(4 years, 6 months ago)
Lords ChamberMy Lords, I strongly support my noble friend Lord Hunt and other noble Lords in their quest in this suite of amendments to underline the important and crucial role played by Healthwatch, particularly at local level, and to ensure that the new NHS structures and processes in the Bill fully recognise this.
Under the 2012 Bill, the noble Lord and others who have put their names to the amendment and who have spoken in today’s debate were all strong advocates of Healthwatch, and clearly remain so today. The concerns deeply expressed then of the Government’s decision to make national Healthwatch a sub-committee of the CQC, and not the independent organisation that it needed to be, have again come to the fore. Amendment 220 would add a new clause after Clause 80, seeking to establish Healthwatch England as a body corporate that provides an annual report of its activities to Parliament; it has the full support of these Benches. As the noble Lord, Lord Patel, has strongly emphasised, failing to provide for the independence of Healthwatch was a fundamental error that needs to be put right. He set out a particularly strong case, as have other noble Lords this time around.
Amendment 42 to Schedule 2 seeks to ensure that Healthwatch is a non-voting member of the ICB, so that there can be a genuine championing of patients’ voices and views, which many noble Lords have spoken so strongly about today. These are views fed back from evidence and surveys conducted by both national and local Healthwatch organisations. At the very least, it is crucial to seek to ensure—as set out in Amendment 103 to Clause 20—that the ICB is obliged to fully consider Healthwatch reports and that that body leads any local consultations proposed in the ICB forward plans.
Amendment 149 to Clause 21, seeking to ensure that ICPs have a Healthwatch nominee in membership, is also important, given the local Healthwatch links to both the NHS and local authority bodies, patients and clients.
Key questions on how Healthwatch, both at national and system level, is to be funded were raised by my noble friends Lord Hunt and Lord Harris, particularly about the whole process of allocating funds. This is important in view of the increased role of Healthwatch in the additional 42 ICSs. I look forward to the Minister’s response.
Finally, I also endorse noble Lords’ comments on the excellence of the reports produced by national and local Healthwatch organisations. Their guidance on access to social care, mentioned by several noble Lords, and comments on the detailed proposals later in the Bill on the care cap and the recent White Paper, are clear and accessible to service users, and closely examine the impact for them, and for the thousands of people currently waiting for assessment and access to key services. However, those are issues for another day. I hope that the Minister has listened to the debate.
My Lords, these amendments deal, in their several ways, with the role of Healthwatch both locally and nationally. I begin with Amendment 42, in the names of the noble Lords, Lord Hunt of Kings Heath and Lord Patel, and the noble Baroness, Lady Thornton. This amendment would require ICBs to make provision in their constitutions for a non-voting member to be appointed from local Healthwatch branches.
I lay great importance, as do other noble Lords, on Healthwatch’s work on patient advocacy. However, as I said in relation to other amendments on the membership of ICBs—I know this is turning into something of a mantra—we want to avoid the Bill’s provisions being too prescriptive. It is essential that we provide local leaders the flexibility to design the board in a way that best suits each area’s unique needs. Even a non-voting member risks making the boards less nimble, undermining their ability to make important decisions efficiently. As I am sure the Committee is already aware, the ICB can appoint more members, including a Healthwatch representative, if it wishes, and I am sure many of them will. What is key is that local boards should be able to decide for themselves to appoint individuals with the necessary expertise to address local needs, and we want to allow them as much scope as possible to do so by not prescribing who all those members should be.
That said, I recognise that the growing complexity of health and care demands that we listen to the voice of patients, carers and the public. We want to ensure that they are heard throughout the system. I contend that there is adequate provision in the Bill to ensure that patients and the public are appropriately consulted and involved in decisions made by the ICB. I draw noble Lords’ attention to new Section 14Z36, regarding the duty to promote the involvement of each patient, and new Section 14Z44, regarding public involvement and consultation by ICBs.
I listened carefully to the noble Lord, Lord Harris of Haringey, as I always do, about the particular need for adequate and appropriate funding of local Healthwatch. If I may, I shall take away the points he made on that issue and others and write to him about them. We would expect Healthwatch to be closely involved with ICBs in carrying out their engagement and involvement duties. On what do we base that expectation? Many systems already have some system-level arrangements in place with Healthwatch. Indeed, NHS England has published guidance, which would apply to ICBs, on working with people and communities that encourages working closely with Healthwatch. Therefore, given that ICBs will already be required to engage patients closely in their decision-making process, and that we expect Healthwatch will be closely involved in that, we consider it unnecessary to require in legislation a member drawn from Healthwatch.
Amendment 103 would alter ICBs’ duties in relation to public involvement to require them to make adequate arrangements for the receipt and consideration of any relevant Healthwatch reports. As I said, the existing ICBs’ duties in relation to patient involvement are already comprehensive, and the amendment could unintentionally limit ICBs’ ability to form relationships with Healthwatch and other organisations appropriate for their area. As was the case for CCGs, ICBs will be required to make arrangements to involve patients in the planning of commissioning arrangements in areas that may impact the manner in which services are delivered, or the range of services available. This will ensure that patients receive appropriate representation where decisions are being made that could affect them.
I previously mentioned that NHS England, in its guidance to ICBs, has encouraged close working with Healthwatch. This guidance comes with the acknowledgement that what an appropriate relationship with Healthwatch looks like will vary from system to system. For this reason, we are seeking to establish comprehensive duties and requirements in the legislation while leaving the specifics of local relationships with organisations such as Healthwatch for ICBs to determine for themselves.
My Lords, I am speaking in support of the amendments in the name of the noble Baroness, Lady Bennett, starting with Amendment 46. After many helpful discussions both today and earlier on in Committee looking at membership, structures and representations of ICBs, these amendments take us back to the first principles and ask your Lordships’ House to look at what should be in scope for the provision of NHS services. This is a really valid question.
The noble Baroness, Lady Bennett, referred to maternity services, but if I were to pick one of the services listed in Amendment 169, it would be dental services. There are millions of people in the country who cannot access an NHS dentist. The result is a worsening of dental health, which is especially worrying for children and young people. I am sorry to say that, over the years, Ministers have ignored the wider needs of the public regarding dental services. I think the point about specifying the provision of services such as this puts a very particular duty on the Secretary of State to force Ministers to make sure that they are also holding other parts of the health service to account.
The amendments turn our focus on to whether we still have an NHS that is a public health system or one that perhaps is paid for mainly by the public but run by a disparate number of bodies, including unaccountable private companies increasingly not based in the UK. They are particularly important in light of the report today in the press that the Secretary of State is planning to create the equivalent of school academies for failing hospitals and says that there will be a White Paper in due course. Just as an aside, do we need yet more reforms? Surely it would have been better to have a full range of Green Papers with an overarching vision of what the NHS in the 21st century should look like and how the structures should work. We are now waiting for two White Papers, while the passage of this Bill is irrevocably changing the structures of our NHS system.
Today’s announcement rings a number of alarm bells because there is an analogy with the education sector that is quite helpful. I remember that, in the 1990s, academies were going to be free from local authority control and that that, on its own, would inevitably make them improve—but that has not been the case. Various reports over the last 20 years have shown that a number of failing schools taken into multi-academy trusts and free schools have remained low performing. Structures on their own do not necessarily resolve this. Indeed, some multi-academy trusts have failed in their entirety, and one of their issues is the lack of public accountability—because Ministers have direct responsibility in the public realm for academies, and I worry that the Secretary of State may be proposing the same. If I was a senior leader in NHS England, I would be very concerned about that.
