Levelling-up and Regeneration Bill

Debate between Lord Bach and Earl Howe

Committee stage
Monday 13th March 2023 Lords Chamber

[Earl Howe (Con)]

I am grateful to the noble Lord, and I am sure that we can cover those issues in more depth at the round table. I think it is worth bearing in mind that if the local councils themselves have any doubts or reservations about the appropriateness of giving voting rights to an individual, they do not have to go down that road. It would be only by agreement that this would happen. They would see a value and a purpose in granting such rights.

[Lord Bach (Lab)]

What could the value be in an outsider—someone who is not elected as part of the authority—having a vote? Perhaps the Minister can give us some examples of it being valuable for them to vote. Their advice, of course, would be important and the traditions of local government are that that advice would be listened to. But I think a vote is the thing that some of us find difficult to accept.

[Earl Howe (Con)]

I gave one example, which was a district council that might have particular interests; another might be a university. An integrated care partnership might have major interests in what was being debated or decided. There could be circumstances where a vote by a representative of such organisations could be seen as the right thing to do in the circumstances. Again, I think this is worth my following up in subsequent discussions. I sense that there is considerable uncertainty and hesitation about this provision.

In summary, the Government’s view is that the course proposed by the noble Lord, Lord Shipley, would undermine a combined authority’s ability to work in collaboration with local stakeholders, in the fullest sense, and experts who can contribute positively to the working of the combined authority and collectively ensure the best outcomes for the area and its residents. I hope that my explanatory comments are helpful, as far as they go, although I am conscious that they will not have satisfied noble Lords entirely. For the time being, I hope too that the noble Lord, Lord Foster, will feel able to withdraw Amendment 70.

NHS: ECMO Machines

Debate between Lord Bach and Earl Howe

Monday 22nd April 2013 Lords Chamber

[Earl Howe]

My Lords, my advice is that in most cases of cardiac arrest that is not possible. Where there has been circulatory arrest in the particular conditions that I described, such as immersion in very cold water, the heart can in some circumstances be restarted, but I would not wish to excite noble Lords’ interest in this technique without proper evidence. I am afraid that the article, which I did see, raises people’s hopes perhaps unfairly.

[Lord Bach]

My Lords, can we take it from the answer that the Minister gave two questions ago and the praise that he rightly gave to Glenfield Hospital in Leicester that that ECMO unit will not be closed down?

[Earl Howe]

My Lords, as the noble Lord knows, that decision is interdependent with the decision around the Safe and Sustainable review of children’s cardiac services. Until that issue is determined, it is not possible for me to say what will happen to the children’s ECMO service at Glenfield.

NHS: Children’s Congenital Heart Services

Debate between Lord Bach and Earl Howe

Thursday 25th October 2012 Lords Chamber

[Earl Howe]

My Lords, I accept that there are interdependencies between the provision of children’s cardiac surgery and the children’s ECMO service. If new evidence emerges or there are exceptional circumstances, such as a change in circumstances following either the Independent Reconfiguration Panel review or any judicial review that may occur, then my right honourable friend the Secretary of State may wish at a future time to review the earlier decision.

[Lord Bach]

Is the Minister aware of how absurd it would be to have an independent report on the future of the heart unit but to exclude any consideration of the fate of the ECMO unit? As the right reverend Prelate said a few minutes ago, they are inextricably linked; indeed, the Minister seems to have conceded that there is a link between them. I remind him that Members of another place from all parties and from different parts of the country made it clear in their excellent debate earlier this week that the two are linked. As the Minister’s right honourable and learned friend Sir Edward Garnier said:

“We all know that the current decision is wrong and needs to be dealt with”.—[Official Report, 22/10/12; col. 188WH.]

Will the Government please look at this again before the whole country—

[Lord Bach]

I think this is a question. Will the Minister please look again at this before the whole country loses an outstanding part of our National Health Service?

[Earl Howe]

My Lords, I hope that my initial Answer will have made it clear that we expect the Independent Reconfiguration Panel to look at the issue in the round, and that includes the consequences of the JCPCT’s decision, were that to be carried through. I hope that that is sufficiently reassuring. However, what the panel cannot do, in law, is review the decision of the Secretary of State. It can, however, take all the circumstances into account, and I believe that it should do so.

NHS: Primary Care Trusts

Debate between Lord Bach and Earl Howe

Tuesday 17th July 2012 Lords Chamber

[Earl Howe]

My Lords, I agree with the noble Lord. The Co-operation and Competition Panel undertook a review of restrictions on patient care last year, and although it uncovered quite a number of examples of arbitrary rationing, those were cases that took place under the previous Government. We have banned all such cases. We do not believe that this kind of arbitrary restriction is at all widespread, and we have yet to receive any firm evidence that it is taking place at all.

[Lord Bach]

My Lords, I wonder if the Minister is aware of the widespread feeling of disgust and disappointment at the Government’s decision to close the ECMO cancer unit for children at the world-renowned Glenfield Hospital in Leicester. Is he aware that the quality of work done at that hospital has been praised internationally, and that many thousands of people in Leicester, Leicestershire and beyond are just appalled at the Government’s insensitive and brutal decision?

[Earl Howe]

My Lords, I am aware of the concern that the noble Lord has reflected in his remarks, but I think that it would be wrong of me to comment. That particular decision flowed directly from a review which was conducted by the NHS, quite consciously at arm’s length from Ministers. The matter is currently under scrutiny and I would not wish to pre-empt any decision that my right honourable friend the Secretary of State wishes to take.