Deregulation Bill

Lord Hunt of Kings Heath Excerpts

Wednesday 11th February 2015 Lords Chamber

Moved by

[Lord Hunt of Kings Heath]

43: Clause 88, page 70, line 29, at end insert—
“( ) This section does not apply to the following—
(a) Care Quality Commission,(b) Human Tissue Authority,(c) Medicines and Healthcare Products Regulatory Agency,(d) Professional Standards Authority,(e) General Medical Council,(f) Nursing and Midwifery Council,(g) Health and Care Professions Council,(h) General Chiropractic Council,(i) General Dental Council,(j) General Pharmaceutical Council,(k) Human Fertilisation and Embryology Authority, and(l) any persons exercising a regulatory function with respect to health and care service that the Secretary of State specifies by order.( ) An order under this section must be made by statutory instrument.
( ) A statutory instrument containing an order under this section may not be made unless a draft has been laid before, and approved by a resolution of, each House of Parliament.”

--- Later in debate ---

[Lord Hunt of Kings Heath (Lab)]

My Lords, I am concerned about the unintended consequences of the economic growth clauses on a number of health regulatory bodies. The clauses on the impact of economic growth specify that regulators must consider the promotion of economic growth in exercising their regulatory functions. The Government have said that the health regulators likely to fall under Clauses 88 to 90 are as follows: the Human Fertilisation and Embryology Authority, the Human Tissue Authority, the Medicines and Healthcare Products Regulatory Agency, the Professional Standards Authority and the Care Quality Commission.

The noble Lord, Lord Wallace of Saltaire, has said that the economic growth duty will complement existing duties and will not override or reduce the protection of the public. However, I put the question to him: if the economic growth duty does not impinge on the prime responsibility of the regulator, why bring in the clause at all?

The Minister then said that the economic growth duty sits alongside any other factor that a regulator must consider. However, “sitting alongside” suggests that it has some weighting and cannot simply be ignored. Indeed, the noble Lord has also pointed out that regulators must understand and consider the impact of their policies on individual businesses. That is of course reinforced by the provisions in the Bill.

Clause 88(2) states that “the person”—that is, the regulator—must,

“consider the importance for the promotion of economic growth of exercising the regulatory function in a way which ensures that … regulatory action is taken only when it is needed, and … any action taken is proportionate”.

In Committee my noble friend Lord Tunnicliffe specifically asked about the position of the Care Quality Commission —the principal health quality regulator, to which the noble Earl, Lord Howe, has just been referring—as regards whistleblowing. My noble friend asked,

“do we want a situation where, when the CQC is contemplating putting a requirement on a failing nursing home that may close it down to protect the residents of that home, the operator of the home can say, ‘Closing me down is against growth. Please prove that this regulation, which you may have used elsewhere, is both needed and proportionate’?”.—[Official Report, 20/11/14; col. GC 206.]

I have to say to the noble Lord that I do not detect any enthusiasm from the health regulators themselves about the economic growth duty. The CQC’s briefing to me can hardly bring itself to mention the duty.

The Professional Standards Authority, in line 1, says that it supports the intention behind Clause 88, and then spends the rest of its briefing critically examining the clause. It concludes that Clause 88 ought to be restricted by excluding from the duty any regulatory function the prime purpose of which is to protect the public. I must say that I am surprised to see the Professional Standards Authority included. It is not a regulator. Its job is to oversee the nine statutory regulators, including the General Medical Council, and I do not understand why the GMC and the NMC are not on the Government’s list of organisations to be included within this clause.

Can we come to the Human Fertilisation and Embryology Authority? The noble Lord will know that that body has a crucial and difficult task, and this responsibility could make that duty even more difficult. On 24 February we will have a debate about regulations on mitochondrial donation. Currently, the law only allows these techniques to be used in research. For the IVF techniques to be used in patients, Parliament must pass new regulations.

Both the Nuffield Council on Bioethics and the HFEA held extensive public consultations in 2012. They identified broad public support for the use of these techniques with a “robust regulatory framework”. I stress those words. As the noble Earl’s honourable friend the Minister Jane Ellison told the other place when it debated the regulations:

“The HFEA is highly respected across the globe as a model for the regulation of fertility and embryology treatments and research. Many other countries do not have such a framework”.—[Official Report, Commons, 3/2/15; col. 163.]

Indeed, if the regulations are passed by Parliament on 24 February, the HFEA will be expected to introduce a robust regulatory process, as it has in other areas of fertility treatment. I know that not all noble Lords think that it is as robust as they would wish it to be. None the less, many of us would say that it is a robust process.

The question that I put to the noble Lord is about where the economic growth considerations come in. There is no provision in the Human Fertilisation and Embryology Act for the HFEA to have regard to the imperative to promote economic growth when making its decisions. If a clinic does not meet statutory requirements, it cannot grant a licence or allow a certain activity to take place, regardless of how economically desirable it might be thought to be. Similarly, if there had been gross failings at a clinic, regardless of the economic impact of closing it down the HFEA would be bound to say so in the interests of ensuring patient safety and maintaining public confidence in it as a regulator. Surely the economic growth duty is inconsistent with those requirements. The HFEA’s own website has often acknowledged that it is not an economic regulator. This has been confirmed by Ministers in Written Answers. Peter Thompson, the chief executive officer of HFEA, has recently been quoted as recognising a responsibility by that authority to take action against what he described as rampant commercialisation of IVF in the UK.

The Minister has prayed in aid the draft guidance during the passage of this Bill, but it only adds to concern. The guidance summary states:

“The growth duty does not automatically take precedence over or supplant existing duties held by regulators”.

The term “not automatically” must by implication mean that it is entirely possible for it to take precedence.

The decision about mitochondrial donation is of huge importance. It must be made in the absolute certainty of the regulatory process. There is no time for ambiguity. Will the Minister agree to give this further consideration? I find it very difficult to understand why any of these bodies are going to be included in the list for which regulations will be brought forward. Why on earth has the Human Tissue Authority been brought in scope of this provision, or the Care Quality Commission? I certainly do not understand why the PSA is included. I hope that the Minister will bring some words of comfort that the Government have reconsidered this issue, and I beg to move.

--- Later in debate ---

I hope that that provides the assurance that the noble Lord seeks and that he will therefore be able to withdraw his amendment.

[Lord Hunt of Kings Heath]

My Lords, I am very grateful to all noble Lords who have spoken. However, I am disappointed with the Minister’s response because I thought that at the least he would have been prepared to give this matter further consideration between now and Third Reading. With my noble friend Lord Winston here to talk about the Human Fertilisation and Embryology Authority and the noble Lord, Lord Alton, also present, I knew that we would have an interesting debate.

The point is that, however effective or not the HFEA is at the moment, the one thing that unites us all is that we do not want to see its regulatory function weakened. My noble friend Lord Winston spoke about London becoming the centre of a healthcare market, and the Minister welcomed that. When I took through the 2001 regulations that extended the purposes of research in the original 1990 Act, which was based very much on the extraordinary work of the noble Baroness, Lady Warnock, we clearly had in mind that there was research potential for the UK. That was one of the factors behind taking through those original regulations. The argument that we put forward then was that the UK would be able to attract research investment because, despite some of the doubts that noble Lords have expressed today, we were considered to have a first-rate regulatory function. I put it to the noble Lord that he is putting that reputation at risk by allowing ambiguity in the nature of the regulatory process.

My noble friend talked about the dangers of commercialisation in this field and he is surely right. It is interesting that the chief executive of the HFEA has recently been quoted as recognising the responsibility to take action against rampant commercialisation of IVF in the UK. That statement is very welcome. My noble friend has argued that at the moment it does not have the powers to do anything about it, but the noble Lord comes here with a proposal to weaken its already inadequate powers. That is quite remarkable.

