Legal Aid, Sentencing and Punishment of Offenders Bill

Debate between Lord Beecham and Lord Newton of Braintree

Monday 30th January 2012 Lords Chamber

[Lord Beecham]

Well, I am sometimes guilty of blundering, but a good example of psychological injury would be post-traumatic stress disorder, which is not at all uncommon in the case of severe accidents. That is the sort of territory. This is a fairly conventional term in personal injury litigation.

[Lord Newton of Braintree]

As a non-lawyer trespassing with great trepidation into this lawyers’ paradise territory I am prepared to accept that, but to a layman “physical or psychological injury” as a definition of any serious kind would cover pretty well anything. If I am told I am wrong then I will accept that, but at the moment I think it is in doubt.

Having made that point, which will indicate that were there to be any question of pressing some of these amendments to a vote—I understand that there is not—then my noble friend on the Front Bench will be thrilled to hear that I would not be minded to support them, I turn to the more positive point about Amendment 156A and the amendment later on of the noble Lord, Lord Alton, relating to asbestosis. I have some experience of claims relating to that disease—or rather to mesothelioma, the form of cancer to which it often gives rise—in my capacity as both Minister for Disabled People and Minister for the industrial injuries compensation scheme, and latterly as chairman of a hospital sometimes concerned with these respiratory diseases. I think there is a real case for wondering whether we should not maintain assistance to that group of people.

There are two reasons for that. One is that this condition is what you might call very slow burn. Exposure to asbestos that occurred very many years ago may give rise much later to mesothelioma, one of the nastiest forms of cancer. In consequence, there could be significant difficulties in proving the causation. Therefore, there is a case for making sure that legal aid is available in such cases. The nature of this disease and the problems associated with it also make a strong case in ordinary human terms for ensuring that people who have contracted it through no fault of their own as a result of something that happened during their employment should be helped to establish whether their employer could be held liable for that, or, indeed, whether they should get compensation in any other way. Therefore, I hope my noble friends on the Front Bench will not consider that this amendment would have a scattergun effect but that it is well targeted and deserves careful consideration. I hope that the noble Lord, Lord Alton, will make his case alongside mine in an hour or two or whenever we reach the relevant amendment.

Legal Aid, Sentencing and Punishment of Offenders Bill

Debate between Lord Beecham and Lord Newton of Braintree

Wednesday 18th January 2012 Lords Chamber

[Lord Beecham]

My Lords, I congratulate the noble Lord, Lord Thomas, on raising this matter and moving an amendment that could greatly assist a family, or others, in the context of the tragic and ethically challenging circumstances that he has so clearly outlined and which the noble and learned Baroness, Lady Butler-Sloss, has also addressed.

There is another set of circumstances in which the noble Lord’s amendment might well be applicable. While entirely endorsing his amendment on the grounds that he has advanced, I would like to refer to the suggestion of Mind in relation to the occasional need for people in detention under the Mental Health Act to also receive legal advice concerning treatment that may be prescribed for them. The system allows for legal aid to challenge the detention of someone who is being treated in a mental health facility but not in relation to treatment that might be proffered, or indeed insisted upon, by those in whose charge a patient might find himself.

Mind has provided helpful advice to people in detention who are unable to give consent for treatment. I will quote briefly from the document it has produced which is available to those in that position. The document outlines a whole series of things, including the definitions of various matters and persons, and then it asks:

“Can I be treated without giving consent to the treatment?”.

It goes on to say that,

“if … you have the mental capacity … you are generally entitled to refuse it and no undue pressure should be placed on you. However, the law does allow treatment to be given to an adult without consent where the adult lacks the mental capacity needed to give consent and where certain sections of the Mental Health Act apply. If you are experiencing mental distress and are offered treatment, you need to be aware of any legal powers that could be used if you refuse. However, the powers must not be used as threats to coerce you into consenting, and if you feel this is happening”—

this is the crucial point—

“seek independent legal advice and consider making a complaint”.

It suggests discussing concerns with a general practitioner and so on, and goes on to say:

“If you are under 18, the law is complex and it is best to seek specialist legal advice. It may be that you can consent on your own behalf, but this does not necessarily mean you have the same right to refuse. Others, such as your parents, guardian … may be able to consent on your behalf”.

