Queen’s Speech

Lord Hunt of Kings Heath Excerpts

Monday 9th June 2014 Lords Chamber

[Lord Kirkwood of Kirkhope (LD)]

My Lords, it is a pleasure to follow the noble Lord, Lord Faulkner of Worcester. I am pleased to contribute to this important debate. It has been very interesting and it will be quite difficult to sum up because so many subjects and topics have been covered.

I start by declaring an interest in that I am the chair of the superannuation committee of the General Medical Council. The noble Lord, Lord Faulks, now knows what is coming next, because we had a very good debate in the Moses Room recently on a Question for Short Debate on medical regulation. He was as good as his word and took the message back from that. The noble Lord, Lord Patel, and others in this debate expressed dismay—I think that is what it was—that this opportunity to deal with the modernisation of medical regulation, not just for doctors but nurses and other professions allied to medicine, will now be missed. There is a real fear that, with the election upon us next year and the manifesto priorities of an incoming Government, the chances of slipping something as sensible as medical regulation into an early programme within the next five-year Parliament is remote. The 1983 Act—which is, as the noble Lord, Lord Patel, said, completely unfit for purpose now—will have to prevail for that length of time.

My plea again to the noble Lord, Lord Faulks, and the Minister who will wind up is that they take the message back from this debate. It may well be that we have had enough health legislation in this Parliament—we have had our fair share—but I think this would probably be susceptible to cross-party or all-party support. I do not mean by that there would not be robust debates. We would all promise to be very well behaved under the guidance of the noble Earl, Lord Howe, as we always are. My spies tell me—my spies are everywhere—that this is a failure of political will and that the Government are frightened of having a health debate in the year running up to an election. That seems to be the height of cowardice, if true.

[Lord Hunt of Kings Heath (Lab)]

My Lords, I understand that the Department of Health is telling regulators that it is due to lack of parliamentary time—which rather defies all logic.

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[Lord Hunt of Kings Heath]

My Lords, it is a great pleasure for me to wind up for the Opposition. I start by congratulating our two maiden speakers: the right reverend Prelate the Bishop of Chelmsford and the noble Lord, Lord Glendonbrook. The right reverend Prelate reminded us of how it used to be with selective education, when a small percentage of students went to grammar schools and the rest were consigned to secondary modern schools to do CSEs and often had few prospects in life before them. The right reverend Prelate is a shining example of that system but I hope that we never go back to those days. It is good to welcome the noble Lord, Lord Glendonbrook, who has been a generous supporter of Gilbert and Sullivan over the years. He is the very model of a modern major aviator.

This has been an excellent debate which has clearly exposed the paucity of the Government’s last legislative programme. We have spent more time discussing what is not in the legislative programme than what is in it. We face so many challenges in this country with the disenchantment with politics and politicians felt by so many people, as the noble Lord, Lord Phillips, said, and the sense that too many people in the UK feel let down by the lack of housing and the lack of prospects for children. Above all, I suggest, they doubt whether their work and effort are reflected in their sharing fairly in the wealth of this country. The Queen’s Speech was silent on that. It made no response to the recent speech of the Governor of the Bank of England, who said that inequality was now one of the biggest challenges facing our country. As my noble friend Lady Lawrence said, there was no response to the issue of the huge number of people—more than a million—who are forced to work on zero-hours contracts, with the huge insecurity that that brings. There was also silence on the National Health Service which is crumbling under the weight of one of the most ill conceived measures in the history of Parliament—namely, the Health and Social Care Act 2012.

There are, of course, things in the Queen’s Speech that we welcome, such as the slavery Bill, which many noble Lords have welcomed—although I hope that the Minister will be able to respond to the noble Baroness, Lady Meacher, who asked about to whom guardians will be made available.

On the Serious Crime Bill, we of course support measures to tackle child abuse and emotional neglect; but I hope that the Minister will respond to my noble friend Lord Patel and others on the need to protect in legislation mentally vulnerable adults. I hope, too, he will respond to the noble Lord, Lord Ramsbotham, who was forthright and to the point; the lack of purposeful activity for offenders in prisons is alarming and undoubtedly is storing up great trouble for the future.

On legal aid, my noble friend Lord Bach spoke vividly about the importance of early access to advice, whereby many problems in the past have been sorted out. The Government have to be held to account for destroying a vital part of our justice system. My noble friend Lord Beecham pointed out the problems in the courts; so many people now have to cope for themselves because they cannot get access to a lawyer that it is having a real impact on the administration of justice. My noble friend Lord Clinton-Davis was right about the dismantling of legal aid, and the noble and learned Lord, Lord Scott of Foscote, spoke about the potential diminution of people’s respect for the law. He put a straight question to the Government on the future of legal aid, and I hope that he receives an answer.

