Elections Bill

Debate between Lord Cormack and Earl Howe

Lords Hansard - Part 1 & Committee stage
Monday 28th March 2022 Lords Chamber

[Earl Howe (Con)]

When Parliament is prorogued for a general election, MPs cease to be Members of Parliament. They therefore become ordinary voters, if I can put it that way.

In our democracy, everyone should have a voice, but the Government’s view is that Peers who are Members of this House have that by virtue of their participation in this Chamber. That principle has been upheld for more than 300 years, including by the courts. It has not altered over successive Governments: in fact, in the debate on his Private Member’s Bill nearly three years ago, my noble friend Lord Young reminded the House that, as recently as 1999, Section 3 of the House of Lords Act explicitly enfranchised hereditary Peers who are not Members of this House and disfranchised Peers who are.

The noble Baroness, Lady Quin, asked whether Peers who have retired from this House have the right to vote. My understanding is that they do, because they ceased to be parliamentary Peers at that point.

The noble Lord, Lord Redesdale, asked about the cost of taking parliamentary Peers off the register. I doubt that that cost has been computed by anybody—of course, there must be a cost—but it is a very considerable privilege that we as Peers have, and I for one would argue that it is not unreasonable for that privilege to carry a public cost.

[Lord Cormack (Con)]

Of course, we are on the register and can vote in every other election, including local government elections, referenda—the lot.

[Earl Howe (Con)]

I think the point made by the noble Lord, Lord Redesdale, was that a distinction must be made on the register between different types of election, and that that carries a cost; he can correct me if I am wrong in assuming that.

This House is a respected voice that adds depth and, I hope, wisdom to our legislative process. It allows us, as its Members, full participation in the life of the nation. The Government therefore have considerable reservations about this proposed new clause, and I ask the noble Lord, Lord Dubs, to withdraw his amendment.

[Lord Dubs (Lab)]

My Lords, I never thought that so many different sorts of opinions would come out of the woodwork. It has been absolutely fascinating. The arguments have been somewhat different from the last two or three times we debated this issue. I just want to comment on them briefly.

As regards the voting list—this is a technical point—my understand is that there is no obvious way in which when we register we can declare that we are Members of this House. Somehow, in some local authorities, the polling clerks are aware of it but, in others, they are not. I am always mystified by that; it is not clear. I have known of people who have not been debarred from voting and could have gone to vote—they did not do so but they could have—simply because it was not obvious to the polling clerks that they were Members of this House.

On my noble friend Lady Quin’s comment about Members of Parliament, again, it is purely a technicality that they cease to be Members of Parliament during the period of an election campaign. Nobody knows about it except for a few nerds like us—sorry, nerds like me. It just means that they are technically not MPs. However, for all practical purposes, of course they are; they still get representations made to them, constituency casework and so on. Even during the election campaign, they cannot just say, “No, I’m not prepared to do it.”

Health and Care Bill

Debate between Lord Cormack and Earl Howe

Committee stage
Friday 4th February 2022 Lords Chamber

[Lord Cormack (Con)]

My Lords, I apologise for missing the first minute—but it was only the first minute—of the splendid speech of the noble Lord, Lord Hunt. I am delighted to add my support to his initiative, most splendidly supported by my noble friend Lord Ribeiro. We entered this House on the very same day and it was very good to hear what he had to say. Of course, the noble Baronesses, Lady Northover and Lady Finlay, and the noble Lord, Lord Alton, all have an impeccable record on these matters.

[Earl Howe (Con)]

I hope that my noble friend will forgive me but, as he was not here at the beginning of the debate, strictly speaking it is not permitted for him to speak. If he could make his remarks brief, I am sure that would be appropriate; I do not want to stop him mid-flow.

[Lord Cormack (Con)]

Well, I certainly was going to make my remarks brief, and I am sorry that I was detained for one minute. I just want to give my wholehearted support to these amendments. There is no more despicable trade than the trade in human organs and no more despicable practices than those that are going on in China at the moment, simultaneously with the opening of the shameful Games. I very much hope that my noble friend, who so politely interrupted me, will be able to give us a very supportive statement when he comes to wind up this debate.

