Health Bill [Lords]


[back to previous text]

Mr. Stephen O'Brien: I beg to move amendment 22, in schedule 3, page 42, line 13, after Ministers’, insert ‘after consultation’.
This galloping through can be quite catching, Mr. Key. However, I am afraid that a number of amendments have been tabled to schedule 3. We will try to rattle through them, but from page 42 of the Bill, there is a lot of detail that must be looked at carefully.
The amendments on this schedule relate to the terms of office of members. We want to explore aspects of the new suspension powers and how they will bite on various bodies. What consultation does the Minister plan to undertake before making these regulations? Why will this power be created through regulations in relation to this Bill and not the other Acts that are listed in the schedule? Will the Minister confirm which bodies the power applies to, other than the Commission on Human Medicines?
Mr. Mike O'Brien: The amendment would place a duty on the Minister to undertake consultation prior to any ancillary provisions being made by regulations relating to the Commission on Human Medicines, committees or expert advisory groups. The provision extends beyond the commission to various committees and expert advisory groups. The Secretary of State will work jointly with the Minister for Health, Social Services and Public Safety in the Northern Ireland Executive to enact any regulations. It is important that they have the flexibility to react swiftly to changing circumstances. Consultation on the technical detail of this essentially administrative process would take time and could delay essential appointments.
Formal consultation on the proposed suspension powers and processes has already been undertaken. The devolved Administrations and the non-executive communities support the proposals. I hope that the hon. Gentleman will withdraw the amendment because the consultation on the processes has already taken place and has secured support.
Mr. Stephen O'Brien: I beg to ask leave to withdraw the amendment.
Amendment, by leave, withdrawn.
12.45 pm
Mr. Stephen O'Brien: I beg to move amendment 23, in schedule 3, page 43, line 9, at end insert—
‘(9) The Secretary of State may by regulations make provision for compensation if the suspension is revoked under sub-paragraph 8(a).’.
The Chairman: With this it will be convenient to discuss amendment 24, in schedule 3, page 44, line 42, at end insert—
‘(9) The Secretary of State may by regulations make provision for compensation if the suspension is revoked under sub-paragraph 7(a).’.
Mr. O'Brien: Amendment 23 would make provision for compensation if a suspension from the Alcohol Education and Research Council is revoked by the Secretary of State, and amendment 24 would make a similar provision in relation to the Human Fertilisation and Embryology Authority.
The amendments would prevent the Secretary of State from wielding his power lightly. An improper suspension could not only bring unnecessary heartache to a hard-working non-executives and those around them, but it could be detrimental to the boards that they serve. I reserve a particular concern about the HFEA. Given the failure of the Government to give a free vote on that legislation last year, I am concerned that the Secretary of State is able to hang the threat of suspension over non-executive members of the authority with whom he might disagree. Obviously, in the rare case that the suspension is justified but revoked, no compensation would be a suitable option, hence leaving the Secretary of State free to make regulations.
Mr. Mike O'Brien: A decision to suspend an individual is intended to be a neutral act taken to further an investigation and does not indicate grounds for permanently removing an appointee from office. That would be determined through a formal termination process, so evidence would have to be sought, an investigation undertaken and a decision made.
Allowing compensation payments to be made in such circumstances would be inconsistent with the sentiment of the proposed suspension policy. The policy is already accepted within the NHS and indeed, such a provision would probably have implications for wider employment law. When someone has been suspended on full remuneration, it does not indicate guilt or produce a requirement for compensation to be paid.
Suspended appointees of the HFEA would continue to receive any remuneration to which they are entitled throughout the period of suspension, but members of the AERC are not currently remunerated. The Secretary of State would have to take action in an appropriate, formal investigatory way and reach an appropriate determination in any investigation. There are protections within the process that enable any abuse by a Secretary of State or anyone else to be dealt with appropriately.
