Assisted Dying Bill [HL]

Debate between Lord Avebury and Lord Howarth of Newport
Friday 7th November 2014

(9 years, 11 months ago)

Lords Chamber
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Lord Howarth of Newport Portrait Lord Howarth of Newport
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My Lords, I added my name to the amendments in the name of the noble and right reverend Lord, Lord Harries of Pentregarth. I am glad that we have the opportunity to spend a few moments examining this question of the nature of voluntariness in the circumstances for which we are seeking to legislate.

There can be a multitude of pressures on people who are ailing or nearing death; people who find themselves in a situation in which they consider that they may wish to seek assistance in their suicide. I know that my noble and learned friend Lord Falconer, in the drafting of the Bill, has sought very clearly to preclude situations in which anyone is driven by coercion or duress to a decision of this nature. It is going to be very difficult to ensure that those conditions are satisfied, whether in the context of the original Bill or whether in the Bill as modified by the amendment in the name of the noble Lord, Lord Pannick. There are the most overt and obvious pressures coming, perhaps, from family members who are exhausted, angry and grudging, and who may not love the person they find themselves having to care for. There are, as my noble friend Lady Mallalieu mentioned this morning, circumstances in which family members are actually motivated by venal considerations. They want to stop spending all this money on the costs of care and hurry up their inheritance. Although it is most unpleasant to think of these possibilities in human nature, they do exist and we cannot ignore those possibilities.

There could also be pretty overt pressures from professional carers and doctors who are under pressure, working with inadequate resources, impatient, testy and frustrated themselves. We can see a range of possibilities, from inadequate but well intended care, going all the way through to the kind of institutionalised callousness that was reported at Mid-Staffordshire and Winterbourne View—situations of elder abuse. In a sense, it should be easier to preclude people coming to a decision to seek to end their own life with assistance in such obvious circumstances. However, there are then the subtler situations, in which someone has perhaps been pressurised unintendedly by a person whose gesture or facial expression was not meant to be seen by the relative or person for whom they are caring and was interpreted by that person to signify that they were a nuisance or were no longer wanted.

In her speech at Second Reading, the noble Baroness, Lady Campbell of Surbiton, talked of the pressures of pity and how pity can be experienced as contempt and as a signal that your life is not worth living. There are tacit pressures that could arise even from the availability of the remedy that this legislation would make legal—its tendency to normalise the practice of assisted suicide and, going with that, a tendency to diminish trust between patients, sufferers and those who have responsibility for their care. A number of noble Lords have spoken of the risks of an altered ethos in the medical profession. Of course, people who are old and ill and costing the NHS or their families a lot of money may simply felt that they ought to stop incurring such expenditure. If people internalise such pressures and arrive at a sense that their continued existence cannot be justified and they do not have the self-worth they once had, if they feel guilty and that they are a burden on their families and the system, are we to say that these are decisions freely taken? The noble Baroness, Lady Warnock, in her speech at Second Reading proposed to us that people could proudly and honourably—admirably—come to a decision that they should not be a burden on others. Is that a freely-made decision when such pressures have been psychologically and emotionally internalised? It is a difficult question to judge.

Lord Avebury Portrait Lord Avebury
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I wonder whether the noble Lord has ever looked at the Macmillan Cancer Support site, on which there is a forum for people with incurable cancer. If he looks on that site, he will find that no patient has ever expressed the view that they are a burden on the National Health Service. It has never come up at all.

Lord Howarth of Newport Portrait Lord Howarth of Newport
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I will certainly look at that site, but I wish I could be as confident as the noble Lord is on that point.

I will conclude by saying that I think it is going to be very difficult for doctors ever to be certain that a decision has been arrived at on a truly voluntary basis, freely. It will be equally difficult for the judge that the noble Lord, Lord Pannick, has brought in to the proceedings. As the Minister, the noble Lord, Lord Faulks, put it to us earlier, there is a risk that pressures and duress will never be wholly eliminated.

Mesothelioma Bill [HL]

Debate between Lord Avebury and Lord Howarth of Newport
Wednesday 5th June 2013

(11 years, 4 months ago)

Grand Committee
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Lord Howarth of Newport Portrait Lord Howarth of Newport
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My Lords, my Amendment 18 is grouped with Amendment 15, just moved by my noble friend Lord McKenzie, and it drives at very much the same purpose. Both of us seek to ensure that the scheme payments will match the average of court awards for people in comparable circumstances, thereby lifting the figure from 70% of the tariff to 100%.

