Health and Social Care

Lord Scriven Excerpts

Thursday 9th September 2021 Lords Chamber

[Baroness Evans of Bowes Park (Con)]

I thank my noble friend. As she will well know, the Health and Care Bill, which will come to your Lordships’ House shortly, lays the groundwork for that. We are certainly doing much more work on integration. As I said, a White Paper will be published this year. We will be looking at creating the right incentives for integration and prevention, as well as working with the NHS—both hospitals and primary care—social care providers and other partners to ensure that they are working to deliver effective care in people’s homes and communities.

[Lord Scriven (LD)]

My Lords, the plan for health and social care says that a

“workforce that is rewarded and feels valued is essential for high quality care”.

The Care Workers Charity, which provides cash support for care workers in desperate financial need, paid out more than £2.2 million last year. How will the Government’s plan deal with this pay crisis in social care within the next three years?

[Baroness Evans of Bowes Park (Con)]

As I mentioned to a noble Lord earlier, the vast majority of care workers are employed by private sector providers, which ultimately set their pay, but local authorities are going to work with them to determine a fair rate of pay based on local market conditions. This investment of £500 million across three years will deliver new qualifications, progression pathways, and new well-being and mental health support. We are going to provide support to professionalise and develop the workforce by providing hundreds of thousands of training places and certifications for care workers, so we are putting in a lot of investment. We understand the importance of the social care workforce and the fantastic job it has done, particularly in the incredibly difficult times of the pandemic.

Covid-19

Lord Scriven Excerpts

Thursday 28th January 2021 Lords Chamber

[Baroness Evans of Bowes Park (Con) [V]]

The noble Baroness is absolutely right. We are still in the early days of collecting vaccination data, but the early data we have confirms that we need to work hard to make sure we get the vaccine take-up that we need. We will be looking to improve the data that we publish, although we are doing a lot already, to make sure we are aware of the issues she raises. I reassure her that we are cognisant of the need to encourage BAME communities. That is why, for instance, patient leaflets have been published in around 20 languages, as well in easy read and British Sign Language, and as audio advice. We are doing targeted advertising in 13 languages and holding regular meetings with local authorities and local faith leaders to encourage take-up. I do not know whether noble Lords have seen it, but there is an excellent video on social media with BAME MPs from across the House of Commons, highlighting the importance of taking the vaccine. These cross-party, cross-community initiatives are what we need to ensure that all our communities take up the vaccine.

[Lord Scriven (LD) [V]]

My Lords, countries that have managed this public health crisis best, with fewest deaths, least damage to their economies and young people being kept in education, have adopted “elimination of the virus” lockdown strategies. Can the noble Baroness the Leader of the House inform the House whether the lockdown exit plan criteria will be predicated on achieving elimination or suppression in the next phase of government policy for dealing with the virus?

[Baroness Evans of Bowes Park (Con) [V]]

As I said, we will be looking at all important data, which we will be publishing and reviewing so that we can then set out a strategy for leaving the lockdown. Our aim will be to set out a gradual and phased approach towards easing restrictions in a sustainable way. A sustainable way is critical, beginning, as I said, with the reopening of schools, which is our priority.

Coronavirus Bill

Lord Scriven Excerpts

Committee stage & Committee: 1st sitting (Hansard) & Committee: 1st sitting (Hansard): House of Lords
Wednesday 25th March 2020 Lords Chamber

[Baroness Thornton (Lab)]

My Lords, the amendment would ensure that the impact of Schedule 12, which concerns local authority care and support, is subject to monitoring and review by an appropriate body. The amendment is about the voice of the people affected by Schedule 12 being heard in the process of the Government reviewing whether the system is working and whether they will keep it in place.

We on these Benches believe that that should be done by an independent body or organisation—that is, an independent voice that is not the Government or one of their organisations. The reason is that we know that this schedule will have an enormous impact on our social care systems. Given that those systems have already suffered a crisis in funding and resources—and will also be taking in volunteers to help—this is an important moment.