Mr. Stephen O'Brien: The Minister is of course completely right that a suspension is intended, and must be seen, to be a neutral act, and it must always be presumed that someone will be retained and confirmed in their position as much as it is presumed that they might lose their position as a result of a period of suspension in which they have had an opportunity to answer questions that might be put to them. Indeed, they might find that there is no question to answer. Therefore, with those assurances, I beg to ask leave to withdraw the amendment.
Amendment, by leave, withdrawn.
Mr. Stephen O'Brien: I beg to move amendment 183, in schedule 3, page 44, line 42, at end insert—
‘(9) Where a person is suspended under paragraph 5A, in relation to a condition under paragraph 5(5)(c), the Secretary of State shall make a statement to Parliament.’.
The Chairman: With this it will be convenient to discuss amendment 30 , in schedule 3, page 47, line 35, at end insert—
‘(3) Where a person is suspended under paragraph 2(2)(c), the Secretary of State shall make a statement to Parliament.’.
Mr. O'Brien: Amendment 183 would introduce further safeguards against the Secretary of State’s power and bring the matter within the ambit of parliamentary scrutiny. The Bill gives the Secretary of State the power to suspend a non-executive using the same grounds on which the power to terminate employment rests. Those grounds, which are outlined in paragraph 5 of schedule 1 to the Human Fertilisation and Embryology Act 1990, are that a person
“(a) has been absent from meetings of the Authority for six consecutive months or longer without the permission of the Authority, or...(b) has become bankrupt or made an arrangement with his creditors, or, in Scotland, has had his estate sequestrated or has granted a trust deed for or entered into an arrangement with his creditors, or...(c) is unable or unfit to discharge the functions of a member”.
Paragraphs (a) and (b) are obviously discrete categories, but paragraph (c) is more subjective. It therefore seems fitting that suspension on the ground of paragraph (c) should be put before Parliament.
Amendment 30 refers to the suspension of monitors and non-executives in the same terms. Under paragraph 2(2)(b) of schedule 8 to the NHS Act 2006, the Secretary of State can fire a person on the grounds of incapacity or misbehaviour. If an individual is fired, the Secretary of State would have to consider whether those grounds would stand up in court. Suspension is much less likely to end up in the courts, so the amendment seeks to mitigate the breadth of the power by giving Parliament a role. The question is how it would have such a role. That could be a matter under the ambit of a form such as the Select Committee.
Mr. Mike O'Brien: I have some concerns about the amendment. There may be personal circumstances, perhaps ill health or other issues, that we should have cognisance of when making decisions about whether statements should be made to Parliament. Details would be in the public domain under all circumstances where a public employee of a body accountable to the Secretary of State is suspended; the awareness of that suspension would become public. It is not necessary for a separate statement to be made to Parliament when a public employee is suspended from monitor or the HFEA. However, we need to consider matters case by case to identify the most appropriate way of passing on information that ought to be communicated to Parliament. It is not usual for statements to be made under these circumstances. It is difficult to know, if personal issues were involved, whether the Minister would be able to detail those. In some cases it might be appropriate to do that, in others it may not. Given the variability of cases and the circumstances that apply, we should not be too prescriptive about the way in which matters should be dealt with. To some extent—and much as it may go against the grain—this is an area where there must be an element of trust that the Ministers and Secretary of State will make appropriate decisions about how much a particular individual’s circumstances can be put into the public domain. With those reassurances that we intend Parliament to be as informed as it should appropriately be, I hope the hon. Gentleman will withdraw his amendment.
Mr. Stephen O'Brien: I am grateful. I acknowledge that the Minister recognises that this is tricky territory that carries with it the potential sensitivities of human circumstances. He talked about that in terms of illness, but it also interrelates—if there is a parliamentary opportunity—with operation of the sub judice rule. That may or may not be invoked at that point, depending on whether there is something before the courts, or indicated to be.
To some degree, the thinking that lay behind the amendment came from frustration about the accountability and timing that arose as a result of wanting to discuss what happened at Maidstone and Tunbridge Wells—particularly in relation to the former chief executive Rose Gibb. That became a subject that was impossible to question, given there were such deep anxieties, not least for the patients and their families who were in the catchment area for that hospitals trust. The thinking was to try to find a way of making sure there was an opportunity to air some of the issues, despite suspension and the operation of the sub judice rule under “Erskine May”, and such things. It has been useful to air the amendment, but I do not wish to press it. I beg to ask leave to withdraw the amendment.
