Protection of Freedoms Bill

Debate between Baroness Royall of Blaisdon and Lord Newton of Braintree

Tuesday 29th November 2011 Lords Chamber

[Baroness Royall of Blaisdon]

My Lords, the government amendments brought in at the Report stage of this Bill in the House of Commons stipulate that DNA and fingerprint profiles from individuals arrested but not charged with a serious offence could be retained only with the permission of the biometrics commissioner on the condition that the alleged victim is aged under 18, a vulnerable adult, associated with the alleged perpetrator or necessary to assist in the prevention or detection of crime. The effect of that is that many individuals who are arrested for a serious offence will not have their DNA retained at all.

From the definition given in government Amendment 11, it looks as though the Government are setting a higher burden of proof and imposing a greater administrative burden on police, which will have a dissuasive effect on the retention of DNA for serious offences. A false distinction is potentially being made between the risk associated with those arrested and those arrested and charged. As we discussed earlier, rape cases have chronically low charge and conviction rates. The amendment could therefore have an impact on the safety of women. I listened to the reasons which the Minister gave for introducing the new definition, but it would appear to be tighter. I therefore seek an assurance from her that the new definition will include victims in women’s refuges and sheltered housing, and rape victims.

I do not fully understand the purpose behind the amendment, nor do I understand which individuals, if any, the Government wish to exclude through the definition. I do not understand why the definition that we already have cannot be used. I suggest that the definition of a “vulnerable adult” should be common to all legislation, because that is the proper way for us as legislators to act. It is both logical and makes sense to citizens who have to deal with the legislation. I am wholly in favour of common definitions. If we are talking about vulnerable adults in one Bill, we should have the same definition in another. I do not accept that the new definition as put forward by the Minister in this amendment is necessary or desirable.

[Lord Newton of Braintree]

My Lords, perhaps I may build briefly on those comments because lurking in them was the question that I was going to ask. I suppose that I had better declare an interest, in that, whatever definition is used, I am a vulnerable old person, so it probably makes no difference to me.

The question is: does the Bill change the definition in the 2006 Act? On the basis of what the Minister was just saying, it leaves one definition in that Act and puts another in this Act. I think that it is very odd that we should have two definitions of vulnerable persons, whether adult, children or any other category of person. If a definition is right for one purpose, I cannot see why it is not right for another.

Health and Social Care Bill

Debate between Baroness Royall of Blaisdon and Lord Newton of Braintree

Monday 28th November 2011 Lords Chamber

[Lord Newton of Braintree]

My Lords, I chip in briefly in support of the amendment. I hasten to assure my noble friends on the Front Bench that this is a probing amendment and that I have no intention of pushing my luck. I have been so open and transparent as to share with the Minister every word of the briefing that I received and that led to the amendment. He knows what it is about. Therefore, I am looking for a measured, constructive and well informed response. I have no interests to declare except the public interest. The healthcare industry—the interests of which underlie the amendment—is important. It contains a lot of small and medium-sized enterprises of a potentially and actually very successful kind. We ought to encourage them, and I hope that the Minister will do his best.

[Baroness Royall of Blaisdon]

My Lords, I speak to Amendment 110ZA. In tabling the amendment and Amendment 343A, I was mindful of information from the Prostate Cancer Charity, which I strongly support, and from members of the Epilepsy Society. Of course I am aware that many other people with different chronic diseases, and those who care for them, are concerned about these issues.

As noble Lords are aware, prostate cancer is the most common cancer in men in the UK. In England, 30,000 men are diagnosed with it every year, and there are 215,000 men living with and beyond the disease. Ten thousand men die from prostate cancer every year. Currently, clinical nurse specialists for men with prostate cancer have to care for a worryingly high number of new patients compared to nurses for people with other common cancers. I am therefore worried that the financial pressures on the NHS and the cost of reform will threaten those already overstretched specialist nurses, who are so vital in driving up the quality of care for people with cancer.

Access to a clinical nurse specialist improves the experience of people with cancer at every stage of their journey and ensures that they have access to the vital support and information they need. This has been evidenced by the results of the 2010 National Cancer Patient Experience Survey. If patients are to have more control over decisions related to their care and report a good experience of care, they need the clinical and emotional support, information and expertise that a clinical nurse specialist can provide.

As the noble Earl will be aware from his association with the epilepsy organisations, NICE guidelines state that epilepsy specialist nurses should be an integral part of the medical team providing care to people with epilepsy. Even with investment made under my Government, 60 per cent of acute trusts and 64 per cent of primary care trusts did not have an epilepsy specialist nurse in 2009. SIGN guideline 70 states that,

“all epilepsy care teams should include an epilepsy specialist nurse”.

There are around 150 epilepsy specialist nurse posts, with a further 250 to 300 nurses who have undertaken training but are not in a role due to the shortage of posts.

As all noble Lords will be aware, specialist nurses save the NHS money by releasing consultants’ time, reducing A&E admissions, enhancing patients’ adherence to treatment and reducing the use of hospital beds. Therefore, I am proposing two amendments that would place duties on the NHS Commissioning Board to have regard to the continued access of patients to clinical specialist nurses. The first would support the board’s existing duty as to the improvement in quality of services and the second would create a new standalone duty. I trust the Minister will be able to accept my amendments.