Referendums

Debate between Lord Cormack and Earl Howe

Wednesday 12th February 2020 Lords Chamber

[Earl Howe]

My Lords, I recognise the noble Lord’s consistent interest in this topic. However, Parliament would need to go down that kind of road with a good deal of care. This country has no history of applying thresholds to the making of laws, for example, or the electing of our representatives. Both those things require a simple majority. To start applying special thresholds for referendums would require special and clear justification.

[Lord Cormack (Con)]

My Lords, is my noble friend aware that, on 24 April, I will be producing a Bill for the House to discuss the very issues raised by the noble Lord, Lord Soley? Will my noble friend commit to approaching that debate with an open mind, bearing in mind that referendums are incompatible with representative parliamentary democracy?

[Earl Howe]

My Lords, I look to debating my noble friend’s Bill when it comes before us for Second Reading. I think it would be premature for me to set out the Government’s position on the Bill today. We will do so, as we do with all Private Members’ Bills, at the Second Reading, but I can assure my noble friend that we shall approach it with an open mind.

Constitution, Democracy and Rights Commission: Civil Society

Debate between Lord Cormack and Earl Howe

Tuesday 14th January 2020 Lords Chamber

[Earl Howe]

My Lords, if the aim of establishing a commission is to restore trust in our institutions and democracy, as is the case here, it is axiomatic that the commission will need to command public confidence through both its membership and the way it operates. The Government are wholly mindful of that.

[Lord Cormack (Con)]

My Lords, I thank my noble friend for the way he has answered these questions. Can he reflect on the fact that we recently elected a citizens’ assembly? It is called the House of Commons.

[Earl Howe]

My noble friend makes an extremely pertinent point.

Business of the House

Debate between Lord Cormack and Earl Howe

Thursday 24th October 2019 Lords Chamber

[Earl Howe (Con)]

My Lords, in the absence of my noble friend the Leader of the House and on her behalf, I beg to move the Motion standing in her name on the Order Paper.

[Lord Cormack (Con)]

My Lords, I raise a small but important point about the allocation of time for Thursday debates. We have two debates today: one introduced by the noble Lord, Lord Greaves, on an important local government matter, and one on a very important international crisis in Hong Kong. The allocation of time for speakers in the first debate is 15 minutes, and in the second debate—in which two former Governors of Hong Kong are speaking—only five minutes. I believe it would be appropriate for the allocation and division of time in Thursday debates to be looked at.

[Earl Howe]

My Lords, I am grateful to my noble friend. He is right to observe that Back-Bench speeches will be limited to 15 minutes in the first debate and five in the last. Because these are balloted and not party debates, we can move only 30 minutes from one to the other. In the normal course, we would have allocated equal time to both. We have given an extra half-hour to the final debate, so we have maximised the speaking time in that debate as best we can. I am sure my noble friend’s remarks will not be lost in the usual channels.

Hong Kong Protests

Debate between Lord Cormack and Earl Howe

Tuesday 1st October 2019 Lords Chamber

[Earl Howe]

My Lords, I share the noble Baroness’s concerns on this issue. We are in dialogue with many of our friends and partners around the world. We have made our concerns about human rights clear to the Chinese Government. Earlier this week, my noble friend Lord Ahmad co-hosted an event in the margins of the UN General Assembly on the situation in Xinjiang, which remains an issue of serious concern.

[Lord Cormack (Con)]

My Lords, does my noble friend realise that those of us who saw the chilling programme on Tiananmen Square last night are particularly concerned by today’s reports? Because we have a legitimate interest, can the Foreign Secretary be asked to see the Chinese ambassador here in London and suggest that there should a British judicial presence on any committee that is established? There is a precedent for that in what has followed the one country, two systems solution, and it would give great confidence around the world if that were the case.

