Medical Innovation Bill [HL]

Debate between Lord Hunt of Kings Heath and Lord Cormack

Friday 12th December 2014 Lords Chamber

[Lord Hunt of Kings Heath]

My Lords, before speaking expressly to the terms of the amendment, perhaps I may ask a question of the noble Lord, Lord Saatchi. He knows that we have enormous sympathy for the intent behind his Bill and have put forward what I regard as constructive amendments. He has been gracious and constructive in his response.

However, I am still left uneasy that a substantial body of medical opinion—noble Lords have read out the list of organisations—is concerned about the impact of the Bill. The noble Lord may well decide just to plough on. Clearly, we will have a Third Reading, which, I assume, will be in the new year because we could hardly have a Third Reading, say, next Wednesday because it would not give enough time for noble Lords to table amendments properly. That must at least put some doubt as to whether the Bill can get through the other place, particularly in view of the intervention of the chair of the Health Select Committee, although I may be wrong about that. However, even more importantly, what has become clear, in the light of the arguments that have come from medical bodies and clinicians at the forefront of innovation, is that we know that before the Bill comes into effect, various guidance will be issued by the Minister’s department and the General Medical Council—and probably by the defence organisations to their members. My assessment at the moment is that the Bill is unlikely to be used by doctors because of the advice that will come from these different bodies.

The point I wish to put to the noble Lord is this: the arguments that we have heard have been between lawyers and doctors. The lawyers—two distinguished noble and learned Lords have spoken—are saying that, by and large, the law is okay in relation to the Bill, and I fully accept that. However, doctors are saying that there will be greater confusion as a result of the Bill and, therefore, they will not use it in the way in which the noble Lord, Lord Saatchi, wants it to be used. There is no meeting of minds. The noble Lord has said that he will talk to my noble friend Lord Winston between now and Third Reading, which I very much welcome, but he surely has to engage again with the bodies he met with the Secretary of State to try to find a way through. We support what the noble Lord wants to do and the need for innovation, but my judgment at the moment is that even if he gets his Bill it will not be used, except by the kind of doctors my noble friend Lord Winston referred to—the kind we do not want to use the provisions.

As far as my amendment is concerned, I will say just this: a number of noble Lords felt that it would be a good idea if there were a register on the use of the Act—if it is used—which could then be followed up by research and regulatory agencies. There was general sympathy for that. I thought the noble Earl, Lord Howe, was, up to a point, sympathetic and said:

“The Government’s view is that it is not necessary in this Bill to require doctors to record their innovation in medical records … The General Medical Council’s Good Medical Practice guidance already sets out requirements on doctors to record their work clearly in clinical records”.

However, the noble Earl then said that he had,

“heard the legitimate concerns of noble Lords today, and I commit on behalf of the Government to explore this issue further”.—[Official Report, 24/10/14; col. 887.]

My amendment essentially seeks to embrace that, to ascertain from the noble Baroness where those discussions have got to, and embrace the requirements likely to come from the GMC over the Bill. That would provide considerable reassurance to noble Lords who raised this matter in Committee. I beg to move.

[Lord Cormack]

My Lords, the noble Lord, Lord Hunt, as he so often does, put his case succinctly and elegantly in what is essentially a probing amendment. It is important that we reflect on the points he made because the whole purpose is to get something on the statute book that will be accepted and used. Two things are essential if that is to happen. First, the notes for guidance on and interpretation of the Bill must be written in the clearest possible English. Sir Ernest Gowers’s Plain Words comes to mind. Also, there must be a version that is designed specifically for patients. In all our discussions this morning—we have heard some fascinating speeches—the word “patient” has not occurred often as it should have done. The Bill is designed, above all—as I understand my noble friend’s intentions—to help patients and their loved ones who are concerned, and who do not wish to fall into the clutches of the quacks but to be treated by sympathetic, empathetic, well trained and qualified medical practitioners.

If the Bill goes on the statute book—I hope it will—I should also like there to be a major conference on the Bill. That must be not only in London, which will of course be necessary, but around the country, in all the great regional capitals of the kingdom, so that doctors and patients will have the opportunity—I am delighted to see the noble Lord, Lord Hunt, nodding assent—to have the Bill explained to them. The Bill does not really pose a threat to any doctor or patient. If it did, it would completely negate its own purpose. Clear explanations are essential. When my noble friends the Minister and Lord Saatchi comment, I hope that they will recognise that there is some validity in the points I seek to make.

