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My Lords, I was unaware that women over the age of 70 can have screening every three years, and I am very grateful to have heard that today. Given the ages in the House of Lords, might it not be possible to do some screening of women here for breast cancer? What are the statistics for death from breast cancer in women over 70? How serious is the issue in terms of the number of fatalities?
My Lords, I was unaware that women over the age of 70 can have screening every three years, and I am very grateful to have heard that today. Given the ages in the House of Lords, might it not be possible to do some screening of women here for breast cancer? What are the statistics for death from breast cancer in women over 70? How serious is the issue in terms of the number of fatalities?
Breast cancer is one of the most common cancers, and more than 50,000 were diagnosed with it in 2023. My noble friend Lady Hodge gave further information. On the point about offering screening here, my strong suspicion is that it will not be practical and it is better for people to go to their community. I will speak to my ministerial colleague, Ashley Dalton MP, in whose portfolio this falls. My recollection is that it is in letters or advice, but I want to check. It should be in there but, if it is not, perhaps it could be, so I will put forward my noble friend’s suggestion.
My Lords, this Question is specifically about sexual violence, but a lot of distress is caused by sexual harassment. Can the Minister assure the House that sexual harassment, which can cause great anxiety and difficulty to the victim involved, is taken very seriously too in the Armed Forces?
My Lords, this Question is specifically about sexual violence, but a lot of distress is caused by sexual harassment. Can the Minister assure the House that sexual harassment, which can cause great anxiety and difficulty to the victim involved, is taken very seriously too in the Armed Forces?
I can assure my noble friend of that. The Armed Forces go out of their way to encourage service personnel to report all examples of sexual harassment. They make it clear that sexual harassment or sexual intimidation below what we might consider to be the criminal threshold is unacceptable as well. They encourage self-reporting and keep statistics in respect of that. At all levels and at all ranks within the Armed Forces, they are seeking to root out unacceptable behaviour, whether it is so-called minor sexually inappropriate behaviour or more serious criminal activities.
My Lords, I was the general secretary of the Civil Service trade union, which was affiliated to the TUC, at the same time as the noble Lord, Lord Butler, was head of the Civil Service. In my experience, there are times when it is difficult to speak about what is going on among civil servants, but the great thing at the time was to have a dialogue going on with the noble Lord about how these issues could be addressed publicly and within the trade union. It is a question of common sense, dialogue and knowing where the red lines are. I believe that is still the case.
My Lords, I was the general secretary of the Civil Service trade union, which was affiliated to the TUC, at the same time as the noble Lord, Lord Butler, was head of the Civil Service. In my experience, there are times when it is difficult to speak about what is going on among civil servants, but the great thing at the time was to have a dialogue going on with the noble Lord about how these issues could be addressed publicly and within the trade union. It is a question of common sense, dialogue and knowing where the red lines are. I believe that is still the case.
There is very little I can add to my noble friend, except to say that I believe her statement is absolutely true about where we currently stand.
My Lords, can the Minister give us any indication of how many outstanding cases of this nature are still waiting to be dealt with?
My Lords, can the Minister give us any indication of how many outstanding cases of this nature are still waiting to be dealt with?
I will have to write to my noble friend; I do not have those figures in my pack. As I said, the CCRC has a target of completing case reviews in about 85% of cases within 12 months, which it is meeting in 10 months out of 12. I cannot answer my noble friend’s question with an exact figure, but I will write to her.
My Lords, can my noble friend expand a bit further on what the role of KPMG is in this as regards the senior service? I declare my interest as a former graduate in the Civil Service and as a former general secretary of the First Division Association. It would be very helpful if the Minister could be more specific about the role that KPMG is undertaking.
My Lords, can my noble friend expand a bit further on what the role of KPMG is in this as regards the senior service? I declare my interest as a former graduate in the Civil Service and as a former general secretary of the First Division Association. It would be very helpful if the Minister could be more specific about the role that KPMG is undertaking.
I will look into the role of KPMG further and I will revert to my noble friend on that point.
