(10 years, 2 months ago)
Lords ChamberMy Lords, I share the view of the noble Lord, Lord Patel, and several others who have spoken that it is a great disappointment that there is not something in the Loyal Address about care and health. It is one of the electorate’s highest priorities and there is still much work to be done on it. In his opening remarks, the noble Lord, Lord Faulks, recognised that and nodded in that direction by explaining how much good work the Government have been doing, particularly in relation to Public Health England. I regret that the noble Lord is not in his place to hear it but perhaps the noble Lord, Lord Taylor of Holbeach, will draw the following to his attention:
“Alcohol misuse is the third highest preventable cause of ill health and death after tobacco and high blood pressure. Consumption has doubled in the last 50 years and the costs to the individuals concerned, to their families, to the NHS and more widely are huge. Preventing and reducing these harms requires action by individuals themselves and at national and local levels to implement those policies and interventions that the evidence tells us will have the greatest impact, for example, nationally on minimum unit pricing, and for local government, incorporating health into their judgments on alcohol licensing decisions”.
Those are not my words but those of Mr Duncan Selbie, the Government’s chief executive officer for Public Health England, to whom the noble Lord, Lord Faulks, referred. They were in a message that he issued as recently as Friday, 23 May 2014.
Mr Selbie was formerly the chief medical officer for Brighton and Hove, a city much plagued at weekends by drunkenness. Its major hospital’s A&E department can be inundated and sometimes almost overwhelmed from Thursdays to Sundays by people suffering from alcohol or substance misuse. Therefore, he knows from personal experience what he is talking about. Regrettably the Government have, to all intents and purposes, ditched a meaningful and effective policy on minimum unit pricing for alcohol. That was the major plank in their former alcohol strategy, and no matter what they may argue, the opportunity to do this has now gone, and that is to be regretted.
Similarly, under the Health and Social Care Act 2012, much decision-making on health has been devolved to local authorities. The Government have so far rejected all attempts to permit local government to incorporate a health factor into its judgments on alcohol licensing decisions—something which, again, Public Health England advocates strongly.
The Government could have looked at this again if they had tabled legislation in the Queen’s Speech based on the Local Government Association’s January report entitled Open for Business: Rewiring Licensing, but they did not. Instead, we see that they are moving precisely in the opposite direction with the Deregulation Bill, which is soon to come to this House from the Commons. On the last day of business there, the Government introduced late amendments to that Bill which, to quote the Liberal Democrat Minister responsible, is a,
“new light-touch authorisation to reduce burdens on ancillary sellers of alcohol”.—[Official Report, Commons, 14/5/14; cols. 786.]
While that comes under the guise of helping local groups such as the Women’s Institute to sell alcohol, it is to be extended to small businesses that want to sell, as he puts it,
“small amounts of alcohol … as part of a wider service”.—[Official Report, Commons, 14/5/14; cols. 777.]
What is a small business in that context? What is a small amount of alcohol? Just where is liberalisation in this area going to lead? Is there really a need for it? Do hairdressers desperately need to start selling alcohol to their clients? A whole range of other operations will be named as places where alcohol will possibly be on sale in the future. Who wants this, unless it is your major interest to sell more alcohol and to make it easier to access it? I urge the Government to think again while they are still dealing with the Bill in the Commons and before it comes here. If it does come here, I urge colleagues to oppose it strongly.
Is it healthy and right that Sainsbury’s—one of our more responsible supermarkets—now sells lemonade and dandelion and burdock with alcohol in it? As I have been told by that supermarket, it is authorised by the Portman Group, the drinks industry representative body and the principal partner of the Government in their so-called “responsibility deal”, on which my noble friend Lord Rooker spoke passionately earlier. As the Government seem to have such faith in this body, can the Minister say whether discussions have opened up within it to control and regulate alcohol in powder form now that its partners in that deal have devised a means whereby the drinks industry can produce such a form of alcohol?
(10 years, 10 months ago)
Lords ChamberI think the noble Lord weakens his argument by that last phrase. It would cost the Government money. It could not be set up in a way whereby the issuing of such cards could be done outside the authority of the state. Given that the authority of the state requires the Government to police the issuing of these cards, then—voluntary or not—there would be an expense to the Exchequer.
