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Damages (Asbestos-Related Conditions) Bill


Eleanor Laing welcomes a Private Member's Bill specifically aimed at enabling sufferers of pleural plaques caused by exposure to asbestos to obtain compensation but calls for further examination of the various types of injury to ensure the principals of personal injury law are upheld.

Mrs. Eleanor Laing (Epping Forest) (Con): I welcome the fact that the hon. Member for Hendon (Mr. Dismore) has introduced this Bill, because it concerns an important matter that deserves discussion in this House. Conservative Members certainly have the compassion to which he referred. We have great sympathy for people who have unwittingly had to work with asbestos for much of their working lives; and, indeed, for those who have not directly worked with asbestos but have come into contact with it because members of their family and others have worked with it. There is no doubt—we acknowledge it, of course, because it is a clear fact—that many thousands of people undertook, sometimes for a lifetime, work that they had no idea was dangerous.

Some time ago, when, like the hon. Gentleman, I practised the law instead of just talking about it, I dealt with a case that had gone on for years and years, involving the insurance aspects of asbestos injuries and affecting hundreds of thousands of people. I well remember the evidence that I dealt with, and I am well aware of how horrible the effects of asbestos and asbestosis can be, and are, for very many people. Of course, we accept the principle, as is normal in personal injury law generally, that where someone has suffered, and is suffering, because of the work that they did, they should be entitled to compensation.

However, there are various areas in which I believe the hon. Gentleman’s Bill varies from the principle I have just stated. First, we must make a distinction between pleural plaques as a benign condition, pleural plaques where there is a physical impairment and other asbestos-related diseases. I hope he accepts that and I think he probably does, because his Bill is specifically about pleural plaques. If we do not make that distinction between those three different types of asbestos-related disease, we are in danger of widening the effects of the law enormously. It is the duty of Parliament to balance the needs and rights of the individual with the amount spent from the public purse on the taxpayer’s behalf.

Mr. Dismore: The hon. Lady identified three types of injury. She called the first benign, although I prefer to call it asymptomatic, because I do not think it is benign. The remaining two are already actionable in law. The only one that remains is asymptomatic pleural plaques, which is what my Bill is intended to address. The other two are already actionable, so the issue does not arise.

Mrs. Laing: I thank the hon. Gentleman for making that point, which I fully appreciate. That is why I am making the distinction quite clear. Of course the other two are actionable—I understand that that is exactly why the hon. Gentleman has brought the matter before the House today. However, I have been considering the medical evidence, which I suggest it is important that we do that when considering new legislation such as this. Sometimes it is right that general principles of personal injury law should be upheld rather than specific instances isolated, as they would be by the Bill.

In saying all this, I am exploring the possibilities in the Bill rather than speaking vehemently against it. As I said, when we consider this issue we do so with great compassion for and sympathy with people who have worked with asbestos and who suffer from asbestos-related diseases.

Mr. Clapham: As the hon. Lady knows, there is a great disparity in some of the evidence. There are two chaps who come regularly to my surgery, both of whom have difficulty in breathing and have been exposed to asbestos for the bigger part of their working lives. Both have pleural plaques, and both take the view that pleural plaques are causing their breathlessness. Yet I know of another case, of a younger man who was diagnosed with pleural plaques. When the doctor made the diagnosis, that man could tell him precisely where the pleural plaques were, because when he walked vigorously he could feel the spot. When he pointed to the spot, the doctor agreed. There is a real need for us to see much more medical evidence in future, because the decision that the Law Lords made on 17 October 2007 belittled people to some degree.

Mrs. Laing: I entirely see the hon. Gentleman’s point, including about the particular people to whom he refers. It seems to me that as a matter of the general principle of personal injury law, if there is an identifiable and provable link between suffering or injury in such cases and action taken by, or negligence on the part of, an employer—a legally provable causal link with the injury that someone is now suffering—the normal law of this country, without any amendment such as in the Bill, would give those people a locus for action. I am sure that the hon. Gentleman will have advised his constituents to take both medical and legal advice on the matter. Indeed, if he were to come forward with the medical and legal advice that showed that causal link, there would surely be a case to answer without the need for today’s Bill.