My Lords, I declare an interest as a former civil servant but, more importantly, as a former general secretary of the First Division Association, which represents the senior Civil Service. The fact is that Ministers take advice—quite rightly—from the Civil Service. However, this Question refuses to acknowledge that Ministers have the right—indeed, the duty and responsibility—to consult further than the Civil Service. In my experience, that is what they do. The decisions they take are theirs. My decisions were my decisions, and I believe the same of any Minister worth their salt, and certainly of my colleagues.
My Lords, I declare an interest as a former civil servant but, more importantly, as a former general secretary of the First Division Association, which represents the senior Civil Service. The fact is that Ministers take advice—quite rightly—from the Civil Service. However, this Question refuses to acknowledge that Ministers have the right—indeed, the duty and responsibility—to consult further than the Civil Service. In my experience, that is what they do. The decisions they take are theirs. My decisions were my decisions, and I believe the same of any Minister worth their salt, and certainly of my colleagues.
My noble friend makes a powerful point. It was similar to the first point made by the noble Lord, Lord Forsyth: it is for Ministers to get a range of views and to make decisions. It is dangerous for us to think that civil servants are not impartial. They are impartial. That does not mean that they are neutral and have no views, but they bring impartiality to their posts. That is why we have to bring in outside, as well as existing, expertise.
My Lords, does the Minister have any views on the appropriateness or the proper use of resources in providing proper sanitation for young women in our Armed Forces? I certainly do not need to explain their needs, but they are very different from those of their young male counter- parts. Can the Minister say anything about that? My experience is that they are totally inadequate.
My Lords, does the Minister have any views on the appropriateness or the proper use of resources in providing proper sanitation for young women in our Armed Forces? I certainly do not need to explain their needs, but they are very different from those of their young male counter- parts. Can the Minister say anything about that? My experience is that they are totally inadequate.
My Lords, the noble Baroness makes a good point. Particularly in single-living accommodation, this is absolutely critical. In the budget, £5.3 billion has been allocated in the next 10 years to
invest in the existing single-living accommodation and acquire new accommodation. I can assure the House that the issues around female single-living accommodation are being well catered for.
My Lords, how many people does the Minister think are online in Gaza to make such an application?
My Lords, how many people does the Minister think are online in Gaza to make such an application?
I am afraid that I am not terribly familiar with the internet in Gaza.
My Lords, it is not only women but men, is it not, who need to be educated on and helped with contraception? When I dealt with these issues a few years ago, I talked to a woman who was under 30, who had nine children. I told her about the importance everyone attaches to contraception, but she said with tears in her eyes that her husband would not let her use it. In many parts of the world, the men need educating on the importance of contraception quite as much as the women.
My Lords, it is not only women but men, is it not, who need to be educated on and helped with contraception? When I dealt with these issues a few years ago, I talked to a woman who was under 30, who had nine children. I told her about the importance everyone attaches to contraception, but she said with tears in her eyes that her husband would not let her use it. In many parts of the world, the men need educating on the importance of contraception quite as much as the women.
I entirely agree with the noble Baroness, and when we talk about the focus of our aid being on trying to increase the amount for women and girls, it is vital that we address that fundamental, often cultural difficulty. I take the point she has made. It is incumbent on us to make sure, working with our partners, that the large amounts of funds that flow to medical bodies such as Gavi are focused on tackling that fundamental part of the human relationship that causes so much difficulty.
My Lords, does the Minister accept that the situation of hereditary Peers is sexually discriminatory? Titles still go first to a son, and if there is no son they go to a collateral branch. That is in itself sexually discriminatory and I cannot see how she can possibly argue against that.
My Lords, does the Minister accept that the situation of hereditary Peers is sexually discriminatory? Titles still go first to a son, and if there is no son they go to a collateral branch. That is in itself sexually discriminatory and I cannot see how she can possibly argue against that.
I return to the point that the hereditary element, which plays a great part in this House—we should not decry that—has a by-election process that was part of a House of Lords reform package. There will no doubt be reform in the future, and the nature of hereditary Peers may or may not be considered. We had one Private Member’s Bill last Session on this very issue, but I see it as a slightly separate point from the work of HOLAC.
My Lords, can the Minister tell the House how many men there are on the GMC and how many women?