On education, my noble friend Lady Lawrence spoke eloquently about apprenticeships schemes, which need to lead to long-term employment. I agree with my noble friend Lady Jones about the current fragmentation of our schools and the need for local accountability. Now is not the time to debate the Statement made by Mr Gove this afternoon but the flawed response shows that the coalition’s policy increases the risk of infiltration and radicalisation. Ever greater fragmentation at local level, more schools with unqualified teachers, no local oversight and the centralisation of power in an unwieldy Department for Education can only exacerbate the risk of further problems.

On higher education, my noble friend Lady Bakewell and the noble Lord, Lord Bilimoria, who I am delighted is shortly to become chancellor of Birmingham University, clearly illustrated the disaster of the Home Office’s completely obdurate approach to students coming to this country. We all know it is about the target. Ministers claim that it was because of problems with certain dubious institutions, but that problem had been dealt with years ago. This policy is having a direct impact on some of our best universities and is causing horrendous problems in terms of the reputation of this country. We are surely entitled to ask the Government to think again on this matter.

I now want to turn to health. Remarkably, in the fifth Session there is no Bill to modernise the regulation of health professions. The current process, as has been readily identified by the noble Lord, Lord Kirkwood, is slow and out of date, with bureaucratic processes. We have had the work of the Law Commission and the Francis inquiry. Why on earth are the Government not bringing a Bill? If they cannot, why are they not bringing one forward for pre-legislative scrutiny, as was briefed out by the department some months ago? What I find remarkable is that in the absence of a Bill officials do not have time to produce Section 60 orders for the different professions—except for one measure, which, apparently, is to arrange for the regulation of a few hundred public health doctors within the HCPC. This is a measure that nobody wants and will have no impact on public protection, yet this is where the department’s energies are going to be in the next few months.

The Queen’s Speech was silent on public health measures, and I join my noble friend Lord Faulkner in asking the noble Lord, Lord Taylor, whether he is confident that the Government will bring forward regulations as soon as possible on standardised packaging of cigarettes and tobacco. The Government were dramatically defeated in this House on this measure. The will of Parliament is quite clear. The job of the Government is to make sure that those regulations come before Parliament before the election.

The Government are also silent on other public health measures. My noble friend Lord Rooker identified the failure of the responsibility deal, when it comes to sugar, of companies who take action only on the less popular brands. We see the same problem in relation to salt and alcohol. We are entitled to expect a more proactive policy.

There is silence on the NHS. When the 2012 Health and Social Care Bill went through Parliament, we warned that it would be expensive and disruptive, and that it would fragment services and attack the NHS’s core values. How right we were. In his opening speech, the noble Lord, Lord Faulks, described it as a profound change—profound disaster, more like. This month, waiting times are at a six-year high. Almost 3 million people are now on waiting lists—up by half a million since 2010. The cancer target of patients starting treatment within 62 days is being missed. GP services have become less accessible and it is becoming harder to get a GP appointment. Mental health services have been cut, despite Parliament enacting parity of esteem between mental health services and other services. Walk-in centres are being closed, the latest being in Worcester. Minor injuries units are being drastically cut back, the latest being the one in Cannock. Dentistry is also being neglected. The failure of the NHS and social care to work together to provide integrated services is readily apparent. Access to primary care becomes more difficult. No wonder accident and emergency departments become more stretched. Hospital beds are then at a premium and the discharge of patients becomes more difficult because adult social care has been decimated.

The Government’s response has been woefully inadequate. They finally produced their Better Care Fund, which does not start until next year, and the fund is in trouble. There is little confidence either locally or, apparently, in the Treasury that the money to be transferred from the NHS—because it is not new money—will be spent on community services, which would reduce pressure on the NHS. Ministers do nothing, just as they do nothing about the shocking failure to implement the recommendations following the Winterbourne View scandal. Ministers guaranteed that those recommendations would be implemented in full by the end of the month.

When the Prime Minister was leader of the Opposition, he promised no more top-down restructuring of the NHS. Some promise, my Lords. Instead, we have £3 billion wasted on this highly damaging change, fragmentation of services, longer waiting times, less accessibility and plunging morale. No wonder the risk register has yet to be published; no wonder the Queen’s Speech is silent on the NHS. It is surely a symbol—is it not?—of a Government who have run out of ideas and run out of steam, putting party before people and so patently failing to meet the challenges of this country.