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

Debate between Lord Hunt of Kings Heath and Lord Cormack

Friday 21st November 2014 Lords Chamber

[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—

Children and Families Bill

Debate between Lord Hunt of Kings Heath and Lord Cormack

Wednesday 29th January 2014 Lords Chamber

[Lord Hunt of Kings Heath]

My Lords, they are two different issues. I certainly do not propose that we legislate in relation to people’s homes. The differences lie, first, in the scale of the health issue. As I have already indicated, the amount of second-hand smoke that a young person is likely to inhale in a car generally will be very much higher than in a person’s home. Secondly, by and large there are usually rooms in a person’s home that are not used for smoking, so there is more of an element of choice. I accept that this is a continuum, but I assure the noble Lord that it is not my intention to propose a ban on smoking in people’s homes. There are specific circumstances that make the banning of smoking in cars while children are present a particular health issue.

[Lord Cormack (Con)]

I am grateful to the noble Lord. Surely, my noble friend Lord Forsyth highlighted a very important point. He talked about small flats; there are small flats where there may be several children and only one living room. What is the logic of the noble Lord’s argument in that case? Personally, I do not think we should invade private space; that is my position and I may seek to defend it later. There is no logical difference between a single child in a car and four children in the living room of a small flat.

[Lord Hunt of Kings Heath]

My Lords, I do not accept that. Clearly, in relation to a child travelling in a car we are going to debate where the balance lies: whether a car should be regarded as a private entity in which the state ought not to intervene, or whether noble Lords consider that a child’s health becomes the paramount concern.

A private car is rather different from a home; the health damage to a young person inhaling smoke in a car generally will be much greater than in a person’s home. I do not want to repeat the point that I have already made to the noble Lord, Lord Forsyth, although I may be tempting him to intervene again. However, within a home there are likely to be opportunities for young people to avoid the smoke-filled parts of that home.

--- Later in debate ---

[Lord Cormack]

My Lords, that was really a speech rather than an intervention. There is all the difference in the world between the physical or sexual exploitation of a child and smoking. Smoking is not an illegal activity. Some of us may wish that it were, but it is not. It would be wholly impractical, as the noble Lord, Lord Patel, made plain in his remarks, for us to outlaw smoking. That is a road down which we cannot go. Therefore, to invade the private space of individuals who are committing a perfectly legal act seems to me a step too far. That is why we should look at other means. I have mentioned taxation and increased insurance premiums; there are many routes down which we could go to make it more and more difficult for adults to smoke in the presence of children.

Most importantly, it is up to experienced people such as the noble Baroness and my noble friend Lord Ribeiro to ensure that there is a well informed education campaign so that no one is in any doubt that smoking is a harmful activity and that inhaling passive smoke is dangerous and injurious to health. I am with the noble Baroness and my noble friend on that all the way, but the invasion of personal space—prosecuting people for what is a legal activity—seems a step too far. That is why, while I welcome and applaud the amendment introduced by my noble friend Lord Howe—if there were a Division, although I am sure that there will not be, I would enthusiastically go into the Lobby to support him—I cannot support something that I believe is a step too far in the invasion of personal space, which would also be monumentally difficult to enforce. We have to bear in mind the responsibilities of the police, whose job it would be to stop the cars and ask the questions.

[Lord Hunt of Kings Heath]

Does not the noble Lord accept that, although there may be difficulties of enforcement, the very fact of passing a law combined with the kind of educational programme that he supports is likely to have a positive effect?

[Lord Cormack]

No, frankly, I do not. I respect the noble Lord—he knows that—and we agree on many issues, but we will have to disagree on this one. I think it would make the job of the police even more difficult than it is at the moment and endanger what popularity they have with many law-abiding citizens. It is a burden that we should not place on them.

I repeat: let us do everything we can to educate; let us do everything we can to deter; let us have the plain packaging; let us listen very carefully to what Sir Cyril says in his report; but let us not take the ultimate step that the noble Lord advocates.

Police Reform and Social Responsibility Bill

Debate between Lord Hunt of Kings Heath and Lord Cormack

Wednesday 20th July 2011 Lords Chamber

[Lord Hunt of Kings Heath]

My Lords, first, I welcome the amendments that the noble Baroness has tabled. I have an amendment in this group, Amendment 3, to which I would like to speak in particular. I am sure that in the weeks, months, and indeed years ahead the events of the last few days will be analysed and researched, and many conclusions will be drawn from them. These events have shown the risk of the potential politicisation of our police arrangements through the close involvement of politicians in policing matters. That is why I worry about some of the impact of this Bill, and why I think that my amendment is important in seeking to strengthen the amendment of the noble Baroness. Let me say at once that I very much welcome that amendment; I just want to make it a little bit more effective.