[Earl Howe]

My Lords, I think it is important that we do not get ahead of ourselves here in a way that might make the situation worse. We are currently reliant on media reporting. As I have said, the situation is fluid. We do not yet know the precise circumstances of the incident that has been reported. It is difficult to confirm the reports in an independent way. We are monitoring the situation closely. I take note of my noble friend’s constructive suggestion, but I think it is too early to go down that path.

Prorogation Recall

Debate between Lord Cormack and Earl Howe

Tuesday 3rd September 2019 Lords Chamber

[Lord Cormack]

To ask Her Majesty’s Government what assessment they have made of the powers available to recall Parliament during a prorogation in the event of a national or international crisis.

[Earl Howe (Con)]

My Lords, once Parliament has been prorogued it cannot be recalled. However, the sovereign, acting on the advice of Ministers, may issue a new proclamation setting an earlier date for the beginning of the new Session.

[Lord Cormack (Con)]

I thank my noble friend for that Answer and welcome the tone of his replies to the previous Question. I also add my tribute to my noble friend Lord Young of Cookham. Speaking from these Back Benches, I can say that he was universally liked and admired; his calm unflappability set an example to us all. I share my noble friend Lord Howe’s desire to lower the temperature and to obviate the need for rushed legislation. But if each House of Parliament were to pass a resolution requesting a rearrangement of the Prorogation and its dates, would not the Government be well advised to take that advice?

[Earl Howe]

My Lords, I repeat my tribute to my noble friend Lord Young, alongside my noble friend Lord Cormack. We shall miss him on the Front Bench. Clearly, if both Houses of Parliament were to take a view on any particular matter and address that proposal to the Prime Minister, it would be quite wrong for the Government to ignore such a request. I am sure that any such decision, if reached, would receive close attention from my right honourable friend.

Afghan Interpreters: Security Clearance

Debate between Lord Cormack and Earl Howe

Monday 17th June 2019 Lords Chamber

[Earl Howe]

I agree, which is why we have been careful to create not only one but at least two very generous schemes for former interpreters. Those schemes do not necessarily involve relocation to the UK. They may involve relocation in-country, they may involve financial compensation, or indeed they may involve retraining for another career altogether, and we provide the means for them to do that. In the majority of cases, I would be very surprised if complaints were raised against the UK, although I take note of the report in the Times last week, to which we are paying close attention.

[Lord Cormack (Con)]

My Lords, as one who has been privileged to give support to the noble Baroness, Lady Coussins, in this very worthwhile campaign, can I put it to my noble friend that we are dealing with some of the bravest of the brave? In the most difficult circumstances they put their own lives at risk, and very often the lives of their families as well. Does he therefore agree that we really must try to deal as expeditiously as security allows with all those whose cases have not yet been adequately dealt with?

[Earl Howe]

Yes, I agree very firmly. The Government remain grateful to all locally employed staff who played pivotal roles in Afghanistan. Many served bravely alongside our military forces on patrol in dangerous situations and we regret deeply that some had to pay the ultimate price for freedom. We use our best endeavours to expedite these assessments as quickly as possible, but my noble friend will understand that sometimes it is important to get to the facts of the case, which does take some time.

Defence Modernisation Programme

Debate between Lord Cormack and Earl Howe

Monday 29th January 2018 Lords Chamber

[Earl Howe]

My Lords, as I tried to explain a little earlier, a fully fledged defence review would look very like the exercise that we conducted in 2015: going back to basics on what threats we face, what our ambitions are as a country and what we need to do to deter those threats and to provide for those ambitions. This modernisation programme takes the fundamentals of the SDSR as read, because we believe them to be credible. It is to decide what capabilities we now need, in the face of intensifying threats around the world, to counter those threats in a way that ensures that we have a sustainable programme going forward.

