road Works Commissioner. I assume that this must all be compatible with the conventions of the devolution settlement. I note also that, in terms of local government in England, Together for Children—it is based in Sunderland—Slough Children First and the Sandwell Children’s Trust are brought under this umbrella as well. The total amount of public money that this careful enumeration of all these subordinate bodies will save is estimated to be £1.5 million a year.
As I read this SI over the weekend, I thought of the principles that are at stake here: limited government; government that should be as local as possible in order to be as close to the people as possible; and that government should have respect for the importance of autonomous institutions in civil society. These are principles that Liberals and Conservatives used to share, when Harold Macmillan was Prime Minister and Conservatives still read Edmund Burke rather than Ayn Rand and Friedrich von Hayek. This statutory instrument is illiberal and unconservative. Such a degree of detailed centralisation and interference in civil society used to be called socialism. Edmund Burke used to talk about the importance of local communities, little platoons and self-government. This instrument is much more in the style of authoritarian populism, like those right-wing Republicans in the United States who believe that the free market is all that matters rather than a free society.
One of the things that horrified me most as I read the Explanatory Memorandum and the impact assessment were the 40 or 50 references to the TaxPayers’ Alliance as a prime source of evidence for the arguments made. I am sure that the Minister is familiar with the TaxPayers’ Alliance. It was founded by Matthew Elliott after a period in Washington attached to Americans for Tax Reform; that was founded by Grover Norquist, who once famously said:
“I don’t want to abolish government. I simply want to reduce it to the size where I can drag it into the bathroom and drown it in the bathtub”—
tax cuts at all costs and to hell with the public sector.
The undue influence of American Republicans on the Conservative Party, the flow of funds to right-wing think tanks, in particular those based in 55 Tufton Street such as the TaxPayers’ Alliance, and the links with hard-right think tanks here are part of what seems to many of us to be going wrong with the Conservative Party. I rather suspect that the Minister, whom I offer the compliment of thinking of as a one-nation Conservative, probably quietly shares a view.
The impact assessment does say that the savings to His Majesty’s Government will be at £1.5 million a year, and it estimates the cost to the trade unions at about £13 million a year, thus enforcing significant increases in membership fees. It also says:
“Costs to public sector employers may include some loss of goodwill with employees and trade unions”.
Well, that is much less important, is it not? It seems to me that that matters. After all, the Government’s relationship with civil servants and public sector workers has deteriorated steadily over recent years. We have seen that in the recent strikes and in the loss of a number of first-class civil servants; I know that some of those with whom I most enjoyed working when I was in Government have now left or taken leave. That raises problems about the quality of how we are governed.
The impact assessment also says:
“The policy will engender taxpayer faith that the Government is spending their money responsibly”.
Well, taxpayers’ faith in the Government spending their money responsibly is currently having to cope with the Government’s failures to deal with the Covid effort and to enquire into that, and with the revelation yesterday that the noble Baroness, Lady Mone, admits to having made £60 million in profit from Covid contracts, rather larger than the £1.5 million we have spent here. I suggest this will not engender much additional taxpayer faith.
The Minister herself said that the Government are committed to the transparency of public expenditure. I hope that is true, and that we will see, as we go further into the question of how much government waste there was on Covid contracts, that the Government are actually committed to transparency rather than to a continuing cover-up.
The Minister will note that there have been changes in the nature of trade unions over the last 40 years. There are fewer manual workers and more professionals—public service professionals above all. The majority of trade union members now have degrees. They are civil servants, doctors, nurses, researchers and teachers. They used to be part of the core vote of the Conservative Party, and I suggest to the Minister that they are an important part of that vote, which the Conservatives have lost and will not regain unless they alter their attitude to the public sector.
The bias against public service and the public sector as such, which we have seen on the right wing of the Conservative Party, is one of the most unattractive dimensions of this dying Government, holding down their salaries and wages while allowing private sector pay to soar. Ministerial treatment of civil servants as if they were servants, and the well-evidenced examples of bullying of civil servants by Ministers, have been a problem in which civil servants need unions to defend them and look after their interests. The public sector does need unions to protect them and good civil servants are vital to the quality of British government.
I find very little to like in this SI; if Labour had wished to move a regret Motion, the Liberal Democrats would certainly have supported it. The only good thing to be said for it is that it will take effect only in the last months of this Government, and I suspect that any Government that come in afterwards will quietly stop its implementation.