I have not been able to discern any principled basis for this figure of 70%. I think that it was the best deal that the Minister could secure. I do not underestimate his achievement in securing that deal against an insurance industry that for decades fought a rearguard action to try to escape from its proper liabilities. At Second Reading, the Minister told the House of the press investigations into the mesothelioma scandal in its various dimensions from 1965 onwards. As time went by, we understand that policies went missing wholesale. As the Minister also told us at Second Reading, it was not until 1999 that the industry created a code of practice for the better tracing of employer’s liability policies.

As I said in an earlier debate, I do not think that Parliament needs to feel that it is bound by the deal that the Minister has secured with the industry. We respect the Minister’s efforts in securing that deal but it is our duty to take a view on where the public interest lies, and I do not believe that it lies in palpable injustice or in the convenience of the insurance industry at the expense of mesothelioma victims. It is surely unacceptable that mesothelioma victims should be penalised because, through no fault of theirs, documents have gone missing, and it is unacceptable that the insurers, whose duty it was to keep proper files, should benefit to the tune of 30% in precisely those cases where they failed in their responsibilities.

The Minister will argue to us again, I think, that there needs to be a discount in order to incentivise claimants to go to the courts first. However, I am not persuaded by that argument because it seems to me that the procedures of the scheme—the portal and the remit of the technical committee—will all ensure that they do go to the courts first if they can and that they pursue that avenue until they find that they cannot proceed satisfactorily or successfully along it. Be that as it may, in any case a 30% discount is simply too large. The Financial Services Compensation Scheme provides cover for 90% of the liabilities of insolvent insurers where insurance is compulsory. That 90% should be the very minimum and 100% would be right.

Lord Avebury Portrait Lord Avebury
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My Lords, I certainly agree with the noble Lord, Lord Howarth, about the incentive argument. I thought that that was comprehensively demolished at Second Reading and I hope that we are not going to hear it again from the Minister this afternoon.

I also think that my noble friend should pay attention to the fact that this was one of the subjects on which all the speakers at Second Reading were unanimous in saying that 70% was simply unacceptable. Whether it should be 100%, 90% or some other figure much higher than 70% could be a matter of argument between us. However, there are certainly very strong reasons for saying that the 30% deduction is totally unfair and unacceptable to the majority of your Lordships.

My noble friend said at Second Reading that he was keen to avoid the insurers passing all, or virtually all, of the levy on to existing insurers. As the noble Lord, Lord McKenzie, said, this would not require a very large increase in the premiums to be imposed. It is logical to assume that insurers would also be constrained by the effects of competition. Some might be inclined to pass the whole burden on to other insurers, but would be constrained from doing so by the thought that if others did not then they would obtain all the business. The threat of the insurers passing on the burden is a very slight one.

If there were an increase from 70% to some higher figure, that would not happen suddenly. Presumably, a proportion of the insurers might pass on some of the burden as we approach 100%. I do not think that the Minister has any objective evidence to show to what extent this would happen. I would be very glad to hear from him if he thinks that there is evidence of something that must be hypothetical and cannot intrinsically be tested without actually trying it.

Legal Aid, Sentencing and Punishment of Offenders Bill

Debate between Lord Avebury and Lord Howarth of Newport
Tuesday 27th March 2012

(12 years, 6 months ago)

Lords Chamber
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Lord Howarth of Newport Portrait Lord Howarth of Newport
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My Lords, it is unfortunate that the amendments tabled on this important subject by the noble Baroness, Lady Miller of Chilthorne Domer, should have been reached so late at each successive phase of our consideration—in Committee, on Report and now at Third Reading. It is unfortunate because the House is less full than it might have been, and it is much more difficult at this stage of the evening to win a vote on an amendment opposed by the Government. If it is unfortunate for her, though, how much more unfortunate is it for homeless and vulnerable people all across the country? They will be deeply grateful to her for the passion, determination and eloquence with which she has pursued this subject, and we ought also to thank her.

We face a housing crisis in this country, and that crisis is deepening. I am grateful to the noble Baroness, Lady Northover, for the letter that she wrote to a number of us following a debate on Report on squatting. She herself has acknowledged that while the nature of the case means that it is difficult to know precisely how many people may be squatting in this country, the best estimate by academics, homelessness organisations and people who provide advice services to squatters is that there are no fewer than 10,000 people squatting and possibly as many as 50,000. Those are large numbers and those statistics, uncertain as they are, underline the gravity of the issue all the same.

