(1 week, 1 day ago)
Grand CommitteeI was waiting for the Minister to reply before I summed up.
If I can help the noble Lord, at this point I think that we are expecting the two Opposition Front-Benchers to speak and then the Minister.
My Lords, I will speak on a number of amendments in this group that relate to health. They illustrate just how far this Bill stretches and the breadth of its potential impact on matters of public interest. Health is now firmly brought to the fore. Clause 44 inserts new provisions into existing legislation to place a duty on all combined authorities and combined county authorities to have regard to the need to improve the health of the people in their areas and to reduce health inequalities when they exercise their functions. The same duty is applied to mayors of mayoral combined authorities and mayoral combined county authorities.
This represents a welcome shift. It means that health and health inequalities are no longer seen as an issue solely for the NHS or public health bodies, but I hope that the Department of Health and Social Care is aware of these proposals. If it is not and is not fully engaged, we will not get too far. Instead they must be taken into account across the full range of decisions made by combined authorities, whether they relate to transport, housing, planning, skills or economic development. That is an important change, because many of the factors that shape health outcomes sit well beyond the health system itself.
I thank the noble Baroness, Lady Bennett, for her Amendment 159, which seeks to broaden the list of health determinants and health outcomes to be considered as part of this new duty. The concerns that she raises are understandable and I am sympathetic to the desire to reflect the full complexity of what really drives health inequality. However, I ask the Minister whether she believes that combined authorities will have both the capacity and the practical power and resources to deliver against such an expanded list. In the Government’s view, is this expansion feasible? While ambition is welcome, we must ensure that any duty placed on local institutions is deliverable and affordable, rather than well intentioned and unrealistic.
In opening this group, the noble Lord, Lord Addington, spoke about public access to fitness, sport and recreational facilities. These issues are clearly important and, as always, he made a compelling case for the role that access to physical activity plays in improving health outcomes. Many noble Lords will agree with the principles that he set out. It will be interesting to hear from the Minister whether she believes that placing such matters in the Bill is either necessary or proportionate.
The amendments to Clause 44 tabled by the noble Baroness, Lady Freeman of Steventon, seek to align the list of health determinants more closely with academic research. The points that she raises are thoughtful and well made. I would be grateful if the Government could explain how the existing list of health determinants was arrived at. Who decided what should be included and by what process? Was there any consultation and were academic experts involved? Understanding how this list was developed is important so that we have confidence that it is robust and evidence based. In particular, I found the reference to “educational opportunities and attainment” in Amendment 161A especially interesting. Education is widely recognised as a key driver of long-term health outcomes and I will listen carefully to what the noble Baroness has to say on this matter.
I also note the amendments tabled by the noble Baroness, Lady Boycott, particularly those that relate to climate and pollution. These amendments raise issues that are often cited as having implications for public health. However, they also serve to underline a broader issue that runs through this group. The difficulty is not simply whether individual factors can be linked to health outcomes but how far such a list should extend. If climate-related risks and pollution are included, should the same apply to noise pollution, as raised by the noble Baroness, Lady Freeman? What about resilience to heat waves, which was also raised in this group? Each of these can be argued to have relevance but, taken together, they illustrate the challenge of scope. At some point a judgment must be made on where the boundary of general health determinants is drawn. That judgment is important for maintaining clarity and focus within the Bill and ensuring that the resulting duties are workable.
This returns me to the underlying question raised by the group. Who determined which health determinants should be included and on what criteria? What evidence or metrics were used to reach these conclusions? Without greater clarity on this point, it is difficult to assess whether the approach taken is sufficiently defined and proportionate. In that context, will the Government commit today to publishing an explanation as to how these decisions were reached? In particular, will the Minister set out who was consulted in the development of this list, what evidence was relied on and what criteria were used to determine inclusion or exclusion? Providing that clarity would assist the Committee in understanding the rationale behind the approach taken and assessing whether the duty, as framed, is appropriately defined and justified.
Before I sit down, I go back to my plea in the last group. As I have said before, if any of this is going to work, the Department of Health and Social Care will have to be involved. It will also have to work with local government and, by working with it, be willing to devolve power and moneys locally. I look forward to the Minister’s response.
(4 months ago)
Grand CommitteeMy Lords, I am grateful to the Minister for her explanation of this substantial SI. Although the formula on page 15 may have deterred the casual reader, I found the Explanatory Memorandum at the end a helpful summary of what is proposed.
I welcome the measure as it is a key part of the package proposed by the previous Government to fund remediation costs after the Grenfell tragedy. Although there is an element of rough justice here, in that developers which were not even around at the time of the Grenfell tragedy will have to pay, the alternative—the remediation costs in those cases where the developer was not remediating the building falling entirely on the taxpayer and/or the leaseholder—was even less palatable.
As the Minister said, this SI originates from the Building Safety Act 2022. At first sight, a delay of four years before it is introduced and a further delay before any money is paid are difficult to justify, given the urgent need to make progress with remediation. However, that does not matter; perhaps the Minister can confirm this. Although the taxpayer contribution is capped at £5.1 billion, the Treasury is, as I understand it, prepared to lend the department additional funds should that cap be reached; it will then recoup the money from future levies. As there is no sunset clause, the levy will remain in place until the Treasury is back in funds.
I have two main concerns about the building safety regime: the speed at which it is happening and the exemptions from the Building Safety Act. I made these criticisms of the previous Government, as noble Lords who were there may recall, and tabled amendments—unsuccessfully—to a variety of Bills. So there is nothing partisan about my remarks.
First, on speed, the department published its remediation portfolio dashboard showing the position as at the end of August this year. Of the 5,554 buildings covered by the Act—buildings are still being uncovered—35% had had their work completed and 14% had work under way. This means that, more than eight years after Grenfell, work has not actually started on over half of the buildings at risk.
The dashboard does not label this as “work not started”. Instead, there is a Whitehall euphemism describing it as “in the programme”. The next time my wife asks me why I have not unloaded the dishwasher, I will say that it is in the programme. Seriously, though, this means that thousands of people are still trapped in unsellable homes with unsafe cladding and fire safety defects, often with high service charges and high insurance—
My Lords, I apologise for interrupting the noble Lord but the House is about to divide; the Bells will ring in a moment so this would be an appropriate time to adjourn the Committee for 10 minutes.
(1 year, 1 month ago)
Lords ChamberI agree with my noble friend. When we start to get some alternatives from the other side of the House, I might be more prepared to listen to their arguments about not putting NICs up.
My Lords, I declare an interest as president of the National Association of Local Councils. The Government’s new burdens doctrine has been in place since 2011 and is specifically designed to compensate authorities for this sort of situation. I have reread the guidance today and it specifically mentions town and parish councils, so can the noble Baroness explain why the Government are not following their own guidance in this case? Will she perhaps meet me and representatives of the sector to discuss it?
I am always very happy to meet colleagues from NALC and have done so several times in the past, as the noble Baroness knows. The issue here is that parish and town councils have not traditionally been funded in the same way. It is for upper tier councils to decide. We have provided additional funding for upper tier councils. The local government funding settlement saw a 3.7% real-terms increase in funding. If upper tier councils choose to provide that funding, they are able to do so, but local councils also have the ability to precept, as she will know.