NHS Counter Fraud Authority (Establishment, Constitution, and Staff and Other Transfer Provisions) (Amendment) Order 2020

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Monday 7th September 2020 Grand Committee

[Lord Naseby (Con)]

My Lords, this is a very important order. I declare my interests; I am married to a former full-time senior partner GP and I was for 12 years a member of the Public Accounts Committee, specialising in health matters.

I congratulate the Minister on bringing this forward. It is very timely. I wonder why three years was chosen rather than a Parliament, but that is not a key issue. I note, though, that paragraph 3.4 of the Explanatory Memorandum states that this applies to England only. Does that mean that there is a comparable body in Northern Ireland, Wales and Scotland? I hope the answer to that is “yes”—but if it is not, why on earth is it not?

I am not clear—and this goes back to my Public Accounts Committee years—who is actually auditing the work of this very important body. Is it the National Audit Office or some other organisation? Certainly, in my experience across a wide spectrum of departments and semi-independent bodies, the Comptroller and Auditor General in that organisation does a superb job and refers problem areas to the Public Accounts Committee. If the Minister is not able to answer that this afternoon, I hope he will be able to write to me.

I will raise an issue that might not be absolutely key at this point. I note that there are still too many examples of two chemists in a town trading under different names but actually belonging to the same company. The whole respect of the pharmaceutical and chemist world is basically that they get a primary payment, and that should not be happening.

Of course, at the top of my mind is the protective equipment that has had to be bought. While there were challenges there—not everything went as smoothly as I am sure the Minister would have liked—nevertheless I recognise the enormous effort that was put into providing protective equipment. But of course, when things are done at speed, inevitably there are loopholes, and I just wonder what we are doing in terms of helping this organisation to look closely at the contracts that were signed, the delivery of those contracts and whether the product was up to specification, to ensure that public money, paid for by the taxpayer, is well spent and that if the contract has not been delivered as thought, there will be not necessarily prosecution but some form of retribution repaid to this organisation.

I will ask another question that may seem strange. Is there any part of the NHS that is excluded from this organisation? It is very important that there is nobody and no part of the NHS that shall be excluded.

My noble friend Lord Bourne raised an absolutely crucial question. There is, it is rumoured—so I am told and I thank my noble friend for reminding me of this, because I did pick it up the other day—a revised strategy circulating somewhere. If there is, it seems to me that it should not be circulating for very much longer, because we really do want to know what is happening on the ground.

I will make just two further small points that are tangential to this. A colleague of mine whom I met a couple of days ago went for a test at Olympia. She was told that there was no space at Olympia and that she should go to Wellingborough—which happens to be next door to my former constituency. Upon complaint, it was discovered that there was space at Olympia. So that is a problem and a waste of resources.

In the papers over the weekend we saw the problem of past tests, where people have been cleared but there is some residue in their body that means that when the results are tested again, they come up as positive. That is another problem.

Finally, my noble friend—I do treat him as a friend, because I have known him for many years—Lord Jones has asked the right questions. How many people have been prosecuted? How many special prosecutions have there been? How many special initiatives have there been? Is my noble friend in a position to update the figures for savings that we have here?

I say again to my noble friend that we owe a huge thank you to the staff who are doing this work. It must be challenging and I hope that they are getting all the resources they need. I hope that they are getting the right skills. If they are short at all, will my noble friend confirm that, as far as he knows, they have got all the staff they need to do a first-class job?

Health Protection (Coronavirus, Restrictions) (England) (No. 3) Regulations 2020

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Thursday 3rd September 2020 Lords Chamber

[Lord Naseby (Con) [V]]

I thank my noble friend, who must be one of the hardest-working Peers in history, I would think. I declare an interest in that my wife is a doctor who has worked in India, Hackney and Islington. We are celebrating our diamond jubilee today and we discussed this particular SI over lunch.

The linkage with local government is not working properly, because people in central government do not fully respect local medical officers of health. I have been a leader of the London Borough of Islington and I know what a good job they do.

