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My Lords, the Minister has spoken passionately about reducing the intake of sugar by younger people. Are His Majesty’s Government intending to admit obese children with type 2 diabetes to the two-year pilot study of the new drug Wegovy?
My Lords, the Minister has spoken passionately about reducing the intake of sugar by younger people. Are His Majesty’s Government intending to admit obese children with type 2 diabetes to the two-year pilot study of the new drug Wegovy?
My understanding—and I will confirm this afterwards—is that, to begin with, always with these sorts of treatments, you want to make sure that you are doing it in a safer type of environment. Generally, having adults doing it is a better place to start. Clearly, if that works the way we think, and we can trust that it will work, then you have opportunities to expand beyond that. The other thing I would like to say on this is that, actually, an active life is very important—activity and sports are a very important component of this. Interestingly, it has been shown that an active life increases life expectancy by one to two years, so that is an important feature in all this as well.
My Lords, I think the whole House is grateful to the noble Lord for the very clear message that he gave as his personal commitment when he quoted the Prime Minister’s words from the other place concerning the European Convention on
Human Rights. However, that message is not getting through to member states, other than this country perhaps, in the Council of Europe. Particularly as the Prime Minister is not, it appears, going to attend the Reykjavik summit next month, can we make sure that whoever leads the British delegation will give that clear commitment that the noble Lord has given, so that the lingering doubts among many states in the Council of Europe concerning our commitment to the European convention are eliminated and no longer persist?
My Lords, I think the whole House is grateful to the noble Lord for the very clear message that he gave as his personal commitment when he quoted the Prime Minister’s words from the other place concerning the European Convention on
Human Rights. However, that message is not getting through to member states, other than this country perhaps, in the Council of Europe. Particularly as the Prime Minister is not, it appears, going to attend the Reykjavik summit next month, can we make sure that whoever leads the British delegation will give that clear commitment that the noble Lord has given, so that the lingering doubts among many states in the Council of Europe concerning our commitment to the European convention are eliminated and no longer persist?
I assure the noble Lord of the best of British diplomacy in that respect.
But is it not true that in the days of the coalition Government, the regulations on school meals were weakened, particularly in 2014? That weakening of the regulations allowed much more sugar to be added to some of the school meals.
But is it not true that in the days of the coalition Government, the regulations on school meals were weakened, particularly in 2014? That weakening of the regulations allowed much more sugar to be added to some of the school meals.
The regulations were updated in 2014—
The Minister referred to the ABCD. I remember from when I read about it—it treats us rather like kindergarten children, does it not? —that “A” is for “ambulances”. But the big idea for ambulances in that document from the former Deputy Prime Minister was to create an auxiliary ambulance service. As the problem with the ambulance service at the moment is getting patients out of ambulances and into hospitals, what good will an auxiliary ambulance service do if it merely gets more people into hospital car parks, where more of them are waiting in more ambulances?
The Minister referred to the ABCD. I remember from when I read about it—it treats us rather like kindergarten children, does it not? —that “A” is for “ambulances”. But the big idea for ambulances in that document from the former Deputy Prime Minister was to create an auxiliary ambulance service. As the problem with the ambulance service at the moment is getting patients out of ambulances and into hospitals, what good will an auxiliary ambulance service do if it merely gets more people into hospital car parks, where more of them are waiting in more ambulances?
The noble Lord is referring to the whole-system issue here, which I mentioned before. There is a £450 million investment to increase capacity in A&E facilities; that has already worked to upgrade 120 trusts to enable them to offload quickly. There are also 7,000 extra beds, and the £500 million social care discharge fund is all about freeing up more beds so that ambulances can discharge quicker.
My Lords, the Minister says that pay rises in the public sector are very much in line with those in the private sector. That is not readily accepted by Members on this side of the House. Will he produce his evidence for that and place it in the Library, so that we can see the basis on which the Government are working?
My Lords, the Minister says that pay rises in the public sector are very much in line with those in the private sector. That is not readily accepted by Members on this side of the House. Will he produce his evidence for that and place it in the Library, so that we can see the basis on which the Government are working?
I most certainly will do that. It is certainly a fact, but there is a lot more that we are doing, of course, to help people pay their bills. There are many who are really struggling at the moment, so this is not the only answer. We have to create that balance between recognising the vital importance of public sector workers, while delivering value for the taxpayer and being careful not to drive prices even higher in the future by contributing to the wage-price spiral.