Does the Minister not agree that it is ludicrous to believe that the people who create difficulties with security, problems with immigration, difficulties with claiming benefits in certain areas, and who abuse the NHS and claim benefits from it when they should not are the kind of people who—on a voluntary basis—are going to take out an identity card? As the Government present different pieces of legislation to us where they are trying to track people, does the Minister not see increasingly that they made a major mistake in abolishing the previous Government’s policy of introducing a compulsory card? Does he not see that in due course they will have to return to this and will have to do it? Would he not reflect on the silliness of the position they now find themselves in?
I do not consider that the Government’s position is silly. The noble Lord himself says that the problem with the voluntary scheme is that people would not take it up if they had something to hide. That is quite clear. All I can say to him is that I am quite content with the Government’s position and content to defend it at this Dispatch Box, because it has saved the Government and the country as a whole a considerable amount of money for what would have been very dubious benefits.
(10 years, 10 months ago)
Lords ChamberNo, that calculation has not been made, but I can give my noble friend the figure for the cost to the health service: £7.3 billion for alcohol-related incidents.
My Lords, I acknowledge that the Government have made some changes. However, is the noble Lord content that the rebalancing has moved sufficiently? Many people believe that it has not. During the debates in the Commons on the Bill to which he has just referred, there have been attempts to extend the way in which licensing authorities can take into account public health issues. Given the Government’s commitment to devolution on public health issues, why will they not move on this front, in the way that the Scottish Government are now moving?
The noble Lord has taken a great interest in this subject. I have always valued his contributions and look forward to his contribution to the debates we are likely to have on this Bill. I am sure that these arguments will be presented when we have the opportunity. Meanwhile, I am grateful for his acknowledgment of the progress that the Government have made in this difficult area.
(11 years, 1 month ago)
Lords Chamber
To ask Her Majesty’s Government when they will publish their response to their consultation on the introduction of a minimum unit price for alcohol.
My Lords, the public consultation on the Government’s alcohol strategy closed on 6 February. We will publish our response in due course.
I am grateful for small mercies. Will the Minister confirm that the principal problem leading to more than 10 million people drinking excessively is the easy availability of cheap alcohol? Will he also confirm that that is still the central plank of the Government’s policy in their alcohol strategy? Secondly, when are we likely to start to see some progress on this issue, and will the Government please embrace it with the kind of enthusiasm which the previous Labour Government did when they were tackling the difficult issue of the tobacco industry and smoking? Until we take on the drink industry and some of the vested interests we will not start to see the problem resolved in the way that we need it, given the issues that arise for the health service from excessive drinking.
The noble Lord rightly focuses on the elements of the Government’s alcohol strategy that were put out to consultation. I have explained that a response to that consultation will be delivered in due course. Availability is one of many factors but to suggest that this Government have not been tackling the problem underestimates what has been achieved. The late-night levy has been introduced. The early morning alcohol restriction order, which was created under the previous Government but not commenced, has been commenced by us and we have sought to rebalance the licensing arrangements so that the ability of individuals in the vicinity to object to licences is now greatly strengthened. I totally accept what the noble Lord has said and indeed the Government’s strategy will demonstrate that.
(11 years, 3 months ago)
Lords ChamberMy Lords, I intend to speak on two home affairs issues, one of which, immigration, is in the Queen’s Speech. To my surprise, I will be speaking in a not dissimilar fashion to the noble Lord, Lord Marlesford, because I want to say something about the efficiency and effectiveness of the government machine that we have in place relating to immigration.
My second topic relates to something which, to my great regret, is not in the gracious Speech—the Government’s failure to implement the major plank of their alcohol strategy. I have said previously that, in relation to both health and crime, I endorse the Government’s efforts to try to take action over the problems that come from alcohol and, to a degree, drugs. I have supported what the Government have been trying to do and, in particular, was originally greatly heartened by what our Prime Minister said in his foreword to the strategy. After listing in the document a number of problems that arise from alcohol, he went on to say that there will be,
“a real effort to get to grips with the root cause of the problem. And that means coming down hard on cheap alcohol. When beer is cheaper than water, it’s just too easy for people to get drunk on cheap alcohol at home before they even set foot in the pub. So we are going to introduce a new minimum unit price. For the first time it will be illegal for shops to sell alcohol for less than this set price per unit. We are consulting on the actual price, but if it is 40p that could mean 50,000 fewer crimes each year and 900 fewer alcohol-related deaths a year by the end of the decade”.
He continued:
“Of course, I know the proposals in this strategy won’t be universally popular. But the responsibility of being in government”—
as the noble Lord, Lord McNally, reminded us this morning—
“isn’t always about doing the popular thing. It’s about doing the right thing”.