I am grateful for the earlier comments of the noble Earl, Lord Howe, on the need for Ministers to have the ability to appoint and, presumably, remove senior personnel on ICBs. But would the Secretary of State have responsibility for these academy equivalents and give them the right to access separate funding for capital expenditure and special projects? I raise this because part of the problem that we have at the moment is a diversity of funding mechanisms, structures and strands, which often take the eye of a leader—whether a Minister or one in the NHS—away from the provision of services.
The foundation of a public system was essentially removed by the 2012 Act, and, as the noble Baroness, Lady Bennett, said, the Constitution Committee suggested that there needed to be an interim remedy. It is important that we have reassurance that this Bill will not weaken it any further at all. I hope that the Minister can reassure your Lordships’ House that the Government want to protect the provision of NHS services, as part of a truly public health service.
My Lords, I thank the noble Baroness, Lady Bennett, for moving her amendment and other noble Lords for their contributions, particularly on the specific points about particular services, such as dentistry. All three amendments look back to the Health and Social Care Act 2012 and the National Health Service Act 2006 on the powers and duties of the Secretary of State in relation to the NHS and the services that it provides, restoring certain provisions in the 2006 Act.
Under the Bill, the ICBs and NHS England will have the duties to secure the provision of the services that make up the comprehensive NHS. There are probably noble Lords here today who were Members of your Lordships’ House in 2006. I came in in 2010, just as the equally marathon Health and Social Care Act from the coalition Government got under way, when the whole issue of the Secretary of State’s powers and duties came to the fore. As explained at the time, the aim was to separate the political from the operational responsibility and to better align the language to the reality of the purpose of the NHS, in “securing the provision of services”.
The arguments in 2010 and 2011 were fierce and passionate, centred around the subtle changes in the way that the duties were defined, as compared to the words in Sections 1 and 3 of the 2006 Act. They caused suspicion, confusion and fears that the NHS would be changed forever. These arguments remain a bit of a blur in my memory, but I recall the overwhelming view among leading experts on NHS law that the changes were technical and did not involve any substantial change in practice. We know that, in respect of this role, no change has happened.
I also recall the 2012 consideration of the issue by our Constitution Committee and the compromise recommendation subsequently adopted in the 2012 Bill of what became Section 1(3) of the 2006 Act, as amended:
“The Secretary of State retains ministerial responsibility to Parliament for the provision of the health service in England.”
No matter what is in any Act, this is and will always be the political reality.
Currently, the law places the duty on the Secretary of State to
“continue the promotion in England of a comprehensive health service designed to secure improvement … in the physical and mental health of the people of England, and … in the prevention, diagnosis and treatment of physical and mental illness”—
very much in the spirit of the NHS’s founding 1946 Act.
Amendments 46 and 168 seek to continue the 2006/2012 debate. It was claimed about the 2012 Act, and now about this Bill, that the change in wording implies that people will be denied access to treatment from the NHS because, for example, a particular ICB decides to exclude a service and because there is no duty on the Secretary of State to prevent this happening. However, there is no evidence that anyone has ever been denied access to an NHS service or that any service has been refused in general simply because of the change in the wording of the responsibilities of the Secretary of State. Amendment 169 returns to the same point, seeking to place a duty on the Secretary of State to “provide” a list of services, with some general headings such as ambulance services. But the reality is that this is not how the NHS functions or indeed ever has.
I endorse many of the comments made by the noble Baroness, Lady Brinton, about today’s announcement of yet another restructuring on the academy front, but, again, that is a debate for another day.
We could go back on the Secretary of State issue to the 2012 arguments and spend a lot of time on it. While we fully understand the concerns and fears that the current wording could engender among those who suspect a deeper reason for the changes in language, continuing to argue over this issue would not be very productive or get us anywhere. We need to get on with scrutinising the sweeping delegated and Henry VIII powers later in the Bill that our current Constitution Committee and Delegated Powers Committees have expressed such deep concern about.
(4 years, 6 months ago)
Lords ChamberMy Lords, with 6 million people in England waiting for operations and routine procedures, many of whom are in pain, I make no apology for moving my amendment at the start of this grouping, which seeks to ensure that the 18-week waiting time target is maintained as a key part of the NHS mandate. This group also covers key amendments on the commissioning role of integrated care boards in relation to specialised healthcare services, and on the duty of ICBs to share best practice on innovation and the quality of services.
On waiting lists, the pandemic has resulted in a huge backlog of care and treatment, compounding pre-existing challenges. The 18-week waiting time standard has not been met by the NHS since 2016. Instead, we have a situation where the NHS’s latest planning guidance sets out plans to eliminate only waits of 104 weeks, to reduce waits of 78 weeks and to support an overall reduction in 52-week waits. Even as a temporary measure this should be unacceptable, and at best we should have a commitment and a plan to restore performance.
Last week’s report from the Health and Social Care Select Committee described the unquantifiable challenge faced by the NHS in addressing the backlog, with 300,000 people now waiting for more than a year for treatment for surgery, such as hip or knee replacements. We know the devastating suffering that the long delays in diagnosing cancer and other diseases such as heart conditions or stroke are causing. The Secretary of State himself said that the waiting list might grow to 13 million, and that was before the current omicron wave, which has only exacerbated this challenge. His promise in November to publish the Government’s plans to meet the workforce requirements needed to address staff shortages and the record waiting lists has yet to materialise.
Of course, this is not just about elective care. In emergency departments, waiting lines in October 2021 were the worst since records began, with one in four patients waiting longer than four hours to be admitted, transferred or discharged, and with trolley waits at a record high. October last year saw the highest number of 999 calls on record. There is a serious risk that the ongoing crisis in emergency care could derail the elective recovery programme.
Although the problems are manifold, prioritisation of the elective backlog is understandable. However, a focus on those areas most amenable to numerical task risk effectively deprioritises other equally important areas such as primary care, community services and mental health services, which all play a crucial role in keeping people healthy and out of hospital. It would be helpful if the plans around recovery in other aspects of care, with some sort of target or at least objective spelled out, were also made known—access to GPs being a primary example.
We know that workforce shortages are the key limiting factor on success in tackling the backlog. Without better short and long-term workforce planning, the 9 million additional checks, tests and treatments will not be deliverable. NHS England’s chief executive, Amanda Pritchard, told the Select Committee that the NHS currently has 93,000 vacancies for NHS positions and shortages in nearly every speciality. The social care workforce has, at present, 105,000 vacancies and a turnover rate of 28.5%, rising to 38.2% for nurses working in social care. Changing the way the cap is calculated will not help this, and of course discussions on both the cap and the need for a credible and systematic workforce plan in the light of the current chronic staff shortages will follow later in the Bill.
The waiting times focus of my amendment, which seeks to insert a new paragraph into Clause 3(2), is tangible and measurable, as are the constitutional targets. In the context of the huge challenges the NHS faces, the 18-week waiting time target remains vital. The discipline it imposes helps focus the entire system on the needs of patients. It drives behaviour and focuses funding, and it facilitates the organisation of seamless care for the patient, from the GP practice through diagnostic tests, out-patient care and, ultimately, if needed, to in-patient treatment. It gives leaders at local level in particular the leverage they need to unblock barriers to speedy care, such as delayed discharges from the hospital—another key issue on which we will focus later in the Bill.