My Lords, notwithstanding everything that has been said about poverty among pensioners, they are not the only group in society suffering poverty. In the Minister’s enthusiasm to make sure that something is put on the table to help pensioners, can she also deal with the large number of people who are in work but getting such low pay that they have to get means-tested benefits? There is just as much of a problem in making sure that they apply for the available benefits, and I hope the Minister will make sure that she gives full attention to them as well as to pensioners.
My Lords, notwithstanding everything that has been said about poverty among pensioners, they are not the only group in society suffering poverty. In the Minister’s enthusiasm to make sure that something is put on the table to help pensioners, can she also deal with the large number of people who are in work but getting such low pay that they have to get means-tested benefits? There is just as much of a problem in making sure that they apply for the available benefits, and I hope the Minister will make sure that she gives full attention to them as well as to pensioners.
I assure the noble Lord that all groups are being looked at, in terms of making sure that they get what they are entitled to. We have universal credit, which in its technical form is working very well, and we are going to do the migration to universal credit, which will help to make sure that people get the benefits that they should have.
Does the Minister agree that, instead of coming forward with some scheme of auditors to examine and then report more accurately the statistics of failure of lifts and toilets, the Government ought to employ some plumbers and electricians to go round, do the audit work and remedy it immediately?
Does the Minister agree that, instead of coming forward with some scheme of auditors to examine and then report more accurately the statistics of failure of lifts and toilets, the Government ought to employ some plumbers and electricians to go round, do the audit work and remedy it immediately?
I am not sure that such multi-skilled individuals exist—
Does the Minister to any degree share my sense of shame and outrage at the extent to which the requirements of the Ministerial Code have been trashed by this Government? As there are no planned changes to the Ministerial Code, can we at least anticipate that the Government will take their existing responsibilities seriously as a solemn and binding duty to the British people?
Does the Minister to any degree share my sense of shame and outrage at the extent to which the requirements of the Ministerial Code have been trashed by this Government? As there are no planned changes to the Ministerial Code, can we at least anticipate that the Government will take their existing responsibilities seriously as a solemn and binding duty to the British people?
My Lords, of course. Again, I do not agree with the political comment at the outset. The Government will carefully consider comments made by parliamentarians in both Houses, as well as the work of Mr Nigel Boardman, the CSPL and PACAC, when the committee reports. We will make a policy statement in due course but, as your Lordships would expect, we intend to consider these matters carefully.
My Lords, what apology can the Minister make on behalf of Her Majesty’s Government for the promise that was made to build 200,000 low-cost homes for sale, a promise that was echoed in David Cameron’s manifesto? Is it not a fact that as of today, not one of those 200,000 homes has been built? Can he tell us how much of the £200 million
that was set aside has been spent? I can help him by suggesting that it is £187 million for not building a single home. Can he tell us when they are going to honour their promises?
My Lords, what apology can the Minister make on behalf of Her Majesty’s Government for the promise that was made to build 200,000 low-cost homes for sale, a promise that was echoed in David Cameron’s manifesto? Is it not a fact that as of today, not one of those 200,000 homes has been built? Can he tell us how much of the £200 million
that was set aside has been spent? I can help him by suggesting that it is £187 million for not building a single home. Can he tell us when they are going to honour their promises?
As the noble Lord will know, we are already building a lot of homes. This has emerged from an NAO report, and it will be for the Public Accounts Committee to take evidence on that report in the normal way. The Government are delivering on a package of interventions to support people to achieve their aspirations and own a home of their own. Since 2010, over half a million households have been helped into home ownership through government schemes. This includes more than 220,000 households benefiting from Help to Buy equity loans and our £9 million investment in the affordable homes programme.
My Lords, does the Minister share my concern at the report in the Times today about the number of students coming to independent schools and colleges from Vietnam who seem to have disappeared after they have attended for one term? Apparently paying one term’s fees and then disappearing is cheaper than paying the traffickers.
My Lords, does the Minister share my concern at the report in the Times today about the number of students coming to independent schools and colleges from Vietnam who seem to have disappeared after they have attended for one term? Apparently paying one term’s fees and then disappearing is cheaper than paying the traffickers.
The noble Lord highlights that it is very important that the student sponsor route is a secure one. For that reason, certain universities have a much easier process than others. Of course, we did in the past root out and close down bogus colleges which were responsible for a huge amount of illegal migration.