It is about taking the difficult decisions. The Prime Minister said that,
“Binge drinking is a serious problem”—
an issue which we shall address to a degree, no doubt, when we come to deal with the proposed legislation. He then said:
“And I make no excuses for clamping down on it”.
Since the document was produced the Government have been out to consultation and there has been a substantial accumulation of further evidence, both from the UK and from overseas, that indicates that minimum unit pricing would have a very substantial effect on the culture relating to drinking, to crime and, in particular, to health.
Unfortunately, we have not moved a great deal further. I was not sure whether I should speak today as, a bit like the noble Baroness, Lady Meacher, I was not sure whether this topic pops up under the Home Office or the health brief. Alcohol has a significant cost impact within the NHS: it is a major factor in high blood pressure, cardiac problems, liver disease and cancer. Although it has not yet been properly acknowledged, alcohol is also a big factor in obesity and diabetes. If the Government take no action on minimum pricing and are not prepared to tackle the root problem, this failure to move will significantly undermine efforts to take a strategic approach to confronting increasing levels of obesity and type 2 diabetes, two major problems which are facing the country.
When it emerged that the Government were likely to execute an about-turn on the issue the Minister, the noble Lord, Lord Taylor of Holbeach, kindly answered a Private Notice Question on it. He said that a decision had not yet been taken and that we should not believe everything that we read in the press or hear on the BBC. He said that the Government were reviewing the position and that the results of the consultation were “very finely balanced”—I think that those were the precise words—in deciding whether to move forward with legislation. He was also concerned about the possibility that the legal challenges raised in Scotland about the Scottish Government’s attempts to introduce minimum pricing there could have a knock-on effect here. As I understand it, the Scottish Government have so far been successful in seeing off those challenges. The noble Lord will no doubt correct me if I have got it wrong but I understand that the firm, decisive leadership in Scotland is such that they will stick with the plan and fight all the way through, even if that means going to Europe. I gather that the drinks industry is likely to take challenges to Europe, if needs be, to try to resist this change. They are going for a 50p per pint unit minimum rather than 40p.
One of the problems raised when the noble Lord spoke to us in reply to the PNQ has therefore been answered, to a degree, but we are still left with the Government’s failure to come forward and say where they stand on the consultation. I would be grateful if the Minister would advise the House on where they are at and why it is taking so long when there is so much evidence showing that the change is required. Who has sought to change the course of events when the Prime Minister was, as I have quoted, so firmly in favour of moving in this direction? I even hear stories that if it does not happen, it may appear in the next Tory party manifesto. I do not know what will happen with the Liberal Democrats but I presume that they are similarly committed to it. I urge my own party, as I have done in some of our private meetings, to get a very clear line on where we stand on this so that in the interests of the nation and its people, we might get a uniform approach, even though we may offend a number of people such as those in the drinks industry. So I hope that even though it is not closed down yet the Minister will be able to give me some heartening words this afternoon when he responds. He always smiles when he is at his best, but I want to hear that the firm decision will have been taken and that, if not this time round, when we come to the Queen’s Speech next year we shall have it clearly laid down for legislation; otherwise, it will be a great missed opportunity.
When I watch television these days and see Mr Farage for ever in front of us, my fear is that not only is he influencing the Government and the country on the course of events on Europe but, as he quaffs his pint in the bar and smokes his cigarettes and talks about a party that will be willing to let people smoke in pubs, that he is influencing indirectly where the Government stand on some of these issues. Again, I hope that I have got that wrong and we will not run away from similar commitments that have been given on cigarettes and advertising.
I will now move on to the immigration issue. Again—I feel almost like a Cross-Bencher today—I speak not just to the coalition Government on this but my own party. Having listened to Vince Cable on the radio trying to explain how some of the upcoming proposals to try to tighten up on immigration issues are going to work, it is clear that if we do not watch out we are going to have some very speedy public policies produced which have not been thought through properly.
Interestingly, just to stay on top, this week I read The Coalition: Together in the National Interest, the mid-term review. Coming back to one of my favourite topics where we made a mistake, I believe that as time goes by the coalition will be seen to have made a major error in abandoning ID cards. The review says:
“We have scrapped ID cards and the National Identity Register and scaled back the vetting and barring regime”.
As we heard this week, the Government have done an about-turn and are reversing their views on the vetting and barring regime, which they need in a whole range of areas to try to establish what is happening with immigration. Similarly, if the Government are wise—although I suspect that pride will prevent them from doing so—they ought to go back and reflect on where they stand on ID cards.
