Health and Social Care Bill

Debate between Lord Hunt of Kings Heath and Lord Harris of Haringey
Monday 13th February 2012

(12 years, 9 months ago)

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Lord Hunt of Kings Heath Portrait Lord Hunt of Kings Heath
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I must say that I am really rather disappointed by the noble Earl’s response to my constructive amendment. He does not seem to have answered the charge that is being made. First, I think we are all agreed that when we talk about bureaucracy we are not talking about the fine managers that the NHS has to whom we owe so much. This is an argument about the structure, the layers and the cost of a market that the Government wish to bring in to the health service. It is not about managers in the health service.

The fact is that the Secretary of State and his colleagues, including the noble Earl, have continued to intervene in the health service on a daily basis. They have yet to explain how, if this Bill eventually receives Royal Assent, at that point, magically, Ministers are going to step back and simply let this new system continue. I do not believe a word of it. What I believe will happen is that on the one hand you will have this complex structure where the mantra is that it is all arm’s length, it is all down to the clinical commissioning groups, the market and the gentle guidance of Sir David Nicholson and his colleagues at the national Commissioning Board, and Ministers can simply step back. It will not happen. What we will have is the system that the Bill enacts, if it is enacted, and Ministers continuing to micromanage. It is inevitable that Secretaries of State are accountable to Parliament, and they will be required by the very process of parliamentary democracy to continue to intervene and to take a close interest in what is happening. That is the charge I put to the Government as to why I believe that this is going to be a very complex situation indeed.

It is always good to debate with the noble Lord, Lord Fowler. Twenty years ago, I enjoyed debating with him issues mainly to do with the funding of the National Health Service. I think the National Association of Health Authorities and Trusts was a very modest organisation. It was very lean and certainly not subject to the strictures of the noble Lord who suggested that it was part of the bloated bureaucracy that I think he was implicating me in. He does not like the idea of declaratory law. That is all very well, but what is Clause 4 but a declaratory statement: “The Secretary of State’s duty as to promoting autonomy”? Indeed, the noble Earl, Lord Howe, referred to it in his winding-up speech. I have to say to him that if the duty of autonomy were currently on the statute book, I do not think that he could have brought this legislation in under it because it states that,

“unnecessary burdens are not imposed on any such person”.

This whole edifice is going to impose enormous burdens on many such people within the National Health Service.

The noble Lord, Lord Fowler, referred to the Griffiths report—at 24 pages, it was a remarkable letter which had a long-term impact on the health service. He will recall that we were very strong supporters of the introduction of general management. I am very concerned about the structures that are now being brought in because they may well inhibit the kind of leadership and clinical engagement that we saw as a result of the Roy Griffiths management inquiry.

I have to say to my noble friend Lord Harris that the description of Sir David Nicholson as the chief inquisitor was a little unfair.

Lord Harris of Haringey Portrait Lord Harris of Haringey
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But only a little.

Police Reform and Social Responsibility Bill

Debate between Lord Hunt of Kings Heath and Lord Harris of Haringey
Wednesday 20th July 2011

(13 years, 4 months ago)

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Lord Hunt of Kings Heath Portrait Lord Hunt of Kings Heath
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My Lords, before my noble friend decides what he wants to do, as the noble Baroness has rather jumped the gun, perhaps I may respond by saying that I am most grateful for her remarks and for the way in which she has conducted the Bill since taking it over at pretty short notice on the first day of Committee. She has earned the admiration of the whole House for the way in which she has conducted herself. She said that she can take care of herself. Indeed, she can, which is why we had a vote on the first debate.

I also thank the noble Lords, Lord Wallace of Saltaire and Lord De Mauley, as well as the Bill team, for the support they have given the noble Baroness. I am also grateful to my noble friends Lord Rosser and Lord Stevenson and to all noble colleagues who have spoken on the Bill.

Before we come to my noble friend, I just say that the Government have an opportunity to pause now. I know that the Prime Minister suggested in his Statement that he is determined to plough on with elected police commissioners, but there is time to reflect. I hope that the Government will take advantage of that time to consider the real concerns about the Bill that have been expressed around the House.