My Lords, will the Minister agree—I somehow think he might not—that the Chancellor is as frivolous in fiscal discipline and monetary rectitude as his colleague the Prime Minister is in keeping his promises? We have only to look at 31 October —do or die, dying in a ditch, and all the other things that we have had to live with. Does the Minister agree that the Chancellor is following in the very bad habit of making promises that he has no intention or capacity to keep?
My Lords, will the Minister agree—I somehow think he might not—that the Chancellor is as frivolous in fiscal discipline and monetary rectitude as his colleague the Prime Minister is in keeping his promises? We have only to look at 31 October —do or die, dying in a ditch, and all the other things that we have had to live with. Does the Minister agree that the Chancellor is following in the very bad habit of making promises that he has no intention or capacity to keep?
My Lords, I was desperately searching for something I could possibly agree with in the noble Lord’s analysis, but there is nothing. The Chancellor is taking extremely pragmatic, well-judged decisions on investment in infrastructure for the country. These investments have been called for by business, the trade unions and professional groups. His decisions are thoroughly sensible and are supported by many noble Lords on all sides of the House.
Can the Minister, or his department, justify the statement he has made twice that manufacturing productivity is rising three times faster than in the economy as a whole? Can he place a copy of the calculations on which that statement is based in the Library, so that we can all see whether it is fact or fiction?
Can the Minister, or his department, justify the statement he has made twice that manufacturing productivity is rising three times faster than in the economy as a whole? Can he place a copy of the calculations on which that statement is based in the Library, so that we can all see whether it is fact or fiction?
My Lords, I do not believe in uttering fiction from the Dispatch Box. I do not accept the noble Lord’s comment, but I will take it back to the department and ask for clarification on that figure.
While the noble Lord is struggling with the problems of consultation in relation to plastic bags and their distribution by supermarkets and others, will he perhaps turn his undoubted abilities to something nearer home: namely, the plastic bags in which we have mail forwarded to our domestic addresses? They are very heavy plastic, they are almost impossible to open and they come at great cost to the taxpayer.
While the noble Lord is struggling with the problems of consultation in relation to plastic bags and their distribution by supermarkets and others, will he perhaps turn his undoubted abilities to something nearer home: namely, the plastic bags in which we have mail forwarded to our domestic addresses? They are very heavy plastic, they are almost impossible to open and they come at great cost to the taxpayer.
My Lords, I have enormous sympathy with that. It is obviously a matter for the House authorities. Those of us who subscribe to various societies and organisations are now starting to see that, for instance, the Royal Horticultural Society has biodegradable envelopes rather than plastic ones. That is the way forward. Everyone who is a member of a society or an organisation should perhaps encourage them to start thinking more about the circular economy and not using plastic in it.
My Lords, I declare an interest as a former chairman of the British Fluoridation Society. Does the Minister agree that prevention is much better than cure, and that you can prevent the need for dentists through a substantial increase in the use of fluoride in our water supplies? Is she satisfied with the progress being made on fluoridation of water? If not, what plans does she have to encourage it?
My Lords, I declare an interest as a former chairman of the British Fluoridation Society. Does the Minister agree that prevention is much better than cure, and that you can prevent the need for dentists through a substantial increase in the use of fluoride in our water supplies? Is she satisfied with the progress being made on fluoridation of water? If not, what plans does she have to encourage it?
The noble Lord is quite right: prevention is always better than cure. That is why the programme for oral health improvement in both the NHS long-term plan and the dental contract being tested focuses on a more preventive approach to oral care. Water fluoridation is obviously a very effective way of improving oral health, particularly for children. According to the 2012 Act, it must be a local decision supported by Public Health England in the lead. We want to see more decisions. PHE’s guidance on delivering better oral health sets out clear expectations on this, but there are also other ways in which fluoride can get to children. One is through fluoride in toothpaste, which is now at effective concentrations; the other is that all dentists are expected to deliver fluoride to teeth directly, at clinically appropriate intervals, to all children in their care.
Does the Minister accept that as well as acknowledging and commemorating the valour of all those who died in the past, it is equally important that we safeguard the institutions of Europe which were devised to try to make sure that war like that never happens again? Will he therefore recommend to people who talk about recalling the valour of the past that they should not capriciously destroy the institutions of the European Union, which are there to prevent war happening again?
Does the Minister accept that as well as acknowledging and commemorating the valour of all those who died in the past, it is equally important that we safeguard the institutions of Europe which were devised to try to make sure that war like that never happens again? Will he therefore recommend to people who talk about recalling the valour of the past that they should not capriciously destroy the institutions of the European Union, which are there to prevent war happening again?
