(4 years, 1 month ago)
Lords ChamberMy Lords, I draw attention to my interests as outlined in the register. I support the contents of the stamp duty land tax Bill that are designed to enable people to feel confident to buy, sell, move and improve housing stock. The changes should assist not only first-time buyers but older people who may choose to move and release equity in their homes.
The Finance Bill is designed to protect jobs, yet no mention is made of people’s need to maintain the right to stay in the homes they currently live in. Many people expect to lose their jobs in the next few months, the prospect of which will create fear and anxiety—doubly so if they also lose their homes. We are seeing the toll coronavirus has put on the nation’s mental health. Many people have benefited from mortgage holidays and the temporary cessation of evictions. As these constructive government interventions come to an end, what is to happen to people heavily in rent arrears and mortgage debt ? What of private renters whose landlords decide to sell their housing stock quickly because of the stamp duty holiday? Are they to be evicted?
The Government are committed to protecting children’s rights and acknowledge that these need to be at the centre of any coronavirus recovery plan. The Chancellor has said that we need
“a patience to live with the uncertainty of the moment”.—[Official Report, Commons, 8/7/20; col. 978.]
I agree, but families should not have to fear eviction and either become homeless or be placed in bed and breakfast if they currently live in suitable housing. The Ride Out Recession Alliance, which is being put together by, among others, my noble friend Lord Bird, who knows a thing or two about homelessness, is calling for there to be no evictions for up to two years, to be achieved by paying or guaranteeing people’s rent or mortgages. It is argued that this will be cost effective on society in the long term.
The Affordable Housing Commission, chaired by the noble Lord, Lord Best, has called for social landlords to be supported to buy homes from “overstretched landlords”. I go further and suggest that this could include peoples own homes and repurchasing elements of shared ownership homes where arrears may otherwise lead to repossession and associated homelessness. People could then remain in their current homes, paying a fair rent.
As well as good and secure work, people need good and secure homes. The Government’s intervention to find accommodation for homeless people at the start of lockdown was truly fantastic. Can the Minister confirm that Her Majesty’s Government will give serious consideration to intervening in a similarly swift and humanistic manner to enable most families to stay in their current homes and to prevent an increase in homelessness and associated poor mental health, particularly for children, as a result of coronavirus? We need a comprehensive financial plan for homes to follow the excellent plan for the protection and future of jobs, particularly Kickstart.
(4 years, 3 months ago)
Lords ChamberMy Lords, I thank the most reverend Primate the Archbishop of York for securing this important and timely debate and for his learned and compassionate contribution.
The Government instigated new fiscal policies in the light of Covid-19. These have been welcomed as they were designed in part to alleviate financial disruption to households and therefore promote health security within our borders. The population has adhered to these current restrictions, demonstrating the value to society of the significant investment, but it is not just low income that contributes to inequalities in our society; it is the very varied contracts that people have at the moment. This is the reality for carers who are employed, who may often work on zero-hour or minimum- hour contracts. I hope that, following this crisis, those carers do not have to resort to food banks, or face rent arrears or the difficulty of not being able to work.
I return to the issue of instability of income and low incomes generally. The Taylor review of modern working practices says that we must make flexible working the default in employment contracts. If we did this and moved towards the target rate of 66% of median earnings as a national living wage, we would begin to move towards greater equality in income levels and stability in the country.
I ask the Minister to inform the House about the likely timetable for the introduction of the expected employment Bill, which may well address some of the inequalities that I and other noble Lords will outline today.
(4 years, 3 months ago)
Lords ChamberMy Lords, I, too, welcome the Statement and join in the expression of appreciation of everyone who is working so hard during this unprecedented public health challenge. However, I want to raise a question about the future of the acquisition and delivery of PPE. We are very aware that in the past few weeks, this has not been conducted as efficiently and effectively as everybody would like, including Ministers. However, we know that with the Spanish flu there were two further peaks. Can the Government assure us that by this autumn, we will have sufficient and robust supplies of PPE that meet the right standards from the HSE’s perspective? Looking at the Statement and the four teams that are working together, many people, including me, do not quite understand where the noble Lord, Lord Deighton, who is co-ordinating the manufacture and distribution of PPE locally, will link in with those four teams. We could, of course, become completely self-reliant as a country on PPE, which may be something we want to think about in the longer term. I would be very happy to have a virtual meeting to discuss this further if it is appropriate.