It is important for two groups of people in particular. Yesterday, I was struck by the remarks of the noble Baroness, Lady Grey-Thompson; as I said then, she made me realise that the impact of this Bill on the disabled is profound indeed. There are two groups that need to be represented and whose voices need to be heard. One is the elderly and housebound; for them, an organisation such as Age UK, or something similar, may be appropriate. The other is the disabled. Both groups of people will be physically and mentally affected by the schedule, but the disabled are a particular cause for concern because this is also about their rights. I gave the Minister notice of the fact that we want those rights to be suspended for a shorter period.

This amendment is about finding a way for affected people in those groups to have a voice. We all need to be very disciplined in this part of the journey through the Bill so I do not intend to speak for much longer; but I would like to say how impressed I am by the way that Age UK has been approaching this crisis, which, of course, has enormous implications for the people it seeks to champion, represent and campaign for. Age UK’s chief executive Steph Harland said:

“Before this crisis began, we were already very concerned about the large numbers of older people who were disadvantaged and isolated. The reality is we’re not at the toughest point of this crisis yet, and it’s difficult to predict what that will mean for us as individuals, our charity, and the older people who rely on us and our partners across the country. What we know with certainty is it will get far more difficult than it is today and older people’s needs will sky-rocket.”


She is quite right. This amendment makes the point that that voice needs to be heard, and the Government need to listen to it as part of their monitoring. I beg to move.

[Lord Scriven (LD)]

My Lords, my Amendment 2 is also in this group and I want to speak briefly to it. I start by drawing the attention of the House to my interest as a vice-president of the Local Government Association. Amendment 2 is a probing amendment—a very friendly one, as I hope the Minister understands—regarding something that I foresee.

It is clear from discussions with my local government colleagues across the country that there are a number of issues in respect of which local communities are turning to their local authority as the nearest the port of government, as they see it—one they recognise and have a relationship with. Some councils can deal with many of the things that people are turning to them for; others would like to but do not have the powers to do so. As this public health challenge becomes increasingly severe, the demands on local government will be immense. Local authority employees, who are doing a great job up and down the country, will not be immune from getting the coronavirus, which, as I said yesterday, will also affect services not related directly it, such as refuse collection or environmental health; or they may not have equipment such as lorries or vans to deal with issues.

They will need a general power of direction—some way to say to other organisations within their jurisdiction, “We can’t negotiate; we can’t plead with you. This is a crisis. We need you to act. We need to requisition certain items, personnel or services off you.” I ask the Minister this: if the Government cannot accept this amendment, what arrangements will be in place—or what regulations will come forward in a very speedy way—to enable local government to best deal with the issues that will inevitably come to rest on its shoulders?

[Baroness McDonagh (Lab)]

My Lords, I want to speak in favour of Amendments 1 and 2, and later Amendment 6, which I think is trying to do the same thing. Like my noble friend Lady Thornton, I was struck by the remarks of the noble Baroness, Lady Grey-Thompson, yesterday when she talked about the suspension of the Care Act, and the NICE regulations. We have to review how these are going to work in practice. I know that the Government are dealing with something that is moving very quickly, but often, having heard an announcement that sounds great, we look at the detail and find that the announcement and what happens in practice are two different things. One issue that my noble friend Lady Thornton’s amendment would allow us to review is the protective equipment and clothing of local authority staff in social care environments and, more broadly, the health service.

--- Later in debate ---

[Baroness Kennedy of The Shaws]

My Lords, I too support the amendment and hope that the Minister will make appropriate noises about why this matters. Around the world, legislation is being passed in other countries that does not have these kinds of protections attached to it. We are seeing legislation going through in Hungary and, I am afraid, elsewhere, which will greatly erode the rights of the people living in those places. I strongly encourage the Government not only to say that the Human Rights Act and the Equality Act will be conformed to, but to ensure that those are firm instructions given to all those who will be exercising powers under this exceptional piece of legislation.

Earlier today, I sought to insinuate into this debate something about people in prison. I was surprised to find that there was no real reference to prisons in the legislation. But this morning it was mentioned that there is a problem inside the prisons—a number of people have already been diagnosed as having Covid-19—and so people are being confined to their cells. It was indicated that decisions might be made about releasing certain people from custody. Again, I ask that this is done in a way that conforms to the Equality Act and the Human Rights Act, and that real steps are taken with respect to fairness. I ask also that people in prison—who are not getting access to their families in the way that most people who are self-isolating can, through the internet and so on—are given the mechanisms to do that: to have virtual meetings and other mechanisms for contact with their families. At the moment, there is misinformation inside the prison system, and it is likely to cause a great deal of unrest. I urge the Government to be clear about the importance of conforming to human rights and equality standards.