Mr. Dismore: The real problem is the general view that the House of Lords got it wrong. Part of the problem was its refusal to aggregate the psychological and the asymptomatic impact—that is, the physical changes—of pleural plaques. However, if pleural plaques were on the outside of the body rather than on the inside, there would be no argument about their being compensatable, yet because we cannot see them, they do not count. I was grateful for what the hon. Lady said earlier, but I am not sure whether she is opposing my Bill or not. If she is concerned about the detail of the wording, let me assure her that I am not wedded to it. Should the Bill proceed to Committee, I should be more than happy to discuss any suggestions for amendments that she may wish to make to improve it.

Mrs. Laing: I thank the hon. Gentleman for that. It might benefit the House in considering the matter to take into account the published medical opinion on it. For example, the president of the British Lung Foundation, Dr. John Moore-Gillon, has said:

“Pleural plaques do not themselves ‘turn malignant’ and become a malignant mesothelioma. They do not in themselves cause asbestosis to develop, nor do pleural plaques increase the risk of lung cancer, and they are a different condition from diffuse pleural thickening.”

Linda Gilroy: I would press the hon. Lady to clarify whether she intends to allow the Bill to receive its Second Reading and say whether she has picked up on the point made by the presenter of the Bill, my hon. Friend the Member for Hendon (Mr. Dismore), that we need to consider the psychological aspects. When somebody has a pleural plaque, they live in fear of it. Does she know that there are thousands of people who served in the Royal Navy who were required to pull flash hoods with asbestos in them over their faces—many are in their late 70s and 80s today—who live with that fear?

Mrs. Laing: Yes, I appreciate that. I think that I said quite clearly, although I will repeat for the sake of clarity, that we on the Conservative Benches certainly acknowledge that there are hundreds of thousands of people—not just in Britain, but throughout the world—who were forced to work with asbestos when the awful effects it can have were not known. I have previously seen evidence of the dreadful effects of asbestosis. I also accept what the hon. Lady says about the employer in question sometimes being Her Majesty’s Government, which means that the person legally responsible for compensation for the injuries suffered is the British taxpayer. I entirely agree that that is an incontrovertible fact.

The hon. Lady asks whether I intend to oppose the Bill today. We are dealing with something that is in the balance—something that is not clear. It is not a matter for party political argument, nor of political principle. It is not a question of our thinking and saying one thing, and the Government thinking and saying another. Far from it: we recognise that people are suffering and have suffered. I believe that the matter ought to be more carefully explored. As a matter of principle, I would always encourage us to allow such a Bill to go to Committee, so that it can be properly considered.

The hon. Member for Hendon said that he would welcome amendments to the Bill in Committee. As a mark of respect to our legislative process, I would not oppose a Bill such as this at this stage in the proceedings. I am not yet certain whether I will support it, but I will not seek to prevent it from having a Second Reading. It is right that all these matters should be explored.

I should like to continue with my exploration of the published medical opinion. I have already quoted Dr. John Moore-Gillon, and I should like to quote a leading consultant, Dr. Robin Rudd, who has said:

“Pleural plaques are not thought to lead directly to any of the other benign varieties of asbestosis-induced pleural disease”.

Dr. John Moore-Gillon has also said:

“Pleural plaques do not themselves ‘turn malignant’ and become a malignant mesothelioma”.

The issue is whether the development of pleural plaques amounts to an actionable injury. I would argue that, if there is a causal link between the suffering and the employment that caused the suffering, there is clearly a case in law. If there is no such causal link or no quantifiable suffering, there is no case in law.

Michael Fabricant (Lichfield) (Con): Is not the extent of the pleural plaques a key point? In themselves, they can be asymptomatic—that is, they present no symptoms. Contrary to the example given earlier, if people are not suffering from a particular dysfunction, it could be argued that there is no cause for compensation to be paid. Unless there is an X-ray or some other form of diagnosis, there is no way of telling whether someone has pleural plaques.

