Terminally Ill Adults (End of Life) Bill

Debate between Baroness Blake of Leeds and Lord Harper

Committee stage
Friday 23rd January 2026 Lords Chamber

[Baroness Blake of Leeds (Lab)]

My Lords, I was just about to go on to the whole issue of funding, which many noble Lords have raised throughout this morning’s debate. The Government’s position is absolutely clear on this. Should Parliament pass the Bill, the Government would work to undertake development of the delivery model. Until the parliamentary process is complete, we are making no assumptions as to what the delivery model for an assisted dying service would be or what the role of specific departments in delivering the service would be.

[Lord Harper (Con)]

My Lords, may I ask the Minister something that I do not think is an operational decision but a decision in principle, as mentioned by the noble Lord, Lord Stevens, and does not require the Government to take a view on whether they support assisted suicide or not? Is it the Government’s view—do they agree with the noble Lord, Lord Stevens—that we would have to change the founding principle underpinning the National Health Service to put this service in the NHS? If they agree with him, is that something the Government support? The Government can remain neutral on the principle of assisted suicide, but I want to know whether they think it should be inside the NHS or not.

[Baroness Blake of Leeds (Lab)]

My Lords, I am very aware of the repeated requests and comments. I come back again to the point that we have been making throughout the debates on these amendments, and throughout the process: until the parliamentary process is complete, we are making no assumptions as to what the delivery model will be. That is absolutely clear and straightforward, and has been emphasised by other Ministers before me.

--- Later in debate ---

[Lord Harper (Con)]

My Lords, I do not want to unfairly ascribe views to the Minister on behalf of the Government, but, just so I understand this, is she saying that the Labour Government do not have a view at all on whether we should change the founding principles of the National Health Service away from it being one that delivers medical treatment to save lives to one that also helps people to die? Is she really saying that they do not have a view?

[Baroness Blake of Leeds (Lab)]

I am saying that, at this point, the Government are neutral on the whole area.

[Lord Harper (Con)]

That is extraordinary.

[Baroness Blake of Leeds (Lab)]

I do not think it is extraordinary, but I am sure the noble Lord will keep expressing his point of view.

Northern Powerhouse Rail

Debate between Baroness Blake of Leeds and Lord Harper

Monday 19th January 2026 Lords Chamber

[Baroness in Waiting/Government Whip (Baroness Blake of Leeds) (Lab)]

May I remind noble Lords that this is an opportunity to ask questions of the Minister? Can we keep comments succinct? There is plenty of time for everyone to get in if we all keep our questions sharp, so that he can answer them.

[Lord Harper (Con)]

My Lords, I am grateful to the Minister for recognising the success of the trans-Pennine route upgrade—which was, of course, started by the last Conservative Government, when a lot of significant work was done. The Minister also had responsibility for that in a previous role.

I have two specific questions. Is the £45 billion pound cost envelope that the Minister mentioned calculated in 2026 pounds, or is it going to be uprated for inflation? That is a very important question, given the length of time HS2 has taken and the significance of that. Secondly, is the delivery authority for the Northern Powerhouse Rail project going to be GBR?

NHS Industrial Action

Debate between Baroness Blake of Leeds and Lord Harper

Tuesday 2nd December 2025 Lords Chamber

[Baroness Blake of Leeds (Lab)]

I am very sorry to hear of the noble Baroness’s unfortunate experience and pleased to see her back on the Benches, fighting her corner. This is absolutely the backbone of what this Government intend to do. We knew when we came into government that standards had slipped. The pressures on medical staff have been enormous and it is our job to transform the service. That is what we have put in place.

[Lord Harper (Con)]

My Lords, I listened very carefully to the excellent question from the noble Lord, Lord Spellar, but I was astounded by the Minister’s answer. I think I heard correctly that she talked about modernising the trade union regime. In the Employment Rights Bill, the Government are going to make it easier—less difficult—for trade unions to call strikes on a lower turnout. That is going to make the situation worse, not better.

[Baroness Blake of Leeds (Lab)]

We beg to differ completely with the noble Lord. We believe our Employment Rights Bill is the way forward. It will improve industrial relations and make sure that we have workplaces that are fit for purpose as we move forward through this century.

Independent Commission on Adult Social Care

Debate between Baroness Blake of Leeds and Lord Harper

Wednesday 17th September 2025 Lords Chamber

[Lord Harper]

To ask His Majesty’s Government what steps they are taking to ensure that the Independent Commission on Adult Social Care gives due consideration to the needs of working-age adults to live as independently as possible.

[Baroness in Waiting/Government Whip (Baroness Blake of Leeds) (Lab)]

My Lords, we have made it clear in the independent commission’s terms of reference that its chair, the noble Baroness, Lady Casey, must consider older people’s care and support for working-age disabled adults separately, recognising that services meet different needs. It is, of course, for her and her team to independently consider how to build a social care system fit for the future. The commission will first report in 2026, with phase 2 to follow by 2028.

[Lord Harper (Con)]

I am grateful to the Minister for her Answer. The reason I ask the Question is because, understandably, when this debate on social care takes place it almost inevitably focuses entirely on the needs of older people, whereas almost half of public expenditure on long-term care is on those of working age. I want a system where social care works well with the employment support system and personal independence payments to make sure that people who can work are able to do so. When the Government engage with the commission, whether through Ministers or officials, can they reiterate the importance of focusing on the needs of working-age adults so that they can live independently and work where they are able to, and that we end up with a system that is fit for purpose?

[Baroness Blake of Leeds (Lab)]

The noble Lord raises an incredibly important point; I would expect as much from his background in this area. It is fair to say that local authorities spend more than 50% on the working-age demographic, but he is absolutely right that the main focus—the news interest—tends to be on older adults. I reassure him that our Government will look at all the issues, and enabling people to get back into the workplace and stay there is absolutely critical. The most important thing about the review of the noble Baroness, Lady Casey, is that it will be inclusive. She has already held a cross-party meeting, and there will be ample opportunity for all Members to ensure that their voice is heard.