[Lord Scriven]

My Lords, I am a signatory to this amendment. I shall say two things: first, it is pleasing that the powers within the Bill talk about applying them under human rights legislation; secondly, I am glad those rights are included, because giving two and a half hours of parliamentary scrutiny to a Bill with such wide powers, even though it is emergency legislation, is not the way to make good legislation.

[Baroness Bennett of Manor Castle]

My Lords, I am very pleased to speak after the noble Baroness, Lady Kennedy; I second what she said about the prisons and would add immigration detention centres to that. People who have been accused of no crime should not be being held in dangerous conditions that threaten their lives. Particularly with this amendment, we have been focusing a lot on the level of fear. We have heard a great deal of powerful testimony about how fearful many people are—people with disabilities, people who are already ill and sick, and people who are old and frail. Regarding the kinds of reassurances that have been asked for: people may not know the fine details of the rights legislation, but a simple reassurance from the Government that they will comply with something that guarantees people’s rights will be terribly important.

European Union (Withdrawal Agreement) Bill

Lord Scriven Excerpts

Report: 2nd sitting (Hansard) & Report stage & Report: 2nd sitting (Hansard): House of Lords
Tuesday 21st January 2020 Lords Chamber

[Lord Taylor of Holbeach]

My Lords, the Government are not seeking to put in this Bill instructions as to the sort of negotiations they will undertake. That is not the purpose of this Bill. The agreement that the noble Lord, Lord Dubs, forced on the Government created that situation.

[Lord Scriven (LD)]

My Lords, the reason why the House is so nervous is not that we in any way do not trust the word of the Minister, but because the Prime Minister has a habit of saying one thing on Europe and then doing another. It is not the Minister but the person at the top of the Government that the trust may not emanate from. Let us be clear and go through what this is about logically, as some noble Lords have done.

The first issue, following what the noble Lord, Lord Taylor, has said, is that Section 17 of the 2018 Act is an instruction to negotiate. It gives absolutely no conditions for those negotiations. It is same as Clause 37 before us now. The difference is that Clause 37 gives a two-month period before a new policy will be laid before Parliament. We have no idea what is going to be in that policy. There could be changes so that it may not be as clear, watertight and concise as what the noble Lord, Lord Dubs, sought to do with his previous amendments and what he is trying to do in this clause.

Noble Lords—particularly on the Government Benches and some on the Cross Benches—have said the Government have a good track record on this. Let us be clear. The Government have a track record of trying to stop amendments on this from the noble Lord, Lord Dubs, in 2016 and 2018. The only reason that the British Government have a good record is because the noble Lord has forced both Houses to make sure that we carry out the obligations that we are now carrying out. As the noble Lord, Lord Dubs, has said, on many occasions, Home Secretaries have pulled him in and asked him to withdraw the very obligations that the Government are now trying to claim credit for. That is why trust is not great on this issue as well. Logically, no one’s hands are going to be tied behind their backs if we take the Minister at her word. On 15 January, on day two of Committee, she said:

“Our policy on this has not changed”.—[Official Report, 15/1/20; col. 764.]


Therefore, the policy can be laid before the House now. Why the two-month wait? Is the Minister giving an absolute guarantee that not one word in the policy will change? If it has not changed, those whom we are negotiating with in Europe will have already been told exactly what the policy of the Government will be, in more detail than what the noble Lord, Lord Dubs, is trying to achieve by making sure that Clause 37 does not go through.

The real issue here is that if Section 17 of the 2018 Act was not in place the only difference is that the Government would negotiate—which the Minister has said they are going to do because they have sent a letter—but there would not be the two-month wait while policy was laid before this House, during which things could change and the guarantees in the policy could be watered down, leaving the most vulnerable children of all more vulnerable than they are now. Those of us who support the noble Lord, Lord Dubs, are doing so because of the potential for watering down the policy during the two-month delay. As I say, the trust issue is not with the Minister, but the Prime Minister says one thing about leaving the European Union to gain favour, and then when he has the chance, he changes his view.