Although the circumstances are very different and, I hope, of a less tragic character than those that have motivated the tabling of this amendment, there is a similarity in the situation of the clear need for legal advice to be available to people being detained under the Mental Health Act with regard to the treatment envisaged for them by those in whose care they find themselves. I would hope that the Minister will accede to the argument advanced hitherto by the noble Lord, Lord Thomas. In that event, the amendment would also cover the circumstances that I have outlined and which Mind has helpfully suggested.

[Lord Newton of Braintree]

Perhaps I may briefly intervene, having been frightened off by the fact that no one else, other than lawyers, has dared to speak this afternoon—it is just the Minister and I who share this disadvantage, disability or whatever it is. On a number of occasions I have declared an interest as chair of a mental health trust, which is no longer the case because it merged with another one on New Year’s Day. I am now fancy-free as far as the NHS is concerned for the first time in about 15 years.

However, it means that I know a certain amount about this issue. It occurred to me, too, that mental capacity issues appear to be covered by this amendment. It would be very helpful if the noble Lord, Lord Thomas, could tell us whether he intended that. It would also be helpful if the Minister could tell us whether his interpretation is the same as that of noble Lords on the opposition Front Bench; namely, whether this proposal would provide additional protection or access to legal aid for the relatives of someone who has been ordered to have treatment which they think is wrong, and which the subject of the treatment cannot challenge for mental capacity reasons, but where there should be some right to raise a challenge to the professionals.

[Lord Beecham]

I am very grateful to the noble Lord for his intervention. On behalf of all those who have benefited from his wisdom and experience as chair of a mental health trust, perhaps I may express the gratitude that they would wish no doubt to convey to him on this aspect of his very long and very distinguished public service.

Health and Social Care Bill

Debate between Lord Beecham and Lord Newton of Braintree

Monday 7th November 2011 Lords Chamber

[Lord Newton of Braintree]

My Lords, perhaps I may intervene briefly in support of the general thrust of the amendments without necessarily saying that I agree with every dot and comma. I also agree, not least, with the remarks of the noble Baroness, Lady Hollins. The noble Lord, Lord Rix, and I have known each other for quite a long while in the field of learning disabilities and, indeed, through my role many years ago as Minister with responsibility for disabled people, so I am happy to lend a sympathetic word on this point.

I ought to declare an interest in that several times I have told the House that I am the chair of a mental health trust. Of course, mental health trusts often deal with learning disabilities as well, as indeed does the health trust that I chair, although happily last year it transferred most of its residents on old-style campuses to Suffolk County Council for a more complete version of genuine living in the community and community care, and I am rather pleased that we did that.

We need to recognise that, although there are overlaps—the word “co-morbidities” is used in one of the amendments—between mental illness and learning disability, they are not the same, and we need to make sure that we take particular and appropriate account of the needs of learning disabilities in all this. I hope that the Minister will be able to assure us that that will be the case.

[Lord Beecham]

My Lords, I begin by congratulating the noble Lord, Lord Rix, who has been such an outstanding champion of people with disabilities, alongside my noble friend Lord Morris of Manchester. The two of them have been in the vanguard of public policy-making and of informing and involving people in this crucial issue.

The noble Lords, Lord Rix and Lord Newton, both implied that learning disability is something of an overlooked condition. The noble Lord, Lord Rix, referred to the degree of prejudice and ignorance surrounding learning disability, which sometimes leads to the rather disgraceful treatment of individuals who suffer from that complaint, as we read from time to time. It is therefore right that they should be included in this broad request for the Secretary of State to have a duty to promote the equality of and improvement in treatment for people with all kinds of disability.

The noble Lord, Lord Rix, and to a degree the noble Baroness, Lady Hollins, questioned whether this might be rather too much of an issue for local commissioning groups to undertake. I am not so sure about that, and think that this area needs exploring. After all, the general practitioners, who will be a significant part of clinical commissioning groups locally, are the first line of service providers for people with a disability, and I am not clear that a commissioning body operating nationally would be the appropriate mechanism to promote such commissioning. Something like the shortly-to-disappear SHAs might have been, and it is not clear—at any rate, to me—the extent to which the national Commissioning Board will be operating at that sub-national level in the future. However, at all events, somebody has to assume an overarching responsibility, and local authority health scrutiny committees should certainly be ensuring that this group is not neglected in their statutory responsibility of reviewing the efficacy of local arrangements and local provision.