[Lord Cormack (Con)]

My Lords, I have particular knowledge of the right honourable Gavin Williamson, the Secretary of State for Defence, who succeeded me as Member of Parliament for South Staffordshire. Because most Members of your Lordships’ House do not know him, and many of them have a lifetime’s knowledge and experience of the things we are talking about, could my noble friend—in whom I have very real confidence and for whom I have great admiration—arrange, at an early date, a meeting in the Moses Room, so that the noble and gallant Lords in particular can have the opportunity of meeting and questioning the Secretary of State?

[Earl Howe]

I am grateful to my noble friend. That is a very constructive idea, which I shall relay to the appropriate quarter.

Register of Hereditary Peers

Debate between Lord Cormack and Earl Howe

Monday 9th January 2017 Lords Chamber

[Earl Howe]

My Lords, I must declare an obvious personal interest in the context of this Question, as an elected hereditary Peer. But in the context of what the noble Lord seeks to achieve by his Bill, it would not in our view be an incremental reform. Reform of that kind would clearly change the means by which membership of this House is determined, as well as its composition, and would be a fundamental change to how it operates. The Government’s position is that comprehensive reform of the House of Lords is not a priority during this Parliament.

[Lord Cormack (Con)]

My Lords, until the Grocott Bill or something like it has a realistic prospect of success, should we not look at the electorate for the by-elections? Can we not also take a crumb of comfort that one of those high on the list on the Labour side is Lord Stansgate?

[Earl Howe]

My Lords, I am sure that the House will wish to note that fact but I can only say again that the process for the filling of vacancies on the register of hereditary Peers is a matter for this House under its Standing Orders. It is open to any noble Lord to make representation to your Lordships’ Procedure Committee and to the Lord Speaker on any relevant matter.

House of Lords: Strathclyde Review

Debate between Lord Cormack and Earl Howe

Thursday 17th December 2015 Lords Chamber

[The Minister of State, Ministry of Defence (Earl Howe) (Con)]

My Lords, I am sure the House would wish to hear from the noble Lord, Lord Richard, but it is the turn of the Conservative Benches.

[Lord Cormack]

My Lords, I am most grateful. I am sure we are all grateful to my noble friend for what she has said, but I would ask her two things. First, it is right that we should have a full and extensive debate. However, as this report has been produced on the eve of the Christmas Recess, can we have a week or two after we come back where we can talk together informally, across the House, and then have a well-informed debate? Secondly, can that debate be informed by the fact that it is the Government who are answerable to Parliament—not the other way round—and by the fact that we are in this mess largely because of the appallingly inefficient way in which the other place deals with secondary legislation? It is therefore crucial—I ask my noble friend to talk to her colleagues in Cabinet about this—that the other place also debates this matter in detail, so that we have a more satisfactory balance in the way both Houses look at secondary legislation.

National Security Strategy and Strategic Defence and Security Review 2015

Debate between Lord Cormack and Earl Howe

Monday 23rd November 2015 Lords Chamber

[Earl Howe]

My Lords, I think the noble and gallant Lord meant the 2030s. This has been a matter of very deep consideration in the SDSR process. The commitment to maintaining our fleet of 19 frigates and destroyers is still there, as I have said. The Navy needs eight Type 26 frigates to undertake the core anti-submarine warfare role and we remain committed to building those ships. We are taking more time to mature the design and drive down the costs before we cut steel on the first Type 26. Meanwhile, we will build two more offshore patrol vessels to ensure continuity of work on the Clyde and to provide more capability to the Royal Navy.

The concept of designing and building a new class of lighter, flexible, general-purpose frigate is, I hope, interesting to noble Lords. We are clear that behind that lies an aspiration to increase the total number of frigates and destroyers available to the Royal Navy. If we can produce something that is more generic—that is less high-spec when it does not need to be state-of-the-art high-spec—that should benefit the reach and capability of the Royal Navy in the round. It should also benefit shipbuilders in Scotland and the rest of the UK. We will publish a new shipbuilding strategy in 2016 setting out the detail of that.

