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I remind the House that when there are multiple pregnancies and babies are born prematurely, we have a huge problem, as we have a shortage of neonatal cots in special care baby units in this country already. We have this terrible spectre of babies being transported around the country. The speech given by the noble Lord, Lord Winston, was absolutely wonderful and his wordsor the words from the Biblewill ring in everybodys ears: Give me children or I am as good as dead. So many people feel like that. I have colleagues who have undergone or are undergoing infertility treatment at the moment who are barely coping with the activities of daily living because it is so dominating their lives.
I hope I am not misleading the Committee, but I understood that the cost of the NHS providing that sort of treatment is somewhere in the region of £3,500 for a cycle. If you compare that to a day of a neonate in thebut I think that the noble Lord, Lord Winston, wishes to intervene and correct me, which I shall appreciate.
Lord Winston: I did not really want to interrupt the noble Baroness, but I seriously believe that the cost of the NHS treatment has been considerably inflated. It is fair to say that many trusts charge an arbitrary sum for IVF treatment and that if it was effectively costed out it could be provided at a much lower cost. Moreover, if we were more cautious with the expensive drugs that we use, as we have been advocating, the cost could be further reduced. That is one reason why it is very important to keep a research arm within the public sector, so I hope that that can be incorporated. I think that £3,500 is a considerable overestimate.
Baroness Finlay of Llandaff: I am very grateful to the noble Lord, Lord Winston, for correcting me on that, but those were the figures that had been supplied to me.
In summing up, I stress the remarks just made on research. If these contracts are within the NHS, we can begin to look at translational research for ways to make infertility treatments even more cost effective, which is not going to be done in the private sector as it would work completely against its profit motive. In that way, we lock ourselves into poor standards that are replicated rather than locking ourselves into assessing outcomes against standards, benchmarking services and, one hopes, coming up with what may become a really very cheap way of copingand I use cheap in the best sense of the word. It would be a cost-effective way of coping.
I hope that speeches such as that of the noble and learned Lord, Lord Mackay, have answered the concerns of the noble Baroness, Lady OCathain, in that this would not mean spreading provision more thinly. These services are available, or they can be if things are organised a little more efficiently and the contracts are in the NHS.
I shall go away and reread all the comments and contributions today. I am most grateful to noble Lords for all their contributions. I beg leave to withdraw the amendment.
Amendment, by leave, withdrawn.
Baroness Royall of Blaisdon: I beg to move that the House do now resume.
Moved accordingly, and, on Question, Motion agreed to.
The Parliamentary Under-Secretary of State, Ministry of Defence (Baroness Taylor of Bolton): My Lords, with the leave of the House, I shall repeat a Statement made in another place by my right honourable friend the Secretary of State of Defence. The Statement is as follows:
Mr Speaker, I am able to inform the House today of the findings of the Royal Air Force board of inquiry into the crash of the RAF Nimrod XV230 in Afghanistan on 2 September 2006.First, I know that the entire House will join me in paying tribute to the 14 serving personnel who lost their lives in this tragic incident. Our thoughts are with their families and friends, and indeed the men and women of the Armed Forces who I know feel the loss of their colleagues very deeply. Also, I would like to pay tribute to RAF Kinloss. This close community was hit hard by the Nimrod tragedy, but it has maintained magnificent support for the Nimrod crews deployed in support of operations in Afghanistan.I should remind the House that the purpose of a board of inquiry is to establish the circumstances of the crash and to learn lessons. A board of inquiry is a statutory process under Section 135 of the Air Force Act 1955 and is convened for any air accident. It makes recommendations to the chain of command on its findings. It does not seek to apportion blame. I am placing a copy of the boards report in the Library of the House, redacted only to withhold personal information that we are required to protect under the Data Protection Act and information that could prejudice the security and effectiveness of the Armed Forces. The report is a detailed technical document. I am conscious that, in the time available for an Oral Statement, I will not be able to do justice to all the issues it raises. Therefore, I am making a supplementary Written Statement which sets out the board of inquirys conclusions in more detail, along with a summary of its recommendations and the actions taken by the chain of command. The board established that, on 2 September 2006, RAF Nimrod XV230 took off from its deployed operating base at 0913 hours Greenwich Mean Time on an essential operational flight. The initial stages of the mission appear to have gone according to plan. At 1111 hours, approximately 90 secondsMy Lords, that concludes the Statement.