The second part of my amendment reinforces the importance of the target for care for people with rare conditions and mental health conditions, which can all too often be Cinderella areas—overlooked in favour of more common conditions. I have a personal interest, which I declare, as vice-chair of the Specialised Healthcare Alliance, a coalition of more than 100 patient-related charities, groups and corporate supporters campaigning for improvements to care for patients with rare and specialised conditions, and for greater awareness of their needs, treatment and support.
The amendment also underlines the need for speedy diagnosis for this key group of patients. The SHCA chair, the noble Lord, Lord Sharkey, has added his name to my amendment and will speak on the importance of this in his contribution. He will also speak to Amendment 19 in this group, to which I have also added my name, which would ensure that ICBs
“commission specialised services in line with national standards”,
that their performance in this regard is published and monitored, and that there are safeguards that will operate if this commissioning role is removed from an ICB.
On treatment standards, can the Minister reaffirm that despite the current situation, every patient legally retains the right to treatment within 18 weeks? If so, what steps can patients take if the NHS does not deliver in line with this requirement? Can he assure the House that the Government have no plans to weaken this legal right and are fully committed to returning the NHS to an 18-week standard?
I am also speaking to Amendment 60 from my noble friend Lady Thornton, which would insert a new subsection, within the proposed new sections in Clause 20 on ICBs, to ensure that innovation and best practice on the quality of services
“is shared … openly and prevents individual trusts and foundation trusts from refusing to share beneficial developments or improvements through any issues around competition between organisations.”
This is crucial in helping to overcome any obstacles linked to the autonomy or independence of the organisations evolved.
We also support Amendment 215 from my noble friend Lady Merron, which would insert an important new clause after Clause 80, requiring the Secretary of State to publish an annual report to Parliament
“on waiting times for treatment in England, including disparities”
across the country. It is vital that this report also details the steps taken to ensure that patients, in line with their rights under the NHS constitution, are able to access services within minimum waiting times.
We also note Amendment 21 from my noble friend Lord Davies. He will be fully aware of Labour’s support in commissioning from the NHS as the preferred provider. His amendment is borne out of the right motivations but, I am afraid, misses the point that there are many social enterprises, charities and community organisations whose delivery of healthcare is vital to the functioning of the NHS and social care—for example, in end-of-life care—and we fully support the key role that they play.
The situation facing the NHS as it struggles to address waiting times and lists is dire, yet the recent NAO report on waiting times recovery pointed to some reasonable projections indicating that, far from improving on the current trajectory, the position will be even worse in March 2025 and beyond. That takes into account all the Government’s promised funding. The situation has echoes of the 1990s; Labour was able to address the challenges then, under different circumstances, but the current challenges are even harder. By 2010, the situation had improved to such an extent that demand for private healthcare had dropped. Now we see the opposite, with people having to pay to jump the queues.
Targets were an important part of how improvement was achieved through Labour’s three terms, backed by greater investment and a genuine commitment to public service solutions. The NHS responded to the confidence placed in it but today, there is no plan and no commitment, and totally inadequate funding to address the waiting times issue—the issue that patients are usually most concerned about. The NHS Mandate and the NHS constitution contain crucial rights and standards of care for patients and stakeholders, ensuring that the NHS has basic stability, knows what is expected of it and can be judged on its performance. We must keep the 18-week target and make sure that it is not fudged away. I beg to move.
My Lords, I declare an interest as chair of the Specialised Healthcare Alliance. I will speak to Amendment 6 and 19. I added my name to Amendment 6 and I wholeheartedly support the points made by the noble Baroness, Lady Wheeler, in her eloquent opening remarks. I will make a few brief supplementary points on rare and less common diseases.
Proposed new subsection (2A)(b) in Amendment 6 refers to waiting times for a rare disease diagnosis and is intended to probe the Government’s ambitions in this area. The Government’s rare disease framework noted that it can take years to receive a final and definitive diagnosis of a rare disease and that some people living with a rare condition may never receive one at all.
In 2019, the Government’s national conversation on rare diseases found, perhaps not entirely surprisingly, that getting the diagnosis right was the number one challenge in rare disease care. But the process of getting this diagnosis has been called, entirely understandably, an odyssey—many journeys, many ports of call, and many difficulties. This odyssey frequently involves multiple referrals, inconclusive tests and even incorrect diagnoses before a final definitive diagnosis is arrived at.
The rare disease framework makes a very welcome commitment to making improvements in this journey. I would be grateful if the Minister could say what concrete steps are being taken to bring about the desired improvements to arrive at Ithaca much earlier and in better shape. For example, the rare disease framework talks of a need to improve diagnosis rates. How is this to be measured and what is the baseline to be? Is there a target that the Government are working towards? If there is, when is it expected to be reached? The framework also commits to making use of advanced diagnostics to improve the speed of diagnosis. Can the Minister say what new technologies are being deployed and which are under active consideration? Finally, the spending review announced funds for a new newborn genetic screening programme. What might we expect in terms of a timeline for the piloting of this programme and its wider implementation if the benefits are proven?
I turn to Amendment 19, in my name and that of the noble Baroness, Lady Wheeler, for whose support I am grateful. We have around 3.5 million people with rare or less common diseases or complex conditions. This number grows as our population ages. Many of these people require specialised treatment of one kind or another. Currently, these treatments are provided by the specialised commissioning team of NHS England. In total, there are 149 specialised services directly commissioned by NHS England, and in 2018-19 £18 billion or so was spent on these services.
There are some problematical aspects to the large-scale direct national commissioning of this very large range of specialised services. The NHS points to these in its paper of last January, Integrating Care: Next Steps to Building Strong and Effective Integrated Care Systems across England. It said that
“these national commissioning arrangements can sometimes mean fragmented care pathways, misaligned incentives and missed opportunities for upstream investment and preventative intervention.”
The paper goes on to propose a new model whereby the provision of some specialised services can be delegated to be more responsive to place-based needs and local collaborations.
The NHS proposes that there will be four principles underlying this new approach to the delivery of specialised services. The first is that all specialised services will continue to be subject to consistent national service specifications and evidence-based policies determining treatment eligibility. The second is that strategic commissioning, decision-making and accountability for specialised services will be led and integrated at the appropriate population level. The third is that clinical networks and provider collaborations will drive improvement, service change and transformation across specialised and non-specialised services. The fourth is that funding of specialised services will shift from provider-based allocations to population-based budgets, supporting the connection of services back to base.
Amendment 19 is a probing amendment to allow us to ask a few detailed questions about how these principles will operate in practice. The first is to do with the ability of ICBs to commission specialised services in line with ongoing national standards. How will this ability be assessed, and by whom? Can the Minister confirm that being judged to have the appropriate ability will be a transparent decision and an absolute condition of delegation? Following this, can the Minister also confirm that there will be at least an annual published review of ICBs’ performance in the commissioning of these specialised services? Can the Minister tell us what the circumstances are in which such a delegation of specialised commissioning may be withdrawn? What is the legal mechanism for doing that? Finally, there is the question of money. How can we be sure that the appropriate funds are spent by ICBs on specialised commissioning? Is a ring-fencing of funds being considered, for example?
I close by noting the many successes of the NHS specialised commissioning group and its frequent and very welcome engagement with patient groups and the Specialised Healthcare Alliance.
I thank the Minister for his detailed and considered response; I very much appreciated it. I listened carefully to what he said about waiting lists; I did not exactly hear his commitment to the 18 weeks, but I understand the reasons that he set out for the Government’s current position on that. I just stress the importance of retaining the 18-week waiting time standard: it must remain a key part of the NHS mandate. Without this target, this discipline—particularly the importance of organising around patients’ needs—will be lost.