Lord Harris of Haringey Portrait Lord Harris of Haringey
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My Lords, it is slightly strange to respond on the amendment after going through the normal courtesies of Bill do now pass. I think that all Members of the House are grateful to the Minister for the way in which she has conducted herself throughout these proceedings, having been given a very difficult, and at times impossible, brief in terms of selling arguments to us. We are conscious that she was thrust into this at a very late stage. If I have expressed myself on occasions with vehemence or even asperity, that has certainly not had anything to do with the noble Baroness but more to do with the difficulty of the brief with which she has been presented.

However—this is the asperity—the response that she gave on my amendment did not really address the key questions. In fact, it addressed two separate points which I did not make. It said that we needed to have corporate status for the PCCs and the chief officers and so on. No one is arguing about whether they should have corporate status; the question is why it should be a corporation sole. This is a particularly strange concept and no one who has had to deal with it seems to think it is terribly satisfactory. It does not lead to transparency or good governance. That is why it seems such a strange way of proceeding.

Similarly, no one is arguing that there should not be a suitably qualified senior financial officer for each chief constable or for the Commissioner of Police of the Metropolis. The question is why that chief financial officer has to be recognised under the Local Government Finance Act and the Audit Commission Act, thereby creating a panoply of two separate audited accounts. That is what is wrong with the Bill; that is why we are asking for Parliament to be given another opportunity to look at the matter; and it is why, I am afraid, even at this late stage I wish to test the opinion of the House.

Police Reform and Social Responsibility Bill

Debate between Lord Hunt of Kings Heath and Lord Harris of Haringey
Wednesday 13th July 2011

(13 years, 4 months ago)

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Lord Hunt of Kings Heath Portrait Lord Hunt of Kings Heath
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Surely the Minister will know from the debate that we have had on the European Bill that many noble Lords in this House talk of little else.

Lord Harris of Haringey Portrait Lord Harris of Haringey
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Before Minister comes back on this, I say that this is not just about whether or not this is a document published for Parliament; it is about ensuring that there is a focus on the strategic policing requirement. That is something which the Government have not yet conceded. While I am on my feet, and to prevent me getting up again, can he tell us what he actually means by a situation report? Does that mean that when we get to Third Reading which, as far as I am aware, is still only a few days away, we will have in front of us some idea as to what this document will look like?

Police Reform and Social Responsibility Bill

Debate between Lord Hunt of Kings Heath and Lord Harris of Haringey
Tuesday 24th May 2011

(13 years, 6 months ago)

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Lord Harris of Haringey Portrait Lord Harris of Haringey
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My Lords, I put my name to Amendments 156 and 165, which deal with the panel arrangements in London. It is worth reflecting on the way in which the London arrangements will be substantially different from those in the rest of the country. The Bill replaces the panel responsibility on the London Assembly. Therefore, one will not be able to make—in the way that one will elsewhere in the country—the automatic assumption that every relevant local authority will be represented on that forum. There will be representatives from various parts of London, but it is possible that some parts of London will not be represented on the London Assembly panel. Therefore, it is worth remembering that the London arrangements for the panel are significantly different.

This highlights also the importance of Amendment 156 in dealing with co-opted members. It is designed not to frustrate the Government's intention but to tidy it up. If there are such co-opted members, they should be appointed by a resolution of the whole London Assembly, which would avoid some of the complexities that the noble Baroness, Lady Doocey, highlighted. I support the points made by her and by the noble Baroness, Lady Hamwee, about who could be summoned to a panel. This is a particularly important issue, not just in London but around the country.

In the past, I talked about two particular difficulties with some of the arrangements in the Bill. First, where is the visible answerability of the police service in any particular area to those who are holding it to account? I understand the Government's argument, which is that in London the Mayor's Office for Policing and Crime will hold the police service to account, and that outside London it will be the police and crime commissioner—or the police and crime commission, if the House’s preferred option goes forward. However, the scrutiny process will be very strange if the only scrutiny that is possible will be of the actions of the Mayor's Office for Policing and Crime—or the deputy MOPC, because the mayor will almost certainly appoint a deputy—and, in areas outside London, of the police and crime commissioner.

There are a number of problems with that. It will mean that the entire focus of discussion will be about political debate. One elected politician will appear before a group of other elected politicians, possibly with one or two independents. Discussion will focus on the political decisions that the policing and crime commissioner, or the mayor’s office, have taken. That is all well and good: people may say that that is as it should be. However, I suspect that one will lose a lot of the granularity around what has happened in the police service in that area in the intervening period with which the panel is concerned.

