Health and Social Care Act (Northern Ireland) 2022 (Consequential Amendments) Order 2022

Debate between Baroness Ritchie of Downpatrick and Lord Lexden

Monday 5th September 2022 Grand Committee

[Baroness Ritchie of Downpatrick (Lab)]

My Lords, I support this very technical order. Like the noble Lord, Lord Murphy, I make a plea yet again for negotiation between all parties and both Governments to get the institutions up and working to look at the areas where there are problems or impediments, including in the protocol, and any other issues.

The most important thing that the people of Northern Ireland require is a functional Government who are delivering for all of us on health and social care, the economy, infrastructure and job creation. In relation to this, I agree with the noble Lord, Lord Murphy. There are chronic waiting lists in Northern Ireland for specific disciplines. There are also waiting lists to get on to waiting lists, which can cause such consternation for individuals who are ill. That has been the situation for quite some time.

I do not disagree with the assimilation of the Health and Social Care Board into the Department of Health and the five health trusts. As a former MP I had experience of dealing with the Health and Social Care Board and the health trusts. I could never fully understand or appreciate the difference in their workload, because the health and social care board commissioned the services and acted as the prescriber of what services were required. Notwithstanding that, that is a job better done by the Department of Health.

In relation to that, maybe the Minister would have talked to the current caretaker Minister, Minister Swann, who served as Health Minister for the last nearly three years, about what savings are projected from the assimilation of the Health and Social Care Board into the department and trusts. Will those savings be ploughed back into the delivery arm of the trusts so that people can access services in the medical and clinical areas to which they are entitled?

[Lord Lexden (Con)]

When my noble friend comes to reply, could he give the Committee an impression of whether the problems with the health service in Northern Ireland, although very considerable, have deepened yet further during this unfortunate period, which strengthens the reasons why we want devolution back?

Northern Ireland (Ministers, Elections and Petitions of Concern) Bill

Debate between Baroness Ritchie of Downpatrick and Lord Lexden

Report stage
Wednesday 19th January 2022 Lords Chamber

[Lord Lexden (Con)]

Having warmly supported the noble Lord, Lord Coaker, at Committee stage, I welcome the fact that we are to have regular six-monthly reports on the commitments which the British Government gave in the New Decade, New Approach document. It is very important that this House is made fully aware of what our Government here at Westminster is doing, working closely with the devolved Executive and Assembly, to secure progress in Northern Ireland. These six-monthly statements will bring home to us the extent to which the British Government are, we hope, working successfully.

As for the Irish Republic, I would welcome—and I am sure the House would welcome—news of developments which assist both sides of the border in social and economic co-operation. That is what we all welcome. But I hope that nothing will be forthcoming that intrudes on British sovereignty over Northern Ireland; that matters above all. So I welcome very much the six-monthly reports—and I hope they will the subject of debate in this House from time to time—to show how progress is being made in Northern Ireland with the assistance of our Government in co-operation with the Executive and the Assembly.

[Baroness Ritchie of Downpatrick (Lab)]

My Lords, I support what the Minister said, particularly in relation to the commencement date being fixed in legislation. I also support my noble friend Lord Coaker in relation to the reports on the New Decade, New Approach implementation period.

I am conscious of the devolution settlement, but I am also conscious of the fact that the Northern Ireland Executive had commitments to deliver with respect to the New Decade, New Approach. As part of that statement, would it be possible to provide a few columns about the progress of these commitments? The Minister and I are only too aware of the delays in responses to the areas of the common frameworks that were devolved from the European Union to the UK and the devolved regions in the post-Brexit scenario. Nothing happened in terms of Northern Ireland during the three-year interregnum, so we need to know, in an expeditious way, how the Northern Ireland Executive are implementing their commitments, notwithstanding the need to protect the devolution settlement. If there could be a section in the Minister’s statement to that effect, I would greatly appreciate it.