I want to go back to something I said in response to the Statement the noble Baroness made two days ago—it seems like years. We have seen some of the potential implications of importing American-style elected police and crime commissioners to the UK. The nearest we have to that is the London mayor, and it does not seem to have prevented a lot of the problems that one can see arising. It is well to remember that the mayor, Boris Johnson, when originally asked about phone-hacking allegations, described them as codswallop. It is worth reflecting on what support the Met would have received from the mayor if they had actually decided to undertake a vigorous operation when questions were asked about reopening these issues a couple of years ago.

My concern is that having an elected mayor or an elected police and crime commissioner inevitably draws those people into making comments about operational policing matters and seeking to influence the chief constable. I do not see how it can be avoided. When a person is elected as police and crime commissioner for the West Midlands, for example, they will be asked questions about running issues which will inevitably go into not only the operational efficiency of the force, but specific operations. My concern is that those elected police and crime commissioners will be drawn into commenting.

In London, the mayor is now going to be on his third commissioner. My concern is that this will be replicated throughout the country. Let us take an elected police and crime commissioner, representing a party that is perhaps not very popular in the public opinion polls and which faces elections in a year’s time. What better way to boost one’s prospects than by picking a fight with the chief constable and essentially requiring them to retire or resign? It is one thing for chief constables to be properly accountable—that is absolutely right—but my concern is that they are going to be very insecure people, and will therefore be more deferential to the elected police and crime commissioner than is healthy for the system.

Noble Lords know that I have a health service background. There was a time when the average length of stay of a chief executive in the NHS was about 2.8 years. The instability that that causes does great harm to public services. I believe we are building in huge instability and real threats of politicisation. I accept that this is the way the Government want to go, but I think it is important that we build in safeguards.

I welcome the amendment of the noble Baroness. I think the name of the noble Lord, Lord Dear, may have been on the amendment that was not moved on Report, but I would like to go further. It is important that police and crime panels are given support in exercising their functions of scrutiny on behalf of the public. Specifying in the amendment that the functions of the police and crime panel for a police area should be exercised with a view to,

“upholding the integrity, impartiality and effectiveness of the police force for that police”,

would be an important safeguard and provide reassurance. Being in primary legislation, these words would give a very clear message to police and crime commissioners, chief constables and panels that we want a police force that is impartial, has integrity and does right by the public.

[Lord Cormack]

My Lords, the noble Lord, Lord Hunt, has made some valid and important points. I remind the House that the Bill to which we recently gave a formal Third Reading is in fact very different from the one that came from the other place. It is the expectation of most of us that the other place will indicate its dissatisfaction with the major amendment made in Committee by this House. Obviously we must wait and see, but I say this to my noble friend the Minister. The Government will have to look at this Bill again because of that amendment, but because of what has happened over the past three weeks, to which the noble Lord alluded in his speech, surely it is necessary to enact a Bill that truly deals with all the problems, ones that were not foreseen—I blame no one for that—when the Bill was first placed before Parliament. This is a golden opportunity for the Government to come back to us with amendments that recognise that there are areas of policing which are not adequately dealt with in the current Bill. Certain problems have been highlighted in recent days which it is incumbent on Parliament to recognise and adequately to legislate for.

My plea to my noble friend the Minister, who has shown herself to be painstaking, thorough and responsive to the feelings of the House, is that she should talk to the Home Secretary and her other ministerial colleagues with a view to ensuring that when the other place comes back to this House, one would assume either in September or October, we will have before us amendments which deal fully with many of the issues that initially provoked the noble Baroness, Lady Harris of Richmond, to move her amendment, and that subsequently have built upon that feeling of unease. I do not seek lengthy Divisions this morning, but an assurance that the final shape of the Bill proves to be up to the circumstances that we are now aware of.

Police Reform and Social Responsibility Bill

Debate between Lord Hunt of Kings Heath and Lord Cormack

Wednesday 11th May 2011 Lords Chamber

[Lord Cormack]

My Lords, I am delighted to follow the noble Baroness, Lady O’Loan, because when I had the great fortune to be chairman of the Northern Ireland Affairs Committee I saw at first hand what she had achieved. She speaks with a quiet authority—as, indeed, do the noble Baronesses, Lady Harris and Lady Henig.