My Lords, I am grateful to the noble Lord, Lord Wallace of Saltaire, and the noble Baroness, Lady Chapman of Darlington, for their contributions to the debate and the good questions that they have asked. I should perhaps start with the noble Lord’s description of the wide-ranging nature of the list. I agree that it is wide-ranging, and that is necessary. However, I am sorry that in a sense he criticised the impact assessment. I was pleased that there was an impact assessment. He and I and other Members of the House have been proponents of the use of impact assessments because they allow the sort of questions that we are asking today, and they are not always used. Obviously, I point out in relation to the costs of check-off that direct debit is an alternative.
The noble Lord asked a number of technical questions on the estimates, as did the noble Baroness. The easiest thing for me to do is to look at them in Hansard and write to them in answer, but I will make two points. First, I understand that the guidance should be online from tomorrow. I am sorry that it is not available today. The normal course of events—the Commons starting on this first and then us getting it—has perhaps meant that we have not had the benefit of the guidance, but I will write and send the link to it because that would be helpful. I also agree with him about the changing nature of trade union membership. He will remember very well that I worked at Tesco, a trade-unionised company, and spent a lot of time working with the union in growing the company. Personally, I work very well with civil servants and their unions. We need to minimise costs, however, which is one reason behind the changes that we are discussing today.
Perhaps I should pick up the noble Baroness’s point about consultation. As she said, the regulations stem from the 2016 Act, which was consulted on as a whole. During the debates on the then Bill, the current policy position on the check-off regulations was set out, which was to charge trade unions a reasonable cost and to ensure that there was access to an alternative method of paying union subscriptions. That was an agreed compromise instead of requiring public sector employers to remove check-off altogether. It is important to repeat that background.
The Government have upheld the commitments that they made to engage, rather than consult, with affected bodies. That has included four consultations with government departments and the Scottish Government on the schedule of scope. The Cabinet Office has also engaged trade unions’ workforce policy leads and some employers on the impact assessment and for views on the guidance. There is no single source of information of cost of check-off to the taxpayer. That is one reason why the TaxPayers’ Alliance report was used, but we have supplemented it with more recent data from the BEIS management and well-being practices survey. We also conducted consultation with employers in each of the public sector workforces, including the NHS, local government, police forces, maintained schools and academies and the Civil Service. I acknowledge that a lot of this is anecdotal, but it has provided some more recent data as a comparison and means of testing the assumptions made in the two reports. However, as I promised, I will look at the points that the noble Lord made.
Just to add, the disgust with which we saw the depth of dependence on the TaxPayers’ Alliance relates to the position of this body, which received an E—the bottom range—from Who Funds You? for the opaqueness of its funding. It is clear that some of its funding comes from very right-wing bodies in the United States; it has held public, open conferences with, I believe, the Heritage Foundation. It seems deeply improper for the Government to depend so heavily on such a very partisan think tank. The Tufton Street group in particular is doing its best to pull the Conservative Party very much to the right, against its former traditional conservatism.
I cannot just accept that, I have to say; I believe that views from all different directions can be valuable in debate, and that includes the TaxPayers’ Alliance. I explained why it had done some work in this area. It was used in these estimates—entirely transparently—and we have also taken data from other sources. I nevertheless thank the noble Lord for his comments.
The point is that the TaxPayers’ Alliance is a campaigning organisation. Our concern is not that it is included at all; the Minister is quite right in what she said about a range of sources and perspectives. But given that there is a lack of data, which the Minister has acknowledged, it seems a little odd that it is relied upon quite as much as it is. You do not need to make any assertions about some of the estimates that the TaxPayers’ Alliance is making to pursue the policy. It seems a bit strange that it is included.
My attention was drawn to this by what is on page 23 of the impact assessment. There is a little table that lists probable estimates of savings to the public sector. It just seems strange that—to take the Civil Service, as the first example—the high estimate of savings is £149,000, the low estimate is £1,500, and the most probable estimate is £11,500. Then, however, there are local authorities, for example, with a high estimate of £161,500, a low estimate of £91,000 and a most probable estimate of £161,500. It just is not clear how some of these figures have been reached. Are the Government treating the TaxPayers’ Alliance evidence with equal weight to a survey conducted by the LGA, for example? That would seem a strange thing to do without further inquiry or more critical analysis. Maybe this is a point to make to officials behind the Minister rather than the Minister herself, but it is not really what we would expect in this kind of document.
I commend officials for producing a detailed impact assessment and I will not renege on that. I also think that the TaxPayers’ Alliance is a perfectly respectable source. Obviously, every think tank has different people working for it; some people are excellent at estimates and some are not. I have already said to the noble Baroness that I will go away and look in a little more detail at the estimates. This impact assessment was not written by me personally, of course, but I will take it away and have a look. I commend the use of different sources of data and data standards. The noble Baroness probably knows that that is what I would want, but I will of course take a look.
