Sir Charles David Powell, Knight, KCMG, having been created Baron Powell of Bayswater, of Canterbury in the County of Kent, for life--Was, in his robes, introduced between the Baroness Thatcher and the Lord Patten.
Sir John Birt, Knight, having been created Baron Birt, of Liverpool in the County of Merseyside, for life--Was, in his robes, introduced between the Baroness Jay of Paddington and the Lord Burns, and made the solemn Affirmation.
Lord McIntosh of Haringey: My Lords, the Government signed the handling agreement with the solicitors representing the claimants in September last year. Since then, the DTI has made over 6,800 offers based on spirometry testing and, so far, over 1,500 claimants have accepted. Another 2,800 such offers will be made subject to checking work histories. In addition, some 17,000 individual interim payments have been made. Over £51 million in compensation has been paid to ex-miners and their families.
Healthcall, the contractor delivering the medical assessments, has established 17 testing centres which are operational now, with a further nine centres opening by the end of March. Those will provide the capacity to carry out 2,500 assessments per month. The main constraints are waiting for the documentation from solicitors and collecting medical records from various sources. The sooner those are obtained, the sooner people will receive their money.
Lord Islwyn: My Lords, does the Minister appreciate that in Wales there are reputed to be no fewer than 25,000 claimants? Will he confirm that none of the settled cases or those yet to be processed will be subject to compensation recovery from the DSS? Have the Government investigated allegations that solicitors are demanding exorbitant fees from
Lord McIntosh of Haringey: My Lords, I am unable to speak about individual payments to firms of solicitors. On the issue of DSS payments, three out of the 15 bases of payment--that is, loss of past earnings, cost of past care or loss of past mobility--may affect the compensation paid by the DSS. In other words, DSS compensation may affect the present compensation scheme. In contrast to the position under the previous Government, when it was possible for the DSS to recover general and special damages which could amount to the whole of the compensation, under the present rules that situation is more limited.
Lord Renton: My Lords, bearing in mind that pneumoconiosis, caused by inhaling coal dust, is the principal cause of problems in this context, can the Minister say whether the National Joint Pneumoconiosis Committee still functions, as it used to most usefully? Is it still presided over by a junior Minister? Do any of the major hospitals in mining areas have a pneumoconiosis wing?
Lord McIntosh of Haringey: My Lords, pneumoconiosis is only one, and not necessarily the most important, of the diseases covered by the compensation scheme. I shall write to the noble Lord on the other points to which he referred.
Lord Dormand of Easington: My Lords, can the Minister tell the House whether the monitoring group that deals with this matter is still in existence? If so, what problems is it dealing with at the moment?
Lord McIntosh of Haringey: My Lords, the monitoring group is in existence and it is extremely helpful. We have had three meetings and the fourth is to be convened before the end of this month. We envisage that the monitoring group will continue to provide an independent check on the work carried out.
Lord Lofthouse of Pontefract: My Lords, will my noble friend inform the House what progress has been made on claims by widows of former mineworkers? Is he aware of any widows who have received any settlements? Can he inform me when such claims are expected to be settled? He will be aware that if the delay continues widows, like their former husbands, will die before they receive any compensation.
Lord McIntosh of Haringey: My Lords, my noble friend refers to an extremely serious problem of compensation arriving too late, which is common throughout the compensation scheme. However, widows' claims have priority over those of other bereaved families. There is the special provision of the
Lord Ezra: My Lords, on the matter of compensation arriving too late, will the Minister consider extending the system of interim payments? In a large number of cases interim payments are made, but in many others such payments are still outstanding.
Lord McIntosh of Haringey: My Lords, there is not a limitation on interim payments. Interim payments are being made and will continue to be made. Of course, difficulty arises on the agreement of full and final payments. Such payments have been made wherever possible on the basis of spirometry tests, but inevitably full and final payments based on the medical assessment programme will take some time to complete in the light of the timetable that I described in my first Answer.
Lord Hardy of Wath: My Lords, will my noble friend ensure that there is further and ministerial consideration of the points raised by the noble Lord, Lord Islwyn, not least in regard to legal fees and to the geographical question?
Lord McIntosh of Haringey: Yes, my Lords, I can certainly give my noble friend that assurance. I am sure that he is aware that the Secretary of State for Trade and Industry and Helen Liddell have been closely involved personally in all aspects of the compensation scheme.
Lord McIntosh of Haringey: My Lords, I apologise. I am supposed to answer only two supplementary Questions at a time. There is no discrimination either for or against the Union of Democratic Mineworkers. That union has decided to use its internal resources rather than external solicitors, but there is no evidence that that has resulted either in a speeding up or a slowing down of its claims.
The Parliamentary Under-Secretary of State, Department of Health (Lord Hunt of Kings Heath): My Lords, we welcome this report by the Tobacco Advisory Group of the Royal College of Physicians and will consider that recommendation carefully. We are aware of the important role of nicotine replacement therapy in helping smokers to give up, and are already investing substantial sums of money in NHS smoking cessation services, which include the provision of a week's free nicotine replacement therapy for poorer smokers.
Lord Rea: My Lords, I thank my noble friend for that Answer, which gave some detail of the Government's action. Is he aware that in terms of cost per life saved, nicotine replacement therapy is a great deal more economical than many other treatments that are available in the National Health Service for the prevention of coronary heart disease? Could NRT on the NHS be a welcome step to help the new heart tsar to work himself out of a job through prevention rather than cure? In the case of coronary heart disease, treatment is usually too late and never completely effective.
Lord Hunt of Kings Heath: My Lords, I am sure that we all hope that the heart tsar is put out of business soon because of the success of the programmes that we want to institute. However, I believe it will take a little time yet. I certainly agree that smoking cessation programmes are an important component of a preventative approach.
On the comparison between the cost-effectiveness of various preventative and treatment measures, it is important that one compares like with like. There is no doubt that nicotine replacement therapy, alongside advice to smokers who want to give up, can be an effective intervention measure.
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