(7 years, 3 months ago)
Lords ChamberThe noble Lord is absolutely right: a response is required and will be forthcoming very shortly. On top of that, the Government are acutely aware of the age and declining health of so many former child migrants. We are, as I say, committed to providing a considered response to the inquiry’s recommendations as soon as possible.
My Lords, does the Minister accept that every week the Government delay in taking a grip on this issue means more young people having their lives destroyed? When they are considering their response, will the Government take account of the mounting evidence, added to only this week by evidence about the Catholic Church, that unless people are forced to report child abuse to external agencies, and report only within the agency concerned, very often these organisations will cover it up because they are afraid of reputational damage? Will the Government take that into account?
I totally accept the noble Baroness’s point—I have just made it myself—that nobody wants to see any further delay, certainly given the age of some of these former child migrants. On reporting sexual abuse to external agencies, the noble Baroness is absolutely right: unless there is a proper system of support for these allegations, there is then further opportunity for internal cover-up.
(7 years, 3 months ago)
Lords ChamberMy Lords, I congratulate my noble friend Lady Suttie on the comprehensive and powerful way in which she introduced this debate today.
I will start by quoting a sentence from a briefing I received this week, prior to this debate:
“Failure to act on climate change now will significantly increase the difficulty of achieving many other SDGs, and will have serious consequences for the stability of global financial systems”.
This sentence could have come from any briefing from any organisation campaigning on climate or environmental matters, but it did not—it came from the Institute and Faculty of Actuaries. It cheered me a lot, because it indicated to me that climate change has developed from being something that only a few biologists and physicists were worried about to a mainstream issue that rightly concerns people in all walks of life. And of course it should, because it is affecting all of us right now, and will affect our children and grandchildren even more in future. The actuaries are quite right that action on climate change can assist us in achieving many of the other SDGs, from education to poverty, from water and sanitation to equality. They also reinforce my view that we need to bring forward our climate change objectives, from 2050 to 2030. We have not much time, and giving permission for fracking is the last thing we should do.
The fact is that, even if we achieve the target of no more than a 1.5 degree rise in mean global temperature, given the rise we have already had, we will still have to face major negative climate events, changes in habitats, loss of biodiversity, poverty and mass movements of people. If we exceed that target, we will reach the tipping point beyond which we cannot stop it and, if that happens, I fear for the future of our species, as well as the rest of life on earth. So, even if we take a selfish point of view relating to our own species’ survival, it is absolutely vital that we do everything we can to slow down and halt global warming. Every degree of change in global temperature makes it more difficult for the diverse life on this planet to survive. That should matter to all of us.
The interdependence between human life and that of other species was illustrated very well in an item on Radio 4 yesterday, when they interviewed a researcher who had identified a gene in a species of fish which enables it to repair faults that arise in its own heart. Her work on this may help us understand, and indeed treat, heart disease in human beings. We rely on other species not only for our food, our clothing, our shelter, our arts and culture, cleaning up the air we breathe and reducing CO2 but for our health. The natural environment contributes to our well-being and mental health, as well as our economy. For these and many other reasons, we must halt climate change and not do a Donald Trump and stubbornly deny that it has anything to do with wildfires in Florida or, of course, flooding in Yorkshire. Can we hear about the Government’s progress on action against climate change?
The interrelationship between the various SDGs has been well illustrated to me in visits I have made to other countries. On a visit to India with UNICEF—one of those frontline NGOs referred to by the noble Lord, Lord Judd, and of which I have the honour to be an honorary fellow—I was shown women earning money maintaining the pump on the village well or manufacturing sanitation products. Through this work, they gained dignity and earned money to send their children to school, and the village got clean water and sanitation. When the children went to school, as well as education they got access to clean, safe toilets and clean water, lessons in hygiene and soap to wash their hands before lunch, and a child measurement programme that measured their development and identified malnutrition. In the homes, I saw stoves that used gas produced by biomass from animals and human waste, which prevented the women getting respiratory problems, which they used to get from burning smoky wood to cook indoors.