In today’s Telegraph, the Governor of the Bank of England said that consumer caution was derailing the economy. One area of the economy that is closed is the sporting world, be it cricket, rugby, football or other things. DCMS is exceedingly slow and ultra-cautious, with only 15% of its staff at their desks. We have an opportunity here. All first-class cricket clubs were ready to open for business in July, with proper Covid-19 preparations fully approved. Why do we not use local government to inspect these sporting grounds to approve them or otherwise? It already does it for safety. The cricket finishes in four weeks, and there is a real business opportunity as we deal with the T20 Blast. It will encourage our dear people to go out and enjoy themselves, spend money and get the economy moving.

While I am about it, can we please use the phrase “possible second wave”, not simply “second wave”—the Minister did use the words “second wave” earlier on today—particularly as we see falls in hospital admissions and death rates? Above all, can we forget the phrase “world-beating”?

Health Protection (Coronavirus, Restrictions) (England) (Amendment) (No. 3) Regulations 2020

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Thursday 25th June 2020 Lords Chamber

[Lord Naseby (Con)]

My Lords, I welcome my noble friend to the Front Bench. It is also good to see the spokesman for the Official Opposition in the Chamber. These issues are moving very fast, as the Minister said, but the key area for me now is the economy. The economy worsens day by day, and the focus now has to be on that.

As a nation, frankly, we do not need micromanaging. Even the Prime Minister says that the British people have good sense. I hear that pubs are going to have to list the people who are going to have a drink there. They know who they are having a drink with, and if they should fall ill then they know exactly who they are. We do not need any lists collected at the pub.

On cricket—and I declare an interest as president of Northamptonshire County Cricket Club—today we could quite easily handle county cricket on a one-metre basis, let alone club cricket. I know the ECB has been making representations. I hope that when my noble friend has finished with his machine there, he will actually think about that.

Weddings are coming back—hurrah!—but why can we not allow some hymns at a wedding? My goodness, it is not as if that is a major problem of illness. Open-air concerts are part of the tradition of England. They could easily be handled on a one-metre basis. It is a sad reflection on the role of religion in our society that churches were closed when people needed to pray together. They were then taken off the list a bit, but only after non-essential retailers.

On gyms, I thought people went to the gym to keep fit, but they are not allowed to open even though they have distancing.

Lastly, there is still the huge problem for the airlines of quarantine. The sooner that is gone, the more likely we are to recover as an economy.

Health Protection (Coronavirus, Restrictions) (England) (Amendment) (No. 2) Regulations 2020

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Monday 15th June 2020 Lords Chamber

[Lord Naseby (Con)]

My Lords, I apologise to the Minister for not getting to his briefing meeting on 12 June, but I have no wi-fi or telephone at home at the moment. I also express some disappointment that he is not able to be with us in the Chamber this evening.

I will ask a series of questions arising from the SI, starting on page 3. Regulation 2(4) is about increased fines. I am not quite sure why fines are being changed at this stage. Is it because people are just paying no attention to the fine, or for some other reason? It would be helpful to the House and others if we knew how many fines have been issued and the geographical spread of those fines.

I note that, under Regulation 2(5)(b), new paragraph 43 is entitled “Garden centres”. I express my disappointment that they were excluded right from the start. They were the ideal place to go to get flowers, vegetables, et cetera. Later on, we read that there has been no consultation with the public, but if anybody had asked anybody, garden centres—albeit that you would have had to close the cafés—would have been the first thing on the list to be opened. At the moment, the media is full of the idea of pub gardens. I say to my noble friend the Minister that there is no hope of opening a pub garden if the pub itself cannot be open. The economics just do not work.

Turning over the page, I express some disappointment that, according to paragraph 3.1 of the Explanatory Memorandum, it has been a month before we—and some of us have considerable experience in these areas—could debate the regulations.

Page 3 of the Explanatory Memorandum talks about collecting

“goods from any business which have been purchased in advance by phone”,

blah blah blah. The point of buying online is that it is delivered to your home, not that you have to go out and collect it from somewhere; really, that is no different from the retail trade. All you are doing is undermining the retail trade, which does not seem sensible.

On the same page, paragraph b mentions “open space”. I am afraid that the Countryside and Rights of Way Act does not cover the seashore, so there is an omission there. As far I know, you can go to the seashore.