Perhaps I can move on and just try to answer one or two of the questions about devolution. Matters of industrial relations are clearly reserved and there is no obligation for the UK Government to consult with the devolved Administrations. However, the Scottish Government were consulted on the scope of the regulations to ensure that they capture all public bodies that are wholly or mainly funded by the taxpayer. Wales is not in scope as a result of the Trade Union (Wales) Act 2017. The Government will take action to bring Wales into scope at the earliest possible opportunity.
I should mention that the TUC has been engaging with us on, and had input into, the guidance. I noticed its flash new logo on its writing paper. This also included engagement with employers in the public sector, so I hope that that provides some reassurance.
In conclusion, I am confident that the regulations provide a fair and appropriate intervention and capture an appropriate scope to meet the policy aim. They allow check-off to continue, as was agreed during the passage of the Trade Union Act 2016. They represent a reasonable direction of travel and continue to support productive industrial relations in the UK—which, Members may recall, was my experience during my past career at Tesco. To return to the point that the noble Lord made, of course the trade unions have a role to play in our society, so I am delighted to have this opportunity to be at the Dispatch Box today to put to bed the last of the regulations relating to that Act. I hope that colleagues will join me in agreeing the regulations, which I commend to the Committee.
(11 months, 2 weeks ago)
Lords ChamberTo ask His Majesty’s Government what steps they are taking to ensure citizens are not excluded from accessing AI-generated public services.
My Lords, the noble Baroness raises an important point, because the shift online and the use of AI are irreversible. They offer substantial opportunities, but problems could arise for some disadvantaged groups. That is why departments are required, by the Government’s service standard, to provide support via alternative channels for all their online services. Our road map for digital and data, updated on 29 November, focuses on enabling the confident and responsible use of AI to improve efficiency and services.
I thank the noble Baroness for that, but the latest Ofcom study of internet use in the UK showed that 7% of people have no access at all and 18% have access solely via their smartphone. That is fine for most tasks, but less helpful when filling out complex forms or seeking support. The ambition of providing better public services through a digital revolution is a good one; however, what works for most people will not work for everybody, so what is being done to ensure that this small but important group, who are being left behind when attempting to access essential public services, can access them in the future? If they cannot, we will not have a universal service.
This of course is why the Government are committed to ensuring that everyone has affordable access to public services, whether online or offline. Departments are required, by the service standard, to provide support via alternative channels for all their online services to all users, including the disabled. That can be by phone, through face-to-face meetings, by letter or via web chat, which is important for the unsighted. The system of assessments is co-ordinated by the CDDO in the Cabinet Office, and these requirements cannot go on to GOV.UK without assurance secured.
My Lords, I declare my technology interests, as set out in the register. Does my noble friend agree that, wherever AI is used in public services, it should be labelled as such, so that everybody is aware of that fact? Similarly, wherever public citizen data is used, we should decide whether that is through opt-in or opt-out means. Further, public trust is essential to all deployments of new technology, including AI. Does my noble friend agree that one of the best ways to deliver public trust is to ensure that services are accessible and inclusive by design?
I very much agree that, to ensure public trust, you want services that are accessible by design. Coming from the retail sector, I have a slightly less rosy view of labelling. Like earlier data changes, AI is part of a continuum of technological change. The key thing is to have proper arrangements, such as, for example, the AI Safety Institute, which we have now set up following the Prime Minister’s AI Safety Summit at Bletchley Park with international partners. This is to make sure that we are aware of what is happening, because there are opportunities as well as risks to AI. I have a whole list of opportunities, which we can go through, but I would like to hear some more questions.
My Lords, I will follow up the Minister’s previous answer. The public sector can benefit from many kinds of artificial intelligence that are a long way from the image of a killer robot threat to mankind, which often features heavily in the public debate. AI can improve hospital bed management, care worker rostering, public procurement and many other dull but very valuable tasks. Does the Minister share my concern that the killer robot narrative may overshadow the adoption of these much less controversial AI systems? What are the Government doing to encourage and accelerate their deployment?
I do not think that list is dull. I have other examples, such as the world-leading child abuse image database, which the Home Office is working on. My son, as a detective in the Met, thinks it will be a marvellous opportunity to make the police’s job easier and less awful. The noble Lord is right that the robot vision has to be moderated by an understanding of the usefulness of AI on many things, such as conversational front ends to public services on GOV.UK. These things will make life easier and more accessible, which is why it is good that we are debating them and can reassure people. Of course there are fears, which is one of the reasons why we are working on guidance on frontier AI—that is in the pipeline.