Lord Astor of Hever: My Lords, I thank the Minister for advance sight of the Statement. The loss of the Nimrod XV230 in September last year was a tragedy. Our first thoughts go to the families and friends of those who were killed. We on these Benches join the Minister in paying tribute to the crew who gave their lives in the service of this country. They did their very best, in a highly professional manner, to try and save their aircraft.
We also pay tribute to RAF Kinloss and the crews of other Nimrods who are currently deployed in support of vital operations in Afghanistan. We should not forget that they and other Royal Air Force personnel are constantly exposed to danger. We thank and congratulate the president and members of the board of inquiry for their thorough and hard work in very complicated and demanding circumstances. I pay tribute also to members of A Squadron, The Royal Canadian Dragoons, who at the time of the crash were about to go into operations against the Taliban. They saw the plane in difficulties, heard and saw the explosion, and were very quickly on the crash site, which they secured. With the Royal Air Force regiment, they removed the bodies and sensitive equipment.
This Nimrod was a very old aircraft, dating from the 1960s, which had been used very extensively, particularly in recent years. The plane was flying only because its replacement, the MRA4, has been delayed to save money. The Minister will be aware that many service men and women feel that this exemplifies the Treasury view that it is more cost-effectiveand therefore preferableto risk lives than to spend money which may not be essential. They feel that it reflects the wrong answer to the question, How little spending can we get away with?. In the mean time, the Royal Air Force will have to carry on with an ageing, unsatisfactory fleet. Can the Minister confirm that the ISDin-service datefor the Nimrod MRA4 is still 2010?
While we welcome the setting up of the review of arrangements for assuring the airworthiness and safe operation of the Nimrod, can the Minister assure the House that these planes are fit to fly in the mean time? These Nimrods require a high level of maintenance. Are the Government satisfied that there are sufficient personnel in place with the technical skills to keep
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The Statement mentions that there was a failure to consider the cumulative effects of changes to air-to-air refuelling capability and that AAR of Nimrods has, for the time being, been terminated. Can the Minister assure the House that this will not resume until safety issues are fully understood?
Finally, our Armed Forces are operating at a tempo well in excess of that for which they are resourced. There is a continual failure by the Government to properly understand the needs of the Armed Forces. The Statement admits that the MoD must take responsibility for some of the findings of the board of inquiry. There are reports in todays newspapers of £15 billion in cuts to the defence budget. I hope the Minister will be able to tell us that those reports are quite untrue and that the Government will give the Armed Forces the resources that they need to do their job properly.
Lord Addington: My Lords, I thank the Minister for repeating the Statement and I associate myself and these Benches with the condolences expressed to the crew and their families regarding this incident. Words are always inadequate to express sympathy, but I hope that that sympathy will be passed to the families.
The essence of this was that a very, very old aircraft involved in crucial operations in supporting our Armed Forces was lost in an accident. Was that very old aircraft up to the job? The replacement of Nimrod is an ongoing saga of which we have heard dribs and drabs and details for many years. Will a finite date be set for its replacement? You would expect no aircraft of that age to be crucial to troops on the ground. Will the Minister confirm that it is seen as vital in the operational field of Afghanistan to have the intelligence-gathering capacity of the Nimrod? Without this we are effectively letting our troops down. If those planes cannot be guaranteed to be sufficient to deliver that capacity, we are risking the lives of the people on the ground, as well as the crews, and risking the ability of this country to fulfil its mission in Afghanistan, with all the things that come with it. I would encourage the Minister, when she replies, to give me an undertaking that sufficient spending will take place to make sure that this can be done properly. If it cannot, one wonders what we are doing there in the first place. If that means we have to go somewhere else to find such technology, will the Minister ensure that at a certain point in the future we will do that? We owe this to the air crew and those they support.