In Madagascar, I saw the devastation of vast areas of highly diverse primary forest caused by burning trees to make charcoal for cooking, in a country with more sunshine than you could ever hope for and the highest percentage of unique indigenous species in the world. Species such as lemurs and special kinds of woods on the red endangered list were being illegally exported to China, against the Government’s best endeavours. The problem is that you cannot blame the people for using what is there to survive. They are some of the poorest in the world and need to cook, eat, shelter and provide for their families, so they will sell what they can, use whatever is available for cooking and overharvest endangered species for food or medicine, without realising that they are killing the goose that lays the golden egg. It is for developed countries such as ours to use the expertise we have to help them make the most of the riches they have around them, their unique habitats and biodiversity. But here in the UK we face many of the same things. In our case, 15% of our species face extinction, mainly because of habitat loss and climate change. We may not know the value of what we have lost until it is gone.
Many charities and universities are taking up the challenge. In Madagascar, we saw a project run by Kew Gardens, one of the world’s leading botanic gardens working in plant conservation in this country and around the world. It is protecting a valley of primary indigenous forest using local labour, trained by expert botanists from Kew, to protect their environment. They earned some money for this, which alleviated their poverty and allowed them to avoid some of the environmental depredations. Kew needs money to provide the benefit of its experts to developing countries and to our own environment. In that respect, I am concerned that the government grant to Kew has been reduced. I wonder whether the Government can give me any hope that this situation might be reversed in the light of the work Kew does to help with the UK’s contribution to SDG 15 on life on land, goal 13 on climate action and goal 11 on sustainable communities.
I also saw a UNICEF project where children were rescued from the streets, having been left there by parents who could not afford to feed them. UNICEF was educating, feeding and clothing them but also trying to reunite them with their families and help them to get work. Here in the UK, as my noble friend Lady Suttie mentioned, we have thousands of children in food insecurity, whose parents rely on food banks and on breakfast clubs and holiday lunch clubs at schools. Universal school lunches in primary schools has been a great success and contributed not only to children’s nutrition and physical health but to their education and mental health. Will the Government expand that programme? Poverty is caused by low wages or employment or benefit uncertainty. The Minister might like to use this opportunity to explain the current status of the review of universal credit.
These few examples illustrate how interlinked the various sustainable development goals are, both here and abroad. Can the Government say what attention they are paying to the links between action on the goals and the individual goals? Sometimes spending on one can bring dividends in several other areas. After I had written the above, I saw the WWF briefing and its recommendations to the Government for the voluntary national review. I was interested to see recommendation 3:
“The VNR should look at interlinkages between the goals, identify accelerators and develop plans to take them forward”.
All I can say is that I agree.
This brings me to where I think the UK has failed most seriously in the way the SDGs have been implemented at home. We are not alone on this earth; we are not the only country and we are not the only species, and although we should help other countries, we need to do it all at home as well. Goal 3 is good health and well-being. Goal 10 is reduced inequalities. In this country, we have a shocking level of poverty, as clearly illustrated recently by the UN’s rapporteur on poverty, and a high level of health inequality. We have a poor rate of perinatal mortality and child obesity and, as announced this morning, 10 times as many children suffering from type 2 diabetes than was originally thought. Finally, we now even have falling life expectancy. These two failures are closely linked. They are also linked to goal 1, eliminating poverty; goal 2, zero hunger; goal 4, quality education; goal 7, affordable clean energy; goal 8, decent work and economic growth; goal 11, sustainable communities; and goal 13, climate action.
I think I have made my point: the health of the nation is a whole-government responsibility. I have long proposed a special high-level Cabinet committee on the health of the nation to which all other departments must report when developing new policies. Do they contribute to the health of the nation, or do they damage it? If they damage it, the department should think again. I still hope that the new Secretary of State for Health, with his understanding that the NHS will not be sustainable unless we focus more on prevention of ill health, will eventually come to the same conclusion. If he is not persuaded by me, perhaps he will be persuaded by this debate, which will show where we are failing and why it would be in the interests of all our people, now and in the future, for us to take a holistic view of health and well-being.