My Lords, we know from the Post Office Horizon scandal that the Post Office itself, the prosecuting authorities, the courts and God knows how many hundreds of lawyers were, for years, unable to identify failure, including in the computer system. What confidence can we have that the Department for Work and Pensions has people able to tell if the data that informed AI had a bias in it which caused it constantly to be making mistakes? Do we have people trained to do that? I am not confident that they even exist. I am just picking this example out of the sky.
I agree that the Post Office scandal was one of the most awful. It is good that we now have a proper process for moving forward on it, even if it is far too late. To deal with the point raised by the noble Lord, I can say that we are setting up the AI Safety Institute and a hub in the Cabinet Office, bringing in experts from outside. The idea is that they can help across the board with these issues. Some of the uses of AI, such as with fraud at Companies House and the DWP, can be very useful. The noble Lord is right in that we need to look at the dangers as well. As the noble Lord, Lord Allan, rightly said, we have to make sure that we look at the opportunities. We think that, as regards public sector productivity, costs could be reduced by about £5 billion a year through the sensible use of AI on the kinds of things that we have been debating.
My Lords, I too am optimistic about AI, but I am also concerned about leaving people behind. I refer my noble friend to the report about digital exclusion published earlier this year by the Communications and Digital Select Committee, which I chair. It painted quite a stark picture. It showed how much more complex this challenge is becoming because of the way in which technology is developing at pace. I am sad to report that we found that the Government’s strategy for dealing with exclusion was not good enough. Will my noble friend revisit that report? Will she also explore one way forward—by looking at a joint venture with the banking sector? It has long promised to have banking hubs in towns. These could also become digital hubs where people could go to learn, and for assistance and advice as to how to get on to digital services in the way in which we need them to do.
I thank my noble friend for her report, which I have just picked up for my Christmas reading. It has been rather influential within the system. I do not know if my noble friend is aware of the cross-Whitehall ministerial group chaired by the new Minister for Technology, Saqib Bhatti MP. It will certainly look at how the digitally excluded can be helped in hubs in different ways. The library network already exists. I have always thought that this is very useful in communities. I have collaborated with bank expertise on fraud—which is my area of responsibility. I am grateful for the work of her committee. I will certainly take her point away.
My Lords, was the noble Baroness briefed on a question which I asked on the last occasion when this topic came up? I asked if the Government were looking at developments with Paradot. The Minister who was answering did not know anything about it. Paradot is an online buddy. I have a therapist friend who believes he will be out of business in five years’ time because of the way in which this is developing. If this kind of change takes place, it will have a massive impact on what will happen in the public service.
The noble Lord makes a good point. The honest truth is that I was not aware of his intervention. Perhaps I can go away and get back to him on another occasion. This sounds a very interesting point and issue.
(11 months, 3 weeks ago)
Lords ChamberTo ask His Majesty’s Government whether they have any plans to review the functions of the House of Lords Appointments Commission.
My Lords, the House of Lords Appointments Commission recommends individuals for appointment as non-party political life Peers. It also vets nominations for life Peers, including those nominated by the UK political parties, to ensure the highest standards of propriety. The Government are grateful for the important work it does but have no plans to review its function. I take this opportunity to thank the noble Lord, Lord Bew, and to welcome the new chair, the noble Baroness, Lady Deech.
My Lords, as the Minister said, the House of Lords Commission vets candidates for life Peer positions, but it does not vet at all candidates in hereditary Peers by-elections, which the House may know that I am opposed to. Does the Minister agree that this should be a level playing field and that hereditary Peers candidates should be treated and vetted in exactly the same way as life Peers candidates?
Secondly, on the composition of the Lords, which has changed substantially in recent years, I put it to the Minister that there are now nearly 100 more Conservative Peers than Labour Peers in this House. This is by far the largest Government majority over the Official Opposition since the 1999 Act. Should not the Lords Commission publish an annual report on changes in composition during the year, so as to shed some light on the appointments process, which clearly has been abused in recent years?
First, on the question of hereditaries—a subject on which I know the noble Lord, Lord Grocott, is a great expert, with his various Bills—the truth is that the hereditary arrangements involve a by-election process that was established as part of the deal on House of Lords reform in the 1990s. It would clash with the by-election process to introduce a vetting system for hereditaries—but in any event I see that as part of House of Lords reform and we have made it clear that there are no plans for piecemeal reform.