PPE is of course of fundamental importance. If anybody in the country did not realise it at the start of this crisis, it is fully understood now. Ministers have always understood it. We had a large stockpile. Great efforts will continue to be made to ensure that our front line has sufficient equipment. I note the points that the noble Baroness made about the experience of Spanish flu, and I would certainly be interested in talking to her about it on another occasion, but I must reiterate that the Government are 100% committed to securing a stable and safe supply of PPE now and in the future.
(5 years, 6 months ago)
Lords ChamberMy Lords, I thank the noble Lord, Lord Whitty, for tabling and introducing this important debate. I concur with what he said and the Shelter report. I draw attention to my interests, particularly as a board member of a housing association, and join other noble Lords in congratulating the noble Baroness, Lady Osamor, on her humbling maiden speech.
In the excellent Library briefing on the topic, we are reminded that the number of socially rented homes has been falling consistently in England since the 1980s and that in 2016 only 17% of homes fell into this category, compared to 25% in 1981. At the same time, the number of households in privately rented accommodation has risen and statistics show that private renters spend a much higher proportion of their incomes on rent than social renters. Renters in London, particularly those in the younger age group—between 25 and 34—are facing increasing housing costs. This affects in particular key workers in the public sector, who need to be near to hospitals, schools, ambulance centres and other places in which they serve. Crisis argues that insecure tenancies in the private sector have led to an increase in the cases of homelessness and the placing of some young families in bed and breakfast. At the weekend, I looked on the Mayor of London’s website for a socially rented home with two bedrooms in south London. None is available.
The Government acknowledge these issues and in 2017 committed with local councils to build more social homes, as outlined in last year’s Green Paper. The Government say that they will promote ambitious new pro-development deals to build more social housing, yet a quick review of flats for sale in London at reasonable prices—between £150,000 and £500,000—revealed 18,000 properties, some of which were doubtless sold under right to buy. Many such properties are being sold by older people who wish to sell and move to smaller properties, often outside the metropolis, or by families who want to leave London. Could not a government capital scheme be devised to encourage housing associations and councils to buy back many of those homes, possibly at a slightly discounted rate of, let us say, 90% of the estimated value, and refurbish them quickly to house many of those families in desperate need of two or three-bedroomed social rent properties? Housing associations could carry out this regeneration quite quickly while still undertaking to build new homes, including smaller units for people whose families now live independently and are themselves ready to downsize.
While I have used housing in London as an example, it is equally important to consider how redundant stock in rural communities, or stock that has been for sale for a long period without being purchased, could be redistributed as social housing if a capital scheme enabled councils and housing associations to buy back properties. This would be particularly useful in expensive housing areas such as rural villages in Devon and Cornwall, where holiday home ownership has sent property prices soaring. I would welcome the Minister’s response on this matter, as it could provide a catalyst for increasing provision in tandem with the provision of new-build homes.
(6 years, 5 months ago)
Lords ChamberI think the rest of the country might take the view that everybody should be elected to this House. What they probably resent is the whole business of appointment where we get put into this House just on the whim of our party leaders. That does not seem to me a very scientific basis on which people should be put into this House—just how well you get on with the leader of your party.
My Lords, I want to speak as a Peer appointed through the Appointments Commission. I am, as you know, a nurse, and there was huge pressure from the nursing profession to get another Member here. I know that I, like you, was extremely fortunate to be selected, and I know some really excellent nurses who were not. The 1999 Act was designed to make this House more representative of the population that it serves. It is not about being in with a party, it is about contributing to the work of the House. I am aware that several hereditary Peers contribute in an excellent manner, but why should not some of them come through the Appointments Commission and apply in that way in future?
My Lords, we have lost sight of one important principle. The Bill of the noble Lord, Lord Grocott, does not eject any hereditary Peer from this House. We value their contribution. Despite the remarks of my noble friend Lord Trenchard, I still support the Bill. In this year of all years, as we celebrate the 100th anniversary of the Royal Air Force, we should all remember the enormous debt that we owe to my noble friend Lord Trenchard’s grandfather, but we really ought now to move on. This House has demonstrated in previous votes a year ago and again this morning—although I accept the strictures of my noble and learned friend Lord Mackay up to a point—conclusively and absolutely that the majority of Members of your Lordships’ House support the principles of the Grocott Bill and therefore oppose this string of amendments which would destroy the Bill.
