(1 month, 3 weeks ago)
Lords ChamberMy Lords, the Minister will know that there have been concerns over Labour’s appointment of donors and party apparatchiks with little or no experience to senior Civil Service positions, which have led the Civil Service regulator to launch a review into Labour appointments.
I accept that this case is different. We understand that the Secretary of State is new to the role and inexperienced. We also know that Alan Milburn brings a huge wealth of experience in healthcare both in government and from personal consultancy, advising one of the largest providers of residential care for older people. I have also seen reports that he is a senior adviser on health for a major consultancy firm. I want to be clear, this is valuable experience and I applaud the Government for seeking such experience in the same way that noble Lords welcomed the appointment of the noble Lord, Lord Robertson, to review defence capabilities.
However, I am sure the Minister will also recognise the issue of real or perceived conflicts of interest—something that Labour Peers rightly questioned Ministers on when we were in government. So, in that spirit, I will ask the Minister a few questions about how the Government can look at potential perceived conflicts of interest and how they will be managed. Given Mr Milburn’s consultancy interests, can the Minister tell us what his formal role is? Is it a paid role and, if so, how much does he earn? Which meetings does he attend? Does he attend meetings without Ministers being present? Are notes taken for these meetings? How do the department and the Government ensure that he does not have access to commercially sensitive documents that could be of interest to his clients?
If the Minister cannot answer all these questions, I ask her to write to me and other noble Lords with answers and place a copy in the Library. Let me be clear, I completely understand why the Secretary of State appointed Mr Milburn—due to his experience in government and the private sector. It is valuable experience, from which a new Government could learn. I hope the Minister will accept my questions in the spirit of ensuring that the conflicts of interest are managed and there is real accountability, so that the Government can get the best out of Mr Milburn in his new role.
Before the Minister responds, I make it clear that these should be questions, not speeches.
My Lords, to set out some key points in respect of the right honourable Alan Milburn, he has no formal role in the department. Therefore, the conflicts of interest the noble Lord referred to do not even arise. The main thing I would like to set out is that it is very important to make a distinction between the areas of business and meetings in the department about generating ideas and policy discussion—it is those in which Mr Milburn has been involved, at the request of the Secretary of State—and the very different meetings about taking government decisions. If I might summarise it for your Lordships’ House: Ministers decide, advisers advise.
(2 months ago)
Lords ChamberMy Lords, there is plenty of time. Let the noble Lord, Lord Geddes, speak first, but everyone can get in.
My Lords, I thank the Government Chief Whip most sincerely. I declare an interest as a member of the pipe and cigar smokers’ club, although I indulge in neither. When His Majesty’s Government come out with the details, will they make a full assessment of the effect of such a ban on the hospitality industry? It will have significant effects on employment, let alone the enjoyment of those who indulge. Does the Minister not agree that this is a case of the nanny state multiplied by an indefinite number?
(3 months, 1 week ago)
Lords ChamberMy Lords, we have not heard from the Green Benches yet.
I thank noble Lords. Following on from the question from the noble Earl, Lord Clancarty, about long Covid, and of course continuing new cases are arising even from apparently initially mild infections, we also face the threat that I hope the Government are watching closely of H5N1 in terms of other respiratory diseases, and we know it is only a matter of time before another respiratory pandemic faces us. What steps are the Government taking to look at air filtration and ventilation systems to provide a better public health system that is more resistant to future diseases in schools and other public buildings and perhaps to provide ways for people to assess in premises they visit how good the ventilation and filtration is for them to be able to go into those environments?
(1 year, 4 months ago)
Lords ChamberI thank the noble Baroness. In terms of identifying the smokers, the telephone is just one way of doing it. The hope is that using the digital data and the app means that more of these things will be on people’s records and identified with them. As ever with these things, electronic means will be the best way to do that, albeit those telephone resources in terms of supporting the GPs are very much part of the plan. It is understood that GPs have a large burden at the moment.
There is not a lot more to add about the Khan review. The ambition is still there to be smoke-free by 2035 and investment has gone behind that. The best example of that, as has been mentioned, is people swapping cigarettes for vapes as one means to do it. Undoubtedly, a lot more needs to be done in that direction as well.
My Lords, I join noble Lords in paying tribute to James Brokenshire. I met him a few times, and it was a tragedy when he lost his life after a brave fight. I also pay tribute to the work his wife continues to do in his name.
This progress is to be welcomed, but can I say—if nobody else is going to come in—that cancer takes many forms? One area of cancer where we need to make much more progress is that of brain tumours and glioblastomas. We all remember our dear friend Tessa Jowell, who died on 12 May 2018 of a brain tumour. My brother John was a cab driver. Many people would not know my brother; he was just a cheeky, funny London cab driver who had a view on everything and who was loved by his family. He died on 26 March this year at 57, having fought a brain tumour for nearly three years. Our dear friend Baroness McDonagh was mentioned in the other place today. She died on 24 June at 61. She was my friend for 42 years; I met her when I was 18.