The noble Lord referred to the important issue of data collection in Amendments 117 and 143 and of drawing on the experience of people with the condition. I think that he would probably accept my suggestion that both of the amendments would be slightly improved by reference to carers, as their experiences should also be shared and brought into the picture. The amendments suffer a slight defect which I believe the noble Baroness, Lady Hollins, implicitly touched on. The amendments relate very much to the clinical and medical side of the conditions with which the amendments are concerned, but, of course, there are other agencies and other services that are important and must play a part in improving life for people with any of the range of conditions covered by the amendments.

Health and Social Care Bill

Debate between Lord Beecham and Lord Newton of Braintree

Wednesday 2nd November 2011 Lords Chamber

[Lord Newton of Braintree]

Will the noble Lord explain what he actually wants, because I am now thoroughly confused? First, he seeks the reincarnation of a section of the 2006 Act, which, if I remember rightly, was a consolidation Act—in other words, merely a record of what had already happened in history. He then goes on to say that he does not want to ossify—although he did not use that word—the service; he wants flexibility but accepts that it is not possible at any one time to define everything that the service provides. I simply do not know what he is saying.

[Lord Beecham]

My Lords, I am saying that the Bill should lay down at this stage a range of services that will be part of a national health service but that that should not be limited by reference to a particular moment. There will have to be flexibility, but the Bill should clearly indicate, as the 2006 Act did, areas that, taken together, constitute a national health service. It is a simple enough proposition. The content would have to be debated as we go forward, but this is a probing amendment that is designed to ventilate the issue in the hope that some consideration might be given in the course of proceedings on the Bill to the changes that are required.

Ultimately, some decisions will have to be taken about what services are to be provided, not least about the services in Clause 1(3) that must be provided free of charge. People are entitled to know what services they will get free of charge at any given time. As I have said, at some point these matters should be elaborated. There is also an issue about how public health services are to be regarded in the light of the Bill’s current proposals; for example, in relation to the role of Monitor, competition issues and the like.

Amendment 7 seeks to establish a method of taking this discussion forward so that all of us may be clearer about what we are entitled to expect of a National Health Service and, for the purposes particularly of new Section 1(3) of the National Health Service Act 2006, what services would be provided free of charge. I hope that we can look at that matter and perhaps return to it on Report. In that light, I beg to move.

Police Reform and Social Responsibility Bill

Debate between Lord Beecham and Lord Newton of Braintree

Monday 11th July 2011 Lords Chamber

[Lord Beecham]

My Lords, I follow my noble friend on that particular point about political balance. As currently constituted, police authorities are constituted in a way that reflects the political balance in the area that is affected, whether they are metropolitan areas or single-area county police authorities. I do not understand how the Government propose that political balance should be achieved, if at all, on the basis of the Bill.

I moved an amendment in Committee about using the LGA model, which is well accepted across political groups—including the independent group—in the Local Government Association for achieving a balance within the LGA’s internal bodies and its appointments to external bodies that reflects the strength of the different political groups across the whole country. It should be perfectly possible to import that principle into appointments to these panels, at the level of the new structures which are to be created. If it is not done in that way, how is the objective to be achieved—assuming that the Government share that objective? If the Minister is not in a position to explain that at the moment, perhaps it is something that can be further discussed before Third Reading. I am sure that her noble friend Lady Eaton, who is not in her place, will be happy to enlighten her about the consensual approach that we have achieved in the Local Government Association since it was formed around this particular issue.

I welcome the slight movement that the Government have made on potentially increasing the size of the panels, although I noticed that the Secretary of State will be required to approve the numbers. That seems yet another unnecessary intervention. It should perhaps be subject to a minimum requirement but it should be left to the panel to determine. I am glad that it looks, on the face of it, as though we will be doing a little better than the homeopathic dosage of independent or co-opted members that the Bill in its present form provides for. Again, some assurance about how this might work would be very welcome, because the issue of balance is not confined, as other noble Lords have made clear today and on previous occasions, to issues of politics; there is also the geographical issue.

My noble friend Lord Hunt from the great city of Birmingham would not, I think, be content if Birmingham, with its 1 million population, was to have but one member on the West Midlands Police Authority, which might very well be all it would be entitled to, given the number of authorities that would be involved in that organisation. Birmingham would have a population three or four times the size of some of the other metropolitan districts and there are also county areas involved, as well as all the districts in those county areas to be represented. For Birmingham to be represented by one individual, particularly if it ends up with the misfortune of an elected mayor who would be required to serve in that capacity, would be extremely unsatisfactory.