Under “Consultation”, the Explanatory Memorandum states:

“There has been no public consultation”.


However, for consultation you do not have to go out and tell people; you can do it through all sorts of research organisations. But if it is left to government departments or SAGE, you can see why mistakes are made.

On “Monitoring & review”, I will make one point to my noble friend. I do not want to hear any more about one metre until there are some real plans for it to come in, giving people in the hospitality industry adequate time to do it. It has to happen—and soon.

Covid-19: Masks

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Thursday 11th June 2020 Lords Chamber

[Lord Naseby (Con) [V]]

Back in March, we were told by the Health Secretary, Matt Hancock, that the science behind the general population wearing masks was “extremely weak”. At the same time, the WHO said to wear masks, and Germany and the others followed. Two months later, based, presumably, on new evidence that no one has seen—if, in fact, there is any evidence at all—we have advice on transport and hospitals; I am not sure about advice for care homes, or whether they have been forgotten again. The WHO continues to advise 1-metre distancing, and that is immediately followed by France, Italy and the others. Meantime, we poor souls have to stick with 2 metres, and a whole host of queries around why the WHO advice is yet again being ignored. Frankly, this is not acceptable.

Draft Human Tissue (Permitted Material: Exceptions) (England) Regulations 2020

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Monday 18th May 2020 Lords Chamber

[Lord Naseby (Con)]

Good afternoon, my Lords. I am sorry that I am only on audio today; I have had some technical problems.

I want to focus on communication; I have spent a lifetime in that world. The starting point seems to be the statement from the Department of Health and Social Care on 25 February that, although 80% of people would be happy to donate organs and tissues on death, only 37% are currently registered. As the Minister said, demand has increased since the original briefing: the figure then was 5,100; it is now 5,200. I understand that deemed consent is likely to produce an additional 700 a year. That means that, if demand remains constant, it will take at least another seven years to work off.

On 25 April 2019, NHS Blood and Transplant launched a campaign called “Pass it on”, which aimed to communicate the change in the law and the choices available. Was any audit made of people who had ever heard of this campaign or were able to communicate back what it was about?

In the commercial world, it is normal with something as important as this for a whole structure of market research to be set up following some initial trials. My first question is on that. However, instead of just asking questions, I want to put forward a few thoughts on how we could communicate better. I went to my local surgery this morning to renew a prescription. I walked round; I could not see anything obvious about donations. A large number of people as NHS patients go to clinics. I am not conscious of anything in the publicity at the few that I have been to about what we are talking about.

I am waiting for an appointment for glaucoma at Bedford Hospital. I did not see anything last time I went in; I will check again. Each of us has to renew our driving licence after a period of time. Why do we not have a campaign attached to that renewal about the need for donations? We all of us have dental appointments. Would it not be a good idea if a leaflet or something was available when we went to the dentist? Above all, there are all the specialist medical charities—my goodness, they do a really good job. They are brilliant communicators. I first took out my donor card in 1981 because I had a particular interest in kidneys at the time. I have it in front of me. I was hoping to show it, but it is looking a bit moth-eaten as I flick it over now. Perhaps we could get all those medical charities on board. They would need financial assistance to do it, but they are like terriers and we need people like that to communicate this very important category of future life.

Then there are people coming to our country—the naturalisation permissions, the immigration approvals and, for UK people, passport renewals. There again is an opportunity to communicate.

Finally, there have recently been some really good, in-depth TV programmes on the challenge of the virus. Let us ask each of the channels to do a separate programme on this issue, so that we can get the 37% up to way over 50%, thereby giving us at least a chance of meeting the demand that is out there. It needs to be addressed. I wish everybody well in that. I thank the noble Lord, Lord Hunt, who rightly calls for —[Inaudible.]

Coronavirus Bill

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2nd reading & 2nd reading (Hansard - continued) & 2nd reading (Hansard - continued): House of Lords
Tuesday 24th March 2020 Lords Chamber

[Lord Naseby (Con)]

My Lords, before I say anything else I would like to pay tribute to the Prime Minister and his team of two advisers who communicate almost daily with the British people. In my experience of 46 years across two Houses, that is unique. I pay tribute to that team and to all Ministers at every level, particularly my noble friend on the Front Bench, who was my excellent Whip until he was promoted.