What are the Government doing to respond to this problem? It so happens that today the Government have published the national planning policy framework. It is an important document with an extended two-page section in which the Government offer their thoughts on:

“Delivering a wide choice of high quality homes”—

words that may sound a little hollow to those who are homeless and those who are squatting. However, there are good intentions in the document. It is a vigorous exhortation to all concerned to act to increase the supply of housing in this country. There is a section at paragraph 51 that is very relevant to the amendments tabled by the noble Baroness:

“Local planning authorities should identify and bring back into residential use empty housing and buildings in line with local housing and empty homes strategies and, where appropriate, acquire properties under compulsory purchase powers”.

If local authorities were to act on that exhortation, that would be helpful. I would be grateful if the Minister would say how much more the Government intend to do to translate that aspiration and exhortation into an effective and practical reality. I am concerned that even where local planning and housing authorities will wish, as I am sure they will, to increase the supply of housing available for people in desperate need and to follow the particular advice that I have just quoted, it may not be easy for them because their resources have been much reduced and we are now just entering a phase in which local authorities are having to face the first and biggest part of a reduction of some 30 per cent in available resources. If they decide that they would like to use compulsory purchase powers, it is not clear to me how they are going to be able to afford to do so.

The Government’s broader economic strategy has, unfortunately, squeezed both growth and confidence, as the Chancellor was driven to recognise last week. The upshot is that the housing market is pretty well dead in the water. People do not have the confidence to apply for mortgages and bankers do not have the confidence to offer them, so house builders cannot find a market. While the private sector of housing development is stagnant, the Government have seen it as appropriate drastically to reduce funding for social housing construction. In the face of a rising population and rising demand, particularly at the lower end of the market, we are seeing reduced supply. The consequence is that rents are rising, and in the face of rising rents the Government have also judged it right to cut housing benefit severely.

The Government have also introduced their new policy for council tax benefit—a fixed budget for each local authority to limit the total that it can spend on the benefit. Our late friend and colleague, Lord Newton of Braintree, whom we all miss so much, spoke on that very topic in our debates on the Welfare Reform Bill. He asked what the position would be if there was a fixed budget for council tax benefit in a local authority area but a factory closure meant that it had to be spread across a larger number of people. He said that it was mad—that was the word that he used—and I think it is.

The noble Baroness, Lady Miller, is absolutely right to pull us up on this and to insist that, in the face of these circumstances and against the background of these other policies, now is not the time to criminalise people who may be driven by circumstances to fairly desperate actions, and to squatting in particular. It is not the time to criminalise them if they squat in a residential premise that has been unoccupied for 12 months and for which there is no planning application. She is also right to ask the Government, at the very least, to postpone implementation of this clause until they have conducted a thorough consultation with people across the country and on the ground who understand these issues. It is of course late. However, if the noble Baroness decides to test the opinion of the House, I will enthusiastically support her.

Lord Avebury Portrait Lord Avebury
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My Lords, I shall add only a few sentences to what the noble Lord, Lord Elystan-Morgan, said about the undesirability of creating new criminal offences unless there is a substantial reason to do so. Surely that argument is doubly important when the offence carries a term of imprisonment, in this case of up to 51 weeks. We all know—I thought that there was general agreement on this—that short sentences are harmful, leading to greater recidivism on the part of those so imprisoned.

If we are to create these new offences, there have to be extremely powerful arguments in their favour, whereas here the exact opposite is true. I will not rehearse all the reasons that have already been given by noble Lords as to why these provisions are unnecessary and harmful. However, keeping houses empty for more than a year is to be discouraged. People whose homes are occupied by squatters already have effective remedies. In the consultation, not only were 96 per cent of respondents against the clause, but that included the substantial opinions of such organisations as the Law Society, ACPO, the Criminal Bar Association, Liberty, Shelter and Crisis. There is also the fact that homelessness is increasing rapidly. For all these reasons, I hope that the Government will see reason and accept my noble friend’s amendment.

Localism Bill

Debate between Lord Avebury and Lord Howarth of Newport
Monday 17th October 2011

(13 years ago)

Lords Chamber
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Lord Avebury Portrait Lord Avebury
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My Lords, I would like to follow the noble Baroness, Lady Whitaker, in what she said, and to point out that in the case of Gypsies and Travellers we have an additional difficulty in that the NPPF and the equivalent document on planning for Gypsy and Traveller sites are mutually incompatible. The Government say that these difficulties will be ironed out in a new version of the amalgamated documents which will be published at some time in the future. Meanwhile there is a policy vacuum which is being only partially filled by the Secretary of State’s dictum that all previous work on planning for Traveller sites has been torn up and local authorities are free to decide how many pitches for Gypsy and Traveller sites will be provided in their area, if any.