The Government are very keen for the mitochondrial donation regulations to be approved on 24 February. I support them, but has the noble Lord considered the risk to that decision from the impact of this Bill? This will be a big issue when we debate those regulations. When the noble Earl, Lord Howe, comes to make proposals for the regulations, he will say that your Lordships can have confidence in passing the legislation because of the robustness of the HFEA. However, I, who support those regulations, will have to get up and say that actually the noble Earl is incorrect because of what the noble Lord here is proposing to do.

[Lord Alton of Liverpool]

I entirely agree with what the noble Lord is saying, but does it not also undermine the noble Earl, Lord Howe, who has consistently said that the HFEA is not an economic regulator, to now put him in that invidious position?

[Lord Hunt of Kings Heath]

That is absolutely right. The noble Lord then went on to say that we should be fine because the provisions in the Bill say that all the regulator has to do is to “have regard to” the desirability of promoting economic growth. However, the moment you include those words, the regulator becomes liable if it can be shown that he does not have regard to that, even though the noble Lord recognises that in many cases he ought not to have regard to it.

It is quite inadequate to say that we are consulting on this. This is absolutely wrong. We need to know by Third Reading whether the Government are going to keep in the HFEA and the PSA. I think that the noble Lord ought to allow further discussions to take place between now and Third Reading, and he ought to discuss this with his colleague—particularly the impact on the new regulations on mitochondrial donations that will be coming forward. As for his assurance that any of these bodies will be included by an affirmative resolution, how many times has an SI been defeated in Parliament? It is fewer than 10 times, so it is a meaningless safeguard in effect. I invite the Minister to say that he will at least give this further consideration before Third Reading before I make my decision.

[Lord Wallace of Saltaire]

I will be glad to take this back and confer with others, but I cannot give any assurances that the Government will come back with anything different on Third Reading. However, I am always open to conversations off the Floor.

[Lord Hunt of Kings Heath]

My Lords, that is very handsome of the Minister and I beg leave to withdraw the amendment.

Amendment 43 withdrawn.

House of Lords (Expulsion and Suspension) Bill [HL]

Lord Hunt of Kings Heath Excerpts

Friday 12th December 2014 Lords Chamber

[Lord Brown of Eaton-under-Heywood (CB)]

My Lords, I should like to put on record my support. I had the honour to serve as the chairman of the Conduct Sub-Committee of the Privileges and Conduct Committee. At Second Reading, I gave strong and firm support to, and welcomed, the Bill. As the noble and learned Lord, Lord Mackay, has made plain, it would fill the present, most concerning lacuna in our sanctioning powers. Again, I echo the hope that it will never be necessary to exercise these increased powers.

I welcome all the amendments. The first meets the concern expressed by the noble Lord, Lord Finkelstein, in Committee. In its original form, this provision was too narrow and confined only to what is now in proposed paragraph (a) of the amendment. As the noble Lord pointed out, it would fail, for example, to deal with someone who committed perjury in a libel case and it took four years for that perjury to be revealed. That problem is now cured by the amendment. I strongly welcome it and the other two amendments, too.

[Lord Hunt of Kings Heath (Lab)]

My Lords, on behalf of the Opposition, I agree with the noble Baroness, Lady Flather, that this is timely and long overdue. We support all three amendments. How good it is to know that something survives from the 2012 House of Lords Reform Bill and goes forward in this Bill. We support it.

[Lord Wallace of Saltaire (LD)]

My Lords, the important thing is to get all stages of the Bill through the House in good order. We entirely accept that the Bill is about Lords’ conduct and therefore their reputation. As such, it is a useful addition to the procedures available to the House, although—to repeat what has been said—we all hope that the powers will rarely, if ever, be needed.

The question of what happens in another place will, of course, have to be discussed. I have assurances that the Leader will be discussing that matter with others but, meanwhile, we welcome the clarity of these amendments. The Bill is now in good order and we should accept this as the Report stage.

House of Lords (Expulsion and Suspension) Bill [HL]

Lord Hunt of Kings Heath Excerpts

Friday 21st November 2014 Lords Chamber

[Lord Finkelstein (Con)]

My Lords, the last thing I would want to do is delay the Bill in any way. I was shocked recently to discover that this proposal has been debated since the 19th century without being passed. Of course the principle is absolutely right, but I just question whether Amendment 1 is really a very good idea. We talked just now about expenses. Obviously, if we pass the amendment, that conduct, which would have taken place before the Bill came into force, may only be exposed after it came into force. The amendment would make it impossible to deal with that conduct. In other words, the amendment makes it difficult to deal with some of the worst conduct. To use an entirely hypothetical example, if someone committed perjury in a libel case and it took four years for that perjury to be revealed, in the course of which the Bill was passed, the conduct would no longer fall under the Bill. I wonder whether the amendment is quite what we want.

[Lord Hunt of Kings Heath (Lab)]

My Lords, the Opposition fully support the noble Baroness in her endeavours. The noble Lord, Lord Finkelstein, raised an interesting point to which the noble Baroness will no doubt respond. There is time between now and Report if clarification is required. I take his point.

The Bill can be fairly assured of passage through your Lordships’ House. The question is, when it gets to the Commons, what help will the Government give it? Without government help, I suspect that it will be very difficult for the Bill to pass, so it is right for me to press the Minister on what the Government’s attitude will be. At Second Reading, the noble Lord, Lord Wallace, helpfully said, as the noble Baroness reminded the House, that the Government have no settled view on the Bill at present. He kindly said that he would take back the speeches and consider with colleagues what response the Government could make. I hope that today he will be able to tell us that the Government are prepared to give this a fair wind in the other place. The other place does not have much work to do; the Government have sent MPs home. They now do Mondays to Wednesdays, so there is plenty of time for the Commons to consider this if the Government so wish.

There is an appetite in this House for sensible change. Discussions are taking place about the noble Baroness’s Bill and other noble Lords are discussing the issue of retirements, which we are going to have to face up to. Yet more noble Lords are discussing improving the governance of the House. I hope that the Government will allow for these discussions to take place and that we can have some more general debates about the issue of retirement. I think that we could reach a consensus on retirements in your Lordships’ House. The Minister is looking at me but there is an overwhelming appetite among noble Lords all around the House to sort this out. We have had the remarkable example of the Lord Speaker making a statement some months ago, giving notice of her intent to leave the House at a certain time. That was a marvellous example. Why are the Government not allowing the House to come to a sensible view on these matters?

The Minister may say that it is because substantive reform is just around the corner, and he may quote me as having said that in the past. It is difficult to assume who is going to win the next election, but let us assume that we have a Government after the next election, after some time and of some sort. Let us assume that they set up some kind of review—a convention or whatever—to come forward with proposals on substantive reform. I would say that the first opportunity of that coming into practice would not be before 2020, if we are realistic.

[Lord Cormack]

I am grateful to the noble Lord, whom I am tempted to call my noble friend on this occasion, as on others, for giving way. Does he not agree that it would be entirely feasible for the Government to set up a Select Committee of this House, with a strict timetable to report back by the end of January or in early February on the issues to which he was referring? I am quite confident, from my experience in the Campaign for an Effective Second Chamber, that consensus could be reached, and reached amicably.

[Lord Hunt of Kings Heath]

I very much agree with that. That is a very sensible approach and I am sure that consensus could be reached. The point I was making is on the argument that we should not do this because substantive reform is just around the corner. As I said, even if we agreed and a Bill went through and was approved by both Houses, it would be very unlikely to be implemented before 2020. So for at least five years ahead, we will be working under the current arrangements. The argument for sensible change—

[Lord Hughes of Woodside (Lab)]

I am slightly confused. I thought that this Bill was about dealing with people who transgressed the behaviour expected in this House. I appreciate that my noble friend is anxious to pursue his agenda but he knows perfectly well that consensus on reform of this House can proceed only on the basis of its powers compared to the House of Commons. Until that is satisfied, all the discussion in the world will get nowhere and he should not waste his time on it.