My Lords, can the Minister tell the House how many men there are on the GMC and how many women?
I will need to reply in writing on that.
My Lords, the Minister has referenced blind people. When I was in my local station the other day, getting my ticket to come to London, I stood behind a blind person who was completely confused and had no idea how to use the ticket machine. The chap in the ticket office was able to help and comfort her and tell her that she would be alright. I find it impossible to understand what the Minister is trying to make us believe—that people like that will not be disadvantaged. They will be.
My Lords, the Minister has referenced blind people. When I was in my local station the other day, getting my ticket to come to London, I stood behind a blind person who was completely confused and had no idea how to use the ticket machine. The chap in the ticket office was able to help and comfort her and tell her that she would be alright. I find it impossible to understand what the Minister is trying to make us believe—that people like that will not be disadvantaged. They will be.
That same person does not have to be in that ticket office in order to help them. That is what we are saying. There are all sorts of different people who need different help, and having somebody in a ticket office whose time is not being used effectively does not help passengers.
My Lords, there is also a very serious problem—certainly around where I live, on the Hampshire-Wiltshire border—of the theft of dogs. These dogs are stolen not only to stage cruel and horrible dog fights; quite often they are non-fighting dogs that are used as the bait in such fights. Does the Minister accept that there is a real, distinctive problem here and, if so, what position are the Government taking on trying to stop such a cruel and dreadful form of theft?
My Lords, there is also a very serious problem—certainly around where I live, on the Hampshire-Wiltshire border—of the theft of dogs. These dogs are stolen not only to stage cruel and horrible dog fights; quite often they are non-fighting dogs that are used as the bait in such fights. Does the Minister accept that there is a real, distinctive problem here and, if so, what position are the Government taking on trying to stop such a cruel and dreadful form of theft?
The noble Baroness is absolutely right—I fully accept that. We have only to look at our newspapers on an almost daily basis to find some story regarding dogs. Unfortunately, particularly in rural communities, people involved in the theft of these dogs are also involved with other theft, dangerous driving, all sorts of assaults and different kinds of offences. I take on board what the noble Baroness has said. The Government are aware of it and want to do something about it. New measures in the Police, Crime, Sentencing and Courts Act may well be able to deal with these offences.
My Lords, the Minister has been unable to answer several questions raised today in this exchange. We have a debate tomorrow. Can he guarantee that he will look this evening at the questions he has been unable to answer and give perhaps a better account of what is going on? He has his officials in the box—many of us have been in that box before—and I hope he will look at what he has been unable to answer and be able to give a full account in the debate tomorrow.
My Lords, the Minister has been unable to answer several questions raised today in this exchange. We have a debate tomorrow. Can he guarantee that he will look this evening at the questions he has been unable to answer and give perhaps a better account of what is going on? He has his officials in the box—many of us have been in that box before—and I hope he will look at what he has been unable to answer and be able to give a full account in the debate tomorrow.
The noble Baroness will have noticed that I actually provided answers in response to those questions a moment ago. I am afraid I resent the tone of her question. I will of course have at my fingertips relevant information for tomorrow’s debate.
My Lords, I travel to your Lordships’ House on the train most days. Not so long ago, I was travelling on a very crowded train when the young woman next to me completely passed out. We were crowded shoulder to shoulder. I did not know whether she had had some sort of attack or simply fainted. There was no means of getting the guard’s attention—there was no guard. Now, the young woman concerned may or may not have been in dire difficulty, but the fact is that all trains now tell you that you cannot pull a communication cord but must wait until the next station. Supposing she had had some sort of heart attack, and there was no guard there to help her. It is a terrible experience to have gone through, and what the Minister has said does not reassure me at all that she understands the predicament of disabled people or people in the position I was in.
My Lords, I travel to your Lordships’ House on the train most days. Not so long ago, I was travelling on a very crowded train when the young woman next to me completely passed out. We were crowded shoulder to shoulder. I did not know whether she had had some sort of attack or simply fainted. There was no means of getting the guard’s attention—there was no guard. Now, the young woman concerned may or may not have been in dire difficulty, but the fact is that all trains now tell you that you cannot pull a communication cord but must wait until the next station. Supposing she had had some sort of heart attack, and there was no guard there to help her. It is a terrible experience to have gone through, and what the Minister has said does not reassure me at all that she understands the predicament of disabled people or people in the position I was in.