The evidence shows that poor people do not eat well; they live in areas with higher air pollution, in houses which are often cold, damp and expensive to heat because they are poorly insulated. Because of their disadvantages, they achieve less in education and so are less well equipped with the knowledge of how to promote their own health and to get a good, stable job. Their access to junk food is high and their access to good public services is low. Their local authorities are so pressed for cash that they have had to close sexual health services, weight management services, drug, alcohol and smoking cessation services, swimming pools, sports centres and children’s centres. All these impact most on the poor and particularly affect their health—QED.
Will the Government now act to improve our performance against goals 3 and 10 by addressing goals 1, 2, 4, 7, 8, 11 and 13?
(7 years, 8 months ago)
Lords ChamberI thank the Minister for repeating the Statement made earlier in the House of Commons, and endorse the views expressed in it of sympathy for Billy Caldwell, Alfie Dingley and others like them, and for their parents, who, as the Statement says, have been under unimaginable stress and strain.
With yesterday’s Urgent Question in the other place on the medical use of a cannabis-based medicine uprated to today’s Statement on drugs licensing, this appears to be another example of the Government making decisions on the hoof, in a flap and in response to embarrassing media stories, rather than being a proactive Government who make measured, fully thought-through proposals to address developing issues before they hit the national headlines. Despite this, we still welcome the Home Secretary’s statement that the Government will look more closely at the use of cannabis-based medication in healthcare in the UK, and that they will review the scheduling of cannabis. As the Minister said, what started this off was the case of a 12 year-old boy suffering from severe epilepsy, whose cannabis-based medication was confiscated on arrival at Heathrow from Canada—a decision now modified by the Home Secretary. It contains THC, the primary psychoactive constituent of cannabis, which is illegal in this country but not in a number of other countries, including Germany, the Netherlands, Italy and much of America.
Yesterday, the Government said that the Chief Medical Officer for England had been asked to establish a panel to advise on an individual-case basis on when medicinal cannabis-based products should be prescribed. How many such cases per month do the Government anticipate the panel having to adjudicate on and advise, and against what criteria will that advice be given? What fresh instructions have been issued to officials over allowing through or confiscating cannabis oil and other medicinal cannabis products as from now at our borders and entry points in the light of the Billy Caldwell case? Through what procedure and process will an individual case reach the expert panel? How many instances have there been during the past 12 months of cannabis oil needed for medical use being confiscated at our borders and entry points, and how many of those cases were reviewed by the then Home Secretary, and with what result, under the powers which have apparently just been used by the current Home Secretary? What is the Government’s estimate of the time it will take for the two-stage review just announced by them to conclude its work?
The Statement says:
“If the review identifies that there are significant medical benefits, we will reschedule”.
In other words, the Government do not yet know whether there are such significant benefits. In which case, against what criteria or evidence will the expert panel of clinicians being set up to advise Ministers on any individual applications to prescribe cannabis-based medicines—based firmly on the medical evidence, as the Statement says—make its judgments? I ask that because the Government believe that a two-stage commission is needed to decide whether there is even a case for any change on scheduling in the light of the available evidence.
I come back to the Statement and the words:
“If the review identifies that there are significant medical benefits, we will reschedule”.
Would that apply if the Advisory Council on the Misuse of Drugs came to the conclusion that there were also significant harms from rescheduling, which is what the ACMD is apparently being asked to consider under stage 2?
Finally, a recent report in Private Eye, under the heading “Pot and Kettle” and referring to the Alfie Dingley case as does the Statement, stated:
“A UN report this month found that the UK is in fact the largest producer of legal cannabis in the world—responsible for almost half the global total … As … the drug reform think tank Transform, said: ‘The government is denying that cannabis has medical uses but at the same time licensing production of the world’s biggest medical cannabis production and export market”.
Is that report correct?