We are told that the chief officer of police—the commissioner of police in the metropolis—may attend meetings of the panel. However, they will not be obliged to attend, but may attend by their own grace and favour. The importance of Amendment 165 and parallel amendments is that they would ensure an expectation that certain senior police officers could be required to attend. That will be critical to ensure that the discussion moves away from the political knockabout that all of us in Committee enjoy and have participated in at various times in our life, and towards scrutiny of important policing issues. The panel will have the power to call before it senior police officers who are responsible for the area of policing that is being debated. This will be critical to remove some of the political knockabout that will otherwise happen and to provide at least some, though not all, of the visible political answerability that is so necessary to policing.

Lord Hunt of Kings Heath Portrait Lord Hunt of Kings Heath
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My Lords, I am very sympathetic to many of the amendments, particularly concerning the need for recall and, as my noble friend Lord Harris said, clarity on the ability of panels to summon people to appear before them, particularly chief officers of police, in order to ensure that serious discussions take place. If the conversation is only between elected councillors who are members of the panel and the elected police commissioner, two things will happen. First, as my noble friend said, the discussion will become almost entirely political. Secondly, if it is only the elected police commissioner who stands or sits before the panel, they will be drawn into discussing detailed operational matters of policing. That is why we are so fearful of the Bill. It will be essential as a matter of course for the chief constable and other chief officers in their own right to appear regularly before the panel. I hope that the Government will be sympathetic to that.

The amendments concerning the openness both of the panel and the elected commissioners are important. An important point was raised about co-opted members on the London panel. I will focus in particular on Amendment 34A, tabled by my noble friend Lord Beecham. The incidental powers given to the commissioner in paragraph 9 of Schedule 1 are considerable. It is right that there should be scrutiny, and that the panel should be able to question the commissioner and, if necessary, amend or reject decisions. Those are the kinds of checks and balances that we wish to see.

We will come later to other amendments that deal with the panel's responsibilities in relation to the appointment of chief constables and to precepts, where it will have veto powers. The problem is that the exercise of that veto will become almost impossible if the threshold is put at 75 per cent. It is not even 75 per cent of those present and voting but 75 per cent of panel members. Therefore, I was very glad to see my noble friend's suggestion that, particularly in relation to the incidental powers contained in paragraph 9 on page 107, the threshold should be reduced to a two-thirds majority. That takes us some way towards a more realistic relationship where there would be at least some possibility of the panel being able to act as a check and balance on the elected police commissioner. Whether two-thirds is sufficient, I do not know. I would be tempted to reduce it to 60 per cent. Indeed, I find it difficult to disagree with the noble Baroness, Lady Hamwee, who suggested that 50 per cent plus one would be a more reasonable figure.

I hope that we can have further discussions on this matter. What I am clear about is that, in relation to the incidental powers, the panel should have a role in scrutiny and, in some circumstances, be able to exercise a veto. However, although the Bill provides for a veto, the figure of 75 per cent needs to be reduced to make it a realistic veto.

Police Reform and Social Responsibility Bill

Debate between Lord Hunt of Kings Heath and Lord Harris of Haringey
Tuesday 24th May 2011

(13 years, 6 months ago)

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Lord Hunt of Kings Heath Portrait Lord Hunt of Kings Heath
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My Lords, I may have misheard her, but I thought that the Minister hinted or said that amendments would be brought forward which would make it clear that contracts would have to be approved by the police commissioner. I can see why the Government have come back with that proposal, but to my mind, it just gives the commissioner that much more control over the chief constable. Because the commissioner is being given so much power with regard to money, whatever a protocol says about the relationship between the commissioner and the chief constable, the fact is that the person who holds the dosh usually controls what goes on. I hope the Government will give this further thought.

Lord Harris of Haringey Portrait Lord Harris of Haringey
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I want to question whether my noble friend has got the correct nuance of the argument. We have to be very clear about what we are trying to achieve with this Bill. My understanding is that the Government are trying to achieve stronger accountability, and that the mechanism for accountability is an elected police and crime commissioner—or we may end up with some other model. The danger is that, inadvertently, that accountability will be weakened. While my noble friend is right to say that being able to set the overall budget and strategy provides some degree of control, it does not provide the full picture. If you have a situation in which the corporation sole status of the chief officer of police is untrammelled—I was very pleased to hear what the Minister said about putting some limits around that, and I think it would be helpful to see those sooner rather than later—the danger is that chief officers of police will ignore what the body to whom they are supposed to be accountable will say are the key strategic issues that matter to their local communities. We would not want every minor arrangement in respect of an individual investigation to be referred to the accountable body, but we should have some system that ensures that those key decisions lie clearly with the body to which the chief officer of police is being held accountable.