We should also have regard to the admirable Burns commission, which perfectly properly parked two questions. One was the question of Bishops and the other was the question of hereditary Peers. But at the same time, it pointed out that if we reduce the size of the House, as those of us who truly care about the House wish, the percentages would be out of joint. Therefore, what the noble Lord, Lord Grocott, is doing, is not against the spirit of Burns at all. Indeed, it makes the enactment of Burns—I should say the acceptance of Burns, because legislation is not needed—all the more necessary and all the easier.
I say to every hereditary Peer who is here this morning—some are not, many of whom I know strongly support the Bill—that your position is not at risk. Your contributions can continue until you are summoned to higher places or decide to retire. But this is a constructive, modest measure, which has already had overwhelming support from all parts of your Lordships’ House. Those who seek by a maverick exercise to frustrate the will of your Lordships’ House are in fact not serving it in the way they should.
(7 years, 8 months ago)
Lords ChamberMy Lords, I congratulate the noble Lord, Lord Harris of Haringey, on securing this debate, to which I am pleased to have the opportunity to contribute. I join with other Members of the House in offering my condolences to the noble Lord, Lord Prior. I am sad that he cannot be here today but delighted that the noble Baroness, Lady Chisholm, will respond. Perhaps I may declare my interests as outlined in the register.
The briefing paper from the Library rightly identifies how public and patient involvement often appears to be a nebulous and ill-defined concept that means different things to the multiple stakeholders. We heard recently that some health service commissioners in partnerships with local authorities have spent less than 1% of their total budget on mental health/public health initiatives, yet this House has heard consistently about the growing problem of self-harm among adolescents. Investment in public health initiatives in mental health, for example through school nurses, is chronically underfunded. There are ongoing difficulties in accessing children and adolescent mental health services, and indeed I have heard people say that CAMHS stands for “Can’t Access Mental Health Services”. So where, I must ask the Minister, is the voice for some of the most disadvantaged service users in health and social care? If you cannot access a service, you do not become a user, so what structure do we need in the future to ensure that influencing the health and social care spend will involve the widest range of people in society?
I believe that user representation in health and social care is still biased towards those who speak the loudest and have physical healthcare needs because of cancer, heart disease and diabetes. We are told, for example, that cuts in health visiting of around 20% are likely to be made soon. Again, this will affect a very disadvantaged group, the under-fives. The King’s Fund has observed that putting patients first has become a “mantra” of politicians and senior policymakers with the aim of ensuring,
“a stronger voice in decisions about health and care, and that services should better reflect their needs”.
I will not go over the national structure of Healthwatch which has been so ably described by other speakers, but it is important to note that areas of good practice have emerged. However, it is acknowledged that there has not been systematic progress in the field of Healthwatch and user representation. As outlined by others, the King’s Fund gives three core reasons for this, the first of which is a lack of understanding of what involving people in health decisions means. As outlined by the noble Baroness, Lady Pitkeathley, this is working well at the clinical level but at the strategic level is it often much more problematic. It is difficult, suggests the King’s Fund, because it challenges “vested interests” and current “orthodoxies” about the way funding is controlled, as well as asking whether it really has been a priority. The differences in Healthwatch’s allocations as outlined by the noble Lord, Lord Harris, show that although I was going to argue that Devon is underfunded, when compared with Manchester it is doing well. That reflects the difficulties of prioritising in different places.
In fact, some real advances have been made. User involvement is seen as a real priority in the context of the phrase that other speakers have referred to: “No decision about me without me”. That is a key part of any university healthcare curriculum designed to prepare students for professional registration, whether as a nurse, midwife, doctor or physiotherapist. I assure noble Lords that in my own nursing education 40 years ago, which was not dissimilar to that of the noble Baroness, Lady Chisholm, it was not a key part of our curriculum. User involvement in their own care plans is now an established expectation.