[Lord Cormack (Con)]

My Lords, is it not deeply unfortunate that the leader of Her Majesty’s loyal Opposition does not speak the same language as the noble Lord, Lord Touhig?

[Earl Howe]

My Lords, the noble Lord, Lord Touhig, is, I am sure, in complete harmony with his leader in the other place. But he does, of course, have one advantage over his colleague in that he has been a Defence Minister and has a deep knowledge of these matters.

NHS: Five Year Forward View

Debate between Lord Cormack and Earl Howe

Monday 1st December 2014 Lords Chamber

[Earl Howe]

My Lords, I thank the noble Lord, Lord Walton, for his welcome of the Statement and indeed of the Five Year Forward View, which I think commanded a great deal of support from many quarters. He asked about the seven-day working plans for the NHS. Part of the Better Care Fund plans involves local areas committing, in one form or another, to seven-day working. Unless we have seven-day working in hospitals, we cannot hope to achieve the smooth and timely discharge of patients. That means a change in approach by a number of professionals. It does not mean that every professional will need to work seven days a week—no one has ever suggested that—but it means a shift in approach by social services, and by consultants in hospitals, in a way that in some areas we have not seen. In other areas this is already happening, and we can build on those models.

On the noble Lord’s question on biomedicine and orphan drugs, he is of course as well informed as he always is on these matters. Orphan drugs, as and when they come forward, can indeed be expensive, particularly if they are termed a stratified medicine applicable to only a narrow cohort of patients. In those instances we will expect NICE to make an assessment of these high-cost, low-volume treatments under its new methodology for those drugs. NICE is already engaged in a number of work streams in those areas. It is right that we take that approach. We have to have some methodology that commands confidence, to ensure that the NHS receives treatments that are not only clinically effective but provide value for money.

[Lord Cormack (Con)]

My Lords, I thank the Minister and congratulate him on what he has said. However, does he not accept that at the end of five years, welcome though this new injection of money is, there will be even greater demands and greater needs? Will he reflect on the debate introduced last year by the noble Lord, Lord Patel, where almost every speaker from all sides of this House indicated that there is a need for a plurality of funding if our National Health Service is to avoid further problems and disasters? Will he therefore reflect on the wisdom of establishing, with all-party support, a royal commission on the funding of the NHS that can look at everything and rule nothing out? If we are to have a world-class service through this century, we cannot resort to sticking plasters from time to time; we must have a new model of funding.

[Earl Howe]

My Lords, my noble friend, as ever, has rightly identified the likelihood of greater and greater demands on our health service over the coming years. Certainly, building a non-partisan consensus is something to be desired regarding the way that we fund our health service. Having said that, I can tell my noble friend that there has been no thinking whatever on the part of Ministers to depart from the current model of funding for the NHS. We believe passionately that the NHS should be free at the point of use, regardless of ability to pay. That is one of the core principles on which the NHS has been founded since 1948 and it is paid for out of general taxation. While I take on board my noble friend’s desire to look afresh at this area, I think that we have some way to go before cross-party talks need to take place. We are clear that we can proceed on the current basis.

NHS: Patient Data

Debate between Lord Cormack and Earl Howe

Tuesday 25th February 2014 Lords Chamber

[Lord Cormack]

Will my noble friend assure the House that the leaflet which was recently sent out, and which was far from satisfactory, will be replaced by something that really communicates what people need to know?

[Earl Howe]

My Lords, I am aware of concerns around the leaflet. Many people have said that they have not received it, which is clearly a concern. NHS England, which is leading on the development of the programme, will consider how to ensure that it engages fully with stakeholders and the public over the coming weeks and months and respond to the concerns that have been raised. The Government will also be engaging with stakeholders to see what we can do from a broader perspective.