On the issue of numbers, I have more sympathy. It is true, however, that although the Conservatives now have a lot more Peers than Labour, we still do not win all our votes and we still only have 34% of Peers, partly because of the number of Cross-Bench Peers that we now have. I think the numbers are well known and well understood; of course, if the House of Lords Commission wants to publish them, that is very much up to it. But I do have some sympathy on the point in relation to numbers.
Could the Minister consider changing the status of the House of Lords Commission? There has been a range of reports from think tanks and committees in the other place which have suggested that what we need to do to these bodies, which are in effect constitutional guardians—the Committee on Standards in Public Life, ACOBA, the Independent Adviser on Ministers’ Interests and others—is to put them in statutory form so they are able to stand up to Prime Ministers who do not wish to observe the conventions of public life, as Boris Johnson so clearly did not. Is this part of the Government’s agenda?
I do not see it that way. We are very glad we have a new chair of HOLAC, but we should be wary of giving even greater powers to bodies, however great and good, which are not necessarily democratically elected. That is why Prime Ministers and leaders of both parties put forward candidates.
My Lords, if the Government truly believe that this is a self-regulating House, which we all take great pride in, why do they not allow a free vote on the subject of a statutory appointments commission —a commission that will consider every Prime Ministerial nomination but will be able to pronounce on its totality?
As I think I have already made clear, the Government have no plans to change the status of the House of Lords Appointments Commission. It is an independent, non-departmental public body, and the Government always consider its advice very carefully. But, as I said, the Prime Minister is democratically accountable, and in our view appointments should not be determined by an unelected body.
My Lords, when I listen to the noble Baroness, I always have a smile on my face—but I do not think that is the reaction she intends me to have. When she talks about not wanting piecemeal reform, what she is really saying is that she will do absolutely nothing. This House welcomes new Members, even when they are overwhelmingly Conservative, but I want to bring her back to the numbers. After 13 years of a Labour Government, we had 24 more Peers than the Conservative Party. After 13 years of a Conservative Government there are 100 more Conservative Peers than Labour Peers.
The central point about HOLAC is that all Members of this House are treated equally, except when it comes to the vetting process. I do not in any way want to take away the Prime Minister’s authority to appoint, but I hope that he would have some respect for this House as well. Would it not be just a minor tweak to suggest that HOLAC also look at the suitability of candidates for this House, to ensure that they are willing to come here and play a full role in the work of your Lordships’ House, as everybody here does?
One further statistic is that the Conservatives won 56% of the seats at the last election and we still have only 34% of the seats in this House. As to the noble Baroness’s point about suitability, constitutionally and legally it is for the Prime Minister to make recommendations to the sovereign on new Peers. He is head of an elected Government, not a member of an arm’s-length body. Of course, he places great weight on the advice of HOLAC, but he remains of the view that it should remain focused on vetting for propriety. It is for him, and for future Prime Ministers, to think about suitability and bring the right mixture of Lords on to these Benches, so that the conduct of business, which is a mixture of public life and politics, continues well.
My Lords, speaking for myself—although I suspect many other hereditaries would agree—I agree with the noble Lord, Lord Grocott, on this, at least: we have nothing to fear from a HOLAC vetting process and I think it entirely appropriate that we should all go through it.
Hereditaries are subject to a good deal of questioning during the by-election process, which is laid down by the Standing Orders of the House, and we have no plans to change the vetting of hereditary Peers. Of course, they play a very important part in this House, on the Front Benches and right across it, bringing different aspects to our work in the public interest.
My Lords, this House regards itself as, and is proud to be, an expert House. Will the noble Baroness tell us how many professional scientists and doctors have been appointed to it in the last two years?
I think that will require me to write the noble Lord a letter. Obviously, this is important; the sense of his comment is that we do have a wide range of expertise. Indeed, in the modern world, as we have made clear right across the public sector, it is important to have more experts and more scientists to assist in the public interest.
My Lords, looking at these Benches, does my noble friend not think it is extraordinarily ironic for the Liberals to complain about appointments to this House, given their numbers here and the numbers they achieved at the general election?
On this occasion I am very glad to agree with my noble friend.
My Lords, does the Minister accept that the situation of hereditary Peers is sexually discriminatory? Titles still go first to a son, and if there is no son they go to a collateral branch. That is in itself sexually discriminatory and I cannot see how she can possibly argue against that.
I return to the point that the hereditary element, which plays a great part in this House—we should not decry that—has a by-election process that was part of a House of Lords reform package. There will no doubt be reform in the future, and the nature of hereditary Peers may or may not be considered. We had one Private Member’s Bill last Session on this very issue, but I see it as a slightly separate point from the work of HOLAC.
