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Lord Campbell of Croy: My Lords, I thank the noble Lord for his reply. While genuine refugees from Kosovo and elsewhere have been received willingly and with sympathy in central Scotland, and vacant housing is available in the Glasgow area, has the disagreement about the amount of payment to the local authorities yet been settled before the new arrangements, which the noble Lord mentioned, start in April under the Immigration and Asylum Act?
Lord Bassam of Brighton: My Lords, I am not aware that there are any profound disagreements. That whole process has been very carefully put together and orchestrated. My understanding is that thorough and
Lord Harris of Haringey: My Lords, is my noble friend aware that there are in excess of 59,000 refugee and asylum-seeker households which are the responsibility of local authorities in the London area? There are some London boroughs where more than 2 per cent of the population now comprises refugee and asylum-seeker households. Therefore, does he not agree that it is appropriate that all local authorities, including those in central Scotland, should take their fair share of that burden?
Lord Bassam of Brighton: My Lords, I am aware of the statistics to which my noble friend has drawn our attention. In general terms, we are extremely pleased with the progress that has been made in detailed negotiations and discussions with local authorities to ensure that the dispersal arrangements are effective when they are brought on-stream. We are extremely grateful for the co-operation which we have received. Of course, it is a national problem and there must be a national solution. That is the determination of the Government.
Baroness Gardner of Parkes: My Lords, will the Minister tell us whether the money that will be paid to local authorities in Scotland will be adequate to meet the costs of the asylum seekers? Is he aware that in London that is certainly not so? Each local authority is bearing a heavy additional burden. Does he believe that any of the London boroughs are having all their costs reimbursed?
Lord Bassam of Brighton: My Lords, the arrangements are designed to ensure that local authorities are reimbursed for all reasonable costs. We believe that we have a reasonable package in place. The Government are always open to further representations on that issue, and discussions continue about matters of costs.
Lord Laming: My Lords, will the Minister acknowledge the contribution which many social services departments are making in the care of unaccompanied refugee children, many of whom speak no English and have had very traumatic experiences?
Lord Bassam of Brighton: My Lords, the noble Lord is quite right to draw our attention to the profound difficulties that unaccompanied children face when they come to the United Kingdom in those circumstances. The Government are extremely grateful to local authority social services departments for the difficult and sometimes very disturbing and traumatising work which they undertake. We should all congratulate local authority social services departments on the quality of their work and give those local authorities our fullest support in those circumstances.
Lord Bassam of Brighton: My Lords, as the noble Lord will understand from his involvement in the earlier debates on this matter, it is the Government's intention that our cluster arrangements take on board precisely the issues of which he spoke. We shall disperse asylum applicants only where we believe that the correct support and infrastructure are in place; where we can work with a well-defined refugee community; and where we can work locally with a refugee council where one is in place, operative and working well. I am sure that that will reassure the noble Lord that we are proceeding in a way which is sensitive to the problems that asylum applicants face, while being fully aware of the difficulties that we have to resolve in continuing to process asylum applications to this country.
Lord Mackay of Ardbrecknish: My Lords, is not the real problem for the Government and local authorities the fact that, thanks to the kind of language talked by the party opposite before the last general election, lots of people thought that the gates of this country would be opened? In fact our problem is bogus asylum seekers who are still flooding in, despite the pathetic efforts of this Government to stop them.
Lord Bassam of Brighton: My Lords, that will not do. This Government were left with an appalling shambles by the party opposite. We inherited an outrageous situation. We have put in place firm and effective measures, and further measures will be effective from 1st April.
Lord Campbell of Croy: My Lords, further to the Minister's first Answer to me, everyone is pleased that co-operation is going so well between the Home Office and Scottish local authorities--they normally deal with the Scottish Office and now the Scottish Parliament--but can he give a categorical assurance that the arguments in relation to finance and payments are not continuing?
Baroness Williams of Crosby: My Lords, does the Minister agree that the flow of asylum seekers is closely related to international events and crises outside the control of this or any government? The flow of refugees last year was reflected in increased demands for asylum status in most of the countries of Europe, including the United Kingdom.
Lord Bassam of Brighton: My Lords, as ever, the noble Baroness speaks with eminent good sense on this subject. She makes a perfectly valid and proper point. International affairs have a profound impact on the number of asylum seekers and applicants who come to this country seeking our support.
Lord Strathclyde: My Lords, how can the Minister come to this House without being properly briefed and without having the information to answer specific questions? How can he attack the record of the previous government without having those figures? In future, can he be properly briefed before he comes to this House?
Lord Bassam of Brighton: My Lords, I felt I was properly briefed. I do not want to give imprecise figures. I return to the point I made earlier. Our Government were presented with a shambles when we took control in this country. We intend to put that right. We have put firm and effective legislation in place and we intend to continue tackling the problems.
The Parliamentary Under-Secretary of State, Department of Health (Lord Hunt of Kings Heath): No, my Lords. The guidance from the National Institute for Clinical Excellence advising clinicians not to prescribe Relenza during this winter's flu season was based on a careful and thorough review of all the clinical evidence then available. The institute will be reviewing the position later this year.
The Earl of Courtown: My Lords, I thank the Minister for his reply. However, does he agree that this drug is widely used in other countries? In the United States of America, more than 400,000 prescriptions are
Lord Hunt of Kings Heath: My Lords, I am not convinced of that. The noble Earl will be aware that the advice received from the National Institute for Clinical Excellence was based on the most authoritative analysis available. The purpose of establishing NICE was to ensure that in the NHS we use the best treatments possible. The advice from NICE was that if Relenza is taken within 36 hours of the symptoms appearing, the benefit is limited to reducing the average length of illness from six to five days. On that basis, and on the evidence so far that Relenza does not provide specific benefit to older people who are the most vulnerable from the effects of flu, NICE gave that advice to the National Health Service.
The US Food and Drug Agency, in giving advice to prescribers of Relenza, said that it had been shown not to be effective in high risk patients, and that it should be used with caution in patients with pre-existing respiratory diseases.
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