[Lord Hunt of Kings Heath]

With the greatest of respect—and I have great respect for my noble friend—I think that he has missed the point. I agree that substantive reform of the Lords will not take place until the relationship between this House and the other place is fully resolved. I believe that conventions will need to be codified in an Act of Parliament to have any chance whatever of there being a relationship between two elected Houses, if we are to have two elected Houses. Other noble Lords will disagree but I say to my noble friend that the argument that the Government have deployed on a number of occasions is that we cannot agree to sensible, incremental measures because we are committed to a fully elected second Chamber. That seems to be the argument that essentially comes out, certainly from the Minister and his party. My point is that even if we were to reach consensus and a reform Bill went through both Houses, it would be some years before it could actually be put into practice.

In the mean time, we still want a second Chamber to be as effective as possible. The way we are going, the issue about numbers is becoming so serious that we are running into a real problem of credibility. That is why I hope that the Minister will be very positive on this Bill but that he will also reflect on what his noble friend has said about allowing the House to discuss these other matters and come to a view very quickly, which I believe could be done.

[Lord Wallace of Saltaire (LD)]

My Lords, I hesitate to open up a wider debate about long-term Lords reform. We all know that we are already into substantial discussions about constitutional reform of this multinational state. I suspect that after the next election and, as the noble Lord, Lord Hunt, just said, with whatever shape of government should emerge from it, the future of this House will be caught up in those discussions. Two of the three parties are already committed to a constitutional convention, so there are a range of things—

[Lord Hunt of Kings Heath]

I am grateful to the noble Lord for giving way. I am sure he is right but does he also accept that it will be some years before any change can take place? Therefore, the argument that the House should be given a fair wind by the Government to make some incremental, sensible change is overwhelming.

[Lord Wallace of Saltaire]

The noble Lord and I will discuss, off the Floor, the question of how easy it will be to get consensus on the principle of retirement. I will tell him about some of the conversations I have had with Members of his own Benches about this over the past two years, some of which have been extremely vigorous.

Meanwhile, we are dealing with the Committee stage of today’s Bill, which, as the noble Baroness, Lady Hayman, rightly pointed out, is concerned with the conduct of the House. It has a limited and specific purpose and is concerned with the reputation of Parliament as a whole. We welcome that. The Bill is also concerned with rebuilding public trust in our political institutions and, as she made clear, is intended to give the House precautionary powers—powers which are intended to be available but to be rarely, and, one hopes, never, used. We recognise that and the Government also recognise the sentiment around the House on the Bill. We are very happy to work with the noble Baroness to ensure that the amendments are tweaked into a form that would suit.

We understand the spirit of the amendments but there are some issues about the exact definition, which we need to clarify. The noble Lord, Lord Finkelstein, raised one example: what do we do if we become aware of past conduct which was egregious but was not previously known? What do we do about past conduct, the effects of which are continuing? The issues of retrospectivity are complicated in this regard and the House will also need to be concerned that we currently have an inherent power of suspension, which may or may not be used with retrospective regard to past conduct. If we were to pass this, we would be limiting the power of suspension that the House currently has. What I can do on behalf of the Government is to say that we would be very happy for Cabinet Office officials and lawyers to discuss between this stage of the Bill and the next, with the noble Baroness and others, how we might reshape these amendments to put them into a reasonable form.

The Government are giving the Bill a fair wind in this House. How far we will be able to assist it in the other place is a matter which the Government do not yet need to address and have not yet fully addressed. All Members of this Chamber will know of the complicated internal procedures that the Government need to go through. It will be tight to get the Bill through the other House, given the queue of Private Members’ Bills before the next election—although I take the comment from the noble Lord, Lord Hunt, that some of them are not entirely overworked at the moment—but we need not address that issue definitively at present.

For the moment, I am very happy to say that the Government will work with the noble Baroness to revise the amendment into a form that would suit the purposes that are intended, and that we have thought through some of the complications about the principle of retrospection, which is a very delicate and important one in the issue of conduct.

Deregulation Bill

Lord Hunt of Kings Heath Excerpts

Tuesday 18th November 2014 Grand Committee

[Lord Rooker (Lab)]

My Lords, before we leave this clause, I would like to take this opportunity to ask the Minister a question. I am a strong supporter of the Electoral Commission, with no qualification whatever; but next year’s election will be the first time that it has had four and a half years to plan for the date. Therefore, is there an absolute rock-solid guarantee that there will be no chaos in any of the polling stations in this country of the kind that occurred in 2005?

[Lord Hunt of Kings Heath (Lab)]

My Lords, I join my noble friend and add to what he said. My noble friend knows that I come from Birmingham and I was shocked by some of the behaviours I saw outside some Birmingham polling stations, to which I suspect he is referring. I particularly remember a polling station in Moseley, where large groups of men—about 20 or 30—were outside. This was clearly intimidatory; it was very difficult—particularly for women—to go and vote. The current system is so slow to react to situations like that when they arise. This is a very serious matter: in some parts of the country, people are not able to exercise their democratic right to go to a polling station free and unfettered.

For some years, the Electoral Commission took the view that it could only take measures that applied to each part of the country in an equal way. That was madness; it has been clear for a number of years that we have a real problem in some polling areas and we need a response from the Electoral Commission that recognises that.

[Lord Wallace of Saltaire]

My Lords, it would be foolhardy to give a cast-iron guarantee that no problems might break out. These are not purely matters for the Electoral Commission; as we all know; the local police and the local electoral registration officers have clear responsibilities here as well.

[Lord Hunt of Kings Heath]

In the case I mentioned, there was a police van outside; I approached the police van and the officer, of his own volition, went to speak to this group and kind of negotiated that the numbers would come down from about 20 to three or four on either side. I applaud the fact that a police constable, of his own volition, was able to make his own judgment, but that does not necessarily happen, and there is no guarantee that there will be police outside each polling station during the whole of the day. The other problem is that the polling officers are in the polling station in the school, a long way from the road where people can congregate. I accept the point he is making, which is that it is not just down to the Electoral Commission—but the Electoral Commission has a leadership role here.

[Lord Wallace of Saltaire]

My Lords, let me take that back and make sure that the Electoral Commission is informed of this. I trust that the incidents were reported to the local authorities and the local police at the time. I am conscious from my own experience with polling stations in parts of west Yorkshire that there can be problems; although my strongest memory of the last election is of passing a polling station 10 minutes before it closed and meeting a large extended family coming out of the polling station after voting, having a very sharp and loud argument as to whether each of them had voted the right way. I fear that, in this coming election, there may be rather more of that sort of confusion than any of us would really like to see. Meanwhile, I can assure the noble Lord that I will take these points back and make sure that they are reported to the Electoral Commission. I repeat that local issues like this are very much about local support. It is for the local police, local education and the local political parties, of course, to make sure that the police and the electoral authorities are doing their duty.

--- Later in debate ---

[Lord Hunt of Kings Heath]

My Lords, like the noble Earl, I make a happy, though unexpected intervention in the proceedings of this Grand Committee. I thank him for giving me advance warning that he intended to move an amendment on the question of trust mergers. I certainly would not oppose the amendment, but I should like to put some points to him. As this is being introduced at such a late stage, perhaps I could ask him about the Department of Health’s approach to deregulation, because it is entirely relevant to the amendment.