Like other noble Lords, I congratulate and welcome my noble friend Lady Browning. I served with her in the other place and I know her to be a woman of calm judgment and true determination. Above all—and I saw this when she had high office in the Conservative Party—she is someone who truly listens. I hope the House will give her the opportunity of its views today and I know that she will reflect upon what she hears in this Chamber. For that reason, I appeal at the outset to some of those who I believe are considering breaching a convention of this House and calling a vote today. I would beg them not to do so, out of courtesy to the new Minister. I have learned in my brief time in this House—although I observed it for 40 years from another place—that the hallmark of this place is courtesy.

[Lord Hunt of Kings Heath]

I wonder if the noble Lord would give way.

[Lord Cormack]

What I have learned in my time here is that the convention is that issues are thoroughly discussed in Committee and that when we come to Report, Ministers having had the chance to go away, think and come back with answers, we decide whether we will vote—as we did last night, when I found myself, for the first time in my time in this House, in the Content Lobby. I give way to the noble Lord.

[Lord Hunt of Kings Heath]

My Lords, the noble Lord comes to this House with great experience and we have all enjoyed his interventions. I would gently point out to him that there is no such convention. Votes do take place in Committee and any such vote would not be a matter of discourtesy to the Minister, whom we all welcome to her place today.

[Lord Cormack]

I am glad for that assurance but I still hope that there will be no vote today, because there will be proper opportunity both for my noble friend the Minister to reflect and for noble Lords in all parts of the House to put their points of view.

I have always been extremely sceptical about this policy. This is no new attitude; I remember having a vigorous discussion with Mr Dominic Grieve, when he was the shadow Home Secretary, telling him that I very much hoped that this would not form part of official Conservative policy. Although it has been rightly said that it is the official policy, many members of the Conservative Party are truly concerned about the implications, as I know well from my private conversations in this place and elsewhere. We are seeking to elect on a party ticket—it would be in almost any case on a party ticket—a man or a woman who we expect to have the pastoral wisdom of a bishop, while we give him or her the powers of a commissar. That is not a very good combination.

I speak as others speak, because we all talk from our own experience. For 40 years, I represented a Staffordshire constituency and have worked with six chief constables. I had the great benefit of a long discussion a couple of weeks ago with one of those, John Giffard, who said that I could mention his name in this House. I know that John Giffard was an exemplary chief constable, not at all afraid of accountability or of talking to a police authority and recognising its remit. Yet he is very wary of having an elected party politician as an immediate boss.

This policy is a very brave step indeed and if we are to take that step, we ought at the very least to have some pilot projects to see how it works and just how it reacts. There are other amendments on the Order Paper to this effect. I know that my noble friend Lady Browning will consider what is being said and I hope that she will discuss with the Home Secretary and others that to have pilot projects is in no sense to wreck the Bill. It is, rather, to make haste slowly, which is often the best way of moving forward.

If party politicians were elected, imagine a Derek Hatton being in charge of the police on Merseyside. One does not need to elaborate to realise that implicit in any election is a danger that that sort of thing can happen, particularly if it is a mid-term period when the Government of the day are excessively unpopular. We all know, from last week and other examples, that when people vote in elections other than a general election they are not always entirely motivated by the local issues. The noble Baroness, Lady Henig, talked—I think I remember the number right—about 23 constituencies in West Yorkshire.

Ecclesiastical Fees (Amendment) Measure

Debate between Lord Hunt of Kings Heath and Lord Cormack

Wednesday 23rd March 2011 Lords Chamber

[Lord Hunt of Kings Heath]

My Lords, we are debating three ecclesiastical Measures tonight and I am most grateful to the right reverend Prelate the Bishop of Exeter for his very clear explanation. The Ecclesiastical Committee has considered these matters and is of the view that they are expedient. It is noticeable that in the General Synod there was unanimous support for the Care of Cathedrals Measure. There was also almost unanimous support for the Mission and Pastoral Measure. In relation to those two Measures, such support is clearly significant. With the Ecclesiastical Fees (Amendment) Measure, it is noticeable that in Synod the votes in the House of Clergy were 99 for the ayes and 10 for the noes, and, in the House of Laity, 115 for the ayes and nine for the noes, so there was clearly a moderate measure of disagreement. Perhaps the right reverend Prelate would be prepared to comment on the debate and on the reasons why some members of the Synod opposed the Measure.