I am here—as someone who is 83 I am not supposed to be here—because the Bill is very intrusive, but I recognise that the situation is so serious that it is appropriate. I see my role as one to ask questions. I have spent most of my 46 years here asking questions: on the Public Accounts Committee for 12 years; as Deputy Speaker; and then in this House.

I come from a medical community: my wife, to whom I have been married for 59 years now, is a full-time GP while my son is a doctor. Necessarily, as I and my wife have worked in the UK, India, Sri Lanka and other parts of south and south-east Asia, we understand the medical world at some length. I recognise that south Asia and south-east Asia had the SARS catastrophe, and as a result of that they are used to dealing with the great problem that we now face. They were prepared for pandemics, which the West was not and is not.

I have a question about the aims of the Bill. The summary of impacts says:

“The purpose of the Bill is to provide powers needed to respond to the current coronavirus epidemic. Powers are for use only if needed, judged on the basis of the clinical and scientific advice”—


or, as the Prime Minister says, action to save the NHS and to save lives. Is that the limit? Frankly, I do not think it is. I believe that there is another criterion. Are we to follow totally slavishly those two conditions, regardless of any impact on the economy? I venture to suggest that we should not.

A section of the NHS which I looked at closely over the weekend is the dental community. I had a telephone call on Sunday from a dental practitioner in Bedford, because Bedfordshire and Northamptonshire are where I know best. He raised with me the key point issued by the British Dental Association, and that is uncertainty. The BDA recommends that

“no aerosol generating procedures are undertaken on any patient without appropriately fitting FFP3 masks, other required protection equipment and protocols”.

That is pretty clear. It is backed up by this individual consultant, who then said to me in an email: “The situation is that the front-line ITU staff do not have FFP3 masks. We will not treat cancer cases until equipped. We will need to run some emergency clinics, but where are they to be?” Since nobody else has raised dental matters, I say to my noble friend on the Front Bench that I hope this can be looked into.

Secondly, I thought we were communicating with all the trade associations, but two days ago I read in the Telegraph that the CEO of the UK Chamber of Shipping in London makes the point that shipping is an absolutely vital industry. It has made contact with Her Majesty’s Government—that has been raised with the Transport Secretary—but has heard nothing. That is a problem, is it not?

What can be done? Since the Prime Minister is a great believer in Churchill, I suggest that he might think about having the equivalent of Lord Beaverbrook. On the television news last night or the night before, there was a shedload of these masks—a warehouse full —at Amazon. Why are those in the warehouse? They should be out with the front-line people waiting for them. It needs someone to get behind this and get those masks out and into the field. I suggest that this must be happening in many other areas as well.

I finish by saying a huge thank you again to the front-line NHS staff. I have lived with that community for years. It is doing more now than it has ever had to. I re-emphasise that we have to learn from what Korea and others did. The key word is “testing”. We need large-scale, readily available testing, combined with case isolation and contact tracing.

My last question to my noble friend is: where are we on testing? The WHO recommends: trace the contacts to trace infection; isolate to stop the spread; then test, test, test. If we do all that, we ought to, and might hopefully, get through the incredible challenge we face at the moment. I wish all those involved all possible success in their attempt to do so.

NHS Pensions: Taxation

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Tuesday 9th July 2019 Lords Chamber

[Baroness Blackwood of North Oxford]

The noble Baroness knows that I cannot answer for the Chief Secretary to the Treasury, although I know that this issue has been raised with the candidates as part of the leadership campaign and that they see it as a priority. As I said in my Answer to the noble Baroness, Lady Finlay, we recognise that the 50:50 flexibility option does not provide unlimited flexibility for clinicians to target their own personalised level of pension growth. Other options, such as additional pension accruals to purchase individual units alongside a pension, may be considered as part of the consultation. The message going out to the sector is that we want as much flexibility as possible to try to find the right solution to meet the complex needs of the system.