I am particularly grateful for the Minister’s detailed explanation on specialised services. I know he has a background in this, as do I and the noble Lord, Lord Sharkey. Commissioning specialised services is very complex and detailed. I was pleased with the way that the Minister described the different roles there would be at national and ICB level. We need to look carefully at what he said to see whether we need to come back to anything, but I hope the Minister will commit to having a full discussion and consultation with charities, patient groups and noble Lords on these complex issues. A number of noble Lords spoke very deeply and movingly about specialised services and their importance, and that is important to the House. Continued discussions, particularly on how the relationship between national standards and ICBs will work, are also important.
I thank my noble friend Lady Young for her support for Amendment 60 and her salutary comments on how difficult it can be to make sure best practice is achieved and followed. That was very helpful. On the Minister’s comments about the reporting to Parliament role, I need to look carefully at what he said about what exists and takes place. I take the point made by the noble Lord, Lord Warner, that it needs to be much more coherent, and we will look carefully at that to see if there is anything we need to come back to. Meanwhile, I am happy to withdraw my amendment.
(6 years, 4 months ago)
Lords ChamberMy Lords, the Coronavirus Bill and the Contingencies Fund Bill will receive Royal Assent this evening, and that will be notified to both Houses tonight. This means that the House will no longer sit tomorrow or next week. Noble Lords who have tabled an Oral Question will receive a written response from a Minister.
The House will return after Easter on Tuesday 21 April as planned. The usual arrangements for the recall of Parliament will apply, should the House need to meet before then. The previously announced adjournment for the VE Day bank holiday weekend will go ahead as planned.
When we return, we will make some changes to the way that our business is arranged. In light of the circumstances, and having consulted the usual channels, it has been agreed that, for the first three weeks after Easter, the House will sit only on a Tuesday, Wednesday and Thursday. So the House will sit on 21, 22, 23, 28, 29 and 30 April, and on 5 and 6 May, when we will rise for the VE Day long weekend. Further discussions will take place to inform what happens after that.
It has also been agreed that until the Whitsun Recess—until Thursday 21 May—we will not consider any Private Members’ Bills, balloted debates or ordinary Questions for Short Debate. No Back-Bench Member will lose out. My noble friend the Chief Whip, who I am pleased to report is feeling better, will be in touch with those Members who had an agreed slot for their business to discuss alternative arrangements.
For the convenience of Members and those staff who have to come in, the House will sit earlier on Tuesday and Wednesday, at 1 pm on Tuesday and at 11 am on Wednesday. This will enable business to conclude at around 7 pm on both days rather than the usual 10 pm. Tuesdays and Wednesdays will be used as, they are now, to scrutinise the Government’s legislation. Grand Committees will be scheduled only if absolutely necessary. Party debates and topical Questions for Short Debate will continue on Thursdays, so the Opposition parties, Cross-Bench Members and Back-Bench Members will retain the ability to initiate debates to maintain the House’s key function of holding the Government to account. Oral Questions will continue as normal at the beginning of every sitting day, with a topical Question asked on each day the House sits. A new Forthcoming Business will be issued as soon as possible.
We will also have to think about how we conduct our business, not just what we consider and when. We will have to look carefully at what sensible adjustments can be made to our working practices and procedures. We will continue to work with the usual channels and the House authorities on these issues, but I can tell the House that a working group of senior officials from both Houses and the Parliamentary Digital Service has been set up to develop effective remote collaboration and videoconferencing. The Parliamentary Digital Authority is doing all it can to enable rollout to Members as soon as possible.
The social distancing measures we have put in place this week will need to continue for the foreseeable future. Noble Lords who do not need to attend the House should not do so, and that particularly applies to those in the vulnerable groups. We have all seen noble Lords in their 70s and 80s in their places this week. I simply say, as the Speaker said last week, that as parliamentarians we have a duty to show leadership and to heed the advice of the public health experts.
Finally, I am sure all noble Lords will join with me in putting on record our thanks to all those members of staff who have supported us so ably in recent days. On a personal note, I express my thanks to my fantastic team for all the help they have provided to me ever since I became Leader. I know that all staff will continue to work very hard on our behalf in the weeks ahead, and we are lucky to have them. I beg to move.
My Lords, I thank the Leader of the House for her Statement today and for the constructive usual channels discussions held away from the Chamber, including with my noble friends Lady Smith of Basildon and Lord McAvoy, who have, while working at home, continued to be active and involved throughout the week. It is vital that Parliament continues its essential role of scrutiny, particularly at a time of crisis, and this House must continue to play its part. It is right that the Leader of the House referred to the programme planned for after the Easter Recess, which has been discussed by the usual channels. It is also right that the business that the Government outline keeps to a more limited programme while ensuring opportunities for scrutiny of ongoing legislation, as well as preserving time for Opposition parties and groups. She will know that the leaders in the usual channels are all fully committed to keeping in close contact between now and when we return.
The Leader will know that Members across the House are very keen to see the introduction of changes to how we work in future, using new technology such as remote collaboration and videoconferencing. For example, committees can meet online, but there are many other ways in which we can fulfil our obligations and maintain social distancing, as a number of noble Lords have outlined in speeches this week. Many businesses are being far more innovative, and we should also be taking a lead on this. I underline that the working group the Leader of the House referred to needs to work with a sense of urgency so that new technological solutions to the current situation can be agreed and introduced as soon as possible, preferably in time for when we return from the Recess.
I also thank her for emphasising that the House returns on 21 April, as previously planned, as there was some confusion in the media, not for the first time, on this issue. Normal procedures will apply, even in this situation. However, should there be any significant change or action required, a recall of Parliament has to be an option.
I also thank the Leader of the House for her comments about the staff of your Lordships’ House. I too thank all the staff of the House, including the cleaners and the security and catering staff, as well the House administration and party staff. Whatever decisions are made on the future working of this House, we must consider them, too.
My Lords, I, too, thank the Leader of the House for her statement, and I join other noble Lords in giving immense thanks on behalf of these Benches to all the people in Parliament who have worked so hard on our behalf. We understand the decision that has been made that the House should rise early, but there are some reservations in the country because we are facing the greatest national emergency in my lifetime.
I share to some extent the concerns highlighted earlier today, for example by the noble Lord, Lord Adonis. As he mentioned, we understand that the self-employed package will be announced on Friday. It is a big worry that there will be no ability for Parliament to scrutinise that. I also believe that other regulations and SIs will be laid on Thursday to put the powers in place to implement what the Prime Minister announced on Monday. Again, there will be no scrutiny.
There are also a whole series of other issues that people raised to do with PPE and testing which Parliament will not have a chance to scrutinise. Will the Leader of the House absolutely guarantee that Parliament will come back on 21 April, because the Leader in the other place seemed to suggest that there was a slight caveat to that? I really hope that it will, because it is very important that we are here. Could she also tell us whether it would be possible to arrange immediately a substantive debate on the emergency on that day, so that these issues can be discussed in detail?
I was pleased to hear what the noble Baroness had to say about remote working. My noble friend Lord Newby raised these issues in his Second Reading speech yesterday. He, my noble friend Lord Stoneham of Droxford, and a number of other Peers on all sides of the House have made many sensible suggestions. We know that Select Committees in the other place will meet virtually; indeed, I think one of them already has. Can the Leader of the House tell us that Select Committees, indeed any other committees of this House, can meet virtually immediately? If not, can we make very rapid progress on that?