Care Bill [HL]

Debate between Lord Cormack and Earl Howe

Tuesday 29th October 2013 Lords Chamber

[The Parliamentary Under-Secretary of State, Department of Health (Earl Howe) (Con)]

My Lords, before I move to the matter in hand, I thank noble Lords for the tremendous dedication that they have shown to the scrutiny of the Bill during its passage through the House. It is a landmark piece of legislation, and I hope that the House will agree that the changes that the Government have made in response to the debates that we have had have strengthened the Bill so that it will pass to the other place in an even better state. Many noble Lords across this House have dedicated impressive time and energy to improving the provisions in all parts of the Bill, but time does not permit me to thank all noble Lords individually, as I would like to. However, I thank again those noble Lords who played such an important role in improving the Bill as members of the pre-legislative scrutiny committee.

I turn to my noble friend’s amendment. Under Clause 1, local authorities must promote individuals’ well-being and must also have regard to individuals’ views, wishes and feelings. As I set out during our debate on Report, we consider that these provisions mean that a local authority would take a person’s spiritual views, wishes and feelings into account in promoting their well-being. However, in response to concerns raised by a number of noble Lords on Report, I have now tabled an amendment to make it absolutely clear that these matters should be considered where they are of importance to the individual.

My amendment adds “beliefs” to the matters to which a local authority must have regard when exercising care and support functions. Having regard to someone’s beliefs includes their spiritual beliefs; for example, ensuring access to an appropriate figure of religious authority during palliative care. This approach achieves the same aim as Amendment 1 in the name of my noble friend Lord Hamilton, but I suggest to him and to the House that the government amendment is preferable, for two reasons.

First, my amendment quite deliberately does not refer specifically to “spiritual” well-being, but applies instead more widely to beliefs, which was the point made very effectively by my noble friend Lady Barker. That is because we do not wish to exclude those who may not consider themselves to have “spiritual” beliefs. That issue was raised by the noble Lord, Lord Warner, on Report, in relation to humanists.

Secondly, despite the comments of the noble Baroness, Lady Warnock—to whom I listened as always with great attention—spiritual well-being is not a well understood or defined concept. It carries a risk because it may confuse the practical application of the well-being principle on an individual level. There is another problem here. My noble friend’s amendment would effectively mean that local authorities had a duty to promote an individual’s spiritual well-being or beliefs. It is not appropriate to require a local authority to promote spiritual matters, except in so far as they affect the emotional well-being of a person.

[Lord Cormack (Con)]

This is a question not of local authorities promoting but of their protecting. There is surely a real difference there.

[Earl Howe]

I hope that my noble friend will on reflection agree that promotion is very much a part of the local authority’s role here. However, subsection (2) makes adequate provision as regards the emotional well-being of a person.

My noble friend Lord Hamilton compared what we are proposing in the Bill to the situation in the National Health Service. The NHS does not have a duty to promote spiritual well-being and, if it did, that potentially would have the negative consequences that I outlined. Having said that, the noble Baroness, Lady Emerton, is of course right—the NHS must take a patient-centred approach when planning and delivering services, and that would naturally include having regard to an individual’s beliefs where relevant. It is exactly this position that the Bill will replicate for local authorities when they plan and deliver care and support. To support the NHS in fulfilling its functions the Department of Health has produced best-practice guidance on NHS chaplaincy but I struggle to understand how that can equate to a duty in primary legislation on local authorities to promote spiritual well-being as my noble friend would have it.

NHS: Keogh Review

Debate between Lord Cormack and Earl Howe

Tuesday 16th July 2013 Lords Chamber

[Earl Howe]

I applaud that and we should all celebrate the success of outstanding hospitals—there are many in the health service—which have led the way in improving mortality rates over the past few years. The noble Baroness is quite right. Indeed, Sir Bruce suggests that those hospitals should now be asked to partner with some of the hospitals that are struggling in certain respects to show the way, whether that is on governance, on systems in A&E, on quality of surgical outcomes or whatever it happens to be. That is an appropriate idea, and we should undoubtedly ensure that it is taken forward. However, as the Statement itself reflects, the 14 hospitals that are under the microscope at the moment are not representative of the quality of care that the NHS delivers day in and day out, which is of a very high standard by any benchmark.

