We should also remember from our history that what is labelled as false by a minority of people can be invaluable scepticism, challenging a consensus and eventually allowing truth to emerge. The fact—the truth—was once that the world was flat. Luckily, the fact-checkers were not around to ban the minority who challenged that view, and now we know a different truth.
Baroness Bennett of Manor Castle Portrait Baroness Bennett of Manor Castle (GP)
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My Lords, I have attached my name to Amendments 52 and 99 in the name of the noble Baroness, Lady Merron, respectively signed by the noble Lords, Lord Bethell and Lord Clement-Jones, and Amendment 222 in her name. I entirely agree with what both the noble Baroness, Lady Merron, and the noble Lord, Lord Bethell, said. The noble Lord in particular gave us a huge amount of very well-evidenced information on the damage done during the Covid pandemic—and continuing to be done—by disinformation and misinformation. I will not repeat what they said about the damage done by the spread of conspiracy theories and anti-vaccination falsehoods and the kind of malicious bots, often driven by state actors, that have caused such damage.

I want to come from a different angle. I think we were—until time prevented it, unfortunately—going to hear from the noble Baroness, Lady Finlay of Llandaff, which would have been a valuable contribution to this debate. Her expert medical perspective would have been very useful. I think that she and I were the only two Members in the Committee who took part in the passage of the Medicines and Medical Devices Act. I think it was before the time of the noble Lord, Lord Bethell—he is shaking his head; I apologise. He took part in that as well. I also want to make reference to discussions and debates I had with him over changes to regulations on medical testing.

The additional point I want to make about disinformation and misinformation—this applies in particular to Amendment 222 about the independence of the advisory committee on disinformation and misinformation—is that we are now seeing in our medical system a huge rise in the number of private actors. These are companies seeking to encourage consumers or patients to take tests outside the NHS system and to get involved in a whole set of private provision. We are seeing a huge amount of advertising of foreign medical provision, given the pressures that our NHS is under. In the UK we have had traditionally, and still have, rules that place severe restrictions on the direct advertising of medicines and medical devices to patients— unlike, for example, the United States, where it is very much open slather, with some disastrous and very visible impacts.

We need to think about the fact that the internet, for better or for worse, is now a part of our medical system. If people feel ill, the first place they go—before they call the NHS, visit their pharmacist or whatever—is very often the internet, through these providers. We need to think about this in the round and as part of the medical system. We need to think about how our entire medical ecology is working, and that is why I believe we need amendments like these.

Lord Bethell Portrait Lord Bethell (Con)
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The noble Baroness makes two incredibly important points. We are seeking to give people greater agency on their own health and the internet has been an enormous bonus in doing that, but of course that environment needs to be curated extremely well. We are also seeking to make use of health tech—non-traditional clinical interventions, some of which do not pierce the skin and therefore fall outside the normal conversation with GPs—and giving people the power to make decisions about the use of these new technologies for themselves. That is why curation of the health information environment is so important. Does the noble Baroness have any reflections on that.

Baroness Bennett of Manor Castle Portrait Baroness Bennett of Manor Castle (GP)
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I thank the noble Lord for his intervention. He has made me think of the fact that a particular area where this may be of grave concern is cosmetic procedures, which I think we debated during the passage of the Health and Care Act. These things are all interrelated, and it is important that we see them in an interrelated way as part of what is now the health system.

Baroness Kidron Portrait Baroness Kidron (CB)
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My Lords, I will speak to a number of amendments in this group. I want to make the point that misinformation and disinformation was probably the issue we struggled with the most in the pre-legislative committee. We recognised the extraordinary harm it did, but also—as the noble Baroness, Lady Fox, said—that there is no one great truth. However, algorithmic spread and the drip, drip, drip of material that is not based on any search criteria or expression of an opinion but simply gives you more of the same, particularly the most shocking, moves very marginal views into the mainstream.