It is devastating. There has been no progress in this area of cancer treatment. There are quite clear inequalities, partly because only about 3,500 people a year get glioblastomas, so there are not huge numbers. There is no research, no trials and no hope—it is a death sentence. That cannot continue. We are no further than we were 30 years ago in this area. What happened today is brilliant, and I think there is now an 85% survival rate for breast cancer and that the rate for bowel cancer is 55%. However, brain tumours are virtually a death sentence. We have to improve that. It is an outrage that people can die so young from them and that there is no hope.
I do not expect an answer from the Minister today; I just want to put down a marker that I and other colleagues here and in the other place will keep mentioning this. I refer all colleagues here to the wonderful speech made by my honourable friend Siobhain McDonagh MP—my friend Margaret’s sister—when she talked about her sister and the treatment she had to undergo. I saw Margaret about three or four days before she died; it is a real tragedy, as is my brother’s case. I hope we can all work together and with the cancer charities, and that we can get some research done, put some money in and improve the situation. It cannot carry on.
I thank the noble Lord, Lord Kennedy, and I am sorry for the loss of his brother. I agree with his sentiment that while this is good news today and is welcomed by all, it shows that this is a journey and that we need to do more in lots more areas. I take on that point and say, from our point of view, that we agree that we must work together to make further progress.
(2 years, 8 months ago)
Lords ChamberMy Lords, I should like to update the House on a matter that has generated significant concern. I have noted the strength of feeling in the House on the issue of, and draft guidance on, elected councillors being appointed to integrated care boards. I discussed this matter with NHS England and can confirm that it will revise its draft guidance to remove the proposed blanket exclusion of local authority members sitting on integrated care boards. I am informed that, although ICB members from local authorities are normally likely to be officials, local councillors will not be disqualified for selection and appointment to an integrated care board.
I welcome this development and hope that it demonstrates that the department and NHS England are actively listening and responding to scrutiny and debate in this House. I have also informed the noble Baroness, Lady Thornton, and asked for a meeting between the Labour Front Bench and NHS England on its preparations.
I thank the noble Lord for that information. Before we continue with the Committee on the Bill, I wanted to raise my concerns on the Floor of the House as to the importance of always treating each other with respect and courtesy. It is not the fault of anyone in this House that despite a majority of 80 in the other place, the Government have taken longer than expected to present several Bills to this House for our consideration. Although backed by the other place—I fully accept that—the Bills are very controversial in nature and quite properly attract considerable attention.
On a few occasions when considering the Nationality and Borders Bill last night and into the early hours of the morning, our standards slipped. We have another long day ahead of us today and another tomorrow before we all have a well-deserved break in the Recess. I hope that Members on all sides of the House, no matter what position they hold, will respect and pay proper attention to the advice and guidance as set out in the Companion. Committee is a conversation, different from both Question Time and Report. Shouting “question, question, question” from a sedentary position is unacceptable in Committee. Chapter 4 on the conduct of the House and Chapter 8 on Public Bills in the Companion are helpful and informative. I respectfully suggest that all Members regard it as essential reading.
My Lords, I add the voice of these Benches to the protest by the Opposition Chief Whip in the strongest possible terms. I regret that the Government Chief Whip and the Leader of the House were not here to hear it. I hope that they will read Hansard, because I have some questions to put.
Do the Chief Whip and the Leader of the House accept that Members of this House have a right to be treated with courtesy and not bullied by members of the Government, that they are able to speak when they have a right to do so under Standing Orders, and that they have a right to have their health and welfare considered appropriately? None of that was respected last night when the House sat until 3.20 am.
I emphasise that my comments are not aimed at the noble Lord, Lord Kamall, who has always been most courteous. I ask the Leader and the Government Chief Whip: do they agree that this is a self-governing House; that the Government, like all Governments, are temporary and cannot override the rights of noble Lords appointed independently of this Government; and that opposition parties have no duty to help the Government get controversial legislation through this House? On the contrary, we have a duty to scrutinise it. This House has built its reputation on intelligent, careful and courteous consideration of issues laid before it. Long may that continue.
(2 years, 11 months ago)
Lords ChamberOne of the advantages of having devolved Administrations and different practices is that we can learn from best practice, so I will take the noble Baroness’s advice.
My Lords, does the noble Lord believe the rules and regulations regarding the Covid-19 pandemic are clear, consistent and easy to understand?
I thank the noble Lord for that question. It depends on who you ask.