A major error has been made there. When we see the number of databases that are being created in different government departments, they are all about the self-same thing: fundamentally, many of the problems with crime and so on relate back to the identity of the individual and where he or she lives. The only way that that would be answered and worked through properly would be by having an ID card with a link to residence. I urge the Government to think again about that, instead of spending all the money that it seems they are going to spend with all this paraphernalia of new checks of one sort or another that will be introduced on the NHS, on GPs and so on. The basic answer to all of this would have been to come together with an identity card, as the previous Labour Government were planning and working through. Indeed, it was a former Conservative Government who first thought of this idea, going back to 1996, I think.
Having abandoned our identity card policy after we had been thrown out of office in 2010, which I believe we did in a hurry and without serious analysis of what is likely to happen with technology in the future and the problems that we face, I urge my own party at least to change its mind on that and go back and tell the public that it supports the introduction of an identity card, which will help us in so many different areas. Not only will it help the party—if it does it—it will be appealing to the vast majority of people in the country, who are in favour of identity cards. They see no problem with them at all. They see them as being useful in many respects, for authentication and ease of transactions. They have nothing in principle against them and it was a minority that was opposing them at the time. My party should change its mind and move in favour of ID cards and see where UKIP stands on that as well, because we are probably the only party that would be in favour of it. We would be bang in line with the wishes of 70% to 80% of the public and we would be moving to a system that was efficient and effective in technological terms, and doing away with some of the problems that previous speakers have identified with the border agency.
This issue runs across many parts of the Civil Service. When we think that we are now going to chip 6 million dogs, we are going to have a database to run that; it beggars belief that we are going to do that because the people causing the problem in the main will not chip their dogs and even if they have chips in their dogs we will not be able to trace them to prosecute them. These are all crazy things that we start off without thinking them through. So I urge the Minister and the Government to think again on this. More importantly, I urge my side, too, to change its policy.
(11 years, 8 months ago)
Lords ChamberAs we know, there is a huge number of legacy cases. This was referred to in the Question we tackled last week. It is a matter of concern that these legacy cases were not cleared up promptly; they are being cleared up now and are being tackled so that those students who have been discovered to be here improperly are being sought and obliged to leave.
Do the legacy cases not cover other people as well as students? Is the fundamental problem not the one which the Minister spoke about last week: the inadequacy of our ability to search and locate these individuals to try to get them out of the country? Is it not true that the department is currently cutting the number of staff it engages by around 5,000, yet claims that it is going to be able to perform better? Will the Minister please tell the House how it will do that?
Identification of people who have overstayed is a clear technical problem which requires the application of all the resources of the UKBA. The UKBA is confident that it can achieve this and has given assurances that it will do so.
(11 years, 9 months ago)
Lords ChamberThe noble Lord has asked a specific question to which I cannot give a detailed answer, except to say that the rules governing entrance into and settlement in this country are extraordinarily complex. We had an opportunity to debate elements of them yesterday. I will investigate the matter and write to the noble Lord.
Is it not true that one of the lessons which the Government are increasingly learning is that locating and tracing individuals is one of the biggest problems they face in modern society, especially given how people travel around the world in the way they do? Will the Government reflect on their early decision to abandon ID cards, which provided for locating and tracing, and will they not come to regret having taken the decision to abandon them?
The direct answer to that question is no. In terms of the reference that I should make, of course it is important to be able to match identity. Recently I visited the Criminal Records Bureau in Liverpool where much of the job is about matching individuals with the police national computer. It is a similar task here, and fortunately that task is now being undertaken properly.
(12 years, 1 month ago)
Lords ChamberMy Lords, if that was support for the Government’s position, it was very strange support. What we want to hear is a thorough condemnation from the party opposite of the PCS’s action, and I am not sure that I have quite heard that. The strike is due to happen tomorrow. As I said, it is opportunistic and unnecessary. Our doors are open and we continue to negotiate, as the noble Baroness knows full well. However, I want to make it clear that we will take appropriate legal action if it is possible, and that is why we are checking the legality of the strike that has been called with the support of some 12% of PCS members.
My Lords, I declare an interest as a pensioner of PCS. I do not support the strike; neither does my party. However, is the Minister aware that there is a serious problem with staffing within the border agency? Is he further aware that last week some of us met Deutsche Bahn, the railway firm, which has delayed introducing trains and competition into the Eurotunnel because of the problems over immigration and the inadequate number of staff being engaged by the Government to carry out the necessary border controls? This is losing business for the country and losing business for London, and it is time that the Government got to grips with it.