I am concerned that our debates over the last five days have concentrated so much on content, and that the freedom we seek does not take enough account of the way in which companies currently exercise control over the information we see. Correlations such as “Men who like barbecues are also susceptible to conspiracy theories” are then exploited to spread toxic theories that end in real-world harm or political tricks that show, for example, the Democrats as a paedophile group. Only last week I saw a series of pictures, presented as “evidence”, of President Biden caught in a compromising situation that gave truth to that lie. As Maria Ressa, the Nobel Peace Prize winner for her contribution to the freedom of expression, said in her acceptance speech:

“Tech sucked up our personal experiences and data, organized it with artificial intelligence, manipulated us with it, and created behavior at a scale that brought out the worst in humanity”.


That is the background to this set of amendments that we must take seriously.

As the noble Lord, Lord Bethell, said, Amendment 52 will ensure that platforms undertake a health misinformation risk assessment and provide a clear policy on dealing with harmful, false and misleading information. I put it to the Committee that, without this requirement, we will keep the status quo in which clicks are king, not health information.

It is a particular pleasure to support the noble Lord, Lord Moylan, on his Amendments 59 and 107. Like him, I am instinctively against taking material down. There are content-neutral ways of marking or questioning material, offering alternatives and signposting to diverse sources—not only true but diverse. These can break this toxic drip feed for long enough for people to think before they share, post and make personal decisions about the health information that they are receiving.

I am not incredibly thrilled by a committee for every occasion, but since the Bill is silent on the issue of misinformation and disinformation—which clearly will be supercharged by the rise of large language data models—it would be good to give a formal role to this advisory committee, so that it can make a meaningful and formal contribution to Ofcom as it develops not only this code of conduct but all codes of conduct.

Likewise, I am very supportive of Amendment 222, which seeks independence for the chair of the advisory body. I have seen at first hand how a combination of regulatory capture and a very litigious sector with deep pockets slows down progress and transparency. While the independence of the chair should be a given, our collective lived experience would suggest otherwise. This amendment would make that requirement clear.

Finally, and in a way most importantly, Amendment 224 would allow Ofcom to consider after the effect whether the code of conduct is necessary. This strikes a balance between adding to its current workload, which we are trying not to do, and tying one hand behind its back in the future. I would be grateful to hear from the Minister why we would not give Ofcom this option as a reasonable piece of future-proofing, given that this issue will be ever more important as AI creates layers of misinformation and disinformation at scale.

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We need to equip society—children and adults—so that they can make knowledgeable and intelligent use of the internet. We have focused on the harm that the internet does, but the proper use of it can have a very positive impact. The previous debate that we had about misinformation and disinformation highlighted the importance of media literacy.
Baroness Bennett of Manor Castle Portrait Baroness Bennett of Manor Castle (GP)
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My Lords, it is a pleasure to follow the noble Baroness, Lady Prashar, and I join her in thanking the noble Lord, Lord Knight, for introducing this group very clearly.

In taking part in this debate, I declare a joint interest with the noble Baroness, Lady Fox, in that I was for a number of years a judge in the Debating Matters events to which she referred. Indeed, the noble Baroness was responsible for me ending up in Birmingham jail, during the time that such a debate was conducted with the inmates of Birmingham jail. We have a common interest there.

I want to pick up a couple of additional points. Before I joined your Lordships’ Committee today I was involved in the final stages of the Committee debate on the economic crime Bill, where the noble Lord, Lord Sharpe of Epsom, provided a powerful argument—probably unintentionally—for the amendments we are debating here now. We were talking, as we have at great length in the economic crime Bill, about the issue of fraud. As the noble Lord, Lord Holmes of Richmond, highlighted, in the context of online harms fraud is a huge aspect of people’s lives today and one that has been under-covered in this Committee, although it has very much been picked up in the economic crime Bill Committee. As we were talking about online fraud, the noble Lord, Lord Sharpe of Epsom, said that consumers have to be “appropriately savvy”. I think that is a description of the need for education and critical thinking online, equipping people with the tools to be, as he said, appropriately savvy when facing the risks of fraud and scams, and all the other risks that people face online.