(12 months ago)
Grand CommitteeMy Lords, I join all those who congratulated the noble Baroness, Lady Lane-Fox, on her speech and on the work that she did in chairing this committee. She brings a thoughtfulness and a knowledge of digital way beyond most of us, which has made this report a very special piece of work and has allowed her to pioneer new methods of data-gathering, which I think will be used elsewhere. I thank all noble Lords for their interesting contributions today, despite the rival attraction. It is good to see so many noble Lords here, including the noble Lord, Lord Alderdice, who was right to emphasise cost-benefit and the speed of change. My noble friend Lady Fraser of Craigmaddie was here earlier.
Of course, two years have elapsed since the report was printed, but the good news is that that means that we can take advantage of what has been achieved since then and celebrate the fact, as we should, that we are no longer tied down by Covid and, in my case at least, that NHS vaccinations for the most vulnerable and elderly groups continue to help in protecting so many of us, especially in this House.
The COVID-19 Committee’s insightful piece of work in its Living in a COVID World: A Long-term Approach to Resilience and Wellbeing report rightly highlights the importance of building resilience to ensure that we are equipped for future crises. That is where I would like to start, not least since it fits in with my responsibilities at the Cabinet Office. We have made substantial progress on resilience. Earlier this year, we debated the UK Government’s new resilience framework which sets out the Government’s plan to strengthen the systems that underpin our response to a range of risks. The Resilience Directorate, in the Cabinet Office, works across government to ensure that the UK is better placed to prepare for, respond to and recover from risks and hazards—extreme weather, terrorism, pandemics and so on. I thank the noble Baroness, Lady Merron, for her kind words about Mary Jones. We will be publishing an update on resilience shortly—we stand by that promise—and look forward to debating this matter further with the noble Baroness and with other colleagues, such as the expert, the noble Lord, Lord Harris, who I was pleased to see in his place earlier.
As part of the commitments made in the resilience framework, we are establishing new ways of identifying and assessing chronic risks to the UK, the continuous challenges facing the UK, generally over a longer timeframe. This complements the national security risk assessment and sets out the most serious acute risks to the UK. The Government’s national risk register, the external version of the classified risk assessment, was published in August. It is specifically aimed at risk professionals and practitioners across society who benefit from having more information about risks. It is the most transparent version yet, which I am pleased about, and it helps to develop a shared understanding of preparedness for risks facing the UK. Our whole-of-society approach, which picks out what several noble Lords have said this evening, is important to building the resilient society that the right reverend Prelate the Bishop of London emphasised very rightly.
Chapter 2 of the committee’s report outlines the challenges we face, such as the digital and tech revolution, demography and the response to climate change, although it perhaps underplays the economic problems we all face as a result of the enormous cost of seeing Britain through the pandemic. A prosperous economy makes it easier to cope with Covid legacies in health, education and the other areas identified today. Alongside the longer-term forward thinking of the Resilience Directorate, we remain committed to learning from the Covid-19 pandemic, building on the reset mentioned by the noble Baroness, Lady Merron. Today’s debate has been very helpful.
The noble Baroness, Lady Lane-Fox, was right to commend the work of local communities during the pandemic and their role in resilience. I remember what a brilliant job my local village volunteers did during the pandemic. They delivered drugs and donated food to some of the poorest in our area and prioritising deliveries to those with a safeguarding risk. We must build on that joint endeavour. Although the UK Government have a central role in assessing and planning for risks, the local level is the foundation of the UK’s resilience. The many local resilience forums in England, Scotland and Wales, as well as the emergency preparedness groups in Northern Ireland, play a critical role in bringing together local responders, such as the emergency services, to plan for risks.
It was interesting to be taken back by the noble Lord, Lord Allan of Hallam, to all the exchanges on testing, the location of testing sites and the local endeavour that included faith groups. We have learned from those experiences in our planning and the way that we will approach things going forward.
The right reverend Prelate also highlighted the importance of local faith leaders in lots of different ways. The Government recognise the importance of such figures. Indeed, we worked closely with them during the pandemic in developing guidance, using places of work safely and working with a diverse and dispersed network of community champions. Community champions were found to strengthen regional capacities to deal with Covid-19, while the community vaccine champions programme found that religious minority groups aware of CVC-funded activities were significantly more likely to have booster vaccinations.