(4 years, 4 months ago)
Lords ChamberMy Lords, the serious failure of the Government over face masks lies in communication. They have been neither clear nor consistent, which makes the situation all the worse. Wearing face coverings when you are out, travel on public transport or go shopping helps stop the spread of this terrible infection. Business wants to get back to work and our economy needs to start moving again, so we need a secure supply of non-medical face coverings and a proper communications plan. We need a clear, consistent message broadcast from the Government on social media, national and local government websites and terrestrial television channels and through civil society: “Wear a face mask when you leave your home as we ease lockdown. You will help stop the spread of this terrible disease, help save lives and help our country get back on its feet.” That should be the clear and consistent message.
(4 years, 5 months ago)
Lords ChamberMy Lords, I am pleased to be able to speak in this debate on the regulations before us today. I intend in the short time I have to focus on two issues only.
Over 32,000 people have died in hospital from being infected with Covid-19. It is horrifying that the United Kingdom has one of the worst records in the world and the worst record in Europe. This pandemic will require serious questions to be asked about the Government’s handling of the crisis. However, that is the future, not for now.
Specifically, I am pleased to see amendments to the regulations with respect to attending burial grounds and gardens of remembrance to pay respects to family members and friends. There have been some welcome changes to the regulations and clarifications to guidance, as there were some instances of wrong or poor interpretation of the regulations, which was making the process of saying goodbye to a loved one even more difficult and distressing than it has been in these difficult and unprecedented times. We had situations where guidance or the regulations were interpreted, as I said before, harshly or even incorrectly. I was pleased that approaches I made to Ministers had some effect, and sensible clarifications in advice, guidance and actual regulations, made here and elsewhere, will make a difference. I appreciate the way in which the points I raised with Ministers were listened to and acted upon.
The second point I want to raise is the treatment of homeless people. The vast majority of homeless people are off the streets, but there are isolated cases where things have not gone well. I cannot see the point of prosecuting homeless people for leaving the place where they live. Court papers say, “living at no fixed address”. That seems completely ridiculous. I hope that the CPS will consider the stupidity of prosecuting such cases. Homeless people, like the rest of us, need to be protected, and criminalising them in this way does nothing to help them or the wider population. It just brings further problems, and it is a waste of public money, which could be better spent on getting a homeless person additional help and support. Can the Minister, when responding to the debate, bring the concerns I have expressed here to the attention of the Justice Secretary and the Crown Prosecution Service?
(4 years, 7 months ago)
Lords ChamberTo ask Her Majesty’s Government what guidance they are giving the public authorities and businesses on the deep cleaning of private and public spaces, buildings and facilities in the wake of COVID-19.
My Lords, on 26 February, Public Health England published guidance on Covid-19 decontamination in non-healthcare settings. The guidance describes best practice in cleaning, the appropriate disposal of materials, the disinfection of equipment and the personal protective equipment that should be worn. As present, Public Health England advises decontamination only where there has been a possible or confirmed case of Covid-19. In all other situations, normal cleaning procedures should be followed.
My Lords, I refer to my relevant registered interests. This virus can remain infectious on surfaces for up to 96 hours. My Question stems from my observation that many public and private buildings, facilities and spaces may have been swept and cleaned but not cleansed. There is an important difference here. Does the Minister agree that we have a serious challenge? Can he set out the steps the Government are taking to meet it, particularly how departments are working together and not in silos?
My Lords, the noble Lord, Lord Kennedy, makes an important point. Cleaning and cleansing will be uppermost in all our minds, and I assure the House that it is a source of great focus in the efforts to combat Covid-19. However, I will try to persuade the noble Lord that we have only limited resources, time of those involved in the cleaning processes and good will from the public, so timing is essential when we are delivering measures to combat the spread of Covid-19. The CMO has been very clear on this: personal hygiene in washing hands and avoiding the spread of the virus to the face and skin should be the priority for us all. That is the focus of the Government’s efforts at this stage.
(5 years, 6 months ago)
Lords ChamberMy Lords, I thank the Minister for repeating the Answer given in the other place by the Secretary of State to the right honourable Member for Hemel Hempstead. While we are not talking only about children, children having up to 300 seizures a day must leave their parents distraught and desperate. The Government must act much more hastily to ensure people who can benefit from medical cannabis have the means to get access to it on prescription. Can the Minister set out for the House the timescale for the process evaluation announced by the Secretary of State yesterday? This issue has been going on for far too long and needs resolving finally in the next few days.
I thank the noble Lord for his question. The Secretary of State has asked NHS England to act with the utmost urgency and to bring responses forward quickly. I note that this comes in addition to the HEE training model and the NHS England and BSA system to monitor prescriptions for cannabis products. We expect results from that data this month, so we expect more action imminently.