[Lord Naseby (Con)]

My Lords, is my noble friend aware that this issue was raised on the Floor of the House? I was one of those who contributed; I hastily declare an interest as a trustee of the Parliamentary Contributory Pension Fund. Against the background of what was raised some three weeks ago and the evidence that was already in the field, I do not blame any particular Minister, but is there not a pensions section in Her Majesty’s Treasury that must know what options are available to Her Majesty’s Government in coming to a decision that will ensure that the consultants affected will not be forced to retire when they reach 60? That evidence must be there by now; surely, we can have some fast decisions on this major issue.

[Baroness Blackwood of North Oxford]

I absolutely share my noble friend’s desire for a speedy response. He is right that the evidence has come forward and that the issue is affecting front-line services, which is why we are keen to bring the consultation forward as quickly as possible and resolve it. He is also right that those in the Treasury will have seen the evidence and it is right for them to consider it. It is important to understand that the consultation is about the implementation of tax policy, not changing it. That would be a separate question for the Treasury team.

NHS: Waiting Times

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Tuesday 18th December 2018 Lords Chamber

[Lord O'Shaughnessy]

The noble Lord well knows that we live in a society which has a mixture of public and private provision. That is true of every public service in most countries of the developed world. The critical point is that we need to invest in our National Health Service, and that is something the Prime Minister is determined to do.

[Lord Naseby (Con)]

Has the time not come for a further review of the previous policy when the right honourable Member for Rushcliffe, as Secretary of State, allowed for a tax reduction or costs to be set against tax for those who take themselves off the NHS list for a particular ailment, thereby freeing up the NHS to carry on the work it should be doing and does so well?

[Lord O'Shaughnessy]

I am grateful to my noble friend for the suggestion. I do not think that now is the time for such a use of public resources, but it is notable that over three-quarters of subscriptions for private medical insurance are paid for by companies as a benefit that they provide to their staff. That is an enlightened approach to looking after the welfare of staff that we want to encourage.

Health: Flu Vaccines

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Tuesday 23rd October 2018 Lords Chamber

Asked by

[Lord Naseby]

To ask Her Majesty’s Government whether there is any shortage of flu vaccines; and if so, what steps they are taking to rectify this.

[The Parliamentary Under-Secretary of State, Department of Health and Social Care (Lord O’Shaughnessy) (Con)]

My Lords, there is no overall shortage of flu vaccines. The Joint Committee on Vaccination and Immunisation recommended that the newly available adjuvanted trivalent inactivated influenza vaccine, or aTIV, is the most effective vaccine for the over-65s. To enable the vaccine to be available this year, it has been necessary for the manufacturer to stagger deliveries between September and November. Everybody who wants to be vaccinated should be able to do so before December.

[Lord Naseby (Con)]

I thank my noble friend for that Answer, but how is it, given the statement from NHS England that last year was the worst for deaths for seven years at 15,000, that here we are with a new vaccine geared to those most at risk—I happen to be one and I declare an interest—yet I go into my GP, a brilliant practice in Potton, Greensands, and there are no vaccines available and no notice of exactly when those vaccines will come? Can my noble friend tell me and other patients whether those vaccines are actually going to be available in sufficient time for all patients at risk to be vaccinated before 1 December? Unless that is done, they will be useless to us in the older age group.

[Lord O’Shaughnessy]

I take my noble friend’s point very seriously. It is worth stating that the reason for moving to this new vaccine is precisely because it is more effective. Unfortunately, the response rates for the vaccine that was used in the over-65s last year were not as high as hoped. Indeed, there were quite a number of admissions to intensive care units of that age group. That is the reason for moving to the vaccine, but because it is the first year it has been available, it has been necessary, because of global demand, to stagger the delivery, as I said. GPs and pharmacies were informed of this staggering of deliveries at the beginning of the year. I can tell my noble friend that 8.2 million doses have already been ordered for this age group, of which 4.9 million have already been delivered, against around 7.6 million used last year. So there is adequate supply, and it will be delivered to all GPs and pharmacies as necessary to meet the demand by the end of November, so that by the beginning of December anybody who wants that vaccination should be able to access it.