The noble Earl will know that a later clause in the Bill introduces a new duty for non-economic regulators to have regard to the desirability of promoting economic growth while exercising their regulatory functions. From the list that we have been given by the Government, we understand that the Care Quality Commission is encompassed in the list of organisations to which the new provisions may apply. The Opposition have asked the CQC for its views on the clause, but we have been informed that the Department of Health has told the CQC that it was not appropriate for the CQC to respond to our query, given that it is an arm’s-length body of government. I am surprised by that. As the noble Earl has frequently said to us, the CQC is an independent body. I am surprised that the CQC even approached the DoH for advice, and I am shocked that the DoH should prevent CQC from giving its advice to parliamentarians on the Bill. I do not expect the noble Earl to respond to this point today, because I doubt that he could, but I ask him to respond to me in due course.

What is the Department of Health’s approach to deregulation? My understanding is that it is in favour, and recently told the Health Select Committee that, unless issues of public safety are concerned, it is not in favour of extending statutory regulation to other professions within the health service, which is entirely consistent with what Ministers are saying in the Bill.

The noble Earl will not be surprised that I then want to ask why the department is still attempting to require non-doctor public health specialists to be statutorily registered. I recently asked a Written Question about that. I cannot for the life of me see that public health non-doctors pose any risk to public safety. That conviction has been reinforced by the evidence that the Professional Standards Authority for Health and Social Care, which is the overarching regulator, has now given to the Government, in which it confirms my view that minimal risks are posed by public health specialists. There is a very limited number of them. Whether they are statutorily regulated or not is not a major issue. The problem is that, by so doing, the Government are threatening the viability of a voluntary register, the UK Public Health Practitioner Register, because it depends on the fees of those non-doctor specialists for its viability. I should have thought that a voluntary register accredited by the Professional Standards Authority is just what a deregulatory approach would lend itself to.

Again, I do not expect the noble Earl to give me a response today, but I wanted to raise with him that there is considerable puzzlement that a Government who brought forward this deregulatory Bill is hell-bent—for some reason that no one can understand—on forcing a statutory approach to non-doctor public health specialists, which will put at risk a voluntary register that is entirely consistent with the deregulatory approach that the Government are taking within the Bill.

I will ask three or four questions about the noble Earl’s amendment. It arises from the issue in Staffordshire. Essentially, the services that were being run by the Mid Staffordshire foundation trust are being transferred to two other trusts: North Staffordshire and the Royal Wolverhampton, one a foundation trust and one an NHS trust. The technical amendment that the noble Earl has brought forward seems eminently reasonable in that context, but I wonder whether he would care to reflect on the process by which that has occurred. He will know of the trust’s special administrators, who were appointed to deal with the problems at Mid Staffordshire. I was very surprised that the estimated cost of that process has been between £12 million and £15 million. Can the noble Earl confirm that and say whether he really thinks that we got value for money from that process?

The second question is whether he can assure me that this new amendment will not make it easier to force through mergers without proper public consultation. Staffordshire health service has a bit of form recently. He will know that the clinical commissioning groups have made some very controversial decisions, including—I think this was announced yesterday—the outsourcing of much of their commissioning responsibility. It is notable that the CCGs are very reluctant to debate or discuss those proposals in public. We have debated Lewisham hospital in south London, which is in a special administration process, and we have had some discussion about how services in Staffordshire are to be reorganised. I have been to a number of meetings in Staffordshire and there is real concern that a lot of these major changes are taking place without adequate public consultation. For instance, in relation to services in Mid Staffordshire, assurances were given—it was called the double-lock assurance—by the Secretary of State that there would, as I understood it, be proper public involvement and support for the changes. I am not entirely sure that that has happened.

I would just like to make two further comments. As I understand it, by statute, mergers have to be approved by Monitor, the economic regulator for NHS foundation trusts—and presumably, for non-foundation trusts, by the NHS Trust Development Authority, acting on behalf of the Secretary of State. In the light of experience, does the noble Earl not think that the Secretary of State should have to give their approval to mergers even if they involve foundation trusts? I realise that this amendment is based on parent legislation that goes back further than 2006—perhaps to 2003—and that we now have a much more fragmented system than we had then.

A trust merger is not a business arrangement; essentially, what usually happens is that one trust has fallen into a great deal of trouble and has to be rescued. That will often have a dynamic impact on the services to be provided; Mid Staffordshire is a good case in point. Given that, should the Secretary of State, because of his direct accountability to Parliament, not have to sign off that merger? The noble Earl may know of Clive Efford’s Private Member’s Bill, which I think is being debated in the Commons on Friday. There is a clause in the Bill which actually says that the merger of NHS trusts or foundation trusts should require the consent of the Secretary of State, so I am sure that this is a matter to which the department will be giving consideration.

My final point is about the impact of the amendment on PFI schemes. The noble Earl has already explained about the transfer of criminal liabilities, which makes eminent sense, but let us say trust A is being acquired by trust B. As I understand it, trust B takes on the liabilities of trust A. But what happens to the indemnity that the Secretary of State has made in respect of a PFI scheme entered into by trust B? When trust A takes on trust B’s liabilities, including possibly a PFI scheme, does the Secretary of State’s indemnity also now apply to trust A? I understand that the Department of Health has said that it does not and I would be grateful for some clarity on that.

[Earl Howe]

My Lords, I am grateful to the noble Lord for his comments and questions. I shall certainly write to him on the two issues that he raised: first, in relation to the CQC and to extending statutory regulation to non-doctor public health specialists.

House of Lords (Expulsion and Suspension) Bill [HL]

Lord Hunt of Kings Heath Excerpts

Friday 24th October 2014 Lords Chamber

[Lord Hunt of Kings Heath (Lab)]

My Lords, in introducing her Bill, my noble friend Lady Hayman was most persuasive and we on the opposition Benches are very happy to support it and to wish it godspeed through this House and the other place. The Bill’s provisions are very much reinforced by the comments of the noble and learned Lord, Lord Brown, who gave a very helpful explanation of the sanctions currently available and what is missing from the way in which we deal with these matters. My noble friend Lady Hayman was right to say that expulsion from a Chamber of Parliament is, indeed, a significant and major step. I agree with her that, although we hope they may never have to be used, it is good to have an armoury and the ability to do so if the circumstances should arise.

Of course the expulsion of a Member of Parliament can never be undertaken lightly, so it is important that proper safeguards are in place. My noble friend has reassured me on this point. As she said, the House remains in control. It would have to approve the Standing Orders and have to agree to the expulsion of the Member—the two locks, as she described them. I believe that those are sufficient safeguards. I was much reassured on that by the comments of the noble and learned Lord, Lord Mackay of Clashfern. This Bill could become law with government support and we look to the Minister for a positive response.

My noble friend Lady Taylor referred to other matters that could be agreed by your Lordships’ House.

[Lord Jopling (Con)]

I am sorry to interrupt the noble Lord but he has just indicated that, if the Bill is to go through, it is essential that it be given government time. I think it is the first time that that point has been made in the debate.

My colleagues with experience of the House of Commons will recall that it is extremely difficult to get a Private Member’s Bill through the Commons procedures. As one who has killed off more Private Members’ Bills than most noble Lords who sit in this Chamber, I know that what we need to hear from the Minister is how we can get the Bill through before the general election, if that is what we want. We seem to be totally unanimous on that. The Government support the Bill and we hope that it goes through. However, that is the language of the long grass. The only way that this Bill will go through is if the Minister tells us not only that the Government support it but, more importantly, that government time will be given in another place to get it through.

[Lord Hunt of Kings Heath]

My Lords, that was an extremely helpful intervention, at least for Members of your Lordships’ House. I suspect that there has never been a more elegant assassin of Private Members’ Bills than the noble Lord. He certainly speaks from great experience, and I hope that we will receive a positive response. It is absolutely clear that we need the Government to fully support the Bill and make sure that there is time in the other place for it to go through. I also hope that the noble Lord will take note of my noble friend’s comments. The report that she produced, which was debated in your Lordships’ House, contained a number of very useful suggestions for modest improvements.