My Lords, the noble Lord’s question goes slightly beyond that on the Order Paper. As he knows full well, it is not simply the problems relating to border force but also the problems relating to the layout of St Pancras Station. Those matters can be resolved between now and 2015, which is the earliest possible date that Deutsche Bahn is likely to bring trains in there. I am grateful for the noble Lord’s condemnation of this strike.
(12 years, 1 month ago)
Lords ChamberMy Lords, I am grateful to the noble Baroness, Lady Coussins, for promoting the debate this evening. I commence, too, by declaring an interest: as trustee of Action on Addiction and several other charities which are in the business of trying to help people who have suffered the consequences of alcohol abuse.
I shall not go through the usual litany of problems which arise from the continuing massive overconsumption of alcohol in this country and its widespread abuse. It is true that the level of drinking has declined marginally in recent times, but, compared to 15 or 20 years ago, it is still extraordinarily high and the price of alcohol in this country is still quite low. As the noble Baroness concedes, 1.2 million alcohol-related hospital admissions were recorded in 2010-11 alone. The level of binge-drinking among young people, particularly among 15 and 16 year-olds, is still very high compared with what we find in other European countries. My first question to the Minister is: when will the Government not only review advertising targeted particularly at the young but ask the drinks industry also to stop doing it, especially through increasing use of social media? Social media are heavily populated by the young these days and that is an area where the drinks industry feels that it can make the biggest impact. If we are truly to bring about a change in culture, it should come from the young, from targeting them positively and from not encouraging them to drink.
I congratulate the Government on the steps that they have taken to try to tackle the problem. The noble Baroness did not mention the Government’s announcement to tackle the issue of minimum pricing. I congratulate the Government on the bold steps that they have taken there. I know that they are consulting at the moment, but I hope that they will stick to their guns and not be persuaded by those who will come with counter-arguments to shift their policy.
I thank the Government for the changes which they have made to local licensing laws, on which we had some extensive debates last year. One of the factors which many of us believe lead to excessive drinking is our easy access to alcohol these days compared with 20 or 30 years ago. While the Government are working through the changes in licensing arrangements, I hope that they will continue to keep them under close review. I hope, too, that they will review the possibility of a change being made to the criteria used in granting licences locally to take into account the effects on public health of excessive drinking in particular areas and locations. They should use localism to benefit people who are suffering from some of the adverse consequences of abusive drinking in their areas.
It would be churlish on my part if I did not concede that some substantial changes have been made by the drinks industry in recent years. Drinkaware is making good headway in certain areas, but its communication with the wider public is in many respects fairly limited. The number of people who visit its website is fairly small by comparison with the millions of people communicated with, for example, by wide-scale Carlsberg adverts shown during preparations for the Olympics.
It is important that we do not disregard the position which the BMA has taken on Drinkaware and the joint initiative taken by the Government in the form of the Responsibility Deal. It felt inclined in the light of the way that conversations were going to withdraw from that. I hope that the Minister will say whether the Government are taking any steps to try to bring the medical profession back into partnership. The report produced 12 months ago by this House’s Science and Technology Select Committee on behaviour change raised very serious questions about the extent to which the Responsibility Deal could work.
I recognise that I am running out of time. I wanted to press the Minister on why there has been no movement on changing drink labelling to give coverage of the calorie levels and contents of alcoholic drinks. I have done a blog today, so if the Minister is kind enough, he can go away afterwards and read it, because the Government need to take action. Regardless of what is happening in Europe, we could move on that front. That would be a way of communicating on a mass scale with many drinkers.
(12 years, 5 months ago)
Lords ChamberMy Lords, I assure the right reverend Prelate that my noble friend from the Department for Education heard that. However, he is right to draw attention to the problems of underage drinking and particularly to the prevalence of underage drinkers ending up in A&E departments. In my own part of the world in west Cumberland, I have seen some very good work being done by schools in Workington, which, sadly, has the highest rate of admissions to A&E in the country. However, as a result of the work being done there, I hope that in a few years’ time we will see those rates fall, and fall considerably.
My Lords, I have a brief question. Will the Government legislate to show energy and calorie levels on the labelling on alcohol products?
My Lords, that is not part of what we are proposing at the moment but we will no doubt consider it when the legislation comes forward. I look forward to discussing the amendment that the noble Lord will put forward on that occasion.