[Lord Cormack]

My Lords, I accept what my noble friend has just said, but he will understand that there will be concern throughout the country at this very disturbing indictment—because that is what the report is. Will he talk to the new chief inspector to consider whether we can have a form of assessment of hospitals—the noble Lord, Lord Warner, effectively referred to this—so that patients throughout the country know whether their local hospital is graded as being excellent or not? Will he also ensure that there is a debate on the Floor of this House, as there will be on the Floor of the other House?

[Earl Howe]

I can certainly use my best endeavours through the usual channels with regard to my noble friend’s latter question. On his first point, he is absolutely right. That is what led us to believe that aggregate hospital ratings, provided that they are produced in a sophisticated and careful way, will be very informative to the general public and to patients in a local area, and to professional staff within the health service. The Healthcare Commission, of old, used to produce aggregate ratings. They fell into disuse and, I have to say, into some disrepute, because they were so broad brush as to be meaningless. When we asked the Nuffield Trust to look at this area, it told us very clearly that, as long as we adopted a nuanced and sophisticated approach so that what was assessed was not just a hospital trust or an individual hospital within that trust but rather the performance of individual medical teams and units within a hospital, we would provide useful information to the public. However, that information needs to be accessible.

Mid Staffordshire Foundation Trust Inquiry

Debate between Lord Cormack and Earl Howe

Tuesday 26th March 2013 Lords Chamber

[Earl Howe]

My Lords, the main drivers and levers for increased integration will come from other directions, such as: the systems we are putting in place at local authority level and health and well-being board level; more sophisticated tariffs; better commissioning arrangements between the NHS and social care; and the financial imperative that all commissioners and providers now face. That will mean an imperative to ensure that resources are not wasted and are deployed to the best effect of patients.

We must also remember that the NHS outcomes framework will be the benchmark by which the success of the service is judged, just as the social care outcomes framework will act in that sphere in an equivalent way. The major domain in both areas is the patient experience. If we believe that integration is above all to be defined by reference to the patient’s experience, we can expect commissioners across the piece to address commissioning in a way that avoids disjointed care.

[Lord Cormack]

My Lords, is my noble friend aware that many people in Staffordshire will welcome this report but will wonder whether the present chief executive is the best person to oversee the implementation of the many recommendations to which my noble friend has referred?

[Earl Howe]

My Lords, it was a signal feature of the Francis report that he consciously avoided pointing the finger at individuals. The chief executive of the NHS did not have the finger of blame pointed at him. The House may be interested to know that I regard Sir David Nicholson as a truly outstanding public servant who has done an enormous amount of good for the NHS since becoming chief executive.

The benefit of hindsight is wonderful but we must remember that in the years in which these dreadful events took place the National Health Service was held to account by reference to two main indicators: access to care and waiting times, and finance. Above all, it was the arrival of the noble Lord, Lord Darzi, as a Minister and the Secretaries of State whom he served that saw the transformation of the NHS from an organisation that was concerned just about numbers into one that really appreciated that quality matters. Therefore, to accuse those with positions of responsibility with regard to Mid Staffs of overlooking the fact that quality was poor is to place a wholly unfair retrospective expectation on them.

Social Care Funding

Debate between Lord Cormack and Earl Howe

Monday 11th February 2013 Lords Chamber

[Earl Howe]

I quizzed my officials very closely on that very point only this morning and received very firm reassurances on that front. I completely agree with the noble Baroness about how important this is. She is right; there is a widespread lack of knowledge among the general public about what they are entitled to and what they may not be entitled to. Collectively, we need to put that right. I take her point about additional burdens on local authorities, but ultimately I hope that they will see it as in their own interests to inform the public before they are inundated with questions that will take them a lot of time and effort to answer. I can assure her that work on these lines will be very vigorous, and I will be happy to keep her up to date on the work we are doing over the months ahead.