My Lords, I have sympathy with the spirit of the noble Lord’s question but of course we now have the NATO alliance, which represents the values of all western nations. Although we are leaving the European Union, we are not leaving Europe in terms of the values that we share with our European friends and the defence of the international rules-based order.
My Lords, as the noble and learned Lord does not appear to like the word profit, can he tell us how much of the surplus was made available for distribution to other aspects of the justice system?
My Lords, as the noble and learned Lord does not appear to like the word profit, can he tell us how much of the surplus was made available for distribution to other aspects of the justice system?
My Lords, I am very content with the word profit, but it should be used in the proper context—that was the point I was seeking to make. As we have not yet applied the fee increases, there is no issue of a surplus at the present time.
My Lords, a few minutes ago, the Minister referred to the great successes of this mixed-market model. Can he help people such as me by giving a couple of examples of these great successes? Can he then explain why it has been so necessary to introduce such proposals for major reform?
My Lords, a few minutes ago, the Minister referred to the great successes of this mixed-market model. Can he help people such as me by giving a couple of examples of these great successes? Can he then explain why it has been so necessary to introduce such proposals for major reform?
My Lords, I am not sure I used the word “great”, but there have been successes so far as that model is concerned. Indeed, if we look at the statistics, we see that there has been an overall reduction, by a number of percentage points, in the reoffending rate for offenders managed by CRCs over the same offenders in 2011. In addition, we have seen that a proportion of CRCs have been consistently successful in reducing reoffending. However, we recognise that the model has not worked as we had hoped. In particular, it has not enabled us to engage with the voluntary sector in the way we had anticipated. We are desirous to achieve that objective.
My Lords, I am not wildly enthusiastic about referenda—I was not enthusiastic the first time round and I am not for a second one.
Would it not be better to take action now to create the circumstances in which we can have a proper national debate about what we want rather than what we do not want, which would best be facilitated by revoking Article 50?
My Lords, I am not wildly enthusiastic about referenda—I was not enthusiastic the first time round and I am not for a second one.
Would it not be better to take action now to create the circumstances in which we can have a proper national debate about what we want rather than what we do not want, which would best be facilitated by revoking Article 50?
As the noble Lord will know, that is not the Government’s policy, nor would it be consistent with the decision of the electorate two years ago. To return to the first part of his question, I agree that we should have a debate. A good report on referendums was produced by the Constitution Unit at UCL, on which the noble and right reverend Lord, Lord Eames, sat, together with Jenny Watson, the chair of the Electoral Commission. There have been other reports on referendums, which I mentioned in my original reply. I agree wholeheartedly that we could have a useful debate. I am not in favour of a royal commission—we do not have time for that.
I remind the Minister that the Question asks him about reporting to Parliament the outcome of these deliberations. Once again, he is avoiding the Question. He is answering questions from his imagination and not the Question that Parliament wants an answer on. When will he learn his responsibility to Parliament—the Parliament that held a referendum, in which his side argued that we must take back control?
I remind the Minister that the Question asks him about reporting to Parliament the outcome of these deliberations. Once again, he is avoiding the Question. He is answering questions from his imagination and not the Question that Parliament wants an answer on. When will he learn his responsibility to Parliament—the Parliament that held a referendum, in which his side argued that we must take back control?
Like the Opposition, we want to respect the confidentiality of those talks. I am sure that when and if we reach an agreement, both sides will want to report back to Parliament in full on it.
It is the normal practice that Members of this House ask questions and the Minister answers the question he is given. It is not the practice that he chooses the question and answers that, even if it has no relevance to the question asked. So will he now answer the question that he was asked from the Opposition Benches?
It is the normal practice that Members of this House ask questions and the Minister answers the question he is given. It is not the practice that he chooses the question and answers that, even if it has no relevance to the question asked. So will he now answer the question that he was asked from the Opposition Benches?
I thank the noble Lord for his advice on answering questions. I did answer the question. I will not go into details of the talks because they are still live and are still taking place. Suffice it to say that if there is to be a deal that will deliver Brexit, and if it is true that the Labour Party wants to deliver Brexit—I know that many of its members might disagree, but that is today’s position of the leadership—let us explore how that can be done in a compromise fashion. The talks seek to explore that, and we accept that that requires compromise from both sides.