Problems emerge when the healthcare professional and patient—or user—cannot access the right care at the right time because of lack of investment or priority. If I go to my GP with a breast lump that he thinks might be cancer, we will both agree that I should be assessed by a specialist team within two weeks. In most parts of the country, this will be achieved. Hypothetically, if I go to the GP with a 12 year-old daughter who is cutting her arms and losing weight, the GP may agree with her that she should be assessed by a child and adolescent mental health team within two weeks. She may at that point be ready and willing to go for this assessment, but in many areas of the country it is quite likely that it will not be arrangeable within two weeks. Indeed, in some parts of the country, the reported waiting time for such an assessment exceeds six months.
This moves the debate on to the extent to which patients and service users really influence how much is spent on different healthcare services by different bodies. The new strategic development plans are designed to have this debate at a local level, using approved networks to try to get the most appropriate healthcare spend for the vast majority of the population. I believe the SDPs are fundamental to the redesign of health and social care services and that Healthwatch is fundamental to engaging the local communities in this process.
How do I think we are doing where I live in Devon? I asked the chair of Healthwatch Devon to assist me by saying how much she feels they are involved in the SDP process in Devon. I will give your Lordships some idea. There are three Healthwatches in Devon, all of which agree that the definition of patient and public involvement needs clarification, following the numerous NHS documents and references to involvement of patient and public experience in service review, engagement and consultation.
In Devon, the three Healthwatches have come informally together through their chairs to work with the SDP to lobby for engagement and consultation, but they point out to me that the three chairs of Healthwatch are not engaging fully with the community because they have neither the time nor the resources to do so. However, they are also very confident that they are endeavouring to pursue the role of advocate for the community and challenger of the commissioner as independently as they can, but they say that, given they are funded by the LA, they also see the need to work in partnership with strategic players if they are to achieve respect and understanding of the drivers and strategies integral to service review, and therefore lobby at the most senior level for patient and public involvement. These are two roles that many academics have pointed out are to some degree in conflict.
While it is clear that CCGs are required to consult Healthwatch, there is not necessarily a requirement to accept its recommendations. Indeed, the Francis report raised concerns about its flexible framework, suggesting that there needs to be greater consistency.
The health budget is indeed under consistent and prolonged challenge. It is vital that local communities reach sound conclusions about their strategic development plans. As has been pointed out, in many rural areas it is being suggested that community hospital beds should be closed to reinvest the health service pound into rehabilitation services that would more readily reach the population through swift access at home to physiotherapists, occupational therapists and nursing. Yet that changeover will need transitional funding if it is to be conducted safely. Any debate about SDPs will be difficult, but I urge the Minister to ensure that young people are involved in working with Healthwatch and other patient user networks to influence the development of sound mental health and learning disability services as well as the appropriate redistribution of services and resources for physical health provision. To do this, I suggest that Healthwatch, or an equivalent structure, needs to be less nebulous and mandated to include independent scrutiny of the comprehensive health services, including public health and social care. Only in this way will local people have real influence in shaping the degree of services that are needed to meet the challenges in local communities.
(8 years, 2 months ago)
Lords ChamberMy Lords, first, I thank the Minister for his kind words yesterday about my knowledge and interest in this area. I also ask him to convey my thanks to the Minister for Constitutional Reform for his most helpful recent letter which was also copied to my fellow officers of the All-Party Parliamentary Group on Democratic Participation. As the Minister will know, we are discussing with his colleagues our recent Missing Millions report, trying to tackle some of the longer-term problems which have been highlighted this week.
I want to say from these Benches how grateful we are to the Government for acting so expeditiously and properly to ensure that the problems with online registration did not result in people being disenfranchised. Today’s Daily Express headline suggesting that allowing people to vote is somehow “rigging the system” is at least as ridiculous as any of its conspiracy theories concerning the late Diana, Princess of Wales.
Some 242,000 people applied to register to vote yesterday, and more will do so by midnight tonight. But the problem that I raised with the Minister yesterday is that these people were not able to find out easily whether they were already registered, and many of them were. The problems of trying to get people registered at the last minute are the problems that arise from the weaknesses in the system, which have led to the general problem of under-registration. Yesterday, the Minister responded to my point that we really need an online system in which people can easily check whether or not they are already registered. He expressed concern about the creation of a national database to facilitate this. He said that,
“we must guard any solution which results in whole swathes of data unnecessarily being held centrally”.—[Official Report, 8/6/16; col. 751.]