I agree with what the noble Lord, Lord Dobbs, said about retirements and the number of Members of this House. We have to start to make progress in relation to that. I very much support the Bill. I hope that the Minister will respond positively. It will be disappointing if the Government do not say that they will support the Bill.

[Lord Wallace of Saltaire (LD)]

My Lords, the Government do, of course, remain committed to a broader scheme of Lords reform, as I trust do the Labour Opposition in their turn. There is a consensus on that, at least officially. The Government have no settled view on the Bill at present. All I can promise, and I do promise, is that I will take back the speeches that have been given around the House and the strong arguments that these are essentially housekeeping measures—although I am not sure that expulsion is entirely a matter of housekeeping. Powerful speeches have been made, and then we will have to see what can be done with the House of Commons between now and the election. Time is very short—

[Lord Hunt of Kings Heath]

The noble Lord says that the Government have no settled view. That is disappointing but it could be taken as a positive response if it actually meant that the Government generally would be prepared to discuss, maybe through the usual channels, with the noble Baroness whether they are prepared to support the Bill. Can he say that the door is at least open to that?

[Lord Wallace of Saltaire]

My Lords, I am trying to be as positive as I can be but the noble Lord knows as well as I do, having been in government, that getting consensus inside the Government, even in a single party, is not always entirely simple and straightforward. You have to get Ministers to concentrate on the matter in hand. When it is a matter of Lords housekeeping it is not entirely easy. I will do my best. I will take this back very firmly and we will have to look at the House of Commons dimension, and we might be able to make at least very considerable progress on the Bill. I take everything that has been said, although I repeat that the Government remain committed to a broader scheme of reform.

House of Lords: Labour Peers’ Working Group Report

Lord Hunt of Kings Heath Excerpts

Thursday 19th June 2014 Lords Chamber

[Lord Stephen]

The noble Lord is well aware of the circumstances, which directly involved the attitude of the Conservative Party to these matters.

The House of Commons has clearly spoken on these issues and has consistently voted for democracy, in 2003, 2007 and 2012. Noble Lords who shake their heads should reflect seriously on the position of the other place and the fact that it has consistently backed democratic reform of this Chamber. Surely 2015 should not be the time to think about this for even longer through another commission.

I want to challenge one of the central assumptions of the report, that embarking on this wide consultation and engagement will lead to a consensus. On this issue, a wide consultation does not inexorably lead to a consensus; this is a matter on which some people’s views are intransigent. The preface to the report says that the majority of the authors think that a majority of their group believes that,

“election would lead inexorably to the Lords challenging the primacy of the Commons”.

That has not historically been the Labour Party view on this issue, as has been described, but wide consultation and engagement will not stop anyone who insists on that point. It also ignores the fact that elected Chambers work alongside each other in many other Parliaments, and that the 2012 Bill had specific mechanisms built into it—

[Lord Hunt of Kings Heath (Lab)]

My Lords, I wonder if the noble Lord will give way on that point. He is really rather glossing over some of the difficulties of the 2012 Bill relating to the respective powers of the two Chambers. Surely in those Parliaments where there are two elected Chambers—

[Baroness Northover]

My Lords, I will let the noble Lord continue, but I remind the House that noble Lords who have signed up for this all have an opportunity to put their case. They should therefore be chary of eating into the time of other people.

[Baroness Northover]

Noble Lords will have their time. I will let the noble Lord continue his point, but I point out that noble Lords will have their opportunities later on to make the case that they wish to make and that they should be chary of eating into other people’s time.

[Lord Hunt of Kings Heath]

My Lords, with the greatest respect, it is not in the noble Baroness’s gift to either let me intervene or not. The noble Lord is clearly well able to debate and wants to do so. The only point that I want to put to him is this: in those places where there are two elected Chambers, there tends to be a written constitution. Is that not really at heart the problem—that no one has yet resolved the balance of power between the two elected Chambers in the UK?

[Lord Stephen]

We can always make it too difficult, tough and complex to deliver change. I would be delighted to see a written constitution as well. As I have just pointed out, though, those commitments running back over not just one decade but two from the Labour Party were to radical reform and democratic change, but during its time in office that has never been delivered. It is our system that, I emphasise again, is the exception, not the rule, and the rule should be a democratic one.

If noble Lords will give me just a little leeway, I will finish very quickly. The fact is that some people do not wish to be persuaded of the case for real reform. While that is the case, there will be no real reform and no consensus unless the political parties take a different approach. What can be achieved will be achieved if those manifesto commitments for change are delivered by one majority party or, as I would prefer on an issue of this importance, by cross-party majorities, which I believe exist in both Houses of this Parliament and can deliver democratic reform. After the next general election, that is what can and should be delivered.

--- Later in debate ---

[Noble Lords]

Oh!

[Lord Hunt of Kings Heath]

I am very interested in what the noble Lord said about the group of Lib Dem Peers. I am constantly puzzled by why the Deputy Prime Minister refused to engage on the issue of powers. Can the noble Lord throw any light on that?

[Lord Dykes]

My natural sense of modesty, and because it is above my pay grade, prevents me from trying even to give a putative answer to that matter. It was just the way in which things are rushed into with badly drafted, inadequate and mediocre legislation in the House of Commons. More and more is churned out which has to be repaired two or three years later by another set of Bills to rectify the mistakes. That was in the early days of the Deputy Prime Minister being in the House of Commons for one term.

--- Later in debate ---

[Lord Rennard (LD Ind)]

My Lords, when future assessments are made of this Parliament, I suspect that the biggest disappointment for many—but certainly not all—Liberal Democrats will be our failure to achieve substantial reform of this House. For over 100 years, Liberals have fought to complete a reform that was begun with the Parliament Act 1911 to move this place from depending upon the hereditary principle to resting upon the popular principle.

Only in this House could 100 years be too short a period to consider properly making such a change. I suspect, however, that our failure to achieve House of Lords reform will not be such a concern to the wider electorate. The failure of the House of Lords Reform Bill came as a relief to many Members of this House. Nevertheless, among most Members there is at least widespread agreement, as this debate has shown, that the size of the House is now too large.

Failure to achieve reform means that there also remains significant concern about the powers of patronage exercised by the major party leaders to put their loyal friends and supporters into Parliament. This power of patronage may make the numerical problem even greater in the near future. We could perhaps be heading for a series of Parliaments in which power changes regularly, and each new Prime Minister will wish to add to his or her ranks in the House of Lords to reward their followers, sustain support in their party and assist the swift passage of new legislation.

In the latter part of the 20th century, the Conservative and Labour parties both won large majorities in the House of Commons, which took long periods to ebb away. In the 30 years between 1979 and 2009, we had had only three Prime Ministers. However, in the next 30 years we may have many more than three Prime Ministers, and with each new occupant of 10 Downing Street might come new waves of appointments to this place. The House of Lords could become simply incredible because of its increased size, and much less respectable in public perception than it is today.

Something therefore needs to be done, and it needs to happen soon. I do not think that a lengthy commission is required to work out what should happen; we already have too many dust-gathering reports on this subject. Most of these reports have come to some broad conclusions: that the number of Peers must be contained and eventually reduced; that elections should take place for at least some of the future places in the House of Lords; and that any elections should at any one time elect no more than a third of the Members of the House. Most recent reports have also suggested that Members should serve a single long, non-renewable term, thereby preserving the independence of the House and the primary accountability to the electorate of the House of Commons.

The Government presented Parliament with a Bill that would have done all these things two years ago while retaining a strong contingent of Cross-Bench Peers. Despite strong support in all three parties and an overwhelming majority at Second Reading in the House of Commons, that Bill could not make progress. As it became clear that the idea of more democracy was too much of a threat for some to let a Bill such as that progress, I came to the conclusion that any plan for reform must be rather more pragmatic while retaining a clear aim and purpose.