Mrs. Laing: My hon. Friend, as ever, makes a very good point, which helps the debate.

I take the point made by the hon. Member for Plymouth, Sutton (Linda Gilroy), which I think is the crux of the matter. She said that the hon. Member for Hendon was trying to widen the law so that not only the disease, injury and suffering but the fear of the consequences—and therefore the psychological effect of having developed pleural plaques—would be taken into consideration. I see the hon. Gentleman nodding; I am glad I have identified the crux of the matter correctly.

This is rightly a narrow Bill about a specific issue. The principle behind the way in which personal injury law has developed in this country would be changed considerably by it—

Mr. Dismore indicated dissent.

Mrs. Laing: The hon. Gentleman says no. I shall certainly give way to him so he can explain that.

Mr. Dismore: The problem is that psychological injury in these circumstances can be looked at by the courts only if there is also a physical injury that they consider compensatable. My Bill simply tries to establish that pleural plaques are compensatable, so that a link could therefore be made to the psychological injury. There is no new principle involved.

Mrs. Laing: I thank the hon. Gentleman for his perfectly logical and reasonable explanation.

Mr. Andrew Robathan (Blaby) (Con): Unlike the hon. Member for Hendon (Mr. Dismore), I am not a personal injury lawyer, or indeed a lawyer of any shape or form, but it seems to me that he wishes to overturn a ruling of the House of Lords. For all I know, he may be right to want to do so, but does it not seem strange that overturning such a ruling should be reliant on him? I would rather have expected the Government, if they felt that the ruling was unsound, to have come forward with their own proposals to improve the law. I have to say that we are going through a fairly strange constitutional procedure when a Back Bencher is determining, on a Friday when the Chamber is very empty, how to overturn a ruling of this country’s highest court.

Mrs. Laing: My hon. Friend makes an extremely good point. Clearly, there would have been no need for the hon. Gentleman to introduce his Bill had it not been for the House of Lords’ decision, which was quite clear on this matter. Indeed, it has been discussed in many different ways in this Chamber over the last several years since the case was first brought—quite rightly, long before it ever came to the House of Lords. I well understand why the hon. Gentleman has brought his Bill forward in an attempt to overturn the ruling, but we need to reflect that before the House of Lords finally made that ruling, the matter had been considered in great detail—year after year and on the basis of all the necessary evidence put before the various courts that had considered it. If he wishes to challenge the House of Lords, there is no way for him to do so other than by trying to change the law himself.

I agree, of course, with my hon. Friend the Member for Blaby (Mr. Robathan) that if the law is to be changed in this way, it should be for the Government to decide how best to do it, so I shall conclude shortly to allow the Minister to give us the Government’s opinion.

Michael Fabricant: We can all tell from my hon. Friend’s accent that she is Scottish and she will be aware that the Scottish Parliament passed similar legislation. Is she aware of whether any additional costs were created for Scottish businesses and whether the legislation was applied to people who had not suffered from specific symptoms? Let me make it clear that hon. Members on both sides of the House will feel that people who have symptoms of any kind deserve compensation.

Mrs. Laing: On that last point, I agree, of course, with my hon. Friend, who is absolutely right to mention the position in Scotland. I was just coming to that because the Scottish equivalent of the hon. Gentleman’s Bill was passed by the Scottish Parliament on 11 March this year. My colleagues there agreed with its general principles and, as I have said, I agree that it was right to bring forward this Bill today and I understand the hon. Gentleman’s motives. Nevertheless, our colleagues in the Scottish Parliament rightly asked for the costs of implementing that Bill to be routinely monitored.

As I said a little while ago, it is our duty as a Parliament to balance the rights of the individual against the rights of the taxpayer and the public purse. I say that with compassion and sympathy for all those suffering from pleural plaques—asbestosis has terrible consequences, which we all understand—and it is on the basis of that sympathy and compassion that I conclude in order to hear what the Minister has to say.

2.4 pm

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