My Lords, I, too, welcome the Statement and thank the Minister for making it. I thank her also for her efforts in this cause and those of her noble friend Lord O’Shaughnessy, who is in his place. I welcome the fact that Professor Sally Davies will now review the mountain of evidence for the medicinal and therapeutic benefit of cannabis-based medicines. She will undoubtedly find that the fact that there are no legally recognised benefits is quite wrong and must change. By what means will Professor Davies hear evidence from the many patients who already know about the benefits? Their doctors know the benefits, too. If she does not already, I am quite sure that Professor Davies will soon know them as well.
I also welcome the fact that the Government will reschedule cannabis when Professor Davies demonstrates those benefits. It should never have been scheduled as a drug without any medical benefits in the first place. Can the Minister estimate how long this process will take, as thousands of patients await the outcome in pain and discomfort?
While we wait for this to be done, it is very welcome that the Government have set up an expert panel to advise Ministers on any applications to prescribe cannabis medicines. It is outrageous that the Dingley family’s heroic doctors should have been put through the wringer by the inappropriate processes which the Home Office has imposed on them during the past four months.
I cannot say how delighted I am that Alfie Dingley and Billy Caldwell will get their medicines at last. However, it should not have taken four months since the Prime Minister promised Alfie’s mother, Hannah Deacon, when she visited No. 10 with me and a group of Peers and MPs, that her son would get a licence for his cannabis medicines on compassionate grounds and speedily. During that four-month period Home Office officials were trying, mistakenly, to operate a system for licensing which was not intended for such cases but was intended for normal clinical trials. It became clear very quickly that the system they were trying to use was not fit for purpose, yet they persisted. I would like to be assured that a system that is fit for purpose will be put in place. Will the Minister give me that assurance? It should not have taken a child, Billy Caldwell, being put in a life-threatening situation for the Government to take this action but I am delighted that they now have.
During the campaign I have been convinced of the Minister’s good faith in this matter but, frankly, although she is always welcome in her place, it should be a Health Minister standing there at the Dispatch Box. I am delighted to see the noble Lord, Lord O’Shaughnessy, in his place listening to this debate. Drug licensing is a health matter, not a Home Office matter and clearly the Secretary of State for Health and Social Care agrees with that, so how will the Department of Health and Social Care be involved in the new arrangements outlined in the Statement and those that will inevitably follow?
Yesterday the Prime Minister said a system is already in place for the medicinal use of cannabis and that government policy would be driven by “what clinicians are saying”. The system has failed thousands of patients, but it is good news that the Government are now trying to put that right, and I thank the Minister for that. Can she say whether expert evidence from countries such as the Netherlands, where cannabis medicines have been safely used for some time, will be heard during the review?
My Lords, I did not do it yesterday, but I welcome the noble Lord, Lord Rosser, back to his place. It is such a pleasure to be debating with him. The first question he asked me was about whether we are doing this on the hoof given the Alfie Dingley case. We are not. One of the noble Lord’s further questions was about why it took so long between Alfie Dingley’s family coming forward and him being issued with a licence today. That is because the correct process was followed. Noble Lords would expect the correct process to be followed. The reverse of this is that a child gets given the wrong drug and becomes very ill. The correct process was followed here. The Home Office and the Department of Health and Social Care have worked extensively together over the past three months to ensure that Alfie has been well cared for, and the licence for his drugs was issued today.
The noble Lord asked how many people would be on the panel. I cannot say. It was announced today, and numbers and people will be announced in the coming week. He asked about the criteria the panel will use for who will be issued with drugs. I assume that there will be clinical experts on the panel and that they will base their criteria on their clinical judgment of the benefits.
On stuff being confiscated, I hope that people do not present at the border with drugs that are not yet licensed, and will come forward to the panel for consideration and for drugs to be issued if that is appropriate. The noble Lord asked how long the review will take. Cannabis is a very complex substance, as noble Lords probably know. It will be a complex review, but the Home Secretary expects an interim report to him within three months.
The noble Lord asked about the expert panel and the advice that it will give. Again, the proper process will be followed. It will be a scientific process with clinical judgment at its heart. He also made the Private Eye point about the UK being the largest producer of cannabis. I do not think that the Government are saying that there are no benefits to be had from cannabis; they are saying that cannabis as a whole plant is currently classified as a Schedule 1 drug, as we have discussed previously. However, as we have seen, constituent parts of it have huge benefits, particularly in the areas of MS and, now, epilepsy.