[Lord Cormack]

Does my noble friend agree that it is a pity that so many details were given to the media this morning before we had them in Parliament? Will he clarify one point that he made in his answer to the noble Lord, Lord Warner? He said that the eligibility criteria would change as from 2015. The new system will not be operative until 2017. What precisely does that mean?

[Earl Howe]

First, I completely agree with my noble friend that the leak to the media over the weekend was highly regrettable. I do not know how it occurred. It certainly was not of my making or that of my ministerial colleagues in the Department of Health. We wished to make this announcement to Parliament first of all, and I am sorry that that did not happen.

My noble friend’s second question relates to the national minimum eligibility threshold. We believe that that can be introduced in advance of the Dilnot package because what it is designed to do, as I explained earlier, is to give people greater certainty about their access to care wherever they live around the country, particularly for those who move from one place to another. That is a separate issue from those covered by Dilnot, although it was one of those which the commission considered. It is separate from the issue of the cap or the means test, which we believe can logically come in at a later date.

NHS: Clinical Commissioning Groups

Debate between Lord Cormack and Earl Howe

Wednesday 16th January 2013 Lords Chamber

[Earl Howe]

I am pleased to say to the noble Baroness that there has been no cut at all in the allocations to clinical commissioning groups. Indeed, there is a real-terms increase everywhere in the country. I can also reassure her that this will not be a matter for Ministers; it will be decided independently by ACRA advising the board and the board taking the decision.

[Lord Cormack]

My Lords, I congratulate my noble friend on becoming a privy counsellor.

--- Later in debate ---

[Lord Cormack]

It is a very well-deserved honour. Does he have regular meetings with the chairman of the board, and what plans he has for that?

[Earl Howe]

I am very grateful to my noble friend. I have meetings from time to time with the chairman of the NHS Commissioning Board, as does my right honourable friend the Secretary of State. I also meet regularly with the chief executive of the Commissioning Board. It is important that there is that interaction between Ministers and the board if there is to be proper accountability.

NHS: Annual Report and Care Objectives

Debate between Lord Cormack and Earl Howe

Wednesday 4th July 2012 Lords Chamber

[Earl Howe]

The short answer to the noble Baroness is that she is, of course, absolutely right about service redesign locally. It involves the kinds of conversations that are already happening in many areas between primary and secondary care clinicians to see how we can bring about that shift that most experts agree is desirable and certainly patients want to see. This is an ongoing conversation. I do not know as much as I should about the noble Baroness’s particular area of the country, but I will gladly follow that up with her after this.

[Lord Cormack]

My Lords, very briefly, my noble friend indicated progress towards the elimination of mixed-sex wards. This issue causes quite a degree of anguish in the country. When can we expect to see the end of them?

[Earl Howe]

My Lords, my noble friend is absolutely right. However, the NHS has made staggering progress. The reduction in mixed-sex accommodation has been virtually—but not quite—total, but it is something that we continue to emphasise to the health service and which will continue to matter, in the context of the NHS outcomes framework, in the patient experience domain, which is contained in the mandate.

Organ Transplantation

Debate between Lord Cormack and Earl Howe

Monday 27th February 2012 Lords Chamber

[Earl Howe]

The noble Lord is quite right: 75 per cent of people from a BME background refuse to donate organs when asked to, compared with an average figure of 40 per cent across the population. We are completely committed to increasing organ donor rates among the BME population, and there has been funding to support specific projects to work with local faith leaders and explore issues around organ donation. We held a workshop on 7 February with national and local groups to identify the barriers that exist in the BME and mixed-race communities, and plans are being developed to take forward that work. We have public awareness campaigns on local radio stations and through organisations such as the African-Caribbean Leukaemia Trust.

[Lord Cormack]

My Lords, if a donor expressed his or her wish in a will, would that not be legally binding?

[Earl Howe]

My Lords, I am advised that it would not be legally binding.