The pandemic was an unprecedented event that I hope will not be repeated. Everyone had to do their best and often make difficult decisions where there was no blueprint. I was on the Back Benches at the time, but I think the degree of uncertainty in such crises may have faded from memory. All such crises have unexpected features. For example, it was not unreasonable to prepare for a flu epidemic like the one which killed so many, particularly young people, in the 20th century. It is not possible to have a plan for everything, as is rather suggested in the report with the call for a “just in case” model. This would be very expensive and we would be unlikely to get it right, but I agree that we must focus more on prevention and take a more whole- of-society approach to risk management. To pick up the point made by the noble Lord, Lord Alderdice, there has to be some surge capacity. That happened during Covid in many different areas of government. We have to be careful not always to focus on the negative.
Looking back, there will be decisions that we got right but also important lessons to be learned for the future, and that is why we set up the Covid-19 inquiry. My noble friend Lord Robathan questioned the Government’s decision to lock down. The inquiry was commissioned to consider decisions such as that and it will report its conclusions, which we will consider in due course. We need to learn the lessons of Covid in a spirit of transparency and candour, and there are many conflicting views.
Progress on the inquiry is well under way—as we all hear on the radio all the time—and much of the focus is on issues identified in the committee’s report that we are discussing today. Public hearings for module 1 are focused on pandemic preparedness and resilience. Module 2 hearings, going on at the moment, are focused on core decision-making and will conclude on 14 December. Future modules will focus on healthcare systems, vaccines and therapeutics, and government procurement—I note the points made by the noble Lord, Lord Allan. Our new Procurement Act has of course made many changes in the light of the difficulties of Covid, including strengthening the existing legal duties in respect of conflicts of interest and introducing greater transparency requirements, which I think we all welcome.
On levelling up, many of the committee’s recommendations focus on how the Government can and should deliver their commitments to levelling up. Our White Paper published in February 2022 recognised that not every person in every part of the UK shares in the UK’s success, which is why the White Paper outlined 12 ambitious missions to level up the UK, some of which we have touched on today. A number of the recommendations relate to transforming our approach to devolution and giving more power to local government. The White Paper set an objective that every part of England seeking a devolution deal should get one by 2030. In December 2022, we announced five new deals, which will bring devolution to over 51% of the English population. A further four new devolution deals were announced in the Autumn Statement.
The noble Baroness, Lady Lane-Fox, emphasised the significance of well-being. Well-being is an important consideration for the Government when making spending and policy decisions. She raised the issue of funding for well-being; I understand that departments across government have worked with and provided funding to the What Works Centre for Wellbeing and others to date. We will continue to explore how best to measure well-being and deliver improvements across the UK. The Treasury’s Green Book sets out how to appraise policies, programmes and projects and requires all social, economic and environmental benefits and costs to be considered in appraisal. Further, the noble Baroness will be aware of the ONS well-being index and the national well-being dashboard. This intelligent use of data measures well-being across the country in a number of areas and can be a useful tool for practitioners.
Perhaps even more important in this area, however, is the Government’s progress on reducing inflation and promoting growth through measures announced in the Autumn Statement, as this is the best way to support the sustainability of public spending in areas such as well-being. In this year’s local government finance settlement, the most deprived areas will receive 17% more per dwelling than the least deprived areas.
I have not gone through the local government issues; they were dealt with but nobody has raised them today. However, I am happy to talk to people if they want me to. Noble Lords will know that I am always very keen to make sure that local government contributions are appreciated and funded.
On health, the pandemic placed an unprecedented level of demand on NHS services. The NHS has since been provided with record levels of staffing and funding to tackle waiting lists. NHS England achieved its target of virtually eliminating waiting times of two years or more for elective procedures in July 2022, and waits of 18 months have been reduced by over 90% in the last two years. Additionally, as part of the first-ever long-term workforce plan, record numbers of doctors, nurses, dentists and other healthcare staff will be trained in England, backed by over £2.4 billion of funding for additional education and training places.
On increasing access to healthcare services, the NHS app—which noble Lords mentioned approvingly—and the NHS website are delivering a proactive, personalised digital NHS experience for patients and their carers. This has come on a lot since the noble Baroness, Lady Lane-Fox, and I worked together on this in the Cabinet Office. However, as the noble Lord, Lord Patel, pointed out, this is not an easy area. As he said, the public are generally supportive of these measures but less happy when technology comes between them and the clinicians. Like him, I believe that online consultations, although useful, can be overdone.