The noble Baroness, Lady Walmsley, asked for details of the review. We are working through those. I certainly know, because my noble friend has just told me, that Sally Davies will be carrying out a literature review. There are findings from across the world. Much work has been done on this and that will be very informative.
The noble Baroness also made the point about the Dingley family being put through the wringer. Again, it was important that the proper process was followed, and it was. A licence application needed to be made. It was made and I am very pleased to say that Alfie Dingley’s licence was issued today. She asked for an assurance that a system fit for purpose will be put in place. The answer to that is firmly yes: the system has to have longevity. This has been a very big and important step for the Government today.
(8 years ago)
Lords ChamberWith respect, I point out to the noble Lord that the Question is specifically about the medicinal use of cannabis for a very specific case. The noble Lord is probably straying on to the legalisation of drugs in a controlled way. I am not going there today because I have not been asked a question about it, but I have had many debates about it and the Government remain of the view that such drugs remain illegal.
I am grateful to the Minister for her commitment to explore every option. Is she aware of the legal opinion from Landmark Chambers making it clear that there is an exception under Section 30 of the Misuse of Drugs Act 1971, which allows that a licence for possession of a controlled drug can be permitted for medical purposes? Will she make use of that exception to save this little boy’s life?
Well, I hope that I made it absolutely clear that we would explore every legal avenue that we could, and that both the Policing Minister and the Home Secretary would look at all legal avenues within the regulatory framework, so I hope that she takes comfort from that.
(8 years, 1 month ago)
Lords ChamberMy Lords, I think the noble Baroness has made the point that I was trying, perhaps not very articulately, to make. A gagging clause will not, in and of itself, protect an employer or someone who is, say, employing, a waitress for an evening. In fact, it will go further than that and void that contract or agreement.
My Lords, does the Minister agree that if you want to influence the behaviour of men you should start when they are boys? That is why it is very important that the curriculum for PSHE lessons includes elements that ensure that young people leaving school understand that both genders should be properly respected.
The noble Baroness makes a very good point. It is only in educating our children through PSHE, relationships and sex education that that culture of respect towards one another, the opposite sex, and, for young girls, towards themselves, will change.
(8 years, 1 month ago)
Lords ChamberMy Lords, in bringing forward this secondary legislation the Government are seeking to extend the scope of the national transfer scheme for unaccompanied asylum-seeking children to Wales, Scotland and Northern Ireland. The scheme, which the Government launched on 1 July 2016, makes it easier for local authorities to transfer legal responsibility for unaccompanied asylum-seeking children to another participating local authority. The scheme is designed to encourage a fairer distribution of unaccompanied children in local authorities across the UK so that a small number of local authorities are no longer asked to look after a disproportionate number of unaccompanied children and safeguard the best interests of the children concerned.
The national transfer scheme is underpinned by provisions in Part 5 of the Immigration Act 2016. Section 69 of the Act creates a mechanism in England to transfer the responsibility for caring for unaccompanied children from one local authority to another. Section 70 enables the Secretary of State to direct local authorities to provide information about their support to children in their care. Section 71 enables the Secretary of State to direct a local authority that refuses to comply with a request to accept an unaccompanied asylum-seeking child, with written reasons explaining its refusal. Finally, Section 72 enables the Secretary of State to require local authorities to co-operate in the transfer of unaccompanied children from one local authority to another.
These provisions currently apply only to English local authorities. This has meant that local authorities in Wales and Scotland and health and social care trusts in Northern Ireland have not participated in the scheme so far. In extending the scope of the transfer provisions in the Act, this statutory instrument provides the legal framework for local authorities in Wales, Scotland and Northern Ireland to accept transfers under the scheme.
I want to make it clear that the national transfer scheme was designed as a voluntary scheme and we hope that local authorities in Scotland and Wales and health and social care trusts in Northern Ireland will feel able to participate. My officials have worked closely with their counterparts in the devolved Administrations and the local government associations in Scotland and Wales to take account of the unique circumstances in each nation.
