(4 years, 5 months ago)
Lords ChamberThe noble Baroness’s point on fundraising is well made, and I think I answered it in my previous answer. We are looking at it closely. On policy-making in this area, it is extremely tough to regulate innovative drugs that simply do not have clinical trials and evidence bases behind them. We have put a huge amount of effort into this area. We are working closely with industry; I call on industry to do everything it can to help this process. We are trying our hardest to provide the right regulatory environment. As the noble Baroness pointed out, we have already made important changes to the law.
My Lords, the report of NHS England and NHS Improvement, commissioned by the Secretary of State, was published last year. Very little appears to have been done to implement its recommendations. Can my noble friend say which recommendations have been implemented and what plans he has to ensure that they are all met?
The noble Lord is right to point out the importance of that report, which we have taken very seriously. We have worked closely with industry to find a suitable product to take into the trial process, and it is a great shame that we have not found the right combination. We are looking at how to address that cul-de-sac and I hope to unblock it shortly.
(5 years, 5 months ago)
Lords ChamberMy Lords, I also support the excellent amendments in the name of the noble Lord, Lord Blunkett. There are two amendments in my name in this group. They are practical, nitty-gritty measures, but I hope that they will not be brushed off for that reason, because they are important. The noble Lord, Lord Stunell, put it very well in his comments: engagement on R&R will not happen until the options are fully understood and one gets the feeling that one is making informed choices.
It is imperative that those options are clear from the outset, and we do not know what the options on educational facilities and participatory democracy are at the moment. I am hopeful for the Wallace/Adonis café—I look forward to drinking my latte there—but that anecdote has become a metaphor for our vision. There is simply no information or a clear, thoughtful prognosis on what could be done with the building. There is talk of glass ceilings over the courtyards and someone tells me that we can clear out the ground floor, but I have no practical knowledge of whether these things are at all possible. My amendments would apply to the Bill after Clause 4, but they address Clause 2(2)(b), which commands the sponsor body to,
“make strategic decisions relating to the carrying out of the Parliamentary building works”.
To do that, it is absolutely imperative that the body has, at least in outline, an idea of what could be done to further the educational facilities and participatory democracy.
We are talking about intellectual leadership here. I know that the Bill is largely about the administrative structures of the bodies involved, but other considerations are also important. We talked about culture and hard-baking public consultation into the way in which this project conducts its business. I have found that, in major infrastructure projects, the intellectual leadership is often—and quite rightly—with the engineers and project managers, whose thoughts are dominated by the practical considerations of budgets, timetables, M&E, air conditioning and the physical practicalities of getting the job done. Here, we are talking about something that is softer but still important. If we leave the intellectual leadership of this project to the people who govern the practicalities, these important considerations will not be baked into the project at an early stage.
Noble Lords will be familiar with me urging for major investment in public consultation. However, to carry out that consultation, you have to understand a little about what kinds of practical options there are for enhancing the educational facilities and access to the House. That is why it is worth while investing in the budget for the right professional services to put together a clear report on the options in these two areas. I strongly recommend that they be written into the Bill.
My Lords, I will speak briefly. I have no problem with Amendment 12—the lead amendment—or Amendment 18 in the name of my noble friend Lord Bethell, but I am afraid that I have my doubts about Amendments 13, 14 and 19. I think that they will place a burden on the sponsor body with which it will not be able to cope, because it would have to decide what it understood by “major political and constitutional reforms” before any reforms have taken place.
Coming back to my earlier comments, we need an adaptable space that can be fitted with changes that Parliament itself may wish to make to meet the demands made of it and to engage with those outside it. As Amendment 13 stands, there is a problem with referring to,
“major political and constitutional reforms”,
without stipulating what one means by that. Similarly, in that amendment and my noble friend’s, there is a reference to, “inclusive participatory democracy”. If that is going to stay in the Bill, the definitions section will have to be amended to explain what that actually means for the benefit of the sponsor body.
So I think there are problems with the stipulations in these amendments. I understand where my noble friend the Minister will be coming from in responding to them. A lot more work would need to be done; otherwise, the danger is that the amendments will confuse rather than clarify.