What we are looking at is not necessarily taking people off trains but ensuring that the people who are on the trains are able to provide precisely the sort of assistance that that person may have needed. The reality is that if one is on a train which stops fairly frequently, the best option, if it is driver-only-operated and there is no guard, is to wait until the next station, because such trains tend to be on routes where the stations very close together. On longer routes, where the stations are
far apart, there are other people on the train looking after passengers, and in those circumstances that person would have been able to help.
My Lords, what advice would the Minister give to a senior staff nurse, working in theatre, and at the top of her pay band, alongside agency nurses who are paid two to three times as much as she is for a 10-hour shift? Should she leave the NHS and become an agency nurse herself, or should she vote to strike, as she may well be asked to by her union?
My Lords, what advice would the Minister give to a senior staff nurse, working in theatre, and at the top of her pay band, alongside agency nurses who are paid two to three times as much as she is for a 10-hour shift? Should she leave the NHS and become an agency nurse herself, or should she vote to strike, as she may well be asked to by her union?
I would hope and trust that such a respected person would see this position as the vocation that it is and the support that they give. We accept that there are some agency workers being used in this space, because obviously, in terms of safety, we need to make sure we cover that number of people. The whole recruitment plan—which, again, we are on target to achieve—is all about making sure we have enough nurses so that we do not have to use agency workers.
My Lords, in his initial Answer the Minister said that the Government would hold the Government of Iran to account for their treatment of women. How does he propose that the British Government do so?
My Lords, in his initial Answer the Minister said that the Government would hold the Government of Iran to account for their treatment of women. How does he propose that the British Government do so?
I have great regard and respect for the noble Baroness, who has played an important role on women’s rights across the world, including in Iran. Specifically on this point, only yesterday we sanctioned further individuals, particularly those in the morality police. We are working in conjunction with our key partners, including the United States and the European Union, because acting together we can not just limit Iran but restrict it and show it that we mean business in this sense.
My Lords, would the Minister be kind enough to address the question asked by my noble friend Lord Winston, which was specifically whether or not the Government support a Select Committee being established to look at the current difficulties for GPs? That was the specific point put, and maybe she would be kind enough to answer it.
My Lords, would the Minister be kind enough to address the question asked by my noble friend Lord Winston, which was specifically whether or not the Government support a Select Committee being established to look at the current difficulties for GPs? That was the specific point put, and maybe she would be kind enough to answer it.
My understanding is that the establishment of Select Committees is a question for Parliament, not the Government.
The Minister has said that he needs better data. What better data does he require than the fact that 60,000 children in this country are addicted to gambling? Surely, for most of us, that data is sufficient for the Government to be taking far stronger action than he has outlined.
The Minister has said that he needs better data. What better data does he require than the fact that 60,000 children in this country are addicted to gambling? Surely, for most of us, that data is sufficient for the Government to be taking far stronger action than he has outlined.
We are also looking at the way that we can collate data from the industry and from academia to make sure that we have proper evidence-based data such as the noble Baroness suggests fed into the review, which will be published in the coming weeks.
My Lords, the noble Lord will have followed the argument of my noble friend Lord Rooker for a very long time. Actually, he is one of the very few Ministers that I hope will not resign, because he is always honest and clear with this House and has a level of respect which Ministers in another place perhaps do not have. But I ask him quite sincerely: does he really want the risk of another 500 or 600 babies who are much wanted being lost, on the timetable he has outlined to the House, because that is what will happen?
My Lords, the noble Lord will have followed the argument of my noble friend Lord Rooker for a very long time. Actually, he is one of the very few Ministers that I hope will not resign, because he is always honest and clear with this House and has a level of respect which Ministers in another place perhaps do not have. But I ask him quite sincerely: does he really want the risk of another 500 or 600 babies who are much wanted being lost, on the timetable he has outlined to the House, because that is what will happen?
I first express my relief that the noble Baroness does not want me to resign—but, as others say, give it time.