I have of course taken note that in its 229th report the Ecclesiastical Committee is very clear on these Measures, as was the right reverend Prelate. The committee points out the defects in the current legislation and the recommendation of the Deployment, Remuneration and Conditions of Service Committee. Reading the various papers that have been produced for our debate tonight, it is noticeable that some of the arguments were put forward to the Revision Committee—particularly, first, that the Measure breaches the right in general law of any person to enter into a contract to carry out services and to receive payment, and, secondly, that it possibly breaches human rights. However, the advice received by the Revision Committee looked pretty persuasive to me. As I said, I also noted that many other points were put to the Revision Committee, and they appear to have been considered very carefully. Overall, I am very much persuaded that these Measures should be supported by your Lordships’ House.

I also noted from the deliberation that took place on 30 November that, in an answer to my noble friend Lord Bilston, we were reassured that payments to choirs, bellringers, organists, florists and suchlike are not covered by the statutory fees. My noble friend reminded noble Lords that he led a strike nearly 60 years ago, when he wanted to increase the stipend—I assume this was as a choirboy—from a shilling to two shillings:

“We had a very recalcitrant clergyman who wouldn’t concede that point. I thought it was quite a legitimate increase. So we had to go and sit on the church wall for an hour during the month of March—as you know, the tax issues were very relevant then. I led the choir out to sit on the wall for an hour before the next marriage. We are talking about marriages or funerals. After the hour, the vicar came out and offered us the two shillings and we went back and sang with gusto”.

It is a remarkable read and it pays testament to the thoroughness with which both the Synod and the Ecclesiastical Committee have gone through these matters. I am sure that we should support them.

[Lord Cormack]

My Lords, I will speak briefly. I was delighted that the noble Lord, Lord Hunt, quoted Lord Bilston. It made me feel very nostalgic for the Ecclesiastical Committee, on which I served for 40 years—probably a record. I also served on the General Synod for 10 years. I am bound to say that not every piece of legislation sent by General Synod to your Lordships’ House and the other place had my warm approval. It is incredibly important, as we have an established church, that both your Lordships’ House and the other place have a proper opportunity to debate the Measures that come before us. I am very glad to see that the noble Lord is nodding so vigorously in assent. I am very proud of the fact that we have an established church. Of course, the right reverend Prelate the Bishop of Exeter made the point—very gently—in his extremely cogent and clear speech, that every single person in England is entitled to the ministrations and services of the Church of England. That is something which people of all faiths and none frequently have cause to be truly thankful for. It is important, therefore, that we should be debating these things.

I would make two very brief points. The first expands on what I said in my intervention. The Church of England, particularly in rural areas, is becoming increasingly dependent upon the services of non-stipendiary ministers and of lay people. There is something good about that, but there is also something that the church needs to devote very real and constructive attention to; the business of the retirement age of clergy. There are many clergy over the age of 70 who wish to carry on but who are not able to do so. I do not want to embarrass someone by mentioning him by name; I have not had a chance to consult him. But very recently, an extremely popular vicar in a very major Lincolnshire parish—my home county, as distinct from my county by adoption, Staffordshire—did not wish to retire. He was in full and vigorous health—after all there are many in your Lordships’ House, including me, who are over the age of 70 and still play, one hopes, a constructive part in the affairs of the nation. This vicar did not wish to retire. His parishioners were distraught at the thought of his retiring. Yet he had no alternative. It is a pity when we have a rigid retirement age. Of course, if people want to go beforehand, fair enough. But we are increasingly dependent on those who have retired and then give their services, particularly in rural areas. Without them the Church of England would not be able to give the ministration it does to the people of this country. I hope it is something that will be borne in mind in future deliberations of General Synod and of the Archbishops’ Council, et cetera.

The second point I want to make very briefly is on the cathedrals Measure. The right reverend Prelate the Bishop of Exeter did not really deal in any detail with this. He merely said it was a consolidation Measure, which it truly is—a very good one at that. I warmly commend it. It gives us an opportunity to reflect upon the centrality of the cathedral in every diocese; the fact that our cathedrals—particularly our great medieval cathedrals—are among the greatest, if not the greatest, buildings in this country. Who could imagine Ely without its cathedral; Lincoln or Durham without their cathedrals; Salisbury without its cathedral? Exeter? One could go on.