There have been wider suggestions to do with how Members could ask Questions remotely. It should not be technologically impossible for them to also take part in debates remotely, and we should be ambitious about that. Given that a number of noble Lords have particular expertise on technological issues—I am not one of them—perhaps they might be consulted and be able to input into the committee which the noble Baroness mentioned. Can she ensure that that committee, and the House in general, has discussions with the various organisations that provide videoconferencing technology, as they may very well be willing to advise the House on how it could facilitate remote contributions? The noble Baroness, Lady Bennett, mentioned in the debate yesterday that her party’s conference had been held using a service called Hopin. We should investigate all these things; there are technologies out there that we could use. The noble Lord, Lord Anderson, told some of us earlier how the Supreme Court locked up its building and moved immediately, and its cases are continuing remotely. I really hope that we can move on that.
As the noble Baroness, Lady Wheeler, said, it is really important that we use the time between now and when we return to do this. It just will not be on for us to come back and find that progress has not been made. We cannot have this Parliament, and this Chamber in particular, being represented only by those of us who are younger, or more closely located geographically, or who do not have underlying health problems. Now, more than ever, when the people who are most affected are older people and those with underlying health conditions, not hearing from other representatives is a really bad thing.
I heed and understand the Leader’s point about the example that we as a House need to set for the public and the advice for people aged over 70. However, in our debates over the last two days, we have had some excellent and important contributions from noble Lords and noble Baronesses who are over that age, and the only way they could contribute in that way was by being here. We should not berate them for coming here; we should berate ourselves for not having put in place processes by which they could contribute remotely. We must not lose their contributions.
(6 years, 10 months ago)
Lords ChamberMy Lords, I speak on behalf of these Benches and of my noble friends Lady Smith and Lord McNicol, who helped me take the reins of the Bill from our side when my noble friend Lady Smith became somewhat otherwise engaged with developments elsewhere. I too place on record our thanks to the Government for their co-operation on this Bill and to parliamentarians in both Houses who helped ensure that the Bill is in the good place that the Minister referred to at the end of Report. In particular, I thank my noble friends Lady Smith and Lord McNicol, the noble Earl, Lord Howe, and the Leader of the House for their work and commitment throughout the various stages of the Joint Committee deliberations and the passage of the Bill.
I also thank my noble friend Lord Blunkett, who played such a key role in ensuring that public engagement, consultation, the involvement of parliamentarians and staff in the project and the key issue of disability and public access were at the heart of the Bill. The Bill team has—I agree—worked in a particularly exemplary and collaborative way with your Lordships and deserves special thanks, as do Beth Miller, who provides the noble Lord, Lord Blunkett, with support, and the excellent team from our Opposition office, Ben Wood and Dan Harris.
My Lords, perhaps I may lighten the atmosphere a little. I remember a Lonnie Donegan song which was a reflection of the war for American independence and the red coats fighting a losing battle. It went:
“There wasn’t nigh as many as there was a while ago”.
There are fewer of us in here than there were a few moments ago, for fairly obvious reasons, but this Bill is critical not just to the fabric and well-being of the heart of our democracy—the Palace of Westminster itself—but to a futuristic look at how might restore trust in and engagement with democracy. I am particularly grateful to all those who have played their part in making this a substantive measure which we can be proud of and which gives the sponsor body of the future and delivery authority clear direction in implementing it. I shall not repeat the names of everyone who has been involved, but I endorse entirely the thanks offered to those who have been part of it. I give my personal thanks not just to my own Front Bench but to the noble Earl, Lord Howe, who has reflected the best of the way in which we can conduct business in the House of Lords.
In implementing this Bill and taking forward the kind of advice that we had from all quarters on all matters in the joint scrutiny committee, it will be critical to draw down on the best possible expertise across the UK. If we do that, we will have something to be proud of in the years to come.
(6 years, 10 months ago)
Lords Chamber
Lord Cope of Berkeley (Con)
My Lords, I too support these amendments. Seeing the reference to “remote access” in one of them, I thought it not inappropriate to draw the House’s attention to the tremendous changes there have been in recent years. I first became a Member of the House of Commons 45 years ago. Since then it has changed immensely, largely because of the electronic advances that there have been. The amount of contact with constituents that Members of Parliament now have through emails and so on is one thing. You can also watch Parliament any time you want on the parliamentary television channel. This started with your Lordships’ House, and broadcasting from the Commons followed. There have been tremendous advances and there is no doubt at all in my mind that these have not stopped but will go on in ways that we cannot envisage—any more than we could have envisaged 45 years ago that things would be as far advanced as they are now. So we are not just starting this process; we are hugely advanced along it. It will speed up, in all probability, and of course the sponsor body must take account of it as it goes about its work on this building.
My Lords, we welcome the Government’s amendments in this group, and their focus on public engagement and awareness. Amendment 1 creates a duty on the sponsor body to promote public understanding of restoration and renewal, while Amendment 2 introduces a need for the sponsor body to ensure the works facilitate engagement and a participatory democracy. Amendment 5 ensures that the sponsor body carries out its duties with the views of Members, staff and the public at the front of its mind. We also welcome Amendments 3 and 4, which strengthen the reference to the parliamentary building works in regard to ensuring the safety and security of staff and the public, as well as to educational facilities.
At the start of the Bill’s passage, one of the main areas on which we sought government reassurance was engagement with the public, as well as with staff and Members in both Chambers. The Joint Committee recommended that the sponsor body should,
“promote public engagement and public understanding of Parliament”,
and we are pleased that the Government now fully accept this. Engagement must be at the heart of the programme of restoration and renewal, as this Palace, as well as the democratic processes and structures it represents, can often feel very distant to many people across the country. It is vital that there is a strong relationship between the sponsor body and the public, so that they have confidence in the programme throughout the process. These amendments help to alleviate our concerns and ensure that restoration and renewal becomes about far more than the necessary bricks and mortar, rewiring and replacement, and sewerage and stairways. They also allow us to change the way Parliament looks and feels, both inside and out.
Like other noble Lords, we read with great interest the results of the 2019 Members survey on R&R, confirming the themes and issues raised during the passage of this Bill in both Houses on accessibility, remote and digital integration, and safety, security and protection. The first survey showed just how vital regular communication, consultation and engagement are now and will be as the programme progresses to its successful completion. In particular, this is a working building for more than 8,000 members of staff, and the omissions in the original Bill on the importance of seeking their views about the works have now been rectified. Amendment 5 is a welcome step forward in helping improve their working conditions throughout restoration and renewal, and this must be an aim for the sponsor body.
In closing, I of course pay tribute to my noble friend Lord Blunkett for his tireless work on these issues throughout the Bill’s passage, and to the Government for their willingness to discuss and address our concerns and arrive at the good place to which the Minister referred.
My Lords, I am most grateful to the noble Lord, Lord Blunkett, for his very kind remarks and the constructive suggestions he has made. I express once again my appreciation to him for working with us as he has done and for the support he has demonstrated for these amendments. I am grateful, too, to other noble Lords who have endorsed the approach that we and the noble Lord have taken. It has been important throughout the Bill’s passage that we should listen to all Members and, where possible, seek to work with them towards an agreed position. I hope and believe it is clear that we have done exactly that. I thank other noble Lords who have spoken in the debate: my noble friends Lord Norton, Lord Cope and Lord Haselhurst, and the noble Baronesses, Lady Scott and Lady Wheeler.