But does he not have concerns that all the major political parties, including his own, already have such a database? All the political parties are entitled to copies of the electoral register in electronic format and they can either aggregate that information or work with any of the credit agencies which also legally have full access to the electoral register. So there are already national databases showing exactly who is on the electoral register.
While there may be some confusion over addresses appearing on those registers in different formats, it should not be hard, for example, for someone to supply their name, postcode, national insurance number or other identification to see whether they are already registered. I raised this issue today with the Electoral Commission. I quote briefly from its email, which is most helpful on this issue. On the question of an online register and checking whether someone is already registered, it says:
“This is a recommendation that we continue to make to Government, including in our February 2016 report, after we received feedback from Electoral Registration Officers, and from electors themselves, that this would be a helpful service. You might already be aware that similar facilities are already offered to voters in other comparable democracies, including Australia and New Zealand”.
Therefore, it seems to me that it would not be too difficult a problem for us to address. We know that in total there may be around 7 million people missing from the registers, and 4 million of them may be young people. I asked in a recent debate why we do not make the electoral registration process part of the student enrolment process. The Minister said that it had been piloted successfully in Sheffield and Cardiff. As it has been piloted successfully there, why can we not roll it out across the whole country? We could make it a universal provision. I have also been pressing, as have many Members of the House, for us to adopt the Northern Ireland model of registering 16 and 17 year-olds as part of citizenship classes at school. The Minister told me that many electoral registration officers are already working with local schools and colleges in their area—but why not all of them? The excuse that Northern Ireland does not yet have online registration is no reason at all for not spreading successful good practice in registering young people across Great Britain.
Finally, I ask the Minister to clarify an issue in the Explanatory Memorandum to this statutory instrument. It states that,
“the Law Commission is currently undertaking a review of electoral law in the United Kingdom and expects to present its recommendations to Government in 2016”.
However, the Law Commission published its interim report on 4 February and made many sensible recommendations for tidying up and modernising our election laws. I have since then been asking for the Government’s response to what the Law Commission said, as the next stages require the Government, instructing parliamentary counsel, to draft the Bill required. The Electoral Commission, I might add, is also extremely keen that this happens. So, what is the Government response to the Law Commission’s report?
My Lords, I rise to support the Motion put forward by the Minister and to commend the Government and the other House on ensuring that full public engagement can take place at this time. I believe that this surge was a result of the just-in-time generation being able to do things at the last minute. We probably have a lot to learn from that. It will be interesting to look at this issue—if one is able to define the 300,000-odd people who elected to register in the last 24 hours. Without this statutory instrument we would be denying the basic human right in a democracy, such as the UK, to vote on such an important issue.
My Lords, I rise to ask the Minister to clarify one or two things, and to make one or two observations, following the comments of the noble Lord, Lord Rennard. One is tempted to remind ourselves that the words “IT project, success and Government” are not often used in the same sentence. This might be yet another instance of that, although, having said that, I think that the capacity installed was pretty substantial. That takes me to the point made by the noble Lord, Lord Rennard, that, after the event, we will discover that a fair number of the people who were trying to register were already registered. Had that facility been available they would not have been overloading the system. As I said, we will not know the answer to that for several weeks, until the analysis has been done.
On my specific questions, first, are the returning officers fully okay with and accepting of the new timetables? I assume from what my noble friend Lord Bridges said that they are, but it would be appropriate, given the increased workload that they will face over a shorter period of time, to have confirmation that not only the Electoral Commission but the returning officers are satisfied that they can cope in the circumstances.
Secondly, and I do not expect an answer specifically relating to this at this point, when the specific regulations were debated in Committee I raised the opening of postal votes. I was given an assurance, although I have not checked Hansard precisely, that these would not be opened until the close of the poll because there were recognised implications for the markets around the world. I think that that was the assurance I was given. Rumours are going round about information emanating from the opening of postal votes already. I therefore ask the Minister to confirm with the Electoral Commission and with the returning officers that they are following due process as set out in the legislation and the regulations.