Of course, GP practices are individual businesses with partners. Many are outstanding and some face more challenges. I have certainly seen how the appointments system has been digitalised in recent years. That has freed up GP surgeries. The report today in the Telegraph examined 95 cases; of course, any serious incident of the kind referred to is one too many. However, NHS guidance and clinical training incorporate red-flag symptoms that would prompt a GP or practice staff to move to a face-to-face appointment. Even more importantly, patients also have a right to request a face-to-face appointment whenever they deem it necessary and practices should comply with that, unless there are good reasons to the contrary such as a particularly infectious disease.
The right reverend Prelate the Bishop of London rightly set out the importance of tackling health inequalities. This is one of the 12 missions set out in the levelling-up White Paper. The major conditions strategy, which the Government intend to publish in early 2024, will explore how we can tackle the key drivers of ill health in England to improve healthy life expectancy, as well as reduce pressure on the NHS and reduce ill health and related labour market inactivity. We are also tackling health disparities through interventions such as the NHS’s Core20PLUS5 programme, which focuses on improving physical and mental health outcomes in the poorest 20% of the population.
We know the pandemic has had and will continue to have an impact on mental health and the well-being of many people. That is why we are investing £2.3 billion of additional funding per year by March 2024 compared with 2018. This funding will expand mental health services in England so that 2 million more people can receive NHS-funded mental health support. We are also continuing to roll out mental health support teams in schools and colleges across England.
Probably the most worrying effect of the pandemic has been on schoolchildren and infants. There is a question as to whether we got school closures right. We acted swiftly in helping our children recover from the impact of the pandemic and have made available almost £5 billion for ambitious multiyear programmes to support education recovery. We are training more early years staff in the latest teaching for communication and language, maths and personal and social development. A number of other important interventions were touched on in the report, such as the Nuffield early language intervention programme, which has played an important role in improving reception-age children’s language and communication skills following Covid-19.
Finally, let me turn to digital transformation. The Covid-19 pandemic had one advantage. It ushered in a revolution in digital ways of working for all of us, which would otherwise have taken decades. The noble Lord, Lord Alderdice, gave us some telling examples—notably changing decades of practice by the late Queen. Schools and public services rose to the challenge remarkably. However, the pandemic brought into stark reality the need to make digital innovation accessible to all.
As the committee found, the nature of digital inclusion is cross-cutting and the onus sits on every government department to support its service users to tackle digital exclusion. We now have a new department, DSIT, focusing more strongly on such matters and much going on elsewhere. Across government, the Cabinet Office is playing its part with the Central Digital and Data Office and our new AI directorate, which is driving the adoption of new technologies in the public sector, making services more accessible and improving productivity and value for money. This is a very important part of the revolution.
The noble Baroness, Lady Lane-Fox, was right to raise the importance of long-term thinking. The Government have clearly made long-term decisions for a brighter future, such as setting up the Covid inquiry to learn lessons from the pandemic, the levelling-up White Paper and the long-term plan laid out by Rishi Sunak in October. Of course, we welcome the recommendations of committees.
I particularly identify the Select Committee on Risk Assessment and Risk Planning, chaired by my noble friend Lord Arbuthnot, which encouraged the Government to think ahead, particularly on resilience. It is a very good example of the influence of critical thinking in this House, as is the report that we are discussing today. Long-term thinking implemented by a cross-departmental approach is also important. I think that the noble Baroness, Lady Merron, was saying that. That is why I volunteered, somewhat reluctantly, to take part in this debate, and why her experience in the department is important to the debate. Being able to look right across the board has been a very good aspect of this report and this debate.
I thank the noble Baroness, Lady Coussins, for her arresting and wide-ranging speech on the importance of language skills and interpretation in health inequalities and injustice. I completely agree on the importance of languages in schools. It is not an area of mine, but I echo everything that she said. I would add that primary care providers should ensure that patients have access to translation and British Sign Language services as required to support consent, mental capacity and clinical assessments. Primary care providers can request support for reasonable additional costs from their local commissioner, which will assess whether claims for such costs are reasonable and represent value for money. That is an example of where we are thinking about the point that she was making, although her speech was wide-ranging, and I look forward to reviewing it again.
I have tried to answer where I can. Clearly, I do not deal with some of these issues on a daily basis. In particular, I shall have to write to the noble Baroness, Lady Merron, on the issue of the immunocompromised. I say in concluding that we share many of the sentiments of the committee’s report. We agree that the Government and the country must learn lessons from the Covid-19 pandemic. I hope that I have shown that progress is being made on many of the difficult issues that were highlighted by the report. My special thanks to the chair and the committee and to those who gave evidence—many people in very difficult circumstances—as well as to the clerk and to his or her team and noble Lords who took part in the debate today.