My noble friend Lord Haselhurst asked two questions that go back to the issue, which I know has been considered by both Houses, of whether it would be possible to retain a foothold, so to speak, during the R&R programme in the Houses of Parliament regarding Westminster Hall and the Elizabeth Tower. I can tell him that these matters were partly covered at earlier stages of our debates, but it was agreed by both Houses in early 2018 that the Bill should allow for a full and timely decant of the Palace without retaining a foothold. Analysis by the programme in 2017 found that continued use by Members and/or the public of Westminster Hall or the area surrounding it would be highly disruptive and costly for no additional quantifiable benefit. The costs would be connected to maintaining a secure perimeter in close proximity to construction works and the additional cost to construction from managing a complex and partially occupied site. Having said that, access to the Elizabeth Tower could be a different matter. In fact, it is a matter for the sponsor body and Parliament to decide in due course. Members of the other place and noble Lords will be free to offer their view to the sponsor body on this issue as part of its consultation strategy.
As I said, these amendments build on the current work the shadow sponsor body is undertaking in these areas, in my judgment very capably. What matters now is the future. Like all noble Lords, I look forward to seeing how the sponsor body builds on this work and fulfils the specific obligations the amendments set out.
My Lords, this is an important amendment in the name of my noble friend Lady Smith. It aims for us to learn the lessons of the past and ensure that we have the necessary long-term plans and steps in place after the new building has been completed and handed back to Parliament to facilitate its ongoing and future maintenance and improvement.
Amendment 7 takes the Minister at his word in Committee, when this issue was raised by us and a number of noble Lords. Our original proposal was to incorporate future-proofing recommendations under the sponsor body’s reporting requirements in Schedule 1, but this amendment follows the Minister’s suggestion that it could better placed in Clause 6 as part of the parliamentary relationship agreement and that recommendations on the future maintenance of the Palace over the longer term be part of the hand-back arrangements.
I thank the Minister and the Bill team for their helpful discussions and reassurances since Committee, particularly in relation to the sponsor body’s reporting processes and business case development. Obviously, we recognise that the sponsor body will be abolished following the completion of the parliamentary works, so it is important that we have clarity now on exactly how future maintenance of and improvements to the Palace will be facilitated and taken forward. I understand that the latest view from the Government is that it should be included in the sponsor board business case summary and not that of the PRA. I look forward to the Minister’s confirmation of this. I would also be grateful if he would facilitate a meeting on this issue between the sponsor board and my noble friends so that we can be assured that effective future-proofing measures are a key part of the R&R programme.
Throughout this process, we have stressed that we must ensure that the estate does not fall into its current level of disrepair. We had 40 fires between 2008 and 2012; 4,000 windows need to be repaired or replaced; 40% of pipes, ducts and cables will be at critical or high risk of failure by next year; most building services will be at a high risk of failure by 2025; we rely on a sewage ejector system that is more than 130 years old; and asbestos can be found everywhere.
As we said in Committee, the can has been kicked down the road for far too long. While parliamentarians have not wanted to be seen spending money on themselves, inaction has come at a heavy price. We are now spending huge amounts of money on everyday maintenance and repair, and it has been estimated that every year of delay increases the cost of the works by £100 million. We must not get to a point again where the Palace is at risk of a catastrophic failure and the building can be described as no longer fit for purpose. Using the expertise gathered by the sponsor body, it would be of great benefit for the sponsor body to produce recommendations on long-term maintenance—ideally on five-year, 10-year and 20-year plans which can be reviewed. Making specific safeguards now will save us money, save this building and save future parliamentarians from facing a similarly dire situation in a few decades’ time. I beg to move.
My Lords, I am sure that the sponsor body would be happy to meet the noble Baroness and her colleagues—indeed, any noble Lord on any matter relating to this programme. I may regret saying that, but it is important that the shadow sponsor body and the sponsor body are as open and receptive to Members as it is possible to be. I also give the assurance that future-proofing the work is very much part of the design brief that the shadow sponsor body will be working towards. Anyone who has ever spoken to any of the contractors trying to do the work in this place will know that one of their biggest problems is simply getting access to things—they have all been buried and hidden underneath more modern work. Given this opportunity to take it all out and start again, we would certainly expect one of the outcomes to be the facilitation of future work, be it ongoing maintenance or larger jobs that may need doing in 50 or 60 years.
I thank the noble Earl for his reassurances on the importance of this matter and for his thorough and helpful explanation of both the reporting and future monitoring delivery arrangements. I feel very reassured. Obviously, I thank the noble Baroness, Lady Scott, in particular for her willingness to meet with me and my colleagues to discuss this further. I certainly welcome the reassurance, and on that basis I beg leave to withdraw the amendment.
My Lords, we welcome and fully support the principle behind Amendment 8, which underlines that the work should be carried out without delays and must be cost effective. The sponsor body has said it expects the current timeline for the project to be around 10 years, from the mid-2020s to the mid-2030s. Of course, there remains some vagueness around this length of time, and we hope the sponsor body is able to provide a more detailed timeline as soon as possible, with some clarity on milestones and gateways for both the decant and the completion of the full works. Obviously, this will most likely come after the business case has been presented and discussed by Parliament. Nevertheless, providing clear information on timelines and milestones will most certainly be important for public engagement and the engagement of staff and Members. We very much support this amendment.
My Lords, I am grateful to the noble and learned Lord, Lord Wallace of Tankerness, for his amendment, which would require the sponsor body’s reports on the progress made on the parliamentary building works to incorporate a timeline for the works that would include likely dates for decant and completion. As the noble and learned Lord said, he tabled a similar amendment in Committee, to the effect that as part of its consultation strategy the sponsor body must publish a timeline for completion of the Palace restoration works, including details on the dates of decant and return to the Palace.
In my response in Committee, I agreed that all noble Lords would—quite obviously—wish to seek further clarity on dates around decant, and I am in absolute agreement with the noble and learned Lord’s point that the sponsor body should publish details regarding decant and completion of the works not just once but throughout the course of the project. Here it is important to convey that the shadow sponsor body has always explicitly recognised that, as part of the sponsor body’s reports as set out in paragraph 27 of Schedule 1, it would rightly be required to include timescales on decant and the progress of the works. I can confirm that the shadow sponsor body is in agreement with this approach and therefore the expectation is that the reports produced by the sponsor body will include information on the timetable for the works, including details on timings for decant and return to the Palace.
I spoke at some length in Committee on various points addressing the issue raised by the noble and learned Lord. However, I thought it important to clarify what the Bill requires the sponsor body to do as regards reporting. Under the Bill, the delivery authority is required to formulate proposals for the parliamentary building works, including the timing of those works. These proposals are provided for in Clause 2(2)(e). Parliament will need to approve the proposals before any substantive works commence. If for any reason those timings change significantly, the sponsor body will need to come back to Parliament for further approval. The parliamentary approval of these proposals, as well as the shadow sponsor body outlining its agreement that the sponsor body should include information relating to the timeline for the works in reports it produces, will, I hope, provide noble Lords with the reassurance that this information will be forthcoming.
This is a matter that will surely interest all noble Lords throughout the currency of the works, whether that is before commencement, during or near their completion, so let me again thank the noble and learned Lord for tabling this amendment. I hope that I have provided him with significant reassurance on this important matter.
(7 years ago)
Lords ChamberMy Lords, it is with great pleasure that I open the Committee stage of this Bill. My noble friend Lady Smith—who, as the House will know, was a member of the original Joint Committee and spoke with her usual eloquence and depth at Second Reading on behalf of these Benches—unfortunately has other commitments and cannot be here until later but is very much hoping to join us as soon as possible. Meanwhile, my noble friend Lord McNicol and I are holding the fort.