Returning to the essence of the Statement, the idea that something as crucial as intense heat generated by a piece of machinery would be allowed to come into contact with aircraft fuel, and that no further thinking was done about this, would seem an error that one hopes would never be allowed to recur. Is the Minister absolutely sure that this accident could never happen again with the new fire prevention methods in place,
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I look forward to the Ministers reply. When are we going to ensure that our troops get sufficient machinery, support and training? As the noble Lord, Lord Astor, mentioned, is there sufficient staff to maintain these aircraft? Have the pinch-pointsI use the accepted jargon of the Armed Forcesbeen addressed as well? I look forward to the Ministers reply.
Baroness Taylor of Bolton: My Lords, first, I appreciate the comments of both noble Lords about those who were on the Nimrod, and I am sure that their families and friends will also appreciate the condolences that have been expressed. It is right that on an occasion such as this we acknowledge the professionalism, skill and dedication of those involved, and I am sure that their families will appreciate what has been said.
Several questions have been asked about the age of the aircraft and other matters. I say right at the beginning that, in comparison with other aircraft that are flying around the world at present, the aircraft was not exceptionally old. In fact, the average age of the British fleet is considerably less than that of the United States fleet, even though the US spends an enormous amount more on its fleet than we do on ours. So it is not simply a question of ageing aircraft; the matter is far more complex than that. Those who have had time to read the report or look at it in detail will understand that it is not simply a question of the age of the aircraft.
Obviously, an older aircraft requires a great deal of maintenance, and I was asked about the skills required in that regard. The board of inquiry made it very clear that there was not a problem with maintaining or servicing the aircraft. Beyond that, there may have been a problem with the policies adopted and a question over whether there was a full understanding of all the changes and additions that had been made to the Nimrod, including air-to-air refuelling, which was an additional facility and not there originally. This is a complex issue, and therefore we have agreed to the review so that the whole history of every aspect and dimension can properly be taken into account.
I was asked specifically about the situation regarding air-to-air refuelling. Noble Lords may know that such refuelling has stopped at the moment. Although we cannot say that it was definitely air-to-air refuelling that caused this accident, we have to be cautious. As your Lordships know, there was another incident in November, and the problem associated with that is not yet fully understoodin fact, it has been impossible to replicate that problem on the ground. Therefore, air-to-air refuelling has been stopped at the moment, and I can give an assurance that it will not recommence until we are sure of the cause of the problem and certain that it is absolutely safe to move on. We would not take risks in that respect where there is a lack of knowledge.
The noble Lord, Lord Addington, asked me about the heat that caused the fire. The heat was not generated by machinery but came from the secondary cooling pipe. There is a lot of machinery on these aircraft and
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Questions were also asked about the MRA4 and its replacement. I can confirm that its in-service date is 2010, as has been the case for some time. There has been a delay but it has not been due simply to the cost. The estimated delay because of cost factors has been one year, whereas the overall delay has been seven years, and six years are accounted for by the technical challenges that came to light once the decision to go down that path had been made. So, at the momentI think that this is a safe assumptionwe are expecting the MRA4 to be in service in 2010. In terms of the surveillance and reconnaissance work, since October we have had the Reaper in operation over parts of Afghanistan. That is helpful.
Perhaps I may say a word about the aeroplane being fit to fly. There is no possibility that the Secretary of State, or anyone within the MoD, would allow any aircraft to fly unless they had absolutely the best advice that it was safe. I know that that is taken very seriously because, contrary to the suggestion made earlier, lives will always come first. I was asked about safety; safety is paramount. No one, be they the Secretary of State or the Chief of Air Staff, would ask people to do things that were not safe. Operationally and in every other way, the safety of our troops has to come first. The board of inquirys report makes many recommendations, but all of them are aimed at making those aircraft safer.
I shall finish my comments on the questions raised by mentioning the Canadians, who helped in the operation, as the noble Lord, Lord Astor, pointed out. Members of A Squadron of the Royal Canadian Dragoons were in the vicinity and saw the aircraft in difficulty in the air. When they realised that it had crashed, despite being on an operation of their own, they diverted to the crash site, helped secure it, stayed overnight, then went back to complete their operation. We owe them a debt of gratitude for the work that they did.
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