(8 years, 5 months ago)
Lords ChamberMy Lords, this amendment would remove from the Bill the reserve powers proposed to be given to the Secretary of State to intervene in individual public bodies in respect of their facility time arrangements. In moving this amendment, which is also supported by the noble Baronesses, Lady Watkins and Lady Hayter, and the noble Lord, Lord Stoneham, I declare my interests as president of the Local Government Association and chair of King’s College Hospital.
I will not spend a long time making the case for the value of trade union facility time, because the Government are not contesting this. Suffice it to say that it is part and parcel of ensuring effective industrial relations and enabling trade unions to play their proper role in collective agreements with employers. The benefit comes as much to the employer as it does to the trade unions. I am clear that I could not have delivered the scale of change that I did in Sheffield without having trade union representatives funded through the facility time arrangements. Having them available to engage in the negotiations on behalf of their members was crucial. The Government are saying that the costs should be transparently known and proportionate to the benefits—I agree. However, this is fully secured—this is a critical point—through Clause 12. There is no need for the reserve powers contained in Clause 13.
It is worth spending a minute looking at the reserve powers given to the Secretary of State in this clause. They will enable the Secretary of State to specify not only the percentage of an employer’s pay bill that such arrangements will cost—to specify a cap— but also the percentage of an individual employee’s working time that can be taken as paid facility time. This will apply to all public bodies including those in the devolved nations. As we have heard, that ends up with a wide definition. Let us be clear about this: the Secretary of State will be able to specify the percentage of time that a trade union official in the City of Edinburgh Council and Essex County Council can spend on their paid duties. This will entirely cut across whatever collective agreements happen to be in place already in those authorities at the time. This does not make sense at any level. If the public body is controlled by central government then it is already within the Government’s gift to take action. They already have the ability to influence this. If, however, the public body is a local authority, it has its own democratic mandate and is answerable to its own electorate for the cost. Given the immense financial pressures now on local authorities, do we really think that they are incapable of making this judgment?
We rightly invest enormous responsibilities in local government. There is widespread recognition that local authorities have managed the substantial reductions in their budgets over the past six years as well as, if not better than, any other part of the public sector. Indeed, through the devolution deals, the Government plan to give them more powers and responsibilities. Yet we do not think that they can be trusted to manage a cost that comes to less than 0.2% of their pay bill.
The Government have pointed to the power of transparency to deliver savings on their own facility time costs. It must surely be right to let the same process take its course in other parts of the public sector. Their only defence of this clause in Committee was that it might come in handy at some time in the future. That is not an adequate defence for such a centralising provision. I beg to move.
My Lords, as a co-signatory to the amendment moved by the noble Lord, Lord Kerslake, I declare my interests as an emeritus professor of Plymouth University and a non-executive director of the South Western Ambulance Service NHS Foundation Trust.
As the noble Lord, Lord Kerslake, said, we agree with the Government about the value of appropriate amounts of facility time, which we all acknowledge are essential to effective industrial relations and health and safety at work. The benefits of facility time come not only to the trade unions and employers but to the public, including patients and students, when good, sometimes even novel solutions are found to changes in working practice through collective discussion between managers and employee representatives.
For example, a management team that I led could not have delivered the effective changes in nursing and healthcare education in the West Country without having had trade union representatives funded through facility time. In that instance, we moved from 17 small sites to a four-centre hub-and-spoke model. This saved in excess of £3 million per annum, recurring, for the NHS budget—without a single working day lost. During the year in question union representatives’ facility time and managers’ time were a worthwhile investment in securing a cost-effective solution for the future.
The reserved powers for the Secretary of State outlined in Clause 13 should not necessarily be needed. Good managers should be facilitated to make decisions about the amount of trade union facility time that is appropriate for the business in hand at that time, whether in the NHS or other publicly funded services. Just as trust is necessary between managers and unions, it is necessary between government and leaders and managers in the public sector.
The Government are saying that costs should be transparent and relevant to the benefits. I have given a personal example of this approach and fully support the concept that this should be achieved. However, I do not believe that the reserved powers contained in Clause 13 are proportionate or necessary. Good managers will oversee and provide transparent data on facility time and should be held accountable for doing so without the need for Clause 13. The noble Lord, Lord Kerslake, has made a sound argument for the deletion of Clause 13, with which I concur.