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Lord Hunt of Kings Heath Portrait Lord Hunt of Kings Heath
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I am interested in the concept suggested by my noble friend of different people being elected to a position in the same authority. What does he think about the Government’s proposal to appoint shadow mayors? Can I take him from the great city of London to the equally great city of Birmingham and the situation whereby the Secretary of State for Communities and Local Government is intending to nominate Councillor Mike Whitby, the Leader of the Conservative-Lib Dem council, to be the shadow mayor of Birmingham at the very time when it is clear that he will lose control of the council next May? We have a bizarre situation of having a shadow mayor with all the powers of the mayor, and the council being Labour-led. What does my noble friend think about that?

Lord Harris of Haringey Portrait Lord Harris of Haringey
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I think that that is a consequence of extending discussion in your Lordships' House past our normal finishing time of 10 pm, when we tend to range more widely on subjects.

My noble friend raises an important point. Neither I in my amendment nor the Government in their original proposal were doing anything as bizarre as seems to be suggested under the Localism Bill. Had they followed the same principle, no doubt we would have had chairs of police authorities all over the country suddenly becoming shadow commissioners of police and crime for their areas. Although many chairs of police authorities would no doubt have relished that transformation and enjoyed their brief period in that role, we are not in the Bill being offered the same arrangements that are being offered under the Localism Bill for the creation of mayors in major cities. The Localism Bill also envisages that there would then be a referendum of the local community. Some of us had hoped that we would have an interesting debate on that, but my noble friend chose to deny us that opportunity and is perhaps, by the back door, trying to give us the opportunity to have such a debate now. I shall not be lured down that path.

The purpose of my amendment is that, if the principle is clarity—that the person who holds the police to account should be directly elected and visible in that role—that individual in London should also be directly elected. In the Bill, we have a system where the Mayor of London is elected but, effectively, will automatically delegate an individual who need not be directly elected—and certainly will not be directly elected to fulfil that function—to carry out the role of the police and crime commissioner. That is wrong. It is a mistake. It runs against the entire premise of the Government's proposals, which is that there should be a directly elected individual who holds the police to account. I beg to move.

Police Reform and Social Responsibility Bill

Debate between Lord Hunt of Kings Heath and Lord Harris of Haringey
Wednesday 18th May 2011

(13 years, 6 months ago)

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Lord Harris of Haringey Portrait Lord Harris of Haringey
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I am grateful. I understand we are constrained; I am worried that we should not be even further constrained by the fact that when the Bill emerges from here at Third Reading, in whatever form it is, it is then not possible for the other place to look at those issues about which the Minister has given reassurances simply because there are no extant amendments to those clauses where a concession might be appropriate. I am not suggesting that the Minister should try to address that matter today—I realise that a lot of work will have to be done on it—but it is an important point.

Lord Hunt of Kings Heath Portrait Lord Hunt of Kings Heath
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It would probably be useful if there were further discussions in the usual channels about this. My experience is that, when there is a desire through the ping-pong process to achieve an agreed change, then the ways of this place and the other place seem to find a way to do it.

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Lord Hunt of Kings Heath Portrait Lord Hunt of Kings Heath
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As this is Committee and we are allowed to bounce up and down, can I respond to the noble Lord? He was, of course, an outstanding chief constable of the West Midlands and is long remembered for the work he did there. Of course, he is right that there is a normal relationship between the chairman and the chief executive, if I can put it like that, and I recognise that some chairmen like to take the credit but put the blame on their chief operating officer, although not all. The essential difference here is that the election under a manifesto and the appointment under a programme would change the relationship. That is what I am trying to focus attention on.

Lord Harris of Haringey Portrait Lord Harris of Haringey
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My Lords, by giving us the benefit of his experience, the noble Lord, Lord Dear, has highlighted what I think will be the crux of some of the discussions that we have to have on this Bill and highlights why this is the most difficult area of some of the issues that we have to look at. Perhaps I can add my experience as chair of a police authority for four years and then, since 2004, as a member of a police authority. I hope that is helpful.