The result of this new-found freedom, according to research by the Irish Traveller Movement in Britain, is that roughly 50 per cent of the needs which emerged from the regional spatial strategies, the Gypsy and Traveller accommodation needs assessments, the public inquiries following those GTANAs and the redistribution between local authorities in the region—to accommodate the fact that some councils had done nothing whatever to meet the needs—have not been met. Perhaps I may just interpolate an aside here. In the new process the local authorities will only have to consider their local needs and will not have to co-operate with neighbouring authorities; and if authorities have steadfastly avoided making provision for Gypsies and Travellers in the past they will be able to demonstrate zero need because there are no Gypsies and Travellers in their particular area.

I see no way in which under the proposed system—and subject to what we do not know yet about the guidance that will be issued by the CLG—there will be any mechanism for adjusting that. I would like to know from my noble friend where we have got to in this process. Are we still in the position where every local authority will make up its mind irrespective of what any of the neighbours are doing? Will there be no contribution to the provision of sites for Gypsies and Travellers where a local authority can demonstrate that it has not had a need in the past because it has been successful in excluding Gypsies and Travellers from its area?

We in the Liberal Democratic Party made a reservation to the abolition of regionalism in our manifesto. We said that the numbers emerging from the regional spatial strategies with regard to Gypsies and Travellers should be preserved and should be the basis on which planning for Gypsies and Travellers would be effected under the new system. If we had done that we would have avoided the process that is currently being undergone all over the country as local authorities start again from scratch to consider their local needs and come up with figures which, as I say, are only 50 per cent of what had been provided where the regional process had been completed, as for example in the east of England. This will result in a severe shortage of sites in the whole country and there will be a proliferation of unauthorised sites, which is the chief source of friction between Gypsies and Travellers and the settled population. I do not know whether that is intentional but it will be the result of following the Government’s present policies.

Lord Howarth of Newport Portrait Lord Howarth of Newport
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My Lords, I support the thrust of the amendments tabled by the noble Lords, Lord Best and Lord Greaves. It is not just helpful but necessary to have a transition period in recognition of the fact that not only do very significant numbers—nearly half of local planning authorities—not have local development frameworks, but, because of the abolition of the regional spatial strategies and possibly other factors, even those local planning authorities that do have local plans will find that the local plans that they have had hitherto are now out of date.

We need a transition period probably of three years, certainly not less than two, to provide time for proper consultation to take place. That is extremely important to win back the confidence of the public because it has been shaken on the basis of considerable amounts of misinformation having been provided. If the public had the opportunity to read the draft national planning policy framework, they would gain a lot of reassurance. The fact of the matter is that many people are disturbed and worried about what the new planning regime portends, so consultation will be particularly important. I would not want to see a truncated process of consultation in the interests of hurrying the process along unduly.

Time will also be needed to assist the process of co-operation between local planning authorities that will no longer be brought together under the umbrella of a regional development agency to facilitate that co-operation. We know that there are tensions—indeed, conflicts of interest—and interests that are very difficult to reconcile between different local planning authorities, so time must be allowed for that process to run its course. The inspectorate will need time, which is why I think three years rather than two years would probably be appropriate, as the noble Lord, Lord Tope, suggested in the debate last Thursday.

Will the Minister take this opportunity not only to say what the Government’s view is about a transition period but what supplementary guidance they may be minded to offer? While the Government are entirely entitled to revisit the planning policy statements, those statements are of pretty recent origin and represent a huge amount of work that has been put in by all the relevant expert interests. It would be a shame to discard them altogether. I wonder whether the Government are minded to look at a way in which planning policy statements, appropriately modified and updated to reflect the Government’s current policies, could none the less be made part of the system again so that we do not waste all that good will, expertise and very useful practical guidance that went into the development of those statements.

If the Government allow a three-year transition period, they will not abort the development that is so badly needed if we are again to have growth in this country because, unfortunately, the lack of confidence and available finance mean that there is not a lot of development in the pipeline. Even where the necessary confidence and funding exist, there are large numbers of extant planning permissions, so I do not think that a transition period would in any way obstruct the sustainable development that we all want to see in the interests of creating more jobs and homes and ensuring that our economy is modernised and made more powerful and effective. If the noble Baroness is able to indicate the Government’s thinking in this regard, more particularly whether their thinking is positive, it would be hugely welcome.