As I have already mentioned, there are provisions in the Act for the Secretary of State to mandate the scheme. The Government want the scheme to remain a collaborative effort between central, local and devolved government, and it is in that vein that we have worked with partners across the UK to develop proposals to extend the scheme.
The national transfer scheme has made significant progress since it was launched in July 2016, and we are grateful for the support provided by local authorities that are looking after unaccompanied children. Up to the end of September 2017, 555 unaccompanied children had successfully been transferred. That is a significant achievement but obviously there is more to do. There are still more than 4,500 unaccompanied children in English local authorities, and a handful of local authorities continue to look after a disproportionate number. If we are to achieve a fairer distribution of caring responsibilities across the UK, we need local authorities from all parts of the UK to be able to participate in the scheme so that all children can be afforded the best possible care and support.
We know there is support for the national transfer scheme across the country. That is why it is so important for this legislation to come into force: so that we can build on the excellent work of local authorities in every part of the UK in caring for asylum-seeking and refugee children, and ensure that the national transfer scheme is truly national. I beg to move.
My Lords, we on these Benches support the national transfer scheme. We believe it is only fair that it should be extended, preferably on a voluntary basis, to the devolved Administrations, particularly since they have been widely consulted. We thank and congratulate those local authorities that have accepted children. Often it is a significant burden, particularly to certain local authorities because of their geographical location, so it is only right that the burden should be spread.
However, I have some questions. How many unaccompanied asylum-seeking children have already been received by the devolved Administrations under the voluntary scheme? What representations have been received from the devolved Administrations about the adequacy of the financial support available to them? How well are families who look after asylum-seeking children supported? There are considerable language and cultural issues with which they need support.
What about the social workers and, preferably, guardians who are needed to steer the children through the process of giving statements to solicitors and to the Home Office? They need advice on the meaning of, for example, “leave until 17 and a half”, which actually means the refusal of an asylum application although it does not sound like it. They need proper professional advice. Lastly, under the present circumstances, what will be the effect on these regulations, if any, of the lack of a power-sharing Administration in Northern Ireland?
My Lords, of course, the transfer scheme has been necessary. There has been more pressure on Kent and Croydon than on other parts of the country, so no one questions the necessity of the scheme. Therefore, it is good to bring Scotland, Wales and Northern Ireland within its scope. I am a little puzzled as to why that has not been done sooner. The scheme has been going for some time. Either it was unnecessary earlier, in which case the Minister will tell us, or there is some other reason. Perhaps she could also tell us how some children have been transferred to Scotland without being part of the scheme, which did not then exist.
I notice from the Explanatory Memorandum that the Government intend to review the funding to be provided for local authorities. I know that the Explanatory Memorandum is not an integral part of the regulations, but it is nevertheless interesting that it has been stated there, and I very much welcome it.
I also welcome the reference to the safeguarding strategy. Can the Minister assure us that the strategy, which was agreed some time ago, will apply equally to Scotland, Wales and Northern Ireland? I think that was the intention, but I am not sure it has happened.
Will the Home Office set up a new consultation to deal with the process of getting children to Scotland, Wales and Northern Ireland? I assume that it has some method of contacting the local authorities there directly—perhaps the Minister will confirm that—so that they can respond immediately; or will this be done through the Scottish Government and the Welsh Assembly? In any case, as the noble Baroness, Lady Walmsley, said, there is also the question of what will happen specifically in Northern Ireland.
We have discussed before the adequacy or otherwise of previous Home Office consultations with local authorities, and we need a new one. If we are to have another consultation on children covered by the transfer scheme, could it not also address other unaccompanied asylum-seeking children dealt with under the new agreement reached between the Prime Minister and President Macron a few days ago? The Home Office could have one wider consultation covering local authorities’ possible responses to the new children coming in, and to those who are the subject of the transfer scheme. This is not the occasion fully to discuss the Sandhurst agreement. All I would say is that, as far as it goes, it is very welcome.