The noble Lord, Lord Dear, made a very interesting point when he talked about the relationship that he had with his chairman of the police authority. He talked about reminding him of his responsibilities in pay and rations, buildings and setting the overall strategic direction. One bit of this Bill that we have to address—and there are amendments on this matter that we might reach today or tomorrow—is where it takes away the responsibility from the commission, the commissioner or the authority for pay and rations and for buildings. We might as a result create a situation in which the commissioner, whom the White Paper certainly envisaged would be full time in his role, would have nothing else to do but intervene in matters that we would otherwise regard as being the responsibility of the chief constable. The balance of responsibility between the commissioner or the commission, or whatever we want to call it—whatever we end up with—and the chief officer of police will be exceptionally important.

I believe that police accountability is important and I take the view that whoever discharges that responsibility, whether it is an individual commissioner or a commission, there must be some levers that can be applied. That is why I think we will want to return to the question of exactly what is transferred to the chief officer of police. My experience says that it is not always terribly helpful to define what is or is not operational, because it will depend on the personal chemistry between the chief officer of police and the person who fulfils this role—the commissioner or the commission.

There was a transition period before the new Metropolitan Police Authority came into being in 2000; it was not quite as long as the one that the noble Baroness, Lady Hamwee, suggested last week, but it was certainly a matter of months. A few weeks after that came the Notting Hill carnival, which is the largest street festival in Europe, involves policing costs of £3 million to £5 million, and is a major issue for relations between the police and the community. At that stage, the police authority, of which I was the new chair, had an interim secretariat that, despite the fact that many of them had been seconded from the Home Office, was less experienced in these matters, and which advised me that as the chair it was completely improper for me to say anything about the policing of the carnival.

My first response was to say, “Well, it’s interesting that you say that, but I've already done three radio interviews this morning on precisely that topic”. However, I took the view that because of, first, the sum of money involved and, secondly, the pivotal issues about relations between the police and the community, there were of course matters which the police authority chair—or, in future, the commission or the commissioner —would expect to comment on and have some say over. That is right and proper. It should not be the responsibility of the commissioner, the commission or a police authority chair to say, “At this stage, you should put your NATO helmets on”, or, “At this stage, you should block this street rather than that street”, because that would be intervening in the operational responsibility of the police. However, to take no role at any stage on one of the biggest policing operations would be wrong.

Looking at what has happened more recently in London, where I sit as a member of the police authority, I have watched the new administration since the election of the mayor who came in. A number of things happened for which that new administration could properly claim credit. For example, a much more rigorous, aggressive anti-knife policy, Operation Blunt 2, was introduced after the elected politicians who came in after an election said, “We believe that knife crime is a matter of such public concern in London that you, as the police service, should be ratcheting up what you do”. Again, that seems to me to be a legitimate concern and not intervening in operational matters.

More recently there has been the attack dogs issue and whether the police service in London should take it much more seriously. Again, that is sometimes presented as a personal preoccupation of the current police authority chair, Kit Malthouse, when it has actually concerned the police authority for some time. When I walk through the park near where I live, early in the morning, and see young lads hanging their dogs off trees by the jaws to strengthen their jaws and make them more effective as attack dogs, I think it is of concern to Londoners. In both instances—knives and attack dogs—the Metropolitan Police probably recognised what should have a higher priority, but elected politicians came in and said, “Actually, this is what concerns us”. The danger in trying to avoid inappropriate intervention in operational matters—such as saying, “Investigate this case rather than that case”, “Arrest this person rather than that person”, or, “Close that street rather than this street”—is in undermining the principle of accountability that the Government want to achieve.

The protocol has turned out to be a slightly better document than many might have expected, but it was extremely difficult to write. I pay enormous tribute to those who spent many happy hours trying to get that document right, but there is a real danger with it. The more a chief constable or we in this House or the other place say, “We've got to protect against this”, and write it into that document, the more enforceable we make it and the more difficult we will make the sensible arrangements of accountability that we are trying to put in place.

The Minister raised the intervention last week on the Madeleine McCann case and properly explained the process that was being engaged in, which was not an instruction. Despite some of the press briefing that might have gone on beforehand, there was simply a conversation. As I understand it, the Commissioner of the Metropolitan Police simply said, “Yes, of course, that is something that we should and could do”. I will not get into any questions of whether that is the right or wrong thing to do.