I would hope that the parties could agree in advance of 2015 that there should be no new lists of politically appointed Peers beyond the Dissolution Honours List.

[Lord Hunt of Kings Heath]

Would that include the current list that is in preparation?

[Lord Rennard]

My Lords, I have no knowledge of the current list. My proposal was simply that there should be an agreement that there should be no more lists of that nature beyond the Dissolution Honours List in 2015. In the mean time, we should pledge to stop the absurd practice of the hereditary by-elections. The idea of “topping up” to keep their number at 92 is simply ridiculous. The hereditary presence in the House should therefore be ended for all but some of the most active hereditary Peers.

We should let voters elect 120 Members of the House early in the next Parliament. Such an election could coincide with the devolved elections in 2016, including in Scotland if it remains a part of the United Kingdom. Such an election could be held rapidly, as indeed Members of the Scottish Parliament and Welsh Assembly were elected shortly after the 1997 general election. Each of these Members should be elected for a single, non-renewable term of 15 years. At the same time, the number of appointments made through the Appointments Commission should be limited to 30 over the course of a five-year Parliament. That is probably enough for one Parliament. Those in both Houses who prophesied that the sky would fall in if we elect a number of Members of this House, rather than have them appointed by party leaders, will see if their prophecies prove true.

If they do not, it will be after 2020 before Parliament has to think again and consider whether to elect, say, another tranche of 120 Members in that Parliament, or whether to return to a system of patronage. In the mean time, we would be joined by elected Members who would contribute to the work of the House. Such a number could not and would not fundamentally change the character of the House as a revising “think again” Chamber. If the sky has not fallen in by 2020, the parties could agree again not to make any patronage appointments, and a further set of elections for, say, 120 Members could happen soon after the 2020 general election. At this point, the number of life Peers—by a process that it is quite hard to find appropriate and polite words to describe—will have reduced significantly.

The use of proportional representation in the elections will ensure the continuation of a healthy balance of opinion in the House, in which no single party has a majority. Those of us who believe that elections to this House can happen without a fundamental upset to the balance between the two Houses will have a chance to prove our point before further stages of election are considered, and everybody will be able to examine the evidence of such an arrangement working over time.

--- Later in debate ---

[Lord Hunt of Kings Heath]

My Lords, I, too, start by congratulating my noble friends Baroness Taylor and Lord Grenfell on their co-chairmanship of the group, and indeed all members of the group, on their work. I should inform the House that I, too, was a member of the group, although I was nominated by the leader of my party. I am not altogether confident, if I were to put my name forward for election that my colleagues would have elected me, given my views on Lords reform. None the less, it was a great privilege to serve on the group and I think we have had a very good debate indeed. It may not be the last word on Lords reform, but it seems to me to set some sensible proposals on which we could make progress. I hope the Minister will be positive in responding. In fact, I hope he might invite my noble friend Lady Royall and the Convenor of the Cross Benches for a cross-party discussion on how we might take forward some of these proposals.

A number of noble Lords have said that many decent proposals have been put forward and, essentially, the Government of the day have rejected them because they have said substantive reform is round the corner and other proposals would get in the way of it. I am guilty of that as much as anyone. Like my noble friend Lord Whitty, when I was appointed in 1997 I remember telling my wife that I would be here for only three years because by then we would have had a substantive reform Bill. Here we are, many years later. Who, hand on heart, can say that substantive reform will be with us any time soon? In view of that, the argument for incremental reform becomes much more persuasive. I was grateful for the contribution made by my noble friend Lord Richard on that particular matter.

My own party is committed to democratic reform, but we also want to see progress in dealing with the issue of the ever increasing size of the House. I have no doubt that my colleagues’ report can enable us to make a great deal of progress. The noble Lord, Lord Stephen, with some late support from the noble Lord, Lord Rennard, was a lonely champion of the 2012 Bill, in his fascinating tour round Labour Party manifestos. The problem with the 2012 Bill was that it simply did not deal with the big issue of the function and powers of this House if there were to be two elected Chambers. I have consistently voted in favour of Lords reform, but I do not think it can happen without explicit agreement about the respective powers of the two Chambers and how disputes are dealt with between two elected bodies in one Parliament. Those who have argued that that can be done say that the Lords will carry on as it currently does, but we do not use all our powers because we are not elected. If we have an elected House, it is bound to use those powers up to the limit. There you reach the problem.

I do not buy the suggestion of the noble Lord, Lord Rennard, for that reason. He accepts it may not be possible to go all the way, so he would add 120 elected Members to what we currently have. The problem with that is, the moment elected Members are added to this House, the dynamic changes. My noble friend Lord Rooker is right: there is no getting away from the fact that those who want substantive reform—I count myself among them—have to be very explicit about powers and functions.

It is good that there is general consensus about the size of the House. Not everyone agrees we should come down to 450; in particular, the noble Lord, Lord Norton, and the noble Earl, Lord Caithness, made points about that. However, it seems to me that there is a general consensus that we need to reduce the size of the House over time. This is where I should like to ask the Minister whether the Government are seriously proposing to make another long list of appointments. I can hardly believe that they will do so but I ask him to confirm, with a yes or no, whether that is the Government’s intention. Also, does he accept Meg Russell’s analysis that adopting the coalition’s formula of making the membership of this House dependent on the votes cast at the previous general election will lead to an existential increase in the size of this House and to it being completely unmanageable? My noble friend Lord Lipsey pointed out some of the consequences of what we have now.

I also challenge whether this House should be a mirror image of the House of Commons. That is essentially what would happen if you had a formula basing membership on votes cast at the last election.

[Lord Wallace of Saltaire]

The noble Lord may not have noticed that the House of Commons is not entirely composed on a proportional basis because of our current electoral system. Therefore, the House of Lords would not entirely duplicate the House of Commons.

[Lord Hunt of Kings Heath]

None the less, both Chambers would be elected based on the votes cast at the same election. I think that that would be a pretty odd formula on which to base two separate legislatures, and the more you examine it, the less it stands up.

[Lord Foulkes of Cumnock]

Does what the Minister has just said imply that he is about to accept the request from the noble Lord, Lord Pearson, for a large number of UKIP Peers?

[Lord Hunt of Kings Heath]

That would be the inevitable consequence of having a half-baked formula for deciding the size of your Lordships’ House. The Government might resist the UKIP argument for one term, but I doubt whether they could resist it long term. They have a coalition agreement and it is pretty explicit in saying what the membership of this House should depend upon.

There is one other factor that we also need to consider and it is probably one of the most important—that is, the role of this House. The noble Lord, Lord Cormack, generously recognised that we cannot be a revising Chamber unless the Government not only fear defeat but are actually defeated. However, there is a great risk that if the Government continue to appoint many more of their own Members, those defeats will become more difficult. We know that at the moment the Government have lost about 18% of the votes in this Parliament compared with 33% during the period from 1997 to 2010. This is a serious issue. The House must feel that it has the ability to defeat the Government in order to make sure that the kinds of compromises that existed when the noble Earl, Lord Caithness, was a Minister take place. I have certainly noticed in opposition that Ministers are much less ready to talk to the Opposition and to compromise. That is because the debate is between themselves and their coalition partners to the exclusion of the Opposition and other Members of the House. We have to consider that.

On the question of retirement at 80, not all noble Lords are in favour of that and some think that we should have an election among the party groups. However, being an observer of the hereditary elections, I am not entirely convinced that that is something that we ought to follow. My noble friend Lord Gordon said, in essence, that it is the least worst option, and I think that that is the best way to describe it.

There is, I think, general agreement on people having to commit themselves to the work of this House. I understand what my noble friend Lady Bakewell said—that some people with busy careers could not commit themselves in that way—but I think it is right to expect people in a legislature to devote their time to it.