Amendment, by leave, withdrawn.
Mr. Stephen O'Brien: I beg to move amendment 27, in schedule 3, page 47, leave out lines 14 to 16 and insert
‘the Commission must have regard to the Secretary of State’s advice regarding the appointment of the vice-chairman’.
The Chairman: With this it will be convenient to discuss amendment 26 , in schedule 3, page 47, line 19, at end insert—
‘(c) make provision about the appointment of new non-executives, and of one as vice-chairman in the event that all non-executives are suspended.’.
Mr. O'Brien: Briefly, amendment 27 breaks the convention that the legislation carries the Secretary of State as the actor, but, as has been confirmed, action is devolved to the appointments commission. This part of the schedule addresses the Appointments Commission itself. Given the power the appointment has, and the Government’s tendency to meddle in appointments—as we have argued—it is even more essential that the Secretary of State is kept on a tight leash. I hope the Minister can tell the Committee how the Appointments Commission appoints its own non-executives and the Secretary of State’s role in that.
Amendment 26 is merely a probing amendment to find out what happens in the, admittedly, unlikely but not implausible event that all the non-executives are suspended.
Mr. Mike O'Brien: Suspending the chairman of a board or the entire non-executive team is a drastic action. In such circumstances, it is essential that the Secretary of State can provide for someone to lead the commission during such a challenging period. Schedule 4 to the Health Act 2006 already allows the Secretary of State to appoint non-executives to the commission, so amendment 26 is not necessary.
If the chair alone were suspended, the full expectation is that the vice-chair appointed by the commission’s board would, in most cases, be well placed to remain as vice-chair. Where that is not the case, it would not be appropriate for the commission to elect its own vice-chair, even with the benefit of the Secretary of State’s advice.
Although the commission is an impartial organisation, it must remain accountable to the Secretary of State, who is accountable to Parliament. That requires that the Secretary of State has the power to make provision for appointing the leadership of commission’s board.
That is the way in which we would seek to proceed. With those reassurances, I hope that the hon. Gentleman will withdraw the amendment.
Mr. Stephen O'Brien: I beg to ask leave to withdraw the amendment.
Amendment, by leave, withdrawn.
Mr. Stephen O'Brien: I beg to move amendment 28, in schedule 3, page 47, line 22, leave out ‘for paragraph 9(d) substitute’ and insert
‘at end of paragraph 9(d) insert’.
The Chairman: With this it will be convenient to discuss amendment 29, in schedule 3, page 47, line 26, leave out ‘for paragraph 5(d) substitute’ and insert
‘at end of paragraph 5(d) insert’.
Mr. O'Brien: Amendment 28 refers to the provision in schedule 3, paragraph 10, to replace paragraph 9(d) of schedule 2 to the National Health Service Act 2006, which makes provision for regulations regarding
“the circumstances in which a member of a Strategic Health Authority who is (or must be regarded as) an officer of the Strategic Health Authority may be suspended from performing his functions as a member”.
Similarly, amendment 29 refers to the provision in schedule 3, paragraph 11, to replace paragraph 5(d) of schedule 6 to the Act, which makes provision for regulations regarding similar points.
I hope that the Minister can explain why those changes have been made. Given that the Act is from 2006, it is strange that the Government did not get it right the first time.
Mr. Mike O'Brien: This is a great Government, but we are not infallible. We live and learn—[Interruption.] We will live for quite a while longer. One never knows.
The amendments would serve only to duplicate the regulation-making provisions for members. With that clarification, I hope that the hon. Gentleman will not press his amendments.
 
Previous Contents Continue
House of Commons 
home page Parliament home page House of 
Lords home page search page enquiries ordering index

©Parliamentary copyright 2009
Prepared 24 June 2009