I am moving Amendment 1 and speaking to Amendment 16, both of which are in my noble friend’s name. It is right that we start today with amendments to Clauses 1 and 2 that aim to ensure and reiterate that the core purpose of the restoration and renewal programme must be to enable the Houses of Parliament to continue to serve as the UK’s primary legislative and democratic institution.
Clause 2 lists areas to which the sponsor body must have regard, but the work of Parliament, legislation and the representative democratic function is not referred to anywhere in the Bill. As my noble friend Lady Smith said at Second Reading,
“That is a serious omission. At no point should the sponsor body … lose sight of that”.—[Official Report, 8/7/19; col. 1675.]
Our amendments seek to remedy this. The House will be aware that, as this project progresses, it is vital that we bring the public and Parliament with us. We must make both aware that the works are imperative not only to preserve this historic building for future generations but to ensure that this country can long benefit from its constitutional role.
By stressing the significance of the works for the sanctity of democracy, we can better demonstrate that the costs and work involved are vital and necessary, and we help address and dissuade notions that this is only for the benefit of parliamentarians. Safeguarding Parliament’s role in our constitution is of vital benefit to everyone in the UK. Through these amendments, this House can do more than send this message; we can ensure that this principle is at the forefront of consideration for the sponsor body as works progress.
Amendment 16 would legislate that the sponsor body must always take regard of the primary democratic and constitutional functions of Parliament during the project. Amendment 1, meanwhile, would ensure that while the decant takes place the aim of the works will be to facilitate both Houses’ return so that their democratic and constitutional functions can be upheld and continued.
The importance of including in the Bill the broad principle that the works must never lose sight of the fact that they are taking place to maintain Parliament as a place of democracy was underlined by noble Lords from across the House at Second Reading. I hope that the Government will agree and bring forward proposals on Report to ensure that this principle is incorporated into the Bill. I beg to move.
My Lords, I am happy to speak in support of the amendment that has just been so ably moved by the noble Baroness, Lady Wheeler. It is important we remember that the principal functions of this place are its constitutional, legislative and scrutiny functions. That should not be forgotten. That said, in many of the debates we will have in Committee, we will remember many of the other things that happen in this place. I was going to say it is a village; it is probably larger than that in terms of the number of people who work here. However, at the end of the day, if it were not for the democratic and constitutional functions that take place, most of that other work would not materialise.
Although it is not one I signed, possibly through omission rather than as a deliberate act, the words “at the earliest opportunity” in Amendment 1 are important, because there is an urgency in this: both in starting now and, when the works start, in getting back in as soon as possible. Throughout the whole process, it is important that we try to maintain the pace. We will come later to an amendment I have tabled about timelines. We all know from large public works that there is often a tendency to delay, but I hope that once we get out it will not be very long until we get back in.
My Lords, I am grateful to the noble Baroness, Lady Wheeler, for moving the amendments in the name of the noble Baroness, Lady Smith. I am also grateful to the noble and learned Lord, Lord Wallace of Tankerness. The Government entirely agree that it is important for the sponsor body and delivery authority to ensure that the R&R works enhance and protect the work of Parliament. This focus is reflected in the fact that the Bill requires that the majority of the members on the board of the sponsor body are parliamentarians.
As part of its strategic vision for the programme, the shadow sponsor body has been clear that restoration and renewal must deliver a building that supports Parliament’s core function as a working legislature both now and in the future, using high-quality design and technology. This includes facilitating any procedural changes that may be requested by either House.
When drafting the Bill, the Government have been careful not to prescribe either what Parliament does or its procedures, as these are clearly a matter for Parliament itself. We are concerned by the reference to the “democratic and constitutional functions” of Parliament in this amendment, as we are mindful of potential legal challenges in respect of the exercise of the powers contained in the Bill. For instance, we must be careful not to unintentionally invite the courts to consider matters that are the preserve of Parliament, such as the question of what the “democratic and constitutional functions” of Parliament are. Doing so could call into question the separation between the courts and Parliament.
Noble Lords will know that the Companion explains that the principle of control by Parliament of its affairs, free from interference by the courts, is often called “exclusive cognisance”. We are concerned that the inclusion of this wording in the Bill could be seen as Parliament waiving the exclusive cognisance of the House, and so we have reservations about the wording of the amendment.
The best way to ensure that the R&R works enhance and protect the democratic and constitutional role of Parliament is to ensure that Parliament has a final say on the plans for a restored and renewed Palace. The Bill sets out very clearly that the works cannot commence until Members of both Houses have approved the delivery authority’s proposal for the design, cost and timing of those works in the outline business case. This will enable parliamentarians to determine whether the designs for the restored Palace and decant enable Parliament to carry out its democratic and constitutional functions. Significant changes to the design, timing or cost will also have to go back to Parliament for agreement. For these reasons, we are confident that the sponsor body will ensure that the parliamentary buildings works enhance and protect the work, and democratic and constitutional functions, of the Houses of Parliament.
Obviously, this is a matter for noble Lords to consider, but as I have set out, we have some legal concerns. I hope that I have reassured the noble Baroness and the noble and learned Lord that the principle behind the amendment will be central to the work of the sponsor body and the delivery authority. I am sure that the parliamentary authorities would be happy to provide further advice on this if needed. I hope that, on that basis, the noble Baroness will withdraw her amendment.
I thank the noble Baroness for her comments. After today, I will look at the legal and constitutional issues that she raised. I am very grateful for her reassurances about accepting the principle. If we feel that we need to reinforce that, we will come back on Report.
In answer to my noble friend Lord Adonis, the “earliest possible opportunity” reference will be taken up in later amendments and so we will respond to that in due course.
I thank in particular the noble and learned Lord, Lord Wallace, for his contribution. With that, I beg leave to withdraw the amendment.
There was an intervention that I thought suggested not. If I have got that wrong, I apologise.
It is going to be a massive construction process. I asked my noble friend Lord Pickles—he will not mind my mentioning this—how long he thinks this will take; two years, possibly. Anybody familiar with construction projects in London—I have been, and am at present, quite closely involved with some—knows the likelihood of any construction project in London finishing on time. Your Lordships should come with me to Crossrail and see the problems; the noble Lord, Lord Berkeley, knows better than anybody that this is a major problem. While the construction is going on, how much space will it take up? I asked earlier what happens to all the spoil they dig out. It will all go out by barge. That is a new dimension, but it is implicit recognition of the traffic problems that this might cause.
This is an incredibly difficult issue to talk about, because all sorts of allegations are made about anti-Semitism. I congratulate the noble Lord, Lord Carlile, on his most moving speech, which seemed to me to completely knock on the head the suggestion that anybody who has a concern about this must be implicitly anti-Semitic. I recall the letter written to the Times by the noble Lord and 10 other colleagues, all Jewish Peers, including the noble Baroness, Lady Deech, expressing their concerns about what will happen.
It is obviously going to be a major construction project which will give rise to concern over traffic—about which we have complaints enough at the moment—will deprive a significant area of London’s smallest park of its utility and will go on for some time. I hope those words will echo around Westminster Council. I am not sure whether they will echo around the Secretary of State whose application it is—it will presumably be referred to him subsequently—but it is an unfortunate decision and we will have to see what comes out of it.