There is a lot of agreement about secondary legislation. The irony is that we have an absolute veto on secondary legislation but we hesitate to use it because we are not elected. Giving ourselves a delaying power—I think that we need to pick up the issue of amendments—would give the House far greater scrutiny powers in relation to secondary legislation. Of course, when the Parliament Act was passed in 1911, secondary legislation was perhaps not as frequent as it is now, and that is the big difference in parliamentary scrutiny and accountability.

On the question of the Bishops, one treads carefully. However, like the noble Lord, Lord Cormack, I think that it is inevitably entwined with the establishment of the Church of England, the position of Her Majesty the Queen as Supreme Governor and the fact that many legislative measures that come from the church have to be approved by Parliament. I suspect that until the Church of England itself wishes to be disestablished, which I do not think can be ruled out in the long term, Bishops will continue to play a valuable role in your Lordships’ House, and we should certainly extend membership to other religions. However, this is a cul-de-sac down which I would not particularly wish to go.

There is some support for reviewing the role of the Speaker, particularly at Oral Questions. Having spent two years trying to assist the House at Question Time, I detect an emerging consensus that the Speaker’s role might be extended in that way.

My noble friend Lord Maxton made a very important point about what might be discussed in a convention. Not all noble Lords are in favour of such a proposal, but we cannot consider Lords reform in isolation from the many other pressing issues that we face in relation to the constitution, not least, as my noble friend said, in today’s era of new technologies, and also, as the noble Lord, Lord Phillips, said, in view of young people’s disengagement from politics. My noble friend Lord Maxton wants to move out of this Chamber. I can only tell noble Lords that a warm welcome awaits them in the beautiful city of Birmingham.

On the Appointments Commission, I understand the point made by the noble Lord, Lord Trimble, concerning what he described as a quango making appointments to a legislature of the UK Parliament. On the other hand, when it comes to political appointments, there is a case for some external scrutiny. However, I certainly agree with the noble Lord, Lord Norton, about protecting the independence of the Appointments Commission.

The noble Earl, Lord Caithness, raised the interesting issue of hereditary Peers and referred to the agreement of 1999, from which he quoted. I was the government Whip on the Bill at the time and I remember it well. That was of course 15 years ago and we have had three general elections since then. I say to the noble Earl that stage two of the reform has never been defined. At least in relation to the by-elections, I certainly sense that there is a consensus for those to come to an end.

In conclusion, I thank all noble Lords who have taken part. From all sides of the House they have been generous about the work of the working group and that is very much appreciated from this side. I hope that the Minister will be able at the very least to say that the Government are prepared to consider these issues and that they will invite my noble friend who is sitting on the Bench beside me and the Convenor of the Cross Benches to a meeting to see whether we can agree to take these measures further.

Courtesy Titles

Lord Hunt of Kings Heath Excerpts

Monday 24th February 2014 Lords Chamber

[Lord Wallace of Saltaire]

My Lords, that is taken care of within the Marriage (Same Sex Couples) Act 2013. I understand that exceptions have been made for this in that Act and in the earlier Marriage Act. The coalition Government and, I am sure, all parties are much concerned about the weakness of social mobility in Britain. I am not sure that we should spend too much time concerning ourselves with the subtle finesse of social stratification.

[Lord Hunt of Kings Heath (Lab)]

My Lords, that was a truly Conservative answer. The noble Lord has spent far too long on that Bench. My question is entirely relevant to the question of courtesy titles. Can the Minister confirm that the Government are intending to introduce yet another list of new Peers to your Lordships’ House? Can the noble Lord reassure me that that is not the case?

[Lord Wallace of Saltaire]

My Lords, I am not informed on the subject so I can neither assure nor reassure the noble Lord. I have asked some female colleagues in this House how much their husbands care about not having a title and a number of them have told me robustly that their husbands not only do not care but positively do not wish to have them. I am aware that a number of wives of Members of this House do not use their courtesy titles either.

Electoral Fraud

Lord Hunt of Kings Heath Excerpts

Thursday 6th February 2014 Lords Chamber

[Lord Wallace of Saltaire]

My Lords, I am informed that, in practice, almost all electoral registration officers are already checking 100% of postal votes, although they are currently required by law to check only 20%.

[Lord Hunt of Kings Heath (Lab)]

My Lords, coming back to the point raised by my noble friend and the issue of potential impersonation at polling stations, does the Minister recognise that in some places, particularly Birmingham, there are instances in which large crowds of men gather outside schools and intimidate some voters to prevent their going into vote? Does the noble Lord agree that that is what attention should be focused on and that the police need to be advised that they should take action when it occurs?

[Lord Wallace of Saltaire]

My Lords, I do a lot of my politics in Bradford, as the noble Lord knows, and I am well aware of the differences between the local problems we have with the voting system. One of the reasons that the new regulations allow for police community support officers to be present in polling stations is precisely to deal with that sort of occasional outbreak of intimidation. There is, as we all know, a problem of registration fraud—ghost voters being put on the register—but, again, it is localised. As I am sure all noble Lords know, this is much more of a problem for local elections than for parliamentary elections.

Health: Birth Defects

Lord Hunt of Kings Heath Excerpts

Wednesday 6th November 2013 Lords Chamber

[Lord Hunt of Kings Heath (Lab)]

My Lords, I am delighted again to applaud my noble friend for raising this matter and I hope that we can look forward to a positive response from the Minister. My noble friend Lord Turnberg explained the science and it is clear that there is very credible support for my noble friend’s position. The Scientific Advisory Committee on Nutrition’s 2006 report recommended mandatory fortification of flour to the Government. That was endorsed in 2007 by the Food Standards Agency board. More recently we have all, I think, had a briefing from the British Medical Association which also supports folic acid fortification of flour. I thought that the BMA was very much to the point when it argued that the current guidance to women to take folic acid supplements has a number of limitations. As the noble Countess, Lady Mar, said it does not take account of unplanned pregnancies and, given that almost half of all pregnancies in the UK are unplanned, it is clearly an inadequate response. It is also a fact that poor compliance with the advice to take supplements means that women planning a pregnancy only marginally increase their compliance with folic acid supplement use. The noble Baroness, Lady Grey-Thompson, made some very powerful points about this and about the very hard decisions parents subsequently have to make.

Noble Lords have already dealt very effectively with the concerns that have been raised about the links between folic acid and cancer. The Scientific Advisory Committee on Nutrition, which advises the Food Standards Agency, said that the evidence in relation to bowel cancer was insubstantial and that any increase in cases could be down to improved screening. It recommended that those deemed to be at greater risk of colon cancer should receive precautionary advice on taking extra supplements containing folic acid and that the situation should be monitored. The Chief Medical Officer then requested further investigation by the Scientific Advisory Committee on Nutrition into the potential link between folic acid and colorectal cancer. The committee upheld its previous recommendation, with an amended recommendation to clarify the advice on supplement use for particular population groups.

We roll forward to January 2013, when the noble Earl, Lord Howe, told the House:

“Additional advice on folic acid and cancer risk was requested by the then Chief Medical Officer and provided by SACN in 2009. The papers underpinning the advice from SACN have not yet all been peer-reviewed and published in a scientific journal. Ministers need to very carefully consider this complicated issue and would like to see all information in the public domain before making any decision”.—[Official Report, 8/1/13; col. WA 44.]

I am a great admirer of the Department of Health, having enjoyed many happy years there, but I recognise long-grass briefing when I see it and that is the kiss of death. I hope that the Minister, if she cannot say that the Government are going to go down this route, will at least give a timetable for when the Government will make a definitive decision, or must we wait, month after month, for every single paper to be peer-reviewed? I think that that would be a great pity.