I have attached my name to two amendments here: Amendment 91, which concerns the providers of category 1 and 2A services having a duty, and Amendment 236, which concerns an Ofcom duty. This joins together two aspects. The providers are making money out of the services they provide, which gives them a duty to make some contribution to combatting the potential harms that their services present to people. Ofcom as a regulator obviously has a role. I think it was the noble Lord, Lord Knight, who said that the education system also has a role, and there is some reference in here to Ofsted having a role.

What we need is a cross-society, cross-systems approach. This is where I also make the point that we need to think outside the scope of the Bill—it is part of the whole package—about how the education system works, because media literacy is not a stand-alone thing that you can separate out from the issues of critical thinking more broadly. We need to think about our education system, which is far too often, for schools in particular, where we get pupils to learn and regurgitate a whole set of facts and then reward them for that. We need to think about how our education system prepares children for the modern online world.

There is a great deal we can learn from the example—often cited but worth referring to—of Finland, which by various tests has been ranked as the country most resistant to fake news. A very clearly built-in idea of questioning, scrutiny and challenge is being encouraged among pupils, starting from the age of seven. That is something we need to transform our education system to achieve. However, of course, many people using the internet now are not part of our education system, so this needs to be across our society. A focus on the responsibilities of Ofcom and the providers has to be in the Bill.

Baroness Kidron Portrait Baroness Kidron (CB)
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My Lords, over the last decade, I have been in scores of schools, run dozens of workshops and spoken to literally thousands of children and young people. A lot of what I pass off as my own wisdom in this Chamber is, indeed, their wisdom. I have a couple of points, and I speak really from the perspective of children under 18 with regard to these amendments, which I fully support.

Media literacy—or digital literacy, as it is sometimes called—is not the same as e-safety. E-safety regimes concentrate on the behaviour of users. Very often, children say that what they learn in those lessons is focused on adult anxieties about predators and bullies, and when something goes wrong, they feel that they are to blame. It puts the responsibility on children. This response, which I have heard hundreds of times, normally comes up after a workshop in which we have discussed reward loops, privacy, algorithmic bias, profiling or—my own favourite—a game which reveals what is buried in terms and conditions; for example, that a company has a right to record the sound of a device or share their data with more than a thousand other companies. When young people understand the pressures that they are under and which are designed into the system, they feel much better about themselves and rather less enamoured of the services they are using. It is my experience that they then go on to make better choices for themselves.

Secondly, we have outsourced much of digital literacy to companies such as Google and Meta. They too concentrate on user behaviour, rather than looking at their own extractive policies focused on engagement and time spent. With many schools strapped for cash and expertise, this teaching is widespread. However, when I went to a Google-run assembly, children aged nine were being taught about features available only on services for those aged over 13—and nowhere was there a mention of age limits and why they are important. It cannot be right that the companies are grooming children towards their services without taking full responsibility for literacy, if that is the literacy that children are being given in school.

Thirdly, as the Government’s own 2021 media literacy strategy set out, good media literacy is one line of defence from harm. It could make a crucial difference in people making informed and safe decisions online and engaging in a more positive online debate, at the same time as understanding that online actions have consequences offline.

However, while digital literacy and, in particular, critical thinking are fundamental to a contemporary education and should be available throughout school and far beyond, they must not be used as a way of putting responsibility on the user for the company’s design decisions. I am specifically concerned that in the risk-assessment process, digital literacy is one of the ways that a company can say it has mitigated a potential risk or harm. I should like to hear from the Minister that that is an additional responsibility and not instead of responsibility.

Finally, over all these years I have always asked at the end of the session what the young people care about the most. The second most important thing is that the system should be less addictive—it should have less addiction built into it. Again, I point the Committee in the direction of the safety-by-design amendments in the name of my noble friend Lord Russell that try to get to the crux of that. They are not very exciting amendments in this debate but they get to the heart of it. However, the thing the young people most often say is, “Could you do something to get my parents to put down their phones?” I therefore ask the Minister whether he can slip something into the Bill, and indeed ask the noble Lord, Lord Grade, whether that could emerge somewhere in the guidance. That is what young people want.