My noble friend Lord Polak made the point that we have had terrorism and we do not expect any more problems. However, given the news today about the ISIS attacks and the killing of the Taliban, the idea that ISIS/Daesh has gone away is wrong. Having lived through Borough Market and Westminster Bridge, and having seen the new threats of one kind or another, I must warn your Lordships, from my experience of having dealt with terrorism for too much of my life, that this is a completely new dimension. We never had suicide bombers in Northern Ireland but we will have them aplenty—it is what happened in Kabul today. Given the complete confusion in the whole of the Middle East area, the activities of the different groups and the unfortunate involvement of Israel—a democratic state in the middle of that appallingly unstable and dangerous area—your Lordships will not be surprised to hear me say that, as the hatred, threats and the various problems in the world continue to grow, there is no prospect of a calmer, more peaceful world emerging. In those circumstances we need to move with great care to ensure that we do not increase the risks of more danger.
We know all too well—it is a political point—that the police are finding it hard to cope with the present number of threats, difficulties and disruptions they face. This will not make their lives any easier and, in many cases, the challenges will be even more dangerous.
I add my voice to that of my noble friend Lord Cormack and, although it may be a bit late, I hope the House and the sponsor body will look carefully at the implications of this development as the hugely demanding task of restoring and renewing our Parliament is carried forward.
My Lords, I will make a brief intervention before the Minister responds. The broad sentiment behind Amendments 2 and 21A to ensure that consideration is given to how other constructions could impact on the restoration and renewal programme is fully acknowledged by us. I listened with interest to the comments of the noble Lord, Lord Cormack. I am also a great fan of Victoria Tower Gardens. I particularly enjoy walking through it and seeing “The Burghers of Calais” and the anti-slavery memorial.
However, while I am obviously moved by the contributions of noble Lords on the Holocaust memorial and the Holocaust itself, I am not in a position to comment on this today—I have not been involved in it —but my noble friend Lady Smith has been involved in discussions with noble Lords from all sides of the House.
As the House noted at Second Reading, the Government have chosen not to hand planning issues to the delivery body, as had previously been suggested—my noble friend Lord Adonis raised this point—but none the less it is helpful for this House to consider whether there is a place for the sponsor body to advise on such issues. The comments of the noble Baroness, Lady Scott, raised important issues in relation to this and I look forward to the Minister’s response.
On Amendment 21A, tabled by the noble Baroness, Lady Stowell, the issue of the parliamentary relationship agreement including provision for corporate officers to inform and consult the sponsor body on nearby works is important. The noble Baroness raised a number of important issues and I look forward to the Minister’s response.
My Lords, before the Minister answers, I am a great believer in trying to get as many SMEs to bid as possible, but one has to think about the risks they will be required to take, as well as the conditions of contract and the penalties if it is late. You can imagine one or two big contractors being given the overall responsibility to do this, because they are the only people who can manage the risk. There will be a rush to get this done. Wherever the supply of timber, stone, other materials and expertise comes from, we will have to work very hard if we want to get real SMEs to do this, as so many noble Lords expect. It will not happen unless we work very positively towards it.
My Lords, I am pleased that this group of amendments is being debated here today to deal with the responsibilities the sponsor body will have, in particular those relating to the contracts to be awarded. I thank the Minister for the Government’s Amendment 3 on the social responsibilities of the sponsor body, which fulfils their promise in the Commons to address the concern raised by my honourable friend Chris Matheson: that contracts have regard to the prospective contractor’s policy on both CSR and employment policies and procedures. The company’s wider attitude to social responsibility has to be a key consideration when awarding contracts.
On employment practices, we welcome the specific reference to companies that have undertaken blacklisting activities which will lead to their exclusion from consideration. This shameful practice has previously seen businesses compile files on thousands of workers, recording details of their political and trade union activities to prevent them gaining employment in their respective trade. Sadly, there is evidence that blacklisting has remained rife in recent years, and this is an important step not least because many construction staff currently working on building sites are employed by businesses which have previously been convicted of such unlawful behaviour. In such a prestigious project as R&R, it is important that Parliament makes a stand and warns businesses that if they neglect their social responsibilities, are not up to scratch on their employment practices or engage in illegal blacklisting, they will not play a role in restoration and renewal projects and will not be awarded contracts.
I fully support my noble friend Lord Blunkett’s Amendment 9. He is right to underline that the economic benefits of the work have to be available in all areas of the UK. This was again a key theme from noble Lords at Second Reading. We must make it clear that this is a project for the whole country and that all the rewards, including for businesses, are felt in all areas. I particularly endorse the comments of the noble Lord, Lord Shipley, and the noble and learned Lord, Lord Wallace, on skills and apprenticeships, which was also a familiar theme at Second Reading.
In summary, government Amendments 26, 27 and 30, placing a duty on the sponsor body to include information on contractors’ size and areas of operation in its annual report, are welcome and will help to provide the transparency and accountability needed. Finally, on employment-related issues and the importance of ensuring full staff consultation on the R&R programme and project, at Second Reading my noble friend Lady Smith asked the noble Earl to confirm that there would be full engagement with staff and their representative unions. I would be grateful if the Minister confirmed this and reassured the House that the Government fully recognise its importance.
I am very grateful to all noble Lords who have contributed to this short debate. I am also grateful for the support for these amendments from across the House. A number of noble Lords raised the issue of procurement and contracts. This is the very reason why we are setting up the independent sponsor body and the independent delivery authority, which have the experts and expertise to ensure that SMEs around the country can take advantage of this. We believe that setting up these bodies in a timely manner is exactly the best way to ensure that the benefits of this project are felt around the country, notwithstanding the concerns of the noble Lord, Lord Adonis. We very much look forward to ensuring this project has the buy-in of the regions and workers across the United Kingdom because it will be a fantastic project. I hope we will also see regeneration of skills apprenticeships in key areas. I am very grateful to noble Lords for their support for these amendments.
(10 years, 10 months ago)
Lords Chamber
To ask Her Majesty’s Government what assessment they have made of the impact on patients, residents of care homes and their families and carers, of the decision to postpone the introduction of the cap on care costs from April 2016 until April 2020.
My Lords, the decision to delay implementation of the cap on care costs followed careful consideration of feedback from stakeholders, and it was felt that April 2016 was not the right time to implement these significant and expensive reforms. I stress that we remain committed to these important reforms, which offer financial protection and peace of mind. We have had to make hard choices, balancing the benefits of the cap against the need to focus on supporting the system that supports our most vulnerable.
I thank the Minister for that response. The Government’s election manifesto said that capping the amount patients can be charged for residential care from 2016 would give,
“everyone the peace of mind that they will get the care they need and that they will be protected from unlimited costs if they develop very serious care needs—such as dementia”.
The assessment of one of the key stakeholders, the Alzheimer’s Society, is that the delay until 2020 will cause unacceptable costs to continue to be borne by people with dementia in their families. These are people particularly affected by the cost divide between social care and NHS continuing care. What actions will the Government be taking in the lifetime of this Parliament to meet their commitment to this key group?
This is a very important group at a most vulnerable time in their lives. The Government remain fully committed to introducing the cap on social care costs and helping people to cope with the potentially high costs of social care. It is not cancelled and will be brought in by 2020, but until then means-tested financial support remains available to those who cannot afford to pay for care to meet their eligible needs. Where a person can afford to pay for their care, we are clear they should not be forced to sell their home during their lifetime to do so. Since April this year, deferred payments have been available across England for people with less than £23,250 in liquid assets who might otherwise face that risk. By entering into a deferred payment agreement, a person can defer or delay paying the costs of their care and support until later, including out of their estate if they choose.