In conclusion, I shall ask the Minister a rather more general question coming back to the issue of advice given by health visitors and midwives in relation to vitamins and minerals generally. The reason I do so is that in September 2012 in another place my honourable friend Kate Green secured a Westminster Hall debate about the rise in the incidence of rickets. She talked about vitamin D deficiency across large sections of the population and quoted a study by the Clinical Effectiveness Unit at Stockport which found a surprising lack of awareness among health professionals about vitamin D across eight acute and six primary care trusts in the north-west. Only 24% of health visitors and just 11% of midwives reported having had training in vitamin D supplementation. I realise that this is a little distant from folic acid, but since the Government now put such reliance on advice given to women, does the Minister think that, as part of a wider response to the issues raised by my noble friend tonight, more needs to be done to ensure that midwives and health visitors are adequately trained in providing advice in relation to vitamins and minerals in pregnancy and before?

That is not a substitute for the action that my noble friend wants, and I very much hope that the Government will recognise that this would be the right thing to do. I hope that the Minister will be able to make a happy announcement.

--- Later in debate ---

[Baroness Jolly]

My Lords, I am telling noble Lords what I have been briefed. I am more than happy to write to noble Lords and, if they are happy for me to do so, leave the letter in the Library for everyone to check. I will also need to respond to the noble Lord, Lord Rooker, on his question regarding terminations.

The noble Countess, Lady Mar, asked about the risks and benefits, and assessing impacts, of fortification, giving due consideration to the implications of additional recommendations by SACN. We will take into account the views of the Chief Medical Officer, who raised the issue in her annual report, and of the devolved Administrations. The other point raised by the noble Countess was on ensuring that NTDs are avoided in pregnancy and on preventing vitamin B12 masking. We need to get this right. SACN considered the amount of folic acid to recommend and also recommended developing guidance on supplement use for particular population groups, along with implementing measures to monitor evidence of long-term exposure to intakes of folic acid. We are carefully weighing the benefits and risks of SACN’s recommendations and will take account of all views.

The noble Baroness, Lady Grey-Thompson, asked what foods would be considered for fortification. Currently, breakfast cereals are voluntarily fortified with folic acid in the UK. The FSA considered other foods, including soft drinks, fruit juice, milk and chewing gum, when it made that recommendation, but the consumption rate of these products is not considered to be universal across women of child-bearing age and would therefore not be suitable for fortification. Other foods were also considered. Bread was finally decided upon as the universal food as—to answer a point raised by both noble Baronesses—it is universally consumed across the population and all socioeconomic groups: more than 90% of households eat bread. Fortification of wheat flour would also include other wheat-based products such as pizzas, pastries and biscuits.

I think I have replied to several points that were raised.

[Lord Hunt of Kings Heath]

My Lords, will the Minister write to noble Lords—clearly the Government will have to consider this—and set out a timetable on when they will come back to Parliament with an answer?

[Baroness Jolly]

That sounds eminently sensible. I am happy to write to noble Lords to give them that information. I hope that I have provided reassurance—I am not convinced that I have—that the Government are committed to reaching the right decision on the fortification of flour with folic acid, doing proper justice to the work of SACN and others and ensuring that, while seeking to deliver the benefits, we minimise the potential risks. In the mean time the Government will continue to raise awareness of the need to take folic acid supplements and are supportive of all those who are raising awareness of this issue. I thank the noble Lord for securing the debate.

House of Lords: Membership

Lord Hunt of Kings Heath Excerpts

Thursday 24th October 2013 Grand Committee

[Lord Hunt of Kings Heath (Lab)]

I, too, thank the noble Lord, Lord Higgins. It has been an excellent debate. I have to say to my noble friend Lord Lea that I plead guilty as charged, although I hope that the Minister will also plead guilty. I notice that he left the Conservative Party office charge sheet, which rather disappointed me, but perhaps he just felt short of a bit of time.

I thought that the Clerk of the Parliament’s report was excellent, particularly paragraphs 36 and 37 in relation to a strengthened leave of absence scheme, including minimum levels of attendance and enforced leave of absence. Will the Minister state clearly what the Government actually intend to do to progress this? As noble Lords have said, the Leader of the House has already indicated that he is not in favour of it, but I think the House and the Committee are entitled to a proper explanation of why this should not be taken forward.

I also ask the Minister about the statement made by the noble Baroness, Lady Northover, at Question Time this morning. She made what seemed to me to be a new statement of government policy in relation to the balance between the parties. I would be grateful if he would expand on what the Minister said in the Chamber.

Thirdly, I come to the point raised by my noble friend Lady Hayman. We have what I think is a ludicrous coalition agreement policy of saying that in one Parliament the membership of the House should reflect the votes cast at the last election; clearly, we have seen lists of new Peers being announced in order to make progress towards that. Our estimate is that the Government will shortly have a political majority in the Chamber of more than 100. What is the point of it? We are a revising Chamber; if the Government cannot be defeated, revisions cannot take place. In my own experience as a Minister, as my noble friend Lady Hayman will know—

[Baroness Hayman]

The noble Lord is definitely my friend, but in procedural terms in this House he is not my noble friend.

[Lord Hunt of Kings Heath]

My Lords, I am duly dealt with on that. The noble Baroness was also a health Minister. I would have expected to lose five or six votes on any health Bill that I took through, and I took through rather a lot. This does not happen any more, and I want to ask the Government whether they expect to win every vote. Is this the intention? If it is the intention, frankly, I do not see the point of your Lordships’ House. If the Government are not defeated on a fairly regular basis, we cannot send matters back to the House of Commons and there is no point to us. I am increasingly of the view that in that scenario the only way out is to get rid of the House. I do not think that the Government realise the significance of this. We cannot revise unless the Government are defeated a healthy number of times.

We should look at other reports, as well as the Clerk’s. My noble friend Lord Foulkes has given the game away, in the sense that there is a Labour group looking at some of these issues. The House of Commons Political and Constitutional Reform Committee has produced a very interesting report, with a number of suggestions as to how we might deal with these issues. We may not agree with all of them, but I particularly draw your Lordships’ attention to recommendation 10, on determining the relative numerical strengths of party groups in the House of Lords. In the end, surely we need to have sensible discussions and reach an agreement which will enable us to get a proper balance, allow the House to do its proper job in revising, and keep the numbers at a reasonable level.

--- Later in debate ---

[Lord Wallace of Saltaire]

My Lords, this is for the first time a coalition Government and part of the issue is whether you count the entire coalition of both parties as one or as two. The Government do not have an overall majority in this House because we have a large number of Cross-Benchers. If I may say so, one of the first things I learnt when I entered this House was that if you want to defeat the Government, what you need is a speaker from each of the four main groups, because at that point the Government will recognise that they are about to lose. The noble Lord, Lord Cormack, is occasionally very good at being part of those groups which challenge his own Government. That is the way the House of Lords behaves.

[Lord Hunt of Kings Heath]

With respect, my Lords, there is one Government and the numbers are clearly added together in your Lordships’ House. I should like to put a question to the Minister. What would happen in 2015 if the Labour Party were to win the general election with a majority? It would be faced with a majority of 100 Conservative and Lib Dem Peers over the Labour group in your Lordships’ House. There would then be a dissolution list, to which I assume both Mr Cameron and Mr Clegg would contribute. What advice would the noble Lord give to a Labour Government about the number of Peers they should appoint?

[Lord Wallace of Saltaire]

My Lords, we are getting into very difficult constitutional questions here. Again, I have heard discussions about this among some of my noble friends. A Labour Party that wins a majority of seats in the House of Commons on perhaps 35% of the vote and a 60% turnout raises the question of whether that is really a majority or not.

--- Later in debate ---

[Lord Wallace of Saltaire]

We need some quiet discussions among the parties and I am glad to hear people suggesting that what we need is another committee. I am sure that the noble Lord, Lord Hunt, would love to serve on another committee looking at some aspects of Lords reform; he has a great appetite for it.

[Lord Hunt of Kings Heath]

My Lords, nothing would give me greater pleasure.