Of course, when it comes to party-political balance, it is quite conceivable that, as already happens in a number of places, the elected mayor does not reflect the politics of the council involved. So, again, you could have an anomalous position, particularly in a large authority, of an elected mayor of a different party, or no party at all, being the sole political voice in that authority, whereas control of the authority may be in different hands, or, certainly, the balance may very well be different.

In addition to those issues of party-political and geographical balance, issues of ethnicity and gender need to be reflected and are difficult to derive, and the provision for co-opted members ought to be a way of proceeding with that. While it may not be possible in the Bill to prescribe how that should be done, it would be very welcome to hear the Minister say for the record that it would be expected that efforts would be made to reflect those considerations about diversity of ethnicity and gender in particular—there may be others—which are sensitive and important. We have a range of issues, of course, affecting minority communities in some parts of the country and, in general, issues such as domestic violence are clearly ones in which a gender balance is required.

It would be very helpful to have a clear steer on that from the Minister on the record, if not in the Bill, so I hope that she will be amenable to answering some of the points that noble Lords have raised and are about to raise—I see the noble Lord, Lord Shipley, straining at the leash to join the debate.

[Lord Newton of Braintree]

My Lords, I shall interject a question from a slightly more sceptical angle, while understanding where noble Lords opposite are coming from. I can understand how the proposal in Amendment 116 might work in a police authority where there is only one local authority. What I do not understand is how it would work in a police authority such as Essex, where there are, if not quite 17, at least well over a dozen local authorities. I shall give way to the noble Baroness—it may be that the question is for her—but I do not understand how such an arrangement could work without local authorities having their choice taken away from them and being told that they have to choose X or Y.

Localism Bill

Debate between Lord Beecham and Lord Newton of Braintree

Tuesday 5th July 2011 Lords Chamber

[Lord Newton of Braintree]

My Lords, I want to build with a couple of questions on what my noble friend Lord Greaves and the noble Baroness have said. Definition seems to me to be quite an issue on my scanning of this clause. The question that has just been asked about what community you have to be in, so to speak, is at least worth asking and it will be interesting to see the answer.

The other question is that I understand that there are definitions of charitable bodies and of industrial and provident societies. Is there a definition of community bodies? Where does the type of body known as a social enterprise come in all this? If you ask the Library for information on social enterprises, as I did once a few months ago, you discover that there are about six different definitions from different quarters. Is social enterprise embraced in all this? Is it defined in all this? Is it intended to be dealt with in the wrap-up clause about the Secretary of State having the right to define other bodies? A lot of definition problems are raised but not answered by this clause.

[Lord Beecham]

My Lords, I want to assist, in a sense, the noble Lord, Lord Newton, by clarifying the description of one particular—

Localism Bill

Debate between Lord Beecham and Lord Newton of Braintree

Thursday 23rd June 2011 Lords Chamber

[Lord Newton of Braintree]

My Lords, I rise to do something which my noble friend on the Front Bench will regard as unusual, if not unique. In the absence of an opportunity to speak on whether the clause should stand part, I state that, although I am interested in the answers to the ingenious questions that my noble friend Lord Greaves has asked, I am principally concerned to declare my undying support for this clause, as I understand it.

I have already indicated that my wife has been chairman of Braintree District Council, is currently the cabinet minister for planning and strategy—I think that that is the right description—is on the planning committee and, indeed, represents me on Braintree District Council. Indeed, I even voted for her. When my wife became a district councillor for the second time about eight years and a few months ago, I could not believe it when I discovered what these predetermination rules were. Any MP would have had a fit if he had been told that he could not indicate to his constituents that he shared their view on a matter that was likely to come before Parliament and would vote accordingly. I think that I have the purport of this right. Noble Lords are indicating that I have. Why should councillors not be able to say to their constituents that they agree with them on a matter and that they will vote accordingly when it comes before the council? I cannot see the slightest merit in that position. I do not think that it is democratic or defensible and, if, as I understand it, this clause gets rid of it, I am in favour of the clause.

[Lord Beecham]

Surely the noble Lord thinks that there might be a distinction between a quasi-judicial function such as a planning or licensing matter and a matter of general policy.