Bil Arloesi Meddygol? Wales votes No

The Welsh Assembly votes unanimously against Saatchi Bill

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Vote in the Senedd clear: National Assembly for Wales united against Saatchi Bill

“a solution in search of a problem and not a very sound solution at that”

Previous post on LCM here.

The National Assembly for Wales debated the Medical Innovation Bill in Plenary yesterday, February 3 2015.

The debate, informed by the report of the Committee released last week, revealed a cross-party clarity and cutting precision from the Senedd, despite Lord Saatchi’s best attempt and Lord Howe’s assertions in the Lords.

Legislative Consent

The Government of Wales Act 2006 permitted a referendum on devolving legislative competence to the Welsh Government. This occurred in 2011 since which Wales has had full legislative competence in the 20 areas set out in Schedule 7 of the 2006 Act, subject to any exceptions listed therein.  One of these areas, under Para 9, Pt 1 Schedule 7 is health and health service provision.  A Legislative Consent Motion must be passed by the Assembly to provide agreement for Westminster to legislate for Wales in an area of Welsh legislative competence. The Welsh government identified that the Bill clearly applied to an area that has been fully devolved, and so the Minister for Health and Social Services Mark Drakeford issued a legislative consent memorandum in December 2014.

Ignorance or arrogance?

Already clear, the 2014 SC judgment on Agricultural Sector (Wales) Bill  irrefutably delineated the matter of legislative competence as being a test of whether the provisions of a Bill relate to a devolved subject.  Indeed, the Bill “sits firmly” within the legislative competence of the National Assembly: the Westminster Parliament’s assertions that it does not apply are “plainly not the case”.

What were the UK govt, Bill team, DH thinking? To attempt to pass legislation in an area so clearly devolved to Wales is a fundamental breach of convention, but to add to that the Bill is widely considered unnecessary and harmful. Surely they knew this would be picked up? and if they aren’t aware, then what are they doing in their jobs?  Earl Howe was wrong in his assertions to Baroness Finlay which is somewhat remarkable for a Parliamentary Under-Secretary of State for Quality at the Department of Health, speaking for the UK government in the House of Lords.

“It is extremely concerning that there is still advice being given that clearly contradicts the position that’s been outlined very clearly by the Supreme Court, and the amount of time that appears to be wasted in Westminster now as a consequence of that lack of understanding and lack of attention to decisions relating to Welsh devolution should concern us all. It’s certainly my view that approaches should be made, either via the First Minister or via the Counsel General, to try and resolve that situation.” – Mick Antoniw

“is this Bill the appropriate vehicle, and does this lie within the competence of the National Assembly for Wales?”
“I have to say that I fully concur with the Welsh Government in terms of its view and the view of the Health and Social Care Committee in terms of the scope of this Bill falling absolutely within the competence of the Assembly. It is very clear that this is touching on issues that relate to the field of health in the Government of Wales Act 2006, and therefore it is entirely appropriate that we’re having this debate in the Senedd today.”
“We will be voting against the LCM on the basis that we do not feel that there is a need, frankly, for the provisions in this Bill in order to allow for appropriate medical innovation here in Wales. As the Minister has already said, and, as we received evidence to the health committee from a range of sources, there is innovation already taking place. Frankly, Wales and the rest of the United Kingdom are at the cutting edge, in many respects, of medical innovation, with new treatments coming online and upstream all of the time.     We ought not to undermine that by tinkering with our legislative arrangements in a way that would undermine the accountability that’s currently in the system, which allows for that innovation to take place. So, we do feel that the provisions in this Bill are unnecessary, that the current law, and the ethical guidance that sits alongside that law, are sufficient and adequate to be able to allow for responsible medical innovation where there is a patient interest that clearly is going to be pursued. For that reason, we’ll be supporting the Government’s position today and encouraging Members in this Chamber to vote against this LCM.”
 

An appropriate vehicle?

The Assembly debate had to consider whether to pass the LCM to agree to the Bill applying in Wales. In considering the Bill Wales took into account its consultation, which though brief received “clear and robust responses”, as did that run by the DH and Bill team . They concluded:

  • “against Lord Saatchi’s own test, the Bill is unnecessary as there is no evidence that innovative care is prevented by doctors’ fears of the current system of clinical negligence”  “there are many organisations and individuals who go beyond the belief that the Bill is unnecessary to argue that it is positively harmful“(Mark Drakeford)
  • “The Bill is ill thought out. It also offers fewer guarantees and protections than currently exist in common law and therefore the legislation is unnecessary and also undesirable.” (Mick Antoniw, Welsh Labour)
  • “there is a lack of research accountability inherent in the Bill ” (Elin Jones, Plaid Cymru)
  • “we do not feel that there is a need, frankly, for the provisions in this bill in order to allow for appropriate medical innovation” (Darren Millar)
  • “as outlined by many of the responses that the health committee received, or, indeed, responses to Lord Saatchi’s own consultation, there is a very genuine fear that patients could be harmed as a result of this legislation, and innovation stifled.” (Kirsty Williams, Welsh Liberal Democrats)
  • “Not only would the Bill risk real detriment to individual patients, but as the Academy of Medical Royal Colleges concludes, one of its unintended but adverse consequences could be to undermine the essential role of proper, scientifically rigorous clinical trials on which innovative treatments for the whole of our patient body are legitimately based.”    “Above all, it will leave patients without a remedy when injured by treatments that many doctors would consider unacceptable, and at the mercy of the judgments made by individual practitioners who have no professional support or oversight.”    “The Bill is unnecessary and should not proceed” (Mark Drakeford)

“There’s clearly an emerging consensus across the Chamber around three key issues. Firstly, it’s common ground in this Chamber that this is a Bill that trespasses into areas of devolved competence…. Secondly, we are all agreed here that responsible medical innovation is something we want to see and we strongly support, but, in the third point of consensus, our fear is that the Bill, far from adding to the capacity to do that, runs the risk of frustrating responsible innovation. I therefore ask Members to vote against the motion, confirming our view that the provisions within